Kana uchitaura nezvekuora mwoyo, kana kuti paunoenda kunoona chiremba, mamwe mazwi anonzwika seasina kujaira kwatiri. Dzimwe nguva mashoko aya akaoma zvishoma, uye anogona kutotyisa zvishoma. Unozvibvunza kuti, "Chii ichi?" Saka, nhasi tichataura nezvezvinoreva zviri nyore zvemashoko aya anowanzo shandiswa maererano nekuora mwoyo. Izvi zvakafanana neduramazwi diki, asi zviri nyore kwazvo, mumutauro watinogona kunzwisisa iwe neni.
Kutanga, ngationei, chii chinonzi depression uye zvirwere zvikuru zvine chekuita nayo?
Kune mhando dzakasiyana dzechirwere chekuora mwoyo. Kune mhando dzakasiyana uye nhanho dzacho. Ngatitarisei dzimwe dzacho.
- Kuora mwoyo: Muchidimbu, hakusi kungonzwa kusuruvara kana kunetseka chete. Idambudziko rinokanganisa muviri wedu, mafungiro edu, uye pfungwa dzedu. Madyiro edu, marara edu, mafungiro edu, uye maonero atinoita zvinhu zvinogona kuchinja.
- Kuora Mwoyo Kukuru: Uku ndiko kwatinowanzodaidza kuti 'kuora mwoyo kwekiriniki'. Dambudziko iri rinofanira kugara kwemavhiki maviri akatevedzana. Zvakare, rinofanira kunge riri padanho rinokanganisa hupenyu hwako hwezuva nezuva. Zviratidzo zvakaita sekuneta zvakanyanya, kushaya simba, uye kunzwa kushaya tariro nezvechinhu chero chipi zvacho zvakajairika.
- Dambudziko reDysthymia / Persistent Depression: Fungidzira, vamwe vanhu vanogara vachinzwa kusuruvara uye kushaya hanya nechero chinhu kwemakore. Hazvina kuipa sekuora mwoyo kukuru, asi zvinogara kwenguva refu. Izvi zvinoita kuti zvisakwanise kufara kana kushanda nemazvo. Kunyangwe izvi zvaimbonzi `(Dysthymia)`, ikozvino vanachiremba vemazuva ano vanodana chirwere ichi kuti `(Persistent Depression Disorder)` kana zvabatanidzwa nekuora mwoyo kukuru kunogara kwemakore anopfuura maviri.
- Dambudziko reBipolar: Kare raizivikanwa se'Manic Depression' , iri idambudziko apo manzwiro anochinja-chinja pakati pezvinhu zviviri zvakanyanyisa. Kureva kuti, pane imwe nguva munhu anenge akanyanya kuora mwoyo, uye pane imwe nguva anenge achifara zvikuru uye achishingaira. Mamiriro aya emufaro anonzi mania .
- Kushungurudzika Kwepashure Pekusununguka: Uku kusuruvara kunoitika muna amai vatsva mushure mekusununguka. Mushure mekubereka mwana, vanaamai vazhinji vanonzwa kusuruvara kwemazuva mashoma uye kuchinja-chinja kwemanzwiro kunozivikanwa se "baby blues." Zvisinei, kushungurudzika kwepashure pekusununguka chirwere chakakomba zvikuru. Zvinoda kurapwa uye amai vatsva vanoda simba rakanaka repfungwa nerutsigiro.
- Dambudziko reSeasonal Affective Disorder (SAD): Vamwe vanhu vanotambura nekuora mwoyo panguva dzakati wandei dzegore, kunyanya munguva yemvura nechando. Dambudziko iri rinopera kana zuva radzoka uye mwaka wezhizha wasvika. Chikonzero chikuru cheizvi kudzikira kwezuva.
Mamwe mazwi mashoma ane chekuita nemanzwiro
Kune mamwe manzwiro nemamiriro ezvinhu anouya nekuora mwoyo.
Dambudziko reKuzvidya Mwoyo: Iri idambudziko risingaperi. Kuzvidya mwoyo kwakanyanya zvekuti kunokanganisa hupenyu hwezuva nezuva. Vanhu vazhinji vane kushushikana kwepfungwa vanogonawo kuva nedambudziko iri rinonzi kuzvidya mwoyo.
- Mania neHypomania: Ichi chikamu cheBipolar Disorder. Mania inguva yekunzwa simba rakawanda, mufaro wakawanda, kana hasha dzakawandisa. Munguva iyi, ungasakwanisa kurara uye unogona kuita zvinhu usina kufunga. Izvi zvinogona kunge zvakanyanya zvekuti zvinogona kukanganisa hupenyu hwemunhu. Unogonawo kuona zvinhu zvisipo. Hypomania imhando yemania isina kunyanya kuoma.
- Kutya Kukurumidzira: Uku kutya kwakanyanya kana kuzvidya mwoyo pasina chikonzero chakajeka, pamwe chete nezviratidzo zvemuviri zvakaita semwoyo unomhanya, kudikitira, uye kufema zvakaoma.
Zvinhu izvi zvinoitika sei? Rutivi rwezvekurapa
Kuora mwoyo hakusi kushaya simba kwepfungwa. Kune zvikonzero zvemuviri.
- Zvinotumira mashoko kuuropi: Zvichitaurwa zviri nyore, izvi ndizvo zvinotumira mashoko kuuropi hwedu. Zvinoshandiswa kutaurirana mashoko pakati pemasero europi. Serotonin ne norepinephrine ndiwo marudzi makuru ema neurotransmitters. Mishonga yakawanda yekuderedza kushungurudzika inoshanda nekuchinja huwandu kana mashandiro emakemikoro aya.
- Hypothyroidism: Ichi chirwere apo thyroid gland haigadzi mahormone ethyroid akakwana. Izvi zvinogona kukonzera zviratidzo zvakaita sekuora mwoyo, kuneta, uye kuwedzera uremu. Saka, dzimwe nguva chiremba wako anogona kuraira kuti uongororwe ropa kuti uone huwandu hwemahormone ethyroid ako.
Ndingawana rubatsiro kubva kuna ani?
Kune nyanzvi dzine hunyanzvi hwekutsvaga rubatsiro mumamiriro ezvinhu aya. Pane musiyano mudiki pakati pezviviri izvi.
- Chiremba wepfungwa: Uyu chiremba (MD kana DO) ane hunyanzvi mukurapa zvirwere zvepfungwa. Nekuti iye chiremba, anogona kunyora mishonga, yakadai semishonga inorwisa kuora mwoyo. Vamwe vanachiremba vepfungwa vanopawo mishonga yekurapa kwepfungwa.
- Nyanzvi yezvepfungwa: Uyu inyanzvi isiri chiremba (MD), asi akawana kudzidziswa kwakakosha (PhD kana PsyD) mukurapa zvirwere zvepfungwa nemanzwiro. Vanonyanya kushandisa kurapa nekutaura (Psychotherapy).Vanodzidziswawo kuita zvinhu zvakaita sebvunzo dzeIQ uye bvunzo dzehunhu.
Ndezvipi zviri kurapwa?
Nerombo rakanaka, kuora mwoyo chirwere chinogona kurapwa uye kurapwa.
Kurapa nehurukuro
- Kurapa kwepfungwa: Inonziwo "kutaura kurapa," izvi zvinosanganisira kutaura nenyanzvi yekurapa yakadzidziswa kuti uwane mhinduro dzematambudziko ako epfungwa kana emanzwiro. Uku kurapa kunoshanda zvikuru.
Mishonga (mishonga)
Kune mhando dzakasiyana dzemishonga yekurapa kuora mwoyo. Iyi inongopihwa nachiremba chete mushure mekunyatsoongorora mamiriro ako ezvinhu.
| Rudzi rwemushonga | Tsananguro iri nyore |
|---|---|
| Mushonga wekuora mwoyo | Iyi ndiyo mhando huru yemishonga inoshandiswa kurapa kushungurudzika. Inoshanda nekuenzanisa makemikoro europi. |
| SSRIs (Selective Serotonin Reuptake Inhibitors) | Uyu mushonga unoshandiswa zvakanyanya wekuderedza kushungurudzika kwepfungwa. Mienzaniso: fluoxetine, sertraline, escitalopram . Izvi zvinowedzera huwandu hweserotonin muuropi. |
| MAOIs (Monoamine Oxidase Inhibitors) | Iyi imhando yekare yemishonga, inowanzopihwa kune vanhu vane kuora mwoyo kwakanyanya. Unofanira kungwarira zvakanyanya zvaunodya uye zvaunonwa paunenge uchitora mishonga iyi. |
| Zvinosimbisa Mafungiro | Izvi zvinowanzoshandiswa pakurapa chirwere chepfungwa chinonzi bipolar disorder . Zvinobatsira kudzora kushanduka-shanduka kwemafungiro. Mienzaniso: lithium, valproate. |
Mamwe marapirwo chaiwo
- Kurapa neElectroconvulsive Therapy (ECT): Zita iri ringanzwika serinotyisa kune vamwe, asi ikozvino ikurapa kwepamberi, kwakachengeteka, uye kunoshanda kunoitwa pasi peanesthesia (mushure mekunge warara zvachose). Rinoshandiswa kune vanhu vane kuora mwoyo kwakanyanya vasiri kupindura mishonga, kana kana paine mhedzisiro inodiwa nekukurumidza.
- Kurapa Nechiedza / Kurapa Nechiedza: Izvi zvinoshandiswa zvakanangana nedambudziko remwaka (SAD). Zvinosanganisira kuratidzwa kwezuva nezuva nerambi rakakosha rinopenya kupfuura mwenje uri kumba, uye rakafanana nezuva.
Mharidzo Yekuenda Nayo Kumba
- Kuora mwoyo hakusi kushaya simba, chirwere chaicho chinogona kurapwa.
- Kana iwe kana mumwe munhu waunoziva aine zviratidzo izvi, usatya kutaura nezvazvo.
- Chiremba wepfungwa anogona kunyora mishonga, ukuwo chiremba wepfungwa achinyanya kupa rubatsiro rwekutaura. Vese vari vaviri inyanzvi dzinogona kukubatsira.
- Kune nzira dzakawanda dzekurapa. Mishonga, kurapa kwepfungwa, kana musanganiswa wezvose zvinogona kushanda.
- Kana muine mibvunzo kana zvinokunetsai nezvenyaya iyi, iva nechokwadi chekutaura nachiremba wenyu . Munogona kuwana mazano nerubatsiro rwakanakisisa ikoko.
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