Kuora mwoyo uye kuora mwoyo kunowanzoenda pamwe chete, asi izvo zvakatanga kutanga hazvirevi nguva dzose. Mune zvimwe zviitiko, zvinodhaka kana doro zvinoshandurwa kuti zvive zororo kubva mukurwadziwa kwepfungwa kwekuora mwoyo. Mune vamwe, kuora mwoyo kunowedzera semugumisiro wekushungurudzika mupfungwa uye mumuviri kunoitwa nekudhakwa.
Izvi zvakajeka ndeizvi: Kana zvinhu zvinoshandiswa kuwirirana-zvinoitika nezvirwere zvepfungwa zvakadai sekuora mwoyo, nyaya dzinogona kudyidzana, zvichiita kuti zvisizvo zvakaipa zviwedzere.
Uye kana chirwere chimwe chichibatwa kunze kwechimwe, kupora kunowedzera kuderera.
Kudiwa kweKubatanidzwa kwakarapwa
Kushungurudzwa Kwemishonga uye Mental Health Services Administration (SAMHSA) inofungidzira vanhu vanosvika mamiriyoni 9 vane hutano hwepfungwa nehutano hwekushandisa, asi vanenge 7 chete vanowana rubatsiro rwemamiriro ose maviri. Mamwe akawanda, anosvika 60 kubva muzana, havawani kurapwa zvachose. Pakati pevechiri kuyaruka, zvidzidzo zvinoratidza kuti pakati pe55-74 muzana yevaya vanotsvaka kurapwa kwezvinodhaka uye vane utano hwepfungwa dzakadai sekuora mwoyo kana kushungurudzika, asi izvi hazviwanzogadziriswa.
Pasina kunyatsorapwa, pane mikana yakawanda yezvakaipa zvakadai sekushaya utano hwakanaka mumuviri, kukura kweimwe dambudziko rehutano hwepfungwa, kurarama kwenguva shoma, kusava nemusha uye kuvharirwa.
Kuzviuraya kunowedzerawo ngozi. Vaya vanoshandisa zvinhu vatova pangozi huru yekuzvitora hupenyu hwavo.
Kutaura zvazviri, avo vane doro zvinowanzova pangozi yepamusoro 10 yekuzviuraya kupfuura yevanhu vose, uye iyo inokwira kune dzimwe nguva 14 ngozi huru kune avo vanopinda mishonga. Apo kushandiswa kwezvinhu zvinosanganiswa nekuora mwoyo, chinokonzera chinokonzera kuzviuraya, njodzi yekuzviuraya inokura inokura zvishoma nezvishoma.
Kunyangwe apo rubatsiro rwekurapa runodiwa ruchauya, avo vane dambudziko rekuitika pamwe chete vanotarisana nematambudziko akawanda. Doro nezvinodhaka zvinogona kupinda munzira yekurapa kwepfungwa, uye kuora mwoyo chinhu chinonyanya kukosha chokudzoka zvakare kumashandisi ekushandisa. Uye kune rimwe dambudziko: Avo vanorwisana nemishonga vanowanzosaziva kuti vari kutarisana nekuora mwoyo. Kuita zvinodhaka kunogona kutora nzvimbo yepamusoro uye kunouya kuonekwa sechinetso chikuru kana zviripo kazhinji chiratidzo chekuora mwoyo. Munhu ane hupenyu hwakamupopotedzana naye nekuda kwekushandisa kwake doro, somuenzaniso, angangoerekana achifunga kuti kunwa kwake kunokonzera kuchema kwake panzvimbo yekuziva kuti kuderera kwake kunogona kunge kwakaita kuti adwe. Kurapa kungoita zvinodhaka chete, chaizvoizvo, kunoshaya chikamu chinokosha chepikicha.
Kubatanidzwa kwehutano hunotarirwa kuzivisa uye kuporesa kuora mwoyo uye kupindwa muropa pamwe chete hakusi kungobatanidzwa chete nemigumisiro iri nani asi nechepasi rose mari kumunhu uye kumunharaunda, SAMHSA inotaura. Boka rehutano revanhu, iro rimwe remazhinji rinokurudzira kubvumirwa kukuru uye kuwanika kwehutano hwakabatanidzwa, inopa ruzivo rwezvinyorwa zvemashoko kubatsira nyika, mharaunda nemasangano vanogadzira humwe humwe uchapupu hunotungamirirwa.
Kubata zvinetso kutanga kwekutanga kunokosha zvakare. Nokuti kuora mwoyo kunoita kuti munhu awedzere kunetseka pakukura nekudhakwa uye zvakasiyana-siyana, kurapa magazini imwe neimwe pakarepo painooneka kunogona kudzivirira dambudziko rimwe kuti risapinda kuva maviri. Kutsvakurudza kwakawana, somuenzaniso, kuti vechidiki vakabata kurapwa kwavo havakwanise kushandiswa zvinodhaka mushure mehupenyu.
Treatment Approaches
Nokuda kwekuoma kunzwisisa kwechiviri chekutsvaga kwekusagadzikana uye kuora mwoyo, hapana nzira imwechete yakarurama yekuitora nayo; asi, kune nzira dzakaratidzwa kuti dzinobatsira. Mishonga yakadai sealtrexone uye acamprosate, somuenzaniso, inogona kudzivisa kukwirira kwemamwe madhiragi uye kuderedza zvido.
Zvirwere zvepabonde zvakadai seProzac, Zoloft, Paxil uye Wellbutrin, kungoti mazita mashomanene, zvinogona kubatsira kutonga masero europi anokanganisa mafungiro. Mishonga yakadaro dzimwe nguva inouya nemigumisiro, zvisinei, saka fungidzira zvikwereti kune zvipingamupinyi nemutano wako wehutano.
Mishonga inonyanya kubudirira kana inoshandiswa pamwe chete nemumwe munhu uye mhuri yekurapa, uye nema psychotherapies zvakadai sokufungisisa kwehutano hwehutano (CBT), iyo inodzidzisa mararamiro akanaka ekufunga. Kutsvakurudzwa kwemazuva ano kunopa uchapupu hwehutano hwokuti CBT ibudirire, kuratidza kuti inogona kuchinja ropa zviratidzo zvakabatana nekuora mwoyo kune vamwe. Mindfulness therapy ndiyo imwe nzira yakakurumbira yekurapa; tsvakurudzo yakaratidza kuti inogona kunge yakakosha seCBCT yekuora mwoyo.
Zvichienderana nekuoma kwehutano uye hutano hwehutano, rubatsiro runogona kuwanikwa kuburikidza nemhando dzakasiyana-siyana: inpatient uye kunze kwekugadziriswa kwezvekugadzirisa, kusarudzwa kune mumwe munhu kubva kumurangariri, murapi kana mupfungwa, pamwe nemapoka ekutsigira pamwe akadai se SMART Recovery kana Alcoholics Anonymous. Pasinei nokuti iwe unotsvaga rubatsiro, zvisinei, tarisa avo vanonzwisisa kuoma kwezvinhu zvinoitika pamwe uye vakagadzirira kukubatsira kuti uite zvose. Nenzira iyo, kutenderera kunogona kutanga kuchinja. Panzvimbo pekuora mwoyo kwako uye kupindwa muropa nekugadzirisa kuita kuti mumwe nemumwe awedzere, vanogona kutanga kutarirana zvakanaka.
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