Kuchiza kwa matenda aakulu omwe amakhala ndi nkhawa

Mantha ndizochitika mwachilengedwe pangozi. Komabe, ngati vutoli likupitirira kwa nthawi yaitali popanda zifukwa zolinga, zimatenga mawonekedwe a matenda omwe amafunikira chithandizo.

Chithandizo cha matenda odzetsa nkhaŵa wamba ndi zomwe mufunikira. Matenda oda nkhaŵa akhoza kutenga mitundu yosiyanasiyana, makamaka:

• matenda osokonezeka maganizo - wodwalayo nthawi zonse kapena nthawi zina amakumana ndi nkhawa popanda chifukwa;

• kuopsa kwa phokoso - wodwala nthawi ndi nthawi amapanga zida zosayembekezeka za mantha;

• nkhawa - mkhalidwe wodwalayo amakhala ndi mantha oopsa (phobia), nthawi zina amachititsa mantha kapena kuwonetsetsa maganizo. Izi zikuphatikizapo mantha oyankhulana ndi anthu (chikhalidwe cha phobia), mantha a malo a anthu ndi malo otseguka (agoraphobia), mantha a zinyama (zoophobia);

• Hypochondria - mantha a matenda, ngakhale munthu ali wathanzi.

Kodi nkhawa imakhala liti?

Nkhawa nthawi zambiri ndi chizindikiro cha vuto la maganizo, mwachitsanzo:

Kuwonjezeka kwa nkhaŵa kungatheke ndi matenda enaake a somatic, makamaka ndi thyrotoxicosis (hyperthyroidism) kapena kuchotsa mwadzidzidzi kusokoneza maganizo kapena kumwa mowa.

Zizindikiro

Odwala omwe ali ndi matenda ovutika maganizo amakhala ndi:

• Kupsinjika ndi kusasamala, nthawi zina kumakhala ndi kuchepa kwa kulingalira;

Makhalidwe a kutalika kwa khungu;

• kuwonjezeka thukuta. Komanso pangakhale kulakalaka kawirikawiri kukodza kapena kutsegula. Kuphatikizanso apo, odwala ambiri amawapeza:

• kumvetsetsa koopsa (nthawi zina kumatsatiridwa ndi palpitation);

• kuzindikira kuti alibe mpweya;

• Maganizo a depersonalization (wodwalayo amadzimva yekha "kunja kwa thupi lake") kapena derealization (chirichonse chozungulira iye chikuwoneka kutali kapena chosatheka) - pazochitika zotero, wodwalayo angamve kuti "akupenga";

• kuwonjezeka kuda nkhawa - odwala ambiri amalephera kudya ndipo amavutika kugona.

Ambiri, ngakhale sizinthu zonse, nkhawa ndizowonetseratu za moyo weniweniwo. Anthu ena akhoza kukhala ndi chibadwa choyambitsa matenda, koma zinthu zomwe zimagwiritsidwa ntchito nthawi zambiri ndi izi:

• Ubwana wosayenera;

• Kusamalidwa kwa makolo;

• Kutsika kwa maphunziro;

• chiwawa chomwe chimakhalapo ali mwana;

Kulephera kugwira ntchito kwa opaleshoni ya ubongo mu ubongo (oimira tizilombo toyambitsa matenda).

Kukula

Kufalikira kwa matenda a nkhawa kumakhala kwakukulu kwambiri - m'masiku ano matendawa amachititsa kuti hafu ya onse odwala matenda a maganizo. Matenda oda nkhaŵa akhoza kuchitika pa msinkhu uliwonse, kuyambira ubwana. Zikuganiza kuti akazi amavutika ndi iwo nthawi zambiri kuposa amuna. Komabe, chiŵerengero chenichenicho chowunikira ndi chovuta kukhazikitsa, chifukwa chakuti odwala ambiri, makamaka abambo, sapempha chithandizo chamankhwala. Anthu osachepera 10 pa 100 aliwonse akukumana ndi mantha pa nthawiyi kapena nthawi ya moyo, ndipo oposa 3% amavutika ndi kufooka kwa miyezi yambiri komanso zaka. Kuphwanya kwakukulu izi zikukhudzidwa ndi oimira zaka zaka 25-44. Pali mitundu yambiri ya anthu oterewa omwe amapezeka pakati pa amuna amodzi (200) ndi amayi atatu (3) mwa amayi 100 (100). Matendawa amakhala ndi matenda ovutika maganizo. Kuchotsa matenda opatsirana omwe ali ndi zizindikiro zofanana, monga hypoglycemia, asthma, mtima wolephera, kutenga kapena kusiya mankhwala kapena mankhwala, khunyu, vertigo, ma laboratory ambiri ndi maphunziro ena akuchitika. Ndikofunika kupeza kukhalapo kwa matenda osokoneza maganizo, omwe angasonyeze kuwonjezeka kwa nkhawa, monga kupsinjika maganizo kapena kugwidwa maganizo. Chithandizo cha matenda osokonezeka nthawi zambiri amafuna kugwiritsidwa ntchito kwa psychotherapeutic ndi njira zamankhwala, koma odwala ambiri amakana chisamaliro chaumoyo, poganiza kuti akudwala matenda enaake. Kuwonjezera apo, odwala nthawi zambiri amakhala ndi mantha ndi zotsatira za mankhwala oyenera.

Psychotherapy

Nthaŵi zambiri, uphungu wa katswiri wa zamaganizo ndi kudziwika kwa mikangano ya mkati kumathandiza. Nthawi zina chithandizo chamaganizo chimakhala ndi zotsatira zabwino. Kuchepetsa nkhaŵa kungathandize kuti pakhale njira zopuma komanso kuthana ndi nkhawa. Pabibias, njira yowonongeka yachisokonezo imathandizira. Mothandizidwa ndi wodwalayo, wodwalayo amaphunzira pang'onopang'ono kupirira zinthu kapena zoopsa. Odwala ena amathandizidwa ndi psychotherapy gulu.

Mankhwala

Mankhwala omwe nthawi zambiri amapatsidwa kuti athetse vuto la nkhawa ndi awa:

zotsitsimutsa - zokonzekera za gulu lino, mwachitsanzo diazepam, zikhoza kuphunzitsidwa maphunziro mpaka masiku khumi. Pogwiritsira ntchito, ndikofunika kugwiritsa ntchito miyezo yochepa kuti mupewe kukula kwa kuledzera ndi kudalira. Zotsatira zazomwe zimakhala bwino zimaphatikizapo chizungulire komanso kupanga malingaliro; Zokakamizika - musamangodalira kwambiri, monga zotetezera, komabe kuti zitheke pamphamvu zomwe zingafunike kwa masabata anayi. Pambuyo pozindikira mlingo woyenera, chithandizo chikupitirira kwa nthawi yaitali (miyezi sikisi kapena kuposerapo). Kusanayambe kusanayambe kumayambitsa kuwonjezereka kwa zizindikiro; beta-blockers - ikhoza kuthandizira kuchepetsa mavuto ena a nkhawa. Komabe, mankhwala osokoneza bongowa samakhudza mwachindunji mawonetseredwe a maganizo, monga kupsinjika maganizo ndi nkhawa.