Chithandizo Choyenera cha Kuvutika Maganizo Ndichofunika Kwambiri pa Umoyo
Kwa anthu omwe ali ndi matenda a mtima, kuvutika maganizo kumayambitsa matenda a mtima, kupweteka ndi kupweteka pachifuwa kuposa kusuta, kuthamanga kwa magazi kapena matenda a shuga. Koma zovuta zitha kupangidwa ndi mankhwala odziteteza omwe amatchedwa serotonin reuptake inhibitors (SSRIs), malinga ndi kafukufuku wina ku Canada wotuluka mu 2007 Journal of the American Medical Association.
Odwala omwe amavutika maganizo - pafupifupi 50% a chipatala komanso ambiri mwa achisanu ndi asanu a ena - ali ndi mwayi wochuluka kwambiri kuposa kufala kapena kupwetekedwa mtima katatu m'chaka chotsatira kuposa ena.
SSRIs, monga Celexa (citalopram), Prozac (fluoxetine) ndi Zoloft (sertraline), amalingalira kuti amasintha maganizo mwa kuteteza maselo a mitsempha kuti asabwererenso serotonin, motero kuwonjezera kuchuluka kwa mpweya wa ubongo mu ubongo. Popeza kukhala otsika kwa serotonin kumagwirizanitsa ndi kuvutika maganizo, kotero "reuptake inhibitors," mwa kusunga kwambiri serotonin kupezeka mu ubongo, kumathetsa kuvutika maganizo. Mankhwalawa ndi otetezeka kwa odwala mtima ndipo amagwira ntchito bwino kwa ambiri.
Malinga ndi kafukufuku wa Journal , SSRIs ndi othandiza kwambiri kuposa psychotherapy mwachinsinsi pofuna kukonzanso kuvutika maganizo odwala mtima.
Pakati pa masabata angapo oyambirira kuti atenge SSRI, odwala angadere nkhawa kwambiri mpaka mankhwalawa athandiza - nthawi zambiri masabata 4 mpaka 6.
Zotsatira zovuta zomwe zingakhalepo nthawi zonse zomwe mankhwalawa amatengedwa zimaphatikizapo zovuta zogonana, nseru, ndi mutu.
Ma SSRI ena, pamene amagwirizanitsidwa ndi antibiotic erythromycin, akhoza kuonjezera chiopsezo cha kugunda kwa mtima kosasuntha kapena kufa mwadzidzidzi. Onetsetsani kuti dokotala yemwe amalemba kuti mukudwala matenda ovutika maganizo ali ndi mndandanda wa mankhwala ena omwe mukuwutenga.
Mmene Kusokonezeka Maganizo Kumakhudzira Maganizo a Mtima
Kulamulira kudandaula n'kofunika kwambiri kwa odwala mtima chifukwa, osasunthika, angapangitse thupi kukhala losalekeza, lomwe liri ndi zotsatira zambiri:
- Mahomoni owonjezeka
- Mitsempha yambiri yamagazi
- Kuchuluka kwa mtima wamtima
Potsirizira pake, kukhala wokonzeka nthawi zonse kumayambitsa mitsempha ya mitsempha ndipo kumatanthauzira mtima ku zizindikiro zomwe zimanena kuti zichepetse.
Anthu omwe ali ndi vuto la mtima amalandira chithandizo cha kuvutika maganizo, mankhwalawa amathandiza kuchepetsa kuwona kwawo kwa ululu, kumalimbitsa mphamvu, kumalimbikitsa chikhalidwe cha anthu komanso kuwonjezera mwayi wawo woleka kusuta fodya, kuchepetsa kumwa mowa, kuchita masewera olimbitsa thupi ndikudya bwino.
Zina Zowononga Zopweteka
Mankhwala owonjezera opatsirana ena osati SSRIs angathe kukhala owopsa kwa omwe ali ndi matenda a mtima:
Serotonin ndi Noradrenaline Reuptake Inhibitors (SNRIs), kuphatikizapo Effexor (venlafaxine), amatha kuwonjezera kuthamanga kwa magazi.
Matricyclics, monga Elavil (amitriptyline), amachititsa chizungulire ndi kukwera kwa mtima.
Monoamine Oxidase Inhibitors (MAOIs), kuphatikizapo Nardil (phenelzine), amachititsa kuti mtima ukhale wosagwiritsidwa ntchito komanso kuthamanga kwa magazi kwambiri.
> Zotsatira:
> "Antidepressants." www.rcpsych.ac.uk . 2007. Royal College of Psychiatrists.
> "Zotsatira za Citalopram ndi Interpersonal Psychotherapy pa Kuvutika maganizo kwa Odwala Ndi Coronary Artery Disease." Journal ya American Medical Association 297: 4 (2007): 367-379.
> "Erythromycin ndi Ngozi ya Imfayo ya Mliri Mwadzidzidzi." americanheart.org . 2008. American Heart Organization.
> "Harvard Mental Health Letter: Maganizo ndi Maganizo Pambuyo pa Kugonjetsa Mtima." werengani.health.harvard.edu . Feb. > 1 > 2006. Sukulu ya Zamankhwala ya Harvard.
> "Mankhwala." nimh.nih.gov. 26 June 2008. Ma Institutes of Health.
> "SSRI Research." mbiri.nih.gov . 2008. Ma Institutes of Health.