Zvichida wakacherechedza kuti iwe haunzwi sokuzvifunga iwe pachako paunorwara . Unogona kuona kusuruvara kwako zviri nani, asi unonzwa usiri nemanzwiro.
Kana iwe uchinzwa nenzira iyi (kana chimwe chinhu chakadai), iwe hausi woga. Mune chokwadi, pane chaizvo izwi rinoshandiswa kurondedzera uku kunzwa "kusina simba" kunonzi "kushungurudzika mupfungwa."
Ngatitadzidze zvakawanda nezvekushungurudzika mupfungwa, kusanganisira zvazvinonzwa, uye iwe uye chiremba wako unogona kutarisira sei uye tarisira, kubvisa.
Kunzwisisa Kushushikana Kwepfungwa
Kushungurudzika kwepfungwa kunoreva kuti manzwiro omunhu kana manzwiro anowedzererwa pasi, saka munhu anowanzonzwa "akarara." Vanhu vane ruzivo rwekushungurudzika kana kusvibiswa kubva kune avo vanodzvinyirirwa vanogona kuudza zviratidzo zvakadai se:
- Kuve usina kukwanisa kuchema apo zvingave zvaitarisirwa kuita
- Kunzwa kusingonzwira tsitsi kune manzwiro evamwe
- Kusakwanisa kupindura nehuwandu hwemaonero akanaka avo vaaida
Mukuwedzera, kushungurudza mupfungwa kunowanzoitika kune zvimwe zviratidzo zvakadai zvakaderedza kufunga uye kuderedza kufara kwepabonde uye kufarira.
Kuwanda kwekunzwa kwepfungwa
Maererano nekudzidza mu Journal of Affective Disorders , kushungurudzika mupfungwa kunowanikwa munenge hafu yevanhu vachitora kuora mwoyo, mune imwe yezvikoro zvitatu zvinotevera:
- Sarudzo yeSerotonin Reuptake Inhibitors (SSRIs) seLexapro (escitalopram)
- Sarudza Norepinephrine Reuptake Inhibitors (SNRIs) seCymbalta (duloxetine)
- Tricyclic Anodzvinyirira seElavil (amitriptyline)
Kunyange zvazvo, muchidzidzo chacho, pane zvipfeko zviviri: Wellbutrin (bupropion) uye Cymbalta (duloxetine) -emotional blunting yakanga isingawaniki kune avo vanotora Wellbutrin (anenge 30 muzana) uye yakawanda kune avo vanotora Cymbalta (75 muzana).
Chinokonzera Kushushikana Kwepfungwa
Nyanzvi dzinobvunza kana kushungurudzika kwepfungwa kunokonzerwa nehutano hwekutora anodzvinyirira kana kuti inenge yakasara yechiratidzo chekuora mwoyo, zvinoreva chiratidzo chekuora mwoyo kwomunhu kusinganzwisisi nekurapa (kusakundikana kwechikamu chemishonga).
Nezvo conundrum, zvakave zvakaoma kuti nyanzvi dzive nechepamusoro "zvakananga" shure kwekunetseka mupfungwa. Kunyangwe zvakadaro, kune uchapupu hwezvesayenzi hwokuti kuderera kunobatsira kunobatanidzwa nekushayikwa kwe dopamine uye noradrenaline nzira.
Senguva yakasiyana, dopamine uye noradrenaline maviri emakemikari muhupi (dzinonzi neurotransmitters) dzinobatsira mune mafungiro (pamwechete neserotonin, iyo inonzi chemikemikari, SSRIs target).
Panyaya iyoyo, dzimwe nyanzvi dzakafunga kuti zvinodhaka zvinokonzera serotonin muuropi (somuenzaniso, SSRIs) zvinogona kukanganisa basa re dopamine uye noradrenaline, iro rinotungamirira kumanzwiro ekunyadzisa. Dzimwe nyanzvi dzinofunga kuti anodzvinyirira anogona "kudarika" kana kuwedzera masero e-serotonin zvakanyanya, uye izvi zvinotungamirira kusisina simba mupfungwa kana kuti kunzwa kwakadzika.
Idzidziso idzi mbiri, zvisinei, hazvikwanisi zvakakwana nechidzidzo chataurwa pamusoro apa, sekushungurudzika kwepfungwa kwakaitika nevose vanorwisana nehutachiona, kwete maSRRIs chete . Kunyangwe, zvinonakidza, kushungurudzika mupfungwa kwaive kwakaderera kune avo vanotora Wellbutrin (iyo inoshanda paDopamine uye noradrenaline nzira mumuropi, kwete serotonin).
Kugadzirisa Kushushikana Kwepfungwa
Mashoko akanaka ndeokuti kana kuora mwoyo kunetseka kune iwe kana mudiwa, kune nzira dzekuchibata.
Imwe nzira ndeyekuti chiremba wako angaderedza mishonga yako yemishonga kana kukuchinja iwe kune akasiyana-siyana anonzi antidepressant (somuenzaniso, kubva kune SSRI kuenda kune SNRI).
Chiremba wako anogonawo kufunga kuwedzera imwe mishonga yekugadzirisa kushungurudzika mupfungwa iwe uri kutarisana nayo.
Pane flip side, zvakakosha kuziva kuti vamwe vanhu chaizvo vanoona kushungurudzika mupfungwa se "vanobatsira" maererano nemanzwiro avanoita-uye izvi zvakanaka. Kune vamwe, zvinogona kuonekwa sekusunungurwa kwakagadzikana kubva pamanzwiro akakurumbira ayo munhu aimbova akanzwa. Kana kuti zvingave zvisina kukwana zvakakwana kuti zvipindire chaizvo nehupenyu hwomunhu.
Shoko Rinobva
Zvose mune zvose, kushungurudzika mupfungwa chinhu chakaoma kunzwisisa chinoratidzika sechibatanidza kudengenyeka kwomunhu chaiye, chiratidzo chinopera, kutaura.
Ndapota ziva kuti iwe unofanirwa kunzwa zvakanaka uye "zvakasununguka" pane unorwara. Zvinogona kutora kushivirira, kurapwa, uye mishonga tweaks temberi munzira, asi unogona kuwana uye unakidzwa noupenyu zvakakwana.
> Sources:
> Borchard TJ. (2009). Kuita Zvinodhaka Kunokanganisa Manzwiro Ako Here? Kubvunzurudza naRon Pies, MD. Psych Central. Psych Central.
> Goodwin, GM Emotional kufunganya mukuzvidya mwoyo uye kuora mwoyo: neurobiology uye psychopathology. Medicographia . 34 (2012): 295-299.
> Goodwin GM, Mutengo J, De Bodinat C, Laredo J. Emotional kushamwaridzana nemishonga inodzvinyirira: Kuongorora pakati pevarwere vanora mwoyo. J Inobata Matambudziko. 2017 Oct 15; 221: 31-35.
> Price J. na M. Goodwin. Kushungurudzika mupfungwa kana kuderedza reactivity kutevera kuregererwa kukuru kwekuora mwoyo. Medicographia .31 (2009): 152-156.
> Sansone RA, Sansone LA. SSRI-Inobatsira kusava nehanya. Psychiatry ( Edgmont ) . 2010 Oct; 7 (10): 14-18.