Puas yog kev noj tshuaj tiv thaiv kev ntxhov siab tiag tiag yuav ua rau koj qhov hnyav ntxiv?


Puas yog kev noj tshuaj tiv thaiv kev ntxhov siab tiag tiag yuav ua rau koj qhov hnyav ntxiv?

Nyob hauv thaj tsam ib hlis twg ntawm cov mob, kev siv tshuaj tiv thaiv ntev yog txuam nrog qhov hnyav nce li 10 lb lossis ntau dua. Rau cov neeg uas twb tau hnov ​​tsawg dua li stellar, qhov no tuaj yeem yog tus saib tsis taus, ua rau muaj kev ntxhov siab txog lawv txoj kev noj qab haus huv lossis tsos.

Raws li Dr Derek Tracy ntawm Royal College ntawm Psychiatrists piav qhia, nws yog ib qho ib txwm muaj kev txhawj xeeb txog kev hnyav nce.

Nws hais tias “Muaj tsawg leej neeg yuav tsis kam noj tshuaj vim qhov no, tab sis qee zaum nws yuav cuam tshuam kev sib tham txog yam tshuaj twg los siv,” nws hais. “Cov kws kho mob yuav tsum tau teb rau cov kev txhawj xeeb no, thiab muaj lub siab xav hloov qhov teeb meem nrog lwm tus. Qhov no yog qhov tshwj xeeb rau qee tus neeg – piv txwv, yog tias muaj keeb kwm hom mob ntshav qab zib 2 lossis mob plawv.”

Vim li cas lub cev hnyav nce ntxiv

Thaum nce hauv qhov hnyav ntawm cov tshuaj tiv thaiv kev txhaum yog qhov deb ntawm kev tsis paub (nws txhua yam yog nyob ntawm seb koj lub cev teb li cas rau cov tshuaj ntawd), nws yuav yog qhov uas tsis quav ntsej txog qhov ua tau.

Hauv ib txoj kev tshawb fawb loj tsis ntev los no, uas muaj ze li ntawm 300,000 tus neeg, cov neeg uas tau siv tshuaj tiv thaiv kab mob rau ntau dua ib xyoos pom tias muaj kev pheej hmoo ntawm qhov hnyav nce. Muab piv rau cov pab pawg tswj hwm, lawv 21% feem ntau yuav tso rau qhov hnyav, txawm hais tias muaj ntau qhov sib txawv ntawm cov tshuaj uas cuam tshuam rau yam twg.

Kev tshawb fawb ntawm hom no tsis tuaj yeem qhia peb tias vim li cas qhov hnyav nce ntxiv, lossis tseem muaj pov thawj qhov sib cuam tshuam ntawm kev tiv thaiv kev nyuaj siab thiab qhov hnyav nce. Txawm li cas los xij, muaj ntau lub theories hais tias vim li cas nws yuav tshwm sim.

“Cov tshuaj tiv thaiv kev ntxhov siab feem ntau ua tau zoo los ntawm kev kho lub hlwb cov tshuaj serotonin lossis noradrenaline; txawm li cas los xij, lawv tseem tuaj yeem khi tsis ruaj nrog lwm txoj hauv kev biochemical hauv lub hlwb thiab lub cev, ua rau muaj kev phiv,” “Peb xav tias thaum qhov hnyav nce, qee qhov no yog vim muaj qhov khi nrog ‘histamine’ kev ua haujlwm hauv lub hlwb.”

Cov laus ntawm kev tiv thaiv kev ntxhov siab (tricyclics) thiab cov tshuaj mirtazapine tshwm sim ntau dua ua rau hnyav hnyav rau qhov laj thawj no. Lwm yam tshuaj tiv thaiv kev ntxhov siab yuav muaj qhov sib txawv ntawm kev qab los noj mov thiab metabolism. Thiab muaj qee zaum muaj caj ces txiav txim rau koj tus kheej kev ntsuas yuag ntawm koj qhov hnyav nce.

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Lwm yam

Muaj qee kis, muaj cov lus piav yooj yim dua – koj plam qhov qab los thaum koj nyuaj siab, thiab tau rov qab tam sim no koj tau zoo lawm. Qhov no tuaj yeem yog qhov zoo, tshwj xeeb tshaj yog tias koj lub cev yuag dhau mus pib nrog.

“Ib co nce phaus hnyav tuaj yeem yog qhov taw qhia ntawm qee qhov rov qab los, yog tias lawv lub siab rub tawm thiab lawv lub siab poob rov qab mus rau yav dhau los,” Tracy hais.

Raws li lwm txoj kev, koj txoj kev nyuaj siab tuaj yeem cuam tshuam nrog kev sib koom lossis qis zog. Cov tsos mob no yuav mob ntev ib pliag txawm tias koj twb pib muab tshuaj tiv thaiv kab mob.

“Tib neeg muaj ntau yam sib txawv, thiab thaum nws nquag tshwm sim rau tib neeg kom lawv tsis qab los noj mov thiab noj tsawg dua thaum muaj kev ntxhov siab, peb pom tias muaj ib pab tib neeg yuav noj ntau dua nyob rau lub sijhawm no. Qhov no qee zaus cuam tshuam los ntawm tsis muaj kev ua si thiab qoj ib ce. hauv kev nyuaj siab, “Tracy hais.

Pom cov tshuaj tiv thaiv kev tiv thaiv zoo

Cov neeg feem coob, txawm li cas los xij, yuav tsis teeb ntawm cov phaus ntawm cov tshuaj tiv thaiv kev ntxhov siab. Tsis zoo li cov tshuaj tiv thaiv kev ntxhov siab, uas ua rau muaj kev pheej hmoo hnyav nce ntxiv, cov tshuaj tiv thaiv kev ntxhov siab tsuas yog muaj kev cuam tshuam me ntsis. Ntawm kev sib npaug, koj yuav xav tias nws muaj nqis rau ob peb phaus for the sake of zoo dua.

Yog tias koj lub cev hnyav zoo li yauv nce mus, kev daws qhov teeb meem yuav yooj yim npaum li hloov mus rau koj cov tshuaj. Piv txwv li, venlafaxine, duloxetine thiab sertraline tej zaum yuav ua rau lub cev hnyav dua li lwm cov tshuaj tiv thaiv kab mob siab. Thiab thaum bupropion (tseem hu ua Wellbutrin) tsis nquag muaj nyob rau hauv tebchaws Askiv, nws yog qhov tseeb txuam nrog kev poob phaus.

Tracy hais tias “Txhua tus neeg txhawj xeeb txog qhov hnyav yuav tsum tsa lawv nrog lawv tus kws kho mob tiag, thiab sib tham yog tias muaj cov tshuaj zoo dua rau lawv thiab lawv lub cev thiab lub hlwb,” hais tias.

Qhov no tseem ceeb heev yog tias koj muaj keeb kwm ntawm kev noj zaub mov tsis zoo los yog hnyav dhau lawm. Cov tshuaj tiv thaiv kev ntxhov siab tsis yog ib qho-loj-haum-txhua yam tshuaj, thiab nws tsim nyog pheej ua kom txog thaum koj pom qee yam uas haum rau koj tus neeg xav tau.

Yog lawm, txawm tias qhov twg muaj qee qhov hnyav nce, nws yog qhov tseem ceeb rau kev tiv thaiv qhov no tawm tsam cov txiaj ntsig. Kev ntxhov siab tuaj yeem yog qhov mob sai thiab, yog tias koj raug mob, koj tsim nyog tau txais kev kho kom zoo.

Txog ntawm qhov ntawd, yog tias koj tau tawm tsam sawv saum txaj, cov tshuaj tiv thaiv kev ntxhov siab yuav ua rau koj muaj qhov kev txhawb zog uas koj xav tau kom pib qoj ib ce thiab noj zaub mov zoo dua. Qhov zoo tshaj plaws yog, qhov no yuav ua kom koj lub siab zoo dua ntxiv thiab pab coj koj qhov hnyav hauv qab kev tswj hwm, tsim kom muaj hom kev tsim lub voj voog zoo.

Tracy hais tias “Peb yuav tsum nco ntsoov tus nqi ntawm kev kho tsis tau tus mob kev nyuab siab.” “Qhov no tuaj yeem ua rau tsis zoo rau lub cev thiab lub siab, suav nrog kev ua kom ib ce nyuaj dua, tawm dag zog thiab tswj lub neej kom noj qab haus huv.”

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