Usho ukuthini umbala wemithi?
Imininingwane YezidakamizwaLapho ngivula umuthi wami omusha we I-Wellbutrin , Ngijabule ukuthola ukuthi amaphilisi afane nopholishi wami wezinzipho ngokuphelele. Ngaphambi kokuba ngithathe nomthamo wami wokuqala, ngangithanda umuthi wami omusha ngoba wawumuhle. Ngisho nangemva kwezinyanga ezimbalwa ngiyithathile, ngisathola ukukhuphuka okuncane lapho ngivula isembozo bese ngibona lowo mthunzi omuhle we-lilac. Umthamo wangaphambilini ebengikuwo wawuluhlaza okwesibhakabhaka kagesi. Ukuqala lelo thosi kwakungathi ngiqala umuthi omusha ongashintsha ikhwalithi yami yempilo, engaba namandla kakhulu. Kwakunomthelela futhi kunesibindi-njengokukhetha ukuqala i-antidepressant entsha. Iphilisi le-lilac (umuthi ofanayo kodwa umthamo ophakeme) uzwe wehlisa umoya. Ngangivele ngisendaweni engcono ngokomzwelo lapho ngiqala ukuwathatha, futhi onsomi othambile wabonisa okuqukethwe kwami okungaphezulu, isikhala esingenakukhathazeka kancane.
Ukuphendula kwami kwemizwa ngemibala yamaphilisi bekungokoqobo, kepha ngabe bekuhloselwe ukuklanywa? Ingabe umbala wezokwelapha uyayithinta indlela esebenza kahle ngayo? Ngokusho kochwepheshe, impendulo… uhlobo lwe.
Kungani imithi inemibala ehlukene?
Umbala wepilisi ukhethwa ngumenzi wezidakamizwa. Isinqumo ikakhulu sisekelwe ekumaketheni futhi umbala ngokwawo awunamthelela ekusebenzeni komuthi. Lokho kusho ukuthi izinhlangano ezenziwa iziguli ezinemibala zingathinta indlela abasabela ngayo emithini.
Imiphumela yombala wephilisi
Abathengi bangahlobanisa amandla noma amandla omuthi osuselwa kumbala womuthi, kusho uGerardo Sison, Pharm.D. kusuka eNyuvesi yaseFlorida. Ucwaningo lukhombisa ukuthi ama-hues amnyama angathinta umbono wamandla aphezulu.
Umphumela we-placebo
Le mibono esuselwa kumbala wezidakamizwa ibonakala inethonya ekusebenzeni kwayo. Isifundo esisodwa kukhombisile ukuthi okubomvu, okuphuzi, ne-orenji kuhlotshaniswa nomphumela ovuselelayo, ngenkathi okuluhlaza okwesibhakabhaka nokuluhlaza kuhlobene nomphumela wokuthula. Kwezinye iziguli, okulindelwe ngaphambili abanakho ngaphambi kokuthatha umuthi kungathinta imiphumela yabo ngenkathi besemithini, zombili ngokusebenza kahle kanye nemiphumela emibi. Lokhu kwaziwa njenge umphumela we-placebo : noma yimuphi umphumela wengqondo noma womzimba ukwelashwa kwe-placebo (okungekho isithako esisebenzayo) okunayo kumuntu ngamunye.
Umphumela we-placebo unamandla amakhulu kangangokuba ngokomlando izivivinyo eziningi zemithi yokwelashwa zifake iqembu lokulawula lababambiqhaza abathola ukwelashwa ngokungazi bengekho isithako esisebenzayo sokuhlola ukuthi ngabe umuthi ofundwayo usebenza kangcono kune-placebo ngendlela ehlosiwe ngayo. Umphumela we-placebo awukhawulelwe kumbala wezidakamizwa. Usayizi wezidakamizwa noma ukwakheka, ukucwasa kusengaphambili kwesiguli, nezinye izinto eziningi kunganikela emandleni omphumela we-placebo.
Inhlangano yezimpawu
Ukubeka uphawu uphawu kungenye into ekukhetheni umbala wezidakamizwa. Imibala nokwakhiwa kwayo kubhekelwa kakhulu ukukhanga okungokomzwelo nomkhiqizo, kusho uDkt. Sison. Ngokwesibonelo, I-Viagra kwesinye isikhathi yaziwa njengephilisi eliluhlaza okwesibhakabhaka. I-AstraZeneca yaziwa ngokukhiqiza I-Nexium (esomeprazole) njengephilisi elibubende.
Ubudlelwano phakathi komkhiqizo nombala bungaba namandla kangangokuba abenzi bomenzi ojwayelekile baqhubeke nakho. Imvamisa, umkhiqizi wokuqala [lapho umuthi ungumthombo owodwa, igama lomkhiqizo kuphela] uthatha isikimu sombala bese kuthi ngemuva kweminyaka, lapho umuthi ungowemithombo eminingi, abakhiqizi abajwayelekile bagcina isikimu sombala esifanayo ukuze siqhubeke nokujwayeleka iziguli, kuchaza uKristi C. Torres, Pharm.D. kusuka e-Austin, eTexas.
Kungani amaphilisi eza ngemibala, ubujamo nobukhulu obungafani?
Imibala yamaphilisi ehlukile inesicelo esisebenzayo. Imibala ehlukene ingasetshenziswa ukuhlukanisa phakathi kwamandla omuthi ofanayo. Ngezidakamizwa lapho iziguli kungadingeka zixube noma zishintshe amandla kaningi, ukufaka amakhodi emibala kwenza kube lula ukukhomba ukuthi zithatha ini, kusho uDkt Torres.
Lokhu kwehlukaniswa kuyasiza nakosokhemisi. Imibala evelele nayo isiza ukuvimbela amaphutha ezokwelapha ukuze umhlinzeki wezokunakekelwa kwempilo aqiniseke ukuthi banikeza iziguli imishanguzo efanele, kusho uDkt Sison. Lapho ebheka imishanguzo ekhemisi, usokhemisi angasebenzisa imibala njengolunye ungqimba lokuphepha okungeziwe ukubona ukuthi ngabe kukhona yini okungahambi kahle ngaphambi kokulebula nokusabalalisa ibhodlela.
Kokubili uDkt Sison noDkt Torres bakhathaza ukujwayela ukuthi imithi yakho kufanele ibukeke kanjani. Osokhemisi bangabantu futhi amaphutha angenzeka. Uma umbala wephilisi noma ukubukeka kwakho kwehlukile kunalokho obekulindelwe, noma uma kukhona ukungabaza nhlobo, cela usokhemisi wakho akucacisele. Kwesinye isikhathi lokhu kungumphumela wokushintsha abahlinzeki bezidakamizwa, kepha ngaso sonke isikhathi kungcono ukwenza isiqiniseko.











