I-Serotonin reuptake inhibitors (i-SSRIs) yaziwa kakuhle ngokuba ne-discontinuation syndrome xa unyango lugqityiwe ngokukhawuleza okanye ukuba luyanyulwa ngokukhawuleza. Oku kuphawuleka kakhulu nge-SSRI ezinobomi obufutshane obufutshane, njengePaxil (i-paroxetine) kunye ne-Zoloft (i-sertraline) kwaye ayifani ngokuqhelekileyo kunye neyeza ezinomyinge wexesha elide, njenge-Prozac (i-fluoxetine).
UZoloft unobomi obunomyinge malunga nomnye. Oko kuthetha ukuba yonke imihla edlulayo ngaphandle kokuthatha iyeza, inqanaba egazini liwela ngama-50 ekhulwini. Emva komnye usuku, izinga liyancipha libe ngama-50 ekhulwini kwinqanaba lokuqala, emva kweentsuku ezimbini ukuya kuma-25 ekhulwini, emva kweentsuku ezintathu ukuya kwi-12.5 ekhulwini, njalo njalo.
Ngenxa yokuba uZoloft ushiya umzimba wakho ngokukhawuleza, ukumisa kwakhona ngokukhawuleza kunokubangela ukuyeka ukuyeka ukukhulelwa. Phakathi kweempawu ezinokuthi zihlangane nazo izibilini, inyikima, isisu, iintlungu zomzimba, ubuthathaka, ukulala, kunye nokuxhalabisa. Nangona abantu abaninzi bevela eZoloft bengenayo yale mpawu, abanye abantu banalo okanye ngaphezulu. Iimpawu zihlala zihlala enye ukuya kwiiveki ezimbini, kodwa, kwezinye iimeko, zingancipha kancane kancane kwithuba elide ngenyanga.
Ukuyeka ukukhulelwa kwintsholongwane kunokuthi kwenzeke kunoma ubani kodwa oqhelekileyo kubantu abaye beyeza kwiinyanga ezininzi okanye iminyaka emininzi.
Kungabangela ukuphazamiseka kwabanye abantu njengoko iimpawu zingalingisa abo befuna unyango kwindawo yokuqala. Abanye abantu banenkxalabo yokuba, kunokubonakalisa iimpawu zokurhoxisa, iimpawu zithetha ukuba ukucindezeleka okanye iimpawu ezixhalabileyo ziyavuna.
Iimpawu zokuphela kwesifo zingabandakanya:
- Ukukhathala
- Isisu esimoshakele
- Ubuhlungu besisu
- Ukungabikho
- Ukuxhalabisa
- Ukutshitshiswa
- Utywala
- Hallucinations
- Umbono ongezantsi
- Ukutshatyalaliswa
- Ukuzila
- Amaphupha angafanelanga
- Ukuphosa okanye ukutshitshiswa kwamandla kagesi
Abanye abantu baya kuba neempawu ezincinane kwaye abanako ukuxhamla nokutshintshwa kwimizi yabo yonyango, becinga ukuba mhlawumbi banomkhuhlane. Kwabanye, iimpawu ziyancipha kangangokuthi zivakalelwa ukuba azikwazi ukuyeka ukuxhatshazwa kwabo ngenxa yokwesaba indlela eya kuphazamisa ngayo ubomi babo.
Indlela efanelekileyo yokuphepha okanye ukunciphisa le mpawu ikhupha kancane kancane. Kufuneka udibane nodokotela wakho ngaphambi kokuba uzame ukuyifaka. Ishedyuli yokupakisha kuyakufuneka ibe ngumntu ngokwakho, ngokusekelwe kwimiba enjengexesha elide uthabatha uZoloft, idosi yakho yangoku kunye nendlela ophendula ngayo kwi-tapering. Ukongeza, ugqirha wakho unokucebisa ukuba ukuyeka amayeza akho ngexesha langoku akuyona ingcinga efanelekileyo ngenxa yengozi yokubuyisela iimpawu zokudandatheka.
Qaphela ukuba akukho miyalelo enzima kwaye ekhawulezayo yokupakisha iZoloft. Umntu omnye unokukwenza ngexesha elifutshane, ngelixa elinye lingathatha ixesha elide. Abanye basenokufuna ukusebenzisa i-Zoloft yombane okanye bahlule iipilisi zabo ngesiqingatha ukwenzela ukuba bafake kwi-increments ezincinane.
Ukuqulunqwa kwamanzi e-Zoloft, okumele umiselwe ngugqirha wakho, kukuvumela ukuba ulinganise ngokulula amanani amancinci amachiza kunokuba oko kufumaneka kwifomu yepilisi. Iipilisi ziyakwazi ukwahlukana ngokufumana idivaysi engabizi ebizwa ngokuba yi-pillit splitter kwi-pharmacy yakho yangingqi.
Nangona akukho shedyuli ekhethekileyo ingasetyenziswa kubo bonke abantu, umntu othabatha umgangatho wesondlo ophezulu we-Zoloft (200 mg) angaphumelela kwiidayimitha ezingama-200mg, 150mg, 100mg, 75mg, kunye no-50mg njengoko ekhupha. Kwaye ukunciphisa umlinganiselo ngamnye kungenzeka kwindawo ethile phakathi kweentsuku eziliqela ukuya kwiiveki ezimbalwa, kuxhomekeke kwindlela ophendula ngayo.
Iingcebiso zokuCima iZoloft ngokuziThupha
Indlela efanelekileyo yokuphepha iimpawu ezinzima zokunciphisa i-dose ngokuthe ngcembe phantsi kolawulo logqirha wakho. Ukuba iimpawu zakho zinzima kakhulu, kunokuba kuyimfuneko ukuba uzinyule ngokucotha ngakumbi. Iimpawu ziya kudlula ngexesha, nangona kunjalo, njengoko ubuchopho bakho buya kutshintshela kumlinganiselo omtsha.
Ezinye iinketho omele ulandele xa ukunciphisa okanye ukuyeka unyango lwakho:
- Sebenza ngokusondeleyo neengcali zempilo yengqondo . Kungaba nzima ukuyeka unyango lwakho ngokukhawuleza xa uqala ukuziva ulunge, kodwa ukuhamba nayo kungekudala kunokubangela ukuba ubuyeke. Ngokubanzi, kufuneka uhlale kumachiza wakho ubuncinane ubuncinane kwiinyanga ezintandathu ukuya kwezi-9, kwaye ukuba unzima ukuxinezeleka ezintathu okanye ngaphezulu, kufuneka ulinde ubuncinane iminyaka emibini. Thetha kwingcali yakho yezempilo yengqondo malunga nokuba ingaba lixesha elifanelekileyo lokuyeka unyango lwakho.
- Landela isicwangciso. Qinisekisa ukuba uphazamise ngokukhawuleza ngokwemiyalelo yakho kagqirha ukuze ugweme iimpawu ze-syndrome. Kungathatha ixesha elide kunokuba ucinge ukuba kufanelekile, kodwa kubalulekile ukuhamba ngokukhawuleza, ngoko ingqondo yakho inexesha elaneleyo lokulungisa. Kulungile ukubiza ugqirha wakho uze umxelele ukuba unqwenela ukuyeka unyango lwakho ngokuthe ngcembe. Awudingi ukuzama kwaye ube yiqhawe.
- Fumana inkxaso yangaphandle. Qhubeka uqhagamshelana neengcali zempilo yengqondo, ingakumbi ukuba unempawu zokurhoxa. Cinga ngokubandakanya umhlobo osondeleyo okanye ilungu lentsapho ekuhoxisweni kwakho, ekubeni lo mntu unokubona izinto onokungazi.
- Ukuba awukho kwi- psychotherapy, qwa lasela. Unyango, ngokukhethekileyo unyango lwe-behavioral (CBT), lunokukunceda kakhulu ukugcina iimpawu zokudandatheka ngokukunceda ukuba ufunde indlela yokujonga iipatheni ezingacingi kunye nokuziguqula. Uphando luye lwabonisa ukuba unyango lwe-psychotherapy linciphisa amathuba okubuya kwakhona.
- Hlala uphilile. Qhubeka udla ngokufanelekileyo, usebenzise rhoqo, ulala ngokwaneleyo kwaye uthathe inxaxheba kwimisebenzi oyithandayo. Ukuzivocavoca, ngokukodwa, kunokukunceda ukwandisa amanqanaba akho e-serotonin, okuza kukukhuthaza ukuvakalelwa kwakho. Khawukhumbule ukufumana loo nto yokuzivocavoca yenza ubuncinane iiyure eziliqela ngaphambi kokulala okanye ukugqithisa kwe-adrenaline kunye ne-endorphins ozivelayo kunokuphazamisa ukulala kwakho.
> Imithombo:
> Fava G, Gatti A, uBelaise C, Guidi J, kunye no-Offidani E. Izimpawu zokurhoxiswa emva kweSelotonin ekhethiweyo Ukubuyiswa kwe-Inhibitor: UkuHlola okuHlolo. I-Psychotherapy ne-Psychosomatics . 2015. 84 (2): 72-81.
> IHarvard yeNtombi yezeMpilo. "Indlela yokucima i-Anti-depressant yakho." IHarvard yezeMpilo kwiSikolo sezoBucala saseHarvard .IYunivesithi yaseHarvard. Ipapashwe: Novemba 1, 2010. Iyahlaziywa: Disemba 1, 2015.
> Renoir T. I-Serotonin ekhethiweyo i-Reuptake Inhibitor I-Antidepressant Treatment Discontinuation Syndrome: Ukuhlaziywa koBungqina beCliniki kunye neendlela ezinokuthi zibandakanyeke. Imida kwi-Pharmacology . 2013. 4:45.
> "Zoloft." Cerner Multum, Inc. Drugs.com. Uhlaziywe: Septemba 23, 2015.