Kushungurudzika seChirwere Chetsika

Kuora Mwoyo Chirwere Here?

Mubvunzo unowanzoitwa patinenge tichifambira mberi pakunzwisisa kwedu kuora mwoyo ndeyekutevera: Kuora mwoyo kune chirwere here? Kuti tipindure mubvunzo uyu, zvinobatsira kufunga zvose zviri zviviri zvekuora mwoyo pamwe nekureva nzira dzakasiyana-siyana dzekufunga kuora mwoyo sehutano hwepfungwa, chirwere, kana zvirwere.

Zviratidzo zvekuora mwoyo

Maererano neDaagnostic uye Statistical Manual yeMental Disorders-Fifth Edition ( DSM-V ), kuora mwoyo kunowanikwa apo zvishanu kana kupfuura zvezviratidzo zvinotevera (zvichinyorwa muchidimbu chechikamu chino) zvave zviripo panguva imwe chete yevhiki uye inomiririra shanduko kubva pamabasa ako apfuura.

Zvichida imwe yezviratidzo inofanira kuva inenge yakaora mwoyo kana kurasikirwa kwechido kana kufara:

1. Kushungurudzika mafungiro akawanda ezuva, anenge mazuva ose
2. Yakaratidza kuderedza kufarira kana kufara kune vose, kana inenge yose, mabasa akawanda ezuva, inenge zuva rimwe nerimwe
3. Zvinorema kurasikirwa kana kuyerwa (pasina kudya nemaune) kana kuti kuderera kana kuwedzerwa mune chido anenge mazuva ose
4. Kushushikana kana kushungurudzika anenge mazuva ose
5. Mafungiro anokanganisa kana kukanganisa anenge mazuva ose
6. Kuneta kana kurasikirwa kwesimba anenge mazuva ose
7. Manzwiro okusakosha kana mhosva yakawandisa kana isina kukodzera anenge zuva rimwe nerimwe
8. Kuderedza simba rekufunga kana kufungisisa, kana kusagadzikana kwemazuva ose
9. Mhedziso yekare yekufa kana chinangwa chekuzvipira zvekare

Mukuwedzera, zviratidzo izvi zvinokonzera kushungurudzika kukuru kana kuora mwoyo muupenyu hwezuva nezuva uye kwete kuonekwa kune imwe mamiriro ezvehutano kana nemigumisiro yekushandisa zvinodhaka kana kushandiswa zvisina kunaka.

Tichifunga nezverongwa rwuri pamusoro pezviratidzo, zvinotambudza kufungisisa nezvekuora mwoyo zvakanyanya sechirwere chepfungwa. Zvechokwadi, zviratidzo zvakawanda zvemuviri zvekuora mwoyo zvinoratidza kuti pane zvakawanda zviri kuitika pane zvatakambofunga. Kana, zvinonyanya kukosha, pane zvishoma kukosha pakuritsa kusiyana pakati pemafungiro nemuviri; pane kudaro, zvose zviri zviviri zvikamu zvegadziriro yakakura iyo inokurudzirana.

Kurwara Tsanangudzo

Kushungurudzika kwakasiyana-siyana kwakatumidzwa sehutano hwepfungwa, chirwere chepfungwa, uye chirwere chemuitiro. Kunyange zvazvo pane kunyanya kuwirirana pakati pemashoko aya, mumwe nomumwe ane tsanangudzo yakasiyana-siyana yatinofunga nezvayo patinenge tichiedza kunzwisisa zvinonyanya kuora mwoyo.

• Chirwere chepfungwa chinogona kufungidzirwa kuti chirwere chinokanganisa kushanda kwako kwepfungwa (sezvinongoita chirwere chepanyama chingava chinokanganisa kushanda kwako kwepanyama). Mienzaniso yehutano hwepfungwa kuora mwoyo, kushungurudzika kwepfungwa, uye kushungurudzika kwepfungwa kunetseka.
• Chirwere chepfungwa chingafungidzirwa zvikuru chinhu chakafanana nehutano hunoita pfungwa. Mienzaniso yehutano hwepfungwa yakafanana neyepamusoro, asi vamwe vanogona kutamira kune kufunga kwechichichiphrenia kana kuti bipolar disorder-chirwere nezviratidzo zvakajeka uye izvo zvinowanzofungidzirwa sokurapa nemishonga kutanga.
• Kusiyana neizvi, chirwere chinowanzoonekwa sechinetso chemuviri unobudisa zviratidzo maererano neimwe nzvimbo munyama. Mienzaniso inogona kusanganisira chirwere chemwoyo, chirwere cheshuga, uye kenza.

Zviri nyore kuona zvichienderana nehurukuro iri pamusoro apa kuti kufunga nezvekuora mwoyo kuva chirwere chetsika pamwe chete nemafungiro emwoyo, chirwere cheshuga, uye kenza zvinoda kuchinja kukuru mune zvido zvepfungwa zvehutano hwepfungwa nehutano hwepfungwa.

Asi zvakadaro, nokuti haisi iyo tsika yemagariro yekufunga nezvekuora mwoyo hairevi kuti haikwanise kuva yakarurama. Nokufamba kwemazuva mazhinji, pfungwa dzedu dzakawanda dzenyika dzinoshanduka apo tinowana kuonga kwemafungiro edu akare asina kunaka. Izvi zvingavawo saizvozvo panyaya yekuora mwoyo.

Kushungurudzika Sechirwere Chetsika

Kutaura zvazviri, kune chiito chinowedzera kune uchapupu hunotsigira pfungwa dzekuora mwoyo sechirwere chetsika. Kana, zvakanyanya kusvika pakupedzisira, kufunga kwekuti tsanangudzo dzehutano hwepfungwa uye dzepanyama dzinogona kuwedzera kupfuura zvatakanga tambofunga-zvakadai kuti kusiyana pakati pehutano hwepfungwa nehutano hwakasvibiswa.

Zvingave here kuti kuora mwoyo, chirwere chinogona kurapwa nehutano hwepfungwa, chinogona kuchinja simba mumuviri, uye kana zvakadaro, zvinorevei?

Chaizvoizvo, kunyora kushungurudzika sechirwere hakuiti zvachose chimiro chakaoma chechirwere chacho. Zvisinei, iyo inofambisa kunzwisise iyo sechirwere chepfungwa nemuviri.

Uchapupu hwokutsigira kuora mwoyo sechirongwa chetachiona chinouya nenzira yehupenyu hwehupenyu hunoonekwa kune varwere vane kuora mwoyo. Semuenzaniso, kuvhunika, murairo weurostendocrine, platelet basa, kuzvidzivirira kwehutachiona hwemabasa, uye skeletal homeostasis zvinogona kushandiswa nekuora mwoyo.

Nenzira iyi, zvinokwanisika kuona kuti kuora mwoyo kunogona sei kurara nehosha yemwoyo, kenza, chirwere cheshuga-iyo zvirwere izvo zvairi kuenzaniswa. Kana kuora mwoyo kwakabatana nemhinduro yako yemuviri, izvi zvingaita sei?

Meta-analysis yakagadzirwa paYunivhesiti yeGrada uye yakabudiswa mu Journal of Clinical Psychiatry yakaongorora kushanduka mumitumbi yekuora mwoyo vanhu vanobva ku 29 zvidzidzo zvakabudiswa kare. Yakawanikwa kuti kuora mwoyo kwakaita kuti kusawirirana mumasero emuviri, zvakare kunzi se-oxyidative stress.

Mushure mekunge varwere vane kuora mwoyo vakagamuchira kurapwa, maitiro avo e malondialdehyde, biomarker inoratidza kushandiswa kwesero uye kushushikana kwehutano, yakadzokera kuhutano hwakanaka. Mukuwedzera, mushure mokurapa, yakaratidzwa kuti mazinga avo eincinc and uric acid akadzokera kumashure ehupenyu.

Iyi tsvakurudzo inonakidza inogona kubatsira kutsanangura kuti nei varwere vane kuora mwoyo vachiwanzogunun'una nezvezviratidzo zvomuviri sekurara zvakanyanya kana zvishoma, kuneta, uye chido chokuchinja. Inoratidzirwa kuti izvi zvingabatsirawo kutsanangura kuti nei varwere vane kuora mwoyo kunowanzova nekupfupika kweupenyu.

Isuwo tinoziva kuti zvimwe zvirwere zvinogona kutungamirira kune zvirwere zvinoderedza, zvakadai se hypothyroidism. Zviri nyore kuona kuti kuora mwoyo hakusi kungova dambudziko repfungwa, asi pane dambudziko rakaoma rine zvose zvehupenyu uye hwemagariro anokonzera kubatanidza pfungwa nemuviri.

Rudzi urwu rwekutsvakurudza runotiwo kufambira mberi kwokuti tinoziva sei kuora mwoyo, kunze kwekukumbira murwere kana iye ari kuine urongwa hwezviratidzo. Fungidzira uchiwana muedzo wezvinyorwa zvinoratidza kuwanda kwako kwepfungwa!

Kurapa Kuora Mwoyo Sechirwere Chetsika

Kana kuora mwoyo kunofungidzirwa mukati memamiriro ezvinhu eurwere hwehutachiona, izvi zvinorevei maererano nemashoko ekurapa? Kunze kwekunzwisisika kwehutano hwemishonga yemakemikari yakadai semishonga inopesana nemishonga, inoratidza kuti kuchinja kunokanganisa zvirongwa zvemuviri kunogonawo kubatsira kuderedza kuderedza. Kunyange zvazvo kurapwa kwepfungwa kwakakosha, izvo zvinotarisa zvirongwa zvemuviri zvinogonawo kunge zvakakosha.

Kutsungirira Kuora Mwoyo

Kana uri kurarama nekuora mwoyo, zvinokosha kuti uzive kuti ungatarisana nayo sei zvose maererano nemafungiro nemuviri wako. Kunyange zvazvo kutaura kwechirwere zvakadai sokufungidzira-behavioral therapy (CBT) zvinokonzera kukanganisa kwepfungwa kwekuora mwoyo, uye mishonga inogona kukanganisa kusawirirana kwemakemikari mumuviri, pane dzimwe nzira dzaunogona kutorawo zvakare.

Nenzira yakawanda, kukurudzira kuve nekuvandudzwa kwemasero emumuviri wako, kana kuchinja patsva, kuchabatsira kana uri kutambura nekuora mwoyo.Kutora nguva yekurovedza muviri , kushandisa nguva iri kunze (muchiedza chezuva), nekuchengetedza nguva yekurara nguva dzose matanho aunogona tora kuti ubatsire kuvandudza mararamiro ako mumuviri maererano nekuora mwoyo.

Paunofunga nezvekuora mwoyo sekurwara kwemuviri wose, zvinonzwisisika kuti uende nayo kubva kune dzimwe nzira. Zvechokwadi, kukwanisa kwako kuita shanduko idzi kunobva pane zvakasimba zvekuora mwoyo kwako.

Chii Chine Zita?

Zvine basa here kana tichiti kuora mwoyo kwehutano hwepfungwa kana chirwere che systemic? Kuvhiringidzika kunogona kubva pakudana chirwere chechirwere cheshuga, nokuti tinoziva kuti iwe haugoni kubata chirwere cheshuga nemishonga inotaura.

Kune rumwe rutivi, kufunga nezvekuora mwoyo sezvinongoita chirwere chepfungwa hausi kutora chinetso chakaoma chechirwere uye hachifaniri kukurudzira vanhu kuedza nzira dzekuvandudza izvo zvisingasanganisi pfungwa dzavo.

Shoko Rinobva

Vanhu vakawanda vane kuora mwoyo havakatsvaki rubatsiro kana kuigamuchira. Vanogona kunzwa sokuti kukanganisa kwetsika pane zvavanoita zvokuti vanonzwa sezvavanoita. Nenzira iyi, kutaura nezvekuora mwoyo sechirwere chehurongwa chinogona kubatsira kubvisa tsvina kubva kune dambudziko iri rakaoma.

Kungoita kuti kuora mwoyo kunogona kurapwa nehutano hwepfungwa, hazvirevi kuti mafungiro ehupenyu ndeapi akaoma. Tsvaga rubatsiro rwezvirwere zvako zvekupererwa, sezvamunoda chero chimwe chinokundikana chemuviri wako. Zviitiko zvakakomba zvekuora mwoyo, kunyanya, zvakanyatsorapwa nenyanzvi yehutano hwepfungwa iyo inogona kuronga chirongwa chinobatanidza zvinhu zvakawanda zvakadai semishonga, kutaura, uye mararamiro ehupenyu.

> Sources:

> Karlsson H. [Kuora mwoyo sehosha ye systemic]. Duodecim . 2012; 128 (6): 622-626.

> Jiménez-Fernández S, Gurpegui M, Diaz-Atienza F, Perez Costillas L, Gerstenberg M, Correll C. Oxidative Stress uye Antioxidant Parameters muvarwere Vane Kuora Kunetseka Kunetseka Kuenzaniswa nehutano hwakarongeka Kusati kwapera uye Pashure Kokurwisa Kuoma Mishonga: Analysis. Journal of Clinical Psychiatry. 2016.

> Sotelo JL, Nemeroff CB. Kuora mwoyo sehosha ye systemic. Personalized Medicine mu Psychiatry. 2017; 1-2: 11-25.

> Wittenborn AK, Rahmandad H, Rick J, Hosseinichimeh N. Kushungurudzika se systemic syndrome: mapping the feedback loops of major depression disorder. Psychol Med . 2016; 46 (3): 551-562.