Zvinodhaka Kurapa Kushushikana Kunetseka

Zvemukati

• Benzodiazepines
• Buspirone
• Zvinodzvinyirira
• SSRIs
• Tricyclics
• MAOIs
• Beta-blockers
• Mishonga yekumba yekuzvidya mwoyo
• Rovedza muviri
• Fungisisa
• Edza chamomil
• Kunhuwirira aromatherapy maoiri
• Dzivisa caffeine
• Taura nachiremba wako
• Q&A
• Mubvunzo:
• A:

Nezve kurapwa

Vazhinji vanhu vanonzwa kunetseka pane imwe nguva muhupenyu hwavo, uye iko kunzwa kazhinji kunobva kwairi pachako. Dambudziko rekushushikana rakasiyana. Kana iwe wakamboonekwa uine imwe, iwe vazhinji vanoda rubatsiro rwekutarisira kunetseka. Kurapa kazhinji kunosanganisira psychotherapy uye mishonga.

Kunyange zvinodhaka zvisingarape kunetseka, zvinogona kukubatsira kubata zviratidzo zvako, kuti ugone kushanda zvakanaka uye unzwe zvirinani muhupenyu hwako hwezuva nezuva.

Mhando dzakawanda dzemishonga dziripo. Nekuti munhu wese akasiyana, iwe nachiremba wako mungatofanira kuyedza akati wandei mishonga kuti muwane yakakunakira imi.

Benzodiazepines

Benzodiazepines mishonga inovhenekera iyo inogona kubatsira kuzorodza mhasuru dzako uye kudzikamisa pfungwa dzako. Ivo vanoshanda nekuwedzera mhedzisiro yemamwe maurotransmitter, ayo ari makemikari ayo anotumira mameseji pakati pemaseru ako ehuropi.

Benzodiazepines inobatsira kurapa marudzi mazhinji ezvinetso zvekushushikana, zvinosanganisira panic disorder, yakajairika kusagadzikana kusagadzikana, uye kusagadzikana kwevanhu kusagadzikana. Mienzaniso yemishonga iyi inosanganisira:

• alprazolam (Xanax)
• chlordiazepoxide (Librium)
• clonazepam (Klonopin)
• diazepam (Valium)
• lorazepam (Ativan)

Benzodiazepines inowanzo shandiswa kwenguva pfupi kurapwa kwekushushikana. Izvi zvinodaro nekuti ivo vanogona kuwedzera kutsimwaira uye vanokonzeresa matambudziko nekuenzanisa uye ndangariro. Ivo vanogona zvakare kuve tsika-kuumba. Kune denda riri kuwedzera rekushandisa zvisirizvo benzodiazepine.

Zvakakosha kungoshandisa mishonga iyi kusvikira chiremba wako achiraira kumwe kurapwa. Nekudaro, kana iwe uine panic kusagadzikana, chiremba wako anogona kunyorera benzodiazepines kwegore rimwe chete.

Zvimwe zvinokanganisa

Pamusoro pekutsimwaira uye ndangariro matambudziko, kutora benzodiazepines kunogona kukonzera nyonganiso, matambudziko ekuona, kutemwa nemusoro, uye kunzwa kwekuora mwoyo.

Kana iwe wakatora benzodiazepine nguva dzose kweanopfuura vhiki mbiri, zvakakosha kuti usamise mapiritsi kamwe kamwe, nekuti izvi zvinogona kukonzera kubatwa mune vamwe vanhu. Panzvimbo iyoyo, taura nachiremba wako nezve zvishoma nezvishoma kubvisa pamiyero yako kuti uderedze njodzi yekubatwa.

Buspirone

Buspirone inoshandiswa kurapa zvese zvenguva pfupi kushushikana uye kusagadzikana (kwenguva refu-kushushikana) kusagadzikana kusagadzikana. Hazvina kunyatsonzwisiswa kuti buspirone inoshanda sei, asi inofungidzirwa kukanganisa makemikari muuropi ayo anodzora manzwiro.

Buspirone inogona kutora kusvika kumavhiki akati wandei kuti ibudirire zvizere. Inowanikwa seyakajairika mushonga pamwe chete neyezita-zita zvinodhaka Buspar.

Zvimwe zvinokanganisa

Zvimwe zvinokanganisa zvinogona kusanganisira dzungu, kutemwa nemusoro, uye kuda kurutsa.Vamwe vanhu vanotaura zvakare zvisirizvo zviroto kana kunetseka kurara pavanotora buspirone.

Zvinodzvinyirira

Mishonga yekudzvinyirira inoshanda nekukanganisa maurotransmitter. Iyi mishonga inogona kushandiswa kurapa zviratidzo zvekushushikana, asi kazhinji inotora mavhiki mana kusvika matanhatu kuburitsa zvinoonekwa.

Mhando dzeanodzvinyirira dzinosanganisira:

SSRIs

Kusarudza serotonin reuptake inhibitors (SSRIs) inoshanda nekuwedzera huwandu hweserotonin, iyo neurotransmitter inokanganisa manzwiro, chishuwo chepabonde, kuda kudya, kurara, uye ndangariro. SSRIs inowanzo kutanga pamwero wakaderera uyo chiremba wako unowedzera zvishoma nezvishoma.

Mienzaniso yeSSRIs inoshandiswa kurapa kunetseka inosanganisira:

• escitalopram (Lexapro)
• fluoxetine (Prozac)
• paroxetine (Paxil)
• sertraline (Zoloft)

Zvimwe zvinokanganisa

SSRIs inogona kukonzera akasiyana mhedzisiro, asi vanhu vazhinji vanovashivirira zvakanaka. Migumisiro inogona kusanganisira:

• kusvotwa
• muromo wakaoma
• kushaya simba kwetsandanyama
• manyoka
• dzungu
• kutsimwaira
• kusagadzikana pabonde

Kana iwe uine kunetseka pamusoro peimwe divi mhedzisiro, taura nachiremba wako.

Tricyclics

Tricyclics inoshanda pamwe neSSRIs yekurapa kusagadzikana kwakawanda, kunze kwekusaziva-kusagadzikana kusagadzikana (OCD). Inofungidzirwa kuti tricyclics inoshanda zvakafanana kune SSRIs. Kunge SSRIs, tricyclics inotangwa padosi yakadzika uye ndokuwedzera zvishoma nezvishoma.

Mienzaniso yetricicylics inoshandiswa pakushushikana inosanganisira:

• clomipramine (Anafranil)
• imipramine (Tofranil)

Tricyclics mishonga yekare inoshandiswa zvishoma nekuti mishonga mitsva inokonzeresa mhedzisiro.

Zvimwe zvinokanganisa

Mhedzisiro mhedzisiro ye tricyclics inogona kusanganisira dzungu, kurara, kushaya simba, uye kuoma muromo. Zvinogona zvakare kusanganisira kusvotwa uye kurutsa, kuzvimbirwa, kuona kwakasviba, uye kuwedzera uremu. Mhedzisiro mhedzisiro inogona kazhinji kudzorwa nekushandura iyo dosi kana kuchinjira kune imwe tricyclic.

MAOIs

Monoamine oxidase inhibitors (MAOIs) anoshandiswa kurapa panic kusagadzikana uye phobia yemagariro. Ivo vanoshanda nekuwedzera huwandu hwemaurotransmitter anodzora manzwiro.

MAOIs ayo FDA-anotenderwa kurapa kushushikana asi anoshandiswa kure-chitaridzi chekuzvidya mwoyo anosanganisira:

• isocarboxazid (Marplan)
• phenelzine (Nardil)
• selegiline (Emsam)
• tranylcypromine (Parnate)

Zvimwe zvinokanganisa

Kunge tricyclics, MAOIs mishonga yakura iyo inokonzeresa mhedzisiro pane mitsva mishonga. MAOIs anouyawo nezvimwe zvinorambidzwa. Semuenzaniso, kana ukatora MAOI, haugone kudya zvimwe zvekudya, senge chizi newaini tsvuku.

Mimwe mishonga, inosanganisira SSRIs, mamwe mapiritsi ekudzivirira kubereka, marwadzo ekudzivirira, akadai seacetaminophen uye ibuprofen, inotonhora uye yekurapa mishonga, uye mishonga yemakwenzi inogona kuita nemaMAOIs.

Kushandisa MAOI nezvikafu izvi kana mishonga kunogona kuwedzera ropa rako kumanikidza uye kukonzeresa mhedzisiro inogona kutyisidzira hupenyu.

Beta-blockers

Beta-blockers anowanzo shandiswa kurapa mamiriro emwoyo. Izvo zvinoshandiswa zvakare off-label kubatsira kubvisa zviratidzo zvemuviri zvekushushikana, kunyanya mukushushikana kwemagariro kushungurudzika.

Chiremba wako anogona kunyorera beta-blocker senge propranolol (Inderal) kubatsira kubatsira kudzikisira zviratidzo zvako zvekushushikana mumamiriro ekumanikidza, sekuenda kumafaro kana kupa hurukuro.

Zvimwe zvinokanganisa

Beta blockers haawanzo kukonzera mhedzisiro kune wese munhu anoatora.

Mimwe mhedzisiro yemhedzisiro inogona kusanganisira:

• kuneta
• dzungu
• kutsimwaira
• muromo wakaoma

Mimwe mhedzisiro inogona kusanganisira:

• kunetseka kurara
• kusvotwa
• mweya wekufema

Mishonga yekumba yekuzvidya mwoyo

Kune akasiyana siyana epamba-maitiro anopindira anogona kubatsira kudzikisira kushushikana kwako zviratidzo. Kupindira kwakawanda kunogona kuitwawo mukuwedzera pakutora mishonga.

Mienzaniso yekupindira uku inosanganisira:

Rovedza muviri

Kurovedza muviri kunogona kubatsira kudzikisira kushushikana uye kusimudzira pfungwa yako yese yehupenyu, maererano neAnxiety and Depression Association of America (ADAA).

Inobatsira kuburitsa maurotransmitter anozivikanwa sema endorphins. Aya maurotransmitter ndiwo maronda emuviri wako uye anogona zvakare kugadzirisa yako yekurara mhando.

Iyo ADAA inoshuma kuti kunyangwe mapfupi maitiro ekurovedza muviri (anenge maminetsi gumi panguva) anoshanda mukubatsira kusimudza mafungiro ako.

Fungisisa

Kutora maminetsi gumi nemashanu enguva yakanyarara uye kufungisisa kutarisisa pakufema kwakadzika uye kutandara kunogona kubatsira kudzikamisa kushushikana kwako. Iwe unogona kuteerera kumimhanzi kana kudzokorora mantra inosimudzira nguva dzose. Yoga inogona zvakare kubatsira kubvisa kunetseka.

Edza chamomil

Kutumira chamomile tii kana kutora chamomile yekuwedzera kunogona kubatsira kudzikisira zviratidzo zvekushushikana.

Chidzidzo che2016 chakapofumadza-chakaburitswa muPhytomedicine magazini yakanangana nevanhu vane chirwere chekushushikana.

Chidzidzo ichi chakawana kuti vatori vechikamu vekudzidza vakatora mazana mashanu emamirigiramu chamomil anowedzera katatu pazuva zuva rega rega vakashuma kudzikisira pakati nepakati kusvika mukushushikana kwakanyanya.

Kunwa chamomile tii kwave kuchiratidzwawo kubatsira mukuderedza kunetseka.

Kunhuwirira aromatherapy maoiri

Kunhuhwirira kwakasanganiswa aromatherapy maoiri kunogona kubatsira kudzikamisa kushushikana, sekureva kwechinyorwa chakaburitswa muEvidence-Yakavakirwa Inowirirana uye Imwe nzira yeMishonga magazini.

Mienzaniso yemafuta akakosha anoshandiswa kupa kushushikana kwekushushikana anosanganisira:

• lavender
• neroli
• chamomil

Dzivisa caffeine

Dzimwe nguva caffeine inogona kuita kuti munhu anzwe jittery uye kunyanya kunetseka. Kudzivisa izvi kunogona kubatsira vamwe vanhu kudzikisa kushushikana kwavo.

Taura nachiremba wako

Chiremba wako anogona kukubatsira iwe kuti uwane yakanakisa nzira yekurapa kune yako yekushushikana kusagadzikana. Kurapa kwakakodzera kunogona kusanganisira psychotherapy uye mishonga.

Ive neshuwa yekutevera rairo yavo kana uchitora mishonga yekuzvidya moyo uye ita kuti vazive nezve chero mhedzisiro iwe yaunayo. Zvekare, bvunza chero mibvunzo yauinayo nezve mamiriro ako kana kurapwa kwako, senge:

• Ndeipi mhedzisiro yandaigona kuve nayo kubva kumushonga uyu?
• Zvinotora nguva yakareba sei kuti utange kushanda?
• Mushonga uyu unobatana here nechero mimwe mishonga yandinotora?
• Unogona kundirevera kune chiremba wezvepfungwa here?
• Ko kurovedza muviri kunogona kubatsira kudzikisira kushushikana kwangu zviratidzo?

Kana iwe uchinzwa kuti mushonga hausi kukupa iwe zvaunoda kana uri kukonzera zvisingadiwe mhedzisiro, taura nachiremba wako usati warega kuutora.

Q&A

Mubvunzo:

Kurapwa kwepfungwa kungabatsira sei kubvisa kushushikana kwangu?

A:

Kuziva kwehunhu hwekurapa (CBT) ndiyo fomu yepfungwa yekurapa inoshandiswa kazhinji pakurapa kusagadzikana kwekushushikana. CBT inokubatsira kuti uchinje mafungiro ako uye maitiro ako kumamiriro ezvinhu anokonzera kushushikana. Kazhinji kurapwa kwenguva pfupi kunosanganisira kushanyira gumi kusvika makumi maviri nemurapi kwemavhiki akati wandei.

Munguva dzekushanya uku, iwe unodzidza kunzwisisa maonero ako pahupenyu uye kuwana kudzora kwepfungwa dzako. Iwe unozodzidza kudzivirira kufunga kuti matambudziko madiki ari kuzove matambudziko akakura, kuziva nekutsiva pfungwa dzinokonzera kushungurudzika nekuvhunduka, uye kugadzirisa kushushikana kwako uye kuzorora kana zviratidzo zvikaitika.

Therapy inogona zvakare kusanganisira desensitization. Maitiro aya anogona kukuita kuti usanyanye kuona zvinhu zvaunotya. Semuenzaniso, kana iwe uine hanya nehutachiona, murapi wako anogona kukukurudzira kuti uwane maoko ako akasviba uye kwete kuageza ipapo ipapo. Zvishoma nezvishoma, paunotanga kuona kuti hapana chakaipa chinoitika, unozokwanisa kuenda kwenguva yakareba usingageze maoko ako nekuderera kunetseka.