Imibuzo okufanele uyibuze udokotela wakho ngaphambi kokuya kuma-anti-depressants

Imfundo Yezempilo

Ukwenza isinqumo sokuya kuma-anti-depressants kungashintsha impilo. Imithi elwa nokudangala ingalithuthukisa kakhulu ikhwalithi yempilo yabantu abaphila nokudangala, kanye nezinye izimo zezokwelapha. Lokho kusho, ukuhamba emhlabeni we-anti-depressing kungaba nzima-ikakhulukazi uma ulwa nempilo yakho yengqondo. Indlela engcono kakhulu yokuthola okuningi ekuqokweni kwakho nodokotela wakho noma umhlinzeki wezokwelapha ukulungela, kufaka phakathi ukwazi ukuthi uzobuza ini.

Ukuqalisa ngaphambi kokuqokwa kwakho

Ngaphambi kokuthi uphume endlini, kunezinto ongazenza ukulungiselela:

• Letha ipeni nephepha.Ungathembeli kuphela kwimemori yakho ukuze ulandelele yonke imininingwane umhlinzeki wakho wokunakekela abelana nawe. Bhala phansi amaphuzu ephepheni noma ocingweni lwakho, noma ubuze ukuthi udokotela noma umhlinzeki wakho ukhululekile yini nawe ngokuqopha iseshini ukuze niyibuyekeze ngokuhamba kwesikhathi.
• Bhala phansi imibuzo yakho ngaphambi kwesikhathi .Kulula ukuthola ukuphazamiseka lapho uthintana nodokotela wakho noma umhlinzeki bese uphuthelwa okuthile. Ukuba nohlu lwemibuzo nokukhathazeka ongabhekisa kukho kuzokusiza ukuthi uqiniseke ukuthi umboza yonke into.
• Bhala phansi izimpawu zakho ngaphambi kwesikhathi .Udokotela noma umhlinzeki wakho kungenzeka akubuze ukuthi zithini izimpawu zakho, babekhona isikhathi esingakanani, njll. Uma uke wakucabanga kusenesikhathi futhi wakubhala phansi, uzozizwa unengcindezi encane yokucabanga khona lapho futhi kuncane kungenzeka ukhohlwe okuthile.
• Letha uhlu lwemithi oyiphuzayo , kokubili incwadi kadokotela kanye ne-counter.Faka isilinganiso. Ngaphambi kokuba abahlinzeki bakho bakunikeze umuthi omusha, kuzodingeka bazi ukuthi yini enye oyiphuzayo. Ungafaka futhi noma yimaphi ama-anti-depressants owake wakuzama esikhathini esidlule nokuthi yini isipiliyoni sakho ebenayo ngabo.
• Bhala noma yiziphi ezinye izimo zezokwelapha onazo .Lolu lwazi luzoba usizo kudokotela noma kumhlinzeki wakho lapho unquma ukuthi imiphi imithi okufanele ayinikeze.

Imibuzo eyi-11 ongayibuza udokotela mayelana nezidambisi

Okokuqala nokubaluleke kakhulu, noma imuphi umbuzo owubuzayo uvumelekile. Kepha uma ungaqiniseki ukuthi ungaqala kuphi, nayi imibuzo eyisisekelo ongayibuza udokotela noma umhlinzeki wakho.

1. Kuyini ukuxilongwa kwami?

Ngaphambi kokuqala noma iyiphi inkambo yokwelashwa, kubalulekile ukuthola ukuxilongwa okufanele. Yize ibizwa ngokuthi yi-anti-depressants, le mithi iwela ezigabeni eziningi futhi yelapha izimo eziningi zempilo yengqondo, kusho uVinay Saranga, MD, udokotela wezifo zengqondo kanye nomsunguli ISaranga Comprehensive Psychiatry eNyakatho Carolina.

Ngokungeziwe kulesi simo, ubunzima kumele bunqunywe. Ingxenye yokuvakasha nodokotela wakho izocacisa ubunzima, kusho udokotela wezifo zengqondo waseNew York City Omotola T’Sarumi . Ukudangala okulingene, okulingene, nokubi kakhulu kungahle kube nezinhlelo ezahlukahlukene zokwelashwa.

2. Ngabe kufanele ngidle imishanguzo yokulwa nengcindezi?

Lokhu kuyinto enganqunywa nguwe kuphela nomhlinzeki wakho wezokunakekelwa kwempilo. Ukuthola ukwelashwa kokudangala kungaba nzima kakhulu; kepha kungenza nomehluko omkhulu kwikhwalithi yakho yempilo. Ukwaziswa ngangokunokwenzeka, ukwenza amalungiselelo kusengaphambili, nokugcina ukuxhumana okuhle phakathi kwakho nodokotela wakho kungasusa okunye ukukhathazeka nokungaqiniseki ngokuqala ukwelashwa ngama-anti-depressants.

3. Iyiphi i-anti-depressant okufanele ngiyithathe?

Eminye imishanguzo evame ukubekwa ibandakanya:

• Zoloft ( i-sertraline hydrochloride )
• UCelexa ( i-citalopram hydrobromide )
• I-Prozac ( i-fluoxetine hydrochloride )
• I-Desyrel ( trazodone hydrochloride )
• I-Lexapro ( escitalopram oxalate )
• ICymbalta ( i-duloxetine hydrochloride )

Ama-anti-depressants ngaphezu kwalolu hlu nawo angabekwa. Udokotela wakho noma umhlinzeki uzosebenza nawe ukunquma ukuthi imuphi umuthi okungenzeka ukuthi ulungele wena.

4. Ngiwuphuza kanjani lo muthi?

Eminye imithi ingaba kanye ngosuku noma kabili ngosuku. Eminye [iyadingeka] ukuthi ithathwe nokudla kanti eminye ayidingi ukuba nokudla esikebheni. Eminye imishanguzo ihamba phambili ekuseni futhi isiza ngokuqapha kanti eminye [ingcono kakhulu] ngesikhathi sokulala, kusho uDkt T'Sarumi.

Ukuthola ukuthi ungayiphuza kanjani imishanguzo yakho kuzosiza ekuqinisekiseni ukuthi uthola izinzuzo eziphezulu ngenani elincane lemiphumela emibi. Ukwazi imikhuba emihle ngaphambi kwesikhathi kuzosiza futhi ekutholeni ukuthi lo muthi usebenza kahle ngempilo yakho.

5. Iyini imiphumela emibi?

Imiphumela emibi iyahlukahluka kuye ngezidakamizwa kuya kwezidakamizwa kepha imvamisa ifaka isicanucanu, isifo sohudo, ukukhuluphala kwesisindo, isiyezi, ukulahlekelwa ukusebenza kocansi nokushintsha kwemizwelo noma ukuzibulala okwandayo, kusho uDkt T'Sarumi. Kufanele uxoxe ngayo yonke imiphumela emibi ongaba nayo nodokotela wakho.

Ingxoxo ye- okuqhamuka uma udla imishanguzo kufanele ifake imininingwane eminingi kunalokho okuyikho. Okuvame ukungabuzwa ngabantu (futhi okufanele bakwenze) kungumongo walokho okwenzekayo, kusho uMark Rego, MD, uprofesa osizayo womtholampilo wezifo zengqondo eYale University School of Medicine. [Isibonelo], uma kunomphumela oseceleni, kwenzeka kangaki? Futhi-okubaluleke kakhulu — ingabe iyabahlupha noma ibakhubaze abantu? Futhi ingabe izophela?

6. Ngizozizwa ngingcono ngokushesha kangakanani?

Ama-anti-depressants angathatha isikhathi ukuthi aqale ukusebenza, futhi isikhathi eside ukufeza ukusebenza okugcwele. UDkt Tola uphawula ukuthi imishanguzo yokulwa nengcindezi ingathatha amasonto afinyelela kwayisishiyagalombili kuya kwayishumi ukusebenza ngempumelelo. Buza udokotela wakho noma umhlinzeki ukuthi ungalindela kanjani ukuzwa imiphumela emihle kungekudala, nokuthi kufanele uyinike isikhathi esingakanani ngaphambi kokunquma ukuthi umuthi awusebenzi. Udokotela noma umhlinzeki wakho angabhuka i-aphoyintimenti yokulandelela ngemuva kwesikhathi esithile ukuze ahlole inqubekela phambili yakho. Uma udokotela wakho engasikiseli, buza ngokuhlela i-aphoyintimenti. Imvamisa imithamo idinga ukulungiswa, futhi kwesinye isikhathi umuthi omusha ungadinga ukubekwa.

7. Ngizodinga isikhathi esingakanani ukuba kulo muthi?

Impendulo yalokhu izoncika esimweni sakho esithile. Kwabanye abantu, ama-anti-depressants anqunyelwe izinyanga, kanti kwabanye anikezwa iminyaka noma impilo yonke. Udokotela wakho noma umhlinzeki uzokwazi ukukunikeza ukubuka kwesithombe esikhulu okwenzelwe wena.

8. Yini engidinga ukuyigwema ngenkathi ngisebenzisa lo muthi?

Eminye [imishanguzo yokulwa nengcindezi] akufanele ithathwe nezinhlobo ezithile zokudla ezinjengamagilebhisi, noma [neminye] imithi, kusho uDkt. T'Sarumi. Udokotela wakho udinga ukwazi ukuthi imiphi eminye imithi oyiphuzayo, kungaba yimithi enqunyiwe noma yemithi. Amanye ama-anti-depressants uma ethathwe ngemithi ethile, angaba yinkinga ku-serotonin syndrome, ukuxhumana okusongela impilo kwezidakamizwa. Iveza izimpawu zokuthuthumela, ukushisa komzimba okuphezulu, ukujuluka nokuhuda. Ngakho-ke, ukwabelana nokubuyekeza uhlu lwamanje lwemithi nodokotela wakho kubaluleke kakhulu.

Ngaphezu kokuhlangana kwemithi, amanye ama-anti-depressants akufanele athathwe notshwala.

Umuthi ngamunye unowawo awuhlu, ngakho-ke lo ngumbuzo obalulekile okufanele uwubuze esikhundleni sokwenza ukucabanga kususelwa kokuhlangenwe nakho kwakho ngemithi edlule noma ulwazi lwakho jikelele lwezidambisi.

Udokotela noma umhlinzeki wakho angafuna nokuhlola ukuthi ukhona yini ukhulelwe noma ubuhlengikazi , noma uhlele ukuba.

9. Ngingayeka ukuphuza lo muthi lapho sengizizwa ngingcono?

Impendulo yalokhu cishe ayihlali njalo-kepha buza umbuzo noma kunjalo. Udokotela wakho noma umhlinzeki angakunika imininingwane yokuthi ungamisa kanjani ngokuphepha i-antidepressant yakho. Izinyathelo ezifanayo zokuqapha zidinga ukuthathwa lapho kuguqulwa komunye umuthi uye komunye. Amanye ama-anti-depressants adinga ukuncishiswa izinyanga ukugwema ukubuyela emuva, ukwanda kwezimpawu ekumiseni ngokungazelelwe imithi. Yenza uhlelo nodokotela wakho noma umhlinzeki ngaphambi kokumisa imithi yakho noma ushintshe umthamo wakho.

10. Kwenzekani uma ngiphuthelwa umthamo?

Kubalulekile ukugwema imithamo elahlekile njengoba ubeka [ubungozi] bokubangela lokho okubizwa ngokuthi yi-discontinuation syndrome, okungadala imiphumela emibi kakhulu, kusho uDkt T'Sarumi.

Buza udokotela noma umhlinzeki wakho ukuthi wenzeni uma uphuthelwe ngumthamo wakho ohleliwe — ungaphindi kabili kumthamo olandelayo, yeka ukuthatha imishanguzo, noma wenze noma yiziphi ezinye izinqumo mayelana nomthamo ongabanjwanga ngaphandle kokubuza kudokotela noma kumhlinzeki wakho. Imithamo elahlekile yenzeka kwabangcono kakhulu kithi. Ukubuza lo mbuzo ngaphambi kwesikhathi kuzoqinisekisa ukuthi uyazi ukuthi yini okufanele uyenze uma / uma kwenzeka futhi unciphise ukuphazamiseka ekwelashweni kwakho.

11. Yini okufanele ngabe ngiyayenza ngaphandle kokuthatha umuthi?

Yize kubaluleke kakhulu, imithi akuyona ukuphela kwendlela yokusiza ukunciphisa izimpawu zokucindezeleka. Udokotela wakho noma umhlinzeki wakho angase asikisele ukwelashwa, ukuguqulwa kwendlela yokuphila, noma ezinye izindlela zokusiza eceleni kwe-anti-depressants yakho.