Ukuqonda iMbono ephucukileyo ehambelana nokusetyenziswa kwe-Antidepressant
Ukuba ufumana imbono ephosakeleyo kwi-anti-depressant ukuthini oku kuthetha ntoni? Iyingozi? Kutheni kwenzeka?
Sibanzi
Umbono ogqityiweyo ngumphumo wecala lokuxhaswa ngumntu ongenakukwazi ukubona ngokucacileyo. Oku kuye kwachazwa ngeendlela ezininzi, kodwa ngokuqhelekileyo kuthethwa ngokungabikho "ubukhali" nokucaca kumbono womntu.
Ukongezelela ekungabikho kokucacileyo, umntu unokufumana iimpawu ezinjengokutsha, ukubetha, ukubomvu kweso, okanye ukutshatyalaliswa okanye ukuvakalelwa. Ukongezelela, abanye abantu bayayiqwalasela ukuvaleka kokukhanya.
Mayeza
Imbono ephosakeleyo ixhaphake ngokuqhelekileyo kwiklasi yama-antidepressants eyaziwa ngokuba yi- tricyclic antidepressants . Eli klasi lamachiza liquka iziyobisi ezifana ne-Elavil (amitriptyline), i-Pamelor (nortriptyline), i-Norpramin (desipramine), i-Tofranil (imipramine), i-Sinequan (doxepin) kunye nabanye.
I-Tricyclic antidepressants ibambe i-receptors kwingqondo ye- neurotransmitter acetylcholine . Xa lo mmkeli evinjiwe, ukukhawuleka kwemveliso kuyeke, kubangele amehlo abe ngumile (eye eye eye eyomileyo). Ngenxa yokuba i-acetylcholine receptors kwezinye iindawo zomzimba ngokunjalo, ukukhutshwa kungakhokelela kwiimpawu kwezinye iindawo zomzimba, njengomlomo owomileyo kunye nokuqhaqha.
Ubude
Umbono ogqityiweyo njengempembelelo ecaleni ye-tricyclic antidepressants iyancipha kwiiveki ezimbalwa zonyango nangona uqhubeka usebenzisa le mayeza rhoqo.
Unyango
Amanyathelo anokunceda ukuba ungayithatha xa ufumana umbono ophazamisekileyo zibandakanya:
- Ukufumana isohlo lokuhlola ukulawula ezinye izizathu zembono ephosakeleyo. Kukho izimbangela ezininzi zombono ophazamisayo owenziwe yi-anti-depressants kuphela. Kubaluleke kakhulu ukuqinisekisa ukuba amehlo akho ahlolwe ukulawula ezinye izizathu, ingakumbi kuba ezininzi zifuna unyango olufanelekileyo ngexesha elifanelekileyo.
- Ukusebenzisa iinyembezi ezenziwa ngethuba ngemini kunye neoli ecocekileyo ngexesha lokulala ukuze kunqunywe ukoma.
- Ukusebenzisa i-humidifier.
- Ukuphepha ukutshaya kunye nomsi wesibindi. Ukongezelela kokutshaya, kubalulekile ukulawula nayiphi na into evuthayo kwimeko enokuyicaphukisa amehlo akho. Unokuba unqwenela ukuthetha nomntu ongenayo i-allerergist ukuba umphumo wecala lokuxhatshazwa kwakho udibanisa iimpawu zamehlo oye wafikelela kwinqanaba elithile elihambelana nokudityaniswa kwemvelo.
- Ukuthetha nogqirha wakho malunga nezigxoba zamatye. Iiplagi ezipakethe ziincwadana ezincinci zecilisi ezisetyenziselwa ukuvimba iingcambu zokulila kwi-ijwabu leso. Ezi zivumela umzimba ukuba ulondoloze iinyembezi zemvelo ezicoca iliso okanye iinyembezi ezenziwayo ozenzayo.
- Ukuthetha nodokotela wakho ngokutshintsha idosi yakho. Ukuba oku akunakwenzeka, kusenokuba ixesha lokutshintshela kwiklasi eyahlukileyo yokuxhatshazela.
Ukuba uqhubeka unengxaki ngombono ophazamisekileyo, enye inokukhetha ukuthetha nodokotela wakho ngokutshintsha kwindlela eyahlukileyo yeyeza. Nangona i-tricyclics ingaba yinto ekhethekileyo kwabanye, abanye abantu bangenza ngcono ngenye yeentlobo zonyango ezintsha, ezifana ne- serotonin reuptake inhibitors (SSRIs) okanye i- serotonin kunye ne-norepinephrine reuptake inhibitors (i-SNRIs) .
Ezi zintlupheko zithintela i-acetylcholine receptors ngendlela eyahlukileyo ukusuka kwii-tricyclics kwaye ziba neempembelelo ezimbalwa. Ugqirha wakho uya kukwazi ukuncedisa ukuba usebenzisa olunye uhlobo lweyeza elona lungcono kuwe.
Musa ukuCima iMithi yakho ngaphandle kokuthetha noDokotela wakho
Ukuba unokukhathazeka nayiphi na imiphumo ebangelwayo, kuyona nto ingcono ukuqhubeka uthabatha amayeza akho njengoko umiselwe ukuba ucebise ugqirha wakho ukwenza utshintsho. Oku akuthethi ukuba kufuneka ulinde de apho uqeshwe ngokuzayo, kwaye kufuneka ubizele ugqirha wakho ngokukhawuleza ukuba uxhalabile.
Ukuyeka ukukhawuleza ngokukhawuleza kunokukhokelela kwinto eyaziwa ngokuba yi- syndrome ye-discontinuation , enokubangela ukuba ungaziva kakuhle. Iimpawu ze-anti-depression of discontinuation syndrome zingabandakanywa ama-muscle aches, i-nausea, ukukhathala, iimvakalelo ezingaqhelekanga, kunye nesisu. Kwakhona kunokwenzeka ukuba ukuxinezeleka kwakho kungabuya okanye kube nzima xa uyeka ukuthatha amayeza akho. Ugqirha wakho uya kukwazi ukululeka malunga nendlela engcono yokuyeka ukuthatha, okanye utshintshe, unyango lwakho ukuze uphephe le ngxaki.
Imithombo:
Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Imigaqo kaHarrison yeyeza langaphakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
UWilson, E., noMn. Lader. Ukuhlaziywa koLawulo lweMpawu zokuCima ukuThatyelwa kweNgcaciso. Uphuhliso lwezonyango kwi-Psychopharmacology . 2015. 5 (6): 357-68.