6 Mibvunzo Yekubvunza Chiremba Wako Kana Yako MDD Zviratidzo Isiri Kuvandudza

Zvemukati

• 1. Ndiri kutora mishonga yangu nenzira kwayo here?
• 2. Ndiri pachinodhaka chakakodzera here?
• 3. Ndiri kutora dosi chaiyo here?
• 4. Ndedzipi dzimwe nzira dzangu dzekurapa?
• 5. Dzimwe nyaya dzingave dziri kukonzera zviratidzo zvangu here?
• 6. Une chokwadi here kuti ndakaora mwoyo?

Zvinodzvinyirira zvinoshanda mushe mukugadzirisa zviratidzo mukati neakanyanya kushushikana kusagadzikana (MDD). Asi chete chetatu chevanhu vanowana zororo rakaringana kubva kuzviratidzo zvavo nemushonga wekutanga wavanoedza. Nezve vanhu vane MDD havazowana zororo rakakwana kubva kune anodzvinyirira, zvisinei kuti ndeipi yavanotora pakutanga. Vamwe vanozoita zvirinani kwenguva pfupi, asi pakupedzisira, zviratidzo zvavo zvinogona kudzoka.

Kana iwe ukasangana nezvinhu zvakadai sekusuwa, kusarara zvakanaka, uye kuzvidzora kwakaderera uye mishonga haisi kubatsira, inguva yekutaura nachiremba wako nezve dzimwe sarudzo. Heano mibvunzo mitanhatu yekukutungamira iwe kuburikidza nehurukuro uye kukuendesa munzira chaiyo yekurapa.

1. Ndiri kutora mishonga yangu nenzira kwayo here?

Kusvikira pahafu yevanhu vanorarama nekusuwa havatore yavo yekudzvinyirira nenzira yavakarairwa nachiremba - kana zvachose. Kusvetuka madosi kunogona kukanganisa mashandiro anoita mushonga.

Kana usati waita zvakadaro, enda pamusoro pemirayiridzo yedosi nachiremba wako kuti uone kuti uri kutora mushonga nenzira kwayo. Usamborega kutora mishonga yako nekukurumidza kana pasina kubvunza chiremba wako. Kana mhedzisiro iri kukunetsa iwe, bvunza chiremba wako kana iwe uchigona kuchinjira kune yakaderera dosi, kana kune mumwe mushonga une mashoma mhedzisiro.

2. Ndiri pachinodhaka chakakodzera here?

Mhando dzakasiyana dzakasiyana dzekudzvinyirira dzinotenderwa kubata MDD. Chiremba wako anogona kunge akatanga iwe pane yakasarudzika serotonin reuptake inhibitor (SSRI) yakaita fluoxetine (Prozac) kana paroxetine (Paxil).

Dzimwe sarudzo dzinosanganisira:

• serotonin-norepinephrine
  reuptake inhibitors (SNRIs) senge duloxetine (Cymbalta) uye venlafaxine (Effexor
  XR)
• atypical antidepressants
  senge bupropion (Wellbutrin) uye mirtazapine (Remeron)
• tricyclic
  mishonga yekudzvinyirira senge nortriptyline (Pamelor) uye desipramine (Norpramin)

Kutsvaga mushonga unoshandira iwe unogona kutora imwe kuyedza uye kukanganisa. Kana wekutanga mushonga waunoyedza ukasabatsira mushure memavhiki mashoma, chiremba wako anogona kukuchinjira kune imwe antidepressant. Iva nemoyo murefu, nekuti zvinogona kutora vhiki nhatu kana ina kuti mushonga wako utange kushanda. Mune zvimwe zviitiko, zvinogona kutora kusvika kumavhiki masere usati waona shanduko mune yako manzwiro.

Imwe nzira iyo chiremba wako anogona kukufananidza iwe kune chaicho chinodhaka ndeye cytochrome P450 (CYP450) bvunzo. Uyu muedzo unotarisa kumwe kusiana kwemajini kunokanganisa maitiro anoita muviri wako mishonga yekudzvinyirira. Izvi zvinogona kubatsira chiremba wako kuona kuti ndeapi madhiragi anogona kugadziriswa zviri nani nemuviri wako, zvichitungamira kune mashoma mhedzisiro uye nekuvandudza kushanda.

3. Ndiri kutora dosi chaiyo here?

Chiremba wako anogona kukutangisa pane yakaderera dosi yeanodzvinyirira kuti aone kana ichishanda. Kana zvikasadaro, ivo vanowedzera zvishoma nezvishoma muyero. Chinangwa ndechekukupa iwe mishonga yakaringana kuti ubvise zviratidzo zvako, pasina kukonzera zvinokanganisa migumisiro.

4. Ndedzipi dzimwe nzira dzangu dzekurapa?

Mishonga yekudzvinyirira haisi iyo chete nzira yekurapa yeMDC. Iwe unogona zvakare kuyedza psychotherapy senge yekuziva maitiro ekurapa (CBT). NeCBT, unoshanda nachiremba uyo anokubatsira kuti uone maitiro anokuvadza ekufunga uye uwane nzira dzinoshanda dzekutarisana nematambudziko muhupenyu hwako. inoona kuti musanganiswa wemishonga uye CBT inoshanda zvirinani pazviratidzo zvekushushikana pane chero kurapwa chete.

Vagus nerve kukurudzira (VNS) ndeimwe nzira yekurapa vanachiremba vanoshandisa kushushikana kana mishonga yekudzvinyirira isiri kushanda. MuVNS, tambo yakasungirirwa pamwe neiyo vagus nerve iyo inomhanya kubva kumashure kwemutsipa wako kuenda kuuropi yako. Iyo yakasungirirwa kune pacemaker-senge chishandiso icho chinotamisa mafambiro emagetsi kuhuropi hwako kuti ubvise zviratidzo zvekuora mwoyo.

Nezve zvakanyanya kushushikana, electroconvulsive therapy (ECT) zvakare sarudzo. Iyi haisi iyo imwechete "kurapa kwekuvhundutsa" iyo yakambopihwa varwere munzvimbo dzekutizira kwepfungwa. ECT mushonga wakachengeteka uye unoshanda wekushushikana unoshandisa zvinyoro nyowani dzemagetsi mukuyedza kuchinja kemisitiri yehuropi.

5. Dzimwe nyaya dzingave dziri kukonzera zviratidzo zvangu here?

Kune zvakawanda zvinhu zvinogona kukuvadza kushungurudzika zviratidzo. Zvinokwanisika kuti chimwe chinhu chirikuitika muhupenyu hwako chiri kukushungurudza, uye mushonga wega hauna kukwana kugadzirisa dambudziko.

Funga izvi zvimwe zvinhu zvinogona kukonzera kusuruvara mamiriro:

• hupenyu hwechangobva kuitika,
  sekushayika kwemudiwa, mudyandigere, danho rakakura, kana kurambana
• kusurukirwa kubva pakurarama
  ndega kana kusava nehukama hwakaringana munharaunda
• shuga yakawanda, yakagadziriswa
  kudya
• kurovedza muviri kushoma
• kunetseka kwakanyanya kubva ku
  basa rakaoma kana hukama husina hutano
• kushandisa zvinodhaka kana doro

6. Une chokwadi here kuti ndakaora mwoyo?

Kana iwe wakamboedza akati wandei antidepressant uye ivo vasina kushanda, zvinokwanisika kuti imwezve yekurapa mamiriro kana mushonga waunotora ndicho chikonzero iwe uri kusangana nezviratidzo zve MDD.

Mamiriro ezvinhu anogona kukonzera kushushikana-kunge zviratidzo zvinosanganisira:

• kunyanyisa kana
  isingashandisi utachiona (hypothyroidism kana hyperthyroidism)
• kutadza kwemoyo
• lupus
• Chirwere cheLyme
• chirwere cheshuga
• kuora mwoyo
• multiple sclerosis (MS)
• sitiroko
• Chirwere chePasinson
• kurwadziwa kusingaperi
• kupererwa neropa
• kuvhiringidza kufema kufema
  (OSA)
• kushandisa zvinodhaka
• kushushikana

Zvinodhaka zvinogona kukonzera kushushikana zviratidzo zvinosanganisira:

• kurwadziwa kweopioid kunodzora
• kuwedzera kweropa mishonga
• corticosteroids
• mapiritsi ekudzivirira kubata pamuviri
• kunyaradza

Kana mushonga uchikonzera zviratidzo zvako, kuchinjira kumushonga wakasiyana kunogona kubatsira.

Izvo zvakare zvinogona kuti iwe uine imwe hutano hwepfungwa mamiriro, senge bipolar kusagadzikana.Kana zvirizvo, iwe uchafanirwa kukurukura dzimwe nzira dzekurapa nachiremba wako. Bipolar kusagadzikana uye mamwe mamiriro ehutano hwepfungwa anoda kurapwa kwakasiyana kubva MDD.