Kuora mwoyo chirwere chakaoma uye chinorema. Paunenge uchiedza kubuda mumamiriro ezvinhu aya, pamwe chiremba akakunyorera mushonga wekutaura kana mishonga yekudzora kushungurudzika. Zvisinei, kurapwa uku hakushande zvakafanana kune wese munhu. Ndiyo imwe yematambudziko makuru. Dzimwe ongororo dzinoratidza kuti munhu mumwe chete pavanhu vatatu vane kuora mwoyo haawane rubatsiro nekukurumidza kubva mukurapa uku kwakajairika.
Sei kurapwa kwakafanana kusingashande kune wese munhu?
Chikonzero chikuru cheizvi ndechekuti miviri yedu yese nepfungwa dzedu zvakasiyana zvikuru. Kunyangwe kune mushonga mumwe chete, maitiro anoita uropi hwako kwahuri uye maitiro anoita uropi hwemumwe munhu zvinogona kusiyana zvikuru. Fungidzira, kunyange hama mbiri mumhuri imwe chete dzine zvido zvakasiyana mukudya, zvinwiwa, uye mbatya. Ndizvo zvazviri. Makemikoro ari muuropi hwedu anoshandawo zvakasiyana kubva kune mumwe munhu kuenda kune mumwe.
Zvichitaurwa zviri nyore, zvakaoma kuti kunyange vanachiremba vataure nemazvo kuti, "Zvakanaka, uyu ndiwo mushonga wakakunakira iwe" pakutanga. Ndosaka dzimwe nguva zvichitora nguva kuwana mushonga wakakunakira iwe.
Asi musarasa tariro. Sainzi yezvekurapa iri kuvandudzika zuva nezuva. Ndosaka tava nenzira itsva dzinoshanda dzekurapa kushushikana. Tinofanira kufara kufunga nezvazvo.
Mishonga yeSSRI yepamusoro-soro
Mazuva ano, chiremba anogona kutanga anyorera munhu ane chirwere cheMajor Depression Disorder (MDD) mushonga unonzi SSRIs (Selective Serotonin Reuptake Inhibitors) . Uyu mushonga wepamusoro-soro kupfuura wekare.
Kunyange zvazvo zita iri ringanzwika senyaya hombe, zviri nyore chaizvo. Uropi hwedu hune neurotransmitter inonzi "Serotonin." Izvi zvinobatsira kudzora zvinhu zvakaita semanzwiro edu, mufaro, uye kurara. Vanhu vane kushungurudzika vanogona kunge vaine huwandu hwakaderera hweserotonin iyi. Mishonga yeSSRI inoshanda nekuchengetedza serotonin muuropi ichishanda kwenguva yakati. Zvakafanana nekumisa kuyerera kwemvura kwenguva yakati woichengeta painofanira kuva kwenguva yakati.
Heano mamwe marudzi emishonga ari muboka reSSRIs:
| Zita reMushonga | Zita rekambani rinonyanya kushandiswa |
|---|---|
| Citalopram | (Celexa) |
| Escitalopram | (Lexapro) |
| Fluoxetine | (Prozac) |
| Paroxetine | (Paxil) |
| Sertraline | (Zoloft) |
Chimwe chezvakanakira zvikuru zvemishonga iyi yeSSRI ndechekuti haina migumisiro yakawanda kana tichienzanisa nemishonga yekare. Saka unogona kuramba uchishandisa mishonga iyi pasina matambudziko kusvika wawana mhedzisiro yaunoda.
Paavhareji, vanhu vanosvika vatanhatu pavanhu gumi (6/10) vanotora SSRIs vachaona kuvandudzika kukuru muzviratidzo zvavo mukati memwedzi miviri. Asi 40% yasara inogona kusawana zororo kubva mumishonga iyi chete. Ndipo patinofanira kufunga nezvemamwe marapirwo.
Tariro yazvino kune avo vasina ruzivo rwekurapa: Ketamine
Ketamine mushonga waunza tariro huru kune avo vanotambura nekuora mwoyo kusingarapike uye kusingapindure mishonga yakajairika.
Kunyangwe mushonga uyu pakutanga waishandiswa semushonga unonyaradza marwadzo panguva yekuvhiyiwa, zvakazoonekwa kuti waigona kubatsira nekukurumidza kubva mukuora mwoyo. Ketoconazole inoshanda nenzira yakasiyana zvachose neSSRIs. Kureva kuti, inokanganisa imwe nzira yemakemikari muuropi.
Chii chakakosha nezve ketamine?
- Mhedzisiro inokurumidza: Haufanire kumirira kwemavhiki sekushandisa mishonga yechinyakare. Ketamine inogona kupa zororo repfungwa nekukurumidza, dzimwe nguva kunyangwe mukati memaawa mashoma.
- Yakakodzera varwere vakakomba: Izvi zvinoshanda zvikuru kune avo vasingapindure mishonga yakaita seSSRIs. Zvinobatsirawo kudzora mamiriro ezvinhu akaoma akadai sekufunga kuzviuraya.
Kurapa kweKetamine kunogona kuwanikwa nenzira mbiri huru:
1. Spray yemhino: Iyi iSpravatoInouya pasi pezita rekuti "Esketamine." Ine mushonga unonzi "esketamine," inova mhando yeketamine. Inotenderwa nemasangano akadai seU.S. Food and Drug Administration (FDA), saka inowanikwa kuburikidza neinishuwarenzi.
2. Mushonga wemutsinga (IV): Nzira yekupa mushonga uyu zvakananga mumuviri kuburikidza netsinga. Kunyangwe izvi zvisati zvabvumidzwa zviri pamutemo pakuderedza kushushikana (kushandiswa pasina label), unoshandiswa muzviitiko zvakakomba uchitarisirwa nevamwe vanachiremba.
Chinonyanya kukosha ndechekuti kurapwa uku kwese kunofanira kuitwa pasi pekutarisirwa kwakasimba kwachiremba ane hunyanzvi. Usambofa wakaedza zvinhu izvi wega. Chiremba wako ndiye anofanira kusarudza kuti ndeipi nzira yekurapa yakanakira chirwere chako.
Mharidzo Yekuenda Nayo Kumba
- Kurapa kushungurudzika kwakasiyana kune munhu mumwe nemumwe. Mushonga mumwe chete haushandi kune munhu wese, uye izvozvo zvakajairika.
- SSRIs mushonga wekutanga wakachengeteka uye unoshanda unoshandiswa mazuva ano.
- Kana usinganzwe zviri nani nemushonga wekutanga waunopiwa, usafunge kuti kwava kuguma kwenyika. Zvinongoreva kuti unoda kurapwa kwakasiyana.
- Mishonga yemazuva ano, yakaita seKetamine, yakaunza tariro huru kune avo vasingapindure mishonga yechivanhu.
- Chinhu chinonyanya kukosha kutaura pachena nachiremba wako nezve zvese zviri mupfungwa dzako. Iye ndiye munhu akakodzera kuwana mushonga wakakunakira.
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