Vane Makira Mashoma Mafungiro Emishonga
Kana iwe uine chirwere chekuzvidya mwoyo, iyi dzimwe nguva manzwiro anobatsira anogona kukuchengetedza kuti urege kutarisana uye ungatovhiringidza hupenyu hwako hwezuva nezuva. Kushungurudzika kwepfungwa hakusi kungoita mutsara. Izvo zvirwere, zvinowanzoenderana nehupenyu hwehupenyu uye hupenyu hwehupenyu hwomumwe munhu, uye dzinogara dzichimhanya mumhuri. Nenzira yakanaka, kune mishonga yemishonga inowanika kurapa zviratidzo zvekushungurudzika kwepfungwa.
Zviratidzo Zvekuzvidya Mwoyo
Kazhinji, zviratidzo zvinoratidzirwa mumatambudziko ekuzvidya mwoyo zvinosanganisira kusagadzikana, kusagadzikana, kusvetuka, manzwiro ekutya, kukurumidza kana kusagadzikana kwepfungwa, kusangana nemakumbo kana kushungurudza, kushaya simba uye / kana matambudziko ekufema. Zviratidzo izvi zvinopesana zvichienderana nemunhu uye zvinorwara zvinokonzera kushungurudzika.
Mhando dzekuzvidya mwoyo Matambudziko
Kune huwandu hwehutano hwekuzvidya mwoyo, imwe neimwe ine zvikamu zvayo zvakasiyana nezviratidzo. Yakawanda inowanzosangana nehutano hwepfungwa (GAD), hutano hwehurombo hwehutano (SAD). panic disorder, phobias, obsessive-compulsive disorder (OCD), uye mushure mekutambudzika kwepfungwa dambudziko (PTSD).
Mishonga Inoshandiswa Kutarisira Matambudziko Okuzvidya Mwoyo
Kushandisa mishonga yekunyanya kuzvidya mwoyo kunonzi kwakachengeteka uye kunobatsira uye inogona kunyanya kushandiswa kana yakashandiswa pamwe chete nepfungwa. Kune makira mana makuru emishonga inyanzvi dzehutano hwepfungwa dzinoshandisa kurapa zvinetso zvekuzvidya mwoyo: sarotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), benzodiazepines uye tricyclic antidepressants (TCAs).
Sarudzo yeSerotonin Reuptake Inhibitors (SSRIs)
Kusarudza serotonin reuptake inhibitors inoshanda nekuita kuti serotonin yakawanda ivepo muuropi, iyo inovandudza mafungiro ako. SSRIs yakafanana neProzac (fluoxetine), Luvox (fluvoxamine), Paxil (paroxetine) uye Zoloft (sertraline) dzakasarudzwa zvakanaka chero rudzi rwemhando ipi yehutano hwekuzvidya mwoyo.
Kazhinji, migumisiro inogona kusanganisira kuwedzera kuwedzera, kuora matambudziko (zvakanyanya kana zvishoma) uye kusagadzikana kwepabonde. Zvizhinji zvinokonzerwa nemigumisiro inopera mukati memavhiki mashoma kutanga mishonga, zvisinei, saka ipa muviri wako nguva yekugadzirisa.
Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)
Serotonin-norepinephrine reuptake inhibitors inoshanda zvakafanana kune SSRIs pakuti inokonzera kuti serotonin, uye norepinephrine, ive yakakwirira muuropi. Mienzaniso ndiyo Cymbalta (duloxetine), Effexor (venlafaxine) uye Pristiq (desvenlafaxine). SNRIs inofungidzirwa seyakashanda seSRRIs, kunyanya yehuwandu hwehutano hwepfungwa. Migumisiro inogona kuisa misoro, kusagadzikana kwepabonde, kusuruvara, kushungurudzwa mudumbu uye kuwedzerwa ropa.
Benzodiazepines
Benzodiazepines, kana sedatives, inowanzoshandiswa kwenguva pfupi kuti ikubatsire kuporesa uye kubvisa kusagadzikana kwemasuru uye zvimwe zviratidzo zvemuviri zvinogona kuuya nekuzvidya mwoyo. Kazhinji benzodiazepines inosanganisira Klonopin (clonazepam), Xanax (alprazolam), Valium (diazepam) uye Ativan (lorazepam). Benzodiazepines inogona kuvhara zviratidzo munguva pfupi.
Vanhu vakasiyana vanoita zvakasiyana kune benzodiazepines. Vamwe vanhu vangave vachida kuatora kaviri kana katatu pazuva, uye vamwe chete kamwe chete pazuva, kana pane imwechete inoda.
Chirwere ichi chinowanzotangwa pazasi uye chichimbidzirwa kusvikira zviratidzo zvideredzwa kana kubviswa. Chirwere ichi chichasiyana zvikuru zvichienderana nezviratidzo uye muviri wako chemhemiti. Benzodiazepines dzimwe nguva inopiwa pane zvinenge zvichidiwa chete nokuda kwezvinetso zvinokonzera kana kushungurudzika.
Shandisa Kuchenjerera NaBenzodiazepines
Kushandiswa kwenguva refu kwe benzodiazepines hakukurudzirwi nokuti unogona kukura nekushivirira uye / kana kuvimba. Kushivirira kunoreva kuti unoda kutora mishonga yakawanda kuitira kuti iite. Kutenderera kunoreva kuti iwe unotanga zviratidzo zvekuregererwa kana ukarega kutora mishonga.
Vamwe vanhu vanoshandisa izvi mishonga kuitira kuti vawedzere. Mishonga yakareba kwenguva yakareba yakadai seKlonopin kana Valium inogona kubudisa zviratidzo zvekusiya zvirwere zvakanyanya kudarika mishonga pfupi-kuita seana Xanax neAtivan.
Iwe unofanirwa kurega doro paunotora benzodiazepines nokuti kusangana pakati pe benzodiazepines nedoro kunogona kukonzera kukanganisa uye zvichida kutyisa upenyu. Iva nechokwadi chekuudza chiremba wako nezvedzimwe mishonga iwe uri kutora.
Iva nechokwadi chekutaura nachiremba usati warega benzodiazepine. Kushandura kunogona kuitika kana kurapwa kunomira pakarepo. Kurega zviratidzo zvinogona kusanganisira kushungurudzika, shakiness, musoro wepfungwa, shungu, kurara, kurasikirwa kwechido uye / kana kugumburwa.
Zvinoshamisa kuti zvizhinji zvezviratidzo izvi zvakafanana nezviratidzo zvekuzvidya mwoyo iwe ungangodaro waitsvaga kurapa. Kuti udzivise zviratidzo izvi chiremba wako angangodaro akaisa mushonga wako mushonga zvishoma nezvishoma.
Tricyclic Anodzvinyirira (TCAs)
Yekupedzisira kirasi yemishonga inoshandiswa pakuzvidya mwoyo is tricyclic antidepressants. Nemhaka yokuti mishonga iyi yaiva imwe yekutanga kuora mwoyo yakagadzirwa, inogona kuva nemigumisiro yakakomba, kusanganisira maziso akasvinura, yakaoma muromo, kuvhiringidzika, kukanda ropa kunodonha pazvinomira uye zvinetso zvekuvhunga. Mienzaniso yeTCA ndiyo Elavil (amitriptyline), Tofranil (imipramine) uye (Pamelor) nortriptyline.
Iva nechokwadi chekutora mishonga yako sezvinorayirwa nachiremba wako. Kana uri kuve nemigumisiro yakakomba, bvunza chiremba wako, asi usarega mishonga yako pasina chiremba chako chigamuchire sezvo izvi zvingakonzera kukanganisa kwehutano.
Sources:
http://www.adaa.org/understanding-anxiety/DSM-5-changes
http://www.adaa.org/finding-help/treatment/medication
http://www.mayoclinic.org/diseases-conditions/depression/in-depth/antidepressants/art-20044970