Tose tinonzwa kusuruvara uye kuora mwoyo dzimwe nguva. Zvakajairika. Asi wakambonzwa here, pasina chikonzero chaicho, kusavapo mukati mako, kunzwa kusavapo kusingachakuunzi mufaro, kunyangwe muzvinhu zvawaimbofarira, kunzwa kuti nyika yese yakasviba nechena? Uku hakusi kusuruvara chete. Nhasi tichataura nezvechirwere chakadai, chinonzi Melancholic Depression, rudzi rwakanyanya rweDepression. Uku hakusi kushaya simba mupfungwa dzako, asi chaizvoizvo chirwere chine chekuita nekuchinja kwemuviri, kunyanya mutsinga dzemuviri.
Chii chaizvo chinonzi Melancholic Depression ichi?
Zvichitaurwa zviri nyore, Melancholic Depression imhando yekuora mwoyo kwakanyanya uye kwakadzama. Vamwe vanhu vanoidaidzawo kuti Melancholia. Vaongorori vanotenda kuti chirwere ichi chinonyanya kukanganisa sisitimu yedu yetsinga. Pakati pe25% ne30% yevanhu vane depression vane rudzi urwu rwekuora mwoyo.
Kurapa chirwere ichi kunogona kuoma nekuti chingasaita zvakanaka kune mamwe marapirwo ekuderedza kushushikana, akadai semishonga yakaita seSSRIs (Selective serotonin reuptake inhibitors) kana talk therapy.
Asi izvi hazvirevi kuti hapana mushonga weizvi. Kune nzira mbiri dzinoshanda zvikuru dzekurapa izvi:
- Kurapa neElectroconvulsive (ECT): Izvi zvinosanganisira kutumira zviratidzo zvemagetsi zvidiki-diki kuuropi kuti zvideredze zviratidzo.
- Tricyclic antidepressants (TCAs): Iyi imhando yemishonga yakatanga kuunzwa kune vanhu vane dambudziko rekuora mwoyo.
Chinhu chakakosha ndechekuti, kunyangwe zviratidzo zvechirwere ichi zvakanyanya, unogona kugadzirisa zviratidzo izvi uye kurarama zvakanaka nerubatsiro rwenyanzvi yehutano hwepfungwa, kusanganisira chiremba wako.
Ndezvipi zviratidzo zvechirwere ichi?
Kuora mwoyo hakusi kungosuruvara kana kuchema chete, asiwo zviratidzo zvemuviri. Unganzwa usina simba uye usina chinhu mukati. Ungasakwanisa kunakidzwa nezvinhu zvakanaka. Pfungwa dzako nemafambiro zvinogona kutodzikira. Ngationgororei zviratidzo izvi.
| Chikamu chezviratidzo | Tsananguro |
|---|---|
| Zvinhu zviviri zvikuru | 1. Kurasikirwa nemufaro. 2. Kusakwanisa kupindura zvakanaka kune chimwe chinhu chakanaka kana chinogutsa. |
| Zvimwe zvinhu zvakajairika |
|
| Kuchinja kwemafambiro emuviri (zviratidzo zvepfungwa) | |
| Kuchinja kwemaitiro |
|
| Kurwadziwa kwemuviri | Imwe tsvakiridzo yakaratidza kuti vanhu vanosvika 70% vane chirwere ichi vanogona kurwadziwa netsandanyama nemapfupa. |
Sei izvi zvichiitika? Ndezvipi zvikonzero?
Chikonzero chikuru cheizvi chinoonekwa sekuchinja kwemuviri muuropi hwedu uye muhurongwa hwemahormone. Fungidzira, uropi hwedu hune zvikamu zvakakosha zvinodzora ndangariro, pfungwa, uye manzwiro. Kune hurongwa hwakabatana neizvi uye hunoshanda hunonzi ``Hypothalamic-pituitary-adrenal (HPA) axis''. Zvichitaurwa zviri nyore, iyi ndiyo hurongwa hukuru mumuviri wedu hunotonga zvinhu zvakawanda, zvakaita sekushushikana uye kuda kudya.
Mumunhu ane Melancholic Depression, iyi HPA axis haishande zvakanaka. Saka, kana tava nekushushikana, hormone `(cortisol)` inogadzirwa nemuviri wedu inenge yakakwira zvisingaite. Kuwedzera uku kwemazinga e`(cortisol)` kunogona kukanganisa zvakananga kudya kwedu, metabolism, uye ndangariro. Pamusoro pezvo, shanduko musystem yekutumira mameseji (`(neurons)`) inotakura mameseji pakati pemasero etsinga muuropi inogonawo kunge iriyo inokonzeresa.
Ndiani ari panjodzi huru yekuva nechirwere ichi?
- Zera: Zviratidzo zveMelancholic Depression zvinowanzoonekwa pazera rehupenyu, ndiko kuti, sezvaunokura.
- Majini: Chirwere ichi chinowanzo itika mumhuri. Kana mumwe munhu mumhuri yako akamborwara nechirwere chepfungwa chakadai, iwe unogona kunge uri panjodzi.
- Mamiriro ekunze nemwaka: Kune vamwe vanhu, zviratidzo izvi zvinogona kuwedzera panguva yekushaikwa kwezuva, maawa mapfupi ezuva, uye kutonhora.
- Shanduko mushure mekusununguka: Vamwe vanaamai vane kushungurudzika mushure mekusununguka vanogonawo kusangana nezviratidzo izvi zvekusuruvara.
Chiremba anoongorora sei izvi?
Chiremba wako kana mupi wezano wehutano hwepfungwa achaongorora chirwere ichi mushure mekunyatsoongorora zviratidzo zvako. Kuti uongororwe, unofanira kunge uine chimwe chezviratidzo zvikuru zvinotevera:
Zvinhu zvikuru: Kurasikirwa nekukwanisa kunakidzwa nehupenyu kana kupindura zvinhu zvinonakidza.
Pamusoro pezvo, unofanira kunge uine hunhu hutatu hunotevera:
- Kunzwa kusuruvara kwakadzama kusingasanganisire nekuchema, sekufirwa nemunhu waunoda.
- Kurasikirwa nechido chekudya kana kudzikira uremu zvakanyanya.
- Kuchinja kwemafambiro emuviri (kunonoka kana kusagadzikana).
- Kunzwa kushushikana uye kusuruvara mangwanani kupfuura dzimwe nguva dzezuva.
- Kumuka maawa maviri nguva isati yakwana kupfuura zvaitarisirwa.
- Kunzwa uine mhosva huru pamusoro pako.
Ndezvipi zviri kurapwa?
Kuora mwoyo kunorapwa nemishonga yakasiyana-siyana pamwe chete nedzimwe nzira dzekurapa.
| Nzira yekurapa | Zviri nyore nezvazvo |
|---|---|
| Mishonga (Mishonga yekuderedza kushushikana) | Vanachiremba vanowanzo nyora mhando yemishonga inonzi tricyclic antidepressants (TCAs) . Mishonga yakaita seAmitriptyline, Imipramine, neNortriptyline ndeyemhando iyi. Pamusoro pezvo, chiremba wako anogona kukurudzira mimwe mishonga zvichienderana nemamiriro ako ezvinhu. |
| Kurapa neElectroconvulsive (ECT) | Kana mamwe marapirwo asingashande, chiremba wako anogona kukupa ECT. Izvi zvinosanganisira kukuisa pasi peanesthesia uye kutumira zvidimbu zvidiki zvemagetsi kuuropi hwako kuti udzorere hutano hwemakemikari muuropi uye kuderedza zviratidzo. Uku kurapa kwakachengeteka uye kunoshanda. |
| Kurapa kwepfungwa | Inozivikanwawo se'talk therapy', nzira iyi inosanganisira kutaura nachiremba wepfungwa kana wepfungwa nezvemanzwiro ako, pfungwa dzako, uye maitiro ako. Zvisinei, kusiyana nedzimwe mhando dzekuora mwoyo, kurapwa uku chete kungasashanda zvakanyanya pakurwadziwa kwepfungwa. Kunowanzo shandiswa pamwe chete nemishonga. |
Ndingararama sei nemamiriro ezvinhu aya?
Chiremba wako achagadzira hurongwa hwekurapa hwakakunakira. Kunyange zvazvo uchitevera kurapwa ikoko, unogonawo kuchinja mararamiro ako.
- Inwa mushonga wako sezvawakarairwa: Inwa mushonga wako sezvawakarairwa, panguva yakakodzera, uye gara uchibvunza chiremba wako usati watora mimwe mishonga kana imwe yekuwedzera.
- Kurovedza muviri: Ita chimwe chinhu chinopa muviri wako maekisesaizi zuva nezuva, zvakaita sekufamba, kushambira, kutamba, kana yoga.
- Ita kuti kurara kuve chinhu chinonyanya kukosha: Iva netsika yekurara nekumuka panguva imwe chete.
- Kudya kwakanaka: Idya chikafu chine hutano uye chakaringana.
- Dzivisa kusvuta nedoro: Izvi zvinogona kuwedzera kuora mwoyo.
- Pedza nguva neshamwari: Taura uye pedza nguva nemhuri neshamwari dzinokuda uye dzinokunzwisisa.
Batsira munhu ane hanya nemunhu akadai.
Kana uine nhengo yemhuri kana shamwari ine chirwere ichi, rutsigiro rwako runokosha zvikuru. Asi kutarisira munhu akadaro hakusi nyore. Unganzwawo kuneta, kusurukirwa, uye kushushikana. Saka, zvakakosha kuti uzvitarisirewo.
- Fungawo nezvehutano hwako: rara zvakanaka, idya chikafu chinovaka muviri, uye kurovedza muviri.
- Kumbira rubatsiro: Usaedza kuita zvese uri wega. Kumbira rubatsiro kubva kune dzimwe nhengo dzemhuri neshamwari.
- Zvipewo nguva yekuzorora: Isa parutivi nguva shoma zuva rega rega. Verenga bhuku, teerera rwiyo, ita chimwe chinhu chaunofarira.
- Tsvaga rubatsiro rwechiremba kana uri kunzwa kushushikana: Kana kushushikana kwekutarisira mumwe munhu kusingatsungiririki, taura nachiremba kana mupi wezano nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Kuora mwoyo hakusi kushaya simba kwemoyo kana kunzwa usimbe. Ichirwere chaicho chinokonzerwa nekuchinja kweuropi nemahormone.
- Hunhu hukuru hweizvi ndehwekuti kunyangwe zvinhu zvaimbofadza hazvichaunzi mufaro kana mufaro.
- Kune mishonga inoshanda zvikuru (yakadai semishonga yeECT neTCA) yechirwere ichi.
- Kana iwe kana mumwe munhu waunoziva ari kusangana nezviratidzo izvi, zvakakosha kuti uone chiremba nekukurumidza uye utsvage mazano, pane kutambura wega.
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