Ese agahinda kari gahari kabaye umutwaro mu buryo butunguranye? Reka tuvuge ku 'Kwiheba Kabiri'

Ese hari igihe wumva umeze utya uti "Nhora meze gutya, mfite agahinda gato, kandi ntameze neza"? Ni ukuvuga, wumva umeze nk'aho umaze igihe wumva ubabaye gato, nk'igicucu cyijimye ubuzima bwawe bwose, nubwo nta mpamvu ifatika ufite? Hanyuma, mu buryo butunguranye, ako gahinda kabaye akato ku buryo utabasha no gukora imirimo yawe ya buri munsi? Niba ari uko bimeze, ibi ni ibintu by'ingenzi cyane kuri wewe. Iyi ndwara tuyita 'double depression'.

Uku 'kwiheba kabiri' ni iki?

Mu magambo make, 'ihungabana rikabije' ni uruvange rw'indwara ebyiri zo mu mutwe. Kugira ngo tubisobanukirwe neza, reka tubanze turebe izo ndwara ebyiri.

1. Dysthymia: Iyi ni indwara y'igihe kirekire, ibabaje gato, kandi ihangayika navuze mbere. Iyi ni indwara idakira. Ibi bivuze ko umuntu mukuru abaho afite agahinda n'umuremere mu gihe kirenga imyaka ibiri . Nubwo ishobora kudahungabanya ubuzima bwa buri munsi kimwe n'ihungabana rikomeye, ishobora kubangamira kwishimira ubuzima. Bamwe bayivuga nk' "nk'uko wambaye umwenda ubabaye." Abantu benshi batekereza bati "Uku ni ko ndi."

2. Ihungabana rikomeye: Iyi ni indwara ikomeye dukunze kwita 'ihungabana'. Itera ibimenyetso bikomeye nko kubabara, kwiheba, no gutakaza ubushake mu bintu wakundaga.

Noneho tekereza ko hari umuntu usanzwe arwaye indwara yo kwiheba igihe kirekire yitwa 'dysthymia'. Uko igihe kigenda gihita, hejuru y'iyo mimerere ibabaje, havuka n'indwara ikomeye yo kwiheba. Ibyo ni byo twita 'double depression' . Ni nk'umunsi aho ubusanzwe hagwa imvura nyinshi, hanyuma inkuba igahita igwa igatangira kugwa cyane.

Ibi bitandukanye bite n'indwara y'ihungabana rikomeye?

Itandukaniro rikomeye ni 'imyumvire y'ibanze'.

• Umuntu ufite ikibazo cyo kwiheba gukomeye gusa: Imitekerereze y'uyu muntu muri rusange (iyo atari afite ikibazo cyo kwiheba) iba iri ku rwego rwiza kandi rusanzwe. Iyo agize ikibazo cyo kwiheba, yumva ari impinduka nshya kandi ikomeye mu buzima bwe. Iyo amaze kuvurwa, asubira mu mimerere ye isanzwe.

• Umuntu ufite ikibazo cyo kwiheba kabiri: Imitekerereze 'isanzwe' y'uyu muntu irababaje gato (ni ukuvuga ko ibyiyumvo bye bya mbere ari 'dysthymia'). Ashobora kuba atarigeze agira ibyiyumvo byiza kandi byuzuye ibyishimo mu buzima bwe. Kubwibyo, iyo ihungabana rikomeye ribaye, umuntu ashobora kumva "agahinda nahoranye karushaho kwiyongera."

Kubera iyo mpamvu, abantu bafite ikibazo cyo kwiheba kabiri bashobora gutinda gushaka ubuvuzi. Batekereza bati “Uku ni ko ndi, sinshobora kubihindura.” Iyi ni imyumvire iteje akaga cyane.

Imbonerahamwe ikurikira igaragaza bimwe mu bimenyetso bikomeye bishobora kubaho mu gihe umuntu afite "depression ikomeye". Ibi bimenyetso bishobora kuba bikomeye cyane mu gihe umuntu afite depression ebyiri.

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Kuki "ihungabana rikabije" rigoye kuvura?

Hari imbogamizi nyinshi zidasanzwe mu kuvura iyi ndwara.

• Kubabara cyane:Ubushakashatsi bwagaragaje ko abantu bafite ikibazo cyo kwiheba kabiri bagira ikibazo cyo kwiheba kurusha abafite ubundi bwoko bw'ihungabana. Bashobora kugira ikibazo gikomeye cyo kwiheba, nko kuvuga bati: "Uku ni ko ubuzima bwanjye bumeze, ntabwo bushobora kuba bwiza."
• Ingaruka ku mubiri: Iyo ubabaye igihe kirekire, bigira ingaruka no ku mubiri wawe. Iyi stress idakira yongera ibyago byo kurwara izindi ndwara, nk'indwara z'umutima na diyabete. Izi ngorane z'umubiri zirushaho kugorana kuvura.
• Ingeso mbi mu mibereho: Abantu bamaze igihe kinini bihebye bashobora kwishora mu kunywa itabi, inzoga cyangwa ibindi biyobyabwenge. Bashobora kandi kugira ingeso mbi zo kurya. Izi ngeso zishobora kwangiza ubuzima bwabo no kugabanya ubushake bwabo bwo kwivuza.

Ese iki kibazo gishobora kwirindwa kubaho?

Yego. Uburyo bwiza bwo kwirinda 'double depression' ni ukuvura agahinda k'igihe kirekire kivuka kitwa 'dysthymia' mu ntangiriro.

Hari uburyo bwinshi bwo kuvura:

• Imiti igabanya kwiheba: Imiti ivura kwiheba irafasha, ariko ishobora gufata igihe kirekire kugira ngo ikore neza kuri dysthymia kuruta iyo irwaye kwiheba bisanzwe.
• Ubuvuzi bwo mu mutwe: Ubu ni uburyo bw'ingenzi cyane bwo kuvura. Bukubiyemo kumenya ibitekerezo bibi kandi bibi biza mu mutwe wawe, kubihindura, no gushyira mu bikorwa uburyo bwo kubona ubuzima mu buryo bufatika kandi bwiza.
• Imyitozo ngororamubiri: Imyitozo ngororamubiri ni uburyo bwiza bwo kunoza ibyiyumvo. Guhuza imyitozo ngororamubiri n'imiti bishobora kongera umusaruro.
• Sinzira neza: Kubura ibitotsi igihe kirekire bishobora kongera ibimenyetso by'indwara yo kwiheba, bityo rero gerageza gusinzira neza nijoro.

Akenshi, guhuza imiti n'ubuvuzi bwo mu mutwe ni byo bigira akamaro cyane. Muganga wawe ni we uzagena gahunda y'ubuvuzi ikubereye.

"Ihungabana rikabije" rivurwa rite?

Mu gihe cy’ihungabana ry’umubiri, umurwayi ashobora kumva ko adafite ububasha ku buzima bwe, ko ibintu byose bibaho bitewe n’igihe cyagenwe cyangwa bitewe n’abandi bantu.

Kubwibyo, mu kuvura, ntibihagije kuvura indwara ikomeye yo kwiheba gusa. Indwara ya dysthymia nayo igomba kuvurwa. Bitabaye ibyo, nubwo indwara ikomeye yo kwiheba yagabanuka, agahinda karacyariho. Icyo gihe ibyago byo kongera kwiheba cyane biba byinshi.

Ubuvuzi bwo mu mutwe hanoIbivugwa ni ingenzi cyane. Bifasha guhindura igitekerezo kibi cyo "Nta bubasha mfite ku buzima bwanjye" no kugenzura ubuzima bw'umuntu n'amarangamutima ye. Iyo ubu buryo bwo kuvura buhujwe n'imiti, birashoboka kuvura neza ibice byombi by'indwara yo kwiheba inshuro ebyiri icyarimwe.

Igikuru ni ukutababara wenyine, ahubwo ni ukuganira kuri ibi n'umuntu wizeye no kubonana na muganga wujuje ibisabwa kugira ngo aguhe inama n'ubuvuzi bikwiye.