Kushungurudzika uye Kuzvidya Mwoyo Kunowanikwa, Asi Ndizvo Zvazvinobatsira
Kuonekwa kwekenza yebonde ndeimwe yezvinhu zvinoparadza zvikuru mukadzi anogona kunzwa. Mushure memazwi akadaro anotyisa, zvakajairika kunzwa manzwiro akasiyana-siyana, kubva pakuora mwoyo kusvika kutsamwa. Asi kune vamwe varwere, kunyange kamwe kana kuvhiringidzika kwekutanga uye kushungurudzika zvakapera, chirwere chakakomba chepfungwa chinogona kuwedzera.
Zviratidzo Zvako Zvemangwara Mushure mekuberekwa kweArper Breast Diagnosis
Chinhu chokutanga kuziva ndekuti iwe hausi woga.
Chidzidzo che2006, chakaitwa nevatsvakurudzi veDartmouth Medical School, chakawana kuti inenge hafu yevana 236 vachangobva kuongororwa nekenza yemazamu muchidzidzo ichi vakaona zvirwere zvepfungwa uye kushungurudzika kwaiva kuchipatara zvakakosha. Izvi zvinoreva kuti varwere ava, panzvimbo pokuva nemhosva yekupfuura kweblues, sangana nehutano hwekuongorora maitiro ekutambudzika kukuru kwepfungwa kana kushungurudzika kwepfungwa.
Mamwe emamiriro ezvinhu ayo murwere wepachifu wepabonde angava nawo anosanganisira:
1. Kutambudzika kwakanyanya
Kushungurudzika kwakanyanya ndiko kunonyanya kukosha kwehutano hwepfungwa pakati pevarwere vekenza yepabonde uye vakawana 41% yevadzidzi 236 vari muDartmouth kudzidza. Zvinogona kuva zvakaoma kusiyanisa pakati pezvinoitika, hutano hwakanaka kune kenza kuongorora uye kushungurudzika mupfungwa. Asi rimwe remibvunzo inotsanangurwa inozivikanwa se "Zvinotambudza Mahara" yakagamuchirwa neNational Comprehensive Cancer Network (NCCN) senzira yekuziva kana kushushikana mupfungwa kunonyanya kuchinja hupenyu hwako.
2. Kukunda Kukuru
Anozivikanwa mu11% yevaya vane chirwere chepachifu chemuzamu, kuora mwoyo kunoenda kudarika kudarika kusuruvara. Iro chirwere chepfungwa umo manzwiro ekuora mwoyo anovhiringidza hupenyu hwako hwezuva nezuva. Kunyange zvazvo mumwe munhu ane kliniki yekuora mwoyo angasawana zviratidzo zvose, zvakakosha kutarisa nachiremba wako kana ukaona chero chipi chinotevera:
- Shanduko pakuonekwa: Kusuruvara kana kusinganzwisisiki kutaura, bvudzi risina kuchena kana zvipfeko
- Kazhinji kusagutsikana: Kunzwa kusuruvara kana kusina tariro kwenguva yakawanda
- Mifungo isina kunaka: Unogara uchifunga kuti hauna maturo kune vamwe, kusava netariro pamusoro remangwana
- Basa rakaderera: Hapana chikonzero; kunyange zviduku zvikuru mabasa anonzwa sechisimba chikuru
- Kukanganiswa kwekufungidzira: Kusakwanisa kutarisa pamabasa asina kuoma kana kukurukurirana
- Vanhu matambudziko: Kudzivisa vamwe, kumira kunze apo vamwe vanoedza kubatsira
- Kutongwa uye kuderera kuzviremekedza: Unonzwa sokuti matambudziko ako ose ari kukanganisa kana kuti hauna kukodzera chero munhu wese
- Zvinetso zvepanyama: Zvinetso zvekurara, kuonekwa kushaya kurasikirwa kana kuwanikwa, musoro kana muviri aches
- Kuzviisa pfungwa: Kufamba pamusoro pekufa, uchifunga kuzviuraya
3. Kutuma Kushungurudzika Kwepfungwa Dambudziko (PTSD)
PTSD idambudziko rekuzvidya mwoyo rinogona kukanganisa vanhu vakatambura chiitiko chinotyisa chinokonzerwa nengozi mumuviri kana kutyisidzirwa. Kakawanda kunobatanidza nehondo dzevarwi uye vanobatwa nechisimba chisimba, PTSD inogona kunge yakaoma zvikuru kune vanorwara nekenza, avo vanovhiringidza nemibvunzo yekuchengeteka kwavo nekufa. Kutaura zvazviri, PTSD yave ichiongororwa mune inenge 10 muzana yevakadzi vanoonekwa vane kenza yemazamu. Zviratidzo zvekutarisa zvinosanganisira:
- Kuvimbisa nguva: Kuyeuka kwakanyanya kwemazuva okukwanisa kuonekwa kwako, kunyanya kana uine zviratidzo zvakaita semapapiro emwoyo, kutuka, kusingadzorwiki kuzununguswa
- Kuzvidzivirira: Kuenda kumarefu kuti ugare kure nezvinzvimbo kana vanhu vanokuyeuchidza nguva inoshungurudza; kunzwa kunowanzovharwa kune vamwe
- Kuwedzera kwekumutsa: Kunzwa nyore kushamiswa kana kutsamwa; kushaya kukwanisa kurara kana kufungidzira sokuti njodzi yava pedyo
4. Chigadziriswe Anxiety Disorder (GAD)
Inowanikwa mu10% yevarwere vekenza yebonde, GAD chirwere chekuzvidya mwoyo umo manzwiro evanhu vakawanda ekusava nekutya kana kutyisa aripo, pasinei nekusava kana kutyisa. VAGA vanorwara vanopedza nguva yakawanda yezuva vachizvidya mwoyo, kazhinji kusvika pakuguma kwekunetseka mupfungwa, uye ruzivo rwezviratidzo zvemuviri zvakadai semusoro, kusuruvara nekudedera.
Zvaunofanira Kuita - Tsvaga Kuporeswa Kwepfungwa Mushure mekushaya kenza kwekenza
Kana uri kutarisana nechimwe chezviratidzo mumamiriro ezvinhu akarondedzerwa pamusoro apa, yeuka kuti ivo vanojairika uye kuti haufaniri kuramba uchirwa nega. Kune dzimwe matanho anokosha ekubatsira kugadzirisa zviratidzo zvako nezvinetso:
- Svika Kune Vamwe. Vimba kune shamwari dzakavimbika nemhuri. Kumbira mufundisi wako kuti akuise iwe kune vamwe vekutenda kumwechete avo vakambobatwa nekenza yengamu. Tsvaga mapoka ekutsigira munharaunda; kazhinji, zvipatara zvinowanikwa mukurapa kwepabonde zvemazamu zvinotsigira aya marudzi emapoka. Chiremba wako anofanirawo kunge ane ruzivo pamusoro pemapoka ekutsigira.
- Taura Nechiremba Wako. Utano hwako hwepfungwa hwakakosha kuti ugone kubata zvakanaka muviri wako. Zvakakosha kutaurira chiremba wako pamusoro pechinhu chipi zvacho chinoramba chichinetsa iwe. Kumbira kutumirwa kune unyanzvi hwehutano hwepfungwa kana uchida mamwe rubatsiro.
Dzidza NezveMishonga
Mishonga inotarisirwa pamitemo iyi inosanganisira antidipressants yakafanana neSSRIs (Prozac, Zoloft naCelexa pakati pavo). Iwe unogona kutotora kutora chimwe chezvizvi zviratidzo zvekuenda kumwedzi; asi kana iwe uine chirwere chekuora mwoyo kana kufunganya, kuwedzerwa kwemuti wako kungave kwakakosha.
Iva nechokwadi kuti kune mikana yekubatana kwezvinodhaka zvinogona kuisa mungozi yako kurapwa; somuenzaniso, zvimwe zvinodhaka zvinogona kuderedza kubudirira kwe tamoxifen . Iva nechokwadi chemupi wehutano hwepfungwa uye wako oncologist anoziva nezvemishonga ipi yauri kutora.
Pakupedzisira, yeuka kuti mishonga inogona kutora kusvika mwedzi kuti ipe rubatsiro. Usarega kutora mishonga pasina kubvunza chiremba wako kana iwe usingazonzwi zviri nani pakarepo.
Ziva Ndezvipi Zviratidzo Zvinoda Kubatsira Pakarepo
Dana chiremba wako kana chipatara chemunharaunda pakarepo kana iwe uchinge uine chero chekutevera:
- Pfungwa dzekuzviuraya kana kuenderera mberi kwezuva pamusoro pekufa
- Kusava nemafungiro asina kunaka, akadai sokunwa kusvika pakusviba kana kutyaira zvisiri izvo
- Kusakwanisa kudya kana kurara kwamazuva mazhinji
- Dambudziko rakaoma kufema kana kuvhara pasi kubva kuzvidya mwoyo
Ini ndakanaka ... Ndinofunga
Kana iwe usingatendi iwe uri kutarisana nemimwe mitemo iri pamusoro apa - asi iwe haunzwi iwe pachako - iwe unogona kuwana nyaradzo nekusvika kune vamwe.
Tsvaga rubatsiro paIndaneti Nzvimbo dzakadai seCancerCare dzinogona kupa ruzivo pamusoro pokurwisana nekenza uye mhepo inopisa yevanoshungurudzwa nekenza vanonzwa. Vanewo ruzivo pamusoro pemapoka ekutsigira kuIndaneti, apo iwe unogona kuyanana nevanhu vane zvimwe zvezvinhu zvimwe chete zvauri.
Sources:
American Cancer Society Staff. "ACS: Zvimwe Zvimwewo." Cancer.org . 5 Gumiguru 2007. American Cancer Society. 23 Kubvumbi 2008.
Desmarais JE, Looper KJ. "Kuwirirana pakati pe tamoxifen uye zvinorwisa zvinodhaka ne cytochrome P450 2D6." J Clin Psychiatry. 2009 Dec; 70 (12): 1688-97. doi: 10.4088 / JCP.08r04856blu.
American Cancer Society Staff. "Kuora mwoyo." Cancer.org . 4 Jan. 2007. American Cancer Society. 23 Kubvumbi 2008.
CDC Staff. "Kutsungirira Chiitiko Chinotyisa." CDC.gov . 26 Jul 2005. Centers for Disease Control and Prevention. 23 Kubvumbi 2008.
CDC Staff, "Kunzwisisa Kuora Mwoyo - Yako Neye." CDC.gov . 01 Kubvumbi 2002. Nzvimbo dzeDaase Control uye Kudzivirira. 23 Kubvumbi 2008.
Hegel, MT, et et. al .. "Kushungurudzika, Psychiatric Syndromes, uye Kukanganiswa Kwebasa muvakadzi neChechi inozivikanwa neChristin Breast." Cancer . 107. 12. 15 Dec. 2006. 2924-2931.
NIMH Staff. "Kuda Kunetseka Kunetseka (GAD)." National Institute of Mental Health . 2 Apr. 2008. National Institutes of Health. 23 Kubvumbi 2008.
NCCN Staff. "Unoziva Sei Kana Kushungurudzika Kusina Chinhu Chakanaka - kana Kuti Kuwedzera Kukosha?" NCCN.org . 2005. National Comprehensive Cancer Network. 23 Kubvumbi 2008.