Chirwere chepfungwa chinokonzerwa nehuwandu (GAD) chinozivikanwa kuti chinowanzotarisana nemamwe matambudziko emanzwiro uye emitemo, kusanganisira kuora mwoyo, zvimwe zvinetso zvekuzvidya mwoyo, uye zvinetso zvekushandisa zvinodhaka .
Kunyange zvazvo nzira chaiyo iyo munhu anowedzera kuwirirana kwezvinokonzera kushushikana uye kusagadzikana kwezvinoshandiswa kwezvinhu zvinoramba zvisina kujeka, kuzvipira kunofungidzirwa kutamba basa rinokosha.
Kana munhu akasarudza kuzvimiririra kuti ashandise chinhu kuti anyaradza kana kugadzirisa zviratidzo zvakasiyana, zvinonzi "kuzvirapa." Kuzvipa mishonga kazhinji kunopa hurumende yekunzwa kusanzwisisika kana manzwiro, ayo anosimbisa kushandiswa kwayo. Kutsvakurudzwa kwemazuva ano kunoratidza, zvakadaro, kushandiswa kwedoro kana madhiragi kurarama nezviratidzo zvekuzvidya mwoyo kunogona kunyanya kuoma sezvo ichipa mimwe mungozi yekupedzisira kugadzira kushandiswa kwemishonga.
Ukama Pakati peGAD uye Matambudziko Okushandisa Kwezvinhu
- Kunyange zvazvo GAD ichizivikanwa kuti inokanganisa vakadzi kumatunhu akakwirira , kuwirirana kweGAD uye zvinetso zvekushandisa zvinhu zvinowanzokonzera varume.
- Maererano nemushumo wekupedzisira kubva kuongororo yenyika pamusoro pezvinetso zvekushandisa zvinhu, vanhu vane gadhi-inowanzoitika GAD uye kushandiswa kwezvinhu zvinodhaka zvinowanzoita kuti mhuri ive nenyaya yekudhakwa kana kudhakwa kwezvinodhaka kune avo vane GAD voga.
- Kuvapo kwechirwere chekushandisa kushandiswa kunosanganiswa nezviratidzo zvakanyanya kukurumidza kuzvidya mwoyo uye kuora kwehuwandu hwezuva nezuva. Kuenzaniswa nevanhu vakuru ne "vasinganzwisisiki" GAD, avo vane GAD nedambudziko rekushandisa zvinhu zvinowanzoita kuti varatidze kushaya hutano hwakanyanya, kurondedzera zvakanyanya kupesana nevanodiwa, uye kubvumira kuoma kwakawanda kupedzisa mabasa avo ezuva nezuva.
- Kunyange zvazvo vanhu vane gadhi-inowanikwa muGAD uye zvinetso zvekushandisa zvinodhaka zvine huwandu hwezvimwe zvinokonzera mamiriro ezvinhu epfungwa (zvakadai se bipolar disorder, panic disorder , kana kushungurudzika kwevanhu mumagariro evanhu ) kupfuura avo vasina kushandisa dambudziko rekushandisa, mitengo yekutsvaga kurapa yakaenzana, uye yakaderera, kumativi ose.
- Pasinei nokuvapo kwechirwere chekushandisa, chirwere ichi chikuru chakawana kuti inenge hafu yeavo vakaonekwa vane GAD havana kuwana kurapwa. Vanhu vakazopedzisira vachitsvaga kurapwa vakaita kudaro, paavhareji, makore maviri mushure mokutanga kwezviratidzo zvavo zvekuzvidya mwoyo.
- Zvisinei, kune magadzirirwo anobudirira kune zvose GAD uye zvinetso zvekushandisa zvinhu. Zvichienderana nehutachiona hupi hunofungidzirwa hukuru uye hutsinye hwemamiriro ose ega, kurapwa kwechirwere chimwe chinogona kuteverwa nehutano hwechirwere chechipiri, kurapwa kwezvinhu zvose zviri zviviri zvinogona kuitika zvakafanana nemakiriniki akasiyana, kana kuti kurapwa kunogona kusanganiswa zvokuti kubata (kana kuti kunyatsotariswa) panguva imwe chete neyechiremba mumwe chete.
Kana iwe ukazviwana iwe uchishandisa zvinodhaka kana doro kuti uchengetedze kuzvidya mwoyo kwako, hazvirevi kuti ndiyo inogadzirisa dambudziko racho. Kunyange zvazvo zvimwe zvinhu zvingabatsira nekuzvidya mwoyo munguva shomanana, zvinokonzera ndezvenguva pfupi. Uye kushandiswa kwezvinhu izvi kunogona kuumba kugadzikana kwepfungwa kana zvepanyama, izvo zvinokonzera kana kuwedzera mamwe matambudziko ehupenyu uye pakupedzisira zvinowedzera zviratidzo zvekuzvidya mwoyo.
Kana iwe (kana munhu waunoda) uchinetseka nezvekushandisa kwako zvinhu kuti utsungirire kuzvidya mwoyo, iwe unofanirwa kuwana kune zviratidzo zvechinetso chekushandisa zvinhu uye kuti ungaedza sei kuchinja mafambiro aya.
Funga kutaura nemupiki wehutano hwepfungwa kana chiremba wako maererano nemamiriro ako ezvinhu; mumwe chiremba achakwanisa kukubatsira kuti uongorore zviratidzo zvako uye kunzwisisa zvinorapwa zvirongwa zvingave zvakakosha zvakakodzera kune zvaunoda. Kana usina chokwadi nezvezviwanikwa munharaunda yako, unogona kuwana rubatsiro kunharaunda yako kuburikidza neDambudziko rekushandisa Dambudziko reMishonga uye Mental Health Services Administration (SAMHSA) kana National Alliance pamusoro peMental Illness (NAMI) (iyo inopawo mamwe mashoko ehutano pamusoro pehuviri hutachiona).
> Sources:
> Alegria AA, Hasin DS, Nunes EV, Liu S, Davies C, Grant BF, Blanco C. Comorbidity yezvinokonzera kushungurudzika kwepfungwa: zvinokonzerwa nekuongorora kwepademiologic yenyika pamusoro pezvinodhaka nehukama. J Clin Psych. 2010; 71: 1187-1195.
> Robinson J, Sareen J, Cox BJ, Bolton JM. Basa rokutora mishonga mukukudziridza kushungurudzika kunokonzera uye kushandiswa kwemishonga. Arch Gen Psych 2011; 68: 800-807.
> Smith JP, Randall CL. Kuzvidya mwoyo uye kushandiswa kwezvinodhaka zvinodhaka: kukanganisa uye kurapa. Doro Res 2012; 34: 414-31.