Mushure mekunge maona kuti mava nechirwere chekuora mwoyo, pamwe makaonana nachiremba mukatanga kutora mishonga. Zvino pamwe mava kunzwa kuti muri kuvandudzika. Mutoro unorema uye kumanikidzwa kwamainzwa kwava kudzikira zvishoma. Saka zvino pamwe mava kufunga kuti, "Zvakanaka, ndava kunzwa zviri nani, saka ndinogona kurega kutora mushonga uyu." Asi chiremba wenyu anogona kunge achiti, "Ticharamba tichishandisa mushonga uyu kwenguva yakareba." Sei muchitaura izvozvo? Ngatitaurei nezvazvo zvakadzama nhasi.
Sei ndichifanira kuramba ndichitora mishonga kunyangwe ndapora?
Chinhu chekutanga chaunofanira kunzwisisa ndechekuti mishonga yekuora mwoyo haina kufanana nemishonga yedzihwa kana kukosora. Patinenge tichirwara nedzihwa, tinotora mushonga kwemazuva mashoma kuti uporese chirwere chacho zvachose. Asi kuora mwoyo chirwere chakasiyana. Mishonga iyi inodzora zviratidzo zvekuora mwoyo uye inopa zororo mupfungwa dzako.
Funga nezvazvo sekunwa mishonga yechirwere cheshuga kana BP. Pane kubvisa zvachose chirwere ichi, mishonga iyoyo inobatsira kuchidzora uye kukubatsira kurarama hupenyu hwakajairika. Kuora mwoyo dzimwe nguva kunogona kuva chirwere chisingaperi chinoda kurapwa kwenguva refu .
Kana uri kusangana nechirwere chekuora mwoyo kekutanga, sangano reAmerican Psychiatric Association rinokurudzira kuti urambe uchitora mishonga kwemwedzi mina kusvika mishanu , kunyangwe zviratidzo zvako zvave nani uye wava kunzwa zviri nani. Kana wakambova nechirwere chekuora mwoyo kakawanda kare, ungangoda kutora mishonga kwenguva yakareba, pamwe kwehupenyu hwako hwese.
Izvi zvinodaro nekuti kana ukarega kutora mushonga nekukurumidza, njodzi yekudzokera shure yakanyanya. Kuramba uchitora mushonga wekudzivirira chirwere nenzira iyi kunonzi "Maintenance Treatment."
Ndeipi mishonga inowanzo shandiswa yekurapa kuora mwoyo?
Kune mhando dzakasiyana dzemishonga dzinoshandiswa kurapa kuora mwoyo. Imwe neimwe inoshanda nenzira yakasiyana zvishoma. Chiremba wako achasarudza mushonga wakakunakira zvichienderana nemamiriro ako ezvinhu, zviratidzo, nezvimwe zvirwere.
Mishonga Itsva Yekuora Mwoyo
Mumakumi maviri emakore apfuura, mishonga yakawanda inoshanda zvikuru isina migumisiro yakawanda yave kushandiswa.
| Rudzi rwemishonga | Mashandiro ayo ari nyore. | Migumisiro inogona kuitika |
|---|---|---|
| SSRIs (Selective Serotonin Reuptake Inhibitors) Mienzaniso: Fluoxetine, Sertraline, Citalopram, Escitalopram | Inovandudza mashandiro e serotonin , chinhu chinopa simba muuropi chinodzora manzwiro edu. | Kushungurudzika kwemudumbu, kusagadzikana pabonde, kushaya hope, dzungu, kuchinja kwehuremu, musoro. (Zvizhinji zvacho zviri nyore) |
| SNRIs (Serotonin neNorepinephrine Reuptake Inhibitors) Semuenzaniso: Venlafaxine, Duloxetine | Inowedzera kushanda kwemakemikari anonzi serotonin ne norepinephrine . | Kusagadzikana kwemudumbu, matambudziko ekurara, kusagadzikana pabonde, musoro, kuzvidya mwoyo, dzungu, kushaya simba. |
| NDRIs (Norepinephrine uye Dopamine Reuptake Inhibitors) Semuenzaniso: Bupropion (Wellbutrin) | Inokanganisa mashandiro emakemikari anotumira norepinephrine uye dopamine . | Kushungurudzika kwemudumbu, musoro, matambudziko ekurara, kudedera, kuzvidya mwoyo. (Migumisiro yepabonde uye kuwedzera uremu hazviwanzoitiki. ) Mushonga uyu haukodzeri vanhu vakambova nepfari kare. |
| NaSSAs (Noradrenergic uye Specific Serotonergic Antidepressants) Semuenzaniso: Mirtazapine (Remeron) | Zvese serotonin ne norepinephrine zvinokanganiswa zvakasiyana. | Kushungurudzika kwedumbu, hope, kuwedzera uremu, kuzvidya mwoyo, dzungu. |
Mishonga Yekare Yekuora Mwoyo
Kunewo mishonga yaishandiswa kurapa kushungurudzika kare. Iyi mishonga inonzi Tricyclic Antidepressants uye MAOIs (Monoamine Oxidase Inhibitors).Izvi zvinoshanda nekuchinja makemikari anoshandiswa muuropi (neurotransmitters).
Kunyange zvazvo mishonga iyi ichibatsira zvikuru kune vamwe vanhu, ine migumisiro yakawanda. Uye nekuti inogona kukonzera matambudziko nemimwe mishonga nezvimwe zvekudya, vanachiremba havachaikurudziri sesarudzo yekutanga. Zvisinei, mishonga iyi yekare inogona kuva sarudzo yakanaka kune vamwe vanhu vasingapindure mishonga mitsva.
Mimwe Mishonga
Dzimwe nguva, chiremba anogona kusarudza kunyora mimwe mishonga pamwe chete nemushonga wekuderedza kushungurudzika.
- Mishonga yekuzvidya mwoyo kana kushaya hope: Iyi inobatsira kudzora kuzvidya mwoyo nematambudziko ekurara anokonzerwa nekuora mwoyo.
- Mishonga yeAtypical Antipsychotics: Mishonga yakaita seAripiprazole (Abilify) neQuetiapine (Seroquel), iyo inowanzo kupihwa kune schizophrenia kana bipolar disorder, inogona kubatsira kuwedzera kushanda kwemushonga wekuderedza kushungurudzika kana usina kukwana.
- L-methylfolate (Deplin): Kunyangwe isiri muchikamu chemushonga neFDA, inoonekwa se "chikafu chekurapa." Iyi imhando ine simba yevhitamini B inonzi folate. Inobatsira kudzora makemikari muuropi anodzora manzwiro. Yakashanda mukurapa kushungurudzika kusina kupindura kune dzimwe nzira dzekurapa.
Ungawana sei mushonga wakakunakira?
Zvinosuwisa kuti hazvisi nyore kuwana mushonga wakakunakira uye donhwe rakakodzera iwe. Munhu wese anopindura zvakasiyana pamushonga mumwe chete. Kunyangwe chiremba wako haakwanise kufanotaura kuti mushonga wacho uchashanda zvakanaka sei kwauri.
Saka ichi chinhu chinofanira kuitwa nemoyo murefu . Ungangoda kuedza kuchinjana mishonga. Kazhinji, unotanga kunzwa zororo mukati memavhiki mashoma ekutanga mushonga wekuora mwoyo, asi zvinogona kutora mwedzi yakati wandei kuti unzwe mhedzisiro yacho yese. Saka usakurumidza kurega. Nekufamba kwenguva, chiremba wako anogona kuwedzera kana kuderedza dosage yako zvichienderana nemamiriro ako ezvinhu.
Kana wave uchitora mushonga kwenguva yakareba uye usingabatsire, iva nechokwadi chekutaura nachiremba wako nezvazvo. Anogona kukurudzira kuti uedze mumwe mushonga. Nekufamba kwenguva, unogona kuwana mushonga kana musanganiswa wemishonga inoshanda kwauri.
Chinhu chinonyanya kukosha ndechekuti, kunyangwe uchinzwa zviri nani izvozvi, usamborega kutora mushonga wako usati watanga wabvunza chiremba wako. Kuita izvi kunogona kukonzera kuti kuora mwoyo kwako kudzoke, kana nemimwe mishonga, kunogona kukonzera migumisiro yakaita sedzihwa, kuda kurutsa, uye dzungu. Saka, kana ukarega kutora mushonga wako, ita izvozvo zvishoma nezvishoma, uchitevera mirairo yachiremba wako.
Chiremba wako anofanira kukuona nguva dzose, kunyanya paunotanga kushandisa mushonga mutsva. Munguva iyi, taura pachena nezve chero kusagadzikana kana matambudziko aungave uinawo nemushonga.
Mharidzo Yekuenda Nayo Kumba
- Kuora mwoyo hakusi kushaya simba, idambudziko rehutano rinoda kurapwa, kungofanana nechirwere cheshuga.
- Kunyangwe uchinzwa zviri nani, ramba uchitora mushonga wako chero bedzi chiremba wako akakuudza kuti usadzokere shure. Izvi zvinonzi "kurapa kwekuchengetedza."
- Zvinogona kutora nguva kuti uwane mushonga wakakodzera uye mwero wakakodzera, saka iva nemoyo murefu nekurapwa kwako.
- Usamborega kutora mishonga kana kuchinja mushonga usina mvumo yachiremba wako.
- Kana muine mibvunzo nezvemushonga wacho kana chero kusanzwa zvakanaka kwamuri kuita, kurukurai pachena nachiremba wenyu.
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