Maitiro Ekutarisira Kurapa-Kurwisa Kushushikana

Zvemukati

• Chii chinonzi kurapwa-kusagadzikana kushushikana?
• Kurapa nemishonga kushushikana kunoonekwa sei?
• Chii chinokonzeresa kusagadzikana kwekurapwa
• Kuongorora kusiri iko
• Majini
• Metabolic kusagadzikana
• Zvimwe zvinhu zvine njodzi
• Kurapa kusingagadziriswe kurapwa kunorapwa
• Zvinodzvinyirira
• Mimwe mishonga
• Psychotherapy
• Maitiro
• Zvakadii nezvekushandisa kwekusimudzira?
• Ndeapi maonero?

Chii chinonzi kurapwa-kusagadzikana kushushikana?

Kunzwa kusuwa kana kusava netariro nguva nenguva chinhu chinowanzoitika uye chakasikwa chikamu chehupenyu. Zvinoitika kune wese munhu. Kune vanhu vane kushushikana, aya manzwiro anogona kuve akasimba uye anogara kwenguva refu. Izvi zvinogona kutungamira kumatambudziko kubasa, kumba, kana kuchikoro.

Kushungurudzika kunowanzo kurapwa pamwe nekubatanidzwa kweanodzvinyirira mishonga uye mamwe marudzi erapi, kusanganisira psychotherapy. Kune vamwe, mishonga yekudzvinyirira inopa rubatsiro rwakakwana pachavo.

Nepo mishonga yekudzvinyirira ichishanda nemazvo kuvanhu vazhinji, haigadzirise zviratidzo zvevanhu vane kushushikana. Uye zvakare, cherekedza kungovandudza kwakasarudzika muzviratidzo zvavo.

Kushungurudzika kusingapindure kune antidepressants kunozivikanwa sekurapa-kusagadzikana kushushikana. Vamwe vanotaurawo nezvazvo sekurapa-kunetseka kushushikana.

Verenga pamusoro kuti udzidze zvakawanda nezvekurapa-kusagadzikana kushushikana, kusanganisira nzira dzekurapa dzinogona kubatsira.

Kurapa nemishonga kushushikana kunoonekwa sei?

Iko hakuna maitiro akajairika ekurapa ekurapa-asingagone kushushikana, asi vanachiremba kazhinji vanoita izvi kuongororwa kana mumwe munhu akaedza kanenge maviri marudzi akasiyana emishonga yekudzvinyirira pasina kuvandudzwa.

Kana iwe uchifunga kuti une kurapwa-kusagadzikana kushushikana, zvakakosha kuti uwane kuongororwa kubva kuna chiremba. Kunyangwe iwe uchigona kuve nekurapa-kusagadzikana kushushikana, ivo vachazoda kupeta-kutarisa zvinhu zvishoma kutanga, senge:

• Kuora mwoyo kwako kwakanyatsoonekwa munzvimbo yekutanga here?
• Kune here mamwe mamiriro ezvinhu angave ari kukonzera kana kuwedzera zviratidzo?
• Ko iyo antidipressant yakashandiswa mune chaiyo dosi?
• Iyo antidipressant yakatorwa nemazvo here?
• Iyo antidipressant yakaedzwa kwenguva yakareba zvakakwana?

Mishonga yekudzvinyirira haishande nekukurumidza. Ivo vanowanzo kuda kutorwa kwemavhiki matanhatu kusvika masere mune akakwana madhizaini kuti vaone kuzara kwese. Izvo zvakakosha kuti mishonga iedzwe kwenguva yakareba zvakakwana usati wafunga kuti haisi kushanda.

Nekudaro, kumwe kutsvagurudza kunoratidza kuti vanhu vanoratidza kumwe kuvandudzwa mukati memavhiki mashoma ekutanga antidepressant vanowanzozoguma vaine kuzere kuzere kwezviratidzo zvavo.

Avo vasina chero mhinduro pakutanga kwekurapwa vane kashoma kuti vagadzirise zvizere, kunyangwe mushure memavhiki akati wandei.

Chii chinokonzeresa kusagadzikana kwekurapwa

Nyanzvi hadzina chokwadi chekuti sei vamwe vanhu vasingapindure kune mishonga yekudzvinyirira, asi kune akati wandei mazano.

Zvimwe zvevakakurumbira zvinosanganisira:

Kuongorora kusiri iko

Imwe yedzidziso dzakajairika ndeyekuti vanhu vasingapindure pakurapwa havana hosha huru yekuora mwoyo. Vanogona kuve nezviratidzo zvakafanana neizvo zvekuora mwoyo, asi chaizvo vane bipolar kusagadzikana kana mamwe mamiriro ane zviratidzo zvakafanana.

Majini

Imwe kana mamwe magene anowanzove ane chinzvimbo pakurapa-kusagadzikana kushushikana.

Mimwe misiyano yemageneti inogona kuwedzera kuti muviri unopwanya sei mishonga yekudzvinyirira, izvo zvinogona kuita kuti zvinyanye kushanda. Mimwe yemhando dzakasiyana dzinogona kuchinja maitiro anoita muviri kune antidipressants.

Nepo kutsvagurudza kwakawanda kuchidikanwa munzvimbo ino, vanachiremba vanogona ikozvino kuraira genetiki bvunzo iyo inogona kubatsira kuona kuti ndeapi antidepressants achashanda zvakanyanya kwauri.

Metabolic kusagadzikana

Imwe dzidziso ndeyekuti vanhu vasingapindure kurapwa vanogona kugadzirisa zvimwe zvinovaka muviri zvakasiyana. Imwe ongororo yakawana kuti vamwe vanhu vasingapindure pakurapwa nemishonga yekudzvinyirira vane mwero wakaderera we folate muhutsi hwakakomberedza huropi uye musana (cerebrospinal fluid).

Zvakadaro, hapana anoziva kuti chii chinokonzeresa iyi yakaderera folate kana kuti yakabatana sei nekurapa-kusagadzikana kushushikana.

Zvimwe zvinhu zvine njodzi

Vatsvakurudzi vakaonawo zvimwe zvinhu zvinowedzera njodzi yako yekuve nekurapa-kusagadzikana kushushikana.

Izvi zvinhu zvine njodzi zvinosanganisira:

• Kureba kwekuora mwoyo. Vanhu vanga vaine kushushikana kukuru kwenguva yakareba vanowanzove nehutachiona husinga kurapike.
• Kukura kwezviratidzo. Vanhu vane zvakanyanya kuora mwoyo zviratidzo kana zvishoma zvinyoro zviratidzo vane kashoma kupindura zvakanaka kune anodzvinyirira.
• Mamwe mamiriro. Vanhu vane mamwe mamiriro, senge kushushikana, pamwe nekushungurudzika vanowanzo kuve nekushushikana kusingapindure kune anodzvinyirira.

Kurapa kusingagadziriswe kurapwa kunorapwa

Kunyangwe iine zita rayo, kusagadzikana kwekurapwa-kurapwa kunogona kurapwa. Izvo zvinogona chete kutora imwe nguva kuwana chaiyo chirongwa.

Zvinodzvinyirira

Anodzvinyirira mishonga ndiyo yekutanga sarudzo yekurapa kushushikana. Kana iwe wakamboedza mishonga yekudzvinyirira pasina kubudirira kukuru, chiremba wako angangotanga nekupa zano rekudzvinyirira mune rakasiyana kirasi remishonga.

Kirasi yezvinodhaka iboka remishonga inoshanda nenzira yakafanana. Iwo akasiyana madhiragi emakemikari eanodzvinyirira anosanganisira:

• inosarudza serotonin reuptake inhibitors, senge citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil), uye sertraline (Zoloft)
• serotonin-norepinephrine reuptake inhibitors, senge desvenlafaxine (Pristiq), duloxetine (Cymbalta), levomilnacipran (Fetzima), milnacipran (Savella), uye venlafaxine (Effexor)
• norepinephrine uye dopamine reuptake inhibitors, senge bupropion (Wellbutrin)
• tetracycline antidepressants, senge maprotiline (Ludiomil) uye mirtazapine
• tricyclic antidepressants, senge amitriptyline, desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), uye nortriptyline (Pamelor)
• monoamine oxidase inhibitors, senge phenelzine (Nardil), selegiline (Emsam), uye tranylcypromine (Parnate)

Kana yekutanga antidepressant iwe yawaiyedza yaive yakasarudzika serotonin reuptake inhibitor, chiremba wako anogona kukurudzira chero akasiyana antidepressant mukirasi ino kana antidipressant mune imwe kirasi.

Kana kutora imwe chete antidepressant isingavandudze zviratidzo zvako, chiremba wako anogona zvakare kuraira maviri ekudzvinyirira kutorwa panguva imwe chete. Kune vamwe vanhu, musanganiswa unogona kushanda zvirinani pane kutora mushonga mumwe wega.

Mimwe mishonga

Kana mushonga wekudzvinyirira wega usingavandudze zviratidzo zvako, chiremba wako anogona kukupa imwe mhando yemishonga yekutora nayo.

Kubatanidza mimwe mishonga neanodzvinyirira dzimwe nguva kunoshanda zvirinani kupfuura iyo inodzvinyirira yega. Aya mamwe marapirwo anowanzo kunzi ekuwedzera marapirwo.

Mimwe mishonga inowanzo shandiswa neanodzvinyirira inosanganisira:

• lithium (Lithobid)
• antipsychotic, senge aripiprazole (Abilify), olanzapine (Zyprexa), kana quetiapine (Seroquel)
• utachiona kemikari

Mimwe mishonga iyo chiremba wako anogona kukurudzira inosanganisira:

• dopamine zvinodhaka, zvakadai sepramipexole (Mirapex) uye ropinirole (Requip)
• ketamine

Zvekudya zvinovaka muviri zvinogona zvakare kubatsira, kunyanya kana iwe uine kushomeka. Zvimwe zveizvi zvinogona kusanganisira:

• hove mafuta kana omega-3 fatty acids
• folic acid
• L-methylfolate
• ademetionine
• zinc

Psychotherapy

Dzimwe nguva, vanhu vasina kubudirira zvakanyanya kutora mishonga yekudzvinyirira vanoona kuti psychotherapy kana kugadzirisa maitiro ekurapa (CBT) inoshanda. Asi chiremba wako anogona kukuraira kuti urambe uchitora mushonga.

Uye zvakare, zvimwe zvinoratidza kuti CBT inovandudza zviratidzo muvanhu vasina kugadzirisa mushure mekutora mishonga yekudzvinyirira. Zvekare, mazhinji ezvidzidzo izvi anosanganisira vanhu panguva imwe chete vachitora mishonga uye vachiita CBT.

Maitiro

Kana mishonga uye kurapwa kuchiratidzika kunge kuri kuita hunyengeri, pane mashoma maitiro anogona kubatsira.

Maviri eaya makuru maitiro anoshandiswa pakurapa-kusagadzikana kushushikana anosanganisira:

• Vagus nerve kukurudzira. Vagus nerve stimulation inoshandisa chishandiso chakaiswa kutumira hunyoro hwemagetsi mumuviri wako wegadziriro yetsinga, iyo inogona kubatsira kuvandudza kushushikana kwezviratidzo.
• Electroconvulsive kurapa. Uku kurapwa kwave kuripo kubvira kuma1930 uye pakutanga kwaizivikanwa senge electroshock kurapa. Kwemakumi emakore apfuura, yakadonha kubva mukufarirwa uye inoramba ichikakavadzana. Asi inogona kushanda mumamiriro ezvinhu apo hapana chimwe chinoshanda. Vanachiremba vanowanzo chengetera kurapwa uku senzira yekupedzisira.

Kune zvakare kune akasiyana marapirwo ekurapwa ayo vamwe vanhu vanoedza kurapwa-kusagadzikana kushushikana. Iko hakuna kutsvagurudza kwakawanda kutsigira kushanda kwemishonga iyi, asi inogona kuve yakakosha kuyedza mukuwedzera kune kumwe kurapwa.

Zvimwe zvacho zvinosanganisira:

• acupuncture
• yakadzika uropi kukurudzira
• kurapa kwechiedza
• transcranial magnetic kukurudzira

Zvakadii nezvekushandisa kwekusimudzira?

Mumakore achangopfuura, kune zvakawanda zvekunakidzwa pakushandisa zvinodhaka zvinokurudzira pamwe chete nemishonga yekudzvinyirira yekuvandudza kurapwa-kusagadzikana kushushikana.

Zvinokurudzira izvo dzimwe nguva zvinoshandiswa neanodzvinyirira zvinosanganisira:

• modafinil (Provigil)
• methylphenidate (Ritalin)
• lisdexamfetamine (Vyvanse)
• Adderall

Asi kusvika parizvino, kutsvagisa kwakatenderedza kushandiswa kwekusimudzira kwekushungurudzika hakuna kukwana.

Semuenzaniso, mune kumwe kuongorora, kushandisa methylphenidate ine mishonga yekudzvinyirira haina kuvandudza huwandu hwezviratidzo zvekuora mwoyo.

Mhedzisiro yakafanana yakawanikwa mune kumwe kuongorora kwakatarisa kushandiswa kwemethylphenidate ine antidepressants uye imwe yakaongorora uchishandisa modafinil ine antidepressants.

Kunyangwe hazvo zvidzidzo izvi zvisina kuwana bhenefiti, zvakaratidza kuvandudzwa kwezviratidzo, senge kuneta uye kuneta.

Nekudaro, zvinokurudzira zvinogona kuve sarudzo kana iwe uine kuneta kana kuneta kwakanyanya kusingagadzirise neanodzvinyirira ega. Ivo vanogona zvakare kuve sarudzo kana iwe uine hanya neakakosha kusagadzikana kusagadzikana pamwe nekushushikana.

Lisdexamfetamine ndechimwe chezvakanakisa-zvakadzidzwa zvinokurudzira zvinoshandiswa pakurapa-kusagadzikana kushushikana. Kunyangwe zvimwe zvidzidzo zvakawana zvirinani zviratidzo kana zvabatanidzwa nemishonga yekudzvinyirira, kumwe kutsvagurudza hakuna kuwana bhenefiti.

Kuongororwa kwezvidzidzo zvina zve lisdexamfetamine uye mishonga yekudzvinyirira yakaona kuti kusanganiswa kwacho hakuna zvakunobatsira kupfuura kutora mishonga yekudzvinyirira wega.

Ndeapi maonero?

Kugadzirisa kurapwa-kusagadzikana kushushikana kunogona kuoma, asi hazvigoneke. Nenguva shoma uye kushivirira, iwe nachiremba wako munogona kugadzira chirongwa chekurapa icho chinovandudza zviratidzo zvako.

Zvichakadaro, funga kubatana nevamwe vakatarisana nematambudziko akafanana ekutsigirwa neruzivo nezve izvo zvakavashandira.

Sangano reNational Alliance reMental Illness rinopa chirongwa chinonzi Peer to Peer icho chinosanganisira zvikamu gumi zvemahara zvekudzidzisa izvo zvinoputsa zvese kubva mukutaura nachiremba wako kuti ugare uripo pane ongororo ichangoburwa.

Iwe unogona zvakare kuverenga kuburikidza nekutora kwedu kune egore akanyanya kushushikana mablog.