Mhlawumbi uye waphawula ukuba awuziveleli nje kwi- antidepressant yakho. Unokuthi uqaphele ukuba usizi lwakho lungcono, kodwa uzive ungenakuvakalelwa.
Ukuba uvakalelwa ngale ndlela (okanye into enje), awuyedwa. Enyanisweni, kukho igama elisetyenziselwa ukuchaza le nto "inzima" -ibizwa ngokuthi "ukuxhalabisa."
Makhe sifunde okunye malunga nokuzilahla komzimba, kuquka oko kukuthandayo, kunye nendlela wena kunye nodokotela wakho onokukwazi ukulawula kakuhle kwaye uthembele, ukuphelisa.
Ukuqonda ukucola ngokomoya
Ukugqithisa ngokwemvakalelo kuthetha ukuba iimvakalelo zomntu okanye iimvakalelo zidibene phantsi, ngoko ke umntu udla ngokuba "uzicace." Abantu abavakalelwa ngumphefumlo okanye ukuxolisa kwi-anti-depressant yabo bangabonisa iimpawu ezifana nalezi:
- Ukungakwazi ukukhala kancinci xa bekuya kwenzeka
- Ukuziva ungabi nangovelwano ngemvakalelo yabanye
- Ukungakwazi ukuphendula ngesantya esifanayo semvakalelo emihle abayifunayo
Ukongezelela, ukuphoxeka kwemizwa kaninzi kubonakala kunye nezinye iimpawu ezinjengeengcipheko zokucinga nokunciphisa ubumnandi bobulili kunye nomdla.
Ukuxhaphaka kweeMvakalelo zoMoya
Ngokutsho kwiphando kwi- Journal of Affective Disorders , ukuphoxeka kwengqondo kubakho malunga nesiqingatha sabantu abathatha uxinzelelo, kwisinye sezigaba zintathu zilandelayo:
- I-Serotonin Reuptake Inhibitors (SSRIs) ekhethiweyo njenge- Lexapro (escitalopram)
- I-Norepinephrine Reuptake Inhibitors (i-SNRIs) ekhethiweyo njenge-Cymbalta (duloxetine)
- I-Tricyclic Antidepressants njenge-Elavil (amitriptyline)
Nangona, kwiphononongo, kukho izibini ezimbini: i-Wellbutrin (bupropion) kunye ne-Cymbalta (duloxetine)
Isisombululo sokuzilahla ngokomoya
Iingcali zibuza ukuba ngaba ukuxhamla komzimba kuyimpembelelo yecala lokuthatha isifo sokudandatheka okanye nokuba sisisigxina sezinto zokudandatheka, nto leyo ibonisa uphawu lokudakumba komntu olungaphuculanga unyango (ukuhluleka okwenziwe kweyeza).
Ngalo mgaqo-mgangatho, kunzima ukuba iingcali zidibanise ngokucacileyo "kutheni" emva kokuphazamiseka kwengqondo. Nangona kunjalo, kukho ubungqina benzululwazi bokuthi ukuhla kwefuthe elichanekileyo kuhambelana nokungasebenzi kwemida ye-dopamine kunye ne-noradrenaline.
Njengecala, i-dopamine kunye ne-noradrenaline zizithunywa zombini zeekhemikhali (ezibizwa ngokuba yi-neurotransmitters) ezidlala indima kwintliziyo (kunye ne-serotonin, eyimichiza, i-SSRIs target).
Kuloo ngxelo, ezinye iingcali zazikholelwa ukuba izidalwa ezidandathelwanayo ezandisa ama-serotonin ezingqondweni (umzekelo, ii-SSRIs) zinokubangela umonakalo womsebenzi we-dopamine kunye ne-noradrenaline, ekhokelela ekugqithiseni ngokomzwelo. Ezinye iingcali zibonisa ukuba i-antidepressant "ingaphaya" okanye inyuse amanqanaba e-serotonin kakhulu, kwaye oku kuholele ekudakaleni kwemvakalelo okanye ukuvakalelwa.
Ezi ngcamango zombini, nangona kunjalo, azihambelani ngokugqibeleleyo nolu cwaningo olukhankanywe ngasentla, njengoko kuphazamiseka kwengqondo kunye nabo bonke abaxinzelelekileyo, kungekhona nje ii - SSRIs . Nangona, ngokuthakazelisayo, ukugqithisa ngokwemvakalelo kwakungaphantsi kwabo bathatha i-Wellbutrin (esebenza kwi-dopamine kunye neendlela ze-noradrenaline ezingqondweni, kungekhona i-serotonin).
Ukulawula ukuPhukisa ngokomzwelo
Iindaba ezilungileyo kukuba ukuba ukukhathazeka ngokwemvakalelo kuyinkinga kuwe okanye kumthandayo, kukho iindlela zokunyanga.
Isicwangciso esisodwa kukuba ugqirha wakho unokunciphisa umthamo wakho weyeza okanye ukutshintsha kwi-antidepressant eyahlukeneyo (umzekelo, ukusuka kwi-SSRI ukuya kwi-SNRI).
Ugqirha wakho unokucinga ukuba ungeze elinye iyeza ukukhupha ukuxhalabisa okubuhlungu.
Kulo flip side, kufanelekile ukuba uqaphele ukuba abanye abantu ngokwenene bajonge ukuphoxeka komoya njengokuba "luncedo" ngokweendlela abazivakalelwa ngayo-kwaye oku kulungile. Kwabanye, kunokubonwa njengolukhululo olwamkelekileyo kwiimvakalelo ezigqithiseleyo ukuba umntu wayevakalelwa ngaphambili. Okanye kungenokuba nzima kakhulu ukuphazamisa umgangatho wobomi bomntu.
ILizwi
Kukho konke, ukuxhalabisa ngokwemvakalelo yinto eyinkimbinkimbi ebonakala idibaniswa nokudakumba komntu, uphawu olude, ukuthetha.
Nceda uyazi ukuba ufanele uziva kakuhle kwaye "uqhelekileyo" kwi-antidepressant yakho. Kungathatha ukunyamezela, unyango, kunye namayeza ekuguquleni endleleni, kodwa unokufumana kwaye ujabulele ubomi ngokupheleleyo.
> Imithombo:
> Borchard TJ. (2009). Ngaba Ukuxhatshazwa Kweengxaki Ezixhatshazayo? Udliwano-ndlebe noRon Pies, MD. Psych Central. Psych Central.
> Goodwin, GM Emotional blunting in anxiety and depress: neurobiology and psychopathology. Medicographia . 34 (2012): 295-299.
> Goodwin GM, Intengo J, De Bodinat C, uLaredo J. Emotional ngokugqithisela unyango oluxinzelelekileyo: Uphando phakathi kwezigulane ezidandathekileyo. Ichaphazela ukungavumelani. 2017 Oktobha 15; 221: 31-35.
> IJaji J. noMnu Goodwin. Ukukrakra ngokwemvakalelo okanye ukunciphisa i-reactivity emva kokuxoxwa kwengcinezelo enkulu. I-Medicographia .31 (2009): 152-156.
> Sansone RA, iSansone LA. Ukunganakwa kwe-SSRI. I-Psychiatry ( Edgmont ) . 2010 Oct; 7 (10): 14-18.