Mishonga inobata kushushikana uye kushushikana
Zvinodhaka InfoKushungurudzika uye kushushikana ndidzo mbiri dzezvinowanzoitika hutano hwepfungwa muUnited States. Asi iwe waiziva here kuti zvakajairika kuva nezvose zviri zviviri kushushikana uye kushushikana panguva imwe chete? Vanoda kusvika makumi mashanu kubva muzana yevanhu vanoonekwa kuti vane kushushikana vanoonekwawo vaine chirwere chekushushikana, sekureva kwe Kuzvidya Mwoyo uye Kushungurudzika Sangano reAmerica (ADAA).
Kana iwe kana munhu waunoda mukawana izvi zviviri kuongororwa, unganetseka kana izvo zvinoreva kuti kurapwa kwakapetwa. Kwete hazvo - kune mishonga inobata zvese kushushikana uye kushushikana. Anopa hutano hwako anoshanda newe kuona chirongwa chakakodzera chekurapa pane zvaunoda.
Ini ndinogona kuve nekuora mwoyo uye kunetseka panguva imwe chete?
Kushungurudzika uye kushushikana zvinhu zviviri zvakasiyana zvehutano hwepfungwa izvo zvinowanzo comorbid. Zvinoreva, zvinoitika panguva imwe chete.
Kushungurudzika chirwere chepfungwa chinowanzozivikanwa nekunzwa kwakanyanya kwekushaya tariro, kupererwa, kusava nebasa, uye kusuwa kwakanyanya. Vanenge gumi muzana muzana yevaAmerica vanoona kushushikana kukuru (dzimwe nguva kunonzi kushungurudzika kukuru kusagadzikana), sekureva kwe Cleveland Clinic . Nepo vanhu vazhinji vachizonzwa kusuruvara pane imwe nguva, nekuora mwoyo, manzwiro aya anogara kwenguva refu- achigara masvondo maviri kana zvimwe-uye zvakakomba zvakakwana kukanganisa hupenyu hwezuva nezuva.
Kushungurudzika kusagadzikana dzinozivikanwa nekunyanyisa kunetseka, kutya, kana kutya izvo zvinokanganisa mashandiro ezuva nezuva. Pasina kurapwa, kushushikana kunogona kuramba kuchikura nekufamba kwenguva. Kune huwandu hwekushushikana kwekushushikana, iine yavo seti yezvakasiyana zviratidzo.
About 2% yevanhu vari muU.S. vane huwandu hwekuzvidya mwoyo (GAD). Maererano ne Richard Shelton , MD, chiremba wepfungwa uye mutevedzeri wasachigaro wekutsvaga paYunivhesiti yeAlabama kuBirmingham, zviratidzo zveGAD zvinosanganisira kuramba uchitya uye kunetseka izvo zvinowanzo kunetsa kudzora. Zvimwe zvinetso zvekuzvidya mwoyo zvinosanganisira:
- Panic kusagadzikana (PD)
- Kushungurudzika kwevanhu munharaunda (SAD)
- Phobias, sengevehophobia, kana kutya kutyaira
- Kucherekedza kusagadzikana kusagadzikana (OCD)
- Posttraumatic kusagadzikana kwepfungwa (PTSD)
Dr. Shelton vanoti kuongorora murwere ane kushushikana pamwe nekushushikana kunofanirwa kuitwa zvakanyatsonaka. Ini ndaingopa mumwe munhu comorbid kunetseka kusagadzikana kuongororwa kana vaine matambudziko ekuzvidya mwoyo kusati kwatanga kushushikana-kana kana vaine imwe mhando yekushushikana, sekushushikana kwekushushikana, anodaro. Akawedzera zvakare kuti, aine maitiro aya mupfungwa, kwakatenderedza makumi mana muzana yevarwere vake vanowana zvese chirwere chekushushikana uye kushushikana kuongororwa.
Pane zvakafanana uye mutsauko pakati pekushungurudzika uye kusagadzikana kwekushushikana. Matambudziko ese ekuzvidya mwoyo uye kushushikana anoonekwa nemanzwiro ekutambudzika, anodaro Dr. Shelton. Nekudaro, kushushikana pachako ipfungwa yakafara inosanganisira zviratidzo zvinoonekwa mumhando dzakasiyana dzezvirwere zvepfungwa, anowedzera Dr. Shelton. Uyezve, kunzwa kwese kwekushushikana kunogona kuve chiratidzo chekushushikana, asi kushushikana hachisi chiratidzo chekushushikana.
Kushungurudzika uye kushushikana zvine zvinotevera zviratidzo zvakafanana: kunzwa kwekuora mwoyo kunge pasina chinhu chakanaka kuchazomboitika, zviratidzo zvemuviri (kusanganisira kurwadziwa nemusoro uye kurwadziwa mudumbu), uye kupera simba.
Vanhu vakaora mwoyo vanowanzova nesimba shoma, kushaya simba, kuzvipa mhosva, uye pfungwa dzekuzviuraya — izvi zvinosiyanisa kuora mwoyo nekuzvidya mwoyo, anodaro Dr. Shelton. Pamusoro pezvo, murwere ane chirwere chekuzvidya mwoyo anowanzo kuve nekutya kusingagumi, kunzvenga mamiriro ezvinhu, uye kusangana nemifungo yakakwirisa uye manzwiro.
Kurapa sarudzo dzekuora mwoyo uye kusagadzikana
Kana iwe uchizeza kutora mishonga yekudzvinyirira yekushushikana, kune akawanda akasiyana akasiyana asiri ekurapa ekurapa kwekushushikana uye kushushikana. Mazhinji emishonga inoshanda yeese kushushikana uye kushushikana kusinga batanidze mishonga mutsauko wekuziva kwehunhu psychotherapy, Dr. Shelton anodaro. Kufungisisa kwehunhu hwekurapa (CBT) kurapwa kunosanganisira kushandura nzira yako yekufunga pamwe nehunhu hwako maitiro. Dzimwe CBT dzinosvika inosanganisira hunhu hwekuita uye kufunga-kwakanangana nekuziva kurapwa.
Dr. Plummer vanoti imwe nzira yekurapa iyo vamwe varwere vane kushushikana uye kuzvidya mwoyo vanoona ichibatsira cannabidiol (CBD) , Chinhu checannabis chisingagadzi iyo yepamusoro yekushandisa marijuna. Vazhinji vanoti CBD inoratidzwa kuva nemhedzisiro yekuora mwoyo uye kusagadzikana, asi yakawandisa kannabis inogona kusangana nekuvhunduka, anorayira. Iye zvakare anoyambira kuti iyi haisi iyo FDA-inogamuchirwa kurapwa.
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Zvimwewo asiri ekurapa inogona kusanganisira anotevera mararamire shanduko:
- Tsigira mapoka
- Taura kurapa
- Kufungisisa
- Kufema kurovedza muviri
- Kubatana nenhengo dzemhuri dzinotsigira uye shamwari
- Kugara uchirovedza muviri
- Kudya a kudya kunovaka muviri
- Zvokuwedzera (senge omega-3 mafuta acids )
Tsvaga kunyange inoratidza kuti iyo yoga inogona kubatsira kurwisa kushungurudzika kwevamwe.
RELATED: Kuzvidya mwoyo kurapwa uye mishonga
Mishonga yekushushikana uye kushushikana
Kune mishonga yakawanda yekushushikana uye kushushikana kunowanikwa kune varwere vane matambudziko ese ari maviri.
Danielle Plummer , Pharm.D., Inotaura kuti mishonga yekudzvinyirira inogona kubata panic kusagadzikana, kusagadzikana kwevanhu kusagadzikana, huwandu hwekunetseka kusagadzikana, uye phobias. Dr. Shelton anowedzera kuti iyo mishonga zvakare inoshanda kune OCD, uye zvishoma kune PTSD, izvo zviri hunyanzvi kwete kusagadzikana kwekushushikana.
Dr Plummer vanoti kurapwa kunoenderana nekuti murwere ane chirwere chei chekushushikana. Nezve zvakajairika kusagadzikana kusagadzikana (GAD), ese maSSRI uye SNRIs anotanga mutsetse, anodaro. Akawedzera kuti iyo inowanzo sarudzwa mishonga yekurapa zvese kushushikana uye kushushikana ndeye SSRIs uye SNRIs.
Kusarudza serotonin reuptake inhibitors (SSRIs) ikirasi yemishonga ine huwandu hwakawanda hwekurapa. Inogona kushandiswa kurapa kusagadzikana kwekushushikana, kushushikana, kana, mune zvimwe zviitiko, zvese panguva imwe chete. SSRIs bvisa iyo reuptake , kana kudzorerazve, kweserotonin. Nekuda kweizvozvo, SSRI inowedzera serotonin muuropi.
Serotonin-norepinephrine reuptake inhibitors (SNRIs) ikirasi yemishonga yakafanana neSSRIs nekuti naivowo vanodzivisa reuptake uye vanowedzera huwandu hweserotonin. Kusiyana neSSRIs, ivo vanowedzerawo norepinephrine, iyo inoonekwa sechimwe chinhu chehuropi hwekutambudzika kupindura.
Dr. Shelton vanoti benzodiazepines, kusanganisira brand-zita zvinodhaka se Xanax uye Valium , dzinoonekwa sedzisiri sarudzo dzemumwe munhu ari kurapwa kurapwa kwekushushikana uye kushushikana nekuda kwekushanda kwavo kwechinguva uye njodzi dzinosangana nekuvimbika.
Kana murwere aine kushushikana uye kushushikana, uye achiona kuti zviratidzo zvekushushikana zviri kudzikira asi kushushikana kwavo hakusi, saka nyanzvi yezvekurapa inogona kuwedzera dosi yavo. Kuti utore kumusoro kuburikidza neyakajairwa dosing renji yemushonga inzira huru yekurapa zvese kushushikana uye kushushikana, anodaro.
RELATED: Chii chinonzi Xanax? | Chii chinonzi Valium?
| Kazhinji mishonga inobata kushushikana uye kushushikana | ||||
|---|---|---|---|---|
| Zita remishonga | Kirasi yemishonga | Nzira yekutungamira | Standard muyero | Zvakajairika mhedzisiro |
| Zoloft ( sertraline ndizvo) | SSRI | Oral | 50 kusvika 200 mg pazuva | Kusvotwa, manyoka, chishuwo cheshuga |
| Paxil ( paroxetine ) | SSRI | Oral | 20 kusvika 50 mg pazuva | Kukotsira, kuda kurutsa, kurwadziwa nemusoro |
| Prozac ( fluoxetine ) | SSRI | Oral | 20 kusvika 80 mg mangwanani | Kushaya hope, kuda kurutsa, kutya |
| Celexa ( kwevanatram ) | SSRI | Oral | 20 kusvika 40 mg zuva nezuva mangwanani kana manheru | Nausea, kushaya hope, dzungu |
| Lexapro ( esvitalopram ) | SSRI | Oral | 10 kusvika 20 mg zuva nezuva mangwanani kana manheru | Kusuruvara, kuda kurutsa, kudzikira libido |
| Luvox ( fluvoxamine ) | SSRI | Oral | 50 kusvika 300 mg zuva nezuva, inotorwa usati warara | Kukotsira, kutsumwaira, kushaya hope |
| Cymbalta ( duloxetine ) | SNRI | Oral | 40-60 mg pazuva | Kusvotwa, kuoma muromo, kukotsira |
| Pristiq ( desvenlafaxine ) | SNRI | Oral | 50 mg kamwe chete zuva nezuva panguva inenge yakafanana zuva rimwe nerimwe | Nausea, dzungu, kushaya hope |
| Effexor XR (Kamudzira) ( venlafaxine XR ) | SNRI | Oral | 37.5 kusvika 225 mg pazuva
| Nausea, somnolence, yakaoma muromo |
Tora kadhi reSpecialCare rekutora kadhi
Zvinodzvinyirira zvinogona kukonzera kunetseka here?
Dr. Shelton vanoti SSRIs kazhinji haikonzere zviratidzo zvekushushikana. Zvisinei, kana murwere achishushikana kwazvo ipfungwa yakanaka kutanga padosi yakaderera kwazvo kubvumira murwere kujairana nemushonga zvishoma nezvishoma.
Dr. Plummer vanoti murwere anotanga SSRI anogona kuona kuwedzera kwekutanga kwekushushikana. Zvinotora hushoma hwemavhiki maviri kana mana, dzimwe nguva kureba, kuti SSRI isvike pamatanho eserotonin anodiwa kubvisa kushushikana kana kushushikana, anodaro.
RELATED: Kuenda pane antidepressants: Yekutanga gwara kune mhedzisiro
Ko kana kushushikana kwangu kuri kuita zvirinani, asi kushushikana kwangu hakuite?
Dzimwe nguva SSRI ichashanda kudzikamisa kushushikana, asi hazvizoshanda kune murwere ane simba rakaderera kana kushushikana, anodaro Dr. Shelton. Kana kuwedzera chipimo chemushonga iwoyo kusashanda, mumwe mushonga wekutora iwo wakaderera simba ungango ziviswa. SSRIs inoratidzika kunge inoshanda zvakanyanya kumasumbu ezviratidzo zvekushushikana, asi kune mamwe mishonga yekudzvinyirira ine chimiro chakapesana, Dr. Shelton anotsanangura.
Wellbutrin (bupropion) yakajairika antidepressant iyo inorwisa yakaderera mamood uye yakaderera simba, asi inogona kuwedzera manzwiro ekuzvidya mwoyo. Icho chimwe chezvikonzero nei ichiwanzobatanidzwa neSSRI, anodaro Dr. Shelton, kana kushushikana kusingadzikiswe zvachose.
RELATED: Kushungurudzika kurapwa uye mishonga | Chii chinonzi Wellbutrin?
Sezvenguva dzose, ita shuwa kuti iwe unotaura neanoshanda nezvehutano hwepfungwa nezvekuti ndeupi mushonga kana chirongwa chekurapa chakakukodzera. Kana iwe uchisangana nepfungwa dzekuzviuraya, uri kufunga kuzvikuvadza, kana uchida kutaura nemumwe munhu, bata iyo National Kuzviuraya Kudzivirira Lifeline pa1-800-273-TAURA (8255). Iyi hotline inowanikwa mahara, 24/7 kune chero munhu anosangana nekushushikana kwepfungwa kana pfungwa dzekuzviuraya.
