Izizathu Zokuba Oku Kungenzeka Namaqhinga Alula Ukujongana Nalo
Uthathe iPzac (i-fluoxetine) iminyaka emininzi, kodwa kungekudala, ayisebenzi kakuhle kakuhle. Iimpawu zakho zoxinzelelo zibonakala zibuyela kwaye uziva ungumlinganiselo wokuphindaphinda. Ntoni ngoku? Idilesi yakho kabini? Tshintshela kwenye iyeza? Nazi izikhokelo.
Kweneke ntoni?
Le nzekayo iyakwenzeka naluphi na u -serotonin e-reuptake inhibitor (i-SSRI) ekhethiweyo esetyenziselwa ukuphatha uxinzelelo.
Ukuba awuqinisekanga ukuba unyango othabathayo yi-SSRI, ngaphandle kweprozac apha yile ndlela echazwe rhoqo:
- Zoloft (sertraline)
- Paxil (paroxetine)
- Celexa (citalopram)
- Lexapro (escitalopram)
Xa iyeza lisasebenzisane nomnye njengoko lenzayo xa liqala ukuyithatha, loo mntu kuthiwa ukhulise ukunyamezela isilwanyana. Ixesha lonyango lokunciphisa ukusebenza kwonyango i-tachyphylaxis. Qaphela ukuba oku kubhekisela kwisilwanyana esake sisebenza kakuhle kodwa asisasebenza-kungekhona isicinga esingazange sisebenze nonke. Iingcali abazi ukuba kaninzi umntu uthatha i-SSRI uya kuvelisa ukunyamezela, kodwa ezinye izifundo zibonisa ukuba ama-25 ukuya kuma-30 ekhulwini abantu baya kubona ukuhla kwempumelelo ngexesha.
Kwakhona akucaci ukuba kutheni amachiza athile alahlekelwa yimpumelelo yawo ngexesha. Enye ingcamango eyenzekayo nge-SSRIs kukuba i-receptors engqondweni yinto engathandekanga kwiyeza.
Ngamanye amaxesha, nangona kunjalo, ezinye izinto zingadlala indima kwizinto ezibonakala ngathi ukulahlekelwa ngempumelelo kwe-anti-depressant. Ezi ziquka:
- Isifo esibangeleyo
- U xi nzelelo
- Ingxaki yesibini eyimpilo engakwazi ukuzimela ngokuzimela, njengesifo sikashukela
- Ukubhema i-cigarette okanye ukusela utywala, oko kubini kunokuphazamisa indlela yokulwa neengxaki zokuxhatshazwayo ezixilongwa ngayo umzimba
- Olunye unyango-umzekelo, ezithile iintsholongwane ziyakwazi ukusebenzisana nabaxinzelelo
- I-bipolar disorder iqondwe kakubi njengengcinezelo. Oku kubalulekile ukuqwalasela kuba ukulahleka okubonakalayo kwempumelelo yokuxhatshazwa kwengxaki kunokunyaniseka ngenxa yenguqu yenguqu ye-bipolar disorder.
- Ukuguga
- Ukungathathi i-antidepressant njengoko kuchaziwe
Izinyathelo Zokuthatha
Cwangcisa i-aphoyintimenti kunye neengcali eziyalela imithi yakho, ingaba ungumqeqeshi we-internist, isifo sengqondo, okanye umongikazi okhethekileyo. Uya kufuna ukwazi ukuba kukho nantoni na eyenzekayo ebomini bakho ebenokubangela uxinzelelo olongezelelweyo, okanye ukuba omnye ugqirha uye wayichazela izidakamizwa kuwe onokuphazamisana ne-SSRI yakho.
Ugqirha uya kufuna ukwazi ukuba usela kaninzi kangakanani okanye utshaya ugwayi. Ukunyaniseka ngale nto. Kwakhona, zombini le miba inokuchaphazela indlela amayeza akho asebenza ngayo. Kwakhona unokufuna ukuba uhlolwe i-hypothyroidism, isizathu esivakalayo sokudandatheka. Ukuba unayo nayiphi na impawu ye- mania okanye i- hypomania , kubalulekile ukuthetha nodokotela wakho kwaye mhlawumbi uhlolwe ukuba ubone ukuba unakho ukuphazamiseka kwe-bipolar kunokuba ucinezelekile.
Xa wena kunye nogqirha wakho bechaza isizathu sokuba u-antidepressant wakho uyeke ukusebenza kunye nakwixesha elidlulileyo, unokubonisa ukuba enye okanye ngaphezulu kwezi zilandelayo zitshintshe kwirejimeni yonyango:
- Ukwandisa umthamo weyeza lakho
- Ukutshintshela kwenye i-SSRI okanye isicatshulwa esivela kwiklasi eyahlukileyo yokuxhatshazela . Usenokukwazi ukujikeleza phakathi kwama-SSRI amaninzi.
- Ukunciphisa umthamo okanye ukuthatha ikhefu kumachiza ixesha elide
- Unyango olongezelelekileyo ngeyeza lesibini, njenge-buspirone
- Ukongeza i- psychotherapy okanye ukucebisa kwiplani yonyango lwakho
- Ukwenza utshintsho lwezinto ezingasinceda ukuxinezeleka
Umthombo:
I-Targum, S. Ukuchongwa kunye nokuPhathwa kwe-Antichpressant Tachyphylaxis. Ukulungiswa kweeNzululwazi zeCliniki . 2014. 11 (3-4): 24-28.