Kurarama nehutano hwekuzvidya moyo iwe apo uri nepamuviri kunowedzera kushushikana kune imwe nguva yakaoma nguva yako yehupenyu. Mune mhaka yehuwandu hwehutano hwepfungwa (GAD) , kushungurudzika kusingaperi kunobatanidza nehutano kunogona kukudzivisa kuti usanakidzwe noutano hwekuve nemimba-kubvira panguva yaunowana kusvikira nguva refu mushure mekuzvarwa kwako.
Kana iwe ukazviwana uine kushushikana kusingagumi kunonzwa kunze kwekugadzirisa kwako, funga kutaura pamusoro pekuti uri kunzwa sei kune chiremba wako kana mumwe unyanzvi hwehutano.
Kuwandisa kweGAD panguva yekudzivirira
Tinoziva kuti inenge 6 kubva muzana yevanhu vachawana GAD pamusoro pehupenyu hwavo, uye munguva ipi zvayo gore, inenge 1 kusvika ku3 muzana yevanhu vachararama neGAD. Dambudziko racho rinowanikwa kaviri pane vakadzi sevarume, izvo zvinoita kuti zvive zvakakosha pakuve nepamuviri.
Chiyero cheGAD panguva yekuzvitakura chakaratidzwa kuva mune huwandu hwe8,5 kubva kune 10,5 muzana. Zvisinei, chirwere ichi chinowanzoenda kunongotaridzirwa uye zvinogona kuva zvakaoma kutaura kunze kwekunyanya kunetseka. Pakati pemitsetse yakafanana, mukadzi uyo aigara achigunun'una angava neGAD munguva yekuzvitakura, zvichida yakabatana nekuchinja kunoitwa nemahomoni, mamiriro epfungwa, uye maitiro evanhu (semuenzaniso, kusiya basa, kugadzirira kurera mhuri).
Chidzidzo che2011 chakaratidza kuti zviratidzo zvekuzvidya mwoyo zvinowanzova zvakakwirira mumatatu ekutanga uye kuderera munguva yose yekuzvitakura. Zvisinei, vakadzi vazhinji vane GAD vachiputirana nezvimwe zvinetso zvakadai sekuora mwoyo, izvo zvinogona kuita kuti ivo, uye vana vavo vasati vaberekwa, vakanyanya kuoma.
Ndezvipi njodzi dzeGAD panguva yekudzivirira?
A 2015 yekudzidza kwenguva refu kwevakadzi vane chirwere chikuru chekuora mwoyo uye GAD yakaratidza kuti avo vane GAD mukuwedzera kuora mwoyo vaiva nehurombo hwakanaka hwehupenyu uye vakaona kushungurudzika kunoramba kuripo.
Kusanzwisiswa kweGAD kunogona kutungamirira kumatambudziko ekuzvitakura sekucheka kwekuberekwa kuyerwa, kutangira kusununguka, kukwirira kweropa, zvinetso neurodevelopment of the child, uye kukundikana kufambira mberi munguva yebasa.
Kana imwe mwana wako asvika, unogonawo kuva nechinetso chekutarisira zvinodiwa zvechecheche uye unovandudza ukama nemwana wako.
Kurapa Ongororo kune GAD Panguva Yechumbu
Kurapa kweGAD munguva yekuzvitakura kunogona kusanganisira psychoeducation, therapy, uye / kana mishonga. Kazhinji kurapwa kuchagadziriswa kumamiriro akasiyana-siyana eamai, uchifunga nezvekuoma kwako kwezviratidzo uye nhoroondo yekuzvidya mwoyo:
- Mafungiro anokosha mumatanho ekutanga uye panguva yekuongororwa, kubatsira kubvisa kukanganisa uye kushorwa uye kutungamirira pakubudirira kwerapa.
- Kurapa kwakadai sekuziva-kugadzirisa-behavioral therapy (CBT) inowanzoshandiswa pachedu mumatambudziko akaoma eGAD kana pamwe chete nemishonga mune zvakanyanya mamiriro ezvinhu. CBT inogona kusanganisira kugadzirisa kugadziriswa, kugadziriswa, kudzidzira kurasikirwa, uye kurapa pfungwa.
- Mishonga inogona kushandiswa mumatambudziko akaoma. Kazhinji serotonin reuptake inhibitor (SSRI) inosarudza (semuenzaniso, Prozac, Cipralex) yaizogadzwa. Benzodiazepines inogona kushandiswa kwenguva pfupi yekutarisa kwekuzvidya mwoyo.
- Kutsigira kunewo chinhu chakakosha chekutarisana. Kana uine GAD uye uri nepamuviri, tsvaka rubatsiro kubva kumhuri, shamwari, uye munharaunda kuti ikubatsire kukunda.
Ndinokwanisa Kutora Mishonga yeGAD Pawakaberekwa here?
Kana uine GAD uye uri nepamuviri, unogona kushamisika kana wakachengeteka kuti utore mishonga.
Kunyange zvazvo chisarudzo ichi chakanaka chichienda kuna chiremba wako, kazhinji mishonga inorayirwa apo zvinobatsira zvinofungidzirwa kuti zviwedzere njodzi. Mune mamwe mazwi, kana iwe uchitambura nekuremara kunetseka izvo zvingangoita zvakashata zvakakanganisa kuberekwa kwako, mishonga inogona kuva yakasarudzwa.
SSRIs inoyambuka placenta asi inoonekwa seyakachengeteka panguva yekuzvitakura. Vana vemadzimai avo vakatora SSRIs panguva yekuzvitakura vanogona kutambura neineatalatal adaptation syndrome, vane zviratidzo zvakadai sejitters, kushungurudza dambudziko, nekutsamwa. Dambudziko iri rinowanikwa munenge 10 kusvika ku25 muzana yevana vanozvarwa vacharatidzwa mushure memubereki, asi inofanira kugadzirisa mumazuva matatu kusvika kune manomwe.
Kana iwe wakatora benzodiazepines nguva dzose paunenge uine pamuviri, mwana wako acharangarirwawo nemigumisiro yemishonga.
Iwe unganetsekawo nezvekuyamwisa. Vamwe veSSSRIs vane hutsika hwakanyanya mumukaka wemucheche-saka kunyanya kunwisa panguva iyo mishonga iyi isingatenderwi. Zvisinei, kwenguva yakareba migumisiro yemishonga iyi kumwana ari kusimukira haisati yakanyatsozivikanwa. Iwe unofanirwa kuongorora zvinogona kubatsira uye njodzi nechiremba wako.
Shoko Rinobva
Iwe unogona kungozvibvunza kana iwe uri mutoro wekutora pamuviri kana uine GAD. Kana paine chirwere chakabudirira, hapana chikonzero chekuti mukadzi ane GAD haafaniri kuva nevana. Ita urongwa nachiremba wako pamusoro pekugadzirisa zviratidzo kana pavanomuka uye vachikurukura nguva dzose kuti uchengetedze kuzvidya mwoyo kwako.
> Sources:
> BC Children's Hospital. Generalized Anxiety Disorder.
> Buist A, Gotman N, Yonkers KA. Chirwere chekunyanya kuzvidya mwoyo: maitiro uye njodzi muhutumbi. J Inobata Matambudziko . 2011; 131 (1-3): 277-283. doi: 10.1016 / j.jad.2011.01.003.
> Goodman JH, Chenausky KL, Freeman MP. Matambudziko ekuzvidya mwoyo panguva yekuzvitakura: kurongeka kwekuongorora. J Clin Psychiatry . 2014; 75 (10): e1153-1184. doi: 10.4088 / JCP.14r09035.
> Misri S, Abizadeh J, Sanders S, Swift E. Perinatal Generalized Kuzvidya Mwoyo Dambudziko: Kuongorora nekurapa. J Womens Health (Larchmt) . 2015; 24 (9): 762-770. doi: 10.1089 / jwh.2014.5150.
> Misri S, Swift E. Generalized Kuzvidya Mwoyo Dambudziko uye Major Kuora Mwoyo Dambudziko Mumadzimai Ari Kuberekwa nePaspartum: Madzimai ehupenyu hwehupenyu nehutano hwekurapa. J Obstet Gynaecol Can . 2015; 37 (9): 798-803. doi: 10.1016 / S1701-2163 (15) 30150-X.