Ndezvipi ngozi?
Unoshushikana pamusoro pemigumisiro yekushandiswa kwenguva refu kwemishonga yekudzivirira mwoyo here? Icho chiri pakati pemishonga inowanzopiwa yakawanda muUnited States, uye inowanzomirirwa kushandiswa kwenguva refu. Asi yakachengeteka here kushandisa maitiro ekurwisana nemakore pamagumo?
Kunyange zvazvo kirasi iyi yemishonga inodanwa nezita rimwe chete, inoshandiswa kurapa zvirwere zvakasiyana siyana kunze kwekukuvara kukuru kwepfungwa, kusanganisira:
- Neuropathy (marwadzo kubva mumitsipa yakakanganiswa, kusanganisira chirwere cheshuga chirwere)
- Chirwere chinokonzera kushungurudzika uye kushungurudzika kwevanhu munzanga
- Obsessive compulsive disorder (OCD)
- Bipolar disorders
- Fibromyalgia
- Myalgic encephalomyelitis / chronic fatigue syndrome (ME / CFS)
- Post-traumatic stress disorder (PTSD)
- Childhood bedwetting
- Premenstrual syndrome (PMS)
- Bulimia
- Binge kudya chirwere
Zvizhinji zvezviitiko izvi hazvigumi kana kuti zvinogona kudzoka kana iwe uchienda mishonga. Izvozvo zvinoreva kuti vanhu vazhinji vanovatora kwemakore, uye izvi zvinotungamirira kune zvinetso pamusoro pezvenguva yakareba migumisiro.
Pasinei nokuti zvinodhaka zvinodhaka zvakadini, isu tiri kungoziva kuti izvo zvinogara kwenguva refu zvinogona kuva zvipi. Kuwedzerwa zvidzidzo hazviwanzoitwa musati mishonga isingagamuchirwi, saka mishonga inogona kunge iripo kwenguva yakareba tisati tatanga kuona chii chinogona kuitika shure kwemakore ekushandisa kushandiswa.
Nenzira yakanaka, mutumbi wemabhuku pamusoro pekushandiswa kwenguva refu kwevanhu vanodzvinyirira uri kukura, uye tiri kuwana kunzwisisa zviri nani kwezvavanoita kwatiri.
Anodzvinyirira uye Ubongo Hwenyu
Tisati tapinda mukati mutsvakurudzo, regai titarise maitiro ekurwisana kwevanhu vanoshanda. Zvinodzvinyirira zvinouya nenzira dzakasiyana-siyana. Vari:
- Tricyclics
- MAO inhibitors (MAOIs)
- Kusarudza serotonin reuptake inhibitors (SSRIs)
- Serotonin-norepinephrine reuptake inhibitors (SNRIs)
Muhutano hwako, ruzivo-kusanganisira manzwiro-rwunobva kune rimwe neuron (brain cells) kune imwe nemakemikari anonzi neurotransmitters.
Funga nezvenyaya dzehutachiona seboxbox mail. Rimwe nerimwe rinosunungura mamwe mapepa (makemikisi "akavhara") neuroni kuitira kuti mvumo ienderere mberi.
Muzvirwere nemamiriro akataurwa pamusoro apa, pamwe nevamwe vakawanda, chimwe chinhu chinosvibiswa neurotransmitters-kazhinji serotonin uye / kana norepinephrine, uye zvichida dopamine uye / kana vamwe vashomanana. Zvinogona kuva kuti hazvina kukwana. Mune zvimwe zviitiko, uropi hahugoni kuishandisa zvakajeka, kana dambudziko ringave rakagara nevaridzi.
Pasinei nokuti chii chinokonzera dambudziko racho, mugumisiro wacho wakafanana: neurotransmitter dysregulation. Kudzokera kumashoko edu, mail haisi kubhokisi yebhokisi yemavo, saka mharidzo haisi kuendeswa.
Anodzvinyirira anoshandura mafungiro ako emishonga, achiita kuti zvimwe zviwanike kuitira kuti kana shoko rinouya, rinogona kuiswa zvakanaka. Izvi zvinogadziriswa nekuderedza chirongwa chinonzi reuptake, iyo inonyanya kuchenesa-up / yekugadzirisa nzira. Kana imwe nguva mharidzo ichiyerera zvakadai seinofanira, ubongo hwako hunoshanda zviri nani uye zviratidzo zvine chokuita nekunonoka-kuderera kuderera kana kuenda.
Zvisinei, uropi inzvimbo yakakomba, uye rimwe nerimwe reurotransmitter ine mabasa mazhinji akasiyana.
Kuwedzera kwemaurotransmitter inowanika inogona kuva nemigumisiro yaunoda yekuderedza kuora mwoyo kwako, kuderedza marwadzo ako europathic, kana kukubatsira kufunga zvakananga, asi zvinogonawo kutungamirira kumarudzi ose emhando dzisina kudiwa.
Izvo zvinogona kukonzerwa nemigumisiro yevanhu vanodzvinyirira yakawanda, uye inogona kubva kune zvinyoro zvisingagadziriswi kusvika pakuodza mwoyo uye kunyange kutyisidzira upenyu. Kunze kweizvozvo, pane nyaya yevanorwara nehutachiona vasingashandisi nguva.
Sezvatakadzidza zvakawanda pamusoro pemigumisiro yenguva refu, zvimwe zvezvinetso zvepamusoro zvakabuda zvakabatana nehupfumi uye chirwere cheshuga. Zvisinei, mamwe mimwe migumisiro inogona kuenderera mberi kwenguva refu uye inogona kuva nemigumisiro yakaipa pamararamiro ako ehupenyu.
Migumisiro Yenguva refu Yezvinotapukisa: Zvinotaurwa Nevanhu
Muna 2016, magazini yezvokurapa Murefu Wakadiwa uye Adherence yakabudisa pepa rinotarisa izvo vanhu vanotora zvirwere zvinorwisa zvirwere kwenguva refu vaifanira kutaura nezvemigumisiro yavakaona. Zvose, vakati vakanga vasina kuora mwoyo uye vaiva nehutano hwakanaka hwehupenyu nekuda kwemishonga, asi vanenge 30 muzana vakataura kuti vakanga vane kuwandisa kana kuora mwoyo zvakanyanya.
Idzo huru migumisiro yavakanyunyuta pamusoro pavo yakaiswa:
- Zvinetso zvepabonde (72 muzana), kusanganisira kusakwanisa kusvika kanagasgasm (65 muzana)
- Kuwedzera kweupfumi (65 muzana)
- Kunzwa kushungurudzika (65%)
- Kwete kunzwa sezvakaita ivo (54 muzana)
- Yakagadzikana manzwiro akanaka (46 muzana)
- Kunzwa sokuti ivo vakapindwa muropa (43 muzana)
- Kutarisira zvishoma nezvevamwe vanhu (36 muzana)
- Kunzwa kuzviuraya (36 muzana)
Vakawanda vevatori vechikamu vaida mamwe mashoko pamusoro pezvengozi dzenguva refu dzemishonga yavo.
Vanenge 74 kubva muzana yevanhu vakataurawo nezvekusiya zviratidzo, uye vakati vaida ruzivo rwakawanda uye rutsigiro pamusoro pekubuda kune vanorwara. (Iwe haufaniri kurega kutora antidipressants kamwe.Taura nachiremba wako nezvenzira yakakodzera yokutsamwisa.)
Vamwe vanhu vakaonawo kuti vaifanira kuedza maitiro akawanda ekurwisa mwoyo vasati vawana imwe yakavashandira zvakanaka uye yakanga isingakoshi. Zvisinei, kupfuura zvikamu zviviri kubva muzvitatu zvevanhu vakabvunzurudza kuti mishonga yakavabatsira kurarama noupenyu. Inenge imwe-yechishanu yakati varwere vanodzvinyirirwa vakavabatsira kuti vaite zvakanaka.
Vamwe vanhu vakatiwo kana vaizoziva nezvemigumisiro uye matambudziko ekudzorera, vangadai vasati vatanga pamishonga zvachose.
Zvinorevei Kwauri
Usati watora anti-depressant, iva nechokwadi chokuti unoziva nemigumisiro inogona kuitika uyewo nzira yakakodzera yekubva kwavari. Ziva kuti iwe unogona kuedza kuedza mishonga yakawanda usati wawana yakanakisisa kwauri.
Paunenge uri pamishonga, ramba wakangwarira madhara uye ureve kuti zvakakosha zvakadini zvichienderana nekuwanda kwemishonga inokubatsira. Nepo iwe unofanirwa kusanganisira chiremba wako pane chero zvisarudzo zvaunoita maererano nekushanda kwepfungwa, iwe ndiwe chete unogona kusarudza kana zvikomborero zvinopfuura zvipingamupinyi.
Weight Gain
Chidzidzo che2015 mu Journal (Clinical Psychiatry) chinoratidza kuti nguva yakareba yengozi yekurema kunowanikwa kune vanorwara nehutachiona iyo inoshandura serotonin receptors inogona kunge yakakwirira zvikuru kuvakadzi kupfuura varume, zvichida nekuda kwekusiyana kwepabonde mune kuti serotonin inoshandiswa sei.
Uyewo muna 2015, kuongorora kweAustralia kwakaratidza kuti vanhu vane zvirwere zvinodzvinyirira vaifarira kuwana zvikamu zvinopfuura zvitatu zvehutano hwavo gore negore. Nokufamba kwenguva, izvozvo zvinogona kuwedzera.
Zvazvinoreva iwe
Kuwedzera kwehuwandu kunogona kuva nemigumisiro yakaipa pane kuzviremekedza kwako pamwe nehutano hwako. Taura nechiremba wako pamusoro pekuti iwe unogona sei kuvandudza kudya kwako uye / kana kuwedzerwa maitiro ekubatsira kuchengetedza mapaundi akawedzerwa kubva pakubata.
Blood Sugar & Diabetes
Ongororo dzinoverengeka dzakacherechedza zvinoratidzika sechibatanidza pakati pekushandiswa kwezvinonzi antidepressant uye zvinetso neropa-shuga mutemo, kusanganisira rudzi rwechipiri chirwere cheshuga.
Kuongorora kwakarongeka kwakabudiswa mumagazini yebhuku ra2013 reSaabetes Care kwakaongorora ukama huno kuti uwane zviri nani pane zviri kuitika. Vakatarisa zvidzidzo makumi maviri nezviviri, kusanganisira vaviri vane vakadzi vanopfuura 4000 vatori vechikamu.
Hezvino tarisa zvimwe zvezvakawanikwa zvakakonzera kuongorora:
- Kuora mwoyo kunogona kukuvadza ropa-shuga yekudzivirira nokuti inogona kukonzera kuwandisa kuwanda.
- SSRIs uye nortriptyline inonzi yakanyanya kuwedzera ropa-shuga mukutonga kune vanhu vane chirwere cheshuga.
- Tricyclic vanodzvinyirira vanokonzera hyperglycemia (high blood-sugar levels) kuvanhu.
- Mumakonzo, tricyclic vanodzvinyirira vanokonzera chirwere chinonzi hyperinsulinemia, umo ropa rinowedzera insulini yakawanda nehuwandu hwehuga.
Chinangwa chekuongororwa kwaiva kuziva kuti kana vanorwisa zvinodhaka vanokonzera njodzi yehuga yega yevanhu vasina kumboita apo vakatanga pamishonga. Vakagumisa kuti hongu, zvimwe zvinodhaka zvinokonzerwa neropa-shuga mutemo uye kuti mishonga inogona kuva chikonzero chekutengesa chirwere cheshuga. Kunyange zvakadaro, zvidzidzo zvikuru uye zvekare zvavakatarisa zvakaratidza kuti njodzi yaiva duku.
Vanoti, zvisinei, kuti madhigirii akakwirira anoita seanobatanidzwa nehuwandu hwehuwandu. Uyewo, mune dzimwe nguva, vanhu vakagadzira chirongwa chechirwere cheshuga 2 pavanenge vachirwisana nehutachiona vakaona chirwere ichi chinopera pavanenge vachibva pamishonga.
Vanotsvakurudza vanocherechedzawo kuti vanhu avo vakaonekwa kuti vane chirwere cheshuga vangave vakanyanyogadziriswa kurwisa vanodzvinyirira, asi hukama huri pachena.
Zvinorevei Kwauri
Kana iwe uine hanya nehutano hwehuga hwehuga kana uine chirwere cheshuga cheshuga, iwe unogona kutaura nechiremba wako pamusoro pekuwana antidipressant iyo isingasanganiswi nezvinetso zveshuga zveropa. Iwe unogonawo kuedza kuedza ropa rako sutu kazhinji.
Kana iwe uine chirwere cheshuga, chiremba wako angada kuchinja mushonga wako wekurwere cheshuga apo iwe uri pane zvinodhaka kuti uone kuti huwandu hwemashuga eropa huri kurarama muhutano hwakanaka. Iwe unogonawo kuisa pfungwa dzako pane kurasikirwa kwemazivi uye kubhabhatidza, sezvo zvose zvezvinhu izvi zvinobatsira mune chirwere cheshuga, uye kusuruvara kwako kunogona kuita kuti uwedzere kuwedzera.
Unogona Kuita Kuti Unetseke Here?
Unogona kushandisa zvinodhaka mwoyo kwenguva yakareba chaizvoizvo zvichiita kuti uora mwoyo here? Dzimwe dzidzo dzinoratidza kuti inogona. Zvidzidzo zviviri zvakabudiswa muna 2011, kubva kune rimwe boka rekutsvakurudza, rakati vanhu vanofungidzirwa kuti havagoni kurapwa kukuru kwekuora mwoyo, avo vakambova nemaitiro akawanda ekurwisa zvinodhaka kwenguva yakareba, vanowanzozvinzwa zviri nani mushure mokuzorora kubva pamishonga.
Nemhaka yokuti zvinodhaka zvinogona kunge zvisingakwanisi kupedza nguva, sezvaunokudziridza kushivirira kwavari, zviratidzo zvinogona kudzoka zvakare mumugwagwa; zvisinei, boka iri haritendi kuti rinogona kutaurira vanhu vose vanowedzera kuora mwoyo zvakanyanya pavanotora mishonga. Vanofungidzira kuti mishonga inogona kutungamirira kune kuchinja muuropi izvo chaizvoizvo zvinokonzera kuora mwoyo.
Muzviitiko izvi, vakasarudza nguva tardive dysphoria kurondedzera kuwedzera kwezviratidzo. "Tardive" zvinoreva kuti inouya pakupera kwekurapa. "Dysphoria" inzvimbo yekuora mwoyo, kusagutsikana, kusagadzikana, kana kusagadzikana.
Vatsvakurudzi vanoshevedza tardive dysphoria kuti iongororwe sechinhu chinogona kukonzera kukanganiswa kwekushandiswa kwezvinodhaka uye kunofungidzirwa sechinhu chinogona kuitika mune zvidzidzo zvekusagadzikana kusinganzwisisiki.
Zvinorevei Kwauri
Chidzidzo che tardive dysphoria chiri mumatanho ekutanga. Kana kuora mwoyo kwako kwawedzera zvakanyanya pasinei nokuva nehutachiona hwehutachiona, taura nachiremba wako nezve tardive dysphoria pamwe nezvimwe zvinokonzera zvinokonzera usati wafunga kana uchibva kune mishonga yako. Uyewo, yeuka kuti unoda kusunungura mishonga zvakakodzera.
Zviri nyore kumhanyira kugadzirisa nezvinhu zvakadai, asi ramba uchiyeuka kuti hatizivi kunyange kuti tardive dysphoria inetso nevanorwisa mweya. Iva akachenjera uye wakangwarira paunenge uchiita zvisarudzo zvinokosha zvezvokurapa uye unosanganisira boka rako rezvechiremba.
Shoko Rinobva
Sezvo mishonga yose ichiita, zvinodzvinyirira zvine mazita ezvimwe zvinokwanisa uye zvinotyisa. Kurapa inzira yekuenzanisa, iwe uye chiremba (s) achiyera zvakanaka pamusoro pezvakaipa nekusarudza kuti chii chinofanira kuitwa.
Kutanga mushonga mutsva ndicho chisarudzo chakakura, uye ndizvo zvinoenderera mberi kurapwa kwenguva refu kana kusarudza kurega. Iva nechokwadi chokuti iwe unonyatsoziviswa pane imwe nhanho uye iwe unowana mazano evhupi. Pakupedzisira, zvose zvinokuita kuti uchinzwe zviri nani.
> Sources:
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> Cartwright C, Gibson K, Verengai J, Cowan O, Dehar T. Nguva refu yekusagadzirisa kushandiswa kwekushandisa: murwere ane maonero ekubatsirwa nemigumisiro yakaipa. Zvirwere zvinosarudzwa uye kutevedza. 2016 Jul 28; 10: 1401-7. doi: 10.2147 / PPA.S110632.
> El-Mallakh RS, Gao Y, Briscoe BT, Roberts RJ. Anodzvinyirira-induced tardive dysphoria. Psychotherapy uye psychosomatics. 2011; 80 (1): 57-9. doi: 10.1159 / 000316799.
> El-Mallakh RS, Gao Y, Roberts RJ. Tardive dysphoria: iyo inoshandiswa kwenguva yakareba inopesana nemishonga inoshandiswa mukuderedza kuora mwoyo kusingaperi. Kurapa kwepfungwa. 2011 Jun; 76 (6): 769-73. doi: 10.1016 / j.mehy.2011.01.020.
> Noordam R, Aarts N, Tiemeier H, et al. Kuita zvepabonde-kusanganisa pakati pezvinodhaka zvinoshandiswa nekushandiswa kwemuviri muhutano hwevanhu hwevanhu vakuru. Nyaya yemakiriniki epfungwa. 2015 Jun; 76 (6): e745-51. doi: 10.4088 / JCP.13m08896.
> Paige E, Korda R, Kemp-Casey A, et al. Nhoroondo yekubatanidza kuongorora kushandiswa kwemishonga inopesana nemishonga uye kuyerwa kuchinja muvanhu vakuru veAustralia. Magazini yeAustralia neNew Zealand yepfungwa dzepfungwa. 2015 Nha. 49 (11): 1029-39. doi: 10.1177 / 0004867415607365.