Kurapa kwekushushikana kunobva pane zvinodhaka uye / kana kupindira kwepfungwa. Muzviitiko zvese, kurapwa kunodiwa kumisikidza kurapa kwakaringana, kuchinjirwa kune zvinodiwa nemurwere, zviratidzo zvake uye mhuri yake uye mamiriro emagariro.

Kuchengetwa kwepfungwa

Tsigiro mupfungwa inodiwa kana paine kusagadzikana kwekushushikana.

Inogona kutoita iyo chete kurapwa, kana kusanganiswa nemishonga yemishonga, zvichienderana nekuoma kwematambudziko uye zvinotarisirwa nemunhu akabatwa.

Cognitive behaviour therapy ndiyo kurapa kwave kuchidzidzwa zvakanyanya mukurapa kusagadzikana kwekusagadzikana, kusanganisira social phobia, panic disorder uye obsessive-compulsive disorder. Nekutarisa pane izvo zvinokonzeresa uye kuchengetedza kuzvidya mwoyo uye kupa murwere zvishandiso zvekudzora, rudzi urwu rwekurapa runowanzo shanda nenzira yakagadzikana (12 kune 25 zvikamu zve45 maminetsi kazhinji). Sekureva kweHAS, marapirwo akarongeka ekuziva uye maitiro anotoshanda sekurapa kwezvinodhaka.

Mamwe marudzi ekurapa, akadai sekurangarira kurapa, akaratidzwawo kuti anoshanda muzvidzidzo zvekiriniki. Chinangwa ndechekuteerera uye kutarisa pane ikozvino nguva, uye nokudaro dzidza kudzora kufunganya kwako.

Analytical psychotherapy inogona kutangwa kuti inzwisise kwakabva kushushikana, asi kushanda kwayo pazviratidzo kunononoka uye kushoma kunozivikanwa.

Pharmacological management

Kana zviratidzo zvakanyanyisa uye psychotherapy haina kukwana kuzvidzora (somuenzaniso mukufunganya kwakazara), kurapwa kwezvinodhaka kunogona kudiwa.

Mishonga yakawanda inozivikanwa nekubudirira kwayo pakurwisa kufunganya, kunyanya anxiolytics (benzodiazepines, buspirone, pregabalin) inoshanda kune fast way, uye mamwe antidepressants ayo ari iwo background kurapwa, kureva selective serotonin reuptake inhibitors (SSRIs) uye serotonin uye norepinephrine reuptake inhibitors (SNRIs).

Mishonga iyi inogona kuita kuti kushushikana kuwedzere panotanga kurapwa uye kutariswa kwechiremba kwepedyo saka kwakakosha.

Nemhaka yengozi kutsamira, benzodiazepines inofanira kurongerwa kwenguva pfupi (zvichida kwete kupfuura 2 kusvika kumavhiki matatu). Zvose kutanga uye kurega kurapwa kunofanira kutarisirwa nachiremba.

Sezvo pregabalin isingakonzere njodzi yekutsamira uye kushanda kwayo nekukurumidza, dzimwe nguva inofarirwa kune benzodiazepines.