Matenda osokoneza bongo: Kusintha Kwakafukufuku

Kukhala panyumba ndikusamba m'manja nthawi zambiri ndikulimbikitsidwa kuti tithane ndi kufalikira kwa COVID-19. Kodi kukana kukhudza china chake wina wakhudza kukakamizidwa kapena njira yoyenera yachitetezo pompano? Kodi ndi liti pomwe kuopa kudwala kumayamba kukhala kovuta kwambiri?

Ogwira ntchito zaumoyo amatenga matenda osokoneza bongo (OCD) pomwe kuchuluka kwa zovuta kumakhala kwakukulu ndipo kumakhudza kuthekera kwa munthu kugwira ntchito. Mliriwu umabweretsa zovuta zapadera pakuzindikira ndi kuchiritsidwa kwa OCD.

Kuopa kuipitsidwa, komwe kumawoneka ngati kotetezera, sizizindikiro zokha zomwe odwala OCD akuvutika nazo pakadali pano. Zowonera zitha kuphatikizira malingaliro oletsedwa okhudzana ndi zachiwerewere kapena zachiwawa, chidwi chachipembedzo, kapena kufunika kofananira.

Chithandizo chomwe mungasankhe kwa OCD ndi mtundu wamakhalidwe azidziwitso (CBT) otchedwa kudziwitsa ndi kupewa mayankho (ERP) ndi mankhwala. ERP imakhala ndikuwululidwa pang'onopang'ono kwa zoyambitsa kwinaku zikuletsa munthuyo kuti asachite mokakamiza ndikuwongolera malingaliro aliwonse okhudzana ndi zomwe zidachitikazo.

Nazi maphunziro atatu omwe atulutsidwa posachedwa omwe akuwunikanso zosowa zamakono ndi malangizo amtsogolo a chithandizo cha OCD:

1. ERP panthawi ya mliri

Kafukufuku waposachedwa wazachipatala adalongosola zovuta zakuthandiza odwala OCD kudzera pa telehealth pa COVID-19. Pafupifupi theka la odwala omwe ali ndi OCD ali ndi mantha owopsa, chifukwa chake ERP imaphatikizaponso kusiya nyumba osasamba mopitirira muyeso. Achipatala ayenera kuyeza miyezo yopitiliza ntchito yotereyi panthawi ya mliri motsutsana ndi chiopsezo chopezeka ku COVID-19.

Pali zoopsa zapadera kwa odwala omwe ali ndi thanzi labwino lomwe limakhudza chitetezo chawo, koma othandizira sangathe kuchepetsa ntchito kwambiri kotero kuti gawoli silikuthandizanso. ERP ndiye chithandizo chothandiza kwambiri kwa OCD ndipo chitha kupitiliza bwinobwino kudzera pa telehealth.

Zowonekera ziyenera kupitilira kutsatira malangizo a Center for Disease Control (CDC) m'malo otseguka, opanda anthu ambiri. Madokotala amatha kusinthanso kuyang'ana kuzizindikiro zomwe sizimangiriridwa ku mantha a kuipitsidwa.

2. Kulosera kuyankha kwa ERP

Kafukufuku yemwe adachitika ku University of Michigan adasanthula ngati zochita zaubongo zimakhudzana ndi yankho pakachipatala ka CBT.

Odwala makumi asanu ndi awiri mphambu asanu ndi awiri omwe ali ndi OCD adasankhidwa mwachisawawa kuti alandire milungu 12 ya CBT kapena njira yolowerera yotchedwa stress management therapy. Asanalandire chithandizo, ofufuza adasanthula maubongo a MRI (fMRI) pomwe odwala amachita ntchito zingapo. Anamaliza kukula kwa chizindikirocho Yale-Brown Obsessive Compulsive Scale (Y-BOCS) panthawi yonse yamankhwala.

Odwala omwe adayankha kwambiri ku CBT adawonetsa kuyambitsa kwina m'malo angapo amubongo asanayambe chithandizo. Madera omwe amagwira ntchito amalumikizidwa ndikuwongolera kuzindikira ndikuwongolera mphotho. Izi zikuwonetsa kuti kusanthula kwaubongo kumatha kuzindikira ma biomarkers kuti apange makonda awo mu OCD.

3. Zotsatira za mankhwala osokoneza bongo

Pepala la ofufuza a Washington State University likuyang'aniridwa kwambiri chifukwa chamba chamba. Pali zambiri zochepa zokhudzana ndi kugwiritsidwa ntchito kwa khansa kwa odwala omwe ali ndi OCD, ndipo zomwe zilipo zikusonyeza kuti nthendayi imatha kukulitsa vutoli.

Maphunziro makumi asanu ndi awiri mphambu asanu ndi awiri adavotera kuti adalowetsa kuzama kwawo mu pulogalamu ya Strainprint kwa miyezi 31. Atasuta chamba, adati kugwiritsira ntchito mankhwala osokoneza bongo kumachepetsa ndi 60%, malingaliro osafunikira ndi 49%, komanso nkhawa ndi 52%. Matenda a khansa omwe ali ndi kuchuluka kwambiri kwa cannabidiol (CBD) adalumikizidwa ndi kuchepetsedwa kwakukulu pakukakamizidwa.

Kafukufukuyu sanatsatire dongosolo loyeserera popeza kunalibe gulu lowongolera, ndipo omwe akutenga nawo mbali adadzizindikira kuti ali ndi OCD. Kupititsa patsogolo kuchuluka kwa zizindikilo kunachepa pakapita nthawi, ndikuwonetsa phindu lanthawi yayitali.

Maganizo Omaliza

Osataya ERP, mankhwala othandiza kwambiri kwa OCD, chifukwa ndizovuta kwambiri mliriwu. M'tsogolomu, opereka chithandizo atha kugwiritsa ntchito fMRI kuneneratu kuti ndi odwala ati omwe angayankhe ku ERP. Cannabis imatha kupereka mpumulo kwakanthawi kwa odwala ena a OCD, koma maphunziro ena ofunikira amafunikira.