Kushungurudzika

Kushungurudzika kunogona kutsanangurwa sekunzwa kusuruvara, bhuruu, kusafara, kusuwa, kana kudzikira mumarara. Vazhinji vedu tinonzwa nenzira iyi pane imwe nguva kana imwe kwenguva pfupi.

Clinical kushushikana kushushikana kwepfungwa umo manzwiro ekusuwa, kurasikirwa, kutsamwa, kana kushungurudzika zvinokanganisa hupenyu hwezuva nezuva kwemavhiki kana kupfuura.

Kushungurudzika kunogona kuitika muvanhu veese mazera:

• Vakuru
• Vechidiki
• Vakuru vakuru

Zviratidzo zvekuora mwoyo zvinosanganisira:

• Mamiriro ekudzikira kana kushatirwa mweya kazhinji yenguva
• Kunetseka kurara kana kurara zvakanyanya
• Shanduko huru mukuda kudya, kazhinji nekurema kana kurasikirwa
• Kuneta nekushaya simba
• Kunzwa kwekusakosha, kuzvivenga, uye kuzvipa mhosva
• Zvakaoma kuisa pfungwa
• Inononoka kana kukurumidza kufamba
• Kusava nebasa uye kudzivisa zviito zvenguva dzose
• Kunzwa ndisina tariro kana kushaya zvekuita
• Dzokororo mifungo yerufu kana yekuzviuraya
• Kusava nekunakidzwa mune zviitiko zvaunowanzo farira, zvinosanganisira bonde

Rangarira kuti vana vanogona kuve nezviratidzo zvakasiyana pane vanhu vakuru. Tarisa shanduko mune zvechikoro, kurara, uye maitiro. Kana iwe uchinetseka kana mwana wako angave akaora mwoyo, taura nemupi wako wekuchengetedza hutano. Wako mupi anogona kukubatsira iwe kudzidza maitiro ekubatsira mwana wako nekushushikana.

Mhando huru dzekushungurudzika dzinosanganisira:

• Kushungurudzika kukuru. Izvo zvinoitika kana kunzwa kwekusuwa, kurasikirwa, kutsamwa, kana kushungurudzika kuchikanganisa nehupenyu hwezuva nezuva kwemavhiki kana nguva refu yenguva.
• Kuramba uchishungurudzika kusagadzikana. Aya mafungiro akasuwa anogara makore maviri. Pamusoro peiyo kureba kwenguva, unogona kunge uine nguva dzekushushikana kukuru, pamwe nenguva apo zviratidzo zvako zvadzikama.

Dzimwe nzira dzakajairika dzekushungurudzika dzinosanganisira:

• Kushushikana kwepashure pokusununguka. Vakadzi vazhinji vanonzwa vakasurukirwa zvishoma mushure mekuita mwana. Nekudaro, kwechokwadi kusununguka kwekusununguka kwakanyanya uye kunosanganisira zviratidzo zvekushungurudzika kukuru.
• Premenstrual dysphoric kusagadzikana (PMDD). Zviratidzo zvekuora mwoyo zvinoitika svondo rimwe usati waenda kumwedzi uye zvinonyangarika mushure mekuenda kumwedzi.
• Mwaka unokanganisa kusagadzikana (SAD). Izvi zvinoitika kazhinji mukati mekudonha uye munguva yechando, uye zvinonyangarika mukati megore uye zhizha. Izvo zvinowanzoitika nekuda kwekushaikwa kwezuva.
• Kushungurudzika kukuru nema psychotic maficha. Izvi zvinoitika kana munhu aine kushushikana uye kurasikirwa kwekubata neicho chaicho (psychosis).

Bipolar kusagadzikana kunoitika kana kushushikana kuchichinjika nemania (yaimbonzi manic kuora mwoyo). Bipolar kusagadzikana ine kushushikana sechimwe chezviratidzo zvacho, asi iri imwe mhando yehurwere hwepfungwa.

Kushungurudzika kunowanzoitika mumhuri. Izvi zvinogona kunge zvakakonzerwa nemajini ako, maitiro aunodzidza kumba, kana nharaunda yako. Kushungurudzika kunogona kukonzerwa nezviitiko zvehupenyu zvinonetsa kana zvisina mufaro. Kazhinji, iko kusanganisa kwezvinhu izvi.

Zvinhu zvakawanda zvinogona kuunza kuora mwoyo, kusanganisira:

• Doro kana kushandisa zvinodhaka
• Mamiriro ekurapa, senge kenza kana kurwadziwa kwenguva refu (kusingaperi)
• Zviitiko zveupenyu zvinoshungurudza, senge kurasikirwa nebasa, kurambana, kana kufa kweumwe wako kana imwe nhengo yemhuri
• Kuzviparadzanisa nevamwe (chinowanzo kukonzeresa kushushikana muvakuru vanhu vakuru)

Fonera 911 kana iyo yemunharaunda emergency nhamba, kana kufona kuzviuraya hotline, kana enda kune iri padyo emergency imba kana iwe uine pfungwa dzekuzvikuvadza iwe kana vamwe.

Fonera mupiki wako kana:

• Unonzwa manzwi asipo.
• Unochema kazhinji pasina chikonzero.
• Kushungurudzika kwako kwakanganisa basa rako, chikoro, kana hupenyu hwemhuri kwenguva yakareba kupfuura mavhiki maviri.
• Iwe une zvitatu kana kupfuura zviratidzo zvekuora mwoyo.
• Iwe unofunga mumwe wemishonga yako yazvino ingave iri kukuita kuti unzwe kuora mwoyo. Usachinje kana kurega kutora chero mishonga usati wataura nemupi wako.
• Kana iwe uchifunga kuti mwana wako kana wechidiki angave akaora mwoyo.

Iwe unofanirwa zvakare kufonera mupi wako kana:

• Iwe unofunga iwe unofanirwa kudzora kunwa doro
• Mumwe wemumhuri kana shamwari akakukumbira kuti udzike pakunwa doro
• Unonzwa uine mhosva pamusoro peuwandu hwedoro raunonwa
• Unonwa doro kutanga mangwanani

Blues; Gloom; Kusuruvara; Kushushikana

• Kushungurudzika muvana
• Kushungurudzika uye chirwere chemwoyo
• Kushungurudzika uye kuenda kumwedzi
• Kushungurudzika uye kushaya hope

American Psychiatric Association webhusaiti. Kushungurudzika kushungurudzika. Mune: American Psychiatric Association. Kuongorora uye Statistical Manual yeMental Dambudziko. 5 ed. Arlington, VA: American Psychiatric Kuburitsa. 2013: 155-188.

Fava M, Østergaard SD, Cassano P.Mood kusagadzikana: kushushikana kwepfungwa (hombe kushungurudzika kusagadzikana). Mune: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Yakakwana Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016: chitsiko 29.

Kraus C, Kadriu B, Lanzenberger R, Zarate Jr CA, Kasper S. Kufungidzira uye kwakagadziriswa mhedzisiro mukuora mwoyo kukuru: ongororo. Dudzira Psychiatry. 2019; 9 (1): 127. PMID: 30944309 pubmed.ncbi.nlm.nih.gov/30944309/.

Walter HJ, DeMaso DR. Matambudziko emafungiro. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chits. 39.

Zuckerbrot RA, Cheung A, Jensen PS, Stein REK, Laraque D; MUFARO-PC STEERING BOKA. Nhungamiro yekushungurudzika kwevechiri kuyaruka mukutarisirwa kwepamoyo (GLAD-PC): chikamu I. Dzidzira kugadzirira, kuzivikanwa, kuongorora, uye manejimendi ekutanga. Pediatrics. 2018; 141 (3). pii: e20174081. PMID: 29483200 pubed.ncbi.nlm.nih.gov/29483200/.