Kunzwisisa Kubatana pakati peSAD neAlcoholism
Kana iwe uine chirwere chekushungurudzika kwevanhu munzanga, iwe unenge mukana we20% wekutambudzika nekudhakwa zvisina kunaka.
Inenge 2 kusvika ku13% yehuwandu hwevanhu inofungidzirwa kuva nehutano hwehutano hwehutano (SAD) , zvichiita kuti ive yechitatu yezvirwere zvinowanzoitika shure kwekuora mwoyo uye kudhakwa . Hazvishamisi saka, kuti zvinetso zviviri izvi zvinowanzoitika pamwe chete.
Iko inowanzouya pakutanga: SAD kana kudhakwa? Kana wakamboonekwa kuti une zvinetso zviviri, mikana ndeyokuti wakaonekwa kuti une SAD kutanga, anenge makore gumi asati aita dambudziko rakazara newaini.
Vanhu vazhinji vanoti vanotanga kutanga kunwa senzira yekugadzirisa zvinetso zvevanhu. Nokufamba kwenguva, tsika dzinomwa dzinogona kukura uye dzikava dambudziko iri pachavo. Kunwa zvakanyanya kunogona kukuvadza ukama hwako hwehukama, hunochinja hupenyu hwako pachikoro kana basa, uye hunogona kutotungamirira kumatambudziko nemutemo.
Treatment Options
Kana iwe wakamboonekwa uine doro uye SAD, kurapwa kunoshandiswa nevanhu vane SAD chete vangave vasina kukubatsira iwe.
Kana iwe uri kuyaruka kana kuti mukuru wechidiki, mikana ndeyokuti kunwa kwako kusati kwatanga kuva doro rinodhaka. Panguva ino, kana uri kunwa, zvichida ingori nzira inobata nayo yemamiriro ezvinhu anoita kuti unetseke kana kutya.
Kana iwe uri muboka rezera iri, zvirwere zvakakwana zveSAD zvingangobatsira mukukunda kushushikana kwako kwepamagariro evanhu uye zvinogona kudzivirira dambudziko nedoro kubva pakukura.
Zvisinei, kana iwe watoona kuti une doro, chirwere cheSAD chete hachibatsiri kukubatsira kukunda matambudziko ako nedoro.
Nenzira imwecheteyo, kurapwa kwakagadzirirwa kudhakwa kwega hakuna kukwanisa kukubatsira kuti usakure hupenyu hwevanhu.
Chiremba wako kana chiremba anofanirwa kugadzira hurongwa hwehutano hunofunga nezvezvinetso zvakasiyana-siyana zvinofambidzana nekuva neSAD uye kudhakwa.
Semuenzaniso, kugamuchira kurapwa kweSAD kutanga kunogona kuita kuti zvive nyore kwauri kuti ubatanidzwe mukurapa kwekudhakwa kwakafanana neboka rerapa kana Alcoholics Anonymous.
Mishonga Mazano
Mimwe mishonga inoshandiswa mukurapa kweSAD ingasarudzwa kune vanhu vane doro.
Monoamine oxidase inhibitors (MAOIs) inobatana ne tyramine, amino acid inowanikwa mune zvimwe zvinwiwa zvinwiwa. Kusanganiswa doro uye MAOI inogona kunge yakakonzera kutyisa uye naizvozvo haigone kurumbidzwa kune vanhu vane zvinetso nedoro uye vangangodha kunwa.
Benzodiazepines uye doro zvose zvinokanganisa nzvimbo yeuropi inokonzerwa nekufema; kusanganisa zvinhu zviviri zvinogona kupfigira nzvimbo iyo yeuropi iyo inogona kuuraya. Benzodiazepines inogonawo kuva tsika-uye inogona kunge isingakurudzirwi kune vanhu vane tsika yekuita zvinodhaka.
Kusarudzwa serotonin reuptake inhibitors (SSRIs) inowanzova yakanakisisa mishonga yekushandisa kurapa SAD kune vanhu vanewo dambudziko rekushandisa doro.
SSRIs haisi tsika-kuumba uye pane humwe humwe uchapupu hwokuti imwe SSRI, Paxil (paroxetine) , inogona kuderedza kushandiswa kwedoro doro senzira inobata nayo mumagariro evanhu. Pasinei nezvikomborero izvi, munhu anoda kuchenjerera pakushandisa doro ne SSRI semigumisiro yepamusoro yenheyo yenyika dzimwe nguva isingazivikanwi.
Dambudziko rekudzokerazve
Vanhu vanorapwa nekuda kwezvinetso zvewaini asi kwete pasi pekushungurudzika kwevanhu vese vanogona kutanga kunwa zvakare kune vanhu vasina SAD. Ichokwadi, maererano nehutano hwekuzvidya mwoyo, SAD inobatanidzwa nechepamusoro dambudziko rekunwa mushure mokugumisa kudhakwa kwekudhakwa.
Kana iwe uchifunga nezvazvo, izvi zvinonzwisisika. Vanhu vazhinji vane SAD vanodaro kuti kunwa ndiyo nhamba yavo yekutevedzera nzira kunze kwekudzivisa hukama hwevanhu pamwe chete. Kurapa dambudziko doro kunze kwekupa maitiro akakodzera ekugadzirisa matambudziko ekugadzirisa kushushikana kwevanhu hakupi kupa vanhu zvishandiso zvinodiwa kukunda matambudziko ose.
Izvi Zvinorevei Kwandiri?
Kana iwe uchifungidzira kuti une dambudziko rekushushikana kwevanhu uye doro, zvakanakisisa kuona chiremba kana chiremba kuti ataure pamusoro pekuoma kwauri kuita mune zvose izvi. Pamwe chete iwe unogona kugadzira hurongwa hwekurapa huchagadzirisa zvinetso zvako. Yeuka kuti matambudziko aya akaumbwa kwenguva refu uye kuti haazogadziriswa usiku humwe; zvisinei, nekutsvaga kurapa iwe uri kuita danho rekutanga munzira yakarurama.
Sources
Iancu I. [Kushungurudzika kwevanhu munzanga uye kushandiswa kwezvinodhaka zvinodhaka]. Harefuah. 2014; 153 (11): 654-7, 687. [Chinyorwa muchiHebheru]
Kushner MG, Abrams K, Thuras P, Hanson KL, Brekke M, Sletten S. Kuongorora kunetseka kwehutano hwekushungurudzika uye kuvimba nedoro nedambudziko rekudhakwa kwevanhu vanodhakwa. Kunwa doro: Kuongorora uye Kuongorora Ongororo . 2005; 29 (8): 1432-1443.
Randall CL, Johnson MR, Thevos AK. Paroxetine nokuda kwekushungurudzika kwevanhu uye doro rinoshandiswa muvamwe vaviri vanorwara. Kuora mwoyo uye Kuzvidya Mwoyo . 2001; 14: 255-262.
Randall CL, Thomas S, Thevos AK. Kuita doro pamwe chete uye kushungurudzika kwevanhu munzanga: Nhanho yekutanga yekuvandudza kurapa kwakanaka. Kunwa doro: Kuongorora uye Kuongorora Ongororo . 2001; 25 (2): 210-220.
Thomas SE, Randall PK, Book SW, Randall CL. Ukama hwakaoma pakati pekubatana-kunokonzera kushungurudzika kwevanhu nekudhakwa kushandiswa kwezvinodhaka: Chii chinogadzirisa kubata kushungurudzika kwevanhu mune zvekunwa? Kunwa doro: Kuongorora uye Kuongorora Ongororo . 2008; 32 (1): 77-84. Kunwa doro: Kuongorora uye Kuongorora Ongororo . 2005; 29 (8): 1432-1443.