Maitiro Akanakisisa Okurapa Kuedza
Kana uine chirwere chisingagoneki cheplmonic ( COPD ) kana kuziva mumwe munhu anoita, haufaniri kushamiswa kuziva kuti kuora mwoyo uye kuzvidya mwoyo zvinowanzova nemigumisiro yechirwere chepapu chinoparadza. Chidzidzo che2010 chakabudiswa mupepanhau Thorax yakawana, somuenzaniso, kuti vanhu vane COPD vane 85 muzana inowanzoita kuti vave nezvinetso zvekuzvidya mwoyo kupfuura vamwe vanhu.
Saizvozvowo, mugore ra2011 revanhu vanopfuura 2 000, 26 muzana yevaya vane COPD vakatambura nekuora mwoyo, vachienzanisa ne12 muzana yezvidzidzo vaisvuta asi vasina COPD uye 7 muzana yevasingadi kunze kweCOPD.
Chinodaro, kuora mwoyo uye kuzvidya mwoyo pamwe chete neCOPD kunogona kukanganisa kukanganisa: Kana une COPD uye uri kutambura kufema, unogona kutanga kutya-asi kunzwa panicky kunogona kukanganisa kufema. Kutaura zvazviri, varwere veCOPD vanowanzokwanisa kupfurikidza nevanhu vatatu vasina mamiriro ezvinhu ekutyisidzirwa nekutya nekutyisa chirwere.
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Nyaya Yokurwisa Anti-Anxiety MedicationMishonga inopesana nemishonga yakadai seXanax (alprazolam) uye Valium (diazepam) haisi yakanaka kuvanhu vane COPD nokuti mishonga iyi inowanzofambira mberi kufema. Zvisinei, vamwe vanorwisa-depressants uye vasingasviki zvinodhaka zvinogona kubatsira nezvose kuzvidya mwoyo uye kuora mwoyo uye zvakakodzera kutaura nechiremba wako pamusoro.
Zvimwe
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Kuuya Kwavari Mukana Wakanakisisa AnodzvinyiriraKune makirasi akawanda emishonga inopesana nehutachiona inowanika mukurapa kuora mwoyo. Vose vaviri boka rekare, tricyclics, uye yechipiri yekare, boka remonoamine oxidase inhibitors (MAOIs) rakadzidzwa nevanhu vane COPD asi harina kuratidzwa kuti rinobatsira.
Izvozvowo ndezvezvitsva zvinopesana nezvinokonzera zvinodhaka-serotonin reuptake inhibitors, kana SSRIs. Kunyange zvakadaro, SSRIs inoonekwa sechisarudzo chiri nani kudarika mishonga yakakura yekurapa kuora mwoyo kana kufunganya kwakabatana neCOPD. Vanoshanda nekudzivirira reuptake (reabsorption) ye-neurotransmitter serotonin nemusero wesero iyo yakaiviga. Nenzira iyi, serotonin yakawanda inogona kuwanika muuropi. Kuderera kwe serotonin kwakabatanidzwa mukuzvidya mwoyo uye kuora mwoyo. SSRIs dzinosanganisira Prozac (fluoxetine), Zoloft (sertraline), Lexapro (escitalopram), uye Paxil (paroxetine).
Anti-depressants iyo haina kuwira mune chero ipi zvayo yakataurwa pamusoro apa, yakadai seWelbutrin (bupropion), Serzone (nefazodone), uye Remeron (mirtazapine), haina kudzidza zvakanaka kuvanhu vane COPD.
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Cognitive Behavioral TherapyKana iwe wakafanana nevanhu vakawanda vane COPD, unganzwa uchinetseka kurapa kuora mwoyo kana kushungurudzika neuchenjeri hwehutano hwehutano (CBT) pane kutora mishonga. CBT inzira yakagadzirirwa yekurapa kwepfungwa iyo inokudzidzisa kuti uchinje maonero aunofunga kana kunzwa nezvemamiriro ezvinhu ausingagoni kuita chero chinhu.
CBT inogona kuva nzira yakanakisisa yekubata nayo nyaya dzese dzakabatana nekuora mwoyo kana kufunganya kunokonzerwa neCOPD, inowanzoshanda nekukurumidza, uye haisi kukuisa pangozi yemigumisiro yepanyama yemishonga. Chiremba wako angangokutaurira kune chiremba wepfungwa kana mumwe mudzidzisi wehutano hwepfungwa anogona kukupa CBT.
Sources:
Eisner, Mark D., uye. al. "Kutungamirirwa kwekufunganya kwehutano muCOPD." Thorax . Mar 2010; 65 (3): 229-234.
Fritzsche, A., uye al. "Migumisiro yeArapa uye yeMapfungwa ekurapwa kwekuora mwoyo mune varwere neCOPD-Kudzokorora." Respiratory Medicine . Oct 201; 105 (10): 1422-1433.
Panagioti, M., et al. "Maererano neKupararira, Maitiro, uye Kutungamira Kwekuora Mwoyo uye kuzvidya mwoyo muHupenyu Hwekudzivirira Pulmonary Disease." International Journal of Chronic Obstructive Pulmonary Disease . Nov 2014 > 13; 9: 1289-306.
Usmani, ZA, uye al. "Kupindira Kwemishonga Pakurapa Kwekuzvidya Mwoyo Muzvirwere Zvisingagadziriswi Zvirwere Zvirwere." Cochrane Database yekuongorora kwakarongeka . Nov 9, 2011; (11): CD008483.
Yohannes, AM, uye al. "Kurapa Kwokurapa Kwekuora Mwoyo Muvanhu Vakwegura Varwere Vanorwara Zvisingagadziriswi Pulmonary Disease: Zvinogadziriswa Nenzira yechirwere uye Zvibereko Zveutano." Zvinodhaka nekukwegura . July 2014; 31 (7): 483-492.