Kuramba Kushungurudzika Dambudziko (Dysthymia)

Zvemukati

• Zviratidzo zveKuramba Uchishungurudzika Dambudziko
• Zvinokonzera Kuramba Kushushikana Kunetseka
• Kuongorora Kuramba Uchishungurudzika Dambudziko
• Kurapa Kuramba Kushushikana Kunetseka
• Mishonga
• Kurapa
• Maitiro Ehupenyu Shanduko
• Yenguva Yakareba Maonero Evanhu Vane Kuramba Kushushikana Kunetseka
• Mubvunzo:
• A:

Chii chinonzi Persistent Depression Disorder (PDD)?

Kuenderera mberi kwekushungurudzika kusagadzikana (PDD) chimiro chekusingaperi kushushikana. Icho chirwere chitsva chinobatanidza maviri ekutanga kuongororwa dysthymia uye chisingaperi chikuru kushungurudzika kusagadzikana. Kunge mamwe marudzi ekushungurudzika, PDD inokonzeresa manzwiro ekusuwa kwakadzika uye kusava netariro. Aya manzwiro anogona kukanganisa manzwiro ako uye maitiro pamwe nemabasa epanyama, kusanganisira chishuwo uye kurara. Nekuda kweizvozvo, vanhu vane hosha vanowanzo kurasikirwa nechido mukuita zviitiko zvavaimbofarira uye vanonetseka kupedzisa mabasa ezuva nezuva.

Zviratidzo izvi zvinoonekwa mumhando dzese dzekusuwa. MuPDD, zvisinei, zviratidzo zvacho hazvina kunyanyisa uye zvinogara kwenguva refu. Vanogona kuramba kwemakore uye vanogona kukanganisa chikoro, basa, uye hukama hwehukama. Husingaperi hunhu hwePDD hunogona zvakare kuita kuti zvinyanye kuoma kurarama nezviratidzo. Zvisinei, musanganiswa wemishonga uye hurukuro yekurapa inogona kushanda mukurapa PDD.

Zviratidzo zveKuramba Uchishungurudzika Dambudziko

Zviratidzo zvePDD zvakafanana neizvo zvekuora mwoyo. Nekudaro, musiyano wakakosha ndewekuti PDD isingaperi, ine zviratidzo zvinoitika mazuva mazhinji kweanopfuura makore maviri. Zviratidzo izvi zvinosanganisira:

• kuramba uchinzwa kusuwa uye kusava netariro
• matambudziko ekurara
• simba rakaderera
• kuchinja mukuda kudya
• kunetseka kuisa pfungwa
• kusagadzikana
• kushaikwa kwekufarira zviitiko zvezuva nezuva
• kuderera kwekugadzirwa
• kuzvitutumadza
• mafungiro asina kunaka
• kudzivisa zviitiko zvemagariro

Zviratidzo zvePDD zvinowanzotanga kuoneka panguva yehucheche kana kuyaruka. Vana uye vachiri kuyaruka vane PDD vanogona kuratidzika sevanotsamwa, vanetsamwa, kana kusava netariro kwenguva yakareba. Ivo vanogona zvakare kuratidza matambudziko ehunhu, kusaita zvakanaka kuchikoro, uye kunetseka kudyidzana nevamwe vana mune zvemagariro. Zviratidzo zvavo zvinogona kuuya nekupfuura makore akati wandei, uye kuomarara kwavo kunogona kusiyana nekufamba kwenguva.

Zvinokonzera Kuramba Kushushikana Kunetseka

Chikonzero chePDD hachizivikanwe. Zvimwe zvinhu zvinogona kubatsira mukukudziridza mamiriro acho. Izvi zvinosanganisira:

• kusaenzana kwemakemikari muuropi
• nhoroondo yemhuri yemamiriro acho
• nhoroondo yemamwe mamiriro ehutano hwepfungwa, senge kushushikana kana bipolar kusagadzikana
• zvinonetsa kana zvinoshungurudza zviitiko zvehupenyu, sekufirwa newaunoda kana matambudziko emari
• chirwere chisingaperi, chakadai sechirwere chemwoyo kana chirwere cheshuga
• huro hwepanyama kushungurudzika, senge kupokana

Kuongorora Kuramba Uchishungurudzika Dambudziko

Kuti uwane kuongororwa kwakakwana, chiremba wako anotanga kuita ongororo yemuviri. Chiremba wako achaitawo bvunzo dzeropa kana imwe bvunzo dzemarabhoritari kutonga kunze kweanogona mamiriro ehutano angave ari kukonzera zviratidzo zvako. Kana pasina tsananguro yemuviri yezviratidzo zvako, ipapo chiremba wako anogona kutanga kufungidzira kuti une hutano hwepfungwa.

Chiremba wako achakubvunza mimwe mibvunzo kuti uongorore mamiriro ako epfungwa nepfungwa. Zvakakosha kuva akatendeseka nachiremba wako pamusoro pezviratidzo zvako. Mhinduro dzako dzinovabatsira kuona kuti une PDD here kana chimwe chirwere chepfungwa.

Vanachiremba vazhinji vanoshandisa zviratidzo zvakanyorwa muDiagnostic uye Statistical Manual yeMental Disorders (DSM-5) kuongorora PDD. Iri bhuku rinoburitswa neAmerican Psychiatric Association. Zviratidzo zvePDD zvakanyorwa muDSM-5 zvinosanganisira:

• kushushikana kwekushushikana rinenge zuva rega rega kweakawanda ezuva
• kusava nenzara kana kudya zvakapfurikidza
• kunetseka kurara kana kuramba wakarara
• simba rakaderera kana kuneta
• kuzvitarisira pasi
• kusatarisisa zvakanaka kana kunetseka kuita sarudzo
• kunzwa kusava netariro

Kune vanhu vakuru kuti vaonekwe vaine chirwere ichi, vanofanirwa kuve nekushushikana mupfungwa kazhinji kwezuva, rinenge zuva rega rega, kwemakore maviri kana anopfuura.

Kune vana kana vechidiki kuti vaonekwe vaine chirwere ichi, vanofanirwa kuve nekushushikana mupfungwa kana kusagadzikana kazhinji kwezuva, rinenge zuva rega rega, kwegore rimwe chete.

Kana chiremba wako achitenda kuti une PDD, vangangodaro vakuendese kune nyanzvi yehutano hwepfungwa kuti uwedzere kuongorora uye kurapwa.

Kurapa Kuramba Kushushikana Kunetseka

Kurapa kwePDD kunosanganisira mishonga uye hurukuro yekurapa. Mishonga inofungidzirwa kuti ndiyo nzira inoshanda yekurapa pane yekurapa yekutaura painoshandiswa yega. Nekudaro, musanganiswa wemishonga uye hurukuro yekurapa inowanzo iri nzira yakanaka yekurapa.

Mishonga

PDD inogona kurapwa nemhando dzakasiyana dzeanodzvinyirira, kusanganisira:

• inosarudza serotonin reuptake inhibitors (SSRIs), senge fluoxetine (Prozac) uye sertraline (Zoloft)
• tricyclic antidepressants (TCAs), senge amitriptyline (Elavil) uye amoxapine (Asendin)
• serotonin uye norepinephrine reuptake inhibitors (SNRIs), senge desvenlafaxine (Pristiq) uye duloxetine (Cymbalta)

Ungangoda kuyedza akasiyana mishonga uye madheji kuti uwane mhinduro inoshanda kwauri. Izvi zvinoda kushivirira, sezvo mishonga yakawanda inotora mavhiki akati wandei kuti itore kushanda kwakazara.

Taura nachiremba wako kana iwe uchiramba uine zvinonetsa nezvemushonga wako. Chiremba wako anogona kukurudzira kuita shanduko muyero kana mishonga. Usambofa wakarega kutora mishonga yako sezvakarairwa pasina kutaura nachiremba wako kutanga. Kumisa kurapwa nekukasira kana kushaya madosi akati wandei kunogona kukonzera kubvisa-sezviratidzo uye kuita kuti zviratidzo zvekuora mwoyo zviwedzere.

Kurapa

Kutaura kurapa inzira yekurapa inobatsira vanhu vazhinji vane PDD. Kuona murapi kunogona kukubatsira iwe kudzidza kuita:

• taura zvaunofunga uye manzwiro nenzira ine hutano
• gadzirisa manzwiro ako
• chinja kune chinetso chehupenyu kana dambudziko
• tsanangura pfungwa, maitiro, uye manzwiro anomutsa kana kuwedzera zviratidzo
• chinja zvitendero zvisina kunaka nezvakanaka
• dzorerazve pfungwa yekugutsikana uye kutonga muhupenyu hwako
• zvigadzirire zvinangwa chaizvo

Kutaura kurapa kunogona kuitwa wega kana muboka. Mapoka ekutsigira akakosha kune avo vanoshuvira kuudza vamwe zvavanonzwa nevamwe vari kusangana nematambudziko akafanana.

Maitiro Ehupenyu Shanduko

PDD inogara kwenguva refu, saka zvakakosha kuti utore chikamu muhurongwa hwekurapa. Kuita mamwe maratidziro ehupenyu anogona kutsigira kurapwa uye kubatsira kudzikisira zviratidzo. Iyi mishonga inosanganisira:

• kurovedza muviri kanokwana katatu pavhiki
• kudya chikafu chinonyanya kusanganisira chikafu chechisikigo, senge michero nemiriwo
• kudzivisa zvinodhaka uye doro
• kuona acupuncturist
• kutora zvimwe zvinowedzera, kusanganisira St. John's wort nemafuta ehove
• kudzidzira yoga, tai chi, kana kufungisisa
• kunyora mubhuku

Yenguva Yakareba Maonero Evanhu Vane Kuramba Kushushikana Kunetseka

Sezvo PDD iri chirwere chisingaperi, vamwe vanhu havazombopora zvachose. Kurapa kunogona kubatsira vanhu vazhinji kubata zviratidzo zvavo, asi hazvina kubudirira kune wese munhu. Vamwe vanhu vanogona kuramba vachiona zviratidzo zvakakomba zvinokanganisa hupenyu hwavo hwega kana hwehunyanzvi.

Pese paunenge uine nguva yakaoma kubata nezviratidzo zvako, fonera iyo National Suicide Prevention Lifeline pa800-273-8255. Kune vanhu vanowanikwa maawa makumi maviri nemana pazuva, mazuva manomwe pavhiki kuti vataure newe nezve chero dambudziko raungave uine. Iwe unogona zvakare kushanyira webhusaiti yavo kune rumwe rubatsiro uye zviwanikwa.

Mubvunzo:

Ndingaite sei kuti ndibatsire mumwe munhu anoramba achishungurudzika kusagadzikana?

Asingazivikanwe murwere

A:

Chinhu chakakosha kupfuura zvese icho munhu anogona kuita kubatsira munhu anorwara nekushushikana kwepfungwa kuramba achiziva kuti vane chirwere chaicho uye havasi kuyedza "kuomarara" mukudyidzana kwavo newe. Ivo vangangorega kuita kumashoko akanaka kana zviitiko zvakanaka zvehupenyu nenzira iyo vanhu vasina chirwere ichi vaizoita. Iwe unofanirwa kuvakurudzirawo kuti vaende kune kwavo kwese kwachiremba nekurapa uye kutora mishonga yavo sekurairwa.

Timothy Legg PhD, PMHNP-BC, GNP-BC, CARN-AP, MCHES Mhinduro dzinomiririra maonero enyanzvi dzezvehutano. Zvese zvirimo ndezvechokwadi zvine ruzivo uye hazvifanire kutorwa sezano rekurapa.