Ukuhlasela Kwengqondo: Izimpawu Nezokwelapha

Ngokuba khona ukuhlaselwa ngokuzumayo ukukhathazeka abantu baye bafunda akunjalo kudala. Ngakho, akumangalisi ukuthi abaningi abazi izizathu okungenzeka ukuhlaselwa ukwethuka, kanye izindlela zokunqanda ke.

Futhi lokhu naphezu kweqiniso lokuthi ukuhlasela okunjalo kukhonjelwe 10% yesizwe sonkana, okungukuthi, umuntu kweziyishumi!

Ngakho-ke kubalulekile ukuba licubungule ngezindaba e kabanzi mayelana nokuthi yini ukuhlaselwa ezingokwengqondo, izimpawu kanye nokwelashwa yalesi sifo. Njengoba Bathi, izindlela waxwayisa forearmed.

Kuyini engqondo (uvalo) ukuhlaselwa

Ngakho-ke yini ayaziwa kuze kube muva nje lesi sifo?

ukuhlaselwa kwengqondo - a kuqala okungazelelwe yokwesaba okukhulu. Kwenzeka kungalindelekile komuntu okhula fast kakhulu futhi emuva kwamaminithi ambalwa uye yayina kakhulu. Kulokhu, i attack enjalo engenzeka emini nje kuphela kodwa ebusuku, ngisho ngesikhathi sokulala.

Amandla zalesi simo izimele okuphathelene nezimo ezihlobene lomuntu.

Indawo nokugula ngengqondo emhlabeni namuhla

uvalo kungaba hhayi kuphela-off omunye, kodwa futhi abe yisibonakaliso kuphazamiseka ingqondo okungathí sina.

Neziqubu ukuhlaselwa kwengqondo seziyinkinga yangempela ye-United States. Kuze kube manje, kukhona abantu abangaba yizigidi ezingu-60 (okuyinto 20% yesizwe sonkana) uhlushwa ahlukahlukene uvalo iziyaluyalu, futhi enye abantu abayizigidi ezingu-3 (1.7% labantu) okungenani kanye empilweni yabo sihlangabezane sokuphazamiseka kwengqondo ngendlela evelele.

Ngokuvamile ngu neziqubu ukuhlaselwa kwengqondo kuthinta abantu abaneminyaka 15-19, kodwa kuzo sonke sibhekana.

Izimbangela ukuhlaselwa kwengqondo

Ukulahlekelwa ibhalansi ezingokwengqondo babekwazi kubangele ukuhlaselwa kwengqondo. Izizathu ukuthi lokhu kwenzeka, kungase kube okulandelayo:

• ukucindezeleka;
• ukukhathala okungamahlalakhona;
• khona izifo engqondo futhi ukuphathwa kwabathintwayo;
• ukusetshenziswa izinto ukufukula engqondweni;
• izinkinga futhi izimo zokuphila ezinzima.

Ukuhlasela kokuqala kungase kwenzeke entsheni, ngesikhathi ekhulelwe, ngemva kokubeletha noma ngesikhathi nambili kuya kwabadala. Lokhu lihlotshaniswa izinguquko eziphawulekayo hormone amazinga emzimbeni.

Ngaphezu kwalokho, kungase kube nezimo zangaphakathi okubonakalisa isifo. Lezi zihlanganisa: i-Neuro-zengqondo noma ngokomzimba ukugula, ukuluthwa izidakamizwa eziyingozi, ukuluthwa utshwala.

Kuyadingeka ukuba ukhumbule ukuthi lesi sifo (ukuhlaselwa kwengqondo) ingekho ngaphandle izimfanelo ezithile ngesimo nezinkinga zempilo. ukuvela Ngasekuqaleni sokuhlaselwa ngemilingo ezibhekwa kuwuphawu dystonia semithambo.

Izimpawu zokuhlasela ngemilingo

Ekuhlaseleni uvalo akuyona ubufakazi kuphela ngamandla kwalesi sifo ngokuhlasela ngokwengqondo. Izimpawu kungaba nhlobonhlobo. Kodwa kukhona izimfuneko ezithile ukuthi uxilongwe, lokhu egunjini lokuhlolwa kwezifo.

Ngakho, uma umuntu kuhlasela ngemilingo ngempela, izimpawu zingase zihlanganise:

• ukujuluka owandiswayo;
• kwenhliziyo nokushaya kwenhliziyo;
• Isakhiwo sazamazama, Ukugodola;
• iphika uzizwa esifushane umoya;
• kokuziklinya;
• Ubuhlungu obukhulu besisu, okuyinto kungase kuhambisane isicanucanu;
• kabi noma ubuhlungu ohlangothini kwesokunxele kwesifuba;
• lightheadedness, isiyezi, nedumbe;
• ndikindiki futhi umuzwa "izikhonkwane kanye izinaliti" esikhumbeni;
• Noma alternation of ukushisa nokubanda kushintshana;
• Umuzwa ukuthi konke okwenzekayo kuyintando ngiyaphupha;
• Okwenza ukwesaba ukufa;
• Ukwesaba uyahlanya noma bathathe isinyathelo esiphuthumayo.

Njengoba ubona, ukubonakaliswa eziningi. Ukuhlasela zokuhlasela ngemilingo ihlanganisa izimpawu okungenani ezine ezibalwe ngenhla. Kulesi ukwethuka, ukwesaba nokukhathazeka ungashiyi isiguli ngaphakathi imizuzu 10.

Ngemva lezi zimpawu zokuhlasela ngemilingo angaya esigabeni esilandelayo, esizibonakalisa ngesimo agoraphobic syndrome - Ukwesaba ephuma, ukuhamba kwezithuthi zomphakathi. I eside isikhathi isimo, aba maningi kungenzeka ukucindezeleka, phakathi kwesikhathi lapho kukhona ukwehla yizenzo zabantu nomphakathi, kukhuphuke ukukhathala, eziwohlokayo esesuthi, zikhona izinkinga zokulala kanye nezinkinga nge aphila ngayo ngokobulili.

Ukususa kuhlasela kuhlasela ngemilingo ngaphandle kosizo

Kumelwe ukhumbule imininingwane esisodwa esibalulekile: ukushaywa uvalo ngaphandle kwesizathu nokukhathazeka ungafunda ukuthi angalawulwa kanjani. Ngakho-ke kubalulekile ukuba ulahleke ngesikhathi kuhlaselwa, wazi kahle ukuthi kufanele enzeni kokuhlasela engqondo.

Amasu nezindlela lokulawula, kunezindlela eziningi, kodwa omunye ephumelela kunazo practice uhlala indlela ukudonsa umoya. isimiso sayo silula - udinga ukubambezela ephefumulayo 4-5 umoya ngeminithi. Kuthatha umoya kakhulu (ngangokunokwenzeka), khona-ke ubambe umoya wakho imizuzwana embalwa futhi umoya kakhulu. Kungcono ukukwenza ngamehlo akho ivaliwe ukuzizwa ukuhamba imisipha namaphaphu.

Ngemva kokuhlasela ambalwa umoya uvalo uqala ashona phansi futhi ngokushesha amuke ngokuphelele.

Ukuxilongwa ukuhlaselwa kwengqondo

Uma kukhona okungenani ezine izimpawu zokuhlasela ngemilingo (zazo siye sakhuluma ngenhla) kudingeka ngokushesha uxhumane kudokotela okunemininingwane eminingi.

Doctor imithi isiguli ukuhlolwa okudingekayo futhi wathumela ukuqhuba electrocardiogram.

Uma kudingeka, kungadinga luhlolo okwengeziwe isazi sezinzwa, wenhliziyo, endocrinology, Pulmonologist.

Phela ukuhlolwa futhi imiphumela cwaningo ngamunye akhethiwe ukwelashwa okufanele sokuhlaselwa engqondo. Kungaba kwenziwe ngesilinganiso reception izidakamizwa, ukwelashwa kwengqondo noma ingqondo.

imithi ye uvalo

Ezimweni eziningi, ekwelapheni ukuhlaselwa kwengqondo kwenziwe ngosizo imithi, njengoba lena kuyindlela ephumelela kunazo zonke yokusiza abantu bahlukane nazo lolu hlobo sifo.

Le nqubo yokwelapha esebenza kahle kakhulu wenziwa nge imithi efana:

• Zinhlungu.
• Antidepressant.
• Neuroleptics.

Kuyadingeka imithi iqembu noma nganoma iyiphi indlela eyodwa (isib omunye antidepressant) esimweni ngasinye ikhethwa ngokuhlukana, kuye ngokuthi uhlobo ukugeleza futhi izimpawu isikhonzi engqondo zokuhlasela.

Lenza imithi kuhlanganisa izigaba ezimbili:

1. Ukuqedwa kuhlasela ngemilingo.
2. Ukuvimbela kabusha ukuvela kuhlasela futhi izimpawu zaso yesibili (ukucindezeleka futhi t. D.) Ngemva kwalokho.

ukuhlaselwa Psychic aqedwa zinhlungu ( "lorazepam" "Diazepam" "clonazepam" "Mina" "Alprazolam" "Lorafen" futhi t. D.), Yikuphi iphathwa ngemithambo yegazi noma ngomlomo athathwe. Ukuhlaselwa iphelelwe ngokuphelele emva kwemizuzu 15-20 emva abaphathi.

Le ndlela yokwelashwa has ethile abalulekile: zinhlungu ngezinga izidakamizwa khona ngezinga elithile futhi kungabangela umzimba ukujwayela ejenti yabo. Ngenxa yalokho, ngemva kwesikhathi esithile ethola izidakamizwa e imithamo ejwayelekile iyeke ukuthela yimuphi umphumela noma umlutha kakhulu. aphoyintimenti obuhlukahlukene zinhlungu, zingaba imbangela yokuhlasela okusha ngemilingo.

Ngaphezu kwalokho, kubalulekile ukwazi ukuthi zinhlungu musa ukwelapha lesi sifo, kodwa okwesikhashana kuphela ukuqeda izimpawu, ngakho asetshenziswa kuphela njengenhlangano elisizayo, hhayi izidakamizwa esiyinhloko ekwelapheni okuthile engqondweni.

Ukwelapha eyinhloko uvalo eyenziwa ukusetshenziswa antidepressant, ezisiza hhayi kuphela balahle ukucindezeleka, kodwa futhi uqede ekukhathazekeni okungadingekile kanye nokwesaba engenangqondo elashelwa ukuhlaselwa kwengqondo. Izidakamizwa ayinhloko ngokuvamile ezinqunyiwe ekwelapheni "Anafranil", "Zoloft", "Tsipraleks" nabanye.

Antipsychotics, kanye zinhlungu, ngesikhathi ekwelapheni ukuhlaselwa kwengqondo ukwenza njenge-ejenti asizayo. Basuke izimpawu nomphumela omnene emzimbeni, kodwa ngesikhathi esifanayo ukuqeda kahle izimpawu vegetative ukuhlaselwa ngemilingo. Kungenzeka izidakamizwa ezifana "Propazin" Etaperazin "," Sonapaks ".

Isigaba yokwelashwa yesibili ukuhlanganisa imiphumela eyatholakala. Kulesi sigaba imishanguzo isetshenziswa, okubandakanya ethola tricyclic antidepressant (TCA), monoamine oxidase inhibitor (MAOIs), izidakamizwa serotonergic abakhethayo (SSRIs).

Taj Group ine umphumela antipanic, kodwa umphumela iqala ngemva kwamasonto nje ngemva 2-3 yokwamukela kuqala, okuyinto ethile ebalulekile. Ngaphezu kwalokho, Taj iqembu antidepressant kungabangela imiphumela emibi efana nomlomo owomile, ukuqunjelwa, isisindo somzimba, nokunye. D.

izidakamizwa okukhethwayo serotonergic (SSRIs) kufanele ayinayo imiphumela eminingi engemihle, uma kulinganiswa nokwenu samuntu odlule. Okukhulu-side effects izidakamizwa ezifana: ukucasuka, uvalo naqhubeka wobuthongo yokuqala 2 amaviki emva ekuqaleni reception. Inzuzo Kuyaphawuleka ukuthi SSRI antidepressant zingafundwa kanye nje ngosuku.

In parallel ekwelapheni kuhlasela ngemilingo senzeka nokuqeda yayo syndromes yesibili, ezifana hypochondriasis, ukucindezeleka agoraphobia.

Esingayenza ngaphandle kokuthi siphathe ukuhlaselwa kwengqondo futhi yini ngemithamo kunqunywa udokotela umuntu ngamunye. Njengomthetho, aqokwe umthamo sakugcina kakhulu, bese wazilandela ngokunembile, kukhona isifo buyaphela noma baqhubeka nokuguquguquka. Konke lokhu kwenziwa ngaphansi kokuqondisa owelapha noma omunye obhekene ekwelapheni udokotela. It is nhlobo ukuba bahlanganyele self-medicate nge-zinhlungu futhi antidepressant!

Nge efanele ukwelapha kanye ukuqaliswa zonke izincomo 90% amacala ukuthethelelwa ukuze ukushaywa uvalo ngaphandle kwesizathu.

Ukuze uthole ngempumelelo balahle lesi sifo kusetshenziswa uhla izinyathelo.

Ukwelashwa nokuvikelwa uvalo ngosizo kwengqondo

Kanye imithi kwengqondo ngesikhathi esifanayo kwenziwe inkambo uyaqhubeka isikhathi esithile ngemva ukumisa ukwelashwa, esiza zidlule loluhlelo lube lula.

Izikhathi owelapha zingahlukaniswa zibe izinhlobo ezimbili: yokwelapha ezijulile futhi lingaze.

Esimweni sokuqala, kuba khona okuhlaselayo kubhekwa njengento uphawu ngemilingo. Uchwepheshe kusiza ukuba baqonde indlela ukuthuthukisa ukuhlaselwa ukwethuka, indlela yokuyisebenzisa zingalawulwa ngokuzimela. Njengomthetho, ukwelashwa lingaze ihlala akukho kuka izinyanga ezintathu.

Ukujula siphinde sihlinzekele nezinhlelo ezihlanganisa ukuhlonza izimbangela, okwaphumela ekuthatheni livela. Lokhu kwenzeka ngenxa yomsebenzi yesikhathi eside, okuyinto thatha kungaba iminyaka. Udokotela ifunda emhlabeni kwangaphakathi yomuntu, isihlobo sakhe ukuba yena, izidingo unmet, futhi imizwa engavezwanga ngamazwi. Kodwa ekugcineni, onguchwepheshe uphendulela ukuqeda hhayi nje izimpawu zalokho inkinga, kodwa imbangela yayo eyinhloko.

Odokotela bengqondo ukufundisa iziguli ukubheka owangaphakathi ubuthakathaka futhi sigxile ezimfanelweni zakho ezinhle. i kuphela sokulindela okuhle ngokuphila futhi ukucabanga ngezinto ezinhle bayakwazi ukuqeda lesi sifo futhi ukuqinisekisa ukuthi ngeke babuyele kulo.

umsebenzi siqu wenziwa isiguli ngokuvusa ukuzethemba, ngoba udlala indima ebalulekile ekuthuthukiseni ubuntu kanye nombono emhlabeni wonkana.

Ukuhlanganisa izindlela zokwelapha kanye psychotherapeutic kuyasiza ukusheshisa le nqubo zokuphulukisa, kanye ukufundisa inkambo efanele yesenzo ngesikhathi kungenzeka esizayo uvalo kuhlasela.

Ukwelashwa nokuvikelwa uvalo nge kokulutheka

Ukwelashwa nokuvikelwa ukuhlaselwa kwengqondo nge kokulutheka eyayiqhutshwa bengqondo. Ngale ndlela yokubhekana nale nkinga eminyakeni yamuva ngokubaluleka kuthandwa ngenxa ekulenzeni libe namandla. Ingqikithi ukwelashwa ilula: ngesikhathi sokulala okuyiluthayo isiguli idluliselwe izilungiselelo elifanele, Injongo ogama main - ukususa kokuhlasela ngemilingo. Ngemva kwesimiso kokulutheka, iziguli zizizwe ukuthula, umuzwa nje ngisahlose lokho, kwafika isikhukhula esisabekayo ubungqabavu namandla.

Yini embi ngalo ukwelashwa okuyiluthayo kuyinto nomphumela walo ngesikhathi esifushane, kanye neqiniso lokuthi le ndlela asifanele okwazo zonke iziguli.

Ukuvimbela Panic Ukuhlaselwa

Abantu ababeka njalo baphazamisekile engqondweni, baphile esimeni njalo ukungezwani nokucindezeleka, okuholela ukumelana omzimba lehliselwa nezindinganiso esibucayi. Ezimweni ezinjalo, iyiphi izimo ezingalindelekile (isibonelo, ukushayisana emsebenzini) kungenzeka "isizathu sokugcina" futhi abangele ngokuhlasela uvalo kuhlasela. Nokho, kukhona izindlela ezilula ukusiza ukuthuthukisa isimo ezingokwengqondo, ukunciphisa izinga lokucindezeleka okungokomzwelo okungathi futhi kuncishiswe ingozi zokuhlasela ngemilingo ukuphi.

1. Douches. elula kakhulu futhi ngesikhathi esifanayo ngendlela ephumelelayo. A jet yamanzi abandayo thinta kafushane esikhumbeni, labo abazokwazi inkanuko ekukhiqizweni kwama-hormone ukuthi ngcono isimo semizwa yakho. Indlela engasetshenziswa tekuvikela, oluqinisayo isiyonke isimo ezingokwengqondo ngesikhathi kuhlaselwa yokukhathazeka okusezingeni eliphezulu futhi bethukile. Indlela ukuthatha douche? Kulula kabi, kodwa kukhona ezinye umehluko wemisindo nemiqondo yamagama. Douche ikhanda ezibalulekile, kuphela ke ngeke uthola nomphumela ofiselekayo. Ukuze uqale inqubo kumele kube ngamanzi afudumele. Ngemva imizuzwana embalwa, kubalulekile ukushintshela abandayo futhi, ngisho nangemva imizuzwana embalwa ukuxoxa. Kulokhu, amanzi abandayo kufanele kube cool, kodwa abandayo ngempela, ngisho ezineqhwa. Ungesabi umkhuhlane - phakathi nenqubo ethile yokuthola okunjalo akunakwenzeka, kusukela isebenze ukuphendula okuvikela umzimba.
2. Muscle. Funda uphumule imisipha, kungaba zisuswe ngesikhathi esifanayo ezingeni ukucindezeleka kwengqondo. Ziningi izindlela zokuzilibazisa ngokwengqondo. Jwayelana kubo, ungakwazi kalula ukhethe eyodwa kufanelekile wena kahle.
3. ubuthongo elizolisayo. Ukungalali ngokwanele akuyona indlela engcono kakhulu kuthinta isimiso sezinzwa somzimba womuntu. Kuleso simo, uma eba kwifomu okungamahlalakhona, isimo siba sibi nakakhulu ngezinye izikhathi, futhi ehambisana lokhu kwanda futhi yokwesabela ukuhlaselwa ngemilingo.
4. ukuphila ngokomzimba esebenzayo. Kubalulekile ukuthola umfutho kwesokudla ukucindezeleka bona. Ngaleso sikhathi, lapho omunye ophethe ejwayelekile, abanye ukuya ejimini, echibini noma egumbini lokugezela. Into esemqoka ukuthi amakilasi zijabulise wena, ngoba impilo ngokwengqondo kuphela kuleli cala abayozuza futhi.
5. ukudla okunomsoco. Lapha yonke into ilula: indoda elambile kwehliswe amazinga kashukela egazini, futhi lokhu kwandisa amathuba okuphathwa ngokuhlasela uvalo kuhlasela.
6. Ukungabikho evuselela. Lezi zihlanganisa: ikhofi, iziphuzo energy, ugwayi kanye notshwala. Kulokhu ngotshwala kulesi sici ehlukile, eyodwa nambili izibuko ekunciphiseni ekuhlaseleni ukuhlaselwa ukwethuka. Kodwa a Hangover ekuseni kumane kwenze isimo sibe sibi kakhulu. Ngaphezu kwalokho, uma uphuza utshwala ngesikhathi kuhlasela ngamunye, kukhona ingozi enkulu yokuthola omunye isifo - etshwaleni.

Kufinyeta bonke ngenhla, singaphetha ngokuthi nokugula ngengqondo azibalulekile, kungcono ukuhlaselwa ukwesaba okukhulu noma okunye, iveza isimo esingokoqobo ukugwema. Ukuze wenze lokhu ulula ukuze ufunde ukulawula imizwa yabo futhi ukuze kuqashwe impilo ngokwengqondo.