Kururamisa mishonga kunogona kuvimba nezvakakodzera kuongororwa
Mukuwedzera kune zviratidzo zvepfungwa zvekuora mwoyo , kushaya mwoyo kunotaridzika kunotsanangurwa nekwanisi yekuzvinzwa zviri nani kwenguva pfupi mukupindura kune chiitiko cheupenyu hwakanaka, pamwe chete chero zvipi zviviri zvezvinotevera: kurara zvakanyanya, kudya, kudya, kunzwa kunetseka mumakumbo uye kunzwisisika kukaramba.
Varwere vane dambudziko rekuora mwoyo kunowanzova nemakore ekutanga okutanga kupfuura avo vane mamwe maitiro ekuti anowanzotanga kuonekwa mumakore ekuyaruka.
Ava varwere vanogonawo kunge vane nhoroondo yehutano hwevanhu , kusazvidzivirira uye hupenyu hwemuviri dysmorphic disorder .
Inonyanya Kudii Kuora Mwoyo?
Pasinei nezita racho, kunyanya kuora mwoyo kunonyanya kuwanda kunonyanya kuora mwoyo, maererano naDr. Andrew A. Nierenberg, ari mutungamiri wepfungwa yekurapa uye chirongwa chekutsvakurudza ku Massachusetts General Hospital, Boston. Muchidzidzo che1998, iye neshamwari dzake vakawana kuti 42% yevatori vechikamu vaiva nehutachiona hwekuora mwoyo, 12% yaiva nehupenzi hwekuora mwoyo, 14% yaive neyese kuora mwoyo subtypes, uye vamwe vakanga vasina. "Zvakawanda kupfuura isu tose tinofunga." Hapana mubvunzo kuti tinozvifungisisa, "akadaro Dr. Nierenberg.
Kurapa
Kuita chirwere chakakwana chechikamu ichi chakakosha mukupa murwere aine utano hwakanaka. Kunyange zvazvo sarotonin reuptake inhibitors (SSRIs) yakasarudzwa uye iyo mimwe mishonga mitsva inowanzotanga kusarudzwa kwehutano hwepfungwa nemhaka yezvakanaka-zvo-maitiro emagariro, varwere vane dambudziko rekushungurudzika vanowanzopindura zviri nani monoamine oxidase inhibitors (MAOIs).
Kunyange zvakadaro, SSRIs inogona kutarisirwa kutanga nemhaka yokuti haine mikana yemigumisiro yakakomba kana mitemo yezvokudya iyo MAOIs inoita.
Zvinofadza, zvakadaro, kurapwa kwemishonga kunogona kunge kusingakoshi zvachose. Chimwe chidzidzo chakaitwa muna 1999 chakawana kuti varwere vanoziva kugadzirisa-behavioral therapy (CBT) vakapindura pamwe chete nevarwere vanogamuchira MAOI phenelzine.
58% yevarwere mumapoka acho maviri akapindura, achienzanisa ne 28% chete yevarwere muboka re placebo.
Chimwe chidzidzo chakaitwa muna 2015 chakaratidzawo kuti mishonga yekurapa kwechipiri-chizvarwa chechirwere chinodzvinyirira uye CBT, pamwe chete kana kuti pamwe chete, yakanga yakafanana nevarwere vane chirwere chikuru chekuora mwoyo. Zviri pachena, kutsvakurudza kwakawanda kunofanira kuitika pane izvi.
Kana Iwe Unofunga Iwe Une Atypical Depression
Zvakakosha kuona chiremba chepfungwa panzvimbo pane chiremba wako wokutanga kurapwa. Hasi dzose dzinoyerera zvakafanana kana kuti dzinopindura mishonga imwe chete. Chiremba wegadziriro yevanhu vakawanda haafaniri kunge ane ruzivo rwakakosha kuti aparadzanisa pakati pe subtypes yekuora mwoyo kana kuziva kuti sarudzo dzipi dzinogona kushanda. Iwe unogona kutambura zvisina kufanira sezvo chiremba wako achiedza zvose zvinodhaka zvinodhaka. Zvichipa iyo chaiyo yekuora mwoyo, izvi zvinongomanikidzira manzwiro ako akatotambudzika.
Kana iwe ukamanikidzwa nehushuwarisi kana mamiriro ezvinhu emari kuti uone chiremba wekutarisira kurapwa kwekurapa kwako, unofanirwa kuita chirevo chekuita kukanganisa kunogona mukuziva kwechiremba wako. Izvi hazvifananidzi sezvinofanira kuva, chokwadi, asi kusvikira pane kuchinja kukuru muhutano hwedu hwehutano, zvinogona kudiwa.
Kana iwe ukazvidzidzisa iwe uye ukashanda nesimba mukurapa kwako, iwe hauzombokwanisi kupfuurira kuburikidza nekunyangarika kwekuongorora.
Sources:
Clinical Psychiatry News 26 (12): 25, 1998.
Nyaya yeCliniki Psychiatry 59 Kubatsira 18: 5-9, 1998.
American Journal of Psychiatry 157 (3): 344-350, Mar 2000.
Archives of General Psychiatry 56 (5): 431-47, May 1999.
Singh, T. naWilliam, K. "Atypical Depression." Psychiatry MMC, 3 (4), 2006.
" Kuenzanisa kunobatsira uye kushungurudzwa kwechipiri-chizvarwa chinodzvinyirira uye kugadzirisa maitiro ekurapa maitiro mukutanga kurapwa kwechirwere chikuru chekuora mwoyo: kuongorora nekugadzirisa nekuongorora meta." BMJ 2015; 351: h6019.