Mental Health Treatment yekuvandudza Kurwara Kwepanyama
Kunogona here kurapwa mupfungwa kunotibatsira kutarisira zviratidzo zve fibromyalgia , kunyange zvazvo zviratidzo zvine chikonzero chepanyama? Maererano nekutsvakurudza, uye kunyanya chidzidzo che 2017 chakabudiswa mupepanhau Pain , chinogona.
Izvi ndezvimwe zvechokwadi pamusoro pehupfungwa hwedu, mano avo ekuchinja, uye kukwanisa kwedu pachedu kuita shanduko dzakanaka mumaitiro ehu hwedu hunoshanda sei.
Chokwadi pamusoro peKakavhiringidza
Kwose kukurukurirana kwehurukuro iyi kuchave kukakavadzana. Izvi zvinonzwisisika, kunyanya kupa kupa kusanzwisisikidzwa munharaunda uye vezvechiremba pamusoro pe fibromyalgia kuva "yakarurama" kuora mwoyo kana chimwe chinetso chepfungwa.
Chinhu chinokosha kuti unzwisise, zvisinei, ndechokuti apo mishonga iyi inotarisa panyaya dzepfungwa, izvo hazvirevi kuti fibromyalgia inofunga nezvepfungwa. Heano zvimwe zvikonzero zvekuchengeta mupfungwa:
- Fibromyalgia chirwere chepfungwa uye inosanganisira neurotransmitters (makemikari vatumwa muuropi) iyo inobatanidzwa mune rimwe chirwere chepfungwa.
- Kushushikana mupfungwa chinhu chikuru chinowedzera kuitika kune vakawanda, kana kwete, maitiro e fibromyalgia. Inofungidzirwa senzvimbo inokonzera uye inozivikanwa kuti zviratidzo zvive zvakanyanya uye zvinokonzera flare-ups.
- Kuora mwoyo uye kuzvidya mwoyo ndizvo zvinowanzoputika mune zve fibromyalgia.
- Zvidzidzo zvinoratidza kuti kushungurudzika kwevana kunogona kuchinja muviri wehupenyu hunoita zvinopesana, zvichiita kurwara munguva inotevera muupenyu.
- Kurarama nechirwere chisingagumi, chinopedza simba chinonetsa uye chinogona kutungamirira kumanzwiro akaipa akawanda, uye mamwe maitiro erapi anogona kubatsira kuderedza iyo manzwiro. (Izvozvowo ndezvezvipembenene zvakafanana nekenza, izvo pasina munhu anofunga kuti ndezvepfungwa.)
- Manzwiro ezvepfungwa haana kukurudzirwa semishonga-oga, asi sechikamu cherongwa hwehutano. Izvo hazvifananidzi shanduko dzeimwe nzira.
- Uropi hunochinja. Mifungo ine simba pamakemikemikisi, saka kuchinja mafungiro maitiro kunogona kukanganisa kuchinja kwehupenyu.
Munguva iyi, vanhu vane fibromyalgia vanowanzopiwa mishonga inorayirirwa iyo isingabatsiri uye inouya nemigumisiro yakawanda. Tinoda zvakawanda kupfuura mishonga iyi inopa, uye zvimwe zvirwere zvepfungwa zvinogona kubatsira kuzadza zvipembenene.
Imwe yezvidzidzo zvepfungwa dzakapfurikidzika zviri nani ndeyekufunga kwehutano hwemaitiro (CBT) . Vanyori vekudzidza Pain , asi, vanoti vakawana nzira inoratidzika yakakosha kupfuura CBT. Vanozviti maitiro ekuziva uye mafungiro ekurapa (EAET).
Chii Chinonzi Kuziva Mwoyo uye Kurapa Kwokurapa?
Maererano nemutungamiri wekutsvakurudza Mark A. Lumley, PhD, EAET inonzi amalgam yemagadzirirwo akawanda avanozivikanwa kare. Izvi zvinosanganisira:
- Psychodynamic therapy
- Experiential therapy
- Exposure-based therapy
- Expressive writing
- "Rescripting" therapy
"Tangotora matanho kana maitiro kubva kune dzimwe, nzira dzakawanda dzinowirirana uye akadzorerazve, uye akapa mamwe mazano kuti zvive zvakakodzera zvakanyanya kumarwadziwa," akadaro Lumley mubvunzurudzo.
Zvinorevei ndezvokuti, kunyange zvazvo EAET iri nzira itsva, ndiyo imwe inogona kutsanangurwa nyore nyore nevarapi.
Chinangwa chikuru cheEET ndechokubatsira vanhu kubata nekusagadziriswa kwepfungwa dzepfungwa. Muchidzidzo chacho, vanhu 230 vane fibromyalgia vane mavhiki masere ekurapa-boka rimwe rinotanga EAET, rimwezve kuwana CBT, uye wechitatu achiwana dzidzo pamusoro pemamiriro acho ezvinhu. Vadzidzi vacho vakaongororwa pakutanga kwekudzidza, mushure mokunge chirwere chapera, uye mwedzi mitanhatu gare gare.
Kunyange zvazvo kurwadziwa kwakanyanya kusina kusimbiswa ne EAET kana kuchienzaniswa nedzidziso ye fibromyalgia, vatsvakurudzi vakataura zvimwe zvakagadziridzwa, kusanganisira nzvimbo dzinotevera:
- Zviratidzo zvachose
- Urombo hwakapararira
- Kuita muviri
- Kuchenjerera kusagadzikana
- Kufunganya
- Kuora mwoyo
- Chinhu chakanaka chinochinja
- Upenyu hugutsikana
Uyewo, inenge 35 muzana yevanhu vari muEEET boka rakashuma "kuva nani" kana kuti "yakavandudzika kwazvo," zvichienzanisa ne15.5% muboka redzidzo.
Kana ichienzaniswa neboka reC CBT, zvigaro zvaive zvakafanana nezviyero zvakasiyana, asi EAET yaiva nemigumisiro yakanakisisa apo yakasvika:
- Symptom fibromyalgia zviratidzo
- Pashoma kurwadziwa kwakapararira
- 50 muzana inononoka kuderedza mu 22.5 muzana, ichienzaniswa nepamusoro pe8% muboka re CBT
Ichi chidzidzo chinosimbisa chikwata chekutsvakurudza cha2012 chiitiko, chakabudiswa mu Journal of General Internal Medicine, izvo zvakaratidza kupindira kwekuziva kuziva kwakagadzirisa zviratidzo zvakawanda zve fibromyalgia, kusanganisira kurwadziwa, unyoro, uye kuzvitaurira kwehuviri hwemabasa. Iyo inobvumirawo basa rapakutanga pamusoro pekutsvaga-kwakagadzirirwa kushandiswa kwekutambudzika mu fibromyalgia, iyo yakabudiswa mupepanhau Psychotherapy muna 2008.
Sei Sezvo EAET Inodiwa?
Mu fibromyalgia, uropi hunosimudzira zviratidzo zvekunzwa uye hunoita kuti ivo vagone kuita zvinhu zvisingakonzeri kurwadziwa . Utano hwehuropi hunova huzhinji hune nzira dzinobata zviratidzo zvinokuvadza uye zvinotyisa.Kana iwe unogona kuchinja nzira iyo nekuremekedza simba romunhu kana kutya, kuderedza kutya nekuwedzera simba rako nekugadzirisa zvimwe zvezvinetso zvepfungwa, panguva imwe chete inoderedza marwadzo anorwadza. " Lumley akati.
Anoti kutsamwa kunogadzirisa ndeyekufungidzira kunowanzodziviswa, kunyange murapi. Vanhu vazhinji vane tsananguro yakarurama kune vanhu muhupenyu hwavo pamwe nemamwe manzwiro pamusoro pehukama. Nokuva kuziva nezveavo manzwiro nekudzidza kuzviratidza nenzira dzakanaka, anoti unogona kuchinja "kusakosha, kutya, uye pfungwa yekubatwa nevakawanda vanhu vanofunga."
Dzidzo dzakawanda dzinosimbisa izvo vazhinji vedu vanoziva kubva pane zvakaitika-chirwere chisingagumi chakaoma paukama. Kusanzwisisana kwakajairika kwe fibromyalgia uye kukanganisa kwayo kunongowedzera kukonzera dambudziko iroro. Dambudziko rehukama hunoita kuti tisazvidya mwoyo, uye kushungurudzika kunosimudza zviratidzo zvedu.
Chimwe chinonzi Lumley chinotsindira ndechokuti vanhu vanoda kubvunza varapi vavo nezvemishonga inogadzira EAET nokuti haisi "nzira" yepamusoro yekurwadziwa kunorwadza. Muongorori wako anofanira kunge akakwanisa kuwana chidzidzo (chinyorwa chiri pamagumo echinyorwa) chemashoko.
Anotiwo vanachiremba vanowanzokundikana kubatsira varwere vavo vane fibromyalgia kunzwisisa kuti zviratidzo zvavo zvinowanzobva kubva mukati mehutachiona hwehutano uye marwadzo europi. Chinhu chinokosha pakunzwisisa ndiko kuziva kuti uropi hunochinja:
Isu tinoziva kuti uropi hunochinja nehunoziva, uye kana uine humwe hunoti hune simba hunoitika, huro hunochinja huropi. Varwere vazhinji vakave nezviitiko zvakashata zvakanyanya muupenyu, izvo uhu hwavo hunorangarira zvose zvakanaka. Tinogona here kusimba zvakasimba ADAPTIVE kana HUREMYAYA zviitiko zvepfungwa ... zvitsva zvitsva zvinopesana nevakwegura vasina kunaka, uye kuchinja huropi huri nani? Kuchinja kwakadaro kunoratidzikawo kuderedza zviratidzo zvinorwadza (izvo uropi dzingangonyora zvisiri izvo sezviratidzo zvengozi).
Shoko Rinobva
Hapana ari kureva kuti munhu wose ane fibromyalgia haana kugadzirisa nyaya dzepfungwa kana kuti mhando dzematambudziko dziri kukonzera chirwere chako. Ndezvipi zvidzidzo zvinoratidza kuti kune vamwe, kubata nemanzwiro ehupenyu kunogona kutibatsira kunzwa nekushanda zvakanaka.
Paunenge wakashonga neruzivo kuti ruzivo rwepfungwa runogona kuchinja huropi-inogona, kuve, kukwanisa kuchinja nzira iyo iyo inokonzera zviratidzo zvedu zvakawanda- inova pachena kuti sei pfungwa dzepfungwa dzinosvika saBBCT uye EAET dzinogona kubatsira isu kunyange zvazvo chirwere chedu chiri chepanyama.
Kufanana nemishonga yose, kunyange zvakadaro, nzira idzi hadzingabatsiri munhu wose. Psychological treatments inoda kuongorora zvakare kubudirira kwavo, maererano nekuongorora kwe 2017 mu BMC psychology . Chimwe chiongorori gore iroro, kunyange zvakadaro, rakabudiswa mumutauro weGermany schmmer Schmerz , rakapa CBT rumbidzo yakasimba. (Sezvinoitwa nzira itsva yekurapa, EAET haina kuongororwa mune izvi kuongororwa.)
Hapana kana kurapwa kumwe kunoshanda kuburikidza nezvose zvezviratidzo zvedu. Inobhadhara kufungisisa nzira dzakasiyana-siyana kana uchiuya nemitemo yekurapa inokubatsira iwe.
> Sources:
> Hsu MC, Schubiner H, Lumley MA, et al. Kurambidzwa kunorwadziwa kuburikidza nehutano hwekuzviziva mu fibromyalgia: chirongwa chinongororwa chisina kuongororwa. Nyaya yemishonga inowanikwa mukati mese. 2010 Oct; 25 (10): 1064-70. doi: 10.1007 / s11606-010-1418-6.
> Kollner V, Bernardy K, Greiner W, et al. Psychotherapy uye pfungwa dzepfungwa dze fibromyalgia syndrome: Inoshandiswa mirayiridzo 2017 uye kupfupisa kwezvakagadziriswa nyaya dzekuongorora. Schmerz. 2017 Jun; 31 (3): 266-273. doi: 10.1007 / s00482-017-0204-3. [Abstract referenced; inyaya muGermany.]
> Lami MJ, Martinez MP, Sanchez Al. kurongeka kwakarongeka kwepfungwa mupfungwa mu fibromyalgia. Kutambudzika kwemazuva ano uye misoro inoshuma. 2013 Jul; 17 (7): 345. doi: 10.1007 / s11916-013-0345-8.
> Lumley MA, Schubiner H, Lockhard NA, et al. Kushushikana mupfungwa uye kuratidzira kurapwa, kugadzirisa maitiro ekurapa, uye dzidzo ye fibromyalgia: kuedza kwema-cluster-randomized controlled. Pain. 2017 Aug 8. chii: 10.1097 / j.pain.0000000000001036.
> Markozannes G, Aretouli E, Rintou E, et al. Chirairo chekuongorora mabhuku pamusoro pekubudirira kwepfungwa dzepfungwa dzekutambura kunorwa. BMC psychology. 2017 Aug 31; 5 (1): 31. doi: 10.1186 / s40359-017-0200-5.