Ngaba ukuxinezeleka kubangela ukuba uzuze ubunzima? Nantsi into ekufuneka uyazi

Umxholo

• Nantsi into ethethwa yingcali
• Wenza ntoni ke ngaloo nto?
• Khumbula, kuya kuthatha ixesha ukufumana oko kusebenza kuwe
• Uphengululo lwe

Xa kuziwa kwiziphumo ebezingalindelekanga zamayeza, kunokuba yinto enzima ukwahlula i-anecdotal kwisayensi. Umzekelo, u-Ariel Winter kutshanje uvule malunga nokwehla kwesisindo sakhe kwi-Q & A kwiiNdaba zakhe ze-Instagram, echaza ukuba kungenzeka ukuba "lutshintsho kunyango" olwenze ukuba kwangoko [amhlise] bonke ubunzima [yena] phulukana ngaphambili. " Ngokuthe ngqo, uWinter wabhala ukuba ebesele ethatha amayeza okudambisa “iminyaka,” kwaye ukholelwa ukuba iyeza linokuba libangele ukuba atyebe ngokuhamba kwexesha. Kodwa yenza i-antidepressants ngokwenene kubangela ubunzima-okanye ukwehla kobunzima, ngaloo nto? Okanye ngaba le yayiyimeko ekhethekileyo yasebusika ngamayeza? (Eyeleleneyo: Indlela Ukuyeka Ii-Antidepressants ezibutshintshe ngayo ubomi balo Mfazi ngonaphakade)

Nantsi into ethethwa yingcali

Izidambisi-kubandakanya zombini amayeza e-antipsychotic (njengeRisperdal, Abilify, kunye neZyprexa) kunye nokukhetha i-serotonin reuptake inhibitors (aka SSRIs, ezinje ngePaxil, iRemeron, kunye neZoloft) -inokukhokelela ekuzuzeni ubunzima "rhoqo," utshilo uSteven Levine, MD, umseki we-Acify Neurotherapies. Enyanisweni, "ukuzuza ubunzima ngelixa kwii-antidepressants ngokuqhelekileyo ngumgaqo, kunokuba uhluke," uxelele Ubume. Ayisiyiyo loo nto kuphela, amayeza e-antipsychotic, njengeklasi, ahlala enxulunyaniswa nokunyuka kwecholesterol kwaye umngcipheko wesifo seswekile, ucacisa uGqirha Levine.

Nangona ubudlelwane phakathi kwe-anti-depressants kunye ne-weight gain abuqondwa kakuhle, uGqirha uLevine uthi kungenzeka ngenxa "yeziphumo ezichanekileyo," kubandakanya, kodwa kungaphelelanga kutshintsho kuvakalelo lwe-insulin. Nangona kunjalo, kubalulekile ukugcina engqondweni ukuba iimpawu zoxinzelelo zinokubandakanya utshintsho kwisidlo, utshintsho kwindlela yokulala, kunye namanqanaba emisebenzi ancitshisiweyo phakathi kwezinye izinto, utshilo uGqirha Levine-zonke zizimeleyo ngokupheleleyo kuxinzelelo. Ngamanye amagama, uxinzelelo ngaphakathi ngokwalo "lunokuba negalelo ekutshintsheni kobunzima," ucacisa, kodwa kwangaxeshanye, ii-antidepressants zinokuchaphazela umzimba ngendlela efanayo. (Idibeneyo: 9 Abafazi Kwinto Ongayithethiyo kuMhlobo ojongana noxinzelelo)

Kubalulekile ukuqaphela ukuba wonke umntu uphendula ngokwahlukileyo kwii-antidepressants, ngokwe-Mayo Clinic-ithetha ukuba abanye abantu banokutyeba ngelixa bethatha uhlobo oluthile lwamayeza, ngelixa abanye benganakho.

Wenza ntoni ke ngaloo nto?

Ngokwamava ka-Ariel Winter ngama-anti-depressants, wabhala ku-Instagram ukuba ukuthatha indibaniselwano entsha yamayeza kubonakala ngathi kunceda ingqondo nomzimba wakhe ukuba ufike kwindawo esempilweni, elungeleleneyo. Ukuba usokola nendlela i-antidepressant echaphazela ngayo umzimba wakho, cinga malunga nokuba kungakanani ukutya okunempilo kunye nendlela yokuphila, ngaphandle kweyeza lakho, kunokuba negalelo kwindlela oziva ngayo ngokubanzi, utshilo uCaroline Fenkel, DSW, LCSW, ugqirha. kunye neNewport Academy.

"Umthambo waziwa ngokunceda ukulwa nokudakumba," utshilo uFenkel. "Ukuzivocavoca rhoqo kunokuba nefuthe elihle elihle ekudandathekeni, ukuxhalaba kunye nokunye."

Ngaphaya koko, ukutya okutyayo kunokuba nefuthe elihle kwimpilo yakho yengqondo, utshilo uFenkel. Ukhankanya uphononongo lukaJanuwari 2017 olupapashwe kuyo Amayeza e-BMC, eyaziwa ngokuba yi "SMILES trial", eyayililingo lokuqala elingenamkhethe, elilawulwa ngoluhlobo ukuvavanya ngokuthe ngqo ukuba ukuphucula umgangatho wokutya kunganyanga uxinzelelo lweklinikhi. Ityala ngokudibeneyo labandakanya abesilisa nabasetyhini abangama-67 abanomodareyitha ukuya kuxinzelelo olukhulu, bonke abo baxele ukutya ukutya okungenampilo ngaphambi kokujoyina isifundo. Abaphandi bahlula abathathi-nxaxheba babe ngamaqela amabini ngongenelelo lweenyanga ezintathu: Elinye iqela lafakwa kukutya okulungisiweyo kweMeditera, ngelixa elinye iqela laqhubeka nokutya ngendlela ebebesenza ngayo ngaphambi kophononongo, nangona babeyalelwe ukuba baye kumaqela enkxaso yentlalo. kubonisiwe ukunceda ngoxinzelelo. Emva kweenyanga ezintathu zokulingwa, abaphengululi bafumanise ukuba malunga nesinye kwisithathu sabantu abalandela ukutya kweMeditera okuguqulweyo kubonise "ukuphucuka okukhulu kakhulu" kwiimpawu zokudakumba xa kuthelekiswa nabo bebengalandeli ndlela ityiwayo, ngokophando. (Idibeneyo: Ngaba Ukutya Okungafunekiyo Kukwenza Uxinezeleke?)

Xa sele uyithethile loo nto, oko akuthethi ukuba kufuneka utshintshe ukusuka kwi-anti-depressant uye ekutyeni okusempilweni ukunyanga uxinzelelo-ngokuqinisekileyo ngaphandle kokubonisana nogqirha wakho kuqala, ubuncinci. Nangona kunjalo yenza kuthetha ukuba unolawulo ngakumbi kwimpilo yakho yengqondo-kwaye inxulumene njani nentlalo-ntle yakho yomzimba-kunokuba ucinga. I-anti-depressants ngokucacileyo ayizizo kuphela Indlela yokunyanga uxinzelelo, kodwa loo nto ayenzi ukuba isebenze kancinci, kwaye ayenzi ukuba ilunge ukuyibhala njengepilisi nje ekwenza ukuba utyebe ngaphandle kokubonelela ngezibonelelo ezithile.

Khumbula, kuya kuthatha ixesha ukufumana oko kusebenza kuwe

Enye yezona zinto zikhohlisayo malunga nokufumana eyona nto iphambili yoxinzelelo lomntu kukuba kunzima kakhulu ukuqikelela ukuba iyeza elithile liza kusebenza njani, ngokweZiko loMgangatho kunye nokuSebenza koKhathalelo lwezeMpilo. Kwaye kanye yenza qala ukuthatha elinye lala mayeza, kungathatha ixesha elingangeeveki ezintandathu (ukuba akukho ngaphezulu) ukumisela ukusebenza kwawo, ngokweMayo Clinic. Translation: Ukufumana isicwangciso sonyango esikusebenzelayo ayizukwenzeka ngokukhawuleza; Kuya kufuneka ube nomonde kwinkqubo, kunye nawe, njengoko ingqondo nomzimba wakho zisebenza ukulungelelanisa notshintsho.

Ukuba kubonakala kuluhlengahlengiso olunzima kuwe, uFenkel ucebisa ukuba uqingqe ixesha lemisebenzi ekwenza wonwabe ngokwenene, nokuba kukupheka, ukwenza umthambo, okanye nokuba ngaphandle nje kwindalo. Ukongeza, ucebisa ukuba ucoce amajelo osasazo ngangokunokwenzeka, njengoko esithi "kungenza abantu bazive bephantsi ngenxa yokuba bezithelekisa nabanye abanokubonakala 'begqibelele' xa ingeyonyani kwaphela." (Eyeleleneyo: Kutheni le nto kubalulekile ukucwangcisa ixesha lokuphumla ngengqondo yakho)

Ngaphezu kwako konke, ungathandabuzi ukuzisa ezi zinto zixhalabisayo kunye nogqirha wakho. Ungasoloko uzama iyeza elitsha; ungasoloko uzama isicwangciso esitsha sokutya; ungasoloko uzama uhlobo oluthile lonyango. Qwalasela iinzuzo kunye neengozi zesicwangciso sakho sonyango kunye nogqirha wakho, kwaye ube yinyani kuwe malunga nokuba yintoni ekuncedayo ukuba uzive ulungelelene. Njengoko uAriel Winter wabhala kwi-Instagram ngamava akhe kunye ne-anti-depressants, "luhambo." Ngoko nangona unyango luziva lucelomngeni, zikhumbuze ukuba wenza into enhle kwimpilo yakho. "Senza into ukuphucula ubomi bethu," ubhale watsho uBusika. Hlala uzikhathalele.

Uphengululo lwe