Zvinogona kuoma kutsungirira kurwiswa kwefunganyo, asi kune marapiro anoshanda uye kurapa. Dzimwe nguva unofanirwa kuyedza akati wandei kana kuasanganisa, asi ruzhinji rwevanhu vanokwanisa kudzikisa kana kutobvisa kubatwa kwavo mumavhiki mashoma kana mwedzi nekuda kwematanho aya.

therapies

Kubudirira kwe psychotherapy mukurapa kusagadzikana kwekufunganya kwakasimbiswa. Iyo inotova kurapwa kwesarudzo muzviitiko zvakawanda, usati watanga kushandisa zvinodhaka.

Kurapa kurwiswa kwekushushikana, kurapwa kwesarudzo ndeyekuziva maitiro ekurapa, kana CBT⁶. Mukuita, maCBT anowanzoitika pamusoro pezvikamu gumi kusvika makumi maviri neshanu zvakapatsanurwa svondo rakaparadzana, ega kana mumapoka.

Zvirongwa zvekurapa zvinovavarira kupa ruzivo rwemamiriro ekutya uye kugadzirisa zvishoma nezvishoma "kutenda kwenhema", zvikanganiso zvekududzira uye maitiro asina kunaka anoenderana navo, kuitira kuti vatsive neruzivo rwakawanda. zvine musoro uye zvine musoro.

Nzira dzinoverengeka dzinokutendera kuti udzidze kumisa pfari, uye kudzikama paunonzwa kushushikana kuchikwira. Maekisesaizi ari nyore anofanira kuitwa vhiki nevhiki kuti afambire mberi. Zvinofanira kucherechedzwa kuti CBTs inobatsira mukuderedza zviratidzo asi chinangwa chavo hachisi chekutsanangura kwakabva kana chikonzero chekubuda kwekuvhunduka uku. Zvingave zvinonakidza kuzvibatanidza neimwe mhando ye psychotherapeutic treatment (analytical, systemic therapy, etc.) kuitira kudzivirira zviratidzo kubva pakufamba uye kudzoka zvakare mune mamwe maitiro.

Pharmaceuticals

Pakati pemishonga yemishonga, makirasi akawanda emishonga akaratidzwa kuderedza kuwanda kwekushungurudzika kwakanyanya.

Antidepressants ndiyo kurapa kwekutanga sarudzo, inoteverwa nebenzodiazepines (Xanax®) iyo, zvisinei, inopa njodzi huru yekutsamira uye nemhedzisiro. Iyo yekupedzisira saka yakachengeterwa kurapwa kwedambudziko, kana yakareba uye kurapwa kwakakosha.

MuFrance, marudzi maviri emishonga inoderedza kuora mwoyo anokurudzirwa⁷ kurapa panic disorders kwenguva yakareba ndeiyi:

• selective serotonin reuptake inhibitors (SSRIs), iyo nheyo ndeyekuwedzera huwandu hweserotonin mu synapses (junction pakati pema neuroni maviri) nekudzivirira kudzokorora kwekupedzisira. Kunyanya, paroxetine (Deroxat® / Paxil®), escitalopram (Seroplex® / Lexapro®) uye citalopram (Seropram® / Celexa®) inokurudzirwa;
• tricyclic antidepressants akadai clomipramine (Anafranil®).

Mune zvimwe zviitiko, venlafaxine (Effexor®) inogonawo kunyorerwa.

Kurapa kweAntidepressant kunotanga kunyorerwa kwemavhiki gumi nemaviri, zvino kuongororwa kunoitwa kusarudza kuenderera mberi kana kuchinja kurapwa.