Mbali Yamdima ya Antidepressants

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Bwanji ngati aspirin nthawi zina imapangitsa kuti mutu wanu ugundike kwambiri, mankhwala a chifuwa amakuyambitsani, kapena maantibayotiki amakukhumudwitsani

Mankhwala osachepera amodzi amatha kukhala ndi zotsutsana ndi zomwe amafuna-SSRIs, mtundu wodziwika wa mankhwala opatsirana pogonana. Nthawi zina, mankhwalawa amawonjezera mwayi womwe mungafune kudzipweteka nokha. Mukakhala ang'ono komanso mukakulitsa mlingo wanu, chiwopsezo chanu chimachulukirachulukira, kafukufuku watsopano amawunikira. [Tweet izi!]

Madokotala akhala akudziwa za izi kwa zaka zosachepera khumi. Ndipotu, antidepressants monga Prozac, Zoloft, ndi Paxil ali ndi chenjezo lalikulu pa chizindikiro chonena za chiopsezo cha maganizo ndi makhalidwe odzipha mwa ana, achinyamata, ndi achinyamata.

Phunziro latsopanoli, lofalitsidwa mu JAMA Mankhwala Amkati, amaika manambala olimba pangozi. Ofufuzawo anayerekezera anthu omwe amayamba kumwa mankhwala otsika kwambiri ndi omwe amamwa kwambiri (komabe omwe amaperekedwa ndi madokotala nthawi zambiri).

Kwa ana ndi akulu azaka 24 kapena kupitilira apo, omwe ali ndi mlingo waukulu anali ndi mwayi wodzivulaza mwadala. Izi zidawonjezera pafupifupi gawo limodzi lodzivulaza kwa anthu 150 omwe amamwa mankhwalawa.(Akuluakulu kuposa omwe adachita nawo kafukufuku wa 24 anali ndi zaka 65-sanakhale pachiwopsezo chomwecho.)

Kafukufukuyu sanapangidwe kuti apeze chifukwa chake izi zimachitika, wolemba mabuku a Matthew Miller, MD, Sc.D., aku Harvard School of Public Health. Koma asayansi ali ndi malingaliro angapo.

"Chotsatira chimodzi chapadera mwa odwala ang'onoang'ono omwe amachiritsidwa ndi mankhwala oletsa kuvutika maganizo ndi kulepheretsa, kutanthauza kuti kuchita zinthu zomwe munthu akulakalaka nthawi zambiri amakana," anatero Rachel E. Dew, M.D., M.HSc., katswiri wa zamaganizo ku Duke Medicine. Chotero pamene kuli kwakuti kuvutika maganizo kwanu kungayambitse malingaliro ofuna kudzipha, mankhwalawo angakulepheretseni kulimbana ndi zikhumbo zimenezo.

Zotsatira izi sizikutanthauza kuti musapeze chithandizo cha kupsinjika maganizo. M'malo mwake, amapezetsa thandizo koyambirira kwambiri, atero a Cleveland Clinic a psychiologist a Joseph Austerman, D.O. Zizindikiro zofatsa-monga kukhumudwa kosalekeza, kusintha tulo kapena njala, komanso kusasangalala ndi zinthu zomwe mumakonda-nthawi zambiri zimatha kukhala kulangizidwa kokha. Ndipo ngati dokotala akukulangizani zamankhwala?

1. Yambani motsika. Mlingo woyambira kwambiri umawonjezera chiopsezo chanu pazovuta zingapo. Kuphatikiza apo, sizigwira ntchito bwino kapena mwachangu pochiza kukhumudwa, Miller akuti. Funsani dokotala wanu kuti akupatseni mlingo wotsika kwambiri.

2. Funsani banja lanu. Mbiri yaumwini kapena yabanja ya matenda a bipolar ingakulitse mwayi wanu wofuna kudzipweteka nokha. Ndipo ngati makolo anu kapena abale anu sanamve bwino za kupsinjika maganizo, chiopsezo chanu chikhoza kukhala chachikulu, Austerman akutero. Uzani dokotala wanu ngati izi zikugwira ntchito kwa inu.

3. Funsani za kutsatira. Dokotala wanu ayenera kuyang'anitsitsa inu, makamaka m'miyezi itatu yoyamba (ndi pamene mavuto ambiri mu kafukufukuyu adachitika). Khazikitsani ndandanda wolowera, kaya ndi foni kapena panokha, Austerman akulangiza.

4. Osadikira. "Ndimauza odwala anga aang'ono kuti aganize zodzipha kapena malingaliro aliwonse odzivulaza ngati mwadzidzidzi, ngati awona moto," akutero Dew. "Kukhumudwa kumawapangitsa kuganiza kuti palibe amene angasamalire, koma ndikugogomezera kuti ayenera kuuza wina nthawi yomweyo."

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