● Mamiriyoni evanhu pasi rose ari kunetseka nekuzvidya mwoyo.
● Mishonga yehosha dzokufunganya inosanganisira mishonga uye kurapa pfungwa. Kunyangwe zvichishanda, sarudzo idzi dzinogona kusawanikwa kana dzakakodzera kune vamwe vanhu nguva dzose.
● Uchapupu hwepakutanga hunoratidza kuti kufunga kunogona kuderedza zviratidzo zvekuzvidya mwoyo. Asi, hapana chidzidzo chakaongorora kuti kushanda kwayo kunofananidzwa sei nemishonga inodzvinyirira inoshandiswa kurapa kusagadzikana kwekuzvidya mwoyo.
● Iye zvino, chidzidzo chekutanga chekutanga chakawana kuti pfungwa-based based stress reduction (MBSR) "inoshanda" seyo antidepressant escitalopram yekuderedza zviratidzo zvekuzvidya mwoyo.
● Vatsvakurudzi vanoratidza kuti zvavakawana zvinopa uchapupu hwokuti MBSR inobvumirwa zvakanaka uye inobudirira kurapwa kwezvinetso zvekuzvidya mwoyo.
● Kuzvidya mwoyomanzwiro echisikigo anokonzerwa nekutya kana kunetseka pamusoro pengozi inofungidzirwa. Nekudaro, kana kushushikana kwakanyanya uye kuchikanganisa kushanda kwezuva nezuva, inogona kusangana neiyo diagnostic maitiro eiyokusagadzikana kusagadzikana.
● Mashoko anoratidza kuti zvirwere zvekuzvidya mwoyo zvakakonzera kumativi ose301 mamiriyonivanhu pasi rose muna 2019.
● Mishonga yokufunganyasanganisiramishongauye psychotherapy, zvakadaicognitive behavioral therapy (CBT). Kunyange zvazvo dzichishanda, vamwe vanhu vanogona kunge vasina kugadzikana kana kushaya mukana kune izvi zvingasarudzwa - zvichisiya vamwe vanhu vachirarama nekufunganya vachitsvaga dzimwe nzira.
● Maererano a2021 ongororo yeongororo, uchapupu hwepakutanga hunoratidza kuti kufunga - kunyanya kufunga-based based cognitive therapy (MBCT) uye pfungwa-based based stress reduction (MBSR) - inogona kukanganisa kuzvidya mwoyo uye kuora mwoyo.
● Kunyange zvakadaro, hazvizivikanwi kana kurapa kwokufunga kunoshanda sezvakaita mushonga wokurapa kufunganya.
● Iye zvino, imwe itsva randomized clinical trial (RCT) kubva kuGeorgetown University Medical Center yakawana kuti chirongwa che 8-vhiki chinotungamirirwa neMBSR chakanga chakangoshanda pakuderedza kuzvidya mwoyo.escitalopram(zita rechiratidzo Lexapro) - mushonga unozivikanwa wekurwisa kuora mwoyo.
● "Ichi ndicho chidzidzo chekutanga chekuenzanisa MBSR nemishonga yekurapa zvirwere zvekuzvidya mwoyo," munyori wekudzidzaDr. Elizabeth Hoge, mutungamiriri weAnxiety Disorders Research Program uye akabatana purofesa wepfungwa paGeorgetown University Medical Center, Washington, DC, akaudza Medical News Nhasi.
● Chidzidzo chacho chakabudiswa munaNovember 9 mumagaziniJAMA Psychiatry.
Kuenzanisa MBSR uye escitalopram (Lexapro)
Masayendisiti kubva kuGeorgetown University Medical Center akatsvaga vatori vechikamu mazana maviri nemakumi manomwe nevatanhatu pakati paChikumi 2018 naKukadzi 2020 kuti vaite ongororo yekiriniki.
Vatori vechikamu vaiva nemakore 18 kusvika ku75, avhareji yemakore 33 ezera. Chidzidzo chisati chatanga, vakaonekwa vaine imwe yeanotevera kusagadzikana kusagadzikana:
Generalized Anxiety Disorder (GAD)
Kushungurudzika kwevanhu munzanga (SASD)
Chikwata chekutsvagisa chakashandisa chikero chekuongorora chakatenderwa kuyera zviratidzo zvekushushikana kwemutori wechikamu pakutora uye kuzvipatsanura kuita mapoka maviri. Rimwe boka rakatora escitalopram, uye rimwe racho rakatora chikamu muchirongwa cheMBSR.
"MBSR ndiyo inonyanya kudzidza kupindira kwepfungwa uye yakagadziriswa uye yakanyatsoedzwa nemigumisiro yakanaka," Dr. Hoge akatsanangura.
Apo muedzo wevhiki ye8 wakapera, vatori vechikamu 102 vakapedza chirongwa cheMBSR, uye 106 vakatora mishonga sezvavakarayirwa.
Mushure mekunge boka rekutsvagisa raongororazve kushushikana kwemutori wechikamu zviratidzo, vakaona kuti mapoka ese ari maviri akawana kuderedzwa kwe30% mukuoma kwezviratidzo zvavo.
Tichifunga nezve zvavakawana, vanyori vekudzidza vanoratidza kuti MBSR inonyatso kubvumirwa kurapwa sarudzo ine simba rakafanana nemishonga inowanzoshandiswa yezvinetso zvekuzvidya mwoyo.
Sei MBSR yakashanda pakurapa kusagadzikana?
Yakapfuura 2021 longitudinal kudzidza Yakavimbika Source yakawana kuti kufunga kwakafanotaura kudzikira kwekuora mwoyo, kusagadzikana, uye kukanganiswa munharaunda muvanhu vanoshanda mumakamuri ekukurumidzira. Aya maitiro akanaka aive akasimba pakufunganya, achiteverwa nekuora mwoyo uye kukanganisa munharaunda.
Zvakadaro, zvinoramba zvisiri pachena kuti nei kufunga kunoshanda mukuderedza kusagadzikana.
"Tinofunga kuti MBSR inogona kunge yakabatsira nekuzvidya mwoyo nokuti kushungurudzika kwekuzvidya mwoyo kunowanzoonekwa nezvinetso zvemaitiro ekufunga zvakadai sekuzvidya mwoyo, uye kufungisisa kwepfungwa kunobatsira vanhu kuwana pfungwa dzavo nenzira yakasiyana," akadaro Dr. Hoge.
"Nemamwe mazwi, tsika yekufunga inobatsira vanhu kuona pfungwa sepfungwa uye kuti vasanyanya kuzivikanwa navo kana kukurirwa nazvo."
MBSR vs. mamwe maitiro ekufunga
MBSR haisi iyo chete nzira yekufunga inoshandiswa mukurapa. Mamwe marudzi anosanganisira:
mindfulness-based cognitive therapy (MBCT): Kufanana neMBSR, nzira iyi inoshandisa chimiro chakafanana asi chinotarisa maitiro asina kunaka ekufunga ane chokuita nekuora mwoyo.
Dialectal Behavior Therapy (DBT): Rudzi urwu runodzidzisa kufunga, kushivirira kushushikana, kubudirira kwevanhu, uye kudzora manzwiro.
Kubvuma uye kuzvipira kurapa (ACT): Kupindira uku kunotarisa mukuwedzera kushanduka kwepfungwa kuburikidza nekugamuchirwa uye kufunga kwakasanganiswa nekuzvipira uye maitiro ekuchinja maitiro.
Peggy Loo, Ph.D., chiremba wepfungwa ane rezinesi muNew York City uye director kuManhattan Therapy Collective, akaudza MNT:
"Kune marudzi mazhinji ekupindira kwekufunga kwekufunganya, asi ini ndinowanzo shandisa izvo zvinobatsira mumwe munhu kuti atarise pakufema nemuviri wake kuti vagone kunonoka uye vagozogadzirisa kushushikana kwavo zvinobudirira. Ini zvakare ndinosiyanisa kungwarira kubva kunzira dzekuzorora nevarwere vangu vekurapa. "
Loo akatsanangura kuti kufunga kunotangira kugadzirisa kufunganya kuburikidza nemazano ekuzorora "nekuti kana usiri kuziva kuti kunetseka kuri kukukanganisa sei, haupindure zvinobatsira."
Nguva yekutumira: Nov-11-2022