Kuchiza kwa matenda a nkhawa kumatengera kulowererapo kwa mankhwala ndi / kapena m'malingaliro. Nthawi zonse, chithandizo chamankhwala ndi chofunikira kukhazikitsa chithandizo chokwanira, chogwirizana ndi zosowa za wodwalayo, zizindikiro zake ndi banja lake komanso chikhalidwe chake.

Chisamaliro chamaganizidwe

Thandizo maganizo ndikofunikira pakakhala zovuta zamavuto.

Zitha kukhalanso chithandizo chokhacho, kapena kulumikizidwa ndi chithandizo chamankhwala, kutengera kuopsa kwa zovutazo komanso ziyembekezo za munthu yemwe akukhudzidwayo.

Thandizo lachidziwitso ndi njira yomwe yakhala ikuphunziridwa kwambiri pochiza matenda a nkhawa, kuphatikizapo phobia, mantha a mantha ndi obsessive-compulsive disorder. Poyang'ana zinthu zomwe zimayambitsa ndikusunga nkhawa ndikupatsa wodwalayo zida zowongolera, chithandizo chamtunduwu nthawi zambiri chimakhala chokhazikika (magawo 12 mpaka 25 a mphindi 45 zonse). Malinga ndi HAS, njira zochiritsira zamaganizo ndi zamakhalidwe zimakhala zogwira mtima ngati chithandizo chamankhwala.

Mitundu ina yamankhwala, monga chithandizo chamaganizo, yasonyezedwanso kuti ndi yothandiza m'maphunziro azachipatala. Cholinga ndi kutchera khutu ndi kuyang'ana pa mphindi yomwe ilipo, ndipo potero phunzirani kulamulira nkhawa zanu.

Analytical psychotherapy akhoza kuyambitsidwa kuti amvetsetse magwero a nkhawa, koma mphamvu yake pazizindikiro ndipang'onopang'ono komanso yosazindikirika.

Pharmacological management

Ngati zizindikirozo ndizovuta kwambiri ndipo chithandizo chamaganizo sichikwanira kuti chiziwongolera (mwachitsanzo, nkhawa zamtundu uliwonse), chithandizo chamankhwala chingakhale chofunikira.

Mankhwala angapo amadziwika chifukwa cha mphamvu yawo yolimbana ndi nkhawa, makamaka anxiolytics (benzodiazepines, buspirone, pregabalin) zomwe zimagwira ntchito njira yachangundi antidepressants ena omwe ndi chithandizo chakumbuyo, kutanthauza selective serotonin reuptake inhibitors (SSRIs) ndi serotonin ndi norepinephrine reuptake inhibitors (SNRIs).

Mankhwalawa angapangitse kuti nkhawa ichuluke mukangoyamba kulandira chithandizo ndipo ndikofunikira kuyang'aniridwa ndi achipatala.

Chifukwa cha ngozi Kudalira, benzodiazepines iyenera kuperekedwa kwakanthawi (osapitirira masabata awiri kapena atatu). Kuyambitsa ndi kusiya chithandizo kuyenera kuyang'aniridwa ndi dokotala.

Popeza pregabalin sichimayambitsa chiopsezo chodalira ndipo mphamvu yake imakhalapo nthawi yomweyo, nthawi zina imakonda kukhala benzodiazepines.