Ungave wave uchitora mishonga yekuderedza kushungurudzika kwemwedzi yakawanda, pamwe nemakore. Ungave wakaona vanachiremba vakati wandei. Asi hausati wanzwa zororo kana shanduko here? Kunzwa ikoko kwerima, kwakakura kuchiripo here? Unonzwa sekuti kurapwa uku hakubatsiri here? Saka hausi wega. Ichi chinhu chinoitika kuvanhu vazhinji. Kana rudzi urwu rwekurapa rusingashande, tinorudaidza kuti 'Kuora Mwoyo Kunoramba Kurapa' (TRD) .
Zvichitaurwa zviri nyore, chii chinonzi 'kuora mwoyo kusingarapike' uku?
Izvi zvinganzwika sedambudziko guru kana ukanzwa zita racho. Asi muchidimbu, zvinoreva kuti uri kutora mushonga wakakodzera wekuderedza kushungurudzika, zvinoreva kuti uri kutora mishonga miviri yekuora mwoyo kubva mumapoka akasiyana, pachiyero chakakodzera, kwenguva yakareba yakakwana, asi zviratidzo zvako hazvisi kuvandudzika zvakanyanya.
Funga nezveizvi: Vanhu vanosvika zvikamu zviviri kubva muzvitatu vane chirwere chekushungurudzika havaoni mushonga wekutanga wavanoedza uchishanda zvakanaka. Uye chikamu chimwe muzvitatu chingasava nani kunyangwe mushure mekuedza mishonga yakawanda.
Chinhu chakakosha ndechekuti, iyi haisi mhosva yako. Uye hazvirevi kuti hauzombofi wakapora kubva pairi. Zvinoreva kuti uchafanira kushanda nesimba kuti uwane mushonga wakakunakira.
Ko kana ndikafungidzira kuti ndine chirwere ichi?
Kana uine kusava nechokwadi nezveizvi zvakare, zvibvunze mibvunzo iyi.
| Iwe unonzwawo saizvozvo here? |
|---|
| Haunzwi here kuvandudzika kana shanduko mushure mekurapwa kwauri kugamuchira? |
| Kunyangwe uchinzwa zviri nani mushure mekurapwa, unonzwa here sekuti simba rako rekare nemufaro hazvina kudzoka? |
| Uri kuomerwa here nekutsungirira migumisiro yemishonga yawakanyorerwa? |
| Kuwanda uye kuoma kwekuora mwoyo kwakawedzera here nekufamba kwenguva? |
| Unonzwa sekunge mamwe matambudziko epfungwa, akadai sekuzvidya mwoyo, awedzera here? |
Kana wakapindura kuti "hongu" kune chimwe cheizvi, unofanira kutaura nachiremba wako nezvazvo. Hazvirevi kuti une chirwere cheTRD, asi chiratidzo chakanaka chekuti hurongwa hwako hwekurapa hunofanira kuchinjwa.
Unowana sei rubatsiro chaizvo?
Kazhinji, chiremba wako mukuru anogona kurapa kushungurudzika. Zvisinei, kana uchifunga kuti chirwere chako hachidi kurapwa nenzira iyi, zvakanaka kuona chiremba wepfungwa, ane ruzivo rwakakura mukurapa zvirwere izvi zvakaoma.
Kana ukaona nyanzvi, ichanyatsoongorora zvinhu izvi:
1. Iva nechokwadi chekuti chirwere chako chakarurama: Dzimwe nguva zvaunofunga kuti kuora mwoyo kunogona kunge kuri chimwe chinhu chakasiyana. Semuenzaniso, munhu ane chirwere chebipolar disorder angasagamuchira zvakanaka mishonga inowanzo shandiswa yekuderedza kushungurudzika. Zvakare, zviratidzo zvekuora mwoyo zvinogona kukonzerwa nemamiriro ezvinhu emuviri akadai sehypothyroidism. Saka kana chirwere chacho chisina kururama, kurapwa kungasashanda.
2. Tarisa kuti uri kutora mushonga wako nemazvo here: Vamwe vanhu havatore mishonga yavo nenguva, havatore mishonga, kana kurega kuitora nekuda kwemigumisiro yakaipa. Yeuka, zvinogona kutora mavhiki mana kusvika gumi nemaviri kuti mushonga wekudzora marwadzo ushande. Saka hazvina kunaka kurega kuutora nekukurumidza.
3. Tarisa zvimwe zvikonzero: Doro, kushandisa zvinodhaka, mishonga inotorwa yezvimwe zvirwere, nezvimwe zvinhu zvinogonawo kuita kuti kuora mwoyo kuwedzere kana kuita kuti kusawirirane nekurapwa.
Ndezvipi zvingasarudzwa zvekurapa zviripo?
Usarasa tariro! Kune nzira dzakawanda dzekurapa TRD. Chiremba wako achakubatsira kusarudza yakakunakira.
Maitiro Ekurapa
Muuropi hwedu mune mishonga yemakemikari inodzora manzwiro, tinoidaidza kuti neurotransmitters . Mishonga yekuderedza kushungurudzika inoshanda nekuenzanisa mashandiro eizvi. Kana mumwe mushonga usingashande, unogona kuedza mumwe mushonga unoshanda nenzira yakasiyana.
- Kuchinja Mishonga: Kana imwe SSRI (Selective Serotonin Reuptake Inhibitor) isingakushandire, mumwe mushonga uri mukirasi imwe chete ungashanda. Kana kuti unogona kuchinja kuenda kune imwe kirasi yakasiyana zvachose, yakadai seSNRIs, Tricyclics, kana MAO inhibitors.
- Kuwedzera mumwe mushonga (Kuwedzera/Kuwedzera):Dzimwe nguva, kana uri kunzwa zororo kubva pamushonga wako wauri kushandisa iye zvino, chiremba wako anogona kusarudza kuwedzera mushonga kubva kune rimwe boka kuti akubatsire, pane kuumisa. Semuenzaniso, mishonga yakaita seAripiprazole neQuetiapine inoshandiswa nenzira iyi.
- Mishonga yemazuva ano: Mushonga weEsketamine (Spravato) wakaburitswa munguva pfupi yapfuura uye Ketamine inobayiwa jekiseni zviri kushandiswawo zvinobudirira pakurapa TRD. Zvinokanganisa uropi nenzira yakasiyana nemishonga inowanzo shandiswa pakuderedza kushungurudzika, zvichibatsira kupa zororo nekukurumidza.
Kurapa Kusiri Kwemishonga
Kune dzimwe nzira dzakawanda dzekubatsira neTRD, kwete mishonga chete.
| Nzira yekurapa | Zvichitaurwa zviri nyore, |
|---|---|
| Kurapa kwepfungwa | Nzira dzakadai seCognitive Behavioral Therapy (CBT) dzinokubatsira kukunda kuora mwoyo nekuchinja mafungiro ako nemaitiro ako. Kana dzikasanganiswa nemishonga, kurapwa uku kunoshanda zvikuru. |
| Kurapa neElectroconvulsive Therapy (ECT) | Usatya kana ukanzwa zita iri. Iri irapi rakachengeteka, rinonyaradza marwadzo, uye rinotariswa nachiremba. Rinoshanda zvikuru mukupa zororo nekukurumidza kune avo vane kuora mwoyo kwakanyanya uye pfungwa dzekuzviuraya vasina kupindura kune imwe nzira yekurapa. |
| Kukurudzira Magnetic kweTranscranial (TMS) | Uku kurapwa kusingashandisirwe kuvhiyiwa kunoshandisa magineti ekunze kwedehenya kuti akurudzire zvikamu zvehuropi. Iyi inzira yekurapa inobudirirawo. |
| Kukurudzirwa kweNtsinga dzeVagus (VNS) | Kamuchina kadiki kanoiswa pasi peganda rechipfuva uye kanosimudzira tsinga yeropa iri mumutsipa. Izvi zvinoshandiswa pakuora mwoyo kwenguva refu, kusingarapike. |
Kurapwa muchipatara
Dzimwe nguva, kana kuora mwoyo kwako kwakanyanya zvekuti uri panjodzi yekuzvikuvadza, chiremba wako anogona kusarudza kukuisa muchipatara kwenguva pfupi. Izvi zvinokutendera kuti uve munzvimbo yakachengeteka, kure nematambudziko ehupenyu hwezuva nezuva, uye zvinobvumira vanachiremba vako kugadzira hurongwa hwekurapa hwakakunakira.
Zvinhu zvaunogona kuita paunenge uchirarama nechirwere ichi
Zvinogona kutora nguva kuti uwane mushonga wakakodzera iwe. Panguva ino, zvinhu izvi zvinogona kukubatsira kugadzirisa dambudziko rako.
- Tevedzera hurongwa hwako hwekurapa nemazvo. Usarega kutora mushonga wako kana kuchinja mwero wemushonga kusvika chiremba wako akuudza kuti udaro.
- Dzivisa doro nezvinodhaka zvachose. Izvi zvinokanganisa kushanda kwemishonga inorwisa kuora mwoyo uye zvinogona kuwedzera kuora mwoyo.
- Rara zvakanaka husiku. Edza kurara maawa manomwe kusvika masere pazuva usingakanganiswi.
- Dzora kushushikana. Ita chimwe chinhu chinokuunzira rugare zuva nezuva, senge kufungisisa, yoga, kana kuteerera mimhanzi.
- Kurovedza muviri. Kufamba kana kumhanya kwemaminitsi makumi matatu pazuva kunogona kubatsira kusimudzira manzwiro ako.
Mharidzo Yekuenda Nayo Kumba
- Kuora mwoyo kusingarapike (TRD) hakusi mhosva yako kana kusasimba kwako. Idambudziko rehutano.
- Zvakajairika kutora nguva kuti uwane mushonga wakakunakira. Zvinoda mwoyo murefu uye kushanda nesimba.
- Mumamiriro ezvinhu akadai, zvakakosha zvikuru kushanda nachiremba wepfungwa ane hunyanzvi.
- Kazhinji, musanganiswa wemishonga nekurapa nekutaura (psychotherapy) ndiwo unonyanya kushanda.
- Usambofa wakarasa tariro. Unogona kupora zvachose kubva mudambudziko iri. Kune nzira dzakawanda dzekurapa dzinogona kukubatsira.
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