Kodi kupsinjika maganizo kumapangitsa kunenepa? Nazi Zomwe Muyenera Kudziwa

Zamkati

• Nazi zomwe katswiri akunena
• Ndiye mumatani pamenepa?
• Kumbukirani, zitenga nthawi kuti mupeze zomwe zimakuthandizani
• Onaninso za

Pankhani ya zotsatira za mankhwala, zingakhale zovuta kusiyanitsa anecdotal ndi sayansi. Mwachitsanzo, Ariel Zima posachedwa adafotokoza zakuchepa kwake mu Q&A pa Instagram Stories yake, ndikulongosola kuti mwina kunali "kusintha kwamankhwala" komwe "kumamupangitsa iye] kusiya kulemera konse [komwe] samatha kutaya kale. " Mwachindunji, Winter analemba kuti wakhala akumwa mankhwala oletsa kuvutika maganizo "kwa zaka zambiri," ndipo amakhulupirira kuti mankhwalawa mwina adamupangitsa kuti anenepa pakapita nthawi. Koma antidepressants kwenikweni kuyambitsa kuwonda-kapena kuwonda, chifukwa chake? Kapena kodi izi zinali zachilendo kwa Winter ndi mankhwala? (Zokhudzana: Momwe Kusiya Kupanikizika Kumasinthira Moyo Wa Mkazi Uyu Kwamuyaya)

Nazi zomwe katswiri akunena

Ma anti-depressants-kuphatikiza mankhwala onse a antipsychotic (monga Risperdal, Abilify, ndi Zyprexa) ndi serotonin reuptake inhibitors (aka SSRIs, monga Paxil, Remeron, ndi Zoloft) -amatha kunenepa "nthawi zambiri," akutero Steven Levine, MD, woyambitsa wa Actify Neurotherapies. M'malo mwake, "kunenepa mukamadwala matenda opanikizika nthawi zambiri ndiko lamulo, osati kusiyanitsa," akuuza Maonekedwe. Osati kokha, mankhwala atypical antipsychotic, monga kalasi, nthawi zambiri amagwirizanitsidwa ndi kuchuluka kwa cholesterol ndipo chiwopsezo chowonjezeka cha matenda ashuga, akufotokoza Dr. Levine.

Ngakhale ubale womwe ulipo pakati pa antidepressants ndi kunenepa sikumvetsetsedwa bwino, Dr. Levine akuti zikuwoneka kuti zikuchitika chifukwa cha "zotsatira zamagetsi," kuphatikiza, koma osangokhala kusintha kwa chidwi cha insulin. Komabe, ndikofunikira kudziwa kuti zipsinjo zakupsinjika mtima zitha kuphatikizaponso kusintha kudya, kusintha magonedwe, komanso kuchepa kwa magwiridwe antchito pakati pazinthu zina, atero Dr. Mwanjira ina, kukhumudwa mwa iko kokha "kumatha kubweretsa kusinthasintha kwa kunenepa," akufotokoza, koma nthawi yomweyo, antidepressants amathanso kukhudza thupi momwemonso. (Zogwirizana: 9 Akazi Pa Zomwe Osanena kwa Mnzanu Kulimbana ndi Kukhumudwa)

Ndikofunika kudziwa kuti aliyense amayankha mosiyanasiyana mankhwalawa, malinga ndi Mayo Clinic-kutanthauza kuti anthu ena atha kunenepa akamamwa mankhwala amtundu wina, pomwe ena sangatero.

Ndiye mumatani pamenepa?

Ponena za zomwe Ariel Zima adakumana nazo ndi antidepressants, adalemba pa Instagram kuti kumwa mankhwala atsopano kumawoneka kuti kumathandiza ubongo wake komanso thupi lake kukhala malo abwinobwino. Ngati mukuvutika ndi momwe antidepressant imakhudzira thupi lanu, ganizirani za momwe zakudya zopatsa thanzi komanso moyo wanu, kunja kwa mankhwala anu, zingathandizire momwe mumamvera, atero a Caroline Fenkel, DSW, LCSW, wachipatala ndi Newport Academy.

"Kuchita masewera olimbitsa thupi kumadziwika kuti kumathandiza mwachilengedwe kuthana ndi kukhumudwa," akutero Fenkel. "Kuchita masewera olimbitsa thupi nthawi zonse kungakhale ndi zotsatira zabwino pa kuvutika maganizo, nkhawa ndi zina."

Kuphatikiza apo, zakudya zomwe mumadya zitha kukhala ndi chidwi pamatenda anu onse, akutero Fenkel. Adatchulapo kafukufuku wa Januware 2017 yemwe adasindikizidwa mu BMC Mankhwala, yotchedwa "SMILES trial," yomwe inali yoyeserera yoyamba, yoyesedwa mosasunthika yamtundu wake kuti iwonetsetse ngati kuwongolera mtundu wazakudya kungathandizire kukhumudwa kwamankhwala. Mlanduwo pamodzi udakhudza amuna ndi akazi 67 omwe ali ndi vuto lokhumudwa pang'ono, onse omwe adanenanso kuti adadya zakudya zopanda thanzi asanalowe nawo phunziroli. Ochita kafukufuku adagawa ophunzirawo m'magulu awiri kuti alowepo kwa miyezi itatu: Gulu limodzi linayikidwa pa zakudya zosinthidwa za ku Mediterranean, pamene gulu lina linapitiriza kudya momwe amachitira phunziro lisanayambe, ngakhale adalangizidwa kuti apite nawo m'magulu othandizira anthu omwe adakhala nawo. awonetsedwa kuti amathandizira kukhumudwa. Miyezi itatu yamilandu itatha, ofufuzawo adapeza kuti pafupifupi gawo limodzi mwa atatu mwa iwo omwe adatsata zakudya zomwe zidasinthidwa ku Mediterranean adawonetsa "kusintha kwakukulu" pazizindikiro zawo za kukhumudwa poyerekeza ndi omwe sanali kutsatira zakudya zinazake, malinga ndi kafukufukuyu. (Zogwirizana: Kodi Chakudya Chamtengo Wapatali Chimakupangitsani Kukhumudwa?)

Atanena izi, izi sizikutanthauza kuti muyenera kusiya kugwiritsa ntchito mankhwala opatsirana pogonana ndikupatsanso zakudya zopatsa thanzi kuti muchiritse kukhumudwa kwanu - osachita popanda kufunsa dokotala wanu, osachepera. Komabe, izo amachita zikutanthauza kuti mumatha kuwongolera thanzi lanu lamaganizidwe-komanso momwe zimakhudzira thanzi lanu-kuposa momwe mungaganizire. Odwala matenda opatsirana mwachiwonekere si kokha Njira yochizira kupsinjika maganizo, koma izi sizimapangitsa kuti asakhale ogwira mtima, komanso sizingakhale bwino kuwalemba ngati mapiritsi omwe amakupangitsani kulemera popanda kukupatsani phindu lililonse.

Kumbukirani, zitenga nthawi kuti mupeze zomwe zimakuthandizani

Chimodzi mwazinthu zovuta kwambiri kupeza mankhwala opanikizika kwambiri kwa munthu ndikuti ndizovuta kwambiri kulosera momwe mankhwala adzagwirira ntchito, malinga ndi Institute for Quality and Efficiency in Health Care. Komanso, kamodzi inu chitani kuyamba kumwa imodzi mwa mankhwalawa, zimatha kutenga milungu isanu ndi umodzi (kapena kupitilira apo) kuti adziwe ngati ndi othandiza, malinga ndi Mayo Clinic. Kutanthauzira: Kupeza dongosolo lamankhwala lomwe lingakuthandizireni sizingachitike mwadzidzidzi; muyenera kukhala oleza mtima pochita izi, komanso nanu, momwe ubongo ndi thupi lanu zimagwirira ntchito kuti musinthe kusintha.

Ngati zikusintha kukhala zovuta kwa inu, Fenkel akuwonetsa kuti muzikhala ndi nthawi yochita zinthu zomwe zimakupangitsani kukhala osangalala, kaya ndi kuphika, kuchita masewera olimbitsa thupi, kapena kungokhala kunja mwachilengedwe. Kuphatikiza apo, amalimbikitsa kuti tipewe kugwiritsa ntchito njira zankhani momwe tingathere, chifukwa akuti "zitha kupangitsa anthu kudziona kuti ndi opanda ntchito chifukwa akudziyerekeza okha ndi ena omwe angawoneke ngati 'abwino' pomwe sizowona." (Zogwirizana: Chifukwa Chake Ndikofunika Kukhazikitsa Nthawi Yowonjezera Yambiri pa Ubongo Wanu)

Koposa zonse, musazengereze kukambirana izi ndi dokotala. Mukhoza kuyesa mankhwala atsopano nthawi zonse; nthawi zonse mutha kuyesa njira yatsopano yodyera; nthawi zonse mutha kuyesa mtundu wina wamankhwala. Ganizirani zabwino ndi zoyipa zamakonzedwe anu azachipatala ndi adotolo, ndikukhala zenizeni ndi inu nokha pazomwe zikuthandizirani kuti muzimva bwino. Monga Ariel Winter adalemba pa Instagram za zomwe adakumana nazo ndi antidepressants, "ndiulendo." Chifukwa chake, ngakhale chithandizo chitakhala chovuta, dzikumbutseni kuti mukuchita zabwino kuti mukhale ndi moyo wabwino. "Tikuchita china chake kuti tithandizire miyoyo yathu," adalemba Winter. "Nthawi zonse dzisamalire wekha."

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