Ngabe i-Lexapro Ibanga Ukukhuluphala Komzimba?

Ngabe i-Lexapro ikwenza ukhuluphale? Futhi uma kunjalo, kungani abantu bekhuluphala nge-Lexapro?

Kwesinye isikhathi; ukukhuluphala okuncane kungase kwenzeke, ikakhulukazi uma kusetshenziswa isikhathi eside.

Kungani kwenzeka: Ukwanda kokufisa ukudla, ukwehliswa kwezinga lokushisa lomzimba, ukuthuthuka kwemizwa/ukufisa ukudla, nokuncipha kokucindezeleka okuhlobene nokucindezeleka okunciphisa ukufisa ukudla.

Ukuxhumana Phakathi Kwe-Lexapro Nokukhuluphala Komzimba: Lithini Ucwaningo?

Asihambe ngqo kuso. Impendulo emfishane nguku, yebo, i-Lexapro ingadala ukukhuluphala komzimba kwabanye abantu. Kubhalwe njengomphumela ohambisana nawo, futhi ingenye yezinto ezivame kakhulu abazikhathazayo iziguli lapho ziqala i-Selective Serotonin Reuptake Inhibitor, noma i-SSRI.

Kodwa-ke, “ingakwazi” akusho “iyokwenza”. Impilo iyinto ehlangene.

Ucwaningo lubonisa ukuthi ukukhuluphala komzimba kungenzeka kakhulu ngokusebenzisa isikhathi eside, okuvame ukuchazwa njengokwelashwa okuhlala izinyanga eziyisithupha noma ngaphezulu. Ukubuyekezwa okuphelele kwezifundo kuthola ukuthi ngenkathi ukusetshenziswa kwe-SSRI isikhathi esifushane (ngaphansi kwezinyanga eziyisithupha) kunomthelela omncane, ukusebenzisa isikhathi eside kungaholela ushintsho olubonakalayo. Ezinye izifundo zikhombisa ukuthi kufika ku-41% wabantu abathatha ama-SSRI isikhathi eside bangase babone ukukhuluphala okuthile umthombo.

Ngakho-ke, ungakhuluphala kangakanani nge-Lexapro? Izindaba ezinhle ukuthi kubantu abaningi, ukukhuluphala kuyinto encane. Isifundo esikhulu esashicilelwe kuJAMA Psychiatry sithola ukuthi, ngokomkhethi, abantu abathatha i-escitalopram bakhuluphala cishe ngama-2.4 kuye ku-4 pounds esikhathini sezinyanga eziyisi-8-9 uma kuqhathaniswa nalabo abangasemithi umthombo. Kubalulekile ukukhumbula ukuthi lokhu kuyisilinganiso; imiphumela yomuntu ngamunye ingahluka kakhulu. Abanye abantu bakhuluphala kakhulu, kanti abanye abaningi abakhuluphali nhlobo.

Kungani I-Lexapro Ibanga Ukukhuluphala Komzimba? Izindlela Ezimbili Ezibalulekile

Ukuqonda ukuthi kwenzeka kanjani kuyisinyathelo sokuqala sokuphatha. Ngakho-ke, kungani i-Lexapro ibanga ukukhuluphala komzimba? Lo mkhuba akuyona nje ukuzimisela; ugxile kumakhemistri omzimba wakho nomzimba wakho. Kunezici ezimbili eziyinhloko ezibandakanyekayo.

Indlela 1: Indima yeSerotonin Ekufiseni Ukudla Nasekushiseni Komzimba

I-Lexapro iyi-SSRI. Umsebenzi wayo ukwandisa amazinga e-serotonin—i-neurotransmitter evame ukubizwa nge-chemical “enhle”—ebucholweni bakho. Lokhu kusiza ukulawula imizwa, yingakho iphumelela kangaka ekudangaliseni nasekwesabeni.

Nokho, umthelela we-serotonin awugcini nje emizweni. Kungumlawuli omkhulu futhi obamba iqhaza elibalulekile ekufiseni ukudla nasekushiseni komzimba. Nansi indlela ubudlelwano phakathi kwe lexapro nokushisa komzimba kungaholela ushintsho esisindo:

• Ukufisa Okwengeziwe: I-serotonin isiza ukulawula ukufisa kwethu, ikakhulukazi ukudla okune-carbohydrate. Ngenkathi indlela ecacile iyinkimbinkimbi, ukushintsha amazinga e-serotonin kungandisa isifiso sakho sokudla okune-carb efana nesinkwa, i-pasta, namaswidi umthombo. Lokhu kuxhumana okuvame ukwenzeka phakathi kwe lexapro nokufisa okwandayo.
• Ukwehliswa Kwezinga Lokushisa Lomzimba: Ucwaningo oluthile lubonisa ukuthi ukuvimba isithwali se-serotonin, okuyinto ama-SSRI ayenzayo, kungase kube nomthelela wokwehlisa izinga lokushisa lomzimba lomzimba. Ukushisa komzimba okubuthakathaka kusho ukuthi ushisa amakhalori amancane uma uphumule, okwenza ukukhuluphala komzimba kube kungenzeka uma imikhuba yakho yokudla ihlala injalo. umthombo.

Indlela 2: Isibonakaliso Sokululama

Isizathu sesibili empeleni yinto enhle. Kokubili ukudangala nokwesaba kungathinta kakhulu ukufisa kwakho ukudla. Abanye abantu balahlekelwa yisifiso sabo sokudla ngokuphelele, bangatholi injabulo ekudleni futhi banqikaze ukudla ngokwanele. Abanye bangase bathole isisu esibuhlungu noma isicanucanu esihlobene nokwesaba, okuholela ekulahlekelweni isisindo.

Njengoba i-Lexapro iqala ukusebenza futhi imizwa yakho ithuthuka, leso sifiso sokudla esivame ukucindezelwa sibuya. Qala ukujabulela ukudla futhi. Unamandla amaningi. Lokhu kubuyela ekufiseni okujwayelekile kungaholela ekukhuluphaleni njengoba umzimba wakho ululama emiphumeleni yomzimba yesimo sempilo yengqondo. Kulo mbhalo, ukukhuluphala komzimba akuyona umphumela ohambisana nawo ngqo we-chemistry yomuthi kodwa kunalokho kunguphawu olungaqondile lokuthi uyalulama. Lolu hlobo lwe-lexapro weight gain kuvame ukuba umzimba wakho ubuyele esisindweni sawo esijwayelekile nesinempilo.

Ungaphezulu Ezingozini? Izinto Ezibalulekile Zokukhuluphala Nge-Lexapro

Akubona bonke abathatha i-Lexapro abazokhuluphala. Izici eziningana zingathinta ingozi yakho yomuntu yokuba nokuba nokuhlangenwe nakho escitalopram weight gain. Abacwaningi bathole izibikezeli ezimbalwa ezibalulekile:

• Indlela Yokuphila Engazinzisi Umzimba: Ukuntuleka kokuzivocavoca okujwayelekile kuyingozi enkulu yokukhuluphala komzimba, futhi lokhu kuyanda lapho uthatha i-SSRI.
• Ukudla Okugcwele Ukudla Okucutshunguliwe: Ukudla okugcwele ukudla okucutshunguliwe, ama-carbohydrate alula, namafutha angahlalisi kahle kungenza kube lula ukukhuluphala, ikakhulukazi uma ukufisa kwakho kudumele.
• Umlando Wokubhema: Ngokumangalisayo, isifundo esisodwa sathola ukuthi isimo sokubhema sangaphambili sasingumphikisana wokukhuluphala ku-SSRIs umthombo.
• Ukuba Nesisindo Esincane Ngaphambi Kokwelashwa: Uma ulahlekelwe isisindo ngenxa yokudangala noma ukwesaba, kungenzeka kakhulu ukuthi ubuye isisindo (futhi ngezinye izikhathi ngaphezulu) njengoba ululama.
• Izimo Zokushisa Komzimba Ezingase Zikhona: Abantu abanezimo ezinjengengqikithi yomzimba noma umlando womndeni wokukhuluphala kakhulu bangase babezwa kalula ushintsho lwesisindo oluhlobene nemithi.

Ngabe i-Lexapro Ingadala Ukulahlekelwa Kwesisindo?

Kungase kuzwakale kungafani, kodwa kwabanye abantu, i-Lexapro ingadala ukulahlekelwa kwesisindo, okungenani ekuqaleni. Emavikeleni okuqala ukwelashwa, imiphumela ehambisana njengesicanucanu, ukwehla kokufisa ukudla, nesisu esibuhlungu kuyinto ejwayelekile njengoba umzimba wakho ulungisa umuthi umthombo. Lokhu kungaholela ekudabeni okwesikhashana esisindo.

Nokho, lo mphumela uvame ukuba ngowesikhashana. Lapho imiphumela ehambisana nayo yokuqala ihamba, ukufisa ngokuvamile kubuya kujwayeleke noma kungase kukhule, yikho lapho amathuba okukhuluphala komzimba aba ngokoqobo khona.

Indlela I-Lexapro Elinganiswa Ngayo Namanye Imithi Yokwelapha Ukudangala

Uma ukhathazekile nge-escitalopram weight gain, kuyasiza ukwazi ukuthi iphuma kanjani uma iqhathaniswa neminye imithi. Inkinga ye-ssri antidepressants and weight gain iyagcinwa kahle, kodwa akuzona zonke izidakamizwa eziyenzeka ngendlela efanayo.

Ezinye imithi yokwelapha ukudangala zinomthuba omkhulu wokubanga ukukhuluphala komzimba, kanti ezinye zithathwa njenge “weight-neutral” noma zingase ziholele ekulahlekelweni isisindo. Nansi ingqikithi yokuqhathanisa:

Amathuba Okukhuluphala Komzimba	Imithi Yokwelapha Ukudangala Ejwayelekile
Ingozi Ephakeme	Paxil (paroxetine), Remeron (mirtazapine), Amitriptyline
Ingozi Ephakathi	Lexapro (escitalopram), Zoloft (sertraline)
Ingozi Ephansi/Engajwayelekile	Prozac (fluoxetine), Celexa (citalopram)
Vame Ibange Ukulahlekelwa Kwesisindo	Wellbutrin (bupropion)

Leli thebula liyisiqondiso esijwayelekile. Kubalulekile ukuxoxa ngezinketho zonke zemithi yokwelapha ukudangala engadali ukukhuluphala komzimba nodokotela wakho, njengoba ukukhetha okungcono kakhulu kuwe kuncike ezimpawini zakho ezithile, umlando wezempilo, kanye ne-chemistry yomzimba yomuntu.

Amathiphu Angu-7 Ongawasebenzisa Ukuphatha Isisindo Sakho Nge-Lexapro

Ukuzwa ukuthi ukukhuluphala komzimba kungenzeka kungaba yinto yokudimaza, kodwa nansi ingxenye enikela amandla: awunamandla. Ukucabanga ngokuthi ungagwema kanjani ukukhuluphala nge-Lexapro kuyinto yangaphambili. Ngokulungiswa okumbalwa okuhlosile kwendlela yokuphila, ungaphatha isisindo sakho kahle ngenkathi usathola izinzuzo zempilo yengqondo ozidingayo.

1. Yamukela Ukudla Okulinganiselayo, Okudliwayo Kwezingxenye Eziningi: Gxila ekudleni okunothe ngomsoco okukugcina ugcwele futhi wanelisekile. Phambili amaprotheni anamafutha amancane (inkukhu, inhlanzi, ubhontshisi), ukudla okunothe nge-fiber (imifino, izithelo, okusanhlamvu okuphelele), namafutha anempilo (i-avocado, amantongomane, uwoyela omnqumo). Ukunciphisa ukudla okucutshunguliwe, iziphuzo ezinoshukela, nosawoti omningi kungasiza ekuphatheni ukufisa nokunciphisa ukugcinwa kwamanzi.
2. Faka Ukuzivocavoca Njalo: Izinzuzo zokuzivocavoca kokubili kwempilo yomzimba nengqondo azinakubalwa. Zihlose iziphakamiso ze-CDC zemizuzu eyi-150 yokuzivocavoca okumaphakathi (njengokuhamba ngokushesha, ukuhamba ngebhayisikili, noma ukubhukuda) ngeviki umthombo. Ukuzivocavoca akushisi amakhalori kuphela kodwa futhi kusiza ukukhuthaza i-endorphins ezithuthukisa imizwa, okuhlanganisa umsebenzi umuthi wakho owenzayo.
3. Prakthisa Ukudla Ngokuqonda: Naka izimpawu zokulamba nokugcwala zomzimba wakho. Ngaphambi kokuthatha isidlo esincane, zibuze: “Ngilambile ngempela, noma nginesidina, ngicindezelekile, noma ngikhathele?” Ukugcina idayari yokudla isonto noma ezimbili kungabonisa izindlela ekudleni kwakho futhi kukusize ukhombe izinto ezingaqondile zokudla okungenangqondo.
4. Nciphisa Noma Gwema Uju Lwemvubelo: Uju lwemvubelo lunamakhalori angenalutho futhi lunganciphisa ukuzithiba kwakho, okuhlale kuholela ekukhetheni ukudla okungalungile. Lungaphazamisa nokuphumelela komuthi wakho wokwelapha ukudangala futhi lubhebhethekise imiphumela umthombo.
5. Phakamisa Ukulala Okusezingeni Eliphezulu: Ukulala okubi kuphazamisa ama-hormone alawula ukufisa ukudla, i-ghrelin (“i-hunger hormone”) ne-leptin (“i-fullness hormone”). Zihlose amahora angu-7-9 okulala okusezingeni eliphezulu ebusuku ukuze ugcine leli hormone lisilinganisela futhi ukufisa kwakho kungalawuleki.
6. Hlala Unamanzi: Kwesinye isikhathi ubuchopho bethu buhlukanisa ukoma nokulamba. Ukuphuza amanzi amaningi usuku lonke kungakusiza uzizwe ugcwele, kusheshise ukushisa komzimba wakho, futhi kunciphise ukugcinwa kwamanzi.
7. Sebenza Nomchwepheshe: Uma usahlushwa, cabanga ukuxhumana nomdlandla womuntu oyisazi sezokudla noma umuntu wokudla. Bangakwazi ukudala uhlelo lokudla olulungele wena olubheka indlela yokuphila yakho, izinto ozithandayo zokudla, kanye nemiphumela ethile yomuthi wakho.

Ukwenza le mibono kukunikeza impendulo ecacile mayelana nokuthi ungagwema kanjani ukukhuluphala nge-Lexapro futhi uzizwe ungcono kakhulu ngayo yonke indlela.

Nini Ukukhuluma Nodokotela Wakho

Ukuxhumana okuvulekile nomhlinzeki wakho wezempilo kuyithuluzi elibaluleke kakhulu esikhwameni sakho. Uma ukhathazekile ngokukhuluphala komzimba noma omunye umphumela ohambisana nawo, ungazenzisi ukukwethula.

Ngokuqondene nezinto ezibalulekile, ungakaze uyeke ukuphuza i-Lexapro ngokungazelelwe. Ukuyeka i-SSRI ngokungazelelwe kungaholela ekuphazamisekeni okungemnandi (ngezinye izikhathi okubizwa ngokuthi i-discontinuation syndrome) nokuphindeka kokudangala kwakho noma ukwesaba umthombo.

Udokotela wakho ungumngane wakho kule nqubo. Bangakusiza:

• Ukuhlola ukuthi ngabe ukukhuluphala komzimba kwanele yini ukuthi kudingeke ushintsho.
• Ukukhipha ezinye izizathu ezingase zikhona zokushintsha kwesisindo.
• Ukuxoxa ngokulungiswa komthamo.
• Ukuhlola ukushintshela kumuthi onye uma lexapro weight gain ingalawuleki noma ibuhlungu. Kunezinketho eziningi, okubandakanya imithi yokwelapha ukudangala engadali ukukhuluphala komzimba.

Okubalulekile: Ukulinganisela Ingqondo Nomzimba

Ngakho-ke, ukuze sibuyele embuzweni wethu wokuqala: ngabe i-Lexapro ibanga ukukhuluphala komzimba? Yebo, kuyamangalisa kwabanye, ikakhulukazi ngokuhamba kwesikhathi. Kodwa kuyinto enhle kakhulu, futhi inani livame ukuba ngalokho okuncane.

Inhloso ebaluleke kakhulu yokwelashwa kwakho ukuzwa ungcono ngokwengqondo. Impumuzo ekwesabeni okubambisayo noma ekudangalisweni okungapheli kuyashintsha impilo. Ngokuqonda ukuxhumana phakathi kwe-lexapro nokushisa komzimba, ukuqaphela umthelela we-lexapro nokufisa okwandayo, nokwamukela indlela yangaphambili ngokudla, ukuzivocavoca, nokuqonda, ungakwazi ukufeza ibhalansi enempilo.

Impilo yakho yengqondo ibaluleke kakhulu. Ngamaqhinga afanele kanye nobudlelwano obuqinile nodokotela wakho, ungahamba endleleni yokuzwa ungcono emqondweni nasemzimbeni.

Uma unezinkathazo mayelana nokukhuluphala komzimba noma omunye umphumela ohambisana nawo kusuka ku-Lexapro, hlela ingxoxo nodokotela wakho ukuze uxoxe ngohlelo olusebenza kuwe.

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Imibuzo Evame Ukubuzwa (FAQ)

Q: Ngabe ukukhuluphala komzimba okuvela ku-Lexapro kuyaphela? A: Kuncike. Uma ukukhuluphala komzimba kuvela ekufiseni okwandisiwe, kungase kungapheli ngokwako ngaphandle kokushintsha indlela yokuphila. Nokho, ngokwenza izindlela zokudla nokuzivocavoca, kuvame ukwenzeka ukulahlekelwa isisindo esikhulupeki ngenkathi usathatha umuthi. Uma ukukhuluphala komzimba kubalulekile futhi kungaphenduli ezinguqukweni zendlela yokuphila, udokotela wakho angaxoxa ngezinye izinketho.

Q: Ngizolahlekelwa isisindo uma ngiyeka ukuphuza i-Lexapro? A: Abantu abaningi bathola ukuthi bayakwenza. Uma ukukhuluphala komzimba kwakuyimiphumela eqondile yomthelela womuthi ekushiseni komzimba noma ekufiseni ukudla, umzimba wakho ungabuyela esigabeni sawo sangaphambili ngemuva kokuthi uyeke ngokuphepha umuthi ngaphansi kokwelulekwa kwezempilo. Lona umbuzo obalulekile ukuwubuza lapho uzibuza “ngizolahlekelwa isisindo uma ngiyeka ukuphuza i-Lexapro”, kodwa kufanele uhlale uxoxwa nodokotela kuqala. Ukuphendula “ngizolahlekelwa isisindo uma ngiyeka ukuphuza i-lexapro” ngokuqinisekile kunzima njengoba umzimba wawo wonke uhlukile.

Q: Ubani ongozini enkulu yokukhuluphala komzimba nge-Lexapro? A: Njengoba kuxoxwe ngenhla, izici ezithile zingandisa ingozi yakho. Izici ezibalulekile zengozi ye-lexapro weight gain zifaka indlela yokuphila engazinzisi umzimba, ukudla okugcwele ukudla okucutshunguliwe, umlando wokubhema, nokuba nesisindo esincane ngaphambi kokuqala ukwelashwa. Ukwazi lezi kusiza ukuphendula umbuzo wokuthi “kungani abantu bekhuluphala nge-Lexapro” ngendlela yomuntu ngamunye.