Ngaba ungaluthatha uxinzelelo xa ukhulelwe?

Ulwazi lweziyobisi

Umfazi ofumanisa ukuba unomntwana unokulindela ukuba azive onwabile, enovalo, onwabile, okanye oxinezelekile kancinci ngexesha lokukhulelwa kwakhe. Kodwa uninzi loomama abalindelekileyo abalindelanga ukuba bazive bedandathekile. Nangona kunjalo, Izifundo zibonisa ukuba abasetyhini abakhulelweyo ngabona basemngciphekweni wokudakumba ngoko xa bengakhulelwanga.

Inkqubo ye- IiNkonzo zoThintelo ze-US (USPSTF) ithi umntu om-1 kwabasi-7 kwabaseTyhini uya kuva uxinzelelo nokuba ukhulelwe okanye emva kwexesha lokubeleka, nokubaUkudakumba emva kokubelekazezona zixhaphakileyo ekukhulelweni nasemva kokubeleka. Kodwa ngaba kulungile ukunyanga ngelixa ulindele? Ngaba i-anti-depressants kunye nokukhulelwa kuyindibaniselwano ekhuselekileyo?

Ezinxulumene: Ukudakumba kunye nokuncancisa

Zithini iimpawu zoxinzelelo ngexesha lokukhulelwa?

Ukudakumba koomama kujongeka njengokufana nokudakumba kwezonyango, utshilo uCrystal Clancy, umtshato onelayisensi kunye nonyango losapho IrisImpilo YengqondoIinkonzo zeMpilo yokuzala eMinnesota. Umahluko phakathi koxinzelelo lwangaphambi kokubeleka kunye noxinzelelo lweklinikhi kukuba umama okhulelweyo uhlala eziva eneentloni ezinxulunyaniswa nokungaziva iimvakalelo ezifanelekileyo ngexesha lokukhulelwa kwakhe, ucacisa uClancy.

Iimpawu zoxinzelelo xa ukhulelwe, ngokwe Umbutho waseMelika wokukhulelwa , zibandakanya:

• Ndiziva ndonwabile ngokungapheliyo
• Kunzima ukugxila, nakwizinto onomdla kuzo
• Utshintsho kwinto yokutya okanye yokulala
• Iingcinga zokufa okanye ukuzibulala

Ukuba uqaphela iimpawu zoxinzelelo ngelixa ukhulelwe, inyathelo lokuqala kukufuna uncedo. Ungavumeli uloyiko lokumiselwaamayeza antidepressantukunqande ekubeni ufumane unakekelo. Ngelixa kuyinto eqhelekileyo ukuba namathandabuzo malungaUkusetyenziswa kwamayezaNgelixa ukhulelweyo, oogqirha ngokubanzi bathi iiingozi ezinokubakhoyokungathathi i-anti-depressants ingaphezulu komngcipheko wokuyithatha.

Unyango kuxinzelelo ngexesha lokukhulelwa

Ukushiya kunganyangwa, ukudakumba kunokubangela ingozi enkulu kumama okhulelweyo kunye nosana olungekazalwa, kubandakanya ukuzalwa kwangaphambi kokubeleka kunyeubunzima bokuzalwa obuphantsi, ucacisa uSal Raichbach, uPs.D, ugqirha wezengqondo kwi IZiko loNyango lwe-Ambrosia eFlorida.

Ukudakumba kunye nokukhulelwa

Kukhuselekile ngokubanzi ukunyanga uxinzeleloi-serotonin reuptake inhibitors ekhethiweyo(SSRIs), njenge UCelexa [ikitalopram], Iprozac [fluoxetine], kunye Zoloft [sertraline] ngexa lokukhulelwa, utshilo uGqirha Raichbach. I-Paxil (i-paroxetine) yenye ye-SSRI ewela kweli klasi linye, kodwa inxulunyaniswa ne umngcipheko omncinci iziphene zokuzalwa ezinje ngeziphene zentliziyo. Ukusetyenziswa kwayo kuyadimazeka ngexesha lokukhulelwa.

I-USPSTF yaqhuba isifundo aphoabasetyhini abakhulelweyouthathe i-antidepressant Unyango (anI-SSRIkunye nohlobo lweZoloft) kunye ne-placebo ukunyanga uxinzelelo lwabo. Uphononongo lufumanise ukuba abasetyhini abathatheSertralinekunciphise ukuphindaphinda kokudakumba xa kuthelekiswa nabasetyhini abathatha ipilisi ye-placebo.

Iserotonin-norepinephrine reuptake inhibitors (I-SNRIs), njenge ICymbalta , Khedezla, kunye Umncedisi zikhuselekile nakwiabasetyhini abakhulelweyo. ILexapro (escitalopram) yenye i-SNRI kule klasi inye. Uphando iphakamisa ukuba kukho umngcipheko owandayo wokuphuma kwegazi emva kokubeleka xa kuthathwa ii-SNRI ekupheleni kokukhulelwa.

Wellbutrin (I-bupropion) luhlobo olongezelelweyo lwe-anti-depressant ngamanye amaxesha ekwasetyenziselwa ukunceda abantu bayeke ukutshaya. Ayisiyo ukhetho lokuqala ngexesha lokukhulelwa, kodwa lukhetho olukhuselekileyo lokuxoxa nogqirha wakho ukuba ngaba ezinye izinto ezichasayo azikusebenzelanga.

I-Tricyclic anti-depressants, efana ne-Pamelor ( mzantsiweb ), lolunye udidi lwe-anti-depressants oluthathelwa ingqalelo lukhetho lwesithathu ngexesha lokukhulelwa kuba zinxulunyaniswa nokucaphuka, ukuxhuzula, okanye ukopha emva kokubeleka.

Unyango loxinzelelo

Kuqhelekile ukuba abasetyhini boyike ukuthatha i-anti-depressants ngexesha lokukhulelwa, kodwa kubalulekile ukuba isigulana ngasinye sixoxe nomboneleli wabo wezonyango ukuba loluphi unyango olulungele impilo-ntle yabo. Kwizigulana ezikulungeleyo ukuzibophelela kwesinye isicwangciso sonyango, kukho iindlela ezingezizo ezamayeza. Ngoku ka isifundo esinye , iindlela zongenelelo ngoncedo lwezamayeza zibandakanya (kodwa azikhawulelwanga):

• Ukuqeshwa rhoqo kwengqondo
• Ukuya kwiqela lenkxaso
• Ukunyanga ngokuziphatha kwengqondo (CBT), ngokwamaqela, njengomntu ozimeleyo, okanye nasekhaya

Ukulindela oomama abaneukudakumba kakhulu, okanye oomama abangakwaziyo ukuzibophelela kwizicwangciso ezizezinye, uClancy uthi, Kubaluleke kakhulu ukufumana umntu onoqeqesho olukhethekileyo ekumiseleni [amayeza okudambisa uxinzelelo] kwizigulana ezikhulelweyo nasemva kokubeleka.

ImiphumelayeUkusetyenziswa koxinzelelongexa lokukhulelwa

Zininzi iinkcukacha ezingezizo phaya malunga nokuba ngoomama banokuthatha ntoni xa ukhulelwe kunye nokuncancisa. Inkqubo ye- Ixhala kunye noMbutho woXinzelelo eMelika ithi ngelixa kukho ubungozi obunxulunyaniswa noxinzelelo kunye nokukhulelwa, kubandakanya umngcipheko weiziphene zokuzalwa , iingozi ziphantsi kakhulu. Inkqubo ye- iziphumo ebezingalindelekanga ezinokubakho ukubonakaliswa kokubeleka ngaphambi kwenyanga yesithathu kwaye kubandakanya:

• Ijitter
• Ukucaphuka
• Ukutya okungalunganga
• Uxinzelelo lokuphefumla
• Umngcipheko omncinci kakhulu we-autism kunye ne-ADHD

Kwabasetyhini abafumanisa ukuba balindele kwaye sele bekwi-anti-depressants, Unyango lukaJohn Hopkins icebisa ngokuchaseneukuyekiswaamayeza akho, kwaye ucebisa ukuba ubonane ngoko nangoko nomboneleli wakho wezempilo. Bacebisa ukuba ukuba unayoukuphazamiseka kwemoodkwaye ucinga ukukhulelwa, ukuba udibane nengcali yengqondo yokuzala kwangaphambili.

Ugqirha Raichbach uthi Ngelixa umngcipheko wokuthatha i-anti-depressants ngexesha lokukhulelwa ungaphantsi, oogqirha baya kumisela elonaqondo lisezantsi lonyango elisebenza ukunciphisa iimpawu. Olunye ukhetho lweuxinzelelo olunganyangekiyokunye noxinzelelo ngokuqinisekileyo lunefuthe elibi ekukhuleni komntwana ongekazalwa.

Kungcono ukuthetha neyakhoOgqirhamalunga nezona zikhetho zibalaseleyo zokhathalelo lwakho. Impilo YengqondoMelika ibonelela ngezixhobo kunye noncedo kwabo bafuna iimpilo Yengqondoingcali.

Abafazi abakhulelweyo abanikwe amayeza okulwa noxinzelelo ngexesha lokukhulelwa bacetyiswa ukuba babhalise kwiRegistry yokuKhulelwa kaZwelonke ye-Antidepressants (NPRAD) ngokubiza u-844-405-6185.