Kodi ndizotheka kumwa mankhwala oletsa nkhawa ndi mowa?
Maphunziro A Zaumoyo KusakanikiranaAnthu ena amamwa mowa kuti athetse nkhawa. Ena amatenga Xanax. Ena amatenga Xanax ndipo mowa, monga galasi kapena awiri a vinyo. Koma izi, madokotala ndi asayansi amati, sizabwino.
Simuyenera kuphatikiza benzodiazepines ndi mowa, akutero Anna Lembke, MD , Woyang'anira mankhwala osokoneza bongo ku Stanford University School of Medicine ku Palo Alto, California. Zotsatira zake, akuti, zitha kupha.
Kusakaniza mowa ndi nkhawa
Benzodiazepines amatanthauza gulu la mankhwala omwe Xanax (alprazolam) ndi ena odziwika bwino mankhwala oletsa nkhawa , monga Ativan (lorazepam) ndi Valium (diazepam), gwerani.
Ngati muphatikiza [benzodiazepines ndi mowa] mutha kukhala ndi vuto mogwirizana mankhwala , kuphatikiza mankhwala osokoneza bongo owopsa, akutero.
Chimodzi mwazifukwa ndikuti onsewo ndi mankhwala opatsa mphamvu. Payekha, amatha kupumula minofu, kukupangitsani kugona, ndikuchepetsa mantha, mantha, komanso kusokonezeka. Pamodzi, amachita zinthu zonsezi mwamphamvu kwambiri. Koma sizokhazo zomwe zimachitika. Kuwatenga nthawi imodzi kumatha kukulitsa zovuta zina zoyipa, monga kupuma kwa kupuma (komwe kumatchedwanso hypoventilation).
M'mawu a layman, kupsinjika kwa kupuma ndipamene kupuma kwanu kumafikira pamlingo wowopsa. Ndipo ngati izi zichitika, chiwopsezo cha zotsatirapo chimakhala chachikulu. Nkhani yoyipa kwambiri? [Inu] mumagona ndikusiya kupuma, akutero Dr. Lembke.
Tsoka ilo, kumwa mowa ndi mankhwala osokoneza bongo ndizofala mokwanira kotero kuti zochitika zoyipazi sizingachitike. Matenda oda nkhawa ndi matenda omwe amapezeka kwambiri ku United States, omwe amakhudza 18.1% ya achikulire chaka chilichonse, malinga ndi Nkhawa ndi Kukhumudwa Association of America . Ndipo madotolo akupereka mankhwala a benzodiazepines kuti athetse nkhawa pochulukirapo. A kafukufuku wofalitsidwa mu Journal of the American Medical Association (JAMA) akuti kuchuluka kwa madokotala omwe adayendera omwe adayambitsa mankhwala a benzodiazepine pafupifupi kawiri kuwirikiza pakati pa 2003 ndi 2015, ndikuwonjezeka kuchoka pa 3.8 mpaka 7.4%. Kuphatikiza apo, benzodiazepines ikukulirakulirabe kupatsidwa nkhawa kuti ichepetse pakakhala kuti ali ndi nkhawa yayikulu, Lembke akuti.
Ponena za kumwa mowa, Kafukufuku Wadziko Lonse Wogwiritsa Ntchito Mankhwala Osokoneza bongo ndi Thanzi adapeza kuti mu 2016, 54.6% mwa achikulire 26 ndi kupitilira apo anali ogwiritsa ntchito mowa . Mulimonse, benzodiazepines mwina anali ndi gawo limodzi Anthu 11,537 omwe amafa chifukwa cha bongo wambiri mu 2017 , malinga ndi National Institute on Abuse.
Chotenga apa ndikuti ngati mukugwiritsa ntchito benzodiazepine nkhawa, onetsetsani kuti mukuigwiritsa ntchito moyenera. Izi zikutanthauza kudikirira mpaka mankhwalawo atatuluke m'manja mwanu musanafike nthawi yosangalala. Nthawi ya izi, komabe, siyiyikidwa pamiyala.
Zimatengera zinthu zingapo, atero Rachel Firebaugh, Pharm.D. , pulofesa wothandizira pachipatala cha University of Washington School of Pharmacy ku Seattle. Amalongosola kuti kuchuluka kwa mankhwala ndi kuchuluka kwa mowa zomwe zimakhudzidwa ndizofunikira. Akadakhala kuti ndi mowa wocheperako komanso kuchuluka kwa benzo, pakhoza kukhala chiopsezo chochepa, akutero.
Zotsatira za Benzos ndi mowa
Dr. Lembke akuti anthu ayenera kudikirira chimodzi kapena mwina ngakhale awiri Patatha masiku angapo mutatenga benzodiazepine musanamwe, kutsindika kuti ma benzodiazepines ena amakhala otalikirapo (monga Valium) ndipo amakhala m'dongosolo lanu nthawi yayitali kuposa ena (Xanax amadziwika kuti ndi wamfupi pochita). Ndipo pomwe akunena kuti kuchuluka kwa mankhwala osokoneza bongo kumatha kuchitika mwa anthu omwe akumwetsanso mankhwala ena ndi / kapena zosangalatsa (kuphatikiza ma opioid), amalimbikitsanso anthu kuti akafufuze mwachangu akaganiziridwa kuti awonjezera bongo.
Dr. Firebaugh akuti zizindikiritso za bongo zingaphatikizepo kupuma movutikira, kutaya chidziwitso, komanso kulephera kudzutsa wina. Komanso samalani ndi chizungulire, kusalankhula bwino, kusokonezeka, ndi kufooka.
Ndikofunikanso kuzindikira kuti benzodiazepines ndizovuta kwambiri, Dr. Lembke ndi Firebaugh akuti, makamaka kwa iwo omwe akuvutika kale nawo kumwa mowa mopitirira muyeso kapena kugwiritsa ntchito molakwika .
Anthu ambiri amapatsidwa ma benzos ndipo samadziwa kuti amamwa mankhwala osokoneza bongo, akutero Dr. Lembke. Chachikulu ndikuti timagwiritsa ntchito ma benzos pafupipafupi komanso mosasamala. Ndi mankhwala owopsa ndipo amayenera kugwiritsidwa ntchito pamavuto akulu.
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