Uhlangothi Olumnyama lwama-Antidepressants

-Delile

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Kuthiwani uma i-aspirin ngezinye izikhathi yenza ikhanda lakho lishaye kakhudlwana, isiraphu yokukhwehlela iqalise ukugebenga, noma ama-antacids abangele isilungulela?

Okungenani umuthi owodwa ungacishe ube okuphambene nomphumela wawo ohlosiwe-ama-SSRI, uhlobo oluvamile lwezidambisi. Ezimweni ezithile, le mithi empeleni yandisa amathuba ozofuna ukuzilimaza. Lapho umncane futhi ngokuya ngomthamo wakho uphezulu, ingozi yakho inkulu, ucwaningo olusha lugqamisa. [Twitha lokhu!]

Odokotela sebazi ngalo mphumela okungenani iminyaka eyishumi. Eqinisweni, imishanguzo efana ne-Prozac, i-Zoloft, ne-Paxil inesixwayiso esibucayi kulebula esho ubungozi bemicabango yokuzibulala nokuziphatha ezinganeni, kwentsha nakubantu abadala.

Ucwaningo olusha, olushicilelwe ku I-JAMA Imithi Yangaphakathi, ibeka izinombolo eziqinile ezingozini. Abaphenyi baqhathanisa abantu abaqale ngemithamo ephansi yezidakamizwa nalabo abathatha imithamo ephezulu (kepha kusengaphakathi kobubanzi odokotela abavamise ukukusho).

Ezinganeni nakubantu abadala abaneminyaka engu-24 nangaphansi, labo abasebenzisa imithamo ephezulu babenethuba eliphindwe kabili lokuzilimaza ngamabomu. Lokhu kwengeza cishe isigameko esisodwa esengeziwe sokuzilimaza kubo bonke abantu abayi-150 abaphuza umuthi.(Abantu abadala abadala kunabahlanganyeli bocwaningo abangama-24 basukela eminyakeni engama-65-abazange babhekane nosongo olufanayo.)

Ucwaningo belungakhelwanga ukuthola ukuthi kungani lokhu kwenzeka, kusho umlobi ocwaningayo uMatthew Miller, MD, Sc.D., weHarvard School of Public Health. Kodwa ososayensi banemibono embalwa.

“Omunye wemiphumela engemihle eyingqayizivele ezigulini ezincane kunazo zonke ezilashwa ngama-antidepressants wukungavimbeli, okusho ukuthi ukwenza ngokuvumelana nezifiso umuntu ngokuvamile angamelana nakho,” kusho uRachel E. Dew, M.D., M.HSc., udokotela wezifo zengqondo eDuke Medicine. Ngakho nakuba ukucindezeleka kwakho kungase kubangele imizwa yakho yokuzibulala, imithi ingakuphuca amandla okumelana nalezo zifiso.

Le miphumela ayisho ukuthi akufanele ufune ukwelashwa kokudangala. Eqinisweni, benza ukuthola usizo kusenesikhathi kubaluleke kakhulu, kusho udokotela wezifo zengqondo waseCleveland Clinic uJoseph Austerman, D.O. Izimpawu ezithambile-njengokudabuka okungapheli, izinguquko ekulaleni noma ekudlaleni, nokungatholi injabulo ezintweni obukade uzijabulela-imvamisa ukwelapha ngokwelulekwa kuphela. Futhi uma udokotela wakho eluleka ngemithi?

1. Qala phansi. Imithamo yokuqala ephezulu yandisa ubungozi bemiphumela emibi eminingi. Futhi, azisebenzi kangcono noma ngokushesha ekwelapheni ukucindezeleka, kusho uMiller. Buza udokotela wakho ukuthi akunikeze umthamo ophansi kakhulu ongaba nawo.

2. Hlola nomndeni wakho. Umlando womuntu siqu noma womndeni wesifo se-bipolar ungakhuphula izingqinamba zakho zokufuna ukuzilimaza. Futhi uma abazali bakho noma izingane zakini babe nokuhlangenwe nakho okungekuhle nge-anti-depressants, ingozi yakho ingaba phezulu futhi, kusho u-Austerman. Tshela udokotela wakho uma ngabe okunye kwalokhu kusebenza kuwe.

3. Buza mayelana nokulandelela. Udokotela wakho kufanele akubheke, ikakhulukazi phakathi nezinyanga ezintathu zokuqala (yilapho izinkinga eziningi ocwaningweni zenzeka khona). Setha isheduli yokungena, kungaba ngocingo noma mathupha, u-Austerman weluleka.

4. Ungalindi. "Ngitshela iziguli zami ezisencane ukuthi zicabange ngemicabango yokuzibulala noma yimiphi imicabango yokuzilimaza njengezimo eziphuthumayo, sengathi zibona umlilo," kusho uDew. "Ukucindezeleka kubenza bacabange ukuthi akekho ozobakhathalela, kodwa ngiyagcizelela ukuthi badinga ukutshela othile ngokushesha."

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