Vanhu vane dambudziko rekushungurudzika vanowanzoda kuziva kana kune imwe nzira kana mishonga inogona kubvisa zvachose zviratidzo. Ichokwadi ndechekuti chirwere chinotyisa hachigoni kupora zvachose. Zvisinei, inogona kunyatsogadziriswa kusvika pakuti haisisiri kunyanya kukuvadza hupenyu hwako.
Chimwe chikonzero nei pasina munhu anogona kutaura kuti ane mushonga ndechokuti chinotyisa chinokanganisa zvikuru kubva kumunhu kumunhu.
Izvo zvinoshanda kune kumwe kunetseka kutambura zvinogona kunge zvisina kubudirira zvachose kune imwe. Kunyange zvazvo pasina magic kuvhara mamiriro ezvinhu ose ekutyisa, kuburikidza nekurapwa, kushivirira, uye kushivirira, unogona kuwana nzira dzipi dzinobatsira iwe kugadzirisa chirwere ichi. Zvinyorwa pasi apa ndezvinyanya kukosha zvekutarisana nekutya chirwere.
Cognitive Behavioral Therapy
Unyanzvi hwehutano hwepfungwa hunogona kukubatsira mukuvandudza nzira dzekuchinja mafungiro ako nemafambiro anobvumira kusunungura nekusingaperi. Kune mhando dzakasiyana dzehutano hwepfungwa dzakaratidzwa kuti dzinobatsira mukutyisa dambudziko. Chimwe chezvinhu izvi, kugadzirisa maitiro ekurapa, kana kuti CBT chete, nzira yekurapa inosanganisira kudzidza nzira dzekuzorora, kushandura kusagadzikana kufunga mafungiro, kutarisa kushungurudzika, uye kuwedzere kuzvidzora mukuedza kurarama nekutya chirwere.
Kufambira mberi kana kufambira mberi kune imwe nzira inonzi CBT inoshandiswa nevarapi kuti vaudze varwere zvishoma nezvishoma kutya kwavo uye kutya kunotevera nekuvadzidzisa kuti vasunungure pavainetseka.
Somuenzaniso, kana kutya kwako kunokonzerwa nokufambisa kune imwe nzira, mushandi wako angave iwe unotanga nokufungidzira motokari dzinotyaira parwendo. Iwe uchazove wakarayirwa kuchengeta chifananidzo ichi mupfungwa sezvo iye achikutungamirira iwe kuti uone kukosha kwako. Izvi zvinotarisa pamanzwiro asina kunaka zvinoteverwa nekutungamirirwa kutungamira kuponesa muviri nemafungiro zvose nei uchichengetedza mufananidzo unotyisa mupfungwa.
Pamusoro pezvikamu zvezvikamu, murapa wacho achawedzera zvishoma nezvishoma kutarisana kwako kukutya kwako, sekuona iwe uchifambisa pamugwagwa, kurega kuva mutakuri mumotokari panzira huru, pakupedzisira uchityaira motokari iwe pachako. Paunenge uchifamba nhanho-ne-nhanho kuburikidza nekushandura uku, iwe ucharamba uchidzidza kuti ungaramba sei wakadzikama uye uchinzwa manzwiro ekutya.
Self-help
Kune vazhinji vanozvida rubatsiro kunze uko kunotaura nyaya dzine chokuita nekuzvidya mwoyo uye kunetseka kwepfungwa. Aya mazano akafanirwa kukupa iwe ruzivo pamusoro penzira dzekutarisira kutya iwe pachako. Nzira dzakasiyana-siyana dzokuzvibatsira dzinosanganisira:
- Maitiro ekuzorora , zvakadai sekutambanudza uye kufema zvakanyanya
- Kutaura kwakanaka uye kuzvitaura
- Kuumba runyararo uye nekukurudzira maziso
- Kutamba uye mamwe maitiro ekunyora
- Kushandisa unyanzvi hwokugadzira kutaura manzwiro
- Chikafu chakakodzera uye kurapa muviri
- Kushandura mafungiro asina kunaka ehurongwa kune mamwe mazano anovaka uye ane tariro
- Lifestyle kukurudzira, zvakadai sokuwana zvakakwana kurara uye kuderedza kushandiswa kwekakineine
Mishonga
Kurapa chinotyisa chirwere nemishonga inowanzokurudzirwa apo zviratidzo zvinoramba zvichiramba pasinei nekuedza kwakanakisisa kuzvidzivirira kuburikidza nekurapa uye mazano ekuzvibatsira.
Mishonga inogonawo kuonekwa apo kutya kwepfungwa kwakave kwakanyanyisa zvokuti kunokanganisa kushanda kweumwe munhu. Mishonga inogona kurongedzerwa kwenguva shomanana uye zvichida haifaniri kutorwa nokusingaperi.
Vanachiremba vezvechiremba, vakadai sechiremba wemhuri kana chiremba wepfungwa, kazhinji vanorondedzera anodzvinyirira nokuda kwekutya chirwere. Kirasi yevanhu vanodzvinyirira zvinonzi Selective Serotonin Reuptake Inhibitors, kana SSRI , inowanzonyorwa. Aya SSRI anosanganisira Prozac (fluoxetine), Zoloft (sertraline), Paxil (paroxetine), uye Celexa (citalopram). Vanogona kugadzirisa manzwiro ekuzvidya mwoyo uye kunogona kuderedza zviratidzo zvekuora mwoyo, izvo zvinowanzobatana-zviripo nekutya chirwere.
Zvinonzwisisika, mishonga iyi ichava nezvimwe zvinetso. Mimwe migumisiro yakawanda inosanganisira kusagadzikana kwepabonde, kuchinja kwekureruka, uye nyaya dzekurara. Kana uri kufunga nezvekurwisa zvinodhaka, iva nechokwadi chekuongororazve zvingave nemigumisiro yechirwere uye zvinogona kuitika kune chiremba wako. Vanodzvinyirira vanogona kutora masvondo maviri kusvika kuchina kuti vatange kushanda uye havakwanise kuregererwa pakarepo. Paunenge wakagadzirira kubvisa kushandiswa, chiremba wako achada kukurumidza kukubvisa pamutemo wako nekuderera zvishoma nezvishoma kuderedza kuwanda kwako.
Bhenzodiazepines runyararo ndeimwe rimwe kirasi yemishonga inoshandiswawo kudzikisa kushushikana uye kuderedza kutya. Xanax (alprazolam), Ativan (lorazepam) neKlonopin (clonazepam) inowanzorongedzerwa kune vanotya zvirwere kuti vape kukurumidza kuderedza zviratidzo zvekuzvidya mwoyo. Iko kune zvimwe zvingaita zvekushungurudzwa nemishonga iyi. Mishonga yakadaro inozivikanwawo kuti iite kuvhiringidzika, zvinoreva kuti nekufamba kwenguva, dising yakakwirira ichadikanwa kuitira kuti iwane migumisiro yakafanana. Chimwe chinetso nemishonga iyi ndeyekuti kana munhu atorerwa kubva kwavari, kushungurudzika kwavo kunogona kudzoka zvakanyanya kudarika kupfuura kare. Mhinduro yako uye zvinetso zvako zvinogona kugara zvichikurukurwa nachiremba wako usati watanga chero mishonga.
Mukuvhara, hapana nzira imwe chete iyo inoshanda kumunhu wose. Ipai nzira dzakasiyana edza kuedza kuti chii chinoshanda kwauri. Kunyange zvazvo pasina mushonga, iwe unogona kuve nekugadzirisa kwenguva refu kuburikidza nekuwana mukana wakakwana wemishonga unoshanda kwauri.
Sources:
American Psychiatric Association. Kuongororwa uye Statistical Manual yeMental Disorders. 4th ed. Washington, DC: American Psychiatric Association, 1994.
Bourne, EJ Kufunganya uye Phobia Workbook. 4th ed. Oakland, CA: New Harbinger, 2005.
Hofmann SG, & Smits, JA Kuchengetedza-Maitiro Okugadzirisa Kwevanhu Vakwegura Kuzvidya Mwoyo: Meta-Kuongororwa kweRandomized Placebo-Dzakanetswa Miedzo. Nyaya yeKliniki Psychiatry. 69 (2008): 621-632.