Kuda nkhawa Kwambiri

Zamkati

• Zizindikiro za matenda amisala wamba
• Kusiyanitsa GAD ndi zovuta zina zamaganizidwe
• Kodi zifukwa ndi zoopsa za GAD ndi ziti?
• Kodi matenda amisala akupezeka bwanji?
• Kodi matenda a nkhawa amathandizidwa bwanji?
• Chidziwitso chamakhalidwe
• Mankhwala
• Zosintha m'moyo kuti zithandizire kuchepetsa zizindikilo za GAD
• Mowa komanso nkhawa
• Maonekedwe a iwo omwe ali ndi nkhawa yanthawi zonse
• Zomwe Zimamvekera Kukhala Ndi Nkhawa

Zithunzi za Maskot / Offset

Kodi matendawa amakhala otani?

Anthu omwe ali ndi vuto la nkhawa, kapena GAD, amadandaula mosatonthozeka pazomwe zimachitika komanso zochitika. Nthawi zina imadziwikanso kuti nkhawa yayikulu ya neurosis.

GAD ndiyosiyana ndi kuda nkhawa. Sizachilendo kukhala ndi nkhawa pazinthu zomwe zikuchitika m'moyo wanu - monga ndalama zanu - kamodzi kokha kwakanthawi. Munthu yemwe ali ndi GAD akhoza kuda nkhawa mosadziletsa za ndalama zawo kangapo patsiku kwa miyezi kumapeto. Izi zitha kuchitika ngakhale palibe chifukwa chodandaula. Nthawi zambiri munthuyo amadziwa kuti palibe chifukwa choti azikhala ndi nkhawa.

Nthawi zina anthu omwe ali ndi vutoli amangodandaula, koma amalephera kunena zomwe akuda nkhawa. Amanena zakumva kuti china chake choipa chitha kuchitika kapena atha kunena kuti sangathe kudekha.

Kuda nkhawa mopitirira muyeso, komanso kosatheka kungakhale koopsa ndipo kumatha kusokoneza ubale ndi zochitika zatsiku ndi tsiku.

Zizindikiro za matenda amisala wamba

Zizindikiro za GAD ndi monga:

• zovuta kukhazikika
• kuvuta kugona
• kupsa mtima
• kutopa ndi kutopa
• kusokonezeka kwa minofu
• m'mimba mobwerezabwereza kapena m'mimba
• migwalangwa thukuta
• kugwedezeka
• kugunda kwamtima mwachangu
• Zizindikiro zamitsempha, monga dzanzi kapena kumenyedwa m'malo osiyanasiyana amthupi

Kusiyanitsa GAD ndi zovuta zina zamaganizidwe

Kuda nkhawa ndi chizindikiritso chofala chamathanzi ambiri, monga kukhumudwa ndi ma phobias osiyanasiyana. GAD ndiyosiyana ndi izi munjira zingapo.

Anthu omwe ali ndi vuto lokhumudwa nthawi zina amatha kuda nkhawa, ndipo anthu omwe ali ndi mantha amada nkhawa ndi chinthu chimodzi. Koma anthu omwe ali ndi GAD amadandaula pamitu ingapo yayitali kwakanthawi (miyezi isanu ndi umodzi kapena kupitilira apo), kapena sangathe kuzindikira komwe kumabweretsa nkhawa.

Kodi zifukwa ndi zoopsa za GAD ndi ziti?

Zoyambitsa ndi zoopsa za GAD zitha kuphatikiza:

• mbiri yakubanja yakuda nkhawa
• kuwonetseredwa kwaposachedwa kapena kwanthawi yayitali pamavuto, kuphatikiza matenda amunthu kapena am'banja
• kugwiritsira ntchito kwambiri caffeine kapena fodya, zomwe zingapangitse kuti nkhawa yomwe ilipo ichulukire
• nkhanza zaubwana

Malinga ndi Chipatala cha Mayo, azimayi ali ndi mwayi wowirikiza kawiri kuposa amuna kuthana ndi GAD.

Kodi matenda amisala akupezeka bwanji?

GAD imapezeka kuti imawunika matenda amisala omwe oyang'anira anu oyambira amatha kuchita. Adzakufunsani mafunso okhudzana ndi zizindikilo zanu komanso kuti mwakhala nazo nthawi yayitali bwanji. Amatha kukutumizirani kwa katswiri wazamaganizidwe, monga wama psychologist kapena psychiatrist.

Dokotala wanu amathanso kuyesa mayeso azachipatala kuti adziwe ngati pali vuto linalake kapena vuto la kugwiritsa ntchito mankhwala osokoneza bongo komwe kumayambitsa matenda anu. Kuda nkhawa kwalumikizidwa ndi:

• matenda a reflux a gastroesophageal (GERD)
• matenda a chithokomiro
• matenda amtima
• kusamba

Ngati wothandizira wanu wamkulu akukayikira kuti vuto lachipatala kapena vuto la kugwiritsa ntchito mankhwala osokoneza bongo likuyambitsa nkhawa, atha kuyesanso zambiri. Izi zingaphatikizepo:

• kuyesa magazi, kuti muwone kuchuluka kwa mahomoni omwe angawonetse vuto la chithokomiro
• kuyesa kwamkodzo, kuti muwone ngati ali ndi vuto losokoneza bongo
• kuyesedwa kwa m'mimba, monga X-ray ya dongosolo lanu lakumagaya kapena endoscopy njira kuti muyang'ane kummero kwanu, kuti muwone GERD
• Ma X-ray ndi mayeso a kupsinjika, kuti muwone momwe mtima ulili

Kodi matenda a nkhawa amathandizidwa bwanji?

Chidziwitso chamakhalidwe

Chithandizochi chimaphatikizapo kukumana pafupipafupi kuti mukambirane ndi katswiri wazachipatala. Cholinga ndikusintha malingaliro anu ndi machitidwe anu. Njirayi yakhala yopambana pakupanga kusintha kosatha kwa anthu ambiri omwe ali ndi nkhawa. Amaonedwa kuti ndi chithandizo chamankhwala oyamba kukhala ndi vuto la nkhawa kwa anthu omwe ali ndi pakati. Ena awona kuti maubwino amathandizidwe azidziwitso apereka mpumulo wa nkhawa kwakanthawi.

Munthawi zamankhwala, muphunzira momwe mungadziwire ndikuwongolera nkhawa zanu. Wothandizira anu akuphunzitsaninso momwe mungakhazikitsire mtima pansi mukakhumudwa.

Madokotala nthawi zambiri amapereka mankhwala pamodzi ndi mankhwala ochizira GAD.

Mankhwala

Ngati dokotala akuvomereza mankhwala osokoneza bongo, atha kupanga mapulani azithandizo zazifupi komanso dongosolo lazakumwa kwakanthawi.

Mankhwala akanthawi kochepa amatsitsimutsa zina mwazizindikiro zakuthupi, monga kupsinjika kwa minofu ndi kupindika m'mimba. Izi zimatchedwa mankhwala odana ndi nkhawa. Mankhwala ena othandiza kuthana ndi nkhawa ndi awa:

• alprazolam (Xanax)
• clonazepam (Klonopin)
• Lorazepam (Ativan)

Mankhwala osokoneza bongo samayenera kuti atenge nthawi yayitali, chifukwa amakhala ndi chiopsezo chachikulu chodalira komanso kuzunzidwa.

Mankhwala otchedwa antidepressants amagwira ntchito bwino kwa chithandizo chanthawi yayitali. Zina mwa mankhwala opatsirana pogonana ndi awa:

• buspirone (Buspar)
• citalopram (Celexa)
• escitalopram (Lexapro)
• fluoxetine (Prozac, Prozac Mlungu uliwonse, Sarafem)
• fluvoxamine (Luvox, Luvox CR)
• paroxetine (Paxil, Paxil CR, Pexeva)
• mankhwala (Zoloft)
• venlafaxine (Effexor XR)
• desvenlafaxine (Pristiq)
• duloxetine (Cymbalta)

Mankhwalawa atha kutenga milungu ingapo kuti ayambe kugwira ntchito. Atha kukhalanso ndi zovuta zina, monga pakamwa pouma, nseru, ndi kutsegula m'mimba. Zizindikirozi zimasowetsa mtendere anthu ena mpaka kusiya kumwa mankhwalawa.

Palinso chiopsezo chochepa kwambiri chowonjezeka chofuna kudzipha mwa achinyamata kumayambiriro kwa chithandizo cha mankhwala opatsirana pogonana. Khalani pafupi kwambiri ndi omwe adalemba ngati mutamwa mankhwala opatsirana. Onetsetsani kuti munena zakusintha kapena malingaliro omwe amasokoneza.

Dokotala wanu akhoza kukupatsani mankhwala ochepetsa nkhawa komanso opatsirana pogonana. Ngati ndi choncho, mwina mungotenga mankhwala ochepetsa nkhawa kwa milungu ingapo mpaka mutayamba kugwira ntchito, kapena pamafunika ena.

Zosintha m'moyo kuti zithandizire kuchepetsa zizindikilo za GAD

Anthu ambiri amatha kupeza mpumulo ngati atengera miyambo ina. Izi zingaphatikizepo:

• kuchita masewera olimbitsa thupi, kudya zakudya zopatsa thanzi, ndi kugona mokwanira
• yoga ndi kusinkhasinkha
• kupewa zopatsa mphamvu, monga khofi ndi mankhwala ena owagula, monga mapiritsi azakudya ndi mapiritsi a caffeine
• kucheza ndi mnzanu wodalirika, wokwatirana naye, kapena wachibale wanu zamantha ndi nkhawa

Mowa komanso nkhawa

Kumwa mowa kumatha kukupangitsani kuti musamakhale ndi nkhawa pafupifupi nthawi yomweyo. Ichi ndichifukwa chake anthu ambiri omwe ali ndi nkhawa amayamba kumwa mowa kuti akhale bwino.

Komabe, nkofunika kukumbukira kuti mowa ukhoza kusokoneza malingaliro anu. Pakangotha ​​maola ochepa mutamwa, kapena tsiku lotsatira, mutha kumva kukwiya kapena kukhumudwa. Mowa amathanso kusokoneza mankhwala omwe amagwiritsidwa ntchito kuthana ndi nkhawa. Mankhwala ena ndi kuphatikiza mowa kumatha kupha.

Ngati muwona kuti kumwa kwanu kukusokonezani zochitika zanu za tsiku ndi tsiku, lankhulani ndi omwe amakupatsani chithandizo.Muthanso kupeza chithandizo chaulere kuti musiye kumwa kudzera mu Alcoholics Anonymous (AA).

Maonekedwe a iwo omwe ali ndi nkhawa yanthawi zonse

Anthu ambiri amatha kusamalira GAD pogwiritsa ntchito mankhwala, mankhwala, komanso kusintha kwa moyo. Lankhulani ndi dokotala wanu ngati mukudandaula za momwe mumadandaula. Amatha kukutumizirani kwa katswiri wazamankhwala.

Zomwe Zimamvekera Kukhala Ndi Nkhawa