Generalized Anxiety Disorder Treatment
Chirwere chinokonzerwa nekuzvidya mwoyo (GAD) chirwere chepfungwa chinoratidzirwa nekusingaperi, kusagadzikana kunetseka. Kuzvidya mwoyo kunowanikwa nevanhu vane GAD kazhinji kunoperekedzwa nezviratidzo zvakasiyana-siyana zvemuviri uye nemitemo yekufunga iyo inowanzokonzera kushungurudzika.
Munhu wose anonzwa kushungurudzika. Asi vanhu vane GAD vanowanzovhiringidzika nekushungurudzika kwavo, kudzivisa zvinhu zvinogona kukurudzira kushungurudzika, uye "pamucheto" pasina tsanangudzo.
Muzviitiko zvakawanda zveGAD, kusazvidya mwoyo kunokanganisa hukama hweumwe munhu uye / kana kushanda kuchikoro kana basa.
Kurapa kweGAD kunosanganisira kubatsira vanhu kunzwa zviri nani mupfungwa uye mumuviri uye kuwedzerwa kushamwaridzana nevanhu, nzvimbo, uye mamiriro ezvinhu akamboita kuti vazvidye mwoyo. Tichifunga nezvehutano hunoita kuti kushungurudzika kunogona kuve nekushanda kwezuva nezuva, kunyange kunyanya kunetseka kunetseka kusingasviki pachikumbaridzo chekusimudzirwa kwakasimba kungafanirwa kushanda.
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Nzira Yokuwana Nayo Mishonga Yakanakisisa yeGeneralized Anxiety Disorder
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Zvaunotarisira Nekusuruvara Kwekodzero Kurapa kweGAD
Psychotherapy
Psychotherapy inoratidzirwa maitiro ekurapa kweGAD. "Kutaura kurapwa" kunogona kuitwa nevanorwara vehutano hwakasiyana-siyana , uye kunyange nzira dzinotsanangurwa pasi apa dzinogona kuwirirana, dzinotungamirirwa nedzidziso dzakasiyana uye dzinosimbiswa.
Kuchengetedza kwehutano hwehutano (CBT) ndiyo inoratidzirwa kurapwa kweGAD. Icho chinonzi psychotherapy chinogadziriswa nehutano hwakasimba hunotsigira kushandiswa kwayo kune vanhu vakuru uye vana nevechiri kuyaruka . Yakange ichibatanidzwa nekuderedza kudiwa kwemishonga mune vamwe vanhu. CBT inowanzopora nguva shoma, yakagadzirirwa kurapwa inonyanya kutarisana pakati pemafungiro anoziva, manzwiro, uye mafambiro anowedzera kushungurudzika.
Kubvuma uye kuzvipira kurapa (ACT) kune imwe yemazuva ano-uye inotarisana nematambudziko ekutaura, uye inofungidzirwa nevamwe kuti ihama yeBBC. Chinangwa chekurapa uku, zvisinei, ndechokuderedza kurwisana kunodzora kufunga kunetseka kana kusanzwisisika kunzwisisika uye kuwedzerwa kubatanidzwa mumabasa anokosha anowirirana nehupenyu hunosarudzwa hunokosha . ACT inogona kubudisa zviratidzo zvekuvandudza kune vanhu vane GAD , uye inogona kuva yakakodzera zvakakwana kune vakwegura .
Dzimwe mhando mbiri dze "talk therapy" -pyydynamic therapy uye psychotherapy yakasiyana-dzimwe nguva inoshandiswa pakurapa GAD. Psychodynamic psychotherapy inobva pane pfungwa yokuti mafungiro nemanzwiro ari kunze kwekuziva kwedu (kureva, kunze kwekuziva kwedu) kunogona kutungamirira kumakakatanwa emukati uye kuratidza sekufunganya. Kushanda kwepfungwa psychotherapy (IPT) nguva isingagumi, kurapwa kwemazuva ano zvichienderana nekufungidzira kuti zviratidzo zvinogona kukonzerwa kana kuchengetedzwa nezvinetso muhukama, uye kugadzirisa zvinetso izvi kunogona kubatsira kuderedza zviratidzo.
Kuti udzidze zvakawanda pamusoro pezvirevo izvi, uye zvidzidzo zvekushandisa kwavo kune vanhu vane GAD, tapota ona GAD Psychotherapy Guide .
Mishonga
Mishonga yekunyanya kushanda nekubatana nemakemikari europi anonzi neurotransmitters. Mishonga inonyanya kuvhara iyo inogona kuvhiringidza kuvhara kana kuwedzera chiito cheimwe kana akawanda emakemikari aya.
Mhando dzakasiyana dzemishonga inoshandiswa mukurapa kufunganya dzinosanganisira:
- kusarudza serotonin reuptake inhibitors (SSRIs)
- serotonin uye norepinephrine reuptake inhibitors (SNRIs)
- anxiolytics
- tri-cyclic antidepressants
Uyewo, imwe "yakwegura" yakakura yevanorwara-anti-depressants-monoamine oxidase inhibitors (MAOIs)-dzimwe nguva inoshandiswa.
Vanodzvinyirira vane unyanzvi hwakanyatsokwanisa kubatsira nezviratidzo zveGAD, asi vanogona kutora vhiki dzinoverengeka kuti vashande. SSRIs, yakadai sa sertraline (Zoloft) kana fluoxetine (Prozac), inowanzoonekwa seyakanaka, sarudzo yekutanga yekurapwa kweGAD nokuti ine mishonga yakachengeteka iyo inowanzove yakarasikirwa nemunhu mumwe nomumwe.
Anxiolytics, yakadai sebhenzodiazepines, haibate chikonzero chinokonzera kushungurudzika, asi inoshanda mukurapa zviratidzo.
Zvisinei, iyi kirasi yemishonga ine zvimwe zvinokanganisa zvinokonzera, kusanganisira zvinogona kukanganisa zvakadai sedation uye chido chekuita tsika. Buspirone (Buspar) mishonga imwe chete mukirasi ino inobvumirwa kuti kurapwa kweGAD uye isingazikamwi kuva tsika yekuumba. Pane humwe uchapupu hwokuti buspirone inogona kubatsirawo kuwedzera kuodzwa mwoyo.
Tricyclic vanodzvinyirira ndiwo rudzi rwekare rwemishonga inodzvinyirira iyo inoshandiswa zvishoma kudarika nokuti inogona kutakura zvimwe zvingava nemigumisiro yakaoma.
Kuti udzidze zvakawanda pamusoro pemishonga inoshandiswa uye nzira dzavo dzekuita, verenga mufananidzo uyu weMishonga yeGAD .
Self-Help
Kuzvidavirira kunoreva nzira dzisinganyanyogadziriswa dzinogadzirisa zviratidzo zvekuzvidya mwoyo nehutungamiri hushoma (kana kwete). Semuenzaniso, kune mabhuku akawanda ezvokubatsira anopa rubatsiro mune zvinyorwa-nhanho maitiro uye anonyatsoratidza hutano hunotungamirirwa nepfungwa dzeGAD, dzakadai seBBCT kana ACT.
Nekuuya kwe teknolojia yekombiyuta uye kuwedzera kukurumbira kwekushanda kwekushandisa, kune ikozvino zvakare magetsi ezvokubatsira masarudzo anounza mapurogiramu anonzwisiswa nehupupu-based based GAD treatment.
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Zvamunoda Kuziva Kutora Mishonga yePsychotropic Zvakachengeteka
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Kubvuma uye Kuzvipira Kunogona Kubatsira Kuzvidya Mwoyo
Panewo mapurogiramu anowanikwa nechepakati, ano-iwe-iwe pachako unozvidya mwoyo-zvishandiso zvekugadzirisa, sezvipfeko zvekuzorora uye pfungwa yekufungisisa maitiro .
Kuita Chisarudzo Chakanaka Kwauri
Kutaura nechiremba-chiremba kana mutapi wepfungwa-ndiyo nzira yakanakisisa yekuona nhanho inotevera. Zvichienderana nehutano uye huwandu hwezviratidzo zvekuzvidya mwoyo, imwe kana kusanganiswa kwenzira dzinotsanangurwa pamusoro apa inogona kubatsira.
Muzhinji, kushushikana kana kunetseka kunogona kuwedzera nekushandiswa kwekuzvida rubatsiro. Kuzvidavirira rubatsiro rwezvehupfumiwo zvakare chinhu chakanaka kune avo vanoda kurarama nehupfungwa-based psychotherapy vasingakwanisi kutarisirwa zvakanyanya. Kuzvidavirira zvingashandiswa zvakare pamwe chete nekuendesa kurapwa, kana kudzivirira kudzoka zvakare uye kukurudzira mberi mberi kufambira mberi mushure mekupedzisa kwechikoro chepfungwa.
Kana zviratidzo zvako zvichiramba zvichiitika, zvinoita kuti uite zuva nezuva nekushanda kwako uye / kana hukama hwakakosha muupenyu hwako, kana hunoonekwa zvakajeka kune vamwe, saka zvakanyanya kurapwa kwakakodzera kunofungisisa. Nokuda kwekufunganya kwekuenzanisa kusvika pamwero wakaoma, imwe nzira yepfungwa inogona kuonekwa. Mishonga inogona kubatsira nekuramba uchizvidya mwoyo chero ipi zvayo. Paunofunga nezvepfungwa inopesana nemishonga, zvakakosha kuziva kuti psychotherapy inogona kutora nguva yakareba kuti ipe chiratidzo chekuregererwa kupfuura mishonga, asi migumisiro yacho inogonawo kuva kwenguva refu (kureva, kuongorora uye unyanzvi hunozivikanwa muhutano hwepfungwa hunochengeterwa mushure mekurapwa kwapera). Uye kune vamwe vanhu vane GAD, kuwedzera mishonga-kutora mishonga uye kubatanidzwa mune zvepfungwa-kunowedzera zvigumisiro.
Kuita sarudzo yakakunakira iwe chaizvoizvo chirongwa chekuenderera mberi kuongororwa. Kana ukasarudza nzira yekuzvibatsira, ziva kuti zvirwere zvinoramba zvichiwedzera kana kuwedzera zviratidzo zvaunogona kubatsirwa nemunhu ari-munhu kuongorora nechiremba. Nekurapa kana kurapwa kwepfungwa, itai mubatsiri wamunovimba naye uye mubvunze mibvunzo kunyatsonzwisisa kuti ndeupi rudzi rwehutano hwauchave uchiwana pamwe nehuwandu hwahwo uye huripo (Unogona kuverenga zvakawanda pakusarudza kana mushonga wakakodzera iwe pano). Paunenge uchitsvaga kurapwa kwemhando ipi zvayo, zvinokosha kuti uve nemoyo murefu uye kuti uite zvekutarisa nguva dzose yezviratidzo (uye, pamhosva yemishonga, nemigumisiro) nechiremba wako.
Kuwana Chiremba
Vanachiremba vanonyanya kutarisira vanogona kugovera kutumira kune avo vanovimbika uye vanopa utano hwehutano hwepamusoro. Kana zvisina kudaro, kuti uwane chiremba wezvepfungwa munharaunda yako, tarisa mazano ekudzorera zvakadai se:
- Kunyanya Kuzvidya Mwoyo uye Kushungurudzika Sangano reAmerica
- Psychology Nhasi
- Sangano Rekuzvibata uye Kuziva Zvirwere
- Sangano reChina chekuita maSayenzi
IAmerica Psychiatric Association ndiyo sangano rehurumende rezvepfungwa dzinogona kupawo mazano kuvanhu vanogara munzvimbo iyo vanogona kupa hutano hwepfungwa uye kupa mishonga.
Shoko Rinobva
Kunyange zvazvo zviratidzo zvinosangana neGAD zviri pachena kuti hazvishamisi, mashoko akanaka ndeokuti vanorapa. Mishonga inorondedzerwa pamusoro inotora basa, asi basa richabhadhara muchimiro chekuzorora uye kupera kubva mukuzvidya mwoyo nekuzvidya mwoyo.
> Sources:
> Allgulander C. Chirwere chinokonzera kushungurudzika: kuongororwa kwezvinoitika kuwanikwa. J. Exp. Clin. Med. 2012; 4, 88-91.
> Hoge EA, Ivkovic A, Fricchione GL. Dambudziko rekunyanya kuzvidya mwoyo: kuongororwa uye kurapwa. BMJ. 2012; 345, e7500.
> Kahl KG, Winter L, Schweiger U. Nzira yechitatu yekufungisisa > behavioral > therapies: chii chitsva uye chii chinoshanda? Curr. Opin. Psychiatry . 2012; 25, 522-528.
> Newman MG, Crits-Christoph PF, Szkodny LE. Generalized Anxiety Disorder. MuL Castonguay & T Oltmanns (Eds.), Psychopathology: Kubva kuSayenzi kusvika kuKirinikidzi Practice . New York: Guilford Press. 2013; p. 62-87.
> Roemer L, Orsillo SM, Salters-Pedneault K. Kubudirira kwekugamuchirika-based behavior therapy nokuda kwechirwere chekuzvidya mwoyo kwakawanda: kuongororwa mune rimwe randomized test trial. J. Cons. Clin. Psych. 2008; 76, 1083-1089.