Matambudziko ekuzvidya mwoyo haafaniri kusarura nezera.
Kushungurudzika kwekuzvidya mwoyo kwakagara kwambofungidzirwa sezvinetso zvehucheche uye nekukura kwevanhu vakuru. Zvisinei, kuwandisa kwematambudziko ekuzvidya mwoyo pakati pevakuru vakakura kubva pa10 kusvika ku20%, zvichiita kuti chikwata chekusawirirana chiwedzere kupfuura mamwe maitiro akafanana ekupedzisira-hutano hwepfungwa dzehutano dzakadai sekuora mwoyo kana kuora mwoyo.
Upenyu Husingaperi Hwakatanga
Kutanga kwehuwandu hwehutano hwepfungwa (GAD) zvakananga kuitika chero ipi zvayo muhupenyu hwehupenyu; muvhareji wemakore ekutanga ndiwo makore makumi matatu nemashanu.
Pamusoro pezvinetso zvose zvekuzvidya mwoyo, zvisinei, GAD inomira yakazara kune hupenyu hwekupedzisira nekufungidzira muzera revanhu vakuru vakura kubva pa1% -7%.
Kupararira kwaro kune vakwegura vakuru vangave mune chikamu kuve kujekesa kusimba kweGAD; Vakuru vechidiki vanorwisana nekutya kuzvidya mwoyo vanogona kuona kudzokorora kwezviratidzo mumapakati nepakati gare gare hupenyu. Kubvira kwetsva kweGAD pakati pevanhu vakwegura vakuru kazhinji kunobatanidzwa nekubatana kwepfungwa .
Kuonekwa kweGAD muhupenyu hwekupedzisira kunogona kuoma nezvimwe zvikonzero:
- Vanhu vakuru vakwegura vanogona kupa zviratidzo zvavo zvakasiyana nevaduku. Vanogona kutaura zvinoratidza zviratidzo zvekuzvidya mwoyo nyore nyore kupfuura zviratidzo zvepfungwa.
- Kuvapo kwechirwere chechirwere (iyo maitiro ayo anowedzera nezera) ndiyo inozivikanwa pangozi yezvinetso zvekuzvidya mwoyo.
- Vakwegura vakuru vane mikana yakawanda kupfuura vaduku vaduku kutora mishonga yakawanda. Nokuti zviratidzo zvenyama zvekuzvidya mwoyo zvinogona kuwedzereka nemishonga yemigumisiro, zvinobatsira kunyatsocherechedza zvinokonzera uye nguva yezviratidzo zvepanyama sezvavanoratidzira zvirongwa zvemishonga kana kuchinja kune zvimwe zvingaita zvinonetsa.
Kunyoreswa Muvakwegura
GAD iri, zvinosuruvarisa, inotarisirwa kune vakwegura. Kunyanya kuongororwa chirwere chimwe chikonzero cheizvi, asi chimwe chinhu chiri kuwana kana kukwanisa kutsvaga kurapwa. Pakati pevakuru vakwegura vane chirwere ichi, inofungidzirwa kuti inenge chikamu chimwe chete kubva pazvina kutsvaga rubatsiro rwehutano rwezviratidzo zvavo.
Nhanho yekutanga mune tsanangudzo yekuongororwa inogona kusanganisira kutaura nachiremba wemazuva ano - kana chiremba wekutanga wekuchengeta kana chiremba anobatanidzwa mukurapa kwechirwere chinorapwa. Kushandiswa kwekuongorora kwakakwana nemupi wehutano hwepfungwa kunogona kutevera.
Mishonga inowanika kuGAD muvanhu vaduku vaduku, iyo inosanganisira mishonga uye sarudzo dzepfungwa , hadzina kuongororwa sezvinonyatsonzwisiswa mumatambudziko akachengetedzwa akawandisa evakuru vakwegura. Zvitsva kubva kune mishonga yekurapa kwezvinetso zvekuzvidya mwoyo zvakapedzerwa mumasanganiswa ekukwegura kwezera revanhu vakuru uye miedzo iripo kune vakwegura vakuru kazhinji vanotsigira kushandiswa kwemishonga yekuzvidya mwoyo mukati mehupenyu hwevanhu.
Pane humwe uchapupu hwokuti nzira yekugadzirisa chirwere chepfungwa yakashandiswa pakuita zvakanaka mukurapa kweGAD muvana uye vaduku vakuru, kugadzirisa maitiro ehutano (CBT), inobatsira zvakafanana kune vakwegura. Kugadziriswa nekuvandudzirwa kuCBC - semuenzaniso, kushandisa zvinyorwa zvekunyora zvekunyora nekupa kurapwa mumapoka eboka - kuratidzira kuvimbiswa kwezvimwe zvikomborero zveboka rezera iri. Kugadzirisa zvipingamupinyi kumutachiona kusanganisira kufamba uye kuwanika, nzira dzakabatanidzwa dzokuzvibatsira dzinobva mumitemo yeBBC dziri pasi pechidzidzo.
References
Barrowclough C, King P, Colville J, et al. Chiongorori chisingatarisirwi chekugadzirisa kwekugadzirisa kwekufunga kwehutano hwehutano hwehutano nekusimbisa mazano ekuzvidya mwoyo zviratidzo kune vakwegura vakuru. Nhaurirano yeKubvunzurudza Psychology 2001; 69: 756-762.
Cassidy K, Rector NA. Iyo yakanyarara geriatric giant: kushungurudzika kwepfungwa mumazuva ekupedzisira. Geriatrics uye Aging 2008; 11 (3): 150-156.
Hall J, Kellett S, Berrios R, Bains MK, Scott S. Kubudirira kwehutano hwehutano hwehutano hwehutano hwehutano hwevanhu vakuru: kuongorora kuongorora, meta-analysis, uye meta-regression. American Journal of Geriatric Psychiatry 2016: Epub mberi kwechinyorwa, June 17, 2016.
Lenze E, Mulsant BH, Shear MK et al. Kusagadzikana kwekuora mwoyo uye kushungurudzika kwepfungwa muhupenyu hwekupedzisira. Kuora mwoyo uye Kuzvidya mwoyo 2001; 14: 86-93.
Lenze E, Mulsant BH, Shear MK et al. Kubudirira uye kushivirira kwekitalopram mukurapa kwehupenyu hwekupedzisira-hutano hwekushungurudza: zvinokonzerwa ne-8-week randomized, placebo-controlled control. American Journal of Psychiatry 2005; 162: 146-150.
Mackenzie CS, Reynolds K, Cho, KL, Pagura J, Sareen, J. Kuwandisa uye kuwirirana kwechirwere chepfungwa chinokonzerwa nehuwandu mune imwe nyika yevanhu vakuru vakwegura. American Journal of Geriatric Psychiatry 2011; 19: 305-315.
Wolitzky-Taylor KB, Castriotta N, Lenze, EJ, Stanley MA, Craske MG. Kuzvidya mwoyo kwevanhu vakuru: kuongorora kukuru. Kuora mwoyo uye Kuzvidya Mwoyo 2010; 27 (2): 190-211.