Mafunso oti mufunse dokotala musanadwalitse mankhwala opatsirana

Maphunziro a Zaumoyo

Kupanga chisankho chothana ndi zipsinjo zitha kusintha moyo. Mankhwala ochepetsa nkhawa amatha kusintha kwambiri moyo wa anthu omwe ali ndi nkhawa, komanso matenda ena. Izi zati, kuyenda mdziko la mankhwala opondereza kumakhala kovuta makamaka makamaka ngati mukuvutika ndi thanzi lanu. Njira yabwino yopindulira nthawi yomwe mwasankhidwa ndi dokotala kapena wothandizira zachipatala ndiyo kukhala okonzeka, kuphatikizapo kudziwa zomwe mungafunse.

Kuyamba musanachitike

Musanatuluke m'nyumba, pali zina zomwe mungachite kukonzekera:

• Bweretsani cholembera ndi pepala.Osangodalira kukumbukira kwanu kuti muzisunga zonse zomwe omwe amakupatsani amakugawana nanu. Lembani zolemba papepala kapena pafoni yanu, kapena funsani ngati dokotala kapena wothandizira wanu ali womasuka nanu kujambula gawoli kuti muwunikenso mtsogolo.
• Lembani mafunso anu pasadakhale .Ndikosavuta kusokonezeka mukamafunsira kwa dokotala kapena wothandizira ndikuphonya china chake. Kukhala ndi mndandanda wa mafunso ndi nkhawa zomwe mungakonde kukuthandizani kuti muwonetsetse zonse.
• Lembani zizindikiro zanu nthawi isanakwane .Dokotala wanu kapena wothandizira akhoza kukufunsani kuti zizindikiro zanu ndi zotani, akhala nthawi yayitali bwanji, ndi zina zotero. Ngati mwaganiziratu pasadakhale ndikuzilemba, simudzakhala ndi nkhawa kuti mungaganize pomwepo ndipo ndizochepa mwina kuyiwala china.
• Bweretsani mndandanda wa mankhwala omwe mukumwa , onse akuchipatala komanso owonjezera pa kauntala.Phatikizani mlingo. Omwe akukuthandizani asanakupatseni mankhwala atsopano, ayenera kudziwa zina zomwe mukumwa. Muthanso kuphatikiza mankhwala opatsirana pogonana omwe mudayesapo kale ndi zomwe mudakumana nawo.
• Lembani za matenda ena aliwonse omwe muli nawo .Izi zithandizira dokotala wanu kapena wothandizira posankha mankhwala omwe akupatseni.

Mafunso 11 oti mufunse adotolo za mankhwala opatsirana

Choyambirira komanso chofunikira, funso lililonse lomwe mungafunse ndilovomerezeka. Koma ngati simukudziwa komwe mungayambire, nayi mafunso ena ofunika kufunsa dokotala kapena wothandizira.

1. Ndikupeza chiyani?

Musanayambe njira iliyonse yothandizira, ndikofunikira kuti mupeze matenda oyenera. Ngakhale amatchedwa antidepressants, mankhwalawa amagawika m'magulu angapo ndipo amachiza matenda angapo amisala, atero a Vinay Saranga, MD, psychiatrist, komanso woyambitsa Saranga Wokwanira Kwambiri wama Psychiatry ku North Carolina.

Kuphatikiza pa vutoli, kulimba kuyenera kutsimikizika. Gawo lina lacheza ndi dokotala wanu limafotokoza kuopsa kwake, atero akatswiri azamisala ku New York City Omotola T'Sarumi . Kupsinjika pang'ono, pang'ono, komanso kukhumudwa kwakukulu kungapangitse njira zosiyanasiyana zamankhwala.

2. Kodi ndiyenera kumwa mankhwala opondereza?

Ichi ndi chinthu chomwe chingadziwike ndi inu komanso wothandizira zaumoyo wanu. Kulandira chithandizo cha kukhumudwa kumatha kukhala kovuta; koma zitha kupanganso kusiyana kwakukulu pamoyo wanu. Kudziwa zambiri momwe mungathere, kukonzekera pasadakhale, komanso kulumikizana bwino pakati pa inu ndi adotolo kungathetse nkhawa komanso kusatsimikizika ndikuyamba kulandira mankhwala opatsirana pogonana.

3. Kodi ndi mankhwala otani opatsirana pogonana omwe ndiyenera kumwa?

Zina mwa mankhwala opatsirana pogonana ndi awa:

• Zoloft ( sertraline hydrochloride )
• Celexa ( citalopram hydrobromide )
• Prozac ( fluoxetine hydrochloride )
• Chidwi ( trazodone hydrochloride )
• Lexapro ( escitalopram oxalate )
• Cymbalta ( duloxetine hydrochloride )

Odwala matenda opanikizika kuwonjezera pa mndandandawu amathanso kulembedwa. Dokotala wanu kapena wothandizira adzagwira nanu ntchito kuti adziwe mankhwala omwe angakhale oyenera kwa inu.

4. Ndingamwe bwanji mankhwalawa?

Mankhwala ena amatha kamodzi patsiku kapena kawiri patsiku. Zina [zimafunikira] kuti zizitengedwa ndi chakudya ndipo zina sizikusowa kuti zikwere. Mankhwala ena ndi abwino m'mawa ndipo amathandiza kukhala tcheru ndipo ena [ndi abwino] asanagone, Dr. T'Sarumi akutero.

Kupeza momwe mungamwe mankhwala anu kumathandizira kuti mupeze zabwino zonse ndi zovuta zochepa. Kudziwa zoyenera kuchita pasadakhale kudzakuthandizaninso kudziwa ngati mankhwalawa amagwiranso ntchito pamoyo wanu.

5. Zotsatira zake ndi zotani?

Zotsatira zoyipa zimasiyana ndi mankhwala osokoneza bongo koma nthawi zambiri zimaphatikizapo kunyoza, kutsegula m'mimba, kunenepa, chizungulire, kusowa kogonana komanso kusintha malingaliro kapena kudzipha, atero Dr. T'arumi. Muyenera kukambirana ndi dokotala zonse zomwe zingachitike.

Zokambirana za zotsatira zoyipa ziyenera kuphatikizapo zambiri kuposa momwe zilili. Zomwe anthu samakonda kufunsa (ndipo ayenera) ndi zomwe zimachitika, atero a Mark Rego, MD, pulofesa wothandizira zamankhwala ku Yale University School of Medicine. [Mwachitsanzo], ngati pali vuto linalake, zimachitika kangati? Ndipo - chofunikira kwambiri - kodi zimavutitsa kapena kusokoneza anthu? Ndipo kodi icho chidzachoka?

6. Ndipeza msanga bwanji posachedwa?

Antidepressants atha kutenga nthawi kuti ayambe kugwira ntchito, komanso kupitilira apo kuti akwaniritse zonse. Dr. Tola akunena kuti mankhwala opatsirana amatha kutenga milungu isanu ndi itatu mpaka 10 kuti agwire bwino ntchito. Funsani dokotala wanu kapena wothandizira kuti posachedwa mungayembekezere kumva zabwino bwanji, komanso kuti mupereke nthawi yayitali bwanji musanaganize kuti mankhwala sakugwira ntchito. Dokotala wanu kapena wothandizira akhoza kusungitsa nthawi yotsatira pakapita nthawi kuti muwone momwe mukuyendera. Ngati dokotala wanu sakunena izi, funsani za kukonzekera nthawi yokumana. Kawirikawiri mankhwala amafunika kusintha, ndipo nthawi zina amafunika kupatsidwa mankhwala atsopano.

7. Kodi ndiyenera kumwa mankhwalawa kwa nthawi yayitali bwanji?

Yankho la izi lidzadalira momwe muliri. Kwa anthu ena, mankhwala opatsirana pogonana amapatsidwa miyezi, ndipo kwa ena amapatsidwa zaka kapena moyo wonse. Dokotala wanu kapena wothandizira adzatha kukupatsani chithunzi chachikulu chaumwini.

8. Kodi ndiyenera kupewa chiyani ndikamamwa mankhwalawa?

Ena [antidepressant] sayenera kumwa ndi mitundu ina ya zakudya monga mphesa, kapena [ndi] mankhwala ena, atero Dr. T'Sarumi. Dokotala wanu ayenera kudziwa mankhwala ena omwe mumamwa, kaya ndi mankhwala kapena mankhwala azitsamba. Mankhwala ena opatsirana pogonana akamamwa mankhwala ena, amatha kupangika ndi serotonin syndrome, yomwe imawopsa. Amakhala ndi zizindikiro zakunjenjemera, kutentha thupi, thukuta, ndi kutsegula m'mimba. Chifukwa chake, kugawana ndikusintha mndandanda wamankhwala ndi dokotala ndikofunikira kwambiri.

Kuphatikiza pa kuyanjana kwa mankhwala, mankhwala ena opatsirana pogonana sayenera kumwa ndi mowa.

Mankhwala aliwonse ali ndi zawo sizilemba, chifukwa chake ili ndi funso lofunika kufunsa m'malo mongoganiza motengera zomwe mwakumana nazo ndi mankhwala am'mbuyomu kapena chidziwitso chanu cha mankhwala opatsirana.

Dokotala wanu kapena wothandizira angafunenso kufufuza ngati muli woyembekezera kapena unamwino , kapena konzekerani kukhala.

9. Kodi ndingaleke kumwa mankhwalawa ndikakhala bwino?

Yankho la izi nthawi zambiri silikhala ayi - koma funsani funsolo. Dokotala wanu kapena wothandizira akhoza kukupatsani chidziwitso cha momwe mungapewere kumwa mankhwala opatsirana. Chenjezo lomweli liyenera kuchitidwa posintha mankhwala ena. Mankhwala ena opatsirana pogonana amayenera kuchotsedwa kwa miyezi kuti apewenso kuwonjezeka, kuwonjezeka kwa zizindikirazo pakusiya mwadzidzidzi mankhwalawo. Pangani dongosolo ndi dokotala kapena wothandizira musanasiye mankhwala anu kapena kusintha mlingo wanu.

10. Chimachitika ndi chiyani ndikaphonya mlingo?

Ndikofunika kupeŵa kuchepa kwa mlingo pamene mukuyendetsa [chiopsezo] choyambitsa chomwe chimatchedwa discontinuation syndrome, chomwe chitha kukulitsa zotsatirapo zake, atero Dr. T'Sarumi.

Funsani dokotala wanu kapena wothandizira zomwe mungachite ngati mwaphonya mlingo wanu-musapitirire pa mlingo wotsatira, musiye kumwa mankhwala, kapena musankhe zina zilizonse za mlingo womwe mwaphonya popanda kufunsa ndi dokotala kapena wothandizira. Mlingo wosowa umachitikira kwa abwino a ife. Kufunsa funsoli pasadakhale kudzaonetsetsa kuti mukudziwa zoyenera kuchita ngati / zitachitika ndikuchepetsa kusokonezeka kwa mankhwala anu.

11. Kodi ndiyenera kuchita chiyani kuwonjezera pa kumwa mankhwala?

Ngakhale ndikofunikira kwambiri, mankhwala si njira yokhayo yothandizira kuchepetsa zizindikilo za kukhumudwa. Dokotala wanu kapena wothandizira angakuuzeni chithandizo, kusintha kwa moyo, kapena njira zina zothandizira pamodzi ndi mankhwala opatsirana pogonana.