Tsarin kashe kansa

Kisan dan wasan Oscar wanda ya lashe kyautar kuma mai ban dariya Robin Williams a ranar Litinin ya girgiza duniya.

Yin hukunci da rahotanni na kafofin watsa labaru, a cikin ƙarshe na rayuwarsa, Williams ya kasance cikin mummunan yanayin motsin rai kuma "ya yi fama da matsananciyar wahala."

Miliyoyin tsofaffi baƙi suna ci gaba da yaƙar wannan cuta.

Abin farin ciki, a mafi yawan lokuta, magunguna da psychotherapy suna taimakawa wajen haɓaka yanayin su da canza ra'ayin duniya.

Wasu, duk da haka, rashin bege ba ya tafi ko'ina, har ma da magani. Kimanin 39,000 na kashe kansa ake yiwa rajista kowace shekara a Amurka, yawancinsu suna haifar da damuwa, damuwa, ko tabin hankali.

Me ke haifar da bacin rai ga wasu mutane? Kuma akwai takamaiman alamomin gargaɗi waɗanda zasu iya taimaka wa ƙaunatattun su shiga tsakani?

Shafin likita na yanar gizo WebMD ya nemi masu ilimin kwararrun likitocin biyu su raba tunaninsu kan wannan lamari. Babu ɗayan waɗannan likitocin da suka halarci aikin Robin Williams.

Menene ke haifar da bacin rai sosai kuma da wahala waraka?

Dr. Lon Schneider yace "magana ce ta rayuwa da mutuwa ga wasu mutane, amma bamu san dalilin hakan ba," in ji Dr. Lon Schneider. Dr. Schneider, farfesa ne game da tabin hankali, kwakwalwa, da kuma gerontology a Keck School of Medicine, a Jami'ar Kudancin California. A ra'ayinsa, kalmar "fada ta rashin hankali" daidai yake.

Cutar na iya zama da rikitarwa kuma, a cewar likitan, yana iya ɗaukar matakai da yawa. Wani wanda ke da matsananciyar damuwa, alal misali, "yana cikin wani yanayi na baƙin ciki a mafi yawan lokaci." Wani bayan ɓacin rai yana iya kasancewa cikin yanayin kwanciyar hankali, ko kuma ya sake fadawa cikin baƙin ciki. Mutane da yawa suna da koma-baya game da bacin rai.

“Rashin damuwa cuta ce mai matukar wahala da za a yi maganin ta, kamar yadda ake danganta ta da matsalolin halittar da kuma yanayin muhalli,” in ji Dokta Scott Krakower. Dokta Krackover shine Mataimakin Darakta na masu tabin hankali a asibitin Zucker Hillside na kungiyar Likitocin Arewa da ke LIJ.

A cewar Dokta Krakover, ba a fahimci tushen kwayoyin halitta na ɓacin rai ba.

Waɗanda suke da daraja, iko, da nasara ba su da talauci daga baƙin ciki. "Kuna iya yin aiki mai ban tsoro, kuna samun rayuwa mai nasara, amma duk kuna iya baƙin ciki matuƙa," in ji Krackover.

Menene kuma zai iya shafan bacin rai?

Dr. Schneider ya ce "Rashin lafiyar jiki, musamman ciwo na koda (na tsawon lokaci), na iya yin dagula lamuni," in ji Dr. Schneider. A shekara ta 2009, Robin Williams ya yi aikin tiyata na zuciya, kodayake ba a san yadda hakan ya yi tasiri ga yaƙin da ke nuna rashin ƙarfi ba.

Barasa da kwayoyi, in ji Schneider, kuma na iya shafar bacin rai. Amma ya kara da cewa: "Ina tsammanin ya zama dole a bayar da sanarwar sosai game da mutumin da ke shan giya ko kwayoyi a baya, da alama cewa barasa da barasa ne suka kawo shi ga hakan."

Robin Williams ya kasance mai fafutuka, yana magana game da farfadowarsa da ƙoƙarinsa a cikin yaƙi da barasa da kwayoyi. An ba da rahoton cewa ya dauki akalla tafiye-tafiye biyu zuwa cibiyoyin gyara, wanda na ƙarshe wanda ya kasance a farkon wannan bazara.

Schneider ya ce "Rashin bakin ciki na iya zama wani bangare na rashin lafiyar bipolar," in ji Schneider. Ana haifar da rashin lafiyar Bipolar ta hanyar canje-canje mai yawa a cikin yanayi, ƙarfin aiki da matakin aiki. Mutanen da ke fama da wannan cutar suna da layurar taƙama da mutuƙai fiye da abubuwan faɗuwar rana. Amma ba a san takamaiman ko Williams ta kamu da cutar sankarar ba.

“Mutane ba sa shan magani daidai. Marasa lafiya sun ce ba sa son fuskantar tasirin maganin. Mutane kuma ba sa son a nuna wa wannan gaskiyar cutar ta masu ƙwaƙwalwa, "in ji Dokta Krackover.

“Ko da sun fara shan magani, to da zaran sun ji sauki, suna tunanin cewa ba sa bukatar magunguna. Tunda sun daina shan su, sun fi muni idan bacin rai ya sake faruwa, ”in ji shi.

“Hadarin da zai kashe kansa na iya ƙaruwa lokacin da mutane suka daina shan magunguna, sabanin ƙa'idodin FDA. Wasu marasa lafiyar da suka daina shan maganin cututtukan cututtukan su na iya bayar da rahoton maimaita kansu na kisan kai, ”in ji Dokta Schneider.

Me yasa talaucin yake da mutuƙar wahala ga wasu mutane?

Ciwo da rauni na rashin hankali, wanda yawanci ba zai iya fahimtar lafiyar masu hankali ba, na iya zama mai sauƙin juriya. Yawancin marasa lafiya suna fuskantar tunanin bege da fanko, saboda wasu sun kasa fahimtar su.

“Ciwon ciki na iya zama kawai kisan kai. Wasu suna yanke shawara game da kashe kansa don dakatar da azaba na yau da kullun. Ko da tare da ingantaccen magani a wasu marasa lafiya, waɗannan abubuwan firikwensin suna wanzu, ɓacin rai na iya zama da juriya ga kwayoyi. Amma ga waɗanda ke da baƙin ciki a matsayin ɓangaren ɓoye guda biyu, saurin canzawa daga farin ciki zuwa baƙin ciki yana ƙara haɗarin kashe kansa, ”in ji Krackover.

Me dangin mai haƙuri za su iya yi don hana ɓacin rai zama cikin haɗari?

A cewar Dr. Schneider, har ma ga kwararru yana da matukar wahala a hango ko wanne daga cikin marassa lafiyar da yake niyyar kashe kansa. Amma akwai alamun alamomi da yawa wadanda zasu iya nuna irin wannan niyyar mara lafiyar.

Signalsaya daga cikin alamomin masu haɗari suna magana ne game da mutuwa ko kisan kai!

Sauran alamu masu haɗari waɗanda kwararru a Asusun Kare Tsarin Fata na Amurka sun ƙunsa:

1. Yi magana game da rashin bege, rashin taimako, rashin amfani
2. Jin zuciyar tarko, fidda zuciya da damuwa
3. Rashin bakin ciki da kasala
4. aggressara yawan tashin hankali da fushi
5. Rashin sha'awar ƙaunatattu da rayuwa
6. Ban kwana ga wanda ya saba da shi
7. Samun matsalar bacci

Amma don gano mutumin da yake da niyyar kashe kansa har yanzu shine tsakiyar yaƙin. Abu ne mai matukar wahala a faɗi daidai lokacin da zai yi yunƙurin, har ma da mawuyacin dakatar da shi.

“Ba duk kokarin kisan kai ne aka shirya ko aka killace ba. Yunkurin yana iya zama m. Akwai abin da ke faruwa ba daidai ba, kuma mutum wanda ya dace da tunaninsa ya ji wa kansa rauni, ”in ji Krackover.

Me ya fi kyau a yi a wannan yanayin? Da farko, kuna buƙatar nace cewa mutum ya sami goyan bayan likita daga masu ilimin hauka.

Sauran matakai na iya hadawa:

1. Kira 'yan sanda ko motar asibiti
2. Karka bari a kyale mutum shi kadai.
3. Cire duk makamai, kwayoyi da sauran abubuwan da zasu cutar da kanka
4. Idan za ta yiwu, kai haƙuri zuwa asibiti mafi kusa tare da kiyayewa.

Sikeli

Tunanin kashe kansa wata kalma ce wacce ke da ma’ana mai sauki: “tunanin mutum ya kashe kansa,” amma ban da tunanin kansu, akwai wasu alamu da alamu na damuwar mutum game da wannan batun. Wasu daga cikin waɗannan alamun yanayin suna da alaƙa, irin su nauyi asara, hankali na rashin ƙarfi, gajiya mai ƙarfi, rashin girman kai, magana mai yawa, sha'awar maƙasudan da ba su da ma'ana ga mutum, jin cewa hankalin ya tafi ba daidai ba. Bayyanar irin waɗannan alamu ko makamancin haka, haɗe tare da rashin kawar da su ko shawo kan su da sakamakon su, da yiwuwar rikicewar tunani, ɗaya daga cikin alamun da ke iya nuna fitowar tunanin kashe kansa. Tunani na kashe kansa na iya haifar da gajiyawar tunani, maimaita yanayin halayensa, amma akasin haka ma zai yiwu - matsananciyar hankalin mutum na iya haifar da bayyanar da tunanin kisan kai. Sauran alamun bayyanar cututtukan tunani sun hada da:

• hankali na rashin bege
• anhedonia
• rashin barci ko rashin barci,
• asarar ci ko polyphagy,
• Damuwa
• matsananciyar damuwa,
• rikicewar taro,
• tashin hankali (mai ƙarfi tashin hankali),
• tsoro tsoro
• nauyi da zurfin laifi.

Sikeli gyara |Ciwon sukari da Rashin Ciki: Harkokin Kiba da Jiyya

Shekaru da yawa ba tare da gwagwarmaya ba game da IYAYE?

Shugaban Cibiyar: “Za ku yi mamakin yadda sauƙin sauƙin magance ciwon sukari ta hanyar shan shi kowace rana.

Zuwa yau, akwai ingantacciyar alaka da ke tattare da kimiyya wacce ciwon sukari da bacin rai suke da shi. A lokacin rashin kwanciyar hankali, da alama yiwuwar narkewar ƙwayar narkewar ƙwayar metabolism yana ƙaruwa, kuma akasin haka - ciwon sukari a cikin marasa lafiya da yawa yana haifar da raguwar yanayi.

An ambaci wannan haɗuwa da farko a cikin 1684, lokacin da mai binciken Willis ya bayyana ainihin dangantakar da ke tsakanin cuta mai narkewar ƙwayar cuta da damuwa ta jiki. A shekarar 1988 ne kawai aka gabatar da hasashen cewa yanayin da yake ciki zai iya taimakawa rage raguwar hankalin kwayoyin halittar zuwa insulin.

Statisticsididdigar lalacewa ta nuna cewa a cikin marasa lafiyar da aka gano tare da cutar sankarar fata, ana samun kashi 26% na waɗanda ke fama da matsalar rashin ƙarfi. Kari akan haka, yanayin talauci yana haifar da faruwar cututtukan zuciya daban-daban.

Sabili da haka, a cikin lokacinmu yana da matukar muhimmanci mu iya magance wannan matsalar, ba don komai ba cewa mutane suna cewa duk cututtukan suna bayyana ne saboda jijiyoyi.

Alamomin Bacin rai

Halin rashin jin daɗin haƙuri yana tashi saboda dalilai da yawa - damuwa, ƙabilar ko muhalli. Hoto na Magnetic Resonance (MRI) yana nuna cewa a cikin marasa lafiya da ke fama da rashin kwanciyar hankali, hoton kwakwalwar yayi kama da na mutane masu lafiya.

Wadanda suka fi fama da rikice-rikice na kwakwalwa sune marasa lafiya da nau'in ciwon sukari na biyu. Idan baku dauki wani mataki ba, to wannan na iya haifar da mummunan sakamako. Amma ana kula da ɓacin rai da ciwon sukari, yana kawar da aƙalla ɗaya, cuta ta biyu kuma tana ba da kanta ga jiyya mai nasara. Wadannan sune alamu na yau da kullun da ke faruwa yayin ɓacin rai:

• rage sha'awa cikin aiki ko sha'awa,
• bakin ciki, damuwa, damuwa,
• mummunan mafarki
• kadaici, son yarda don sadarwa tare da mutane,
• asara ko rashin ci,
• rage hankali
• dacin rai na dindindin
• ta jiki da hankali hankali,
• mummunan tunani kamar mutuwa, kashe kansa, da sauransu.

Idan mai haƙuri da ciwon sukari mellitus ya lura ɗaya daga cikin alamun da aka lissafa a sama, to ya buƙaci yayi gaggawa da likita don ƙarin bincike. Babu bincike na musamman don tantance ɓacin rai, ana yin gwajin ne lokacin da mara lafiya ya ba da labarin alamun rashin tabbas da salon rayuwarsa. Koyaya, ana iya ganin ciwan dindindin ba wai kawai saboda yanayin talauci ba.

Tunda tushen makamashi - glucose baya shigar da adadin da yakamata a cikin sel, suna “fama da yunwa", saboda haka mai haƙuri yana jin gajiya kullun.

Haɗin kai tsakanin ciwon sukari da bacin rai

Sau da yawa, ɓacin rai a cikin ciwon sukari yana zuwa kamar yadda yake a cikin mutane masu cikakkiyar lafiya. Ba a bincikenmu a zamaninmu ba, ba a bincika ainihin sakamakon “rashin lafiya” na bayyanar cutar rashin hankalin kwakwalwa ba. Amma ra'ayoyi da yawa suna nuna cewa:

• Hadaddun maganin cutar sankara na iya haifar da rashin jin daɗi. Don kula da matakin sukari na yau da kullun a cikin jini, ya zama dole a yi ƙoƙari da yawa: don sarrafa abubuwan glucose, bi dacewa da abinci mai kyau, motsa jiki, lura da ilimin insulin ko ɗaukar magunguna. Duk waɗannan abubuwan suna ɗaukar lokaci mai yawa daga mai haƙuri, saboda haka zasu iya haifar da yanayin rashin jin daɗi.
• Ciwon sukari mellitus na kunshe da bayyanuwar cututtukan cuta da rikice-rikice waɗanda zasu iya taimakawa ci gaban jihar ta rashin hankali.
• Bi da bi, baƙin ciki yakan haifar da rashin son kai. A sakamakon haka, mara lafiya yana cutar da lafiyar sa: baya bin abinci, baya watsi da aikin jiki, shan sigari ko shan giya.
• Halin da yake ciki ya cutar da hankalin hankali da tunani mai zurfi. Sabili da haka, zai iya zama wani abu cikin magani mara nasara da kuma magance ciwon sukari.

Don shawo kan matsalar rashin tunani a cikin masu cutar sankara, likitan ya kirkiro tsarin kulawa wanda ya hada da matakai uku.

Yaki da cutar siga. Don yin wannan, kuna buƙatar haɗa kanku tare da bin duk ka'idodi don kula da matakan glucose a matakin al'ada.

Tattaunawa tare da masanin ilimin halayyar dan adam da kuma tafarkin psychotherapy. Idan za ta yiwu, kuna buƙatar tattaunawa tare da gwani game da matsalolinku kuma ku bi duk shawarwarinsa.

An wajabta magunguna ta hanyar likita mai halarta, ba za ku iya shiga magungunan kai ba, tunda kowane magani yana da wasu sakamako masu illa.

Farfesa Halayen Dabaru

Likita psychotherapist na iya amfani da hanyoyi daban-daban don shawo kan ɓacin rai, amma ana lura da ilimin halin wayewa shine mafi mashahuri. Tunda lokacin talaucin mara lafiya ne yake lura da dukkan wani mummunan abu, sai ya samar da wasu nau'ikan tunani:

1. "Duk ko komai." Wannan nau'in tunani ya ƙunshi takamaiman tsinkaye, kawai kamar cin nasara ko rasa. Hakanan, mai haƙuri sau da yawa yana amfani da kalmomi kamar "ba" da "kullun", "babu komai" da "gaba ɗaya". Misali, idan mai haƙuri ya ci wani irin zaƙi, zai yi tunanin cewa ya lalatar da komai, matakin sukari zai tashi, kuma ba zai iya sarrafa ciwon suga ba.
2. Jin tsoron laifi ko buƙatunka masu yawa akan kanka. Mai haƙuri ya kafa ƙa'idodi masu tsayi sosai, alal misali, cewa matakin glucosersa ba zai wuce 7.8 mmol / L ba. Idan ya sami sakamakon da ya wuce tsammaninsa, zai zargi kansa.
3. Jiran wani abu mara kyau. Mai haƙuri da ke fama da baƙin ciki ba zai iya duban rayuwa da kyakyawan rayuwa ba, saboda haka yana fatan mafi sharri ne kawai. Misali, mara lafiyar da zai je ganin likita zai yi tunanin cewa abinda ke cikin haemoglobin ya karu kuma hangen nashi ba zai daɗe ba.

Kwararrun yayi ƙoƙarin buɗe idanun mai haƙuri ga matsalolin sa, kuma ya fahimce su ta hanya mafi inganci. Hakanan zaka iya ƙoƙarin kawar da mummunan tunani da kanka.

Don yin wannan, yana da kyau a lura da ƙananan "nasarorin", yaba wa kanku don jin daɗi da tunani mai kyau.

Abubuwan banƙyama na Ciwon Magani

Don cin nasarar magance rashin kwanciyar hankali, ƙwararren likita ya ba da izinin magungunan cututtukan cututtukan cututtukan jini. Magunguna ne waɗanda ke shafar hauhawar ƙwayoyin kwakwalwa na serotonin da norepinephrine, suna ba da gudummawa ga kyakkyawar hulɗa da ƙwayoyin jijiya tare da juna.

Lokacin da waɗannan sunadarai ke rikicewa, rikice-rikice na hankali ya faru, magungunan rigakafi suna taimakawa wajen dawo da daidaito.

Wadanda akafi sani da irin wannan sune:

Antidepressants na wani nau'in. Cikakken suna shine zaɓi serotonin reuptake inhibitors (SSRIs). Wadannan kwayoyi suna da karancin sakamako masu illa fiye da kwayoyi na rukunin farko. Wadannan sun hada da:

Wani nau'in maganin antidepressant shine zaɓi na serotonin da norepinephrine reuptake inhibitors (SSRIs). Daga sunan ya zama a bayyane yake cewa irin waɗannan magungunan suna hana koma baya abubuwan da ke narkewa cikin ruwa. Marasa lafiya suna ɗaukar irin wannan maganin rigakafi:

Ya kamata ku sani cewa amfani da waɗannan magunguna masu zaman kansu na iya haifar da wasu sakamako masu illa.Magungunan ƙwayoyin cuta na Tricyclic na iya haifar da bayyanar cututtuka irin su rashin hangen nesa a cikin yawan ciwon sukari, tsananin farin ciki da ciwon kai, rashi narkewa, barcin mara kyau, ƙoshin lafiya, rashin lafiyar nakuda, rawar jiki, da karuwa a cikin zuciya.

Marasa lafiya da ke ɗaukar SSRIs na iya yin gunaguni na barcin dare, tashin zuciya, zawo, ciwon kai, tsananin damuwa, tashin hankali, damuwa a rayuwar jima'i.

Groupungiyar ƙwayoyin SSRIs na iya haifar da bayyanar alamun bayyanar cututtuka kamar tashin zuciya, maƙarƙashiya, gajiya, farin ciki, haɓaka jini, haɓaka gumi, lalata jiki.

Don kauce wa halayen da ba su da kyau, likitan ya ba da ƙarin ƙananan magunguna a farkon farfaɗo kuma yana ƙaruwa da su a kan lokaci. Kafin shan miyagun ƙwayoyi, kuna buƙatar karanta umarnin a hankali, tunda rashin amfani da miyagun ƙwayoyi ta mai haƙuri zai iya haifar da halayen da ba a so.

Shawarwari don ma'amala da baƙin ciki

Baya ga shan magungunan kwantar da hankali da kuma yin tiyata tare da mai ilimin psychotherapist, ya zama dole a bi wasu ka'idodi masu sauki wadanda zasu iya inganta yanayin lafiyar jiki da tunanin mutum:

Madadin aikin jiki da annashuwa. Barci mai rauni yana rage kariyar jiki, yana sa mutum ya zama mai sa haushi da rashin kulawa. Saboda haka, masu ciwon sukari suna buƙatar barci aƙalla 8 a rana.

Bugu da kari, ba tare da yin wasanni ba, mai haƙuri na iya samun matsala wajen bacci. Dole ne a tuna cewa lafiyayyen bacci da motsa jiki matsakaici sune mafi kyawun maganin cututtukan duniya.

1. Kada ku ware kanku daga duniyar waje. Ko da babu sha'awar sadarwa tare da mutane ko kuma yin wani abu, kuna buƙatar shawo kan kanku. Misali, don yin abin da koyaushe kake so koya (zane, rawa, da sauransu), shirya ranarka ta hanyar halartar wasu taron mai ban sha'awa, ko aƙalla don zuwa ziyarci aboki ko dangi.
2. Ka tuna cewa ciwon siga ba jumla bane. Don yin wannan, kuna buƙatar kimanta yanayin lafiyar ku kuma ku fahimci cewa ba zai yiwu ku shawo kan cutar gaba ɗaya ba. Amma a lokaci guda, mutane da yawa suna rayuwa tare da wannan cutar, kazalika da mutane masu lafiya.
3. Yi takamaiman shiri don maganinku. Misali, mara lafiya yana son rasa nauyi. Don wannan, buri ɗaya bai isa ba, ana buƙatar aiki. Wajibi ne a duba sau nawa a sati da yake son yin wasanni, wane darasi ne zai yi, da dai sauransu.
4. Bai kamata ku ajiye komai a kanku ba. Kuna iya raba matsalolin ku tare da dangi ko ƙaunatattunku. Zasu fahimci mai haƙuri kamar kowa. Hakanan za'a iya gabatar dasu ga ka'idojin aikin insulin ko kuma yin amfani da mitirin glucose na jini. Saboda haka, mai haƙuri zai ji cewa ba shi kaɗai ba ne kuma koyaushe zai iya neman taimako wanda tabbas za a ba shi.

Sabili da haka, mai haƙuri da nau'in ciwon sukari na 2 ya kamata ya lura da lafiyarsa, musamman yanayin hankalinsa. Idan an sami alamun sigina wanda zai iya nuna ci gaban baƙin ciki, ya kamata ka nemi likita.

Tsinkaya don lura da waɗannan cututtukan guda biyu suna cikin halaye da yawa tabbatacce. Tare da haɗin gwiwa na mara haƙuri, likitan halartar da kuma mai ilimin hanyoyin kwantar da hankali, zaku iya samun kyakkyawan sakamako da gaske. Da kyau, goyon bayan ƙaunatattun, dangi da wayar da kan jama'a game da matsalar kuma zasu taimaka ga ficewa daga cikin halin ƙaƙƙarfan yanayi.

An bayyana alaƙar da ke tsakanin baƙin ciki da ciwon sukari a cikin bidiyo a wannan labarin.