Zvishandiso kubva kuTherapy kuMishonga
Kuvhunduka kunokonzerwa nechiitiko chinokonzerwa nekutya kukuru kunokonzera kushushikana kwakanyanya kwemuviri kwakadai sekukurumidza kwe moyo uye kupererwa kwepfufu kana pasina ngozi chaiyo kana pachena chikonzero. Vanhu vazhinji vane kurwisana kamwechete kana maviri muhupenyu hwavo, uye chinetso chinopera. Asi kana uchinge wave uchidzoka, kusatarisira kunotyisa uye wakapedza nguva yakawanda mukugara uchitya kweimwe kurwiswa, unogona kuva nemamiriro ezvinhu anonzi panic disorder.
Kutyisa kwepfungwa chirwere chekuzvidya mwoyo chinoratidzwa kazhinji uye kakawanda chinotyisa chinotyisa. Izvi zvinotyisa zvinoteverwa nemanzwiro makuru ekuzvidya mwoyo uye kunetseka uye kazhinji kunopindira zuva nezuva kuburikidza nekuedza kuderedza dambudziko rekuve nekurwiswa.
Ndinofara, kunyange zvazvo kutya kunotyisa kunotyisa uye kunetseka kwepfungwa kunogona kukanganisa nzvimbo yese yehupenyu hwako, kurapwa kunogona kuva kwakabudirira mune zvose zvishoma kuderedza nhamba yekurwisa uye mukudzorera mararamiro ako ehupenyu.
Treatment Options
Kune nzira dzakasiyana-siyana dzokurapa chirwere chinotyisa, uye kazhinji kacho kusanganiswa kweizvi kunonyanya kubudirira. Mishonga inogona kusanganisira mhando dzakasiyana dzepfungwa, remishonga, mararamiro ekuchinja uye kusununguka kwepfungwa.
Psychotherapy
Psychotherapy ishure rekurapa kwekutyisa chirwere uye ndiyo yakanakisisa kurapwa kwechiitiko chekutya kwekutya munguva yemberi.
Nhanho yekutanga mune zvepothytherapy inongova dzidzo; kutsanangura zviri kuitika munguva yekutyisidzira.
Zviri pachena, zvichienderana nehuwandu hwevanhu vanoda kutsvaga kutarisana nekutya kwekutya, iwe unganzwa manzwiro epanyama anonyanya kunetseka. Mumwe mushonga acharamba achitsanangura zviri kuitika mumuviri, uye kuti " kurwa kana kutiza " zvinokonzera zviratidzo izvi.
Psychotherapy inosvika iyo yakabudirira mukurapa chirwere chinotyisa chinosanganisira:
Cognitive Behavioral Therapy
IAmerican Psychiatric Association inoratidzira kuti imwe nzira yepfungwa inonzi " cognitive-behavioral therapy" (CBT) ndiyo inonyanya kukosha yekutya chirwere.
Kunzwisisa-hutano hwehutano hunoratidza kukosha kwezviito zvepamusoro uye mafungiro mukuzvinzwisisa nekudzora kuzvidya mwoyo nekutyisidzira. Chinangwa chekurapa ndechekushaya kukwana, kuvhiringidza, nekukuvadza maitiro uye kufunga kwepfungwa kusina musoro kunobatsira pakuenderera kwezviratidzo.
CBT inosanganisira matanho maviri ekutanga pakubata chirwere chinotyisa. Chokutanga ndechokuziva mafungiro asina kunaka nemaitiro. Izvi zvinogona kuitwa nenzira dzakasiyana-siyana nekutamba dzimwe nguva vachitamba basa guru.
Kana imwe nguva mafungiro uye mafambiro asina kunaka akaonekwa, unogona kutanga kutora nzira dzakanaka dzokugadzirisa nzira yekuchinja mafungiro asina kunaka uye pfungwa. Imwe nzira inoshandiswa kakawanda nekutya ndeyokusaziva. Mune nzira iyi, munhu anononoka kupfurikidza nekunyanyisa kunetseka-kunokonzera kukurudzira kusvikira isisati ikurudzira kutyisa kupindura.
Kutyisa-Kurongeka Psychodynamic Psychotherapy
Kushongedza kwepfungwa -kugadziriswa kwepfungwa kunobatsirawo mukurapa chirwere chinotyisa. Psychodynamic therapy yakadzika muFranud's psychoanalytic theories.
Chinangwa chekurapa ndechokubatsira vatengi kuziva nezvekusawirirana kwavo uye mafungiro uye kuziva zvirongwa zvekudzivirira zvinokonzera kupfuurira kwezviratidzo. Kusiyana ne CBT, chinangwa chechirapa ichi ndechokuti uwane chikamu chekusaziva kwepfungwa apo pfungwa dzinorwadza nekuyeuka zviri kuchengetwa.
Kushanda Nechiremba
Psychotherapy inowanzoitwa nemunhu ane ruzivo mupiki, mushandi wepabonde, chiremba wepfungwa kana chiremba wepfungwa. Ramba uchiyeuka kuti sezvo kune hune hukama huzhinji hwakasiyana pakati pechiremba, kune humwe hukama huri pakati pevashandi vehutano hwepfungwa. Dzimwe nguva vanhu vanofanira "kubvunzurudza" vanopfuura mumwechete (vapei pfungwa yechipiri) kuitira kuti vawane mushandi wepamusoro kuti avatungamirire.
Kutyisa kusagadzikana kurapwa hakusi "kuronga nokukurumidza" uye hukama hunotsigira nemurapi huchaenda nenzira yakareba mukukubatsira kuita basa rinodiwa kuti udzorere hupenyu hwako.
Mishonga
Mishonga inoshandiswa kakawanda kutyisa chirwere inosanganisira antidepressants uye anti-anxiety drugs. Zvakakosha kucherechedza kuti kana munhu anodzvinyirira achikurudzirwa, hazvirevi kuti chiremba wako anotenda kuti wakaora mwoyo. Zvose zvinopesana nemanzwiro zvinoshanda nekuchinja imwechete kana yakawanda yehupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi huro
- Serotonin. Iyi kemikemikari inoita basa mukugadzirisa kufunganya, mafungiro, kurara, chido, uye zvepabonde.
- Norepinephrine, iyo inoita kuti munhu arara uye akangwarira, anotenda kuti inopindirana nehondo kana kupikisa kunetseka kupindura.
- Dopamine inopikisa kufamba kwemuviri uye inofanirwawo kuti inobatanidzwa mukukurudzira, mubairo, kusimbisa uye kushaya mitezo maitiro . Mafungiro mazhinji e psychosis anoratidza kuti dopamine inobatsira mune zviratidzo zvepfungwa .
Antidepressants
Zvinodhaka zvinoshandiswa kurapa chirwere chinotyisa chinoputsika muzvikamu zvina zvikuru. Mishonga inonyanya kugadziriswa ndeye SSRIs, uye MAOIs inoshandiswa chete zvisingamboiti apo mamwe mishonga yakundikana.
- Kusarudza serotonin reuptake inhibitors (SSRIs) - SSRI inoshanda nekuwedzera nhare ye serotonin muuropi. Mienzaniso inosanganisira Paxil (paroxetine) , Zoloft (sertraline) , uye Prozac (fluoxetine) .
- Serotonin-norepinephrine reuptake inhibitors (SNRIs) - SNRIs basa pane zvose serotonin uye norepinephrine muuropi. Mienzaniso inosanganisira Effexor (venlafaxine) , uye Cymbalta (duloxetine) .
- Tricyclic antidepressants (TCAs) - TCAs dzinobata serotonin, norepinephrine, uye zvishoma, dopamine. Mienzaniso inosanganisira imipramine uye amitriptyline.
- Monoamine oxidase inhibitors (MAOIs) - MAOIs inodzivisawo kutya nekuchinja makemikari makemikari. mienzaniso inosanganisira Nardil (phenelzine) uye Parnate (tranylcypromine). MAOI anogona kuva akaoma kushandisa uye anoda kuti vanhu vatevedzere kudya kwakasimba zvakanyanya sezvo mishonga inogona kutyisidzira nekudya, kunwa, nemimwe mishonga.
Kurwisa Kuzvidya Mishonga
Mishonga isingafungidzirwi mishonga yakadai se benzodiazepines dzimwe nguva inoshandiswa nguva pfupi yekutyisidzira, asi inogona kuva nyore kuita tsika.
Mishonga yekurapa chinotyisa chirwere chinogona kugadzirirwa nechiremba chepfungwa kana chiremba wokurapa. Iyo urefu hwemishonga inorapa inopesana zvikuru kubva kune mumwe munhu kune mumwe nomumwe. Zvinogona kunge zvichidikanwa kuti vamwe varambe vachironga mishonga yemishonga muupenyu hwavo hwose.
Kuwana Rubatsiro Nedzimwe Nyanzvi
Dambudziko rekushungurudzika nderokurapa uye vanhu vakawanda vachaona kuderedza zviratidzo zvechirwere pamwe nekurapa. Kushandiswa kwekukurumidza kunotanga, zvishoma iwe unenge uchikudziridza agoraphobia , uye nokukurumidza iwe unogona kudzoka netsoka dzako uye unotanga kurarama zvakare. Dzidza pamusoro pezvipingamupinyi zvinowanzosvika pakutsvaga rubatsiro pamwe nekubatsirwa nemari inowanika kune vanhu vane dambudziko rekushungurudzika .
Sources:
Bighelli, I., Trspidi, C., Castellazzi, M. et al. Anodzvinyirira uye Benzodiazepines yePanic Disorder muVanhu vakuru. Cochrane Database yekuongorora kwakarongeka . 2016. 9: CD0011567.
Cujpers, P., Gentile, C., Banos, R. et al. Migumisiro yechirangariro uye maitiro ekurapa maitiro ekugadzirisa kushungurudzika kwehutano, hukama hwehukama nekuzvidya mwoyo uye panic disorder: a meta-analysis. Zvinyorwa zvekuzvidya Mwoyo . 2016. 43: 79-89.
Imai, H., Tajika, A., Chen, P., Pompoli, A., naT. Furukawa. Psychological Therapies Verses Intervention Pharmacological for Panic Disorder with or without Agoraphobia in Adults. Cochrane Database yekuongorora kwakarongeka . 2016. 10: CD011170.