Rudzi rutsva rwekuora mwoyo runoshandura kurapa

Rudzi rutsva rwekuora mwoyo runoshandura kurapa

Kwenguva yekutanga, boka revasayendisiti rakaona imwe subtype yekuora mwoyo iyo inosanganisira kunyanya kududzirwa kwekuziva kukanganisa, iyo inoshaya chero chiratidzo chekubatsira kubvisa zviratidzo zvayo nemishonga yemazuva ano.

Kunetsa kuronga ramangwana

Sezvakataurwa mumagazini yeJAMA Network Open, vatsvakurudzi veStanford Medicine vakashandisa tsvakurudzo, bvunzo, uye kufungidzira kwehuropi kuratidza kukanganisa kwekuziva, kunoratidzwa nemafambiro akadai sekunetseka kuronga mberi, kutadza kuzvidzora, kutadza kutarisa, uye mamwe matambudziko. Executive function.

Kunyange zvazvo matambudziko ane basa rekutonga ave achizivikanwa sechikonzero chekuora mwoyo kukuru kwenguva yakati, masayendisiti anopikisa kuti kusvika ku27% yevarwere, mishonga yakawanda yemazuva ano haitaridzi dambudziko guru. Kunyange zvazvo vari vashoma, chikamu ichocho chinomiririra, somuenzaniso, vanhu vanenge mamiriyoni mashanu vanotambura nokuora mwoyo muUnited States.

Mishonga isingashande uye marapirwo

"Kuora mwoyo kunouya nenzira dzakasiyana-siyana muvanhu vakasiyana-siyana, asi kuwana zvinhu zvakafanana - zvakadai sezvinhu zvakafanana zvehuropi hunoita basa - kunobatsira vashandi vezvokurapa kubata vatori vechikamu zvakanaka kuburikidza nekutarisira kwega," akadaro muongorori anotungamirira Leanne Williams, purofesa wepfungwa uye maitiro esayenzi.

Kazhinji, maSSRI anotemerwa, asi haanyanyi kushanda mukubatsira kusanzwisisa.

Mukati mekudzidza kutsva, 1008 vanhu vakuru vane chirwere chisina kurapwa chikuru chekuora mwoyo vakapiwa chimwe chezvitatu zvinowanzoitika zvinoderedza kuora mwoyo: escitalopram (inozivikanwawo seLexapro) uye sertraline (Zoloft), inoshanda pa serotonin, uye venlafaxine-XR (Effexor), iyo. inoshanda paZse serotonin uye norepinephrine.

Kunyanya kukosha kwekukanganisa kwekuziva

Mushure memavhiki masere, vatori vechikamu 712 vakapedza chidzidzo.Pamberi uye mushure mekuedzwa, vakaita ongororo yakaitwa nachiremba, yekuzviongorora kuti vayere mazinga ezviratidzo zvakasiyana-siyana, pamwe nemafambiro akadai sekuchinja kwekurara kana kudya, uye kugarisana nebasa. -hupenyu mhedzisiro. Vatori vechikamu vakaitawo bvunzo dzekuziva dzakayera mashandiro ehuropi akadai sekushanda ndangariro, kukurumidza kuita sarudzo uye kutarisisa kwakasimba.

Uropi hwe96 hwevatori vechikamu hwakaongororwawo kuburikidza nekushanda kwemagnetic resonance imaging (fMRI) .

Vatsvagiri vakawana kuti 27% yevatori vechikamu vaive nekunyanya kukosha kwekuziva uye kuderera kwekuita mune dzimwe nzvimbo dzehuropi dzepamberi - dzinoti, dorsal prefrontal cortex uye dorsal anterior cingulate matunhu. Vakaratidzawo kuvandudzwa kudiki nemaSSRIs.

fMRI

"Chidzidzo ichi chakakosha nokuti vanachiremba vepfungwa vane zvigadziro zvishomanana zvekuyera kuora mwoyo kuti zvibatsire kuita zvisarudzo zvekurapa," akadaro Dr. Laura Hack, muongorori mukuru wekudzidza uye mubatsiri wepurofesa wepfungwa uye maitiro esayenzi. Ivo vanonyanya kuita zvicherechedzo uye kuzvidzora matanho. [Uyewo] [fMRI] kufungidzira uchiita mabasa ekuziva chinhu chitsva muzvidzidzo zvekuora mwoyo. "

Transcranial magnetic stimulation

Vatsvakurudzi vanotarisira kuti miedzo inogona kugadzirwa kuti ione chirwere ichi uye kuchinja kurapa kuti ienderane zviri nani iyi subtype yehosha huru yekuora mwoyo.

"Rimwe rematambudziko makuru kutsvaga nzira nyowani yekugadzirisa izvo parizvino maitiro ekuedza nekukanganisa kuti vanhu vazhinji vakurumidze kuita zvirinani," Williams akadaro. Kuunza aya nhanho dzekufunga senge kufungidzira kuchaita kuti isu hatisi kushandisa kurapa kwakafanana nemurwere wese. "

Williams naHuck vanotarisira kuitisa zvimwe zvidzidzo kune avo vane iyi cognitive biotype, vachishandisa marapirwo akasiyana-siyana akadai setranscranial magnetic stimulation (TMS) uye cognitive behavioral therapy (CBT), pamwe nemimwe mishonga yakaita seguanfacine, iyo inowanzobatanidzwa neADHD. .

Kutambura uye kushaya tariro

Hazvishamise kuti iwo matunhu ehuropi akafanana akaonekwa muchidzidzo zvakare inzvimbo dzakakanganiswa neAdHD uye yakabatana nehurombo hwekuita basa.

Muongorori Hack akati anogara achipupurira “kushungurudzika uye kushaya tariro kunoitika kana [vamwe varwere] vachipinda mukuyedza nekukanganisa nekuongororwa. Izvi zvinodaro nekuti vanachiremba vanotanga kunyora mishonga, iyo inopa nzira imwechete yekuita kune wese munhu ane kuora mwoyo, kunyangwe kuora mwoyo kwakasiyana," akadaro, achitaura kutenda kwake kuti mhedzisiro yeongororo "inogona kubatsira kuchinja izvozvo."

Maguy Farah's horoscope kufanotaura kwegore ra2023