Icala Elimnyama leAntidepressants
Umxholo
Kuthekani ukuba ngamanye amaxesha i-aspirin yenza intloko yakho ibe buhlungu ngakumbi, isiraphu yokukhohlela iqalise ukugqekeza, okanye ii-antacids zikhuphe isitshisa sakho?
Ubuncinane iyeza elinye linokuthi liphantse lichasene ne-SSRIs, uhlobo oluqhelekileyo lwe-anti-depressants. Kwezinye iimeko, la machiza anyusa amathuba oza kufuna ukuzenzakalisa. Umncinci wena kwaye uyanda umthamo wakho, umngcipheko wakho mkhulu, ukuqaqanjelwa kwesifundo esitsha. [Khuphela oku!]
Oogqirha bebesazi malunga nesi siphumo ubuncinci iminyaka elishumi. Ngapha koko, izinto ezichasene noxinzelelo ezifana neProzac, iZoloft, kunye nePaxil zinesilumkiso esibi kwileyibhile ekhankanya umngcipheko wokucinga ngokuzibulala kunye nokuziphatha ebantwaneni, kulutsha nakubantu abadala abancinci.
Isifundo esitsha, esapapashwa ngo Unyango lwaNgaphakathi lweJAMA, Ibeka iinombolo ezinzima kwiingozi. Abaphandi bathelekisa abantu abaqale ngeedosi ezisezantsi zamachiza kwabo bathatha idosi ephezulu (kodwa nangoku kuluhlu loogqirha abaqhele ukumisela lona).
Kubantwana nakubantu abadala abaneminyaka engama-24 nangaphantsi, abo kwiidosi eziphezulu babephindwe kabini ngokuzikhathaza ngabom. Oku kongeze malunga nomzekelo omnye wokuzenzakalisa kubo bonke abantu abali-150 abathatha iyeza.(Abadala abadala kunabathathi-nxaxheba besifundo se-24 bafikelela kwiminyaka engama-65-abazange bajongane nesisongelo esifanayo.)
Olu phononongo alwenzelwanga ukufumanisa ukuba kutheni kusenzeka oku, utsho umbhali ofundayo uMatthew Miller, MD, Sc.D., weSikolo seHarvard seMpilo yoLuntu. Kodwa izazinzulu zineengcamango ezimbalwa.
"Enye yeziphumo ebezingalindelekanga kwezona zigulana zincinci ziphathwe ngamayeza okuphelisa ukudakumba sisibulala-ntsholongwane, okuthetha ukuthi ukwenza ngokuqhutywa yiminqweno umntu angaqhele ukuyichasa," utshilo uRachel E. Dew, MD, M.HSc., Ugqirha wezifo zengqondo kwiDuke Medicine. Ngoko nangona ukudandatheka kwakho kunokubangela iimvakalelo zakho zokuzibulala, iyeza linokukuhlutha amandla okuxhathisa ezo zibongozo.
Ezi ziphumo azithethi ukuba akufuneki ufumane unyango loxinzelelo. Ngapha koko, benza uncedo kwangoko kubaluleke nangakumbi, utshilo ugqirha wezengqondo waseCleveland uJoseph Austerman, D.O. Iimpawu ezinobumnene-ezinje ngokudakumba okuqhubekayo, ukutshintsha kokulala okanye ukutya, kwaye ungonwabi kwizinto obukade uzonwabela-zihlala ziphathwa ngokucebisa wedwa. Kwaye ukuba ugqirha wakho ucebisa amayeza?
1. Qala phantsi. Iidosi zokuqala eziphezulu zonyusa umngcipheko wakho kuluhlu olubanzi lweziphumo ebezingalindelekanga. Kwaye, azisebenzi ngcono okanye ngokukhawuleza kunyango loxinzelelo, utshilo uMiller. Cela ugqirha wakho ukuba akumisele elona thamo lisezantsi linokwenzeka.
2. Jonga kwintsapho yakho. Imbali yobuqu okanye yentsapho ye-bipolar disorder inokwandisa amathuba akho okufuna ukuzenzakalisa. Kwaye ukuba abazali bakho okanye abantakwenu banamava amabi nge-anti-depressants, umngcipheko wakho unokuphakama nawo, utshilo u-Austerman. Xelela ugqirha wakho ukuba nayiphi na kwezi zinto iyasebenza kuwe.
3. Buza malunga nokulandelwa. Ugqirha wakho kufuneka akubeke esweni ngokusondeleyo, ngakumbi kwiinyanga ezintathu zokuqala (kulapho uninzi lweengxaki zenzeke khona). Cwangcisa ishedyuli yokungena, nokuba kungowomnxeba okanye ngokobuqu, ucebisa uAusterman.
4. Musa ukulinda. “Ndixelela abaguli bam abancinci ukuba bacinge ngeengcinga zokuzibulala okanye naziphi na iingcinga zokuzenzakalisa njengeemeko ezingxamisekileyo, ngokungathi babona umlilo,” utshilo uDew. "Ukudakumba kubenza bacinge ukuba akukho mntu uzakukhathalela, kodwa ndiyagxininisa ukuba kufuneka baxelele umntu ngoko nangoko."