Kutya kukuru kunoitwa nevanhu vazhinji pavanotanga kushandisa mishonga yekuderedza kushungurudzika imhedzisiro yayo. Zvakajairika kuva nemibvunzo yakaita sekuti "Zvichaita kuti ndinzwe zviri nani here?", "Zvichakanganisa hupenyu hwangu hwepabonde here?", "Pachava nemamwe matambudziko here?". Saka nhasi tichataura nezvemhando itsva yemishonga ine migumisiro mishoma pane mimwe. Iyo mushonga wekuderedza kushungurudzika unonzi NDRI. Kana chiremba wako akakunyorera rudzi urwu rwemushonga, chinyorwa chino chichava chakakosha kwauri.
Chii chinonzi NDRI? Inoshanda sei?
Zvichitaurwa zviri nyore, manzwiro edu emufaro, kusuruvara, uye kushanda zvinodzorwa nemakemikari ari muuropi anonzi neurotransmitters. Mumamiriro ezvinhu akadai sekuora mwoyo, kuenzana kwevatumwa ava kunokanganiswa zvishoma. Mhando dzakasiyana dzemishonga inoderedza kuora mwoyo dzinovandudza mafungiro edu nekubata vatumwa ava nenzira dzakasiyana.
NDRI ipfupiso yeNorepinephrine neDopamine Reuptake Inhibitors . Mishonga iyi inonyanya kushanda nekuwedzera huwandu hwema neurotransmitters maviri muuropi anonzi Norepinephrine neDopamine. Izvi zvine simba guru pakuramba takamuka uye tichifara.
Mushonga weNDRI uripo muSri Lanka pari zvino iBupropion . Chiremba wako anogona kunge akaupa zita rekuti Wellbutrin . Dzimwe nguva unowedzerwa kune mimwe mishonga yekuora mwoyo yevanhu vasina kupindura zvizere kune mimwe mishonga yekuora mwoyo. Bupropion inopihwawo navanachiremba pasi pezita rekuti Zyban senzira yekubatsira kurega kusvuta.
Imwe mukana mukuru weNDRIs ndeyekuti hadzina mikana yakawanda yekukonzera migumisiro yakaipa, yakadai sekuwedzera uremu kana kudzikira kwechido chebonde, iyo inowanikwa pamwe chete nemimwe mishonga yakawanda yekuora mwoyo.
Migumisiro inowanzoonekwa (asi isingatyisidzi)
Kufanana nemishonga yese, NDRIs inogona kuva nemigumisiro midiki. Asi yakawanda yacho ndeyenguva pfupi . Kureva kuti, inowanzopera mushure memavhiki mashoma ekushandisa mushonga muviri wako paunotanga kuujaira.
| Mhedzisiro Yepadivi | Zvinhu zvekuita nezvinhu zvekuziva |
|---|---|
| Muromo Wakaoma | Izvi ndizvo zvinonyanya kukonzera mhedzisiro yakaipa. Inwa mvura yakawanda, sveta ice cube, geza mazino ako nguva nenguva. Kuderedza kudya zvinhu zvakaita sedoro, kofi, uye kusvuta kunobatsirawo. |
| Kusvotwa/Kurutsa | Izvi zvinogona kuderedzwa zvakanyanya kana mushonga ukatorwa pamwe chete nekudya. |
| Kushaya hope | Mishonga yeNDRI inogona kukonzera kuti vamwe vanhu vaomerwe nekurara nekuti inovakurudzira zvishoma. Kana uine dambudziko iri, dzivisa kutora mushonga wako wekupedzisira wezuva rava pedyo nekurara. |
| Musoro | Izvi zvinowanzopera mukati memazuva mashoma mushure mekutanga mushonga. |
| Kuderedza Huremu | Kunyange hazvo mishonga yakawanda yekuora mwoyo ichinyunyuta nezvekufuta, NDRIs inogona kukubatsira kuderedza huremu zvishoma. |
| Kunetseka | Zvinhu zvakaita sekurovedza muviri, yoga, uye kufungisisa zvinogona kukubatsira kudzikamisa pfungwa dzako. |
| Dzungu | Izvi zvinogona kuitika kana ukamuka nekukurumidza. Muka zvishoma nezvishoma unwe mvura yakawanda. |
| Kuzvimba | Kudya chikafu chine faibha yakawanda (michero, miriwo, nyemba), kurovedza muviri, uye kunwa mvura yakawanda kunogona kubatsira. |
Pamusoro peizvi, migumisiro isingawanzoitiki inosanganisira kurova kwemoyo nekukurumidza, pahuro panorwadza, kudedera kusingadzoreki, mapundu eganda, kudikitira, kurira munzeve, kurwadziwa mudumbu, kurwadziwa kwetsandanyama, uye kuita weti nguva nenguva.
Migumisiro yakaipa yekutarisira
Izvi hazviwanzoitiki, asi tinofanira kuzviziva. Kana ukasangana nechimwe chinhu chakadai, unofanira kuzivisa chiremba wako nekukasika.
1. Kubatwa nepfari
Kune vanhu vazhinji, njodzi iyi yakaderera zvikuru. Zvisinei, njodzi yacho inogona kunge yakakwira zvishoma kune munhu ane zvirwere zvinotevera:
- Kana uine matambudziko ekudya (Anorexia kana Bulimia)
- Kana wakambova nepfari kare
- Kana wakambokuvara musoro zvakanyanya
- Kana uine chirwere chechiropa
- Kana wakapindwa muropa nedoro kana zvinodhaka
2. Kukwira kweropa
Chiremba wako achaongorora BP yako nguva nenguva mushure mekunge watanga kutora mushonga uyu. Izvi zvinonyanya kukosha kana uri kushandisa chimwe chinhu chakaita senicotine patches kuti urege kusvuta.
3. Kuwedzera kwekumanikidzwa mumaziso (Angle-closure Glaucoma)
Iyi idambudziko remaziso rinogona kuitika kamwe kamwe. Rinogona kutokonzera kurasikirwa nekuona. Kana uine kurwadziwa kwemaziso, kuchinja kwekuona, kuzvimba kana kutsvuka mumaziso ako kana kuti akaapoteredza , taurira chiremba wako nekukasika.
4. Pfungwa dzeKuzviuraya
Izvi zvakakosha zvikuru. Munguva yekutanga yekushandisa chero mushonga wekuora mwoyo, kusanganisira NDRIs, pane mukana mudiki wekuti vamwe vanhu (kunyanya vechidiki) vachanzwa kuora mwoyo kwakanyanya kana kufunga zvekuzviuraya.
Kana iwe kana mumwe munhu waunoziva akatsamwa zvikuru, kusagadzikana, kusuruvara, kutya, kana chero mamwe manzwiro asina kujairika, akasimba panguva yekutora mushonga uyu, zvakakosha kufonera chiremba wako nekukasika kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU).
Kudyidzana nemimwe mishonga
Izvi zvakakoshawo zvikuru. Unofanira kuudza chiremba wako nezvemishonga yese yaunotora, kusanganisira mavhitamini, mishonga yemishonga inowedzerwa kubva kumishonga yemishonga, uye kunyange mishonga isingatengeswi nechiremba. Mimwe mishonga inogona kuwedzera njodzi yekubatwa nepfari kana ikasanganiswa neNDRIs. Mimwe mishonga inogonawo kuderedza kushanda kweNDRIs.
Iva nechokwadi chekubvunza chiremba wako kana zvakachengeteka kutora NDRIs, kunyanya kana ukashandisa zvinotevera:
- Mishonga yeMAOI yekuora mwoyo (kana ikatorwa mukati memavhiki maviri)
- Chero chimwe chinhu chinorwisa kuora mwoyo
- Doro nezvinodhaka
- Mishonga inorwisa pfungwa
- Mushonga wepfari
- Zvinokurudzira
- Mhando dzeSteroids
- Insulin nemimwe mishonga yechirwere cheshuga
- Mamwe maantibayotiki
- Beta-blockers
- Mishonga yekurapa matambudziko emwoyo
- Mishonga inouraya marwadzo ine codeine
- Mapiritsi ekurara uye mishonga yekunyaradza
Chinonyanya kukosha: Usambofa watora mishonga inopfuura imwe chete ine Bupropion panguva imwe chete (semuenzaniso, kutora Wellbutrin neZyban pamwe chete). Kutora mishonga yakawandisa (kudarika mwero) kunogona kukonzera migumisiro yakaipa, pfari, kana kutofa.
Nguva yekufonera chiremba
Kunyangwe kana ukasangana nedambudziko diki, udza chiremba wako nezvazvo. Anogona kukwanisa kugadzirisa dose kana kunyora mumwe mushonga kuti adzore mhedzisiro yacho. Uyewo, iva nechokwadi chekuudza chiremba wako kana uine pamuviri, uri kuedza kubata pamuviri, kana kuti uchiyamwisa.
Kana uine chimwe chezviratidzo zvinotevera, idambudziko rekukurumidza . Fonera chiremba wako nekukasika kana kuenda kuchipatara chiri pedyo cheEmergency Treatment Unit (ETU) . Kana uchifungidzira kuti washandisa zvinodhaka zvakanyanya, unogona zvakare kufonera National Poisons Information Centre kuColombo National Hospital .
| Kukurumidzira! Tsvaga rubatsiro rwechiremba nekukasika. | |
|---|---|
| Chiratidzo | Tsananguro |
| Kubatwa nepfari | Kana muviri uchidedera zvisingadzoreki. |
| Kufungidzira zvinhu zvisipo | Kana ukaona kana kunzwa zvinhu zvisipo zvechokwadi. |
| Kufenda | Kana ukangoerekana warasikirwa nepfungwa wobva wadonha. |
| Kuchinja kwekurova kwemoyo | Kana uchinzwa sekuti moyo wako uri kurova nekukurumidza, une ruzha rwakanyanya, unononoka zvakanyanya, kana kuti usina kurongeka. |
Mharidzo Yekuenda Nayo Kumba
- NDRIs imhando yemishonga inorwisa kushushikana isina njodzi ine migumisiro mishoma, yakadai sekuwedzera uremu uye kudzikira kwechido chepabonde.
- Migumisiro midiki yakadai semuromo wakaoma uye kushaya hope inogona kuitika, asi inowanzopera mukati memavhiki mashoma.
- Zvakakosha kuzivisa chiremba wako nezvemimwe mishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
- Usamborega kutora mishonga kana kuchinja mwero wemushonga usina kupiwa mazano nachiremba.
- Kana ukaona zviratidzo zvakakomba zvakaita sepfari, kurasikirwa nepfungwa, kana kuchinja kukuru kwepfungwa, tsvaga rubatsiro rwechiremba nekukasika.
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