Kubudirira Kurapa Zvokuda kwePanic Disorder
Paniki disorder uye agoraphobia zvinhu zvinoporesa zvikuru. Kutsvakurudza kwakaratidza kuti vanhu avo vakaonekwa kuti vane chirwere chinotyisa chinogona kunyatsorapwa kuburikidza nemishonga, psychotherapy, kana kusanganiswa kwezvinhu zviviri izvi.
Mishonga Inobata Kutambudzika Kunetseka
Kune mishonga yakawanda iyo yakaratidzwa kuva nzira yakachengeteka uye inoshanda yekurapa chinetso chekutya.
Mishonga yekutyisa chirwere inopinda mune imwe yemapoka maviri: antidipressants uye anti-anxiety drugs. Iyi mishonga inogona kurongerwa kuti kuderedze kusuruvara kwekutya kwekutyisa uye kuderedza manzwiro evanhu ekufunganya.
- Antidepressants
Sezvinoratidzwa nezita racho, zvinodhaka zvekare zvakashandiswa pakurapa zvirwere zvepfungwa, zvakadai sokuora mwoyo uye bipolar disorder . Yakazowanikwa gare gare kuti zvinodhaka zvinogona kubatsira kubata zvinetso zvekusuwa, kusanganisira panic disorder. Iyi mishonga inowanikwa kuti inogadzirisa zvakanakisisa kuwedzera kwekutya kwekutya uye kushungurudzika kwevanhu vose. Anodzvinyirirawo anowanzoshandiswa kana munhu ane mamiriro akafanana , akadai sePTSD kana kuora mwoyo.
Mishonga inonyanya kutaurwa yekutya chirwere chinotyisa ndeyekirasi inozivikanwa yezvinorwisa zvinodhaka zvinonzi Selective Serotonin Reuptake Inhibitors (SSRIs). Kufanana nezvose zvinodhaka, SSRI inokanganisa makemikari vatumwa muuropi, anonzi neurotransmitters . Kunyanya, SSRIs inotarisa neurotransmitter inonzi serotonin, inosanganiswa nemafungiro. SSRIs inobatsira kuenzanisa nhengo dze serotonin yemunhu, izvo zvingabva zvabatsira kutonga mafungiro, kuderedza kufunganya, nekuvandudza kurara.
SSRIs inowanzotarisirwa kune vanhu vane dambudziko rekushungurudzika nemhaka yehupenyu hwavo hwekugara kwenguva refu uye zvishoma zvishoma zvemigumisiro. Kutsvakurudza kwakawana kuti SSRIs inogona kubatsira nekuderedza kusimba uye kuwanda kwekutya kwekutya. Zvimwe zveSRRIs dzakawanda zvinosanganisira Prozac (fluoxetine) , Zoloft (sertraline) , Paxil (paroxetine) , uye Celexa (citalopram) .
- Kurwisa Kuzvidya Mishonga
Mishonga inopesana nekuzvidya mwoyo, kana kuti zvigadzidzo, inorumbidzwa nokuda kwekuita kwavo kusununguka-kubata uye kugadzikana. Iyi mishonga inononoka pasi penheyo yenheyo , iyo inogona kuita kuti munhu anzwe akajeka uye akasununguka. Nokubatsira munhu kunzwa asingatyi uye kushungurudzika, mishonga inopesana nekuzvidya mwoyo inogona kuderedza zvikuru zviratidzo zvekutya chirwere.
Benzodiazepines iyi inowanzosarudzwa boka remishonga inopesana nezvinotyisa izvo zvinogona kubatsira kuderedza kusuruvara kwekutya kwekutya. Iyi mishonga inogadzirisa iyo inogona kubatsira nokukurumidza kuderedza zviratidzo zvekutyisa uye kuita kuti nyika iwedzere kusununguka. Zvimwe zvezvinonyanyozivikanwa benzodiazepines zvinosanganisira Xanax (alprazolam), Klonopin (clonazepam), Valium (diazepam), uye Ativan (lorzepam). Kune dzimwe njodzi uye zvingave nemigumisiro inobatanidza nemishonga iyi. Zvisinei, benzodiazepines yakawanikwa iine mishonga yakachengeteka uye inoshanda mukurapwa kwekutya chirwere.
Psychotherapy mu Treatment ya Panic Disorder
Psychotherapy yakawanikwawo kuti inobata zvakasimba chirwere chinotyisa uye agoraphobia. Nokushanda kwepfungwa, chiremba wehutano hwepfungwa chinogona kubatsira mutengi mukushanda kuburikidza nenyaya dzisina kugadziriswa uye manzwiro. Uyezve, mushonga unogona kubatsira mutengi kukura nzira dzakanaka dzekufunga nekuzvibata izvo zvichavabatsira mukubata nekutya kwavo zviratidzo. Nzira mbiri dzakajairika dzepfungwa dzepfungwa dzinotyisa dzinosanganisira kugadzirisa-hutano hwehutano ( CBT ) uye kutyisa-kunetseka kwepfungwa yepfungwa (psychotherapy) ( PFPP ).
- Kuchengetedza-Behavioral Therapy (CBT)
Kuchengetedza-behavioral therapy (CBT) inoratidzira rwepfungwa yepfungwa yakaratidzwa kuti inobatsira zvakasimba kubata chirwere chinotyisa. Chimwe chezvinangwa zvikuru zve CBT ndekukudziridza unyanzvi hwekugadzirisa kuburikidza nekuchinja mafungiro asina kunaka nemaitiro asina kunaka. Semuenzaniso, vanhu vazhinji vane chirwere chekutyisa chinokanganisa kusava nekutenda, kana kupesana kwekunzwisisa , pamusoro pavo pachavo uye nyika yakavapoteredza. Uku kufunga kwakashata kunowanzoita kuti uite maradaptive maitiro, zvakadai sekudzivisa kutya mamiriro ezvinhu. CBT inogona kubatsira munhu kukunda mafungiro asina kunaka uye kukurudzira nzira dzakanaka dzokugadzirisa mamiriro avo.
Kuora mwoyo kune chido chakakurumbira cheBBC chinoshandiswa kubatsira vanhu kukunda kutya uye kuzvidya mwoyo kunowanzobatanidzwa nekutya kwekutya. Nokunyatsoshandiswa kwechirongwa, unyanzvi hutachiona hunoita kuti muchengeti ave nechinokonzera kushungurudzika nekuvadzidzisa asi achivadzidzisa nzira yekugadzirisa zvakare kuzvidya mwoyo kwavo. Zvishoma nezvishoma, munhu wacho anoziviswa kuwedzerwa kutya-kukonzera mamiriro ezvinhu, kudzidza nzira yekugadzirisa kutya kwavo kuburikidza nemamiriro ezvinhu anotya.
Nenzira iyi ye CBT, munhu anodzidza kutya kwavo uye anotora nzira itsva dzekufunga nekuzvibata. Somuenzaniso, munhu anotya kubhururuka anotanga kushushikana nekushanda pamagadzirirwo ekuzorora apo achitarisana nechisimba chinongokonzera huwandu hwekutya, zvakadai semifananidzo yemapurisa. Vangapedzisira vaenda kune dzimwe kutya-kukonzera mamiriro ezvinhu, akadai sokuenda kunhandare yendege kana kukwira ndege. Nemamiriro ose ezvinhu, munhu wacho anodzidza kutarisira zviratidzo zvekutyisa. Kuburikidza nekuenderera mberi chiito, kuora mwoyo kunogona kuvabatsira kuti vakurire kutya kwavo kwekubhururuka .
- Kutyisa-Kurongeka Psychodynamic Psychotherapy (PFPP)
Nzvimbo inofunga nezvepfungwa yepfungwa inonzi psychotherapy (PFPP) ndiyo imwe nzira yakakurumbira yekurapa inoshandiswa mukurapa kwekutya chirwere. Iyi maitiro e-psychotherapy inotarisira kuzarura zvinhu zvakapfuura uye nyaya dzepfungwa dzinogona kunge dzakakonzera kukura kwevanhu kwekutya uye kuzvidya mwoyo . PFPP inobatsira muchengeti kuti aone kubviswa uye kushungurudza manzwiro, achibvumira munhu kugadzirisa nyaya idzi kuburikidza nekutsigirwa nemudzidzisi anokwanisa. Zvinotendwa kuti nekusvika pamagariro nekunetseka mupfungwa, mutengi anogona kukunda nyaya dzavo ne panic disorder.
Sources:
American Psychiatric Association. "Kuongororwa uye Statistical Manual yeMental Disorders, 4th ed. "1994 Washington, DC: American Psychiatric Association.
Kufara, ST "Mazano Okupa mazano: Essential Concepts uye Applications" 2005 Upper Saddle, NJ: Merrill Prentice Hall.
Silverman, Harold M. "Pill Book. 14th ed. "2010 New York, NY: Bantam Books.