Kugunda modzidzimutsa, kutuluka thukuta, kutsamwitsidwa, kuchita mantha ndi zizindikiro za mantha. Zitha kuchitika mosayembekezereka ndikukudabwitsani. Ndipo ndizosamvetsetseka chochita nacho komanso yemwe angatembenukire kwa iye kuti ziwopsezo za mantha zileke.
Kuitana kunafika pafupi ndi usiku. Mawu kumbali ina ya mzerewo anali odekha, ngakhale, olimba. Izi zimachitika kawirikawiri.
“Dokotala ananditumiza kwa inu. Ndili ndi vuto lalikulu kwambiri. Vegetovascular dystonia.
Ndimakumbukira kuti madokotala nthawi zambiri amazindikira kuti ali ndi VVD, koma nthawi zambiri palibe amene amapita kwa katswiri wa zamaganizo. Mawonetseredwe a matendawa ndi osiyana, kuchokera ku mapazi ozizira mpaka kukomoka ndi kugunda kwa mtima mofulumira. The interlocutor akupitiriza kunena kuti iye anadutsa madokotala onse: wochiritsira, minyewa, cardiologist, gynecologist, endocrinologist. Ndipo iye anatumizidwa kwa katswiri wa zamaganizo kapena psychiatrist, ndi chifukwa chake iye anayimba.
Kodi mungagawaneko kuti vuto lanu ndi chiyani?
— Sindingathe kukwera sitima yapansi panthaka. Mtima wanga ukugunda mosatonthozeka, ndimatuluka thukuta, pafupifupi kukomoka, ndimalephera kupuma. Ndipo kotero zaka 5 zapitazi, kawiri pamwezi. Koma sindiyendetsa galimoto kwambiri.
Vuto ndi lodziwikiratu - kasitomala amadwala mantha. Amadziwonetsera okha m'njira zosiyanasiyana: kuwonjezereka kosamvetsetseka, kowawa kwa nkhawa kwambiri. Mantha osagwirizana ndi mitundu yosiyanasiyana ya autonomic (somatic), monga palpitations, thukuta, kupuma movutikira. Ndicho chifukwa chake madokotala amapanga matenda monga vegetovascular dystonia, cardioneurosis, neurocirculatory dystonia. Koma kodi mantha ndi chiyani kwenikweni?
Kodi mantha ndi chiyani ndipo amachokera kuti?
Zizindikiro za matenda ambiri oopsa, monga matenda osiyanasiyana a muubongo, kukanika kwa chithokomiro, kupuma movutikira, komanso zotupa zina, ndizofanana ndi mawonetseredwe a mantha. Ndipo ndibwino ngati kasitomala akumana ndi katswiri wodziwa bwino yemwe angakupatseni mayeso ofunikira azachipatala, kenako kwa katswiri wa zamaganizo.
Njira ya mantha ndi yosavuta: ndi adrenaline anachita kupsinjika. Poyankha kukwiya kulikonse, ngakhale kukwiya kocheperako kapena kuwopseza, hypothalamus imapanga adrenaline. Ndi iye amene, kulowa m'magazi, kumayambitsa kugunda kwa mtima mofulumira, kukangana kwa kunja kwa minofu, kuwonjezereka kwa magazi - izi zikhoza kuonjezera kuthamanga.
Chochititsa chidwi n'chakuti, pa nthawi yoyamba kukumana ndi ngozi yeniyeni, munthu amatha kukhala chete, kulamulira mantha.
M’kupita kwa nthaŵi, munthu amene wagwidwa ndi chiwonongeko choyamba amayamba kukana kuyenda, sagwiritsa ntchito zoyendera za anthu onse, ndipo amaletsa kulankhulana. Iye amayesetsa m’njira iliyonse kuti apewe zinthu zimene zingamuukire, ndipo zoopsa zimene ankakumana nazo poyamba n’zamphamvu kwambiri.
Khalidwe tsopano likugonjera ku mantha otaya mphamvu pa chidziwitso ndi mantha a imfa. Munthuyo amayamba kudabwa: kodi zonse zili bwino ndi ine? Kodi ndine wopenga? Imayimitsa ulendo wopita kwa katswiri wa zamaganizo kapena katswiri wa zamaganizo kwamuyaya, zomwe zimakhudza kwambiri umoyo wa moyo ndi maganizo.
Chochititsa chidwi n'chakuti, pa nthawi yoyamba kukumana ndi ngozi yeniyeni, munthu amatha kukhala chete, kuthetsa mantha. Kuukira kumayamba pambuyo pake m'mikhalidwe yomwe ili pachiwopsezo chenicheni. Izi zimapangitsa kuti zikhale zovuta kudziwa chomwe chimayambitsa mantha.
Waukulu zizindikiro za mantha matenda akubwerezedwa, mosayembekezereka mantha mantha. Kuopsa kwa mantha nthawi zambiri kumachitika motsutsana ndi maziko a zinthu zovulaza zakunja, monga kupsinjika maganizo, imfa ya wokondedwa, kapena mkangano waukulu. Chifukwa chingakhalenso kuphwanya thupi chifukwa cha mimba, kuyamba kwa kugonana, kuchotsa mimba, kugwiritsa ntchito mankhwala a mahomoni, kugwiritsa ntchito mankhwala osokoneza bongo.
Momwe mungathanirane ndi mantha
Pali magawo awiri ochizira matenda a mantha: choyamba ndi mpumulo wa mantha omwewo; chachiwiri ndi kupewa (kuwongolera) kwa mantha ndi ma syndromes achiwiri kwa iwo (agoraphobia, kukhumudwa, hypochondria, ndi ena ambiri). Monga lamulo, mankhwala a psychotropic amaperekedwa kuti achotse chizindikirocho, kuchepetsa kuopsa kapena kupondereza nkhawa, mantha, nkhawa, ndi kupsinjika maganizo.
Mu sipekitiramu wa zochita za ena tranquilizers, pangakhale zotsatira kugwirizana ndi normalization wa zinchito ntchito ya autonomic mantha dongosolo. Mawonetseredwe akuthupi a nkhawa amachepetsedwa (kuthamanga kwa magazi, tachycardia, thukuta, kusagwira ntchito kwa m'mimba).
Komabe, kugwiritsa ntchito mankhwalawa pafupipafupi (tsiku ndi tsiku) kumayambitsa matenda osokoneza bongo, ndipo pamlingo wanthawi zonse amasiya kuchita. Pa nthawi yomweyi, kugwiritsa ntchito mankhwala mosasamala komanso zochitika zomwe zimagwirizanitsidwa ndi rebound kungapangitse kuwonjezeka kwa mantha.
Sizitenga nthawi kukweranso njira yapansi panthaka, kupita kumakonsati masauzande ambiri ndikusangalala
Thandizo la mankhwala osokoneza bongo limaletsedwa ali ndi zaka mpaka 18, kusalolera kwa mankhwalawa, kulephera kwa chiwindi, myasthenia gravis, glaucoma, kulephera kupuma, dysmotility (ataxia), zikhumbo zodzipha, zizolowezi (kupatulapo chithandizo cha kusiya kwambiri). zizindikiro), mimba.
Ndizimenezi kuti ntchito ya njira yowonongeka mothandizidwa ndi kayendetsedwe ka maso (yomwe imatchedwa EMDR) ikulimbikitsidwa. Anapangidwa poyambirira ndi katswiri wa zamaganizo wa ku America Francis Shapiro kuti agwire ntchito ndi PTSD ndipo awonetsa kuti ndi othandiza kwambiri polimbana ndi ziwopsezo. Njirayi imagwiritsidwa ntchito ndi akatswiri a zamaganizo omwe amatenga nawo mbali pakukhazikitsa chithandizo. Cholinga chake ndi kugwirizanitsa zotsatira, kubwezeretsa zochitika zamagulu, kuthetsa mantha ndi khalidwe lopewa, komanso kupewa kuyambiranso.
Koma bwanji ngati chiwembucho chinachitika pompano?
- Yesani njira zopumira. Mpweya uyenera kukhala wautali kusiyana ndi mpweya. Inhale kwa ma 4, tulutsani ma XNUMX.
- Yatsani mphamvu 5. Tangoganizani ndimu. Fotokozani mwatsatanetsatane maonekedwe ake, kununkhiza, kukoma, momwe angakhudzire, lingalirani za phokoso lomwe mumamva mukafinya mandimu.
- Dziwonetseni nokha muli pamalo otetezeka. Ganizirani zomwe zimanunkhiza, zomveka, zomwe mukuwona, zomwe khungu lanu likumva.
- Yopuma. Yesani kupeza zinthu zisanu pa «K» m'madera ozungulira, anthu asanu ndi zovala za buluu.
- Khazikani mtima pansi. Kuti tichite zimenezi, mosinthana kumangitsa minofu yonse ya thupi, kuyambira mapazi, ndiye shins-ntchafu-m'munsi mmbuyo, ndipo mwadzidzidzi kumasula, kumasula mavuto.
- Bwererani ku zenizeni zotetezeka. Tsatirani msana wanu pa chinthu cholimba, gonani, mwachitsanzo, pansi. Gwirani thupi lonse, kuyambira ndi mapazi ndikupita kumutu.
Zonsezi ndi njira zothandiza, koma kuukira kumachitika mobwerezabwereza. Choncho, musachedwe ulendo wopita kwa katswiri wa zamaganizo. Wothandizira wotchulidwa kumayambiriro kwa nkhaniyi anatenga misonkhano 8 ndi katswiri wa zamaganizo kuti abwerere ku moyo wake wakale.
Pogwira ntchito ndi njira ya EMPG, kuchuluka kwa ziwopsezo kumachepetsedwa kwambiri ndi msonkhano wachitatu, ndipo pofika wachisanu, kuwukira kumachoka kwathunthu. Sizitenga nthawi yayitali kuwulukanso ndege, kukwera masitima apamtunda, kupita kumakonsati masauzande ambiri ndikukhala osangalala komanso omasuka.