Zvakajairika kunzwa kusuruvara uye kuora mwoyo dzimwe nguva. Zvingori zvechisikigo kunzwa manzwiro aya sezvo hupenyu huchienderera mberi. Asi kusuruvara uku, kuremerwa uku mumoyo mako, kunzwa uku kwekusada kuita chero chinhu kunoratidzika kunge kwakatora hupenyu hwako hwese kwemavhiki kana mwedzi here? Hauchanzwi kuda kuita zvinhu zvawaimbofarira here? Unotanga zuva rega rega kunzwa wakaneta uye uri wega here? Zvakanaka, uyu anogona kunge ari iwe. Ngatitaurei pachena nezvechirwere ichi, icho chiri kuora mwoyo.
Chii chaizvo chinonzi kuora mwoyo?
Chinhu chekutanga chaunofanira kunzwisisa ndechekuti kushungurudzika hakusi chirwere chepfungwa kana kuti chirwere chekufungidzira. Idambudziko rehutano chairo rinoda kurapwa, sechirwere cheshuga kana BP. Rine chekuita nekuchinja kwemakemikari (neurotransmitters) muuropi hwedu anodzora mafungiro, pfungwa, uye maitiro.
Vanhu vazhinji vanonyara kutaura nezvazvo, vachitya "zvichafungwa nevanhu." Vamwe vanotambura vega, vachiti "vanofanira kuva vakasimba." Vamwe vanotendeukira kudoro nezvinodhaka kuti vatize kurwadziwa kuri mumoyo mavo. Zvisinei, hapana kana chimwe chezvizvi chiri mhinduro dzakakodzera. Chinhu chakakosha ndechekuziva chirwere nemazvo uye kutsvaga kurapwa kwakakodzera.
Unoziva sei kuti uku kushushikana kwepfungwa?
Kana muchifunga kuti mungave muine zviratidzo zvekuora mwoyo, ndapota shanyirai nyanzvi yezvekurapa. Kazhinji, chiremba wenyu anogona kuona chirwere ichi otanga kurapwa.
Chiremba wako achakubvunza nezvezviratidzo zvako uye kana paine mumwe munhu mumhuri mako akambova nezvirwere izvi. Vanogonawo kukukumbira kuti uzadze mibvunzo. Vanogonawo kuita mimwe miedzo kuti vaone kana paine zvimwe zvirwere zvemuviri zvinogona kukonzera zviratidzo zvako. Semuenzaniso:
- Thyroid Isingashande Zvakanaka
- Kushomeka kwevhitamini nezvinovaka muviri
- Kusangana nemimwe mishonga kana zvinodhaka/doro
Zvakakosha: Kana zviratidzo zvako zvakanyanya, kana kuti uchifunga nezvekuzviuraya kana kuzvikuvadza iwe pachako kana vamwe, enda kuna chiremba wepfungwa nekukasika usingazenguriri.
Ndeipi mishonga inoshanda yekurapa kuora mwoyo?
Mashoko akanaka ndeekuti kuora mwoyo chirwere chinorapika zvikuru. Kune nzira dzakasiyana siyana dzekurapa. Mhedzisiro yakanaka inowanzo kuwanikwa kana mushonga mumwe chete kana kupfuura ukashandiswa pamwe chete. Sarudzo mbiri huru dzekurapa ndeidzi:
1. Mishonga
2. Kurapa kwepfungwa kana kutaura
Ngatitarisei izvi zviviri zvakasiyana.
Mishonga
Mishonga inoshandiswa kurapa kuora mwoyo inoshanda zvikuru nekudzoreredza kuenzana kwemakemikari muuropi anodzora manzwiro. Kune mhando dzakasiyana dzemishonga iyi. Chiremba wako ndiye achasarudza mushonga uye chiyero chakakunakira.
| Rudzi rwemishonga | Tsananguro iri nyore |
|---|---|
| SSRIs neSNRIs | Iyi ndiyo mishonga inonyanya kushandiswa isina migumisiro yakawanda. Inodzora mashandiro emakemikari muuropi anonzi serotonin ne norepinephrine. Semuenzaniso: Fluoxetine, Sertraline, Venlafaxine. |
| Mishonga yeTricyclic antidepressants (TCAs) | Iyi mishonga yekare zvishoma. Ine migumisiro yakaipa kupfuura SSRIs. Asi inogona kushanda zvakanyanya kune vamwe vanhu. Semuenzaniso: Amitriptyline. |
| MAOIs | Iyi mishonga inoshandawo. Zvisinei, haichashandiswi zvakanyanya nekuti inoda kusadya zvimwe zvekudya (semuenzaniso chizi chakaviriswa) nemimwe mishonga painonwiwa. |
| Mimwe Mishonga | Dzimwe nguva, pamusoro pemishonga inorwisa kuora mwoyo, mimwe mishonga, yakadai semishonga inoderedza kushushikana kwepfungwa, inogona kuwedzerwa. Kunewo mishonga mitsva, yakaita seKetamine. |
Iva nechokwadi chekuyeuka zvinhu izvi nezvemishonga:
* Zvinogona kutora mavhiki akati wandei (zvichida 4-8) kuti mushonga wacho unyatsoshanda zvakanaka. Saka usarega kutora mushonga wacho nekuti hapana musiyano mumavhiki ekutanga.
* Zvinogona kutora nguva kuti uwane mushonga wakakunakira. Kana mumwe mushonga usingashande, unogona kutaura nachiremba wako nezvekuchinjira kune mumwe.
* Usamborega kutora mushonga wako kamwe kamwe usina kurairwa nachiremba wako. Kuita izvi kunogona kukonzera zviratidzo zvisingafadzi kudzoka.
* Zvakakosha zvikuru kuti vabereki navanachiremba vazive izvi, sezvo pfungwa dzisina kunaka dzinogona kuwedzera, kunyanya kuvana nevechidiki mumavhiki ekutanga ekutanga kushandisa mushonga.
Kurapa kwepfungwa
Izvi zvakafanana nekurapa kwepfungwa. Zvinosanganisira kutaura nemupi wezano kana murapi akadzidziswa, kunzwisisa pfungwa dzako, manzwiro ako, uye maitiro ako, uye kudzidza kuzvidzora.
- Kurapa Kwepfungwa Nemaitiro (CBT): Kunokubatsira kuona pfungwa dzisina kunaka, dzisina musoro uye kudzitsiva nepfungwa dzechokwadi uye dzakanaka.
- Kurapa Nevanhu: Inonzwisisa kuti hukama hwako nemhuri neshamwari hunokanganisa sei manzwiro ako uye inokubatsira kugadzirisa matambudziko iwayo.
Zvakakosha kuwana munhu waunonzwa wakasununguka naye, kuitira kuti ugone kutaura zviri mupfungwa dzako pasina kutya kana kuzeza. Kurapwa uku kunogona kutora mavhiki mashoma kusvika kumwedzi yakati wandei.
Kuchinja mararamiro kunounza zororo guru!
Pamwe chete nemishonga uye kurapa kwepfungwa, zvinhu zviri nyore zvaunogona kuwedzera pane zvaunoita zuva nezuva zvinogona kukubatsira kubva pazviratidzo zvekuora mwoyo.
- Kurovedza Muviri: Kuita maekisesaizi kwemaminitsi makumi matatu pazuva, akadai sekufamba, kumhanya, kana kushambira, kunowedzera kuyerera kweropa kuenda kuuropi uye kunovandudza mafungiro. Sekureva kwezvimwe zvidzidzo, kurovedza muviri nguva dzose kunogona kushanda semamwe mishonga.
- Kurara: Kurara zvakanaka kwakakosha pahutano hwepfungwa. Iva netsika yekurara nekumuka panguva imwe chete zuva nezuva. Dzivisa kushandisa foni yako kana kuona TV usati warara uye ita chimwe chinhu chinozorodza, sekuverenga bhuku.
- Kudya: Idya kudya kwakaringana. Deredza zvinotapira uye zvekudya zvinokurumidza kudya zvakanyanya sezvinobvira. Isa michero yakawanda, miriwo, uye miriwo mukudya kwako.
- Vanhu vaunosangana navo: Usazviparadzanise nevamwe, taura neshamwari yaunovimba nayo kana nhengo yemhuri nezvezviri mupfungwa dzako.
- Zvinokufadza: Tanga chimwe chinhu chawaimbofarira. Dhirowa, teerera mimhanzi, gadheni. Kunyangwe chinhu chidiki chinogona kukuunzira mufaro.
- Zvisikwa uye chiedza chezuva: Kuwana chiedza chezuva zvishoma zuva rega rega hakungopi vhitamini D chete, asiwo kunovandudza mafungiro.
Mamwe marapirwo
Kune mamwe marapirwo chaiwo ekuderedza kushushikana kwakanyanya asingapindure zvakanaka nemishonga uye kurapa kwepfungwa.
- ECT (Kurapa neElectroconvulsive):Iyi inzira yakachengeteka uye inoshanda yekurapa inoitwa pasi peanesthesia. Inoshandiswa kukurumidza kubatsira avo vane kuora mwoyo kwakanyanya uye vane pfungwa dzekuzviuraya.
- rTMS (Repetitive Transcranial Magnetic Stimulation): Izvi zvinosanganisira kukurudzira nzvimbo dzakati dzeuropi uchishandisa mafungu emagineti.
- VNS neDBS: Aya ndiwo marapirwo ekuvhiya achiri muchikamu chekutsvagisa.
Mharidzo Yekuenda Nayo Kumba
- Kuora mwoyo hakusi mhosva yako kana kuti kushaya simba. Ichirwere chaicho chinoda kurapwa.
- Haufanire kutambura uri wega. Kumbira rubatsiro. Danho rekutanga, enda kuna chiremba anovimbwa naye.
- Kune mishonga inoshanda. Mishonga, kurapa kwepfungwa, uye kuchinja mararamiro zvinogona kukubatsira kupora.
- Usamborega kutora mishonga yekuora mwoyo usina kupiwa mazano nachiremba.
- Kune vanhu vanokuda uye vane hanya newe. Taura navo. Yeuka kuti hausi wega parwendo urwu.
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