Kuthatha Isikhathi Esingakanani Ukuba UZoloft Usebenze?

Impendulo emfushane ithi nakuba ungase uqaphele izinguquko ezincane ezinhle phakathi nesonto lokuqala kuya kwelibili, abantu abaningi bazozwa izinzuzo eziphelele zokwelapha zikaZoloft cishe emavikini angu-4 kuya kwangu-8.

Iyini iZoloft Futhi Isebenza Kanjani?

Ngaphambi kokuba siqale ngesikhathi, asihlangene nemisebenzi eyisisekelo. I-Zoloft igama elaziwayo lomuthi obizwa nge-sertraline. Iyingxenye yeqembu lemithi ebizwa nge-selective serotonin reuptake inhibitors (SSRIs).

Ngakho, kwenzani iZoloft, ngempela? Ngamagama alula, kusiza ukulinganisa ikhemikhali ebalulekile ebuchosheni bakho. Ubuchopho bakho buguquguqula isithunywa sezinzwa esibizwa nge-serotonin ukuletha imilayezo phakathi kwezicubu zezinzwa. Cabanga ngayo njengesithunywa sobuchopho esithi "zizwe kahle", esisiza ukulawula imizwa, ukukhathazeka, ukulala, nokudla.

Ezingomeni ezinjengokudabuka nokukhathazeka, amazinga e-serotonin angase angalingani. I-SSRI, njengeZoloft, isebenza ngokuvimbela ukumuncwa kabusha (noma "ukubuyisa") kwe-serotonin emigqumeni yezinzwa. Lokhu kushiya i-serotonin eyengeziwe etholakalayo esikhungweni esiphakathi kwezicubu zezinzwa, kuthuthukise ukuxhumana futhi kusize ukuphakamisa imizwa yakho nokunciphisa imizwa yokukhathazeka ngokuhamba kwesikhathi umthombo: National Center for Biotechnology Information.

I-Zoloft ivunyelwe yi-FDA ukwelapha izifo ezihlukahlukene, okubalwa kuzo:

• Isifo esikhulu sokudabuka (MDD)
• Isifo sokuhlaselwa umkhuhlane (Panic Disorder)
• Isifo sokudangala okungapheli (OCD)
• Isifo sokudabuka esingapheli somoya (PTSD)
• Isifo sokudangala komphakathi (Social Anxiety Disorder)
• Isifo sokuphazamiseka komjikelezo wokuya esikhathini sangaphambi kwesikhathi (PMDD)

Ukuqonda le ndlela yokusebenza kubalulekile ngoba kusiza ukuchaza ukuthi kungani ingasebenzi ngokushesha. Kuthatha isikhathi ukuba ubuchopho bakho bujwayele la mazinga amasha e-serotonin nokuba uzwe imiphumela ephelele, emihle.

Isikhathi Esijwayelekile: Nini Ukulindela Imiphumela

Uhambo lwakho noZoloft ngeke lube ukucima nokuvula kukagesi. Kuyinqubo eyenziwa kancane kancane. Isikhathi se-sertraline singahluka kumuntu nomunye, kodwa nansi ingxenye evamile yesonto nesonto ongayizwa.

Amaviki 1-2: Isikhathi Sokujwayela

Amaviki okuqala amabili ikakhulukazi asetshenziselwa umzimba wakho ukuba ujwayele umuthi omusha. Ungase ungazizwa izinguquko ezinkulu emoyeni wakho okwamanje, kodwa lokho akusho ukuthi akwenzeki lutho.

Abanye abantu babika ukuthuthuka okuncane, okuqala ngaphambi kwesikhathi. Lezi zingase zingabi ngokomzwelo ekuqaleni, kodwa ngokomzimba. Ungase uqaphele izindlela zakho zokulala ziqala ukulawulwa, ukudla kwakho kubuya, noma ukwanda okuncane emandleni akho.

Lesi futhi isikhathi lapho kungenzeka kakhulu ukuba uhlangabezane nemiphumela emibi. Sizobe sibahlanganisa kabanzi ngokuhamba kwesikhathi, kodwa kubalulekile ukwazi ukuthi imiphumela eminingi yokuqala iyadlula. Lesi sigaba sokuqala siyisici esibalulekile sezingini okumele uzilindele lapho uqala iZoloft.

Amaviki 2-4: Izinguquko Ezibonakalayo Ziqala

Ngesikhathi salokhu, umuthi usuqalile ukwakheka emzimbeni wakho, futhi ungase uqale ukuzwa izinguquko ezibonakalayo. Imiphumela yokuqala emibi ngokuvamile iqala ukubuyela emuva, futhi imiphumela yokwelapha iba sobala kakhulu.

Ungase uthole ukuthi imizwa yokudabuka okunzulu noma ukukhathazeka okuphikelelayo kuya ngokuya kuncipha. "Inkungu yengqondo" ehambisana nokudabuka ingase iqale ukudlula, futhi imisebenzi eyake yabonakala inzima kakhulu ingase ibonakale ilula kancane. Lezi yizona izimpawu zangempela zokuqala zokuthi iZoloft isebenza kwezimpawu zakho eziyinhloko.

Amaviki 4-8: Umphumela Ophelele Wokwelapha

Lesi yisikhathi lapho uqobo imilingo yenzeka kakhulu kubantu abaningi. Ngesikhathi salokhu, ubuchopho bakho buye bajwayela ngokuphelele izinguquko emazingeni e-serotonin, futhi kufanele uzwe izinzuzo eziphelele zomuthi.

Mhlawumbe uzozwa ukuncipha okukhulu kwezimpawu zokudabuka noma ukukhathazeka. Imizwa yakho kufanele ibe yinhle kakhulu, ungase uthole injabulo emisebenzini owake wayithanda, futhi umuzwa wakho wonke wokuba kahle ungathuthuka kakhulu. Udokotela wakho mhlawumbe uzohlela ukuvakashela okwesibili cishe esikhathini samaviki angu-6 noma 8 ukuhlola intuthuko yakho nokunquma ukuthi umthamo kaZoloft njengamanje ulungile yini kuwe. Lesi yisikhathi esibalulekile sokuphendula umbuzo omkhulu: kuthatha isikhathi esingakanani ukuba uZoloft usebenze?

Kuthatha Isikhathi Esingakanani Ukuba UZoloft Usebenze Ekukhathazekeni?

Lo ngumbuzo ovamile, njengoba ukukhathazeka kuvame ukuvela ngezindlela zomzimba nezingokwengqondo. Izindaba ezinhle ukuthi izimpawu zomzimba ezifana nenhliziyo esheshayo, isisu esibuhlungu, noma ukungezwani kwemisipha ngezinye izikhathi kungaba phakathi kwezinto zokuqala ukuthuthuka, ngokuvamile phakathi namaviki okuqala.

Noma kunjalo, izimpawu zokukhathazeka ezingokwengqondo, ezifana nokukhathazeka okuqhubekayo, imicabango esheshayo, noma ukwesaba okungapheli, kungathatha isikhathi eside ukuba kunciphe. Kujwayelekile ukuba lezi zibonakale zithuthuka kakhulu cishe esikhathini samaviki angu-4 kuya kwangu-6. Ngakho-ke, kuthatha isikhathi esingakanani ukuba uZoloft usebenze ekukhathazekeni? Zilungiselele inqubo eyenziwa kancane kancane lapho ukukhululeka komzimba kungase kwenzeke ngaphambi kokuthula kwengqondo.

Kuthiwani Ngamanye Izifo Njenge-OCD Ne-PTSD?

Kubalulekile ukuqaphela ukuthi isikhathi singaba side kwezinye izifo. Ezifweni ezifana ne-Obsessive-Compulsive Disorder (OCD) ne-Post-Traumatic Stress Disorder (PTSD), kungase kuthathe amasonto angu-12 ukuzwa izinzuzo eziphelele ze-sertraline umthombo: NAMI. Lokhu kuvame ukuba ngoba lezi zimo zingabandakanya izindlela zokucabanga nezezenzo ezingene kakhulu ezidinga isikhathi eside ukuba zishintshe.

Uziqonda Kanjani Ukuthi iZoloft Iyasebenza?

Ngezinye izikhathi izinguquko zenzeka kancane kangangokuba kunzima ukuziqaphela wena. Kungasiza ukugcina idayari elula yokulandela imizwa nezimpawu zakho. Nansi eminye yezimpawu ezibalulekile zokuthi iZoloft iyasebenza:

• Ukuthuthuka Kwemizwa: Uzizwa ungadabuki, ungathembi, futhi unethemba kakhudlwana. Ungase uzithole uhleka noma wenza imigwenya kalula. "Ifu elimpofu" liqala ukudlula.
• Ukuncipha Kokukhathazeka: Umzwa wokusaba okungapheli noma wokuba kwesikhundla esiyingozi uyancipha. Imicabango esheshayo iyancipha, futhi uzizwa ukwazi kangcono ukubhekana nezimo eziyimiphumela emibi ngaphandle kokuboniswa ukudlula.
• Ukukhula Kwamandla Nokukhuthala: Uzizwa ukhathele kancane futhi unamandla omzimba nawengqondo. Ukuphuma embhedeni kuzizwa sengathi kuyimpi, futhi unamathisela kakhudlwana imisebenzi yansuku zonke nemisebenzi yokuzilibazisa.
• Izindlela Zokulala Ezithuthukile: Ungase uthole kulula ukulala, ukulala ubusuku bonke, futhi uvuke uzizwe uphumule kakhudlwana. Izindlela zokulala eziyimbangela ezivamile ekuphazamisekeni nasekuphazamisekeni ziqala ukulungiswa.
• Ukuthuthuka Kokugxila Nokucubungula: Ukucabanga kuyacaca kakhudlwana. Ungagxila kangcono emisebenzini emsebenzini noma esikoleni futhi ulandele izingxoxo ngaphandle kokuba ingqondo yakho ibe yimizwa emibi.
• Isithakazelo Esikhulile Ekuphileni: Uqala ukuthola injabulo emisebenzini, imisebenzi yokuzilibazisa, nezingxoxo futhi. Ukudla kungase kuthandeke kakhudlwana, umculo ungase uzwakale ngendlela ejabulisa kakhudlwana, futhi uzizwa uxhumene kakhudlwana nomhlaba okuzungezile.

Okumele Kukulindele: Ukuphatha Imiphumela Yokuqala

Ukucabanga ngezingini okumele uzilindele lapho uqala iZoloft kufanele kuqondwe ngokwazi ngemiphumela engase ibe khona. Kujwayelekile kakhulu ukuzwa imiphumela emincane, ikakhulukazi esikhathini samaviki okuqala noma amabili. Umzimba wakho uyazijwayela, futhi le miphumela ngokuvamile yisibonakaliso sokuthi umuthi uqala ukusebenza.

Imiphumela emibi yeZoloft evame kakhulu esikhathini samaviki okuqala ifaka:

• Isicanucanu noma isifo sohudo
• Ikhanda elibuhlungu
• Umlomo owomile
• Ukozela noma ukukhathala
• Ukozela noma ukulala kunzima
• Isiyezi
• Ukukhuphuka okwesikhashana kokukhathazeka

Kubantu abaningi, le miphumela emibi iyancipha futhi iyadlula njengoba imizimba yabo ijwayela. Ungabaphatha abaningi babo ngezixazululo ezilula ezifana nokuthatha iphilisi nokudla ukunciphisa isicanucanu noma ukulungisa isikhathi sokuyithatha (isibonelo, ebusuku uma ikubangela ukuzela, noma ekuseni uma ichitha ukulala).

Isixwayiso Esibalulekile: Ngenkathi imiphumela eminingi emibi ingaphathwa, kufanele uxhumane nodokotela wakho ngaso leso sikhathi uma uhlangabezana nanoma yini enzima. Ezimweni ezingavamile, ama-SSRI angabangela isimo esibi esibizwa ngeSerotonin Syndrome, esinezimpawu ezifana nokucasuka, ukudideka, inhliziyo esheshayo, nokudala imisipha umthombo: Mayo Clinic. Ngaphezu kwalokho, iZoloft ihambisana nesixwayiso "sebhokisi elimnyama" se-FDA mayelana nokwanda kwengozi yemibono yokuzibulala nezenzo ezinganeni, intsha, nabantu abancane abadala. Kubalulekile ukuqapha noma yiziphi izinguquko emoyeni noma ezingokuziphatha nokuhlala uxhumana nomhlinzeki wakho wezempilo.

Izingxenye Ezingathonya Isikhathi

Isikhathi samaviki angu-4 kuya kwangu-8 siyisilinganiso, hhayi isiqinisekiso. Ubuchopho nomzimba wonke womuntu uhlukile. Izingxenye eziningana zingathonya ukuthi kuthatha isikhathi esingakanani ukuba i-sertraline isebenze kuwe:

• Umthamo: Odokotela ngokuvamile baqala abanesiguli ngomthamo ophansi kaZoloft ukunciphisa imiphumela emibi futhi bazokhuphula kancane njengoba kudingeka. Isikhathi sakho sokuphendula singase sincike ekutholeni umthamo olungile wezidingo zakho ezithile.
• Ukugayeka kokudla: Ubudala bakho, isisindo sakho, izakhi zakho zofuzo, ngisho nokusebenza kwesibindi kungathonya ukuthi umzimba wakho ugaya umuthi ngokushesha kangakanani.
• Ubukhulu Bezimpawu: Uma ubhekene nokudabuka okukhulu noma okungapheli noma ukukhathazeka, kungase kuthathe isikhathi eside ukuzwa ushintsho olukhulu.
• Ukuphikelela: Lena ingxenye enkulu. Kufanele uthathe umuthi wakho nsuku zonke njengoba unqunyelwe. Ukweqa imithamo kungaphazamisa amazinga emzimbeni wakho futhi kubambezele intuthuko yakho.
• Izifo Ezihambisana: Ukuba nezinye izifo zomzimba noma zengqondo kungase kubambe ukwelashwa futhi kuthonye isikhathi.

Okumele Kwenzeke Uma iZoloft Ingasebenzi

Kungadumaza kakhulu uma usondela esikhathini samaviki angu-8 futhi usazizwa ungathuthukile. Uma uzithola ucabanga, "iZoloft ayisebenzi ngemuva kwamasonto angu-8," umthetho wokuqala: ungayeki ukuyithatha ngokuzuma.

Ukuyeka ngokuzuma i-selective serotonin reuptake inhibitor (SSRI) kungaholela esifweni sokuqeda ukusetshenziswa, esingabangela izimpawu ezingemnandi ezifana nesizungu, isicanucanu, izimpawu zokugula okubandayo, kanye nokuphindela kokukhathazeka noma ukudabuka umthombo: American Family Physician).

Esikhundleni salokho, nansi ongayenza:

1. Yiba Nesineke (Kuze Kufike Esikhathini Esithile): Nikeza umuthi amasonto angu-8 aphelele ngomthamo wokwelapha ngaphambi kokuba wenze iziphetho zokugcina.
2. Khuluma Nodokotela Wakho: Hlela isikhathi sokuphindela. Yiba nomqondo ongakazenzisi futhi uqondise mayelana nezimpawu zakho nokuthi uzizwa kanjani.
3. Xoxa Ngezinketho Zakho: Udokotela wakho unezinketho eziningana uma iZoloft ingalungile. Angase ancome:
   • Ukulungisa umthamo: Ungase udinge umthamo owengeziwe ukuze uthole umphumela owufunayo.
   • Ukushintsha imithi: I-Zoloft ingenye yama-SSRI amaningi, futhi kunezinhlobo eziningi zama-antidepressants. Ngezinye izikhathi kudingeka uzame okunye ukuze uthole okufanele ubuchopho bakho.
   • Ukwengeza ukwelashwa: Udokotela wakho angangeza omunye umuthi ukukhuthaza ukusebenza kweZoloft.
4. Amukele Indlela Eziphelele: Umuthi uyithuluzi elinamandla, kodwa ngokuvamile usebenza kakhudlwana lapho uhlanganiswa nezinye izindlela. Ukwelashwa ngezingxoxo (njenge-CBT), ukuzivocavoca njalo, ukudla okunomsoco, kanye nokulala okuhle kungasebenza ndawonye nomuthi wakho ukuze kusekelwe impilo yakho yengqondo.

Isiphetho: Ukubekezela Nobambiswano Kuyisihluthulelo

Ukuzulazula ekuqaleni kohambo olusha lwe-antidepressant kudinga isilinganiso esihle sesineke. Ngenkathi kungokwemvelo ukufuna ukukhululeka ngokushesha, ukuqonda isikhathi se-sertraline kubalulekile. Khumbula, umgomo uthuthukiswa kancane kancane futhi uziqhubekisela phambili.

Ukubuyekeza, kuthatha isikhathi esingakanani ukuba uZoloft usebenze? Ungalindela ukuba kuthathe amaviki angu-4 kuya kwangu-8 ukuzwa izinzuzo eziphelele, eziguqula impilo, noma ngabe ungase uqaphele izinguquko ezincane, ezinhle phakathi namaviki ambalwa okuqala.

Kulo lonke leli cala, abasizi bakho abakhulu yisineke kuwe kanye nobambiswano oluqinile nomhlinzeki wakho wezempilo. Bahlale benolwazi ngentuthuko yakho, imiphumela emibi, nanoma yiziphi izinkathazo onazo. Uthatha isinyathelo esinesibindi nesibalulekile sokuza ekulweni kangcono, futhi ngokuhamba kwesikhathi nokuphikelela, ungakufinyelela.

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Isikhuthazo Sokwenza: Uma unezinkathazo mayelana nomuthi wakho, imiphumela emibi, noma isikhathi sakho sokwelashwa, ungabambezeli ukuhlela ukuvakashela nodokotela wakho noma uphendvulelwe. Bakhona ukukusiza endleleni yakho yokululama.