Izvozvo zvinogona sei kugadzirisa zvinodhaka kubatsira kubata chirwere chinotyisa?
Iwe unogona kunge wakanzwa kuti vanodzvinyirira vanogona kubatsira kubata chirwere chinotyisa . Rimwe kirasi revanorwara, vanosarudza serotonin reuptake inhibitors (SSRIs), vanowanzotarisirwa kuti vabate chirwere chinotyisa, kushungurudzika, uye kutyisidzira. Dzidza kuti SSRI inoshandiswa sei mukurapa kwekutyisa chirwere.
Sarudzo yeSerotonin Reuptake Inhibitors, kana kuti SSRIs chete, inoreva rimwe boka remishonga inopesana nemishonga .
Apo paakatanga kubudiswa muma1980, SSRIs yakashandiswa kurapa kuora mwoyo. Iye zvino akasimbiswa kuti ave akabudirira mukurapa chirwere chinotyisa, SSRIs inosanganisira mishonga yakadai seProzac (Fluoxetine), Paxil (Paroxetine), Celexa (Citalopram), Lexapro (Escitalopram), Luvox (Fluvoxamine), uye Zoloft (Sertraline).
Sezvo zita racho rinoreva, SSRI inokanganisa serotonin, iyo inowanzoitika chemakemikari kana neurotransmitter muuropi. Serotonin inobatanidzwa nekugadzirisa mafungiro evanhu uye inofungidzirwa kuti haina kuenzana kune avo vane nhamo. SSRIs inongotarisa chete pamatanho e serotonin (kusarudza) nokudzivirira kubatwa kwayo (reuptake) nemasero emagetsi muuropi. Nokugadzirisa maitiro e serotonin, mishonga iyi inoderedza manzwiro ekuzvidya mwoyo, kudzora mafungiro, nekuvandudza kurara zvichiita kuti zvibudirire pakugadzirisa kuora mwoyo nekuzvidya mwoyo.
Pamusana pekuita kwenguva yakareba, zvisingabatsiri pamigumisiro, uye zvakagadziriswa zvitsvakurudzo zvinowanikwa, SSRIs ndiyo inowanzogadzirwa nemishonga yekutyisa chirwere.
Kana uri kufunga nezvemishonga kana ikozvino wakagadzirirwa SSRIs, unganetseka kuti iyi mishonga inogona kubatsira sei. Zvinyorwa pasi apa zvinowanzoitwa nenzira iyo SSRIs inoshandiswa mukurapa kwekutya chirwere.
Symptom reduction
Kakawanda, munhu ane dambudziko rekushaya chirwere anorayirwa SSRIs kubatsira mukuderedza zviratidzo zvinotambudza.
SSRIs dzakawanikwa kuti dzideredze nguva uye kuwedzera kwekutya kwekutya . Kugadzirisa kusimba kwekurwisana kunobatsira kubvisa kutya kunobatanidza nekurwiswa kwemangwana, iyo ndeimwe yezviratidzo zvinopisa simba zvekutya chirwere. SSRI inogona kuita kusiyana kukuru kune munhu anotya kubva pamba kana kuti ane matambudziko achiita mune mamwe mabasa anodiwa.
Skill-building
Kubatanidzwa mukurapa uye mabasa ekuzvibatsira ndiwo chikamu chinokosha chekudzorera. Mazano ekuzvibatsira anobatanidza kushandiswa kwekufema uye unyanzvi hwokuzorodza. Mumwe muongorori anogona kupa Cognitive Behavioral Therapy ( CBT ), iyo inosanganisira kutanga nzira itsva dzekufunga nekuzvibata kuitira kuti utsungirire chinetso chekutyisa.
Zvidzidzo zvinoratidza kuti CBT chete haisi iyo inobatsira pasina SSRIs. CBT inobatsira kwenguva refu mukugadzirisa zviratidzo, asi mishonga inogona kubatsira mukukurumidza kuderedza zviratidzo, zvichibvumira kutsvaga maitiro. Kana zviratidzo zviri pasi pesimba, mumwe anganzwa akagadzirira kudzidzira kurapwa, kupinza zvishoma nezvishoma kumamiriro ezvinhu ehupenyu kuti zvishoma nezvishoma awedzere pfungwa yekuvimba kana akatarisana nekutya. Kune vanhu vazhinji vane dambudziko rekushaya chirwere, kurapwa kwechirwere kunongowanikwa chete nekutsigirwa kweSSSRIs.
Kurapa nyaya dzinobatanidza
SSRI haikwanisi kushanda chete kurwisa zviratidzo zvekutyisa chirwere asi inogonawo kuderedza nyaya dziripo. Zvimwe zvehutano hwepfungwa, dzakadai sekuora mwoyo kana maitiro akasiyana-siyana ekuzvidya mwoyo, zvinowanzobatanidzwa nekutya chirwere. Zviratidzo zvehutano hwepfungwa zvinosanganisira zviratidzo zvakadai sokuneta, kusuruvara, uye kuderedza kufarira kune mabasa akare anofadza.
Zvimwe zvinoshandiswa pakushandisa zvinodhaka zvine chokuita nekutya chirwere. SSRIs inogona kuchengetedzwa zvakachengeteka mumamiriro ezvinhu akadaro. Kusiyana nemagetsi, akadai seXanax, Ativan , kana Valium , SSRIs haisi yodhakwa. Sezvo kuvimba hakusi nyaya, SSRIs inotarisirwa kwenguva refu kwenguva, zvichiwedzera mikana yekuvandudza.
Kufanana nemishonga ipi, kune dzimwe njodzi nemigumisiro yemigumisiro inobatanidza neRSSRIs. Zvimwe zvinokonzera migumisiro yakaipa inogona kusanganisira mukana wakawedzerwa wekuzviuraya nemafungiro, maitiro, uye zvinetso panguva yekuzvitakura . Izvi zvinogona kukanganisa hazviwanzovi uye zvinofanira kuongororwa nachiremba wako. Mimwe yemigumisiro yakawanda inowanzobatanidza kusuruvara, misoro , kuchinja kwehutano, uye kusagadzikana kwepabonde. Pamusana pekugona kukotsira uye chirwere chinokonzerwa neSRRIs, kungwarira kunofanira kutorwa paunenge uchifambisa kana uchiitawo zvimwe zvinhu zvinoda kuchenjerera.
Zvimwe zvinowanzoitika migumisiro inowanzowedzera nguva. Zvinogona kubatsira kutarisa chero migumisiro yemaitiro uye kufambira mberi kwawakaona paunotora SSRI. Ruzivo rwakadaro runogona kubatsira chiremba wako pakusarudza kana kuwedzerwa kuwedzerwa kana mishonga ichichinjwa. Kazhinji, chiremba wako achakutanga iwe pahotera shoma uye owedzera mari iyo inoda. Kusarudza kuti chiyero chakanaka kwauri chii chinoda kushivirira. SSRI inogona kutora nguva kuti ibudirire, dzimwe nguva inoda mavhiki mashomanana kuti atange kuona kuvandudzwa uye kusvika kumwedzi inoverengeka kuti vasvike pakukura kwayo. Kunyange kana iwe uchidavira mishonga isiri kushanda, usambomira kuisa SSRIs. Kuti urege kudzivisa zvinetso, rega kushandiswa chete pasi pekutungamirirwa kwachiremba wako.
Kazhinji, vanhu vazhinji vane dambudziko rekushungurudzika vachaita zvakanaka kune SSRIs. Kana ukasarudza kuzviedza sechikamu cherongwa hwako hwekurapa , yeuka kuramba uri murwere, iva akagadzirira kukurukura kufambira mberi kwesekushanyira chiremba, uye tarisira kutanga kunzwa kunzwa kununurwa kubva kune zviratidzo zvekutyisa chirwere.
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