Co-Occurring Mood uye Matambudziko Okuzvidya Mwoyo
Mubvunzo: Ndingave Nekutambudzika Kwepfungwa uye Kuora Mwoyo?
Vanhu vane mamiriro anokonzera kuzvidya mwoyo vanowanzoongororwa vane co-inokonzerwa nehutano hwepfungwa. Kunyanya, vanhu vane dambudziko rekushaya chirwere vanowanzova mungozi yakakura yekuwedzera kuora mwoyo kwechirwere. Kutsvakurudza kwakaratidza kuti inenge hafu yevaya vanoonekwa kuti vane dambudziko rekushaya dambudziko richava nechinangwa chimwechete chekuora mwoyo kukuru muupenyu hwavo.
Mhinduro:
Kushungurudzika hakusi kwakafanana nekunzwa kazhinji kuora mwoyo kana kuora mwoyo. Isu tose tine nguva muhupenyu hwedu umo tinonzwa takaderera, zvakadai sekunge tava kurasikirwa kana kugamuchira mashoko akaipa. Kunzwa "bhuruu" pamusoro pematambudziko ehupenyu hakusi chiratidzo chekuora mwoyo. Zvisinei, zvakakosha kutsvaka rubatsiro kana manzwiro ako ekurwadziwa anotanga kuchinja zvakanyanya basa rako rose, sekupindira nebasa rako, hukama uye zvimwe zvinhu zvinokosha muupenyu hwako.
Kazhinji vanhu vane chirwere chekuremerwa kwekliniki havagoni kuziva kuti chii chiri kuita kuti vaore mwoyo, asi vanoziva kuti kunzwa kuti havagoni "kungobuda."
Chii Chinonzi Kuora Mwoyo?
Kuora mwoyo ndiko kunorwara kunetseka kwehutano hwepfungwa iyo inoratidzirwa nezviratidzo zvinotevera:
- Kuora mwoyo kwakanyanya nguva
- Kurasikirwa kwechido uye kugutsikana mumabasa aimbofarira
- Kuchinja mune chido, kazhinji kuonekwa mukurema kana kurasikirwa
- Kurara kunokanganisa, kusanganisira kusarara uye kurara zvakanyanya
- Mafungiro anochinja, akadai sekuonekwa asinganyaradzi kana kuderera
- Kuramba kuneta uye kurasikirwa kwesimba
- Manzwiro okusakosha, kushaya tariro uye kunyanya kuva nemhosva
- Kusava nekufungisisa, kushungurudza kufunga nekuoma kuita zvisarudzo
- Kudzokorora pfungwa dzekufa kana kuzviuraya
Maererano neDSM-IV-TR , zvinenge zvishanu zvezviratidzo izvi zvinofanira kunge zviripo mukati memakore maviri emavhiki. Chimwe chezviratidzo izvi chinofanira kunge chakaora mwoyo kana kurasikirwa kwechido kana kufara, kuitira kuti zviongororwe zvakajeka nekutambudzika kukuru. Zviratidzo izvi zvinofanirawo kuratidza kuchinja mumamiriro ehupenyu hwemunhu sezvinoratidzwa nehumwe-ruzivo kana kuonekwa nevamwe vanoziva munhu wacho, sevamwe shamwari, mhuri uye vashandi.
Kushungurudzika kunewo mamiriro ekurapa anogona kugadzirirwa kuburikidza nekubatsirwa nachiremba wako. Nzira dzakajairika dzemishonga dzinosanganisira mishonga, psychotherapy kana kusanganiswa kwezvose. Anodzvinyirira ndiwo anonyanya kunzikanwa mishonga yekurapa kuora mwoyo. Anozivikanwa nemafungiro avo ekuvandudza zvinhu, zvinodzvinyirira zvakare zvakagadzirwa kuti zvirape uye kuderedza zviratidzo zvekutyisa chirwere.
Kugadzirisa manzwiro ehutano ( CBT ) imwe yerudzi rwepfungwa yehutachiona iyo yakawanikwa zvakare kuti inoshanda yehutano hwekuora mwoyo nekutyisa chirwere. CBT inoshanda nekuchinja mafungiro asina kunaka nemafambiro ekudzikisa kudzvinyirira uye kuzvidya mwoyo zviratidzo, nekuvandudza kushanda kwese. Kubatanidzwa kweBCT nemishonga ndiyo inowanzosarudzwa sarudzo sarudzo yekutya chirwere uye kuora mwoyo.
Zvinokwanisika kuva nekutyeuka kwepfungwa uye kubatana kwemaitiro ekugadzikana kwechirwere chekuremerwa; aya maitiro ekurapwa anogona kugadzirisa zvose zviri zviviri.
Kana iwe uchifungidzira uri kutambura nekuora mwoyo, taura nachiremba wako pakarepo. Kana iwe uchiri kuve nechokwadi kana iwe unenge uine kuora mwoyo, tora ichi chakavanzika chekuongorora kuongorora. Iri bhuku rekuora mwoyo rinokwanisa kukupa mamwe mashoko pamusoro pezviratidzo, zviratidzo, uye nzira dzokurapa kwekuora mwoyo.
Kana uri kuwana pfungwa dzekuzviuraya, tsvaka rubatsiro pakarepo nekushevedza 911 kana hotline yekudzivirira kudzivisa. Izvi zvinoshandiswa pachena uye zvinogona kukupa maawa 24 anobatsira.
Kana uri muUnited States, unogona kudana National Suicide Prevention Hotline pa (800) SUICIDE (1-800-784-2433) kana National Suicide Prevention Lifeline, (800) 273-TALK (1-800-273- 8255).
Sources:
American Psychiatric Association (1994). "Kuongorora uye nhamba yehuwandu hwehutano hwepfungwa (4th ed.)" Washington, DC: Munyori.
Gorman, JM, & Coplan, JD (1996). "Kusagadzikana kwekuora mwoyo uye kutya kwepfungwa." Journal of Clinical Psychiatry, 57, 34-41.