Chinofanira Kuziva Kudzivisa Kuregererwa Syndrome
Kana iwe uri kutora chirwere chinodzvinyirira, unganzwa kuti vanhu vazhinji vane zviratidzo pavanomisa mishonga yavo. Chii chaunoda kuziva iwe usati warega kurwisa kwako?
Antidepressants uye Discontinuation Syndrome
Vanenge makumi maviri kubva muzana vevarwere avo vakatora chirwere chinodzvinyirira kwevhiki dzinenge matanhatu vachaita izvo zvinonzi kanonzi discontinuation syndrome kana vakangoerekana varega kutora varwere vavo.
Discontinuation syndrome inogona kusanganisira zviratidzo zvakadai sekuneta, kuora mwoyo, kurwadziwa kwemisonda, kusuruvara, kushungurudzika, kushungurudzika, chirwere, kutadza kuona, kusuruvara, kufungidzira, kurota, kufungidzira kana kushungurudza magetsi. Vamwe vanhu vanotsanangura zviratidzo izvi sekufanana nehutachiona hwehutachiona. Kuoma kwezviratidzo izvi kunogona kusiyana zvikuru. Vamwe vanhu vane zvishomanana kana zvisina zviratidzo pavanomisa mishonga yavo, asi vamwe vanogona kuwana zviratidzo izvi zvakanyanya kusagadzikana.
Nokuti kuregera chirwere hachina kufadza vanhu vakawanda uye kunogona kupindira nekushanda kwezuva nezuva, kuchenjera kuwedzera zvishoma nezvishoma kuora mwoyo kwako panzvimbo pokudzivisa "kutonhora kunotyisa." Kunyanya kubvisa kunogona kubatsira kuderedza kana kunyange kubvisa zviratidzo izvi.
Discontinuation vs Kudzokorora kwezviratidzo
Zvakakosha kuti vanhu vaone kuti zviratidzo zvine chokuita nokuregererwa kwevanhu vanodzvinyirira zvinogona kufanana zvikuru nezviratidzo zvakakuita kuti utore chirwere chinodzvinyirira pakutanga.
Vamwe vanhu vanotya kuti kudengenyeka kwavo kana kuzvidya mwoyo kuri kudzokera simba rose, apo chaizvoizvo zvavari kuwana ndeye kugadzirisa chirwere chinogadzirisa pachako pachako. Nguva inogona kukubatsira iwe kunzwisisa mutsauko. Kana kuora mwoyo kana kushungurudzika kushure mushure mekudzivisa kuora mwoyo kunowanzowedzera zvishoma nezvishoma zvinopera zvishoma nezvishoma.
Kusiyana neizvi, zviratidzo zvine chokuita nekuregera kubva kune rimwe remishonga iyi zvinowanzoitika munguva pfupi (mukati mezuva kana kuti kune zvimwe zvinodhaka zvakadai saPaulil (paroxetine) uye zvishoma nezvishoma kudarika nguva.
Pamberi Pako Tora Kubvisa Wako Anodhevedza Mishonga
Nepo iwe ungangodaro wakauya peji ino uchitarisira kuwana mirairo yekutengesa uri woga, iwe unofanira kugara uchikurukura nachiremba wako usati warega kutora antidipressant yako.
Chokutanga uye zvakakosha zvakakosha kuziva kana iwe wakazadzisa zvinangwa zvako zvekurapa, izvo zvinozoita kuti uwane rusununguko rwakakwana kubva kune zviratidzo zvekuora mwoyo uye kukudzorera kune zvinowanzoshanda. Izvo zvinangwa zvakakosha nokuti kutsvakurudza kunoratidza kuti varwere mukuregererwa kwakakwana havakwanisi kuwana zviitiko zvekusangana; uye, kana vakaona chiitiko, zvinogona kutora nguva yakareba kuti iite.
Chechipiri, kana chinangwa chenyu pakugadzirisa kuora mwoyo kwako ndekudzivisa migumisiro yechirwere, chiremba wako angakwanisa kukubatsira kuwana dzimwe nzira dzokurwisana nemigumisiro iyi pasina kumira kurapwa.
Pakupedzisira, chiremba wako anogona kukupa ruzivo rwe ruzivo rwake uye unyanzvi mukusarudza chirongwa chakanakisisa chekufuratira.
Mirayiridzo Yekutengesa Kubvisa Anodzvinyirira
Nemhaka yokuti hapasina kunyatsogadziriswa nzira yekugadzirisa munhu anorwisa zvinodhaka, chiremba wako achishandisa chirwere chake chemakiriniki kuti afungisise zvinhu zvakasiyana-zvakadai sezamuro iwe uri kutora, iwe wave watora nguva yakareba sei mishonga uye hafu yehupenyu hwezvinodhaka- kuti usarudze purogiramu ipi yaunofanira kutevera mukushandisa mishonga yako.
Mukuwedzera, chiremba wako anogona kugadzirisa chirongwa, zvichienderana nemhinduro yako. Ramba uchiyeuka kuti hurongwa hwako hwekutengesa hunofanira kuchinja, uye chiremba wako anogona kukurudzira kana kusvimha zvakanyanya nokukurumidza kana zvishoma nezvishoma zvichienderana nezviratidzo zvako.
Mimwe mishonga inogona kunge isingadi kudidzira. Kana uchida kana kuti kwete iwe uchada kuisa mishonga yako inobva pahafu yehupenyu hwemishonga iwe uri kutora. Hafu yeupenyu yemishonga inoreva nguva iyo hafu yemishonga yakabva pamuviri wako uye hafu inosara. Iyi nguva yakawanda inogona kusiyanisa zvikuru pakati pemishonga yakasiyana-siyana. Zvimwe zvinotapukisa zvakadai saPaulil (paroxetine) uye Zoloft (sertraline) vane hafu yenguva pfupi inorarama.
Iyo mishonga "inobva kunze kwetsika yako" nokukurumidza. Vamwe, vakadaro seProzac (fluoxetine) vave nenguva yakareba hafu vachirarama. Iyi mishonga inopera zvishoma nezvishoma kubva muropa rako shure kwechinguva uye, mupfungwa yakati, wean ivo pachavo.
Pane mamwe mazano akawandisa ekutsvaga mishonga inopesana nemishonga, inosanganisira zvinotevera:
- Bvisa mishonga zvishoma nezvishoma. Izvi zvinoreva kutora maduku maduku uye maduku emishonga munguva.
- Zvingave zvichibvira kurega mishonga zvakakurumidza kana muroti wakanga uri pasi kusvika kutanga.
- Kurambidza kunogona kutora nguva refu kana murwere ave ari pamushonga kwenguva yakareba.
- Zvingave zvichibvira kumisa Prozac (fluoxetine) pasina kutengesa, nemhaka yehupenyu hwayo hurefu hurefu.
Ko Kana Ndichinge Ndine Zviratidzo Kana Ndichienda Kubva?
Kunyangwe nekombiki, zvingaita kuti iwe uchange uchiri kuvhara zviratidzo. Muchiitiko ichi, chiremba wako angangodaro iwe unotanga zvakare mushonga wako uye wobva waenda zvishoma nezvishoma.
Imwe nzira ndeyekutungamirirwa kwezvinodhaka kunoderedza zviratidzo zvemunhu mumwechete, zvakadai sa benzodiazepine seValium (diazepam) kana Librium (chlordiazepoxide) yekuzvidya mwoyo, kana chirwere chinorwara chinotyisa seBonine (meclizine) kana Dramamine (dimenhydrinate) yeguruva.
Pasi pepamusoro paKutsvaga Kushandura Kwako
Zvakakosha kuyeuka kuti munhu wose akasiyana pazvinouya pakusvimha misodzi kubva kune vanorwara. Vamwe vanhu vanogona kumira kukanganisa kwavo - kunyange avo vane hafu yenguva-nokukurumidza pasina chero zviratidzo zvikuru. Vamwe vanogona kuva nezvimwe zviratidzo zvinoshungurudza, uye zvinoda kuti mishonga inyorerwe zvishoma nezvishoma, kupfuura kwemavhiki kana kunyange mwedzi.
Kana iwe uchinetseka kuti unofanirwa kutora zvishoma nezvishoma, tarisa kumashure kwawakabva. Kana wakashanda nenzira yako kuburikidza nekuora mwoyo kana kufunganya uye wakazadzisa chinangwa chako chekuregererwa kwakakwana kubva mumamiriro aya, rumbidza iwe pachako kubudirira kwako. Iva nemoyo murefu uye zviri nyore iwe pachako uye chengetedza kuti wakauya kusvika rini. Vanhu vazhinji vanogona kuzvisunungura kubva pamishonga iyi mune imwe nyaya.
Sources:
Fava, G., Gatti, A., Belaise, C., Guidi, J., uye E. Offidani. Kubvisa zviratidzo mushure meSelective Serotonin Reuptake Inhibitor Discontinuation: Kuongorora kweChirongwa. Psychotherapy uye Psychosomatics . 2015. 84 (2): 72-81.
Renoir, T., Selective Serotonin Reuptake Inhibitor Antidepressant Treatment Discontinuation Syndrome: Kuongororwa kweChipical Evidence uye Nzira dzinogona Kubatanidzwa. Mitsva mu Pharmacology . 2013. 4:45.