Ngabe iZoloft Iyaku Qinisa?

Ngakho-ke, asihambe siye ngqo.

Impendulo emfushane ithi yebo, iZoloft ingadala ukukhuluphala kwabanye abantu. Kodwa-ke, akulona iqiniso, ubukhulu buvamise ukuba buvame, futhi kuvame ukulawuleka ngamasu aqaphile.

Ngabe iZoloft Ngempela Idala Ukukhuluphala? Okukhonjiswa Ucwaningo

Lapho ufuna izimpendulo mayelana nemithi, kungcono ukubheka idatha. Ngakho-ke, ngabe iZoloft iyakuqinisa ngokwesayensi?

Izifundo eziningi ziye zaphenya ubudlelwano phakathi kweZoloft nesisindo somzimba, futhi imiphumela iyahambisana. Ukukhuluphala kungenzeka njengomphumela, kodwa kuvame ukuba kancane futhi kubonakale kakhulu ngokusebenzisa isikhathi eside.

Ukubuyekezwa okukhulu kwezibulala-zinzwa ezahlukahlukene kutholwe ukuthi, ngokwesilinganiso, abantu abathatha iZoloft babenokushintsha okuncane kwesisindo esikhathini esifushane. Kodwa-ke, ukusebenzisa isikhathi eside kungaholela ekushintsheni okubonakalayo kakhulu. Isifundo esisodwa esiphelele eshicilelwe ku- Journal of Clinical Psychiatry saqaphela ukuthi iziguli ezithatha i-sertraline zonge i-pound eyi-0.5 ngemuva kwezinyanga eziyisithupha, eyanda yafinyelela ku-3.2 pounds ngemuva kwezinyathi ezingama-24 kuye kwezingama-36 umthombo.

Kubalulekile ukukhumbula ukuthi lokhu kuyizilinganiso nje. Abantu abaningi kulezi zifundo abazange balukhuluphale nhlobo. Lokhu kuveza ukuthi ukukhuluphala kwe-sertraline akuyona into eyenzekayo; kuyimiphumela engenzeka ethonywa izinto eziningi.

Uma kuqhathaniswa nezinye izibulala-zinzwa ezivamile, iZoloft ihlezi maphakathi nesilinganiso sokukhuluphala kwe- SSRI.

• Ngokuvamile idala ukukhuluphala okuncane kunemithi efana nePaxil (paroxetine) noma iRemeron (mirtazapine) umthombo.
• Ingozi yayo ibhekwa njengefana nezinye i-SSRI ezidumile njengeLexapro (escitalopram) kanye neCelexa (citalopram).
• Kungenzeka idale ukukhuluphala kunoWellbutrin (bupropion), okuyisigaba esihlukile sezibulala-zinzwa futhi ngezinye izikhathi ihlotshaniswa nokunciphisa umzimba.

Kungani I-Zoloft Ingaholela Ekushintsheni Kwesisindo?

Uma uthola izinguquko zesisindo, ungase uzibuze, “kungani iZoloft idala ukukhuluphala?” Impendulo ayiyona eyodwa, elula. Kunalokho, kuyingxube yindlela imithi enxibelelana ngayo nezingqondo zakho, umzimba wakho, ngisho nomoya wakho.

Nazi izindlela eziyinhloko:

1. I-Serotonin Nokudla: I-Zoloft yi-Selective Serotonin Reuptake Inhibitor (SSRI). Umsebenzi wayo oyinhloko ukukhulisa inani le-serotonin—i-neurotransmitter ebalulekile—etholakalayo ebuchosheni bakho. Ngenkathi lokhu kulungile ukuthuthukisa imood nokunciphisa ukukhathazeka, i-serotonin iphinde ibambe iqhaza elikhulu ekulawuleni ukudla. Ekuqaleni, amazinga aphezulu e-serotonin anganciphisa ukudla futhi adale isicanucanu, yingakho abanye abantu banciphisa kancane lapho beqala. Kodwa-ke, ngokuhamba kwesikhathi, ubuchopho buyajwayela. Kwabanye abantu, lezi zinguquko zesikhathi eside zingaholela ekwandeni kokufisa ukudla okucebile nge-carbohydrate njengesinkwa, i-pasta, namaswidi umthombo. Lobu budlelwano obuyinkimbinkimbi phakathi kwe- Zoloft nokudla buyisici esibalulekile.

2. Isibonakaliso Sokululama: Abantu abaningi abalwa nengcindezelo noma ukukhathazeka okukhulu, ukulahlekelwa ukudla kanye nokuncipha komzimba okungahlosiwe kuyizimpawu ezivamile. Njengoba iZoloft isiqala ukusebenza futhi imood yakho ithuthuka, ungase uqale ukujabulela ukudla futhi. Ukudla kwakho kuyabuyela, uthola injabulo eyengeziwe ekudleni, futhi ngenxa yalokho, ubuyisa isisindo osilahlekelwa lapho ubungaguli. Kulomongo, ukukhuluphala kungaba uphawu oluhle lokuthi ukwelashwa kwakho kuyasebenza.

3. Izinguquko Emandleni Nasekuphefumuleni Komzimba: Enye yezimpawu ezivame kakhulu ze- Zoloft ukukhathala noma ukozela. Uma imithi ikwenza uzizwe ukhathele kakhulu kunokujwayelekile, ungase ungabi namandla okwenza imisebenzi yomzimba. Lokhu kwehliswa kokuhamba kwansuku zonke, kuhlanganiswe nokungabikho kobuningi bama-calorie akho, kungaholela ngokwemvelo ekukhuluphaleni ngokuhamba kwesikhathi. Kukhona futhi ucwaningo oluthile olwakamuva oluphakamisa ukuthi ama-SSRI angathonya kancane izinga lokuphefumula komzimba, yize ubudlelwano obungakacaci kahle umthombo.

Izici Ezibalulekile Ezithonya Ukukhuluphala Ku-Zoloft

Isipiliyoni sakho ngeZoloft sizoba esiyingqayizivele. Noma ngabe ukhuluphala, nokuthi mangaki, kuncike ekuhlanganiseni kwezici, kufaka phakathi:

• Isikhathi Sokwelashwa: Njengoba ucwaningo lubonisa, ukukhuluphala kwe-sertraline kuvame kakhulu ngokusebenzisa isikhathi eside (ngaphezu kwezinyanga eziyisithupha). Ukusebenzisa isikhathi esifushane akungenzeki kakhulu ukuba nomthelela omkhulu esisindweni sakho.
• Umthamo: Ubuhlobo phakathi komthamo weZoloft nokukhuluphala akulula, kodwa okunye ubufakazi buphakamisa ukuthi imithamo ephezulu ingaholela ekushintsheni kwesisindo kubantu abathile.
• Izici Zomuntu Ngamunye: Ubungcweti bomuntu siqu nesitayela sakho sobuchopho sibamba iqhaza elikhulu. Ukuphathwa komzimba, isisindo sakho sokuqala, ubudala bakho, kanye nobulili bakho kungathonya ukuthambekela kwakho. Ezinye izifundo ziphakamisa ukuthi abesifazane bangase bathambekele ekukhuluphaleni kwe- antidepressant kunamadoda.
• Imikhuba Yesitayela Sokuhlala: Ukudla kwakho kwamanje, uhlelo lokuzivocavoca, nemikhuba yokulala kuyizibikezeli ezinamandla. Umuntu ongase anezindlela eziqinile zokuphila kahle angase akwazi ukulawula le mpawu yesisindo esingenzeka.

Indlela Yokulawula Noma Ukuvimbela Ukukhuluphala Ngenkathi Uphuza iZoloft

Uma ukhathazekile ngalesi sici, izindaba ezinhle ukuthi unamandla amaningi okunquma umphumela. Ingxoxo akufanele nje ibe mayelana nokuthi “ngabe iZoloft iyakuqinisa?” kodwa futhi nokuthi “indlela yokulawula ukukhuluphala kuZoloft.” Izindlela zilula futhi zizuzisa impilo yakho yengqondo neyomzimba ngezindlela ezingenakubalwa.

Nansi amathiphu amahlanu asebenzayo okwe- ukugwema ukukhuluphala kuZoloft:

1. Gxila Ekudleni Okuhle Kwemvelo: Awudingi ukudla okubandayo. Kunalokho, gxila ekugcwaliseni isitsha sakho ngokudla okuphelele, okungaphelele.

• Amaprotheni Anomsoco: Inkukhu, inhlanzi, ubhontshisi, nama-lentils akunceda uzizwe ugcwele futhi unelisekile.
• I-Fiber Ephezulu: Imifino, izithelo, namazimba aphelele agcina ushukela wegazi uzinzile futhi avimbela ukulamba okunamandla.
• Amafutha Anempilo: I-Avocado, amantongomane, namafutha omnqumo asekela impilo yobuchopho nokugcwaliseka.
• Ukudla Ngokwazi: Nikela ukunaka izimpawu zakho zokulamba nokugcwala. Ukudla kancane nangaphandle kweziphazamiso kungasiza ekuvimbeleni ukudla ngokweqile.

2. Zivocavoce Njalo Nsuku Zonke: Ukuzivocavoca njalo kuyisikhungo samandla sempilo yengqondo neyomzimba. Kusiza ukubuyisela ukubambezeleka okungase kube khona ekuphefumuleni komzimba, kubhekele ama-calories, futhi kuyisisombululo esiqinisekisiwe sokuthuthukisa imood.

• Gqamisa imizuzu eyi-150 emaphakathi yokuzivocavoca kaningi ngesonto (cabanga ngokuhamba ngokushesha, ukuhamba ngebhayisikili, noma ukubhukuda) umthombo.
• Thola umsebenzi owujabulelayo ukuze ungazizwa njengomsebenzi onzima.
• Faka ukuqeqeshwa kwamandla kabili noma kathathu ngesonto ukwakha imisipha, esiza ukukhulisa umzimba wakho.

3. Phatheka Kahle Ukulala Okusezingeni Eliphezulu: Ukulala okubi kuyisikhuthazo esaziwayo sokukhuluphala. Kuyalungisa ama-hormone alawula ukudla kwakho—i-ghrelin (i-hormone ethi “ngilambile”) kanye ne-leptin (i-hormone ethi “ngigcwele”). Gqamisa amahora angu-7-9 okulala okusezingeni eliphezulu ebusuku ukugcina la ma-hormone elinganiselene.

4. Hlala Uphuzile (Ngezinhlobo Ezifanele): Ukuphuza amanzi amaningi kubalulekile. Kusekela ukuphefumula komzimba, kukusiza uzizwe ugcwele, futhi kukuvimbela ekubeni ugadwe ngokuswela ukoma njengokulamba. Zama ukunciphisa iziphuzo ezimnandi, ijusi, notshwala obuningi, njengoba lezi zingangeza amakhilojuli ayize emzimbeni wakho.

5. Khuluma Nodokotela Wakho Mayelana Nesikhathi: Uma iZoloft ikwenza uzizwe ukozela, khuluma nodokotela wakho mayelana nokuyiphuzela ebusuku. Le nguquko elula ingakusiza uzizwe unamandla kakhulu emini, okwenza kube lula ukuhlala usebenza.

Ingabe Kukhona Izibulala-zinzwa Ezincane Kakhulu Ezibangela Ukukhuluphala?

Uma ulawula ngempela indlela yakho yokuphila kodwa usathola ukukhuluphala okukhulu okukukhathazayo, kuyinto efanele ukubonisana nodokotela wakho. Unenketho.

Ngenkathi iZoloft iyimithi ephumelela kakhulu kubantu abaningi, kukhona izibulala-zinzwa ezibangela ukukhuluphala okuncane. Udokotela wakho angakusiza ukuthi uhlole izinzuzo nezingalungile zazo zonke.

• Izinketho Ezingaphansi Kwengozi: I-Wellbutrin (bupropion) ngokuvamile ihlotshaniswa nokunciphisa umzimba noma ukungabi bikho kokushintsha kwesisindo. Izibulala-zinzwa njenge-Prozac (fluoxetine) ne-Luvox (fluvoxamine) nazo ngokuvamile zibhekwa njengezinganeno kancane ingozi yokubangela ukukhuluphala uma kuqhathaniswa nezinye ezitholakala ekilasini le-SSRI.
• Izinketho Eziyingozi Kakhulu: Imithi ehlobene kakhulu nokukhuluphala okukhulu kwe- antidepressant ifaka phakathi iPaxil (paroxetine), iRemeron (mirtazapine), kanye nezibulala-zinzwa ezindala ezifana ne-amitriptyline umthombo.

Ukushintsha imithi kuyisinqumo esibalulekile futhi kufanele senziwe kuphela ngaphansi kokuqondiswa kukadokotela wakho.

Nini Ukukhuluma Nodokotela Wakho

Ukuxhumana okuvulekile nodokotela wakho kuyingxenye ebaluleke kakhulu yohlelo lwakho lokwelashwa. Kufanele uhlele ingxoxo uma:

• Uthola ukukhuluphala okusheshayo noma okukhulu (isibonelo, ngaphezu kwe-5-7% wesisindo sakho sokuqala).
• Ukukhuluphala kuthinta ezinye izimo zezempilo, njengomfutho wegazi ophakeme noma isifo sikashukela.
• Ukukhathazeka ngokukhuluphala kukudala ukungakhululeki okukhulu noma kukwenza ufune ukuyeka imithi yakho.

Inothi Elibalulekile Lokuphepha: Ungalokothi uyeke ukuthatha iZoloft noma ushintshe umthamo wakho ngokwakho. Ukuyeka ngokungazelelwe i-SSRI kungaholela esifo sokuphuma (izimpawu zokuhoxa) kanye nokuphindeka kwezimpawu zakho zokudumala noma zokukhathazeka. Udokotela wakho angakusiza wenze uhlelo lokunciphisa kancane uma nithola ukuthi kudingeka ushintsho. Ukuxoxa ngeziphumo ezisemaceleni ze- Zoloft nabo kubalulekile ekutholeni indlela efanele yokuphila.

Okubalulekile: Ukulinganisela Impilo Yakho

Ngakho-ke, ngabe iZoloft iyakuqinisa? Ingakwenza, kodwa akulona iqiniso. Kubantu abaningi, inzuzo yokwelapha isimo sempilo yengqondo esikhubazayo idlula kakhulu ingozi elawulekayo yokuzuza amakhilogremu ambalwa.

Ngokuqonda ubudlelwano phakathi kwe- Zoloft nokudla, ukwamukela izindlela zokuphila ezinempilo, kanye nokugcina ingxoxo evulekile nodokotela wakho, ungathatha isilawuli. Ungalawula ngempumelelo impilo yakho yengqondo kanye nempilo yakho yomzimba ngesikhathi esifanayo. Umgomo uyihlelo lokwelashwa elikusiza uzizwe njengawe futhi—ngazo zonke izindlela.