Ihungabana si rimwe kuri buri wese: Reka tuvuge ku ihungabana ridasanzwe

Twese twumvise ijambo 'Depression'. Iyo turyumvise, dutekereza ku muntu uhora ababaye kandi adashobora kwishimira ikintu icyo ari cyo cyose. Ariko se wari uzi ko rimwe na rimwe ihungabana rishobora kuza mu bundi buryo? Ese nawe wumva uremerewe kandi ubabaye umunsi wose, ariko iyo ubonye inkuru nziza iturutse ku nshuti yawe cyangwa uriye ifunguro riryoshye, wumva wishimye kandi utuje? Ubwo ni bwo bwoko bw'ihungabana tuvuga uyu munsi. Ibi byitwa 'Atypical Depression'. Nubwo izina rivuga 'Atypical Depression' (bidasanzwe), mu by'ukuri iyi ni indwara isanzwe.

Mu by'ukuri, ihungabana ridasanzwe ni iki?

Muri make, indwara yo kwiheba idakunze kugaragara ni ubwoko bw’indwara yo kwiheba ikomeye cyangwa indwara yo kwiheba idakira, indwara y’igihe kirekire kandi yoroheje yo kwiheba. Abantu benshi bafite iyi ndwara batangira kugaragaza ibimenyetso bakiri bato cyane, akenshi mu gihe cy’ubwangavu.

Kugira ngo tubisobanukirwe neza, reka tubanze turebere hamwe indwara ya classic/normal depression. Kugira ngo umuganga amenye indwara ya common depression, nibura ibimenyetso 5 muri 9 bikurikira bigomba kuba bihari:

• Kubabara cyangwa guhangayika umunsi wose, nk'uko bigenda buri munsi w'icyumweru.
• Kutabona ibyishimo mu bintu wakundaga mbere.
• Impinduka zikomeye mu buryo butunguranye mu gushaka kurya no mu buremere bw'umubiri (ibiro by'umubiri byiyongera cyangwa bikagabanukaho birenga 5% mu kwezi kumwe).
• Kudasinzira cyangwa ngo usinzira cyane hafi buri munsi w'icyumweru.
• Kugaragara ku bandi nk'aho uhora utuje, uhora uhinda umushyitsi, cyangwa unaniwe bidasanzwe.
• Kumva nta buzima mfite kandi ndushye igihe cyose.
• Kumva nta gaciro ufite, kwiheba, cyangwa kwicira urubanza bitari ngombwa.
• Kugorwa no kwibanda ku bintu no gufata ibyemezo.
• Gutekereza kenshi ku rupfu cyangwa kwiyahura, kubitegura cyangwa kubigerageza.

Ihungabana ridasanzwe, nk'uko izina ribigaragaza, ritandukanye gato n'ihungabana "risanzwe". Ritandukanye cyane n'ubundi bwoko bw'ihungabana ryitwa "Ihungabana rikabije ry'ubwonko." Reka turebe itandukaniro riri hagati y'ibyo byombi.

Ni ibihe bimenyetso byihariye by'indwara yo kwiheba idakunze kugaragara?

Ikintu cy'ingenzi kandi kidasanzwe kiranga ihungabana ridasanzwe ni 'reactivity mu buryo bw'amarangamutima' . Ibi bivuze ko uko waba ubabaye cyangwa uremerewe kose, niba hari ikintu cyiza kikubayeho (urugero, iyo inshuti ije kugusura, niba uriye ibiryo ukunda, niba ureba filime nziza), icyo gihe agahinda kawe karashira kandi wumva wishimye. Ariko iyi byishimo imara igihe gito gusa. Iyo igikorwa kirangiye, wongera kumva agahinda n'ibyiyumvo bikomeye.

Uretse iki kintu cyo "gusubira inyuma mu buryo bw'ibyiyumvo", muganga ashobora gusuzuma indwara yo kwiheba idasanzwe iyo nibura agaragaje ibimenyetso bibiri muri ibi bikurikira:

• Gusinzira cyane: Gusinzira amasaha arenga 10 ku munsi cyangwa kumva usinziriye igihe cyose, ndetse no ku manywa.
• Kwiyongera k'ubushake bwo kurya cyangwa kwiyongera ibiro: Kurarikira cyane ibiryo birimo karubohidrati nyinshi (umuceri, umugati, ibiryo biryoshye), bigatera kwiyongera ibiro.
• Kwangwa Kwiyumvamo: Ndetse n'ibintu bito cyane abandi bavuga bishobora kukubabaza cyane. Iyo umuntu agunenze cyangwa akakwanga, wumva ufite agahinda gakomeye. Ibi bishobora guteza ibibazo mu mibanire n'abantu ndetse no ku kazi.
• Kurema umutwe: Bisa n'aho ikintu kiremereye, nk'icyuma cy'isasu, kiri kumanika ku maguru. Umubiri wumva uremereye kandi unaniwe ku buryo bidashobora kwimuka.

Iyo ugiye kwa muganga, babanza gusuzuma niba hari indi mpamvu itera ibi bimenyetso. Urugero, hypothyroidism, indwara aho tiroyide ikora imisemburo mike cyane, ishobora no gutera ibi bimenyetso byo kwiheba no kwiyongera ibiro. Bashobora kandi gutegeka ko bapimwa amaraso nibiba ngombwa.

Ni iki gitera iki kibazo?

Nta mpamvu imwe rukumbi igaragara itera kwiheba, ariko abaganga bemeza ko bifitanye isano n'uko ubwonko bwacu bukora.

Muri make, kwiheba bishobora kubaho iyo imiyoboro y'ubwonko igenzura amarangamutima yacu yahungabanye. Uturemangingo tw'imitsi mu bwonko bwacu tubwirana hakoreshejwe imiti yihariye yitwa neurotransmitters . Serotonin na dopamine ni byo by'ingenzi. Kwiheba bibaho iyo iyi miti idakora neza. Imiti igabanya kwiheba ikora mu kuvugurura iyi miti no kugarura imikorere y'imiyoboro y'ubwonko.

Byongeye kandi, hari ibintu byinshi byongera ibyago byo kurwara indwara yo kwiheba:

• Kugira ihungabana mu muntu wo mu muryango (ababyeyi, abavandimwe).
• Igihombo gikomeye, nko gupfusha uwo wakundaga cyangwa gutandukana.
• Amakimbirane n'abandi ndetse n'ibyiyumvo by'urwitwazo bivuyemo.
• Ihohoterwa rishingiye ku mubiri, ku gitsina, cyangwa mu mutwe ryabaye mu bwana.
• Impinduka zikomeye mu buzima (urugero: kwimuka, gutakaza akazi).
• Indwara zikomeye nka diyabete n'indwara z'umutima.
• Kunywa ibiyobyabwenge cyangwa inzoga nabi.

Hari uburyo bwo kuvura?

Yego rwose. Ihungabana ridasanzwe ni indwara ishobora kuvurwa igakira. Bitewe n'uburemere bw'ibimenyetso byawe, muganga wawe azaguha uburyo bwiza bwo kuvura.

Uburyo bubiri bwo kuvura bukoreshwa hamwe:

1. Imiti: Nkuko byavuzwe mbere, hari imiti itandukanye igabanya ubukana bw'indwara zo mu bwonko. Muganga wawe azaguha imiti ikwiye cyane ijyanye n'uburwayi bwawe.

2. Ubuvuzi bw'imitekerereze: Bunazwi kandi nka 'talk therapy' , ibi bikubiyemo kuganira n'umujyanama cyangwa inzobere mu by'imitekerereze kugira ngo wumve amarangamutima yawe, ibitekerezo byawe, n'imyitwarire yawe kandi wige kuyicunga.

Iyo bibaye ngombwa, muganga wawe ashobora kukwohereza ku muganga w’inzobere muri ibi, nk’inzobere mu by’indwara zo mu mutwe cyangwa inzobere mu by’imitekerereze y’abantu .

Ni gute wakwihanganira iki kibazo?

Uretse kuvurwa, hari byinshi ushobora gukora kugira ngo wirwaneho. Ibi bizagufasha cyane mu rugendo rwawe rwo gukira.

• Vugana n'umuntu wizeye: Sangiza inshuti, umuntu wo mu muryango, cyangwa umujyanama wawe uko wiyumva.
• Kurya ibiryo bifite intungamubiri, gusinzira bihagije, no gukora imyitozo ngororamubiri: Ibi bintu bitatu byoroheje bishobora kugira ingaruka zikomeye ku buzima bwo mu mutwe wawe. Tangira n'ikintu cyoroshye nko kugenda n'amaguru nibura iminota 30 ku munsi.
• Jyana urumuri rw'izuba n'umwuka mwiza: Ubushakashatsi bwagaragaje ko kwishyiramo urumuri rw'izuba byongera ibyiyumvo.
• Gerageza ikintu gishya: Tangira ikintu gishya cyo kwishimisha. Shushanya, tera ikimera, soma igitabo.
• Andika mu ikaye: Kwandika ibyiyumvo byawe n'ibitekerezo byawe umunsi wose bishobora kuguhumuriza cyane.

Ni gute wafasha umuntu wa hafi yawe?

Niba hari umuntu wo mu muryango wawe cyangwa inshuti yawe ufite iyi ndwara, ushobora kuba isoko ikomeye y'imbaraga kuri bo.

• Mutere inkunga yo gushaka ubufasha: jya kwa muganga, umujyane kwa muganga.
• Vuga ku mugaragaro, utege amatwi witonze: Umva ibyo bavuga nta guca urubanza.
• Komeza kubavugisha: Bamenyeshe buri gihe ukoresheje telefoni cyangwa ubutumwa.
• Ntukabashinje: Ntukavuge ibintu nk'ibi ngo “Ibyo ni wowe wabyihimbiye.” Kwiheba si ikosa ry'umuntu.
• Bahe ubufasha bufatika: Bashobora gukenera ubufasha mu guteka cyangwa imirimo yo mu rugo, ariko babashishikarize gukora ibintu bashobora gukora bonyine.