Panic kusagadzikana

Panic kusagadzikana rudzi rwekushushikana kusagadzikana umo iwe wakadzokorora kurwisa kwekutya kukuru kuti chimwe chinhu chakaipa chizoitika.

Chikonzero hachizivikanwe. Majini anogona kutora chinzvimbo. Dzimwe nhengo dzemhuri dzinogona kunge dziine chirwere ichi. Asi panic kusagadzikana kunowanzoitika kana pasina nhoroondo yemhuri.

Panic kusagadzikana kunowanikwa zvakapetwa kaviri kuvakadzi sezvakunoita kuvarume. Zviratidzo zvinowanzotanga pamberi pemakore makumi maviri nemashanu asi zvinogona kuitika pakati pemakore makumi matatu. Vana vanogona zvakare kuve nekutya kusagadzikana, asi kazhinji hakuwanzo kuongororwa kusvika vakura.

Kutya kwekutya kunotanga kamwe kamwe uye kazhinji kazhinji kunokwira mukati memaminitsi gumi kusvika makumi maviri. Zvimwe zviratidzo zvinopfuurira kweawa kana kupfuura. Kutya kwekutya kunogona kukanganisa nekurwadziwa kwemoyo.

Munhu ane dambudziko rekutya anowanzo gara nekutya kumwe kurwiswa, uye anogona kutya kugara ega kana kure nerubatsiro rwekurapa.

Vanhu vane dambudziko rekutya vane zvingangoita zvina zvezviratidzo zvinotevera panguva yekurwiswa:

• Kurwadziwa pachifuva kana kusagadzikana
• Dzungu kana kunzwa kupera simba
• Kutya kufa
• Kutya kurasikirwa nekudzora kana kuuya kwekuparadzwa
• Kunzwa kudzipwa
• Kunzwa kwekusiyana
• Kunzwa kusiri kwechokwadi
• Nausea kana kushungurudzika mudumbu
• Unhu kana kugwinha mumaoko, tsoka, kana kumeso
• Palpitations, kukurumidza kwemoyo, kana kurovera moyo
• Kunzwa kwekufema kwekufema kana kupwanya
• Kudikitira, kutonhora, kana kupisa kupisa
• Kubvunda kana kubvunda

Kutya kwekutya kunogona kuchinja maitiro uye kushanda pamba, kuchikoro, kana kubasa. Vanhu vane chirwere ichi vanowanzo funganya pamusoro pemhedzisiro yekuvhunduka kwavo.

Vanhu vane panic disorder vanogona kushandisa zvisina kufanira doro kana zvimwe zvinodhaka. Vanganzwa kusuruvara kana kuora mwoyo.

Kutya kwekutya hakugone kufanotaurwa. Zvirinani mumatanho ekutanga echirwere, hapana chinokonzeresa chinotanga kurwisa. Kurangarira kurwisa kwakapfuura kunogona kukonzera kutyisidzira.

Vanhu vazhinji vane dambudziko rekutya vanotanga kutsvaga kurapwa kuchimbichimbi kamuri. Izvi zvinodaro nekuti kutya kwekutya kunowanzo kunzwa sekurwadziwa kwemoyo.

Anopa hutano anoita bvunzo dzepanyama uye kuongororwa kwehutano hwepfungwa.

Kuongororwa ropa kuchaitwa. Zvimwe zvinetso zvekurapa zvinofanirwa kutongwa kunze kwekutya chirwere chisati chaonekwa. Kukanganisika kune chekuita nekushandisa kwezvinhu kunozotarisirwa nekuti zviratidzo zvinogona kufanana nekuvhunduka.

Chinangwa chekurapa ndechekubatsira iwe kuti ushande mushe panguva yehupenyu hwezuva nezuva. Uchishandisa ese ari maviri mishonga uye hurukuro yekurapa inoshanda zvakanyanya.

Kutaura kurapa (kugona-kurapa maitiro, kana CBT) kunogona kukubatsira kuti unzwisise kutyisidzira uye maitiro ekutsungirira. Munguva yekurapa, iwe unozodzidza maitiro eku:

• Nzwisisa uye udzore maonero akatsauswa ehupenyu hunonetsa, senge mamwe maitiro evamwe vanhu kana zviitiko zvehupenyu.
• Ziva uye chinja pfungwa dzinokonzeresa kutya uye kudzikisira pfungwa yekushaya rubatsiro.
• Chengetedza kushungurudzika uye zorora kana zviratidzo zvikaitika.
• Fungidzira zvinhu zvinokonzeresa kushushikana, kutanga neasina kutya. Dzidzira mune chaiwo-ehupenyu mamiriro ekukubatsira iwe kukunda kutya kwako.

Mimwe mishonga, inowanzo shandiswa kurapa kushushikana, inogona kubatsira zvakanyanya pachirwere ichi. Vanoshanda nekudzivirira zviratidzo zvako kana kuita kuti zvisanyanya kuoma. Iwe unofanirwa kutora mishonga iyi mazuva ese. Usarega kuvatora usina kutaura nemupi wako.

Mishonga inonzi sedatives kana hypnotics inogonawo kunyorerwa.

• Iyi mishonga inofanira kutorwa chete pasi pekutungamira kwechiremba.
• Chiremba wako acharaira huwandu hushoma hwemishonga iyi. Haifanire kushandiswa mazuva ese.
• Zvinogona kushandiswa kana zviratidzo zvikanyanyisa kana kana iwe wave kuda kuratidzwa kune chimwe chinhu chinogara chichiunza pane ako zviratidzo.
• Kana iwe wakarairwa kunyaradza, usanwa doro uchinge uri parudzi urwu rwemushonga.

Izvi zvinotevera zvinogona kubatsira kudzikisa huwandu kana kuomarara kwekuvhunduka.

• Usanwa doro.
• Idya nguva dzose.
• Wana maekisesaizi akawanda.
• Wana nguva yakakwana yokurara.
• Deredza kana kudzivirira caffeine, mimwe mishonga inotonhora, uye zvinokurudzira.

Iwe unogona kudzikamisa kushushikana kwekuva nekutya kusagadzikana nekujoinha boka rekutsigira. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Mapoka ekutsigira kazhinji haamiriri akanaka kurapa kwekutaura kana kutora mushonga, asi anogona kuve anobatsira kuwedzera.

• Kushushikana uye Kushungurudzika Association of America - adaa.org
• National Institute yeMental Health - www.nimh.nih.gov/health/publications/panic-disorder-when-fear-overwhelms/index.shtml

Kunetseka kwekutya kunogona kutora nguva refu uye kwakaoma kurapa. Vamwe vanhu vane chirwere ichi vanogona kusarapwa. Asi vanhu vazhinji vanova nani pavanorapwa nemazvo.

Vanhu vane dambudziko rekutya vanowanzo kuve:

• Kunwisa doro kana kushandisa zvinodhaka zvisiri pamutemo
• Iva usingashandi kana kushomeka zvine pundutso pabasa
• Iva nehukama hwakaoma hwehukama, kusanganisira matambudziko emuchato
• Iva wega wega nekuganhurira kwavanoenda kana ivo vavari padhuze

Bata wako mupi kuti uwane musangano kana kuvhunduka kuri kukanganisa basa rako, hukama, kana kuzvishingisa.

Fonera 911 kana iyo yemuno emergency nhamba kana ona wako mupi ipapo ipapo kana iwe ukatanga kuzviuraya pfungwa.

Kana iwe ukawana kutya kwekutya, dzivisa zvinotevera:

• Doro
• Zvinokurudzira zvakadai se caffeine uye cocaine

Izvi zvinhu zvinogona kukonzera kana kuwedzera zviratidzo.

Kutya kwekutya; Kushungurudzika kurwisa; Kutya kurwiswa; Kuzvidya mwoyo kusagadzikana - kutya kurwisa

American Psychiatric Association. Kushungurudzika kusagadzikana. Mune: American Psychiatric Association, rakanyorwa. Kuongorora uye Statistical Manual yeMental Dambudziko. 5 ed. Arlington, VA: American Psychiatric Publishing; 2013: 189-234.

Calkins AW, Bui E, Taylor CT, Pollack MH, LeBeau RT, Simon NM. Kushungurudzika kusagadzikana. Mune: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Yakakwana Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016: chits.

Lyness JM. Matambudziko epfungwa mune zvekurapa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 369.

National Institute yeMental Health webhusaiti. Kushungurudzika kusagadzikana. www.nimh.nih.gov/health/topics/anxiety-disorders/index.shtml. Yakagadziridzwa Chikunguru 2018. Yakasvika muna Chikumi 17, 2020.