Izonyango ezilungileyo zokuzama
Ukuba unesifo esingenasifo se-pulmonary disease ( COPD ) okanye ulazi umntu owenzayo, mhlawumbi awuyi kumangaliswa ukuva ukuba ukudandatheka kunye nokuxhalaba ziyimiphumo emibi yesi sifo esikhubazayo. Ucwaningo luka-2010 olupapashwe kwiphephancwadi iTrarax lubone , umzekelo, ukuba abantu abaneCOPD bangamaphesenti angama-85 amathuba okuba bahlakulele ingxaki yokukhathazeka kunabanye abantu.
Ngokufanayo, kwisifundo se-2011 abantu abangaphezu kwe-2,000, iipesenti ezingama-26 zalabo abaneCOPD abaxinezelekile, xa kuthelekiswa neepesenti ezili-12 zezifundo abatshiza kodwa babengenayo i-COPD kunye ne-7 ekhulwini yabangenayo ngaphandle kweCOPD.
Okona, ukuxinezeleka kunye nokuxhalaba ngokubambisana neCOPD kunokudala umjikelo onobuqili: Ukuba unayo iCOPD kwaye unzima ukuphefumula, ungaqala ukwesaba-kodwa ukuziva u-panicky kunokuphazamisa ukuphefumla. Enyanisweni, izigulane zeCOPD ziphindwe ngamaxesha angaphezu kwama-10 kunabantu abangenawo imeko ukuba bavelele ukuhlaselwa kwesoyiki kunye nokuphazamiseka kwesifo.
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I-Case Against Anti-Anxiety MedicationAmayeza anxamnye noxinzelelo olunjengeXanax (alprazolam) kunye neValium (diazepam) ayilungele abantu abaneCOPD kuba la mayeza athambekela ekuphefumuleni. Nangona kunjalo, abathile abachasayo kunye neendlela ezingezizo zonyango banokukunceda kunye nokuxinezeleka kunye nokudakumba kwaye kulungile ukuthetha nodokotela wakho malunga.
Kaninzi
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Ukungena kwi-Best AntidepressantsKukho iindidi eziliqela zokuxhatshazwayo ezikhoyo ukuphathwa kwengcinezelo. Zomibini iklasi endala, i-tricyclics, kunye neklasi yesibini endala, i-monoamine oxidase inhibitors (i-MAOIs) ifundwe kubantu abaneCOPD kodwa abazange baboniswe ukuba luncedo.
Kwakunjalo nakwi-anti-depressants-selective inhibitors, okanye i-SSRIs. Nangona kunjalo, i-SSRI ithathwa njengona khetho olungcono kunezidakamizwa ezidlulileyo zokuphatha uxinzelelo okanye uxinzelelo oluhlobene neCOPD. Basebenza ngokuthintela i-reuptake (i-reabsorption) ye-neurotransmitter serotonin yiseli yentsholongwane eyayiyimfihlo. Ngale ndlela, i-serotonin eninzi inokufumaneka kwiingqondo. Amanqanaba aphantsi e-serotonin aye axhunyiwe kwixhala kunye nokuxinezeleka. I-SSRI iquka iPzac (i-fluoxetine), i-Zoloft (i-sertraline), i-Lexapro (i-escitalopram), ne-Paxil (i-paroxetine).
Abaxhomekeke ku-anti-depressants abangangena kwizigaba ezi ngasentla, ezifana ne-Wellbutrin (bupropion), i-Serzone (nefazodone) kunye ne-Remeron (i-mirtazapine), abangafundanga kakuhle kubantu abaneCOPD.
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UChnitive Behavioral TreatmentUkuba unjengabantu abaninzi abaneCOPD, unokuziva ukhululekile ukunyanga uxinzelelo okanye ukuxhalabisa nge-ctnitive therapy (CBT) kunokuba uthathe iziyobisi. I-CBT yindlela ehleliweyo yokwelapha kwengqondo efundisa ukuba utshintshe indlela ocinga ngayo okanye uzive ngayo ngeemeko ongenakwenza nantoni na.
I-CBT ingaba yindlela efanelekileyo kakhulu yokujongana nayo yonke imiba ephathelele ukuxinezeleka okanye uxinzelelo olubangelwa yiCOPD, ngokubanzi isebenza ngokukhawuleza, kwaye ayikubeka engozini yemiphumo emibi yonyango. Ugqirha wakho unokuthi akubhekise kwi-psychologist okanye enye ingcali yezempilo yengqondo onokukunika i-CBT.
Imithombo:
Eisner, Mark D., et. al. "Impembelelo yokuxhalabisa kwiZiphumo zezeMpilo kwiCOPD." Thorax . Mar 2010; 65 (3): 229-234.
Fritzsche, A., et al. "Iimpembelelo zeZonyango kunye neZengqondo zonyango zoxinzelelo kwizigulane ngeCOPD-A Review." Amachiza okuphefumula . Oktobha 201; 105 (10): 1422-1433.
Panagioti, M., et al. "Inkcazo yoPhulo oluPhezulu, Impembelelo, kunye nokuPhathwa koXinzelelo kunye nokuxhalabisa kwiSifo esiPhezulu seMpilo." I-International Journal ye-Pulmonary Disease . Novemba 2014 > 13; 9: 1289-306.
Usmani, ZA, et al. "Ukongenelela kweMpilo kwiNyango yokuXhatshazwa kwezixhala kwiZifo eziPhezulu zokuVimbela izifo." I-Cochrane Database yeeNkqubo eziPhezulu . Novemba 9, 2011; (11): CD008483.
UJanannes, u-AM, no-al. "Ukwelashwa kwamayeza okudandatheka kwizigulane ezithembekileyo ezinezifo ezingapheliyo zezifo zengqondo: Iimpembelelo kweso sifo kunye neziPhumo zeMpilo." Iziyobisi kunye nokuguga . Julayi 2014; 31 (7): 483-492.