Zviratidzo uye Zvinokonzera
Melancholia inotaura zvakajeka zvekuora mwoyo zvakanyanya. Nechimiro ichi chekuora mwoyo, kune kurasikirwa kwakakwana kwemufaro mune zvose kana zvinenge zvose.
Izwi rokuti 'melancholia' nderimwe remashoko ekare kare akashandiswa mune zvepfungwa. Yakange iripo kubva apo Hippocrates akaitaura iyo muzana remakore rechishanu BC, uye rinoreva kuti "black bile" muchiGiriki. Izvi zvakakodzera nokuti Hippocrates aifunga kuti zvakanyanya kudarika bile yakawanda, chimwe chezvaakanyora kuti "The Four Humours," chakakonzera melancholia.
Zviratidzo zvaakagoverwa pasi peMalancholia zvakafanana zvakafanana nezviratidzo zvatinoshandisa mazuva ano, kusanganisira kutya, kusada kudya, kusuruvara, kusazvidzora, kushungurudzika, uye kusuruvara.
Zvinokonzera
Kutanga kwezvikamu izvi kazhinji hazvikonzerwi nechiitiko chaicho, uye kunyange kana chimwe chinhu chakanaka chikaitika, manzwiro evanhu haavandudzi, kwete kunyange kwenguva pfupi.
Kuti ujekese rudzi rwehutano hwepfungwa hwehutano iwe, chiremba wako angashandisa zvinotsanangurwa. Somuenzaniso, kana iwe uine kuora mwoyo kwakanyanya nezviratidzo zve melancholia, unogona kuonekwa kuti une dambudziko guru rekuora mwoyo ( chirwere chakazara) nehutachiona huri (zviratidzo zvakananga).
Dzimwe nyaya dzingafungidzirwa dzinosanganisira:
- Bipolar disorder
- Cyclothymic disorder
- Kuramba uchiora mwoyo
- Zvinokanganisa mafungiro ekuderedza chirwere
- Premenstrual dysphoric disorder
- Kushungurudzika kunokonzerwa nemishonga isina kukodzera, mishonga yakatemwa kana chirwere chepanyama
Vanhu vakwegura, varwere, uye avo vanoratidzira maitiro e- psychotic vari pangozi yakawanda yekunyungurudzika kwechisimba.
Zviratidzo
Kuti uongorwe uine zvinhu zvinonyangadza, iwe unofanirwa kunge uine zvitatu zvezviratidzo izvi:
- Unhu hwakasiyana hwehupenyu hunoora mwoyo hunoratidzika nekuora mwoyo, kuora mwoyo, kana kusina maturo: Hausi kungoshungurudzika kana pasi nekuda kwechiitiko cheupenyu, sekufa kwomunhu waunoda. Zvauri kunzwa zvinopfuura izvozvo.
- Kuora mwoyo kunowedzera kuipa mangwanani
- Mambakwedza mangwanani achimuka kwemaawa anenge maviri mberi kwekugara
- Kushungurudzika kwepfungwa kunokanganisa , kunonoka kwechimiro chakanaka, kana kushungurudzika , kuwedzera uye / kana kusagadzikana kufamba
- Anorexia kana kuora kurasikirwa
- Kukanganiswa kwakanyanya kana kusina kukodzera
Kurapa
Nokuda kwekuora mwoyo kwepfungwa, mishonga inowanzova inofanira kunge inofanirwa nokuti inoratidzika ine ine mudzi wehupenyu. Mune mamwe mazwi, sezvo zvisinganzwisisiki nemamiriro ezvinhu kunze, zvikonzero zvinoita sezviri kunyanya zvichibva pakugadzirwa kwemajini uye huropi hunoita basa, zvichida mushonga unoshanda pazvinhu zvinokonzerwa nehupfungwa sehuropi hunoita.
Zvinyorwa zvezvinonzi antidepressants zvinogona kushandiswa pakuora mwoyo kunosanganisira:
- Kusarudza serotonin reuptake inhibitors (SSRIs): Mishonga iyi inoshanda nekushandura nzira iyo serrotonin yeurourotransmitin inoshanda muuropi, kuvandudza mafungiro. Mhando dzakasiyana dzinosanganisira Prozac (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), uye Lexapro (escitalopram).
- Serotonin-norepinephrine reuptake inhibitors (SNRIs): SNRIs inoshandisa nzira iyo yese serotonin uye norepinephrine inoshanda muuropi. Mhando dzakasiyana ndeye Cymbalta (duloxetine) uye Effexor (venlafaxine).
- Norepinephrine uye dopamine reuptake inhibitors (NDRIs): Wellbutrin (bupropion) ndiyo chete mishonga mukirasi ino inobata norepinephrine uye dopamine.
- Atypical antidipressants: Mishonga iyi inokanganisa makemikari ehupi anoita seanovandudza mafungiro. Mienzaniso yemishonga munharaunda iyi Remeron (mirtazapine), Oleptro (trazodone), Brintellix (vortioxetine), uye Viibryd (vilazodone).
- T ricyclic antidepressants (TCAs): Iyi ndiyo chizvarwa chekutanga chekudzivirira mwoyo uye inogona kuva nemigumisiro yakawanda kupfuura zvitsva zvitsva. Iyi kirasi inosanganisira Tofranil (imipramine), Pamelor (nortriptyline), uye amitriptyline.
- Monoamine oxidase inhibitors (MAOIs): Ichi ndicho chikwata chakare chekare chinodhaka chinogona kuve nemigumisiro yakakomba asi chinogona kuva chakanaka kune vamwe vanhu. Mishonga inokosha mukirasi ino ndiParnate (tranylcypromine), Nardil (phenelzine), uye Marplan (isocarboxazid).
Sources:
Telles-Correia, D, Marques, JG. "Melancholia pamberi pezana remakore rechimakumi maviri: kutya uye kushungurudzika kana kusarura zvishoma?" Mitsva muPsychology . 2015; 6: 81.
Dewhurst WG. "Melancholia uye Kuora Mwoyo: Kubva Hippocratic Times kusvika Mazuva Ano." Zvinyorwa zvePsychiatry neNeuroscience . 1992; 17 (2).
"Kuora mwoyo (chikuru chekuora mwoyo chirwere)." Mayo Clinic (2015).