Kuora mwoyo chirwere chakaoma zvikuru chinokanganisa pfungwa nemuviri. Saka patinoona chiremba totanga kurapwa, tine tariro yekuti tichakwanisa kupora kubva muchirwere ichi nekukurumidza. Asi fungidzira, wakashandisa rudzi rumwe rwemushonga, asi hazvina kushanda. Ipapo chiremba akatanga rumwe rudzi rwemushonga, uye izvozvo hazvina kushanda sezvaitarisirwa? Hapana mazwi ekutsanangura kushungurudzika, kutya, uye kushaya simba kwaunonzwa, handiti? Kana wakambosangana nedambudziko rakafanana, hausi wega. Nhasi tiri kutaura nezvenyaya inobata vanhu vazhinji, asi isinganyanyi kutaurwa nezvayo. Kuora mwoyo kunoramba kurapwa.
Chii chinonzi 'Kuora Mwoyo Kusingarapike'?
Zvichitaurwa zviri nyore, iyi imhando yechirwere chekuora mwoyo. Asi hunyanzvi hwacho ndehwekuti hachipore nyore nyore nekurapwa kwakajairika. Kunyangwe pasina tsananguro imwe chete pakati pavanachiremba, maonero anogamuchirwa ndeekuti kana zviratidzo zvekuora mwoyo zvikasaderera kunyangwe mushure mekutora mhando mbiri dzemishonga yekuora mwoyo kubva mumapoka maviri akasiyana padanho rakakodzera uye panguva yakakodzera , chirwere ichi chinonzi 'Kuora Mwoyo Kunoramba Kurapa'.
Funga nezvazvo nenzira iyi. Chiremba wako anosarudza kuti une depression uye anokutanga kushandisa mushonga mumwe chete. Semuenzaniso, Selective Serotonin Reuptake Inhibitor (SSRI) (semuenzaniso, Fluoxetine). Asi kana usinganzwe zviri nani mushure memavhiki matanhatu kusvika masere, chiremba wako acharega mushonga iwoyo otanga kushandisa mumwe mushonga, unoshanda nenzira yakasiyana. Semuenzaniso, Serotonin-Norepinephrine Reuptake Inhibitor (SNRI) (semuenzaniso, Venlafaxine kana Duloxetine). Kana mushonga wechipiri iwoyo usingashande, chiremba wako anogona kufungidzira kuti une Treatment-Resistant Depression.
Kutaura chokwadi, mushonga wakafanana nesefa. Kana ukawana zororo kubva pamushonga wekutanga kana wechipiri, hauna kuora mwoyo kusingarapike. Asi kana sefa ikasarapa chirwere, zvinoreva kuti tinoda imwe nzira yakasiyana.
Unoziva sei kuti dambudziko iri riripo?
Ichi hachisi chinhu chinogona kusarudzwa neusiku humwe chete. Chinhu chinofanira kuitwa zvishoma nezvishoma, nemoyo murefu. Chiremba wako achatevera matanho akati wandei asati agumisa kuti une chirwere ichi.
Kupa nguva yakakwana yemishonga
Mishonga yekuderedza kushungurudzika inotora nguva kuti ishande. Kunyange hazvo vamwe vanhu vangaona musiyano mudiki mumazuva mashoma, zvinogona kutora mavhiki matanhatu kusvika masere kuti mhedzisiro yemushonga ionekwe. Saka, hazvina kunaka kutanga kutora mushonga mumwe chete wozomira mushure mevhiki imwe kana maviri uchifunga kuti, "Izvi hazvisi kushanda." Zvakakosha kuva nemoyo murefu uye kutevedzera mirairo yachiremba wako.
Kupa dose chaiyo
Iyi inyaya yakakoshawo zvikuru. Dzimwe nguva chiremba anotanga mushonga une dose shoma. Kana usina mhedzisiro inotarisirwa, haachinje mushonga ipapo ipapo. Chinhu chekutanga chekuita kuwedzera dose yemushonga uripo zvishoma nezvishoma. Vamwe vanhu vanogona kunge vakatora mhando dzakasiyana dzemushonga, asi vanogona kunge vakatora yese mudose shoma.
Semuenzaniso, kana uchigona kupa 100 milligrams yemushonga kuti uwane bhenefiti yakanyanya, haugone kutaura kuti mushonga wacho wakundikana kana ukaupa 50 milligrams asi zvikasashanda. Zvakakosha zvikuru kuedza piritsi rinoshanda zvakanyanya remushonga wega wega .
Ngatitarisei tafura iyi kuti titsanangure rwendo urwu zvishoma.
| Danho | Chii Chinoitika | Zvinyorwa Zvakakosha |
|---|---|---|
| Kuedza kwekutanga (Muedzo wekutanga weKuderedza Kushushikana) | Chiremba anonyorera mushonga uri muboka remishonga inorwisa kuora mwoyo (semuenzaniso, SSRI). | - Tendera mavhiki matanhatu kusvika masere kuti mushonga ushande. - Dose ichawedzerwa kana zvichidikanwa. - Taura nachiremba wako nezvemigumisiro yemishonga iyi. |
| Kuedza kwechipiri (Muedzo wechipiri weKuderedza Kushushikana) | Kana mushonga wekutanga ukakundikana, mumwe mushonga kubva kune mumwe mushonga (semuenzaniso, SNRI) unotangwa. | - Tendera mavhiki matanhatu kusvika masere kuti mushonga uyu ushande. - Pano zvakare, chiyero chinogadziriswa kana zvichidikanwa. - Zvakakosha kusatya uye kuva nemoyo murefu. |
| Kuongorora mamiriro acho ezvinhu (Kuongorora) | Kana zviratidzo zvikasavandudzika kunyangwe mushure mekutora mishonga iyi yese pachiyero chakakodzera uye kwenguva yakakodzera, inogona kuonekwa se 'Kuora Mwoyo Kusingarapike'. | - Haisi magumo. Iri iruzivo rwakakosha ruchashandiswa pakusarudza matanho ekurapa anotevera. - Taura nachiremba nezvesarudzo dzako. |
Usarasa tariro! Ndicho chinhu chakakosha.
Zvakajairika kunzwa mutoro unorema uye kutya paunonzwa mazwi ekuti 'kuora mwoyo kusingarapike.' Ungafunga kuti, "Handizombofi ndakapora." Asi isu tinoti, ndapota musarasa tariro .
Kuziva chirwere ichi hazvirevi kuti rwendo rwako rwapera. Zvinoreva kuti unoda chirongwa chekurapa chakasiyana nechakajairika, uye chakanangana newe.
"Chinonyanya kukosha kusarasa tariro. Kune nzira dzakawanda dzekurapa - dziripo nedziri kubuda - dzinogona kuchinja hupenyu hwemunhu." - Dr. John Krystal, Yale School of Medicine
Chiremba wako achakurukura nemi dzimwe nzira dzakasiyana-siyana panguva ino, dzinosanganisira:
- Kuwedzera: Kuwedzera imwe mhando yemushonga kumushonga wekudzivirira pfungwa uripo.
- Mamwe Marapirwo: Kufunga nezvemamwe marapirwo ekurapa pamwe chete nemishonga.
- Kurapa Nepfungwa: Kurapa Nepfungwa. Kurapa Nepfungwa kunogona kushanda zvakanaka kana kukashandiswa pamwe chete nemishonga.
Izvi zvese zvinozoenderana nemamiriro ako ezvinhu, zviratidzo, uye nhoroondo yehutano hwako. Saka chinhu chakakosha ndechekuva pachena uye akatendeseka kuna chiremba wako nezvese . Muudze zvaunonzwa, zvaunotya, migumisiro yako, uye usazvidemba.
Mharidzo Yekuenda Nayo Kumba
- 'Kuora Mwoyo Kusingarapike' chirwere chaicho. Hachisi chinhu chawakambofungidzira kana kuti chawakakanganisa.
- Kazhinji, chirwere ichi chinogona kufungidzirwa kana pasina kuvandudzika mushure mekutora mushonga wakakodzera wemishonga yekuora mwoyo kubva mumhando mbiri dzakasiyana dzemishonga kwenguva yakakwana, senge mavhiki matanhatu kusvika masere.
- Chipimo chemushonga uye nguva yekuushandisa zvakakosha zvikuru. Kana chipimo chidiki chikasaburitsa mhedzisiro, zvingasava kukundikana kwemushonga zvachose.
- Kuziva chirwere ichi hakusiko kuguma. Ingori danho rinokosha parwendo rwekutsvaga kurapwa kwakakodzera iwe.
- Chinhu chinonyanya kukosha ndechekusarasa tariro uye kutaurirana nachiremba wako nguva dzose uye pachena . Kune nzira dzakawanda dzekukubatsira.
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