Mankhwala opanga mavitamini, mankhwala, ndi CBT
Kukhala ndi chidziwitso chodziletsa (CSD) mwinamwake wakhala ndi ife kwa zaka zambiri koma zakhala zikuzindikiridwa ngati matenda ochizira matenda posachedwapa.
Mfundo yaikulu ya CSD ndi yakuti vuto laumphawi monga matenda a mkati amamva pang'onopang'ono kuwononga mitsempha yambiri. Ngakhale kuti anthu ambiri ubongo amatha kuwongolera kuti izi zisawonongeke ndikuphunzira kugwira ntchito mopanda kusamvetseka, kwa anthu ena ubongo sukuphunzira kusintha.
CSD imagwirizanitsidwa kwambiri ndi nkhawa, komanso mawonekedwe a mtundu wa introtted, ndipo yatsimikiziridwa kuti izi zikhoza kusonyeza kuti ubongo uli ndi chiopsezo chowopsa, kuphatikizapo kugwa pansi. Chotsatira chake, pambuyo powonongeka koyambirira kwa makina obisala, ubongo umakhala wosamala nthawi zonse, kutumiza machenjezo omwe ali pafupi kugwa, ngakhale kuti zoopsa zenizeni zatha. Ziri ngati ngati kuwala kwa "injini" kuyatsalabe ngakhale kuti galimoto yanu yayimilira miyezi isanakwane.
Njira Zothandizira
CSD ikhoza kukhumudwitsa kwambiri miyoyo ya anthu, chifukwa chakuti kusamvetsetsa nthawi zonse kumapangitsa anthu kuchita ntchito tsiku ndi tsiku monga ntchito yawo. Ngakhale kuti palibe mayeso akuluakulu, oyesedwa a CSD apangidwa, maphunziro apang'ono amathandiza kugwiritsa ntchito njira zazikulu zitatu za chithandizo. Mafomu awa ndi awa:
- mankhwala othandiza kwambiri
- chithandizo chamaganizo
- setiotonin reuptake inhibitors (kaŵirikaŵiri amagwiritsidwa ntchito pochiza maganizo).
Thandizo Labwino
Thandizo la mavitamini ndi mtundu wa mankhwala opatsirana (PT) omwe adaperekedwera kukulingalira bwino kwa wina. Wophunzitsidwa bwino wothandizira mankhwala ayenera kutsogolera ntchito zochizira. Cholinga chake ndi kuphunzitsa ubongo kuti ukhale wokhazikika pamaganizo atsopano okhudzana ndi mgwirizano.
Zochita zowonjezereka zimaphatikizapo kuwonera twirled ndi mizere yozungulira kuti azizoloŵera kukondweretsa, kuyenda pansi pa msewu pamene akuyang'ana zithunzi pamakoma, kapena pang'onopang'ono ndikukhala ndi kulekerera kutembenuza mutu.
Ndipotu, zochitika zonse ziyenera kuyambitsidwa pang'onopang'ono ndipo zinawonjezeka pang'onopang'ono kuti zisapangitse kukhala ndi chidziwitso champhamvu chomwe chithandizocho chimasiya. M'malo mwake, pulogalamu yowonetsera nthawi zonse, yoleza mtima, ndi yotsatila nthawi zambiri imakhala yopambana, ngakhale zopindulitsa zonse sizingatheke kwa miyezi isanu ndi umodzi.
Ngakhale kuti palibe njira yodzipereka yoperekedwa kwa CSD, chiwerengero cha pakati pa 60 ndi 80 peresenti zothandiza kuchepetsa kuopsa kwa zizindikiro zowonongeka ndi kubwezeretsa ntchito tsiku ndi tsiku zapezeka.
Mankhwala
Palibe kafukufuku amene wagwira makamaka odwala omwe ali ndi CSD, ngakhale mayeso ochepa otseguka atayang'ana odwala omwe ali ndi chizungulire chosatha, ambiri omwe mwina anali ndi CSD. Pamodzi, mayeserowa akuwoneka kuti akupindulitsa kwa serotonin selective reuptake inhibitors (SSRIs) ndi serotonergic-noradrenergic reuptake inhibitors (SNRIs). Zotsatira zoyipa za SSRIs ndi SNRI zimaphatikizapo kusokonezeka kugona ndi mseru, zomwe zingayambitse kusagwirizana. Nkhani yabwino ndi yakuti kuwonjezera pa kuchiza chizungulire, izi zimadzinso ndi kuchepa kwa nkhawa komanso kuvutika maganizo kwa odwala omwe amawatenga.
Psychotherapy
Maphunziro asanu osachepera apenda kufufuza njira zothandizira odwala omwe ali ndi CSD.
Chizoloŵezi chonse pakati pa maphunzirowa ndi phindu lalikulu pa kuchepetsa chizungulire. Chiyeso chimodzi chokha chinatsatira odwala kunja kwa chaka, ndipo izi sizinapindulepo panthawiyi. Panthawiyi, kufufuza kosavuta kumvekanso kofunika kumanga pa zotsatira zoyambirirazi.
Anthu ena amatsutsa lingaliro lakuti nkhaŵa kapena umunthu zingakhale ndi mbali iliyonse mu chizungulire chawo, kumverera kuti izi zikutanthauza kuti CSD "ili mitu yawo yonse." Kuganiza kotere kungalepheretse kugwiritsa ntchito mankhwala kapena mankhwala omwe nthawi zambiri amagwirizanitsa ndi matenda a maganizo monga kupsinjika maganizo .
Pansi
Kukhala ndi chizungulire chodzidzimutsa ndi matenda omwe angotchulidwa kumene, ngakhale zizindikiro zomwe zimalongosolazo ndi zachikale komanso zofala.
Ngati adazindikira, CSD ikuwoneka bwino ngati mankhwalawa, mankhwala, komanso mwinamwake mankhwala othandizira. Makamaka, njirazi zikhoza kugwiritsidwa ntchito palimodzi kuti zikhale zopindulitsa.
Zotsatira:
AEJ Mahoney, S Edelman, PD Cremer. Njira yothetsera chidziwitso kwa chidziwitso chosadziletsa. Zopindulitsa zowonjezereka komanso zowonongeka za olemala. Am J Otolaryngol. 2013 Mar-Apr; 34 (2): 115-20
JA Honaker, JM Gilbert, JP Staab. Kugonjera kosagwirizana ndi kusatembenuka kwa matenda: kukambilana kafukufuku wa chipatala ndi kukonzanso.Am J Audiol. 2010 Jun; 19 (1): 3-8. lembani: 10.1044 / 1059-0889 (2009 / 09-0013). Epub 2009 Dec 22.