Zomwe muyenera kudziwa musanasinthe mankhwala opanikizika

Maphunziro a Zaumoyo

Kwa ambiri, kusankha kumwa mankhwala opatsirana ndi vuto lalikulu kwambiri. Mumakhala nthawi yayitali kuganizira izi, kuyeza zabwino ndi zoyipa zake, ndipo kuyankhulana ndi omwe amakuthandizani pazachipatala , asanaganize zoyesa kumwa mankhwala akuchipatala.

Kupeza fayilo ya kulondola antidepressant imatha kufuna mayesero ndi zolakwika zina, kukonza bwino. Muyenera kusintha mankhwala nthawi ina kuti mupeze yomwe ingakuthandizeni. Ngati mukuda nkhawa kuti mankhwala omwe muli nawo pakadali pano sagwira ntchito moyenera, kambiranani ndi adotolo za kusinthitsa mankhwala opatsirana.

Zifukwa zomwe zimasinthira antidepressants

Chimodzi mwazifukwa zomwe anthu amasinthira ma anti-depressants ndikumva kuti mankhwala omwe ali nawo pakadali pano sawathandiza kwenikweni. Mankhwala opatsirana pogonana angakhale osagwira ntchito m'njira zosiyanasiyana.

1. Nthawi

Ma anti-depressants amafunikira nthawi kuti athe kuchita bwino kwambiri. Kutalika kwa nthawi kumatha kusiyanasiyana.

Masabata asanu ndi limodzi amatha kupereka chidziwitso, mwanjira ina kapena ina, akuwonetsa Gonzalo Laje, MD , MHSc, director ku Washington Behavioral Medicine Associates komanso pulofesa wothandizirana naye ku University of George Washington.

2. Mlingo

Ngati antidepressant sakugwira ntchito patatha pafupifupi milungu isanu ndi umodzi, mwina mankhwalawo ndi otsika kwambiri. Funsani wothandizira zaumoyo wanu, yemwe angathe kuwonjezera pang'onopang'ono. Ngati simukumva bwino mukamamwa mankhwala okwera (kapena osakwanira), itha kukhala nthawi yoti mukambirane kuyesera chinthu china-kapena kuwonjezera mankhwala ena.

3. Zotsatira zoyipa

Sikuti aliyense amakumana ndi zovuta, ndipo anthu ena ali okonzeka kupirira zina zotsatira zoyipa mankhwala ngati akuwathandiza kukhumudwa. Koma kwa anthu ena, zoyipa monga a otsika libido , Pakamwa pouma, kapena mseru ndi osokoneza. Ngati mukuvutika kuti muthane ndi zovuta zake - itha kukhala nthawi yokonzekera nthawi yokumana ndi omwe amakuthandizani pa zaumoyo.

Musayese kuyimitsa kapena kusintha mankhwala nokha. Mutha kukhala ndi zizindikilo zobwerera m'mbuyo, makamaka ngati mungosiya mwadzidzidzi. Nthawi zonse zimakhala bwino kulankhula ndi dokotala wanu za [kusintha] izi, akutero Dr. Laje.

Kusankha antidepressant yatsopano yomwe ili yabwino kwa inu

Kenako funso limakhala: Kodi mankhwala abwino kwambiri oti musinthe ndi ati? Pali zosankha zambiri pazomwe mungasankhe magulu a antidepressants :

• Kusankha serotonin reuptake inhibitors (SSRIs): Gululi limaphatikizapo mankhwala omwe amaperekedwa monga Prozac (fluoxetine), Celexa (citalopram), Lexapro (escitalopram), Paxil (paroxetine), Zoloft (sertraline), ndi Viibryd (vilazodone).
• Serotonin ndi norepinephrine reuptake inhibitors (SNRIs): Gawoli limaphatikizapo Effexor XR (venlafaxine), Pristiq (desvenlafaxine), Cymbalta (duloxetine), ndi Fetzima (levomilnacipran).
• Tricyclic antidepressants (TCAs): Ma TCA ndi gulu lakale la anti-depressant lomwe limakhala ndi zovuta zina kuposa mankhwala opatsirana mwatsopano atsopano. Zimaphatikizapo mankhwala monga Tofranil (imipramine), Elavil (amitriptyline), Pamelor (nortriptyline), ndi Norpramin (desipramine).
• Monoamine oxidase inhibitors (MAOIs): MAOIs ndi gulu lina lakale la mankhwala omwe sagwiritsidwanso ntchito ngati mankhwala oyamba, ndipo amaphatikizanso Nardil (phenelzine), Azilect (rasagiline), ndi Parnate (tranylcypromine)
• Mankhwala ena opatsirana pogonana: Gululi limaphatikizapo mankhwala omwe sangakwane mgulu lina, monga Wellbutrin (bupropion), yomwe ndi norepinephrine-dopamine reuptake inhibitor (NDRI), ndi Desyrel (trazodone), yomwe imadziwika kuti wotsutsana wa serotonin ndi reuptake inhibitor (SARI ).

Mankhwala onse opatsirana pogonana amabwera ndi maubwino komanso kuchepa, chifukwa chake limatha kukhala funso lazomwe zimakuyenderani bwino. Nthawi zambiri timapita kukapeza china chomwe chimakhala ndi zovuta zambiri, atero akatswiri azamisala Chithunzi ndi Samuel Mowerman, MD , membala waukadaulo ku University of Miami Miller School of Medicine.

Malinga ndi a Dr. Mowerman, mawonekedwe amtundu wina wamavuto adzakhudzanso chisankho. Mwachitsanzo, ngati inunso amadwala nkhawa , dokotala wanu angakulimbikitseni munthu amene ali ndi vuto lopanikizika ndi maganizo komanso kuti athe kuthana ndi nkhawa.

Dokotala wanu angasankhe kukusinthani kuchokera pagulu limodzi la opanikizika kupita ku lina. Kapenanso dokotala wanu angakuuzeni kuti musunge mankhwala ochokera m'gulu lomweli la mankhwala omwe mwakhala mukumwa. Mwachitsanzo, ngati mutenga kale SSRI imodzi, dokotala wanu atha kunena kuti mungayesenso ina. Mutha kusintha kuchoka pa Prozac kuti Zoloft kapena sinthani kuchokera ku Zoloft kupita ku Kameme .

Pezani khadi yotsitsa ya SingleCare

Momwe mungasinthire antidepressants

Mukasintha, pali njira zingapo zomwe mungachitire:

• Kuwombera pamtanda: Mumachepetsa mlingo woyambirira wa mankhwalawa mukamayamba mankhwala atsopano pamlingo wochepa ndikuwonjezera pang'onopang'ono.
• Kusintha kwachindunji: Izi zitha kuphatikizira kusiya mankhwala akale ndikuyambitsa yatsopano tsiku lotsatira.
• Dulani pansi ndi kuimitsa musanayambe mankhwala atsopano: Pang'ono ndi pang'ono mumachepetsa kuchuluka kwa mankhwala anu opanikizika, kenako siyani kumwa kwathunthu. Kenako mumayambitsa chatsopano (mwina tsiku lotsatira, kapena m'masabata angapo, kutengera upangiri wa omwe akukuthandizani).

Kuwoloka pamtanda ndi njira yodziwika bwino nthawi zambiri, amatero katswiri wamaganizidwe Lindsay Israeli, MD , wamkulu wa zamankhwala ku Success TMS. Mwachitsanzo, imagwiritsidwa ntchito nthawi zambiri mukasintha SSRI kupita ku mankhwala ena mkalasi ina, monga SNRI, kapena ngati mukusintha kuchoka ku SSRI kupita ku ina. Chifukwa chiyani? Chifukwa zimatenga nthawi kuti mankhwala oyambilira achoke m'dongosolo lanu, monganso zimatenga kanthawi kuti mankhwala atsopano agwire ntchito.

MAOIs ndi tricyclics ndi magulu awiri a mankhwala opatsirana pogonana omwe amayenera kuchotsedwa koyamba ndi nthawi kuti milingo yamagazi ifike ku zero asanayambe kupsinjika maganizo, Dr. Israel akuti.

Chojambula pamtundu chimakulolani kuti muchepetse pang'ono med kwinaku mukuchepetsa choyambirira, chomwe chingathandize kuchepetsa zizindikilo zilizonse zomwe Israeli amatcha kuti discontinuation syndrome chifukwa cha kupezeka kulikonse, makamaka ngati mankhwala ali ndi zofanana, atero Dr. Israel .

Zizindikiro zofala za kusiya matenda Phatikizani kutopa, nseru, kusowa tulo, chizungulire, chizungulire, ndi ulesi.

Zimatenga nthawi yayitali bwanji kuti ntchito yolumikizira ena igwire ntchito? Zimatengera gawo pamlingo womwe mwakhala mukutenga. Mlingo wapamwamba ungatenge nthawi yayitali. Kutengera theka la moyo wa mankhwala omwe akufunsidwa komanso kuchuluka kwa mankhwalawa, izi zitha kutenga sabata limodzi mpaka milungu inayi kapena isanu ndi umodzi, akutero Dr. Israel.

Osataya mtima

Pomaliza, cholinga chosinthira antidepressants ndikupeza mankhwala omwe amakuthandizirani.

Upangiri wa Dr. Mowerman: Ipatseni nthawi. Lolani mankhwala atsopano agwire ntchito, akuwonjezera. Zitha kutenga nthawi kuti mufike pamlingo wothandiza kwambiri kwa inu, kapena kuti mupeze mankhwala oyenera. Osataya mtima ngati simukumva bwino nthawi yomweyo kapena muyenera kuyesa mankhwala ochepa.

Ndipo musachite mantha kuyankhula. Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi zovuta, onetsetsani kuti mwafunsa. Mwachitsanzo, musachite manyazi kufotokoza nkhawa zanu za zotsatira za mankhwala opatsirana pogonana , Dr. Mowerman akutero. Ndizovuta zenizeni, komanso zomveka.