Ese nawe urarambiwe ibintu byose? Reka tuvuge ku ndwara ikomeye yo kwiheba

Ni ibisanzwe kumva ubabaye rimwe na rimwe no kwiheba. Ariko niba uhora wumva ufite icyizere kandi wihebye, bishobora kuba birenze agahinda gusa. Ibi ni byo twita mu buvuzi ihungabana, cyangwa "Ihungabana rikomeye" cyangwa "Ihungabana rikuru". Ibi si agahinda gusa, ahubwo ni indwara isaba kuvurwa.

Mu by'ukuri indwara yo kwiheba iterwa n'indwara y'ihungabana (depression) ni iki?

Tekereza nawe, ni ibisanzwe kumva ubabaye iyo dupfushije umuntu wa hafi, iyo dutsinzwe ikizamini, cyangwa iyo dutakaje akazi. Ariko kwiheba ni ikintu gitandukanye. Muri ibi, twumva duhangayikishijwe cyane kandi tubabaye umunsi wose, cyane cyane mu gitondo. Dutakaza ubushake bwo gukora ibintu twakundaga (urugero, kuganira n'inshuti, kureba filime, cyangwa kumva indirimbo).

Kugira ngo iyi ndwara yitwa ihungabana, ibi bimenyetso bigomba kuba bigaragara hafi buri munsi mu gihe cy'ibyumweru bibiri nibura . Uretse ibi bimenyetso by'ingenzi, hashobora kubaho n'ibindi bimenyetso byinshi.

Reka turebe ibyo bimenyetso by'inyongera.

Ni nde uri mu kaga gakomeye ko kugira iyi ndwara?

Mu by’ukuri, kwiheba ntabwo ivangura rishingiye ku myaka, ubwoko, idini cyangwa igitsina. Bishobora kugira ingaruka ku muntu uwo ari we wese. Mu miryango imwe n’imwe, iyi ndwara ihererekanywa kuva ku gisekuru kugeza ku kindi, ariko ishobora no kugira ingaruka ku muntu udafite abagize umuryango bafite kwiheba.

Hagati ya 20% na 25% by'abantu bakuru ku isi bahura n'ikibazo cyo kwiheba mu gihe runaka mu buzima bwabo. Kirashobora no kwibasira abantu bakuru, abana bato, n'impinja. Ikibabaje ni uko akenshi kidasuzumwa muri abo bantu.

Ese abagore bari mu kaga gakomeye?

Yego. Abagore bafite amahirwe abiri yo kurwara indwara yo kwiheba kurusha abagabo. Impamvu nyamukuru ibitera ni impinduka mu misemburo abagore bahura na zo mu buzima bwabo bwose. Urugero:

• Kugera mu myaka
• Guhembwa buri kwezi
• Igihe cyo gutwita
• Gukuramo inda
• Guhagarika imihango ya buri kwezi (Menopause)

Uretse izi mpinduka mu misemburo, igitutu ku bagore muri sosiyete yacu nacyo kigira uruhare. Igitutu kijyana n'inshingano nyinshi, nko mu mirimo yo mu rugo, igitutu ku kazi, kwita ku bana, no kwita ku babyeyi bageze mu za bukuru, gishobora gutera kwiheba.

Ese ibimenyetso biratandukanye ku bagabo iyo bacitse intege?

Akenshi, abagabo batinda kubona ko ihungabana rikabije iyo ribayeho. Kubera ko imyumvire y’abantu nka "abagabo bagomba kuba bakomeye" na "si byiza kurira" ituma banga kuvuga ku byiyumvo byabo cyangwa gusaba ubufasha.

Kubwibyo, ibimenyetso by'ihungabana ku bagabo bishobora kugaragara mu buryo butandukanye gato.

• Guhora ngira uburakari no gusakuza
• Ubusinzi bw'ibiyobyabwenge cyangwa inzoga
• Imyitwarire y'urugomo ituma umuntu agirira nabi abandi cyangwa we ubwe bitewe n'amarangamutima afunze.

Guhagarika amarangamutima muri ubu buryo bishobora kongera ibyago byo kurwara indwara zitandukanye, kwiyahura ndetse no kugirira abandi nabi.

Ni ibihe bintu bitera kwiheba?

Nta mpamvu imwe rukumbi itera kwiheba, ariko hari ibintu bimwe na bimwe bishobora kuba imbarutso.

• Kubura uwo wakundaga bitewe n'urupfu, gutandukana cyangwa gutandukana.
• Kumva uri wenyine muri sosiyete, ukumva uri wenyine.
• Impinduka zikomeye mu buzima - urugero, kwimuka, kurangiza amashuri, guhindura akazi, kujya mu kiruhuko cy'izabukuru.
• Amakimbirane mu mibanire - Ibibazo umuntu agirana n'uwo mwashakanye cyangwa umuyobozi mu kazi.
• Gukorerwa ihohoterwa rishingiye ku mubiri, ku gitsina cyangwa mu mutwe .

Wamenya ute neza niba iki ari ikibazo cy'ihungabana?

Niba ufite ibimenyetso byavuzwe haruguru, ikintu cyiza wakora ni ukubonana na muganga wawe ako kanya. Ntabwo ari ngombwa ko uba umuganga w’indwara zo mu mutwe kugira ngo ubikore, ushobora kuvugana na muganga w’umuryango wawe (umuganga w’ibanze) mukaganira kuri ibi.

Muganga azagusuzuma byuzuye. Azakubaza ibijyanye n'ubuzima bwawe bwite, niba hari umuntu wo mu muryango wawe wigeze kugira indwara yo mu mutwe, kandi azakubaza n'ibibazo bike kugira ngo amenye ibimenyetso by'indwara yo kwiheba.

Ariko, muganga wawe ashobora gutegeka ko upimwa amaraso. Ibi biterwa nuko hari izindi ndwara zishobora gutera ibimenyetso bisa n'iby'ihungabana. Urugero, hypothyroidism, kunywa ibiyobyabwenge cyangwa inzoga nyinshi, imiti imwe n'imwe, ndetse no gucika intege mu bwonko nabyo bishobora gutera ibimenyetso bisa n'iby'ihungabana.

Ni ubuhe buryo bwo kuvura indwara yo kwiheba?

Inkuru nziza ni uko nubwo indwara yo kwiheba ikomeye, ari indwara ishobora kuvurwa no gukira neza .

Bitewe n'uburemere bw'ibimenyetso byawe, muganga wawe azaguha uburyo bwo kuvura. Hari uburyo bubiri bw'ingenzi bwo kuvura:

1. Imiti igabanya kwiheba: Imiti irwanya kwiheba.

2. Ubuvuzi bw'imitekerereze cyangwa uburyo bwo kuvugana: Vugana n'umujyanama w'inzobere ku buzima bwawe bwo mu mutwe hanyuma ushake ibisubizo binyuze muri ibyo.

Hari igihe ubu buryo bwombi bukoreshwa hamwe. Umuti umwe ntukora kimwe kuri bose. Bityo rero bishobora gufata igihe kugira ngo muganga wawe aguhe umuti ukubereye n'ingano ikubereye.

Ku barwayi baremereye cyane batemera imiti, hari ubundi buryo bwo kuvura nka `(Electroconvulsive therapy - ECT)`. Nanone, ubu hari uburyo bwo kuvura bugezweho nka `(Transcranial magnetic stimulation - TMS)`.

Ese kwiheba bishobora kwirindwa ko bitazongera kubaho?

Niba wigeze kugira ikibazo cyo kwiheba, hari ibyago byo kongera kugaruka. Uburyo bwiza bwo kucyirinda ni ukumenya impamvu zigutera no gufata imiti yawe nk'uko muganga wawe yabigutegetse mu gihe cyose. Abantu benshi bahagarika gufata imiti yabo iyo bumvise bakize. Ibi bishobora gutuma indwara igaruka. Niba rero wumva ibimenyetso byawe bigarutse, ni ngombwa kuvugana na muganga wawe vuba bishoboka .