Uri kurapwa chirwere chekuora mwoyo here? Kana zvakadaro, wakambosangana neizvi here? Unonzwa sekuti mushonga wekutanga wawakapihwa nachiremba hauna kushanda. Kana zvakadaro, usazvidya mwoyo. Kutaura zvazviri, inenge hafu yevanhu vane chirwere chekuora mwoyo havapinduri mushonga wekutanga wavanokupa. Dzimwe nguva, kunyangwe mushonga wacho uchishanda, unogona kusangana nemigumisiro yakaita sehope, kuda kurutsa, kuwedzera uremu, uye matambudziko muhupenyu hwako hwepabonde. Ichi chinhu chinoitika kuvanhu vazhinji. Saka ngatitaurei nezveizvi zvakadzama .
Ungasarudza sei mushonga wekudzora kuora mwoyo wakakunakira?
Kusarudza mushonga wekuderedza kushungurudzika hakusi nyore sekuenda kuchitoro kunotora chimwe chinhu chaunoda kutenga. Zvakaoma kupfuura izvozvo.
Munhu wese akasiyana. Saka mushonga unoshanda kune mumwe munhu ungasashanda kune mumwe. Chiremba wako asati akupa mushonga, achakubvunza mibvunzo yakawanda, okuongorora, uye onyora nhoroondo yako yese yezvekurapa.
Chiremba wako anogona kukubvunza mibvunzo yakaita seiyi usati wanyora mushonga:
- Nhoroondo yemhuri: Iwe kana mumwe munhu mumhuri mako akambotora mushonga wekuderedza kushungurudzika here? Mushonga iwoyo wakashanda sei? Mhinduro idzi dzinogona kukupa pfungwa yekuti mushonga iwoyo ungakanganisa sei iwe.
- Zvimwe zvirwere: Chiremba wako achadawo kuziva kana uine zvimwe zvirwere zvepfungwa kana zvemuviri, zvakaita sebipolar disorder, post-traumatic stress disorder (PTSD), kana kuzvidya mwoyo. Semuenzaniso, kana uine chirwere chinokuisa panjodzi yekubuda ropa, ungada kudzivisa mishonga inonzi SSRIs (Selective Serotonin Reuptake Inhibitors). Mishonga iyi inogona kuwedzera njodzi yekubuda ropa zvishoma.
- Mimwe mishonga: Kana watove kutora mushonga wemamwe matambudziko, chiremba achava nechokwadi chekuti mushonga mutsva haupesane nemushonga iwoyo.
- Kubata Pamuviri: Kana uine pamuviri kana kuti uchiyamwisa, usape mishonga isina kuchengetedzeka kwauri panguva iyoyo.
Zvichitaurwa zviri nyore, izvi zvakafanana nemusoni anotora zviyero zvako uye anosona chipfeko chinokukwana zvakakwana.
Iyi irwendo rwekudzidza kuburikidza neruzivo.
Paunotanga mushonga mutsva, chiremba wako achakutarisa nguva nenguva kuti aone kuti uri kunzwa sei uye kana paine zvimwe zvinokukanganisa. Zvakafanana nekudzidza nzira itsva.
Zvinogona kutora mavhiki matanhatu kuti mushonga ushande zvakanaka mumuviri. Uyewo, migumisiro yekutanga inowanzoderera nekufamba kwenguva. Saka zvakakosha kuva nemwoyo murefu.
Ngatitii zviratidzo zvako zvava nani zvishoma, asi hazvina kuva nani zvachose. Ipapo chiremba anogona kuwedzera mushonga zvishoma. Kana kuti, anogona kuedza kushandisa mumwe mushonga we "kirasi" imwe chete.
Zvisinei, kana mushonga usingakushandire kana kuti uchikonzera migumisiro isingatsungiririki, chiremba wako anogona kukuchinjira kumushonga wakasiyana zvachose. Maitiro awakaita pamushonga wawakashandisa kare anogona kubatsira kuona kuti ndeupi mushonga waunosarudza. Semuenzaniso, kana wave uchinetseka nemudumbu neSSRI, mushonga unotevera waunofanira kuedza ungasave SSRI.
Dzimwe nguva, kuwedzera mumwe mushonga kumushonga wekuora mwoyo kunogona kuwedzera mhedzisiro. Zvakafanana nekuwedzera chimwe chinhu chidiki pakudya kuti chiwedzere kunaka.
Kuchinja mararamiro kwakafanana nekurapa.
Kurapa kushungurudzika hakuna kusiyana zvakanyanya nekurapa chirwere chakadai seBP. Ingofunga, kungofanana nekutora mishonga yeBP, unoudzwa kudzora kudya kwako, kurovedza muviri, uye kuderedza munyu. Izvi ndizvo zvinoitikawo nekushungurudzika. Kwete mishonga chete, asiwo kuchinja mararamiro kunogona kuva nemigumisiro yakanaka kwazvo.
Tsvagiridzo dzinotoratidza kuti shanduko idzi dzemararamiro dzinobatsira zvikuru mukuderedza kushushikana.
| Kuchinja mararamiro | Chii chekuita? |
|---|---|
| Kurara zvakakwana | Kurara zvakanaka husiku hwese kwakakosha kuti pfungwa dzigare dzakagadzikana. |
| Chikafu chine hutano | Jaira kudya kwakapfuma mumichero nemiriwo uye kudya zvisina "junk food" shoma. |
| Kurovedza muviri | Kurovedza muviri nguva dzose kunobereka mahormone anounza rugare rwepfungwa. |
| Kuderedza kushushikana | Zvinhu zvakaita sekufungisisa neyoga zvinogona kuderedza kushushikana. |
| Doro nezvinodhaka | Rega izvi zvachose. Zvinoita kuti kuora mwoyo kuwedzere. |
| Kushamwaridzana nevanhu | Pedza nguva neshamwari dzaunovimba nadzo nemhuri. Bvisa kusurukirwa. |
Kuongororwa kwemajini kunogona kubatsira here?
Ehe, iyi tekinoroji itsva. Majini ako anogona kukupa mamwe mazano ekuwana mushonga wakakunakira.
Kuongororwa kwemajini uku kunotora sampuro yemate kana ropa rako uye kunofanotaura kuti muviri wako uchapindura sei pamushonga chaiwo. Kuongororwa uku hakuna chokwadi che100% chekuti uyu ndiwo mushonga chaiwo. Zvisinei, kunogona kupa chiremba wako pfungwa yakanaka yekuti muviri wako unoshanda sei pamushonga chaiwo uye kuti ndeapi mimwe migumisiro inogona kuitika.
Asi bvunzo idzi dzinodhura zvishoma. Uye dzinowanzoitirwa vanhu vakamboedza mishonga yakawanda asi vasina kugamuchira kurapwa zvakanaka.
Usakanda mapfumo pasi, ramba uchiedza!
Vanachiremba vanoti pane mukana we50-50 wekuwana mushonga wakakodzera pakuedza kwekutanga. Kana izvozvo zvikasashanda, pane mukana we40% wekuwana mushonga wakakodzera pakuedza kwechipiri. Nguva imwe neimwe yaunochinja kushandisa mushonga mutsva, mikana yekubudirira inoderera zvishoma.
Kana zviratidzo zvikaramba zviripo pasinei nekurapwa, ungafunga kuti, "Mushonga uyu haubatsiri." Asi usamborega kutora mushonga wako usina kubvunza chiremba wako. Vanhu vanosvika 9 pa10 vanoramba vachirapwa kwegore rose vanozopedzisira vapora.
Dzimwe nguva, kana mishonga yakawanda isingashande, chiremba anotangazve ofunga kuti, "Kuongororwa uku kwakarurama here? Pane chandiri kushayiwa here?"
Nyaya apo nzira dzekurapa dzingada kuchinjwa
Kana kuora mwoyo kwako kwakanyanya kuoma, zvichireva kuti hakupinduri marapirwo akajairika, ungangoda kufunga nezvedzimwe nzira dzekurapa nadzo.
- TMS (Transcranial Magnetic Stimulation): Izvi zvinosanganisira kushandisa mafungu emagineti kukurudzira zvimwe zvikamu zveuropi zvisina basa rakawanda.
- ECT (Electroconvulsive Therapy): Izvi zvinosanganisira kutumira mafungu emagetsi ane simba shoma muuropi, zvichikonzera shanduko dzemakemikari muuropi uye kuderedza zviratidzo.
- Ketamine:Uyu mushonga unonyaradza marwadzo uye unopihwa uchitarisirwa nachiremba wekurwadziwa kwepfungwa kusingapindure kana kurapwa kwapera.
Chinhu chinonyanya kukosha ndechekufamba rwendo urwu pamwe chete nachiremba wako, taura zvese pachena, uye ipapo uchava nemukana uri nani wekukunda mukana iwoyo we50-50.
Kana wangowana mushonga wakakodzera uye muyero wakakodzera, inwa sezvawaudzwa nachiremba wako. Ramba uchinwa kusvika akuudza kuti urege. Izvi zvinodaro nekuti kuora mwoyo chirwere chisingaperi, uye kana ukarega kunwa pakati, chinogona kudzoka.
Mharidzo Yekuenda Nayo Kumba
- Zvinotora nguva uye mwoyo murefu kuti uwane mushonga wekuderedza kuzvidya mwoyo uye mushonga unoshanda zvakanaka kwauri. Izvozvo zvakajairika.
- Gara uchitaura pachena uye nekuvimbika nachiremba wako nezvezviratidzo zvako uye migumisiro yemishonga yako.
- Pamwe chete nemishonga, shanduko dzakanaka dzemararamiro dzakadai sekurara, kudya, uye kurovedza muviri zvakakoshawo kuti munhu apore.
- Dzivisa kurega kushandisa mushonga wako kana kuchinja mwero wemushonga usina kupiwa mazano nachiremba chero chikonzero chipi zvacho.
- Usazvidya moyo kana mushonga wekutanga waunoedza ukasashanda. Kune dzimwe nzira dzakawanda dzekurapa dzinogona kubatsira.
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