Mune pfungwa yepanyika, kutya kunotyisa, kuvhiringidzika, kamwe kamwe kunokonzera munhu kana kamwechete vanhu vazhinji uye kuita zvisingadzorwi kuedza kudzivisa ngozi. Munharaunda yepasi rose yezvirwere, panic attack (episode, anxiety paroxysm) yakasiyana, zvisingafungi nguva isinganzwisisiki yekushungurudzika kwakanyanya, kushungurudzika kukuru kana kutya, iyo inosangana nemashizha mana kubva apa:
• maratidziro anonzi palpitation (mwoyo unodedera kubva muchifuva);
Sweating;
• kudedera;
• manzwiro ekugadzikana kana kusava nemhepo;
• kunzwa kwokunetseka;
• kurwadziwa mubhokisi;
• kusagutsikana mukati mamuviri;
• chizoro;
• manzwiro ekushaya simba kana kutinhira;
• kusvetuka kana kuputira ropa kumeso;
• pfungwa yezvisiri izvo zvezvinhu zvakapoteredza kana kuparadzana kubva kunewe ("maoko akafanana nevasingazivi");
• kutya kutya kurasikirwa nekuzvidzora kana kurasikirwa nepfungwa dzako;
• kutya rufu.
Zviratidzo izvi zvinokurumidza, zvisingatarisirwi uye zvinosvika pakakwirira mumaminitsi gumi, zvishoma nezvishoma zvinopera mukati meawa. Chimwe chezvinokonzera kutyisa hachisi chirwere. Vakawanda kwazvo muupenyu hwavo vanoziva pane imwe yekutya kusangana nechekuita kwehutano huzhinji. Asi kana nhamba yekutya kunosvika kwechina pamwedzi, unogona kutaura nezvechirwere uye kuita kuti uongororwe ne "panic disorder".
Kwenguva yokutanga kuongororwa kwakadaro munyika yedu kwakatanga kutaurirana nezvechirwere chepfungwa neyepfungwa dzepfungwa muna 1993-1994, apo vakatanga kufunga nezvehupenyu hwavo uye kunze kwenyika. Nekufambira mberi kwekutya chirwere, iwe unogona kutarisa matanho ekutsvaga matanho.
Nharaunda yekutanga inoratidzika seyakashata, apo chiitiko chekutya chinoperekedzwa nezviratidzo zvishoma pane zvina kubva pamusoro apa.
Pachipiri chechipiri, zviratidzo zvinoonekwa, zvinonzi agoraphobia (kubva muchiGiriki agora - nzvimbo huru yemisika). Agoraphobia inotya nzvimbo idzodzo kana mamiriro ezvinhu umo mave atova nekutya kusangana (mune imwe yemitambo yemavhidhiyo, mumabhazi akazara, kutyaira motokari, munzvimbo isina chinhu isina nzvimbo, kunyange muimba yako). Iko kutya kwekudzoka mumamiriro ezvinhu akaoma zvikuru, umo zvisingabviri kuwana rubatsiro kubva kune mumwe munhu.
Mutsara wechitatu - hypochondria. Munhu wacho anotya kuti kutya kunotyisa kuchadzokororazve (izvo zvinonzi kunotarisira kushungurudzika), anotanga kutsvaga chikonzero chekutya kupikisa uye kutanga anotanga kumurapa. Kuongorora kwenguva refu uye kazhinji kusingabatsiri kunotanga nevadzidzisi vakasiyana-siyana: cardiologists, neurologists, otolaryngologists. Zvirwere zvakasiyana-siyana zvinogadzirwa: vegetovascular kana neuro-circular dystonia, paroxysmal tachycardia, mitral valve prolapse, inokanganisa bowel syndrome, premenstrual syndrome, nezvimwewo. Kuongororwa kunogona kupera kwemazana, kurairirwa kwakatemwa hakubatsiri, uye chirwere chemuviri hachiwaniki. Murume wacho aneta, mushonga uye vanachiremba vanovhiringidza. Anotanga kufunga kuti anorwara nechirwere chisingawanwi uye chakakomba zvikuru.
Nhamba yechina - limited phobic avoidance. Sezvakaratidzwa zvinoratidzira, zvishomanana zvishomanana kurwisa munhu ndezvakaipa zvikuru. Simba iro rinosangana nemurwere rinomuita kuti atsvake ruponeso, akadana ambulensi, enda kumakamuri ekugamuchira zvezvipatara zviri pedyo.
Kana kukanganisa kuchidzoka, kushungurudzika kunowedzera, apo kungotarisira kurwisa patsva kunoita kuti zvive zvakaoma chaizvo kurarama nekuita mabasa ezuva nezuva. Munhu anobatanidza kuitika kwekutya nemamwe mamiriro ezvinhu (kugara muboka revanhu paanoshanyira dhaka, kufamba mumugwagwa wechiteshi chepasi, mufambisi, kumirira mumotokari yemotokari) uye anoedza kuvadzivisa (anofamba netsoka, kuparadzwa nematekisi, kazhinji haasi kuenda kuchitoro).
Chikamu chechishanu chikamu chikuru chekudzivirira. Kana murwere iye asati aenda kumurapi uye asina kugamuchira rubatsiro runodikanwa, anowedzera kuipa, maitiro ake anotaridzika seanozvipira kumusha kumusha. Hazvibviri kuenda kuchitoro iwe pachako, enda kubasa, famba imbwa, unoda rubatsiro rwemhuri yese. Kutya kwakasimba kunoparadza upenyu hwose nenzira, munhu anova asingabatsiri, anodzvinyirirwa, akaora mwoyo.
Iyi ndiyo nhanho yechitanhatu - yechipiri chekuora mwoyo.
Kuwanda kwekutya chirwere chinotyisa, maererano nezvakasiyana-siyana, kunosvika 3.5% yevanhu vakuru. Chirwere ichi chinotanga, kazhinji kusvika pamakore makumi matatu, kakawanda mukuyaruka, kunyange zvazvo vamwe vachikura muupenyu huno. Vakadzi vanotambura kazhinji kaviri pane dzimwe nguva kupfuura varume. Kune humwe uchapupu hwokuti mumhuri yevarwere vane dambudziko rekushaya chirwere ichi chirwere chinowanikwa ka3-6 kakawanda kakawanda. Kana amai vacho vachinetseka, mwana wavo gare gare ane mukana wakanaka wekurwara.
Sechikonzero chekutyisa chirwere, maitiro ehutachiona, uye unyanzvi hunoita kuti munhu azvidye mwoyo, uye kusanganiswa kwezvose zviri zviviri zvinoonekwa. Kune huwandu hwemamiriro uye zvirwere zvinogona kukonzera chimwe chinhu chakafanana nekutya kupikisa, asi ichi hachisi chirwere chinotyisa. Kutora kofi yakawanda, psychostimulants (amphetamine, cocaine), zvinodhaka uye doro zvinowanzotyisa zviratidzo zvekutyisa.
Iye zvino unoziva zvakawanda pamusoro pekutya kwekutya, zviratidzo, kuratidzwa - nzira yekurapa, zvisinei, nyanzvi inofanira kusarudza. Iwe zvakajeka unoda kunzwisisa kuti kukosha kwekuzivikanwa kwevanhu vakawanda ndeyekuti munhu anotambura haatamburi kwemakore, asi achikomba mapolyclinic makabati, uye pasina kutya uye kunyadziswa kwakazoenda kune chiremba-chiremba wepfungwa nokuda kwezano.
Mumwe wepfungwa, akadzidziswa nenzira yekupindira kune kuongororwa kwekutya chirwere, anogona kukwanisa kuongororwa zvinoenderana nenguva, kuronga kurapa kwakanaka, kuderedza nguva yekurwara, uye kuderedza kuoma kwezviratidzo.
Iwe unogonawo kuratidza maonero efilosofi uye epfungwa nezvekutyisa chirwere: chirwere ichi ndechekuguma kwechimwe chifananidzo kana mararamiro emunhu. Ichi chiratidzo chokuti ari kurarama zvisakarurama, chimwe chinhu hachiiti kudaro.
Mamiriro ezvinhu, hupenyu hwemumwe wedu wedu hunogona kugoverwa muzvikamu zvakasiyana. Pamusoro pezvikamu zvemuviri zvinotaurwa uye zvakanyorerwa zvakanyanya, unogona kungoyeuka kuti muviri wedu unoda kudya kwakakodzera, mumashandiro emuviri, mukufungisisa, mukuzorora nekutarisira. Mafungiro (kana munhu oga) chikamu chinosanganisira mhuri, mamiriro mairi, maitiro ehukama nevanoda.
Vanhu vanotya kurwiswa, zvinobatsira kuziva mitemo yakawanda yekufambisa panguva yekurwisa:
• gara paunenge uri; kurwiswa hakugadziri upenyu uye chero zvipi zvingazopfuura pachako kwemaminitsi 10-20, kunyanya kusina maturo uye kukanganisa kuipa kwehutano;
• Kufuridzira zvishoma nezvishoma sezvinobvira, nekumisa (kusvika kusvika 10 kufema paminiti); kufema nokukurumidza kunowedzera kuzvidya moyo;
• vanhu vakavapoteredza vanofanira kudzivisa kukakavara, kugadzikana kubvumira munhu kuti atange runyararo rwekufema;
• Kunyangwe kutyisa dambudziko chirwere, panguva yekupara kwemhosva munhu haasunungurwi nebasa rekubudirira kwehupenyu hwake, basa, kubva pamabasa ezuva nezuva.