Ndezvipi Zviratidzo Zvokuda Kuzvidya Mwoyo Kwevanhu?

Kuratidzira kweMishonga yeZvamwe Kuzvidya Mwoyo Kwevanhu

Mishonga yekushungurudzika kwehutano hwevanhu (SAD) inotarisana nekuoma kwemazwi ako uye manzwiro emuviri uye kuti unoshanda zvakadini zuva rega rega.

Kureba kwekurapa kunopesana. Vamwe vanhu vanogona kupindura zvakanaka pakurapwa kwekutanga uye vasingatsvaki chinhu chipi zvacho, asi vamwe vanogona kutora rumwe rudzi rwekutsigirwa muupenyu hwavo hwose.

Zvose mishonga uyerapi zvakaratidzwa zvakajeka mukurapa SAD.

Chirwere chevanhu chinokonzera kushungurudzika kwepabonde chinopindura zvakanakisisa kune kusanganiswa kwemishonga uyerapi, asi kurapwa ndoga kunowanikwa zvakakwana kune SAD chaiyo. Pasi pane tsanangudzo yemishonga inokosha yeSAD.

Mishonga Yekushungurudzika Kwevanhu Munzanga

Mhando dzakasiyana dzakasiyana dzemishonga inorayirwa kuti dzirape SAD. Chimwe nechimwe chine zvigaro nezvakanakira zvichienderana nemamiriro ako ezvinhu.

• Benzodiazepines

  Benzodiazepines inyanzvi dzakanyarara dzinodzivirira kana kuderedza zviratidzo zvekuzvidya mwoyo. Iine zviitiko zvakasiyana-siyana pauropi iyo inowanzoita sedative. Mimwe mienzaniso yezita rokuti benzodiazepines ndeyotevera:

  • Xanax
  • Ativan
  • Valium
  • Klonopin

  Kunyange zvazvo kutsanya-kuita uye kubvumirwa zvakanaka, benzodiazepines ine mikana yekuita tsika uye haifaniri kutarisirwa kune munhu ane dambudziko rekushandisa zvinodhaka. Iyi kirasi yemishonga haifaniri kutaridzirwa semutsara wokutanga wehutano hwekushungurudzika kwevanhu munzanga.

• Beta Blockers

  Beta blockers ndiyo nzira yemishonga inogona kutorwa mumuromo maawa mashomanana kusati kwaitwa kuita kuderedza zviratidzo zvekuzvidya mwoyo zvakadai sekukurumidza kwemwoyo, kudengenyeka kwemaoko uye "mapururu ari mudumbu" kunzwa. Beta blockers inoonekwa seimwe nzira yakanakisisa pane benzodiazepines nokuda kwekuita mamiriro ezvinhu nokuti haina matambudziko anokonzera kuoma kwepfungwa. Rimwe zita rezita beta blockers rinosanganisira zvinotevera:

  • Inderal
  • Tenormin

• Monoamine Oxidase Inhibitors (MAOIs)

  Kusvikira munguva pfupi ichangopfuura, MAOIs yakaonekwa semhuri inobatsira zvikuru yemishonga yeSAD. Zvisinei, iyi kirasi yemishonga inogona kuva nemigumisiro yakakomba. Nemhaka yezvipingamupinyi zvinosangana neMaOIs, zvinowanzofungidzirwa pakurapa kwekushungurudzika kwevanhu munzanga kunze kwekuti mamwe mishonga isingabatsiri, kana zvimwe zvikonzero zvinoratidza kushandisa kirasi yemishonga . Heano mamwe mazita mazita MAOIs:

  • Nardil
  • Parnate
  • Marplan
• Sarudzo yeSerotonin Reuptake Inhibitors (SSRIs)

  SSRIs yakava rudzi rwakakosha rwemishonga yekurapa SAD. SSRIs inosarudzwa nokuti migumisiro yemigumisiro inowanzochengetedzwa zvakanaka uye mishonga inowanzo nyore kuparadzira uye kuongorora. Mimwe mienzaniso yezita rechiratidzo SSRIs inosanganisira zvinotevera:

  • Celexa
  • Paxil
  • Prozac
  • Lexapro
  • Luvox
  • Zoloft
• Sarudzo yeSerotonin Norepinephrine Reuptake Inhibitors (SNRIs)

  SNRIs iboka remishonga inodzvinyirira rinoshandiswa mukurapa kushungurudzika , kuora mwoyo uye zvinetso zvakasiyana . SNRIs inoshanda pane zvose serotonin uye norepinephrine muuropi; norepinephrine yakabatanidzwa kune simba nekuchenjerera. Pasi pane urongwa hweSNRIs. Kubudirira chete kwakagamuchirwa kuitira kurapwa kwehutano hwehutano hwevanhu.

  • Effexor
  • Serzone
  • Cymbalta
  • Pristiq

• Mimwe Mishonga yeSAD

  Kune dzimwe mimwe miviri yemishonga inoshandiswa kunze kwe-label yekushungurudzika kwehutano hwemagariro evanhu isingawiri muzvikamu zvepamusoro. Mimwe mienzaniso inosanganisira:

  • Vistaril
  • BuSpar

Kuchengetedza-Behavioral Therapy (CBT)

CBT inzira yepfungwa yepfungwa yakagadzirirwa kugadzirisa mafungiro nemafambiro ako kuitira kuti zvive nemasimba ekukanganisa manzwiro ako. Zvinhu zvitatu zvakakosha pakufungisisa-maitiro ehutano zvakaratidzwa kubatsira kubata SAD-kutarisa, kugadzirisa kugadziriswa uye kudzidzira unyanzvi hwehutano.

• Kuchengetedza

  Kujekesa kunogona kuitika kana kuburikidza nekufungidzira kushanda kwakananga kana mamiriro ezvinhu evanhu , kana mu-vivo . Kana iwe uine chirwere chakanyanya kukura kwekushungurudzika kwevanhu, unyanzvi wako anogona kutanga nekufungidzira kufungidzira uye pakupedzisira anofambira mberi mune-vivo. Icho chinangwa chekurapa kurapwa ndechokuti kuburikidza nekuita uye ruzivo, iwe uchava wakanyatsogadzikana mumamiriro ezvinhu aungambozvidzivirira nawo.

  Pasi pane mamwe maitiro ekutsvaga maitiro aunogona kuita iwe pachako:

  • Kunzwa kwekutya kutya
  • Kuratidzwa kwehinyara bladder syndrome
  • Kutaura kwekutya kwefoni

• Cognitive Restructuring

  Kugadziriswa kwepfungwa kunofungidzira zviratidzo zvekuziva nezveSAD: mafungiro asina hanya , kutya kutya kusarudzwa nevamwe uye kusagadzikana kwezvakanaka (kuve nemigumisiro yakanaka kune zvinokanganisa uye zvikanganiso zvisina kunaka kune kukanganisa kwako).

  Kugadziriswa kwepfungwa kunosanganisira maitiro akaitwa kuratidza mafungiro asina kunaka , kuongorora kuti ivo vechokwadi sei, uye kuvaka dzimwe pfungwa kuti varwise pfungwa dzepakutanga. Kugadziriswa kwepfungwa kunofanirwa kuve kwakakosha pakurapa kwekushungurudzika kwevanhu munzanga nekuda kwesimba rakasimba rekufungisisa kwechirwere uye inowanzosingaperi nguva yeupenyu.

• Kudzidzira Unyanzvi hwemagariro evanhu

  Unyanzvi hwehutano hwemagariro hunosanganisira maitiro akasiyana-siyana akadai sekuenzanisa, kuongororazve uye kuita-kutamba kwakagadzirirwa kubatsira vanhu kudzidza tsika dzakanaka uye kuderedza kuzvidya mwoyo munzanga dzevanhu . Haasi munhu wose achada ruzivo rwemagariro evanhu sechikamu chekurapa kwavo. Izvi zvinoshandiswa zvakananga kune vanhu vane zvikanganiso chaivo mune zvekugarisana kwevanhu uye pamusoro pekunetseka kwevanhu . Pasi pane dzimwe nzvimbo dzinogona kutarisirwa kudzidzira unyanzvi hwemagariro evanhu:

  • Eye contact
  • Kukurukurirana
  • Kutsigira
  • Runhare runhare

Dzimwe Psychotherapies

Psychodynamic therapy , umo mushonga unoshanda kuita kuti munhu ave nemanzwiro ake kuitira kuti aite kuburikidza navo, anobatsira kune vamwe vanhu vane SAD. Iyo inobatsira zvikuru kune vanhu vane chikonzero chakadzika chisina kugadziriswa chekuzvidya mwoyo kwavo.

Psychodynamic therapy inogona kubatsira kugadzirisa zvinogona kuita zvinoitika mumararamiro ehupenyu hwepakutanga, uye zvinogonawo kubatsira pane dzimwe nguva kuti uongorore kusakwanisa kushanduka kuchinja.

Alternative Treatments

Zvimwe zvirongwa zvekushungurudzika kwevanhu munzanga zvinosanganisira zvinhu zvakadai sezvokudya zvinowedzera, aromatherapy uye hypnotherapy. Zvizhinji zvekurapa kusina kushandiswa kwesayenzi kushanda mukurapa kweSAD. Mukuwedzera, dzimwe nzira dzokurapa dzinogona kusingatongorongwi sezvinoenderana nemhando dzese dzokurapa. Pasi pane mamwe maitiro ekurapa kwekushungurudzika kwevanhu munzanga:

• Zvokudya zvinowedzera
• Aromatherapy
• Hypnotherapy

_Kunobva:

_{Hales, RE, & Yudofsky, SC (Eds.). (2003). IAmerican psychiatry kushandura bhuku rechirwere chepfungwa chepfungwa. Washington, DC: American Psychiatric.}