Lapho i-COPD ibangela ukukhathazeka noma ukucindezeleka

I-Treatment Best Yokuzama

Uma une-chronic obstructive pulmonary disease ( COPD ) noma wazi umuntu owenzayo, cishe ngeke umangale uma ufunda ukuthi ukucindezeleka nokukhathazeka yizinto ezivamile ezibangelwa yilezi zifo eziphusayo. Ucwaningo lwango-2010 olushicilelwe encwadini ethi Thorax lathola, isibonelo, ukuthi abantu abaneCOPD bangamaphesenti angama-85 amathuba okuthuthukisa ukukhathazeka kokukhathazeka kunabanye abantu.

Ngokufanayo, ekufundeni kuka-2011 kwabantu abangaphezu kuka-2 000, amaphesenti angu-26 alabo abaneCOPD ababhekene nokucindezeleka, uma kuqhathaniswa namaphesenti angu-12 abathintekayo kodwa abengenayo i-COPD namaphesenti angu-7 angabonisi ngaphandle kwe-COPD.

Ngaphezu kwalokho, ukucindezeleka nokukhathazeka ngokubambisana ne-COPD kungakha umjikelezo ononya: Uma une-COPD futhi unzima ukuphefumula, ungaqala ukwesaba-kodwa ukuzwa i-panicky kungaphazamisa ukuphefumula. Eqinisweni, iziguli ze-COPD zinamathuba angaphezu kuka-10 kunabantu abangenaso isimo sokubhekana nokuhlaselwa ukwesaba nokuphazamiseka kwesifo.

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I-Case Against Anti-Anxiety Medication

Imithi ephikisana nokukhathazeka njenge-Xanax (alprazolam) ne-Valium (diazepam) ayilungele abantu abane-COPD ngoba lezi zidakamizwa zivame ukuphefumula. Kodwa-ke, ezinye izidakamizwa zokulwa nokucindezeleka nezinqubo ezingezona izidakamizwa zingasiza kokubili ukukhathazeka nokucindezeleka futhi kufanelekile ukukhuluma nodokotela wakho mayelana.

Okuningi

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Ukuphuma Kuzo Eziningi Ezicindezelayo Zokucindezeleka

Kukhona amakilasi amaningana e-antidepressant etholakala ekuphatheni ukucindezeleka. Kokubili ekilasini elidala kunazo zonke, i-tricyclics, nekilasi lesibili elidala kunazo zonke, i-monoamine oxidase inhibitors (MAOIs) iye yafundiswa kubantu abane-COPD kodwa ayizange iboniswe ukuthi iyasiza.

Kunjalo nangezinkinga ezintsha zokuvimbela ukucindezeleka-i-serotonin reuptake inhibitors, noma i-SSRIs. Noma kunjalo, i-SSRIs ibhekwa njengcono okungcono kunezidakamizwa ezindala zokuphatha ukucindezeleka noma ukukhathazeka okuhlobene ne-COPD. Zisebenza ngokuvimbela ukuphindwa kabusha (ukubuyisela emuva kabusha) kwe-neurotransmitter serotonin yi-cell ye-nerre eyayifihla. Ngale ndlela, i-serotonin eyengeziwe ingenziwa itholakale ebuchosheni. Amazinga aphansi e-serotonin aye ahlanganiswa nokukhathazeka nokucindezeleka. Ama-SSRI afaka i-Prozac (i-fluoxetine), i-Zoloft (i-sertraline), i-Lexapro (i-escitalopram), ne-Paxil (i-paroxetine).

Ama-anti-depressants angangeni kunoma yiziphi izigaba ezingenhla, njenge-Wellbutrin (bupropion), i-Serzone (nefazodone), ne-Remeron (i-mirtazapine), ayifundwa kahle kubantu abane-COPD.

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Ukwelashwa Kokuzicabangela Kokuqonda

Uma ufana nabantu abaningi abane-COPD, ungase uzizwe ukhululekile ukwelapha ukucindezeleka noma ukukhathazeka nge-ctnitive therapy (CBT) kunokuba uthathe isidakamizwa. I-CBT yindlela ehlelekile yokwelashwa kwengqondo okukufundisa ukuthi ushintshe indlela ocabanga ngayo noma ozizwa ngayo ngezimo ongenakukwenza ngazo.

I-CBT ingaba yindlela ephumelelayo kakhulu yokubhekana nazo zonke izinhlobo zezinkinga ezihlobene nokucindezeleka noma ukukhathazeka okubangelwa i-COPD, ngokuvamile isebenza ngokushesha, futhi ingakubeka engozini yemiphumela emibi yemithi. Udokotela wakho kungenzeka ukuthi akubhekise kumculi wezengqondo noma omunye ochwepheshe bezempilo yengqondo ongakunikeza nge-CBT.

_Imithombo:

_{Eisner, Mark D., et. al. "Ithonya Lokukhathazeka Emiphumeleni Yezempilo ku-COPD." I-Thorax . Mar 2010; 65 (3): 229-234.}

_{UFritzsche, A., et al. "Imiphumela Yezokwelapha Nezokwelapha Ukwelashwa Kokucindezeleka Ezigulini ezine-COPD-A Ukubuyekeza." Imithi yokuphefumula . Okthoba 201; 105 (10): 1422-1433.}

_{UPanagioti, M., et al. "Sibutsetelo kokuKhukhuka, Umthelela, nokuPhathwa kokuPhepha nokucindezeleka ku-Chronic Obstructive Pulmonary Disease." I-International Journal ye-Chronic Obstructive Pulmonary Disease . Nov 2014} > 13; 9: 1289-306.

_{Usmani, ZA, et al. "Ukwelashwa Kwemithi Yokuthola Ukwelashwa Kwezinkinga Zokukhathazeka Ngezifo Eziphuthumayo Zokuvimbela Izifo." I-Cochrane Database yezibuyekezo ezihleliwe . Nov 9, 2011; (11): CD008483.}

_{UJohannes, AM, no-al. "Ukwelashwa Kwemithi Yokucindezeleka Kwabaguli Abagugile abanezifo eziphuthumayo zezifo eziphuthumayo: Impembelelo kulesi sifo kanye nemiphumela yezempilo." Izidakamizwa nokuguga . Julayi 2014; 31 (7): 483-492.}

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