Pamene COPD Zimayambitsa Nkhawa Kapena Kuvutika Maganizo

Njira Zowonjezera Zowonjezera

Ngati muli ndi matenda osokoneza bongo ammimba ( COPD ) kapena mumadziwa munthu yemwe amachitapo kanthu, simungadabwe kumva kuti kuvutika ndi nkhawa ndizo zotsatira zofala za matendawa. Kafukufuku wa 2010 wofalitsidwa m'nyuzipepala ya Thorax , mwachitsanzo, adawona kuti anthu omwe ali ndi COPD ndi 85 peresenti yowonjezera matenda osokonezeka kusiyana ndi ena.

Mofananamo, mu phunziro la 2011 la anthu opitirira 2,000, 26 peresenti ya anthu omwe ali ndi COPD anadwala matenda ovutika maganizo, poyerekeza ndi 12 peresenti ya anthu omwe ankasuta koma alibe COPD ndi 7 peresenti ya osasamala popanda COPD.

Kuonjezera apo, kuvutika maganizo ndi nkhawa pamodzi ndi COPD zingayambitse vutoli: Ngati muli ndi COPD ndipo mukuvutika kupuma, mukhoza kuyamba mantha-koma kumva panicky kungasokoneze kupuma. Ndipotu, odwala COPD amakhala oposa 10 kuposa anthu omwe alibe vuto lochita mantha ndi mantha oopsa.

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Mlandu Wotsutsa Mankhwala Opanda Nkhawa

Mankhwala osokoneza bongo monga Xanax (alprazolam) ndi Valium (diazepam) si abwino kwa anthu omwe ali ndi COPD chifukwa mankhwalawa amayamba kupuma mofulumira. Komabe, ena odana ndi zovuta komanso osagwiritsa ntchito mankhwala angathe kuthandiza ndi nkhawa komanso kukhumudwa ndipo amayenera kuyankhula ndi dokotala.

Zambiri

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Kuthamangira Pa Njira Yabwino Yoponderezedwa

Pali magulu angapo a antidepressant omwe amapezeka kuti athetse kuvutika maganizo. Gulu lakale kwambiri, tricyclics, ndi kalasi yachiwiri yakale kwambiri, monoamine oxidase inhibitors (MAOIs) adaphunzira kwa anthu omwe ali ndi COPD koma sanawonetseke kuti ndi othandiza.

N'chimodzimodzinso ndi mankhwala atsopano omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda, kapena tizilombo ta SSRI. Ngakhale zili choncho, SSRIs amaonedwa kuti ndi yabwino kuposa mankhwala achikulire ochizira matenda ovutika maganizo kapena okhudzidwa ndi COPD. Amagwira ntchito popewera reuptake (reabsorption) ya serotonin ya neurotransmitter ndi selo ya mitsempha yomwe imadzibisa. Mwanjira imeneyi, serotonin yambiri ikhoza kupezeka mu ubongo. Maseŵera otsika a serotonin akhala akugwirizanitsidwa ndi nkhawa ndi kupsinjika maganizo. SSRI zimaphatikizapo Prozac (fluoxetine), Zoloft (sertraline), Lexapro (escitalopram), ndi Paxil (paroxetine).

Anti-depressants omwe sagwera mwazinthu zapamwambazi, monga Wellbutrin (bupropion), Serzone (nefazodone), ndi Remeron (mirtazapine), sanaphunzire bwino mwa anthu omwe ali ndi COPD.

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Njira Yopanda Kulingalira

Ngati muli ngati anthu ambiri omwe ali ndi COPD, mumakhala omasuka kuthana ndi kuvutika maganizo kapena nkhawa ndi chidziwitso cha khalidwe labwino (CBT) m'malo mogwiritsa ntchito mankhwala. CBT ndi njira yothetsera maganizo yomwe imakuphunzitsani kusintha momwe mumaganizira kapena kumverera pazifukwa zomwe simungathe kuchita nazo.

CBT ikhoza kukhala njira yothandiza kwambiri yothetsera mavuto osiyanasiyana okhudzana ndi kuvutika maganizo kapena nkhawa zomwe zaperekedwa ndi COPD, zimagwira ntchito mofulumira, ndipo sizikuika pangozi ya zotsatira za mankhwala. Dokotala wanu akhoza kukuwuzani inu kwa katswiri wa zamaganizo kapena katswiri wa zamaganizo ena omwe angakupatseni CBT.

_Zotsatira:

_{Eisner, Mark D., et. al. "Kukhudzidwa Kwa Nkhawa pa Zotsatira Zaumoyo mu COPD." Nthano . Mar 2010; 65 (3): 229-234.}

_{Fritzsche, A., et al. "Zotsatira za Chithandizo cha Zamankhwala ndi Maphunziro a Maganizo a Chisokonezo kwa Odwala ndi COPD-A Review." Mankhwala Opuma . Oct 201; 105 (10): 1422-1433.}

_{Panagioti, M., et al. "Mwachidziwitso cha kuchulukitsa, zotsatirapo, ndi kayendetsedwe ka kupsinjika maganizo ndi nkhaŵa mu Matenda Opatsirana Opatsirana Opatsirana." Magazini Yachilendo Yopanda Kulepheretsa Matenda Opatsirana . Nov 2014} > 13; 9: 1289-306.

_{Usmani, ZA, ndi al. "Njira Zokhudza Mapulogalamu Achipatala Zothandizira Kuchiza Matenda Oda Nkhawa M'njira Zolepheretsa Matenda Opatsirana Opaleshoni." Dongosolo la Cochrane la Zosintha Zogwirizana . Nov 9, 2011; (11): CD008483.}

_{Yohannes, AM, ndi al. "Kuchiza kwa Achipatala Kuvutika Maganizo Kwa Okalamba Odwala Odwala Matenda Opatsirana Opatsirana: Mmene Zimakhudzira Matendawa ndi Zotsatira Zaumoyo." Mankhwala ndi Kukalamba . July 2014; 31 (7): 483-492.}

Mfundo Yofunika Kwambiri