Mibvunzo yekubvunza chiremba wako usati waenda kune anodzvinyirira

Dzidzo yehutano

Kuita sarudzo yekuenderera neanodzvinyirira kunogona kuchinja hupenyu. Mishonga yekudzvinyirira inogona kuvandudza zvakanyanya hupenyu hwevanhu vanorarama nekushushikana, uye kunyangwe mamwe marapirwo. Izvo zvakati, kufamba munyika yeanodzvinyirira kunogona kutyisa-kunyanya kana iwe uchirwira hutano hwepfungwa. Nzira yakanakisa yekuwana zvakanyanya kubva pane zvawakasangana nachiremba wako kana mupi wezvekurapa ndeyekugadzirira, kusanganisira kuziva chekubvunza.

Kutanga usati wasangana

Usati wabuda mumba, pane zvimwe zvinhu zvaunogona kuita kugadzirira:

• Uyai nechinyoreso nebepa.Usavimbe chete pane yako ndangariro kuti uchengetedze iyo yese info iyo yako mupi wekuchengeta anogoverana newe. Nyora pasi manotsi pabepa kana mufoni yako, kana kubvunza kana chiremba wako kana mupi akasununguka newe uchinyora musangano kuti uongorore gare gare.
• Nyora pasi mibvunzo yako pamberi penguva .Zviri nyore kupepetwa kana uchibvunzana nachiremba wako kana mupi uye ukapotsa chimwe chinhu. Kuve uine runyorwa rwemibvunzo uye zvinetswa zvekutarisa zvinokubatsira iwe kuona kuti wakavhara zvese.
• Nyora pasi zviratidzo zvako nguva isati yasvika .Chiremba wako kana mupi angangokubvunza kuti zviratidzo zvako ndezvipi, vave nenguva yakareba sei varipo, nezvimwewo. Kana iwe wakazvipa kufunga nguva isati yakwana uye wakazvinyora pasi, unonzwa kushomeka kwekufunga ipapo uye zvishoma pamwe kukanganwa chimwe chinhu.
• Uya nerondedzero yemishonga yauri kutora , zvese zviri zviviri zvekunyorerwa uye nepamusoro-pekutengesa.Sanganisira chipimo chemushonga. Pamberi pevapi vako vasati vape mushonga mutsva, ivo vanofanirwa kuziva kuti ndezvipi zvimwe zvauri kutora. Iwe unogona zvakare kusanganisira chero antidipressants yawakaedza munguva yakapfuura uye chii chako chiitiko chaive navo.
• Nyora zvimwe zvezvimwe zvehutano zvaunazvo .Ruzivo urwu rwunobatsira chiremba wako kana mupi wako kana uchisarudza kuti ndeapi mishonga (s) yauchapa.

11 mibvunzo yekubvunza chiremba nezvezvinodzvinyirira

Kutanga uye pamberi pezvese, chero mubvunzo waunobvunza unoshanda. Asi kana iwe usina chokwadi kwekutangira, heino mimwe mibvunzo yakakosha yekubvunza chiremba wako kana mupi.

1. Chii chinonzi kuongororwa kwangu?

Usati watanga chero nzira yekurapa, zvakakosha kuti uwane kuongororwa kwakakodzera. Kunyangwe vachinzi vanodzvinyirira, mishonga iyi inowira muzvikamu zvinoverengeka uye inorapa hutano hwakati wandei, anodaro Vinay Saranga, MD, chiremba wepfungwa, uye muvambi Saranga Yakakwana Psychiatry kuNorth Carolina.

Pamusoro pechimiro, kuomarara kunoda kutemerwa. Chikamu chekushanya nachiremba wako chingaratidza kuoma, anodaro chiremba wepfungwa weNew York City Omotola T'Sarumi . Hunyoro, zvine mwero, uye kushushikana kwakanyanya kunogona kukonzera zvirongwa zvakasiyana zvekurapa.

2. Ndinofanira here kutora mishonga yekudzvinyirira?

Ichi chinhu chinogona kungogadziriswa newe uye nemupi wako wezvehutano. Kuwana kurapwa kwekuora mwoyo kunogona kukurira; asi zvinogona zvakare kuita mutsauko wakakura kuhunhu hwako hwehupenyu. Kuve neruzivo sezvazvinogona, kugadzira gadziriro nguva isati yakwana, uye kuchengetedza kutaurirana kwakanaka pakati pako nachiremba wako kunogona kubvisa kumwe kunetseka uye kusava nechokwadi nezve kutanga kurapwa neanodzvinyirira.

3. Ndeipi mishonga yekudzvinyirira yandinofanira kutora?

Zvimwe zvinowanzoiswa antidepressants zvinosanganisira:

• Zoloft ( sertraline hydrochloride )
• Celexa ( citalopram hydrobromide )
• Prozac ( fluoxetine hydrochloride )
• Desyrel ( trazodone hydrochloride )
• Lexapro ( escitalopram oxalate )
• Cymbalta ( duloxetine hydrochloride )

Zvinodzvinyirira mukuwedzera kune urwu runyorwa zvinogona zvakare kunyorerwa. Chiremba wako kana mupi achashanda newe kuona kuti ndeupi mushonga ungangove wakakodzera iwe.

4. Ndinotora sei mushonga uyu?

Mimwe mishonga inogona kuve kamwe pazuva kana kaviri pazuva. Zvimwe [zvinodiwa] kutorwa nechikafu uye zvimwe hazvidi kuti zvive nechikafu mubhodhi. Mimwe mishonga yakanakisa mangwanani uye inobatsira nekungwarira uye mimwe [yakanaka kwazvo] panguva yekurara, Dr. T'Sarumi anodaro.

Kutsvaga nzira yakanaka yekutora mishonga yako kunobatsira kuona kuti iwe unowana iwo mabhenefiti akawandisa pamwe neiyo shoma huwandu hwemhedzisiro. Kuziva tsika dzakanakisisa nguva isati yasvika kunobatsirawo kuona kana uyu mushonga unoshanda nemararamiro ako.

5. Ndeipi mhedzisiro?

Mhedzisiro inosiyana kubva pamushonga kuenda kuchinodhaka asi kazhinji inosanganisira kusvotwa, manyoka, kuwedzera uremu, dzungu, kurasikirwa pabonde uye shanduko yemafungiro kana kuzviuraya kwakawanda, anodaro Dr. T'Sarumi. Iwe unofanirwa kukurukura zvese zvinogona kuitika mhedzisiro nachiremba wako.

Iyo hurukuro ye mhedzisiro inofanira kusanganisira rumwe ruzivo kupfuura izvo zvavari. Izvo zvinowanzo bvunzwa nevanhu (uye zvavanofanira) ndiwo mamiriro ezvinhu anoitika, anodaro Mark Rego, MD, purofesa wezvekurapwa kwepfungwa kuYale University Chikoro cheMishonga. [Semuenzaniso], kana paine divi mhedzisiro, zvinoitika kangani? Uye - zvakanyanya kukosha - zvinonetsa here kana kukanganisa vanhu? Uye ichaenda here?

6. Ndichakurumidza kunzwa nani?

Mishonga yekudzvinyirira inogona kutora nguva kutanga kushanda, uye kunyangwe yakareba kusvika pakuzara. Dr. Tola vanocherekedza kuti mishonga yekudzvinyirira inogona kutora kusvika kumavhiki masere kusvika gumi kuti ibudirire. Kumbira chiremba wako kana mupiki kuti ungakurumidza sei kunzwa zvimwe zvakanaka, uye kuti unofanira kuzvipa kwenguva yakareba sei usati waona kuti mushonga hausi kushanda. Chiremba wako kana mupi anogona kutora musangano wekutevera mushure menguva yenguva yekutarisa nekufambira mberi kwako. Kana chiremba wako asingazvikurudzire, bvunza nezve kuronga musangano. Kazhinji mishonga inoda kugadziriswa, uye dzimwe nguva mushonga mutsva ungangoda kupihwa.

7. Ndichatora nguva yakareba sei ndiri pamushonga uyu?

Mhinduro kune izvi inoenderana nemamiriro ako chaiwo. Kune vamwe vanhu, mishonga yekudzvinyirira inorayirwa kwemwedzi, uye kune vamwe inorayirwa kwemakore kana kunyangwe kweupenyu hwese. Chiremba wako kana mupi anokwanisa kukupa iwe wakasarudzika yakakura mifananidzo yekuona.

8. Chii chandinofanira kudzivirira pandinenge ndiri pamushonga uyu?

Mimwe [mishonga yekudzvinyirira] haifanire kutorwa nemamwe marudzi ezvikafu zvakaita semazambiringa, kana [pamwe] nemimwe mishonga, anodaro Dr. T'Sarumi. Chiremba wako anoda kuziva kuti ndeipi mimwe mishonga yaunotora, ingave yakatemwa kana mishonga yemakwenzi. Mimwe mishonga yekudzvinyirira kana ikatorwa nemimwe mishonga, inogona kuomesa serotonin syndrome, kusangana kwehupenyu nekutyisa zvinodhaka. Inopa nezviratidzo zvekudengenyeka, kupisa muviri, kudikitira, uye manyoka. Nekudaro, kugovana nekuvandudza runyorwa razvino rwemishonga nachiremba wako kwakakosha kwazvo.

Pamusoro pekupindirana kwemushonga, mamwe mishonga yekudzvinyirira haifanire kutorwa nedoro.

Mushonga wega wega une yawo wega usanyora, saka uyu mubvunzo wakakosha kubvunza pane kuita zvekufungidzira zvichibva pane zvakaitika kwauri nemishonga yapfuura kana ruzivo rwako ruzhinji rwevanodzvinyirira.

Chiremba wako kana mupi anogona zvakare kuda kutarisa kana uri nhumbu kana ukoti , kana kuronga kuva.

9. Ndingarega here kutora mushonga uyu pandinonzwa zvirinani?

Mhinduro kune izvi ingangoita nguva dzose kwete-asi bvunza mubvunzo zvakadaro. Chiremba wako kana mupi anogona kukupa ruzivo rwekuti ungamira sei zvakachengeteka kutora yako inodzvinyirira. Chengetedzo dzakafanana dzinofanirwa kutorwa kana uchichinja kubva pamushonga uchienda pane mumwe. Mimwe mishonga yekudzvinyirira inoda kubviswa kwemwedzi kuti isadzorere kuwedzera, kuwedzera kwezviratidzo kubva nekumisa nekukurumidza mishonga. Gadzira chirongwa nachiremba wako kana mupi usati wamisa mushonga wako kana kushandura yako dose.

10. Chii chinoitika kana ndikapotsa mushonga?

Zvakakosha kudzivisa kurasikirwa nemiyero sezvaunomhanya [njodzi] yekukonzeresa inonzi discontinuation syndrome, inogona kukuvadza mhedzisiro, anodaro Dr. T'Sarumi.

Kumbira chiremba wako kana mupi wako zvaunofanira kuita kana iwe uchinge warasikirwa neyako yakarongwa dhizaini - usazvipeta kaviri pane inotevera dosi, rega kutora mushonga, kana kuita chero imwe sarudzo nezve iyo yakarasika dhizaini usingatarise nachiremba wako kana mupi. Kupotsa madosi kunoitika kune kugona kwedu. Kubvunza uyu mubvunzo pamberi penguva kuchave nechokwadi kuti iwe unoziva zvekuita kana / kana zvikaitika uye kudzikisira kukanganisa kwekurapwa kwako.

11. Chii chandinofanira kunge ndichiita mukuwedzera pakutora mishonga?

Kunyangwe ichinyanya kukosha, mishonga haisiyo chete nzira yekubatsira kudzikisa zviratidzo zvekushungurudzika. Chiremba wako kana mupi anogona kupa kurapwa, mararamiro ehupenyu, kana dzimwe nzira dzekubatsira pamwe neako antidepressants.