Yawancin Magungunan Ciwon Ciki Ba sa Aiki Ga Yara da Matasa; Ga Wasu Wasu Zabuka
Yawancin Magungunan Ciwon Ciki Ba sa Aiki Ga Yara da Matasa; Ga Wasu Wasu Zabuka
Anonim
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Ana ba da shawarar maganin ilimin halin ɗan adam azaman layin farko na kariya daga baƙin ciki. Duk da haka, yin amfani da antidepressants yana ci gaba da karuwa. Ƙaruwar ta zo ne duk da gargaɗin akwatin baƙar fata na Hukumar Abinci da Magunguna ta Amurka ta 2004 game da amfani da magungunan kashe-kashe a tsakanin mutanen da ke ƙasa da shekaru 24 saboda karuwar haɗarin kashe kansa.

A cikin wani binciken da aka yi kwanan nan, wanda aka buga a cikin The Lancet, masu bincike sun bincika duka inganci da haɗarin da ke tattare da 14 antidepressants da aka saba wajabta ga yara masu fama da damuwa. Binciken nasu ya nuna cewa amfanin da ke tattare da waɗannan magunguna ba su wuce haɗarin da ke tattare da su ba.

"Ma'auni na kasada da fa'idodin magungunan kashe-kashe don maganin manyan bakin ciki ba ze bayar da fa'ida a fili ga yara da matasa ba, tare da wataƙila ban da fluoxetine kawai," in ji Farfesa Peng Xie, daga Asibitin Farko na Haɗin Kan Kiwon Lafiya na Chongqing. Jami'ar kasar Sin, a cikin wata sanarwa da ta fitar, ta ce, "Muna ba da shawarar cewa, ya kamata a sanya ido sosai kan yara da matasa masu shan maganin kashe-kashe, ba tare da la'akari da maganin da aka zaba ba, musamman a farkon jiyya."

Xie da takwarorinsa sun gudanar da wani nazari mai tsauri kan duk wani binciken da ya kwatanta illar magungunan kashe gobara guda 14 da aka wajabta wa matasa masu tsananin bakin ciki har zuwa karshen watan Mayun 2015. Wannan bayanai sun hada da gwaji 34 tare da mahalarta 5,260 tsakanin shekaru 9 zuwa 18. Kowane nau'in maganin rashin jin daɗi yana da matsayi ta hanyar ikonsa na canza alamun rashin tausayi, amsawar mai haƙuri ga jiyya, dakatarwa saboda sakamako masu illa, dakatarwa saboda wani dalili, da tunanin kashe kansa ko ƙoƙari.

Magungunan antidepressants 14 da aka yi la'akari da su sune amitriptyline, citalopram, clomipramine, desipramine, duloxetine, escitalopram, fluoxetine, imipramine, mirtazapine, nefazodone, nortriptyline, paroxetine, sertraline, venlafaxine, da kuma placebo. Fluoxetine kawai, wanda aka sayar a ƙarƙashin sunan alamar Prozac, ya fi tasiri wajen kawar da alamun damuwa idan aka kwatanta da tasirin placebo. Venlafaxine, a gefe guda, yana da alaƙa da haɗari mafi girma don tunanin kashe kansa da yunƙurin kashe kansa idan aka kwatanta da placebo da wasu magunguna na antidepressant guda biyar.

Wannan ya yi nisa daga binciken farko da ya nuna yiwuwar yin amfani da magungunan kashe gobara ga yara da matasa. Binciken da aka buga a cikin JAMA Internal Medicine ya haɗa da bayanai akan mahalarta fiye da 160, 000 tsakanin shekarun 10 zuwa 64 waɗanda suka sha wahala daga ciki kuma an bi da su tare da maganin rashin jin daɗi kamar Prozac da Seroxat. Yara da aka wajabta yawan allurai na waɗannan magunguna sun kasance sau biyu suna iya nuna halin kashe kansu idan aka kwatanta da waɗanda suka ɗauki matsakaiciyar allurai.

Bisa ga Juyayi da mawuyacin Association of America, biyu daga kowane 100 matasa da yara da kuma takwas daga kowane 100 matasa fuskanci tsanani ciki. Masu sana'a na kiwon lafiya sun ba da shawarar yin amfani da ilimin halayyar kwakwalwa a matsayin zaɓi na farko na magani don damuwa, musamman ga yara. Manufar wannan nau'i na ilimin halin dan Adam shine a juya tsarin tunani mara kyau game da duniya da kuma kai zuwa masu kyau. Duk nau'ikan ilimin halin ɗan adam da ake amfani da su don magance damuwa ko damuwa tsakanin yara yakamata su haɗa da iyayensu gwargwadon yiwuwa.

Idan ilimin halin kirki ya kasa rage alamun rashin tausayi da magunguna shine kawai zaɓin da ya rage na mai haƙuri, to, yana da mahimmanci a lura cewa duk magungunan antidepressants suna shafar mutane daban-daban. Akwai nau'ikan antidepressants daban-daban waɗanda ke aiki ta hanyoyi daban-daban kuma suna da tasiri daban-daban. Kafin rubuta waɗannan magunguna, likita na iya yin la'akari da waɗanne alamun rashin damuwa da majiyyaci ke fuskanta, waɗanne illolin da ke tattare da magunguna na musamman, ko iyaye ko ɗan'uwa sun yi amfani da su, wasu magungunan da majiyyaci ke sha, ko majiyyaci yana da ciki ko kuma shayarwar nono, kuma idan suna fama da kowane irin yanayin lafiyar jiki ko ta hankali.

Shahararren taken