Magungunan da ke magance damuwa da damuwa
Bayanin MagungunaBacin rai da damuwa sune biyu daga cikin cututtukan ƙwaƙwalwa na yau da kullun a cikin Amurka. Amma shin kun san abu ne na yau da kullun don samun damuwa da damuwa a lokaci guda? Kusan 50% na mutanen da aka gano tare da rashin ciki kuma an gano su da rashin tashin hankali, a cewar Xiungiyar Tashin hankali da ressionacin Cutar Amurka (ADAA).
Idan kai ko ƙaunatattunka sun karɓi wannan cutar ta asali biyu, zaku iya mamaki idan hakan na nufin ninki biyu na maganin. Ba lallai ba ne - akwai magunguna waɗanda ke magance duka damuwa da damuwa. Mai ba da sabis na kiwon lafiya zai yi aiki tare da kai don ƙayyade tsarin maganin da ya dace don takamaiman bukatunku.
Shin zan iya samun damuwa da damuwa a lokaci guda?
Bacin rai da damuwa damuwa ne guda biyu daban-daban na rashin lafiyar ƙwaƙwalwa waɗanda yawanci ba sa damuwa. Ma'ana, suna faruwa a lokaci guda.
Bacin rai cuta ce ta ƙwaƙwalwa wacce aka fi sani da tsananin ji na rashin bege, yanke kauna, rashin daraja, da yawan baƙin ciki. Kusan 10% na Amurkawa suna fuskantar babban damuwa (wani lokaci ana kiransu babbar cuta mai ɓarna), a cewar Asibitin Cleveland . Duk da yake mafi yawan mutane za su ji daɗin baƙin ciki a wani lokaci, tare da baƙin ciki, waɗannan ji na daɗe — suna dawwama sati biyu ko ƙari-kuma mai tsananin isa ga tasirin rayuwar yau da kullun.
Rashin damuwa ana nuna yawan damuwa, damuwa, ko tsoro wanda ke shafar aikin yau da kullun. Ba tare da magani ba, damuwa zai iya zama mafi muni a tsawon lokaci. Akwai cututtukan damuwa da yawa, tare da nasu alamun alamun na musamman.
Game da 2% na mutane a cikin Amurka suna da rikicewar rikicewa (GAD). Bisa lafazin Richard Shelton , MD, likitan mahaukata da mataimakin kujera na bincike a Jami'ar Alabama a Birmingham, alamun GAD sun hada da ci gaba da tsoro da damuwa wanda galibi ke da wahalar sarrafawa. Sauran rikicewar damuwa sun haɗa da:
- Rashin tsoro (PD)
- Rikicin zamantakewar al'umma (SAD)
- Phobias, kamar suvehophobia, ko tsoron tuki
- Rashin hankali mai rikitarwa (OCD)
- Rashin damuwa na posttraumatic (PTSD)
Dokta Shelton ya ce bincikar majiyyaci da bakin ciki da damuwa ya kamata a yi a hankali. Zan kawai ba wa wani cututtukan rashin damuwa na rashin damuwa idan sun sami matsalolin damuwa kafin farkon damuwar-ko kuma idan suna da wani irin damuwa, kamar tashin hankali, in ji shi. Ya kuma kara da cewa, tare da wannan ka'idojin a zuciya, kusan kashi 40% na marasa lafiyarsa suna karbar cuta mai cike da damuwa da kuma rashin tabin hankali.
Akwai kamance da bambance-bambance tsakanin damuwa da rikicewar damuwa. Dukkanin rikicewar damuwa da damuwa suna da alamun damuwa, in ji Dokta Shelton. Duk da haka, damuwa kanta ita ce mahimmin ra'ayi wanda ya ƙunshi alamun da ake gani a cikin cututtukan ƙwaƙwalwa iri-iri, in ji Dokta Shelton. Bugu da ƙari, jin daɗin damuwa na yau da kullun na iya zama alamar rashin ƙarfi, amma ɓacin rai ba alama ce ta damuwa ba.
Bacin rai da damuwa suna da alamun alamomi kamar haka: jin ɗacin rai kamar babu wani abu mai kyau da zai taɓa faruwa, alamun bayyanar jiki (gami da ciwon kai da ciwon ciki), da gajiya.
Mutanen da ke baƙin ciki galibi suna fuskantar ƙarancin ƙarfi, ƙarancin dalili, laifi, da tunanin kashe kansu-waɗannan abubuwan sun bambanta ɓacin rai da damuwa, in ji Dokta Shelton. Bugu da ƙari, mai haƙuri da ke da damuwa na damuwa yawanci zai sami tsoro mai ɗorewa, ya zama mai guje wa yanayi, kuma ya sami ƙarancin tunani da ji.
Zaɓuɓɓukan magani don damuwa da damuwa
Idan kun yi jinkirin shan antidepressants don damuwa, akwai yalwa da yawa daban-daban marasa magani don rashin damuwa da damuwa. Yawancin maganin da ke da tasiri ga baƙin ciki da damuwa waɗanda ba su haɗa da magunguna sune bambancin halayyar halayyar halayyar halayyar mutum, in ji Dokta Shelton. Fahimtar halayyar fahimi (CBT) magani ne wanda ya ƙunshi canza hanyar tunani da kuma ɗabi'un ku. Wasu hanyoyin CBT hada da kunna halayyar mutum da kuma kulawa da hankali.
Dokta Plummer ya ce madadin maganin da wasu marasa lafiya da ke fama da damuwa da damuwa suna samun taimako shi ne Cannabidiol (CBD) , wani sashi na tabar wiwi wanda baya haifar da yawan amfani da tabar wiwi. Mutane da yawa sun bayyana cewa CBD yana da kyakkyawan sakamako don baƙin ciki da damuwa, amma yawancin wiwi na iya haɗuwa da hare-haren firgita, in ji ta. Ta kuma yi kashedi cewa wannan ba magani ne da FDA ta amince da shi ba.
Dangantaka: Binciken CBD na 2020
Wasu kuma ba magani na iya haɗa da canje-canje masu zuwa masu zuwa:
- Kungiyoyin tallafi
- Magana maganin
- Tunani
- Darasi na numfashi
- Haɗi tare da familyan uwa masu tallafi da abokai
- Motsa jiki na yau da kullun
- Cin wani lafiyayyen abinci
- Suparin kari (kamar omega-3 mai mai )
Bincike har ma ya nuna cewa yoga na iya taimakawa wajen magance bakin ciki ga wasu.
Dangantaka: Jin tsoro da magunguna
Magani don damuwa da damuwa
Akwai magunguna da yawa don damuwa da ɓacin rai waɗanda ke akwai ga marasa lafiya da ke fama da larurar biyu.
Danielle Plummer , Pharm.D., Ya ce masu kwantar da hankalin marasa lafiya na iya magance matsalar firgita, rikicewar zamantakewar al'umma, rikicewar damuwa ta gaba daya, da kuma matsalar tabuwar hankali. Dokta Shelton ya ƙara da cewa magungunan ma suna da ɗan tasiri ga OCD, kuma ƙasa da haka don PTSD, waɗanda a zahiri ba cuta ba ce ta tashin hankali.
Dokta Plummer ya ce maganin ya dogara da irin matsalar damuwa da mara lafiya ke da shi. Don cikakkiyar rikicewar damuwa (GAD), duka SSRIs da SNRIs sune na farko a layi, in ji ta. Ta kara da cewa mafi yawan magungunan da aka tanada don magance duka damuwa da damuwa sune SSRIs da SNRIs.
Zabi serotonin reuptake masu hanawa (SSRIs) rukuni ne na magunguna waɗanda ke da faffadan zangon warkewa. Ana iya amfani dasu don magance wasu rikicewar damuwa, ɓacin rai, ko, a wasu yanayi, duka a lokaci guda. SSRIs toshe reuptake , ko sake dawowa, na serotonin. A sakamakon haka, SSRIs suna haɓaka serotonin a cikin kwakwalwa.
Serotonin-norepinephrine reuptake masu hanawa (SNRIs) wani nau'in magani ne wanda yayi kama da SSRIs saboda suma suna hana reuptake kuma suna ƙara matakin serotonin. Ba kamar SSRIs ba, suna kuma ƙara norepinephrine, wanda aka ɗauka wani ɓangare ne na amsawar damuwar kwakwalwarmu.
Dokta Shelton ya ce benzodiazepines, gami da magunguna iri-iri kamar su Xanax kuma Valium , ana ɗaukar zaɓuɓɓuka marasa kyau ga wanda ake kula da shi don rikicewar damuwa da damuwa saboda tasirinsu na ɗan lokaci da haɗarin da ke tattare da dogaro.
Idan mai haƙuri yana da damuwa da damuwa, kuma yana lura da cewa alamun alamun damuwa suna raguwa amma ɓacin ransu ba haka bane, to ƙwararrun likitanci na iya ƙara sashin nasu. Don ƙaddara ta hanyar jigilar dosing don magani babbar hanya ce don magance damuwa da damuwa, in ji shi.
GAME: Menene Xanax? | Menene Valium?
| Magungunan gama gari waɗanda ke magance duka damuwa da damuwa | ||||
|---|---|---|---|---|
| Sunan magunguna | Ajin magani | Hanyar gudanarwa | Daidaitaccen sashi | Illolin gama gari |
| Zoloft ( sertraline shine) | SSRI | Na baka | 50 zuwa 200 MG kowace rana | Tashin zuciya, gudawa, rage yawan ci |
| Paxil ( paroxetine ) | SSRI | Na baka | 20 zuwa 50 MG kowace rana | Bacci, jiri, ciwon kai |
| Prozac ( fluoxetine ) | SSRI | Na baka | 20 zuwa 80 MG da safe | Rashin bacci, jiri, tashin hankali |
| Celexa ( citalopram ) | SSRI | Na baka | 20 zuwa 40 MG kowace rana da safe ko yamma | Tashin zuciya, rashin bacci, jiri |
| Lexapro ( escitalopram ) | SSRI | Na baka | 10 zuwa 20 MG kowace rana da safe ko yamma | Rashin bacci, jiri, rage libido |
| Luvox ( fluvoxamine ) | SSRI | Na baka | 50 zuwa 300 MG kowace rana, ana ɗauka kafin barci | Bacci, bacci, rashin bacci |
| Cymbalta ( duloxetine ) | SNRI | Na baka | 40 zuwa 60 MG kowace rana | Tashin zuciya, bushe baki, bacci |
| Pristiq ( syedayan ) | SNRI | Na baka | 50 MG sau ɗaya a rana a kusan lokaci ɗaya kowace rana | Tashin zuciya, jiri, rashin bacci |
| Effexor XR (Capsule) ( venlafaxine XR ) | SNRI | Na baka | 37.5 zuwa 225 MG kowace rana
| Tashin zuciya, rashin damuwa, bushe baki |
Nemi katin rangwame na SingleCare
Shin antidepressants na iya haifar da damuwa?
Dokta Shelton ya ce yawancin SSRI ba sa haifar da alamun damuwa. Koyaya, idan mai haƙuri yana da matukar damuwa yana da kyau a fara kan ƙananan ƙwayoyi don bawa mai haƙuri damar daidaitawa da maganin a hankali.
Dr. Plummer ya ce mai haƙuri da zai fara SSRI na iya lura da ƙaruwar tashin hankali na farko. Yana ɗaukar mafi ƙarancin makonni biyu zuwa huɗu, wani lokacin ya fi tsayi, don SSRIs su isa matakan serotonin da ake buƙata don rage baƙin ciki ko damuwa, in ji ta.
Dangantaka: Ci gaba da maganin ƙwaƙwalwar ƙwaƙwalwa: Jagorar mai farawa zuwa sakamako masu illa
Me zai faru idan damuwata ta inganta, amma damuwata ba ta yi ba?
Wani lokaci wani SSRI zai yi aiki don rage damuwa, amma ba zai yi tasiri ba ga mai haƙuri wanda ke da ƙarancin ƙarfi ko ƙarancin yanayi, in ji Dokta Shelton. Idan ƙara sashi na wannan maganin bai yi aiki ba, wataƙila za a gabatar da wani magani don magance ƙarancin ƙarfi. SSRIs da alama suna aiki mafi kyau ga gungu na alamun alamun damuwa, amma akwai wasu magungunan rigakafin cutar wanda ke da akasin bayanin, Dokta Shelton ya bayyana.
Wellbutrin (bupropion) shine mai yawan antidepressant wanda ke magance ƙananan yanayi da ƙarancin ƙarfi, amma yana iya ƙara jin daɗin damuwa. Yana daya daga cikin dalilan da yasa ake hada shi da SSRI, in ji Dr. Shelton, idan ba a rage bakin ciki gaba daya ba.
Dangantaka: Maganin damuwa da magunguna | Menene Wellbutrin?
Kamar koyaushe, tabbatar cewa kayi magana da ƙwararren masaniyar lafiyar hankali game da wane magani ko shirin kulawa da ke daidai da kai. Idan kuna fuskantar tunanin kashe kansa, kuna tunanin cutar da kanku, ko kuma kuna son yin magana da wani, tuntuɓi Tsarin Rigakafin Kashe Kan Kasa a 1-800-273-TALK (8255). Ana samun wannan layin kyauta, 24/7 ga duk wanda ke fuskantar damuwa na motsin rai ko tunanin kashe kansa.
