Vhunduka nyonganyonga. Kwakaita kwokuomerwa vanetseka rebipolar. nzira psychotherapy

Nhasi, pane akawandisa unyanzvi, akanyorwa mazana nyaya uye mabhuku kubvisa mwoyo zvirwere, asi varwere vanoramba kuenda pamusoro vanachiremba zvose zvinogoneka kusangana nemiedzo yakawanda uye nditsvake vasiri aripo panguva zviratidzo nechirwere chinouraya. Kutya Saka akawedzera, uye munhu anova kuoma kuti groundlessness achitya vabvume. Zvakanakisa, munhu akadaro anofanira pakarepo akatuma psychotherapist kana neuropathologist, asi zvinosuruvarisa varapi vashoma zvikuru ruzivo panyaya iyi, uye kuramba kuita ongororo uye kutsvaka mhinduro dzakawanda zvichemo dzevarwere.

Musimboti chirwere

The chirwere mokutya nyonganyonga, ichiiswa pamwe "vegetative dystonia", "autonomic nematambudziko" kana "chiratidzo-adrenal nematambudziko". Zvikurukuru, vhunduka muri chiratidzo mumwe zvirwere izvi, asi vari kubatwa vakazvimiririra, vegetative dystonia uye kazhinji kacho vari panoonekwa chiremba kana chiremba wetsinga. The chirwere munogona zvose pacharo uye pakarepo dzikava kunyonganiswa nyonganyonga. Zviratidzo zviri chirwere:

- Kufunganya, kufunganya, wokusagadzikana.

- High BP.

- Kurwadziwa mubhokisi nharaunda, palpitations, tachycardia.

- The Kunzwa kutadza kufema, kunzwa bundu iri yemazamu.

- dzungu, lightheadedness, yakanyanya utera.

- Changes mumuviri tembiricha, chills, fivha, vangadikitira, "ziya inotonhora".

- Abdominal marwadzo, kushungurudzwa nechigaro, uye svoto.

- A tremor simba.

- zvisingafadzi nezvekufadza munzvimbo dzakasiyana-siyana dzomuviri, tingling, chiveve, kunzwa donje makumbo kana maoko.

Mukana chirwere

Kutya. zvichida ndicho chiratidzo chinokosha, iro hazvo pamwe chero kutya. Murume panguva iyoyo kusvika pamwero anotorerwa kubatsira chokwadi uye adequacy, muna Pakadaro, mabasa mazhinji varipo mhuka papfungwa, vanogona kana kuti chimumumu uye vakatya kunyange kufamba kana kuita paine kupikisana kwakadaro uye kuedza kutiza, uye vose mhaka zvikuru kutya kufa kana kuenda kupenga. Mune ramangwana, murwere mumwe subconscious sandara, kutya kwete chete ruzivo zviratidzo, asi vo mavakanga akaonekwa. Saka pane ose phobias, kutya namahwindo dzezvimwe (ikoko hazvibviri kubuda kana nokurwiswa), kutya dzakakwirira (apo unogona atadze kuziva nokuwa), kutya mapoka kana rakavhurika dzezvimwe (pfungwa nyadzi, kana kurwisa kunoitika muvanhu). Mukati mezvizvi chikuru nengozi hosha, munhu kuwana mumwe kutya kurwisa, kudavirwa phobias, akavharwa, anonzwa zvakawanda kurwara uye vasingabatsiri. Doctors pamwe shrug, asingagoni kuwana iye chirwere chipi mumuviri, uye vanhu kunzwa kuipa, chokwadi kuti akanga isingawanzowanikwi, chisingarapiki uye undiagnosed chirwere. Chete zvakarurama nzira, ari chiremba, kukwanisa vimbisa uye tsanangura kuti murwere kuti hapana zvinouraya zvaitika kwaari uye kuti kukurukura naye kuti kutendeukira mumwe chiremba - kuporesa kwacho zvinogoneka. Mune kumbonyanya yasakara kungada kudikanwa kuziva murwere kwenguva yakati ari remunharaunda muchipatara chepfungwa, zvikurukuru ndiye zvakakwana kurapika, kazhinji akabatana antidepressants mapiritsi, uye mumwe kurapa.

Chii chiri zvechokwadi kuitika

Kutaura zvazviri tidzikame kurwisa - zviri kunzwa kusingadzoreki kuti hazviitiki kana muviri anofanira kupindura Ingozi, asi ari zvachose kujairika kuti izvi. Kakawanda munhu pachake vanogadzirisa pacharo kukura kurwisa, uye somugumisiro kutanga kutya nyonganyonga. Physical Zviratidzo mu ichi - ndiko kwomuzvarirwo adrenaline nenhokwe.

Chokwadi kuti kutya - ndiyo yakasimba mupfungwa kuti zvaichengetedza, saka nechinguvana ngozi zvachose vanhu vose vanogamuchira pfungwa anonongedzera "kurwa kana kutiza". Kuwana simba zvakakodzera kurwa kana kumhanya kupinda muropa uye huchikandwa yakawanda kwazvo adrenaline. Unoraramisa kwemwoyo uye kufema, ikawanda BP, uye zvekufungidzira muzvidimbu chiveve, padded tsoka - chaizvoizvo, overexertion kubva tsandanyama, izvo wakagadzirirwa zvakasimba kupererwa inotyisa ezvinhu.

CHINOZVIKONZERA

Saka, isu afunga kuti inondimukira vanetseka nyonganyonga - kwete chinouraya, uye zvakajairika norudaviro ngozi. Chinetso ndechokuti hakuna ngozi. Zvino Kurwisa kuitika munzvimbo yakanyarara zvikuru, kure-kuisa kutya mamiriro ezvinhu: Kana kufamba mabhazi, mumutsetse Supermarket kana erifiti pamusangano chinokosha. First nguva kufunganya kutya chirwere kunotanga nokukurumidza, asi vamwe "Precursors" vanhuwo achiri kunogona kurondwa. kushushikana uku, nguva kushaya hope, kudzikama kudya, tsika dzakaipa - mune pfupi, zvose zvinogona kunzi Kushatiswa muviri. Dzimwe nguva chirwere kunoratidzwa pashure chero zvakohwewa nezvakanga zvikuru: kufa nevadiwa, kurambana kana kunyange banal kunoshanda kune imwe nyika uye muitiro kuchinjira kumamiriro nayo.

Development, zvinokonzera, kurapwa

Nokuti murwere, nguva dzose kuwana kutya chirwere, zviratidzo zvinoita kutsungirira rinorema uye kuzotyisa Chokwadi, havasi kutakura zvachose hapana ngozi. Kana kufa kana kuwana anopenga, kana kunyange vaneta kwavari hazvibviri, asi munhu anotya kushaya comparability pakati maitiro muviri kuti zviwane, kana kupfuura zvazviri, kushaya kwayo.

On kukura chirwere zvinokonzerwa zvinoverengeka. Huru basa iri reDare nhaka kubatwa, izvi hazvirevi kuti chirwere achazvikomborera kuchabatsira, asi mukana wokuti ichi kunowedzera yekudyidzana. Muchiitiko chino, zvingava zvinobatsira chaizvo kuti kuitisa dzose matanho, uyewo mamwe kungwarira mafungiro nemararamiro avo.

The inonyanya Mukana wechipiri kupukunyuka vanetseka chirwere (anenge mumwe varwere shanu) vari kuchinja nechepakati tsinga chokuita vana uye kuyaruka kunotevera. Zvisinei, vamwe kupokana nechomukati, rakazaruka kana chavanoziva, anogona kuenda murwere muupenyu hwake hwose. Uye sezvo vana sarudzo chigumbu, kunzwa kusachengeteka uye vana kutya haagoni kuwanikwa, ivo kushandura kupinda mwoyo. Ziva uye kurapa vana uye vechidiki zvinokuvadza kuchabatsira nzira psychotherapy siyana achiitiswa nyanzvi.

Rokupedzisira uye zvichida chikuru chinokonzera vhunduka vari kunyanya worrisome havavimbiki-dzevanhu hunhu. In chete ezvinhu anokangaidza, ndiwo vanhu pachavo maitiro akafanana kuva kusagadzikana tsinga uye kutya chirwere somugumisiro.

Zvikurukuru anokangaidza-hypochondriac hunhu

- Kushaya chivimbo mavari uye pachavo mano avo.

- kwakawedzera mwoyo.

- Too zvikuru pfungwa pachavo nezvekufadza dzavo.

- Emotional Kusagadzikana.

- The kudiwa kwakawedzera pfungwa chikamu yehama.

kurapwa

Problem kuziva uye idzidziso pakati yakarurama nechirwere ndechokuti vanhu havana kukumbira kubatsirwa anodikamwa nyanzvi. Vanhu vakawanda vanofara ipai pachavo hazvimo chirwere chinouraya, asi nemaune kudziviswa ari chiremba. Asi varwere nezvirwere zvakadai dystonia, uyewo mwoyo uye kutya chirwere, kurapwa rinoitwa chiremba uyu kunyanya.

Nhasi, kune michina zhinji anogona zvose kunyevenutsa kubvisa murwere ari kurwiswa, kusanganisira: zvishande-maitiro kurapa, pfungwa kuzorora, neurolinguistic zvirongwa uye vamwe vakawanda. chiremba achakwanisa kuziva nzira psychotherapy uye pharmacological zvinangwa, kuteverwa mune ramangwana. Zvinofanira kucherechedzwa kuti kurapa anosarudzwa zvachose nomumwe, kufungisisa ano nyonganyonga, nguva yose chirwere, ayo zvinokonzera, comorbidities uye zvaidiwa hunhu murwere. Dzimwe nguva, kuti kudzikamisa tsinga, zvingada tsanangudzo ari remunharaunda muchipatara mupfungwa, pashure zvinoerera kubva, unofanirawo watarisa chiremba kupedza kurapwa.

Vhunduka ndiwo kwakarurama kusarudza yokurapa vanokweretesa pachavo kuti mushonga wakakwana. Rakarurama zvabuda akasimbisa kwakasanangurwa kudzidza adzo inoitwa 2010 by vanachiremba kubva Institute of Psychiatry, Psychotherapy uye Doro. Vaifanira kuziva inonyatsobudirira nzira yokurapa ivavo kana zvimwe zviratidzo kunyonganiswa kurwiswa. Muna kuedza, akanga akapindwa varwere 120 chirwere mwoyo nyonganyonga, mapoka mapoka matatu 40 nerimwe vanhu, vakanga pasi nzira siyana psychotherapy:

- Boka rokutanga vakagamuchira mishonga mishonga chete.

- The boka rechipiri akatora mishonga akabatana zvishande-zvounhu kurapa.

- The boka rechitatu, kuwedzera psychotropic mishonga ndavhiyiwa mararamiro integrative psychotherapy.

Ongororo yakaratidza kuti inonyatsobudirira zvabuda vari vakawana boka kugamuchira yokurapwa pavanoparidza mumwe mhando kurapwa (anenge 75% wevarwere rechipiri uye boka rechitatu). Nepo kurapwa pharmacotherapy yoga haana kuuya akakodzera nemigumisiro. Isingasviki hafu boka vakakwanisa kunzwa vanhu zvachose utano uye kudzivisa zvazvo pamusoro yakareba nguva. Saka, kubva Institute of Psychiatry nyanzvi vakakwanisa kuratidza kudiwa mishonga uye kurapwa, uye zvakafanira kurapa, iro rakasarudzwa setsikawo mumwe murwere nomumwe.

Scale vhunduka uye kufunganya kurwiswa

Nokuti zvakareruka vakatsunga kwokuomerwa hosha yambokurukurwa bvunzo inokosha. Ichi rinokosha kwakaita nekuomarara mokutya nyonganyonga, akasika munhu muchishandisa mibvunzo nyore vangasarudza pamwero wavo mokutya rebipolar. Maererano pakuongororwa murume pachake, pasina rubatsiro nyanzvi, anokwanisa kuona kukomba kwavo ezvinhu.

Zvinoita kukunda chirwere pachavo

Kazhinji, varwere vari kuedza kurarama vanetseka chirwere pamusoro wayo. Dzimwe nguva mukuita kudaro, vanobatsira hama kana kunyange vanachiremba kwete chaizvo nyanzvi, vachipa mazano, "dhonzai pachako pamwe chete" kana "Vasinehanya." Yeuka kuti nzira iyi zvakaipa zvachose. The nokukurumidza kushivirira kuonana munhu rubatsiro, asi nokukurumidza achaita kuzadzisa normalization ezvinhu. Murwere anogona kushandisa mamwe maitiro pachavo, kuti kutora miriwo kudzikamisa tsinga kana kurwa, somuenzaniso, kupindwa muropa kubatsira pachavo, asi mukuru kurapwa kunodiwa kuitwa pasi kutungamirirwa nenyanzvi. Pari, pakusarudza nyanzvi kuti kurapa mwoyo zvirwere zviri hombe, inogona kiriniki pedyo kana chepfungwa centre, chinhu chikuru kutora danho rokutanga uye kutanga kurapwa.

Batsirai pachako vhunduka

Batsirai pachako panguva kurwiswa rakanyatsojeka chaicho, nokuti zvose kunotanga pfungwa dzedu. Zvinoitika seizvi: Kamwe inotyisa ezvinhu, vanhu vanofunga, "Zvakanaka, pane vanhu vazhinji kwazvo (shoma vanhu, akavharwa / noruvazhe ...) ikozvino I tirware, ndikawira pasi (kufa, kachidza, tiza, ndicha- chemaneka ... ) uye vanhu vose vachaona kwandiri. " Kufanana ichi munhu uye disperses pfungwa kune nemafashamo zvikuru, uye pashure penguva chaizvoizvo anotanga unonetsekerei, kwete kunyange kufunga nezvokuti iye pachake kushatirisa kurwisa. Zvechokwadi, kubva pakutanga kwayo nechido mwoyo uye kutya kwavari kuti tinofanira kuedza achinakurira chayo ndechei.

- Tora kumbozorora. Start kuverenga vanhu kana motokari vachipfuura, yeuka mashoko ari vana rwiyo kana yaanofarira ndima. The chikuru ndechokuti wokuti azvipe ichi basa uye zvakazara pfungwa pfungwa idzi.

- Kufema. Nokudzidza kudzora kufema kwako, unogona kudzora kurwisa. Pakakodzera mamiriro vanhu mweya akadzikama, yakadzika uye unhurried. Munguva dzenhamo zviri zvikuru unoraramisa, zvinova kudzika uye nokukurumidza. Kana kusvika kurwisa, edza kuzvidzora, chenjerera kuti irambe yakadzika uye akayera, umo nyaya iwe uchagona kuderedza zviratidzo kunyonganiswa kurwiswa, kana kunyange zii.

- Relaxation. It zvimwechetezvo sezvo murau kufema. Kana mukaramba dzakadekara ezvinhu, kurwisa haangavi kutanga. Dzidza kuzorora tsandanyama sezvinodiwa, vazhinji nzira inokosha unogona kuwana paIndaneti.

Izvi nyore okuzvibatsira mitoo kubatsira kuderedza pfari chete, asi kwete chirwere. Naizvozvo, kana zviratidzo okutanga musazeza, iva nechokwadi kuti kubvunza nyanzvi mune chepfungwa muzinda rubatsiro vanokwanisa. Chete zvakarurama akasarudzwa kurapwa kuchakubatsira kubvisa chirwere uye kamwe zvakare kunzwa mufaro muupenyu. Kufunganya uye kutya chirwere iwayo pobedimo.