Ba damuwa ba ne don jin kunya kuma ba laifi ba ne. A cikin mutane tare da MS, rashin ciki yana haifar da ƙwayoyin jiki, sunadarai da / ko matsalolin motsa jiki da kuma hulɗar da ba ma likitoci da masu bincike suka fahimta ba. Labari mai dadi shine damuwa ne a hannun hannun likitan.
Wani irin likita ya kamata in gani don takaici idan ina da MS?
Kodayake duk likitoci na iya rubuta magungunan maganin antidepressant, mafi mahimmancin kwararren likita na tunanin tunani shine likita.
Yin jiyya na ciki yana buƙatar saka idanu da tsaftace kai tsaye don haka ya dace idan ka sami likita wanda ke bi da sauran marasa lafiya tare da MS.
Rashin ciki a MS shine hadaddun. Alal misali, yawancin alamomin MS irin su gajiya, matsalolin halayya, jinkirin jiki, da matsalolin barci suna nuna alamar cututtuka na ciki da kuma ƙyama.
Bugu da ƙari, wasu daga cikin hanyoyin maganin cututtuka na MS, irin su hanyoyin maganin interferon Avonex da Betaseron, suna da damuwa a matsayin sakamako na gefe. Dikita wanda ya kwarewa tare da MS da bakin ciki zai iya "untangle" jerin jerin alamomi da ƙayyadadden hanya mafi kyau ga lafiyarka.
Hanya mafi kyau don samun likita mai ƙwayar cuta wanda ya kwarewa tare da MS shine ya tambayi likitancin ku don mai ba da shawara. Hakanan zaka iya tuntuɓar ofishin babban ɗakin ko asalin ku na Ƙungiyar Sclerosis na Ƙasa don sunayen likitocin da ke fama da rashin tausayi da MS a yankinku.
Ta Yaya Aka Rarraba Cutar?
Tun da babu gwajin jini ko wani "gwagwarmaya" don gwajin ciki, likitanku zai isa ganewar asibiti ta wurin sauraron labarinku game da dalilin da yasa kuke neman magani, tambayarku jerin tambayoyin, da kuma lura da halinku a lokacin alƙawari. Da aka ce, likitoci sukan duba aikin jinin ku don su fitar da yanayin kiwon lafiya wanda zai iya nuna damuwa kamar cututtukan thyroid ko anemia .
Bugu da ƙari, za a iya tambayarka game da jerin abubuwan da ke da alaƙa na musamman irin su baƙin ciki, gajiya, damuwa, matsalolin barcin, da kuma jin kuncin laifi ko rashin bege. Kwararku zai kuma tambaya game da tsawon lokacin da ka samu kowace alama, da kuma yadda mai tsanani ke nuna alamun. Dandalin zai kuma tambaye ka game da tarihin ciwo da magani, duk wani maganin miyagun ƙwayoyi da amfani da barasa, magunguna na yau da kullum, dangi da tarihin bakin ciki, kuma idan ka taba tunanin zubar da kanka ko kashe kansa. Yayinda yawancin waɗannan tambayoyin zasu iya zama m, yana da muhimmanci ka amsa gaskiya.
Magunguna don damuwa
Akwai magunguna masu yawa don ciwo. Wadanda aka fi amfani dashi a yau sune:
- Masu sintiri na Serotonin Reuptake (SSRIs): SSRIs sune shafukan antidepressin da aka fi sani da sunaye sun hada da Prozac (fluoxetine), Zoloft (sertraline), Celexa (citalopram), Paxil (paroxetine), da Lexapro (escitalopram).
- Serotonin mai zabe da kuma Norepinephrine Reuptake Inhibitors (SSNRIs): Effexor (venlafaxine) da Cymbalta (duloxetine hydrochloride) su biyu SSNRIs wani lokaci ana amfani dasu don magance matsalolin. An yi amfani da Cymbalta don magance ciwon neuropathic don haka yana iya kasancewa mai kyau ga mutane da ciwo da damuwa.
- Tricyclic Antidepressants: Masu amfani da maganin tricyclic, irin su Elavil® (amitriptyline) da kuma Pamelor® (nortriptyline), sun kasance suna da lalacewar kamar lalata, ƙyama ko wahala na tafiya cikin fitsari. Wannan zai iya sa lafiyar MS ɗin ta ji rauni sosai. Saboda haka ba'a saba amfani dashi a matsayin maganin farko don rashin ciki a cikin MS. Duk da haka, don maganin ciwon magani, za'a iya amfani da su kadai ko a hade tare da wasu magunguna.
Yadda likitanku ya zaba mai maganin antidepressant ya dogara ne akan wasu dalilai kamar maganganu na kwayoyin magani, sau da yawa ana dauka, abin da ya fi sananne ko damuwa da cututtuka, farashin ku, da fifikoyar ku a matsayin mai haƙuri.
Abin da ya kamata ka sani game da maganin da kake ciki
Yana da muhimmanci a fahimci cewa masu amfani da antidepressants zasu iya daukar makonni shida zuwa takwas don samun cikakken sakamako. Ya kamata ku yi tsammanin yin ganawa da ku tare da likitanku, musamman ma lokacin fara sabon magani, saboda haka ta iya lura da amsawarka zuwa farfadowa da ƙaddara idan za'a yi gyare-gyaren sashi.
Ka tuna, yana da wuya cewa an ba da cikakkiyar magani a cikakke sashi a karo na farko, saboda kowa yana da mahimmanci a cikin amsawarsu. Magance nasara na ciki yana bukatar haƙuri da haɗin kai daga likita da kuma haƙuri, amma sakamakon ya cancanci kokarin.
Har ila yau, bincike ya nuna cewa mafi mahimmanci magani ga rashin ciki a cikin MS shine hade da magani tare da magungunan antidepressant da "magana farfadowa" ko psychotherapy. Kwararren likitancinka zai iya samar da kansa a hankali ko yin aiki tare tare da likitan kwaminis wanda zai iya nuna maka. Har ila yau, asusun MS ɗin na gida na iya ba ka jerin jerin ƙungiyoyin talla na MS a yankinka ko masu kwantar da hanzari suyi aiki tare da mutane tare da MS.
Sources
Kungiyar Tattaunawa ta Goldman. Bayanan yarjejeniya na Goldman game da rashin ciki a ƙwayar sclerosis. Mult Scle r. 2005 Yuni; 11 (3): 328-37.
Ƙungiyar Ƙwararriyar Ƙwararrun Ƙasa. (2016). Dama.