Kwiheba si agahinda gusa. Reka tubisobanukirwe neza!

Twese tugira ibihe mu buzima bwacu twumva tubabaye kandi tukavunika umutima, si byo se? Ni ibisanzwe kumva ubabaye iyo upfushije uwo ukunda, utsinzwe ikizamini, cyangwa utakaje akazi. Ni kamere yacu ya kimuntu kumva ubabaye. Ariko niba aka gahinda gakomeye, kutita ku kintu na kimwe, no kutibona nk'ikintu cy'agaciro wumva bimara iminsi cyangwa ibyumweru, bikamugaza ubuzima bwawe bwose, bishobora kuba ikintu kirenze agahinda gasanzwe. Ibyo nibyo tuvuga uyu munsi, kwiheba, cyangwa indwara ishobora kuvurwa yitwa kwiheba kwa muganga .

Kwiheba ni iki mu by'ukuri? (Kwiheba ni iki?)

Mu magambo make, kwiheba ni indwara yo mu mutwe igira ingaruka ku byiyumvo byawe. Ishobora gutuma wumva ubabaye igihe cyose cyangwa ugatakaza inyungu mu bintu wakundaga. Ni nk'igicu cyijimye gitwikiriye umutwe wawe. Igira ingaruka ku buryo utekereza, uko wumva, ndetse n'uko ukora mu buzima bwawe bwa buri munsi.

Nubwo nta "kinini cy'ubumaji" gishobora gukiza iyi ndwara burundu, iyo uvuwe neza kandi ugahabwa inama, ibimenyetso bishobora kugenzurwa burundu kandi ukabaho ubuzima busanzwe kandi bushimishije. Iyo tubyita iyo ndwara yo kuruhuka. Ntugacike intege rero.

Ese nawe ufite ibi bimenyetso?

Dukurikije igitabo cy’indwara zo mu mutwe (DSM-5), abaganga bakoresha mu gusuzuma indwara zo mu mutwe, niba ufite ibimenyetso bitanu cyangwa birenga bikurikira mu gihe cy’ibyumweru bibiri , ushobora kugira ikibazo cyo kwiheba. Reka turebe ibyo ari byo.

Byongeye kandi, ibimenyetso by’umubiri nko kurakara kenshi, kubura amahoro, kubabara umubiri bidashira, kuribwa umutwe, no kubabara mu gifu nabyo bishobora kubaho. Ibi biterwa n’uko imiti yo mu bwonko ijyana n’ihungabana, nka serotonin na norepinephrine, ifitanye isano n’ibyiyumvo byacu ndetse n’ububabare.

Ese abana bato n'urubyiruko nabo barwara indwara yo kwiheba?

Yego. Ibi bishobora kugira ingaruka ku muntu uwo ari we wese w'imyaka iyo ari yo yose.

• Abana bato: Ni ibisanzwe ko umwana yumva ababaye. Ariko iyo agahinda kamaze iminsi myinshi, kandi hakabaho impinduka mu myitwarire zibangamira akazi ko ku ishuri cyangwa gukina n'inshuti, bishobora kuba indwara yo kwiheba.
• Ingimbi n'abangavu: Guhindagurika kw'amarangamutima ni ibintu bisanzwe muri iki gihe. Ariko, niba ubona ibimenyetso by'agahinda kamaze ibyumweru birenga bibiri, gusiba akazi ko ku ishuri, kwitandukanya n'inshuti, cyangwa gukoresha ibiyobyabwenge cyangwa inzoga, ugomba kugira impungenge. Vugana na muganga vuba kugira ngo akugire inama.

Ni izihe mpamvu zitera kwiheba?

Nta mpamvu n'imwe yihariye itera kwiheba yabonetse, ariko abaganga bemeza ko ishobora guterwa n'ibintu bitandukanye.

• Imiterere y'ubwonko: Impinduka mu mubiri zishobora kugaragara mu bice bimwe na bimwe by'ubwonko bw'abantu bafite ikibazo cy'ihungabana.
• Impinduka mu mikorere y'ubwonko: Amarangamutima yacu agenzurwa n'ibintu bitanga imiti mu bwonko byitwa neurotransmitters . Iyo ibi bidahuje neza, umuntu ashobora kwiheba.
• Imisemburo: Kwiheba bishobora guterwa n'impinduka mu misemburo ziba mu gihe cyo gutwita, nyuma yo kubyara, ibibazo bya tiroyide, no gucura.
• Genetics: Niba hari umuntu wo mu muryango wawe ufite ikibazo cy'ihungabana, nawe ushobora kuba ufite ibyago byinshi byo kurwara indwara y'ihungabana.

Ese hari ubwoko butandukanye bw'indwara yo kwiheba?

Yego, kwiheba bishobora kuza mu buryo butandukanye kandi mu mazina menshi atandukanye. Muganga wawe azagusuzuma ubwoko bw'indwara ufite akurikije ibimenyetso byawe.

• Unipolar major depression: Ubwoko bw'ihungabana rikunze kugaragara cyane.
• Indwara yo kwiheba idashira (Dysthymia): Ihungabana ridakabije ariko rirambye rimara imyaka ibiri cyangwa irenga.
• Indwara yo kubura igitsina mbere yo gushyingirwa (PMDD): Indwara aho abagore bagira ihungabana no guhinduka cyane mu byiyumvo byabo kurusha PMS isanzwe mbere yo kujya mu mihango.
• Kwiheba mu gihe cyo kubyara: Kwiheba bibaho mu gihe cyo gutwita cyangwa nyuma yo kubyara.
• Indwara y'amarangamutima iterwa n'ibiyobyabwenge: Ibimenyetso byo kwiheba bituruka ku kunywa ibiyobyabwenge cyangwa inzoga cyangwa nyuma yo kubireka.
• Imiterere y'ibihe: Gutangira ibimenyetso byo kwiheba mu bihe bimwe na bimwe by'umwaka, cyane cyane mu gihe cy'umwijima, izuba ritari ryinshi.

Ni gute indwara y'ihungabana ipimwa kandi ikavurwa?

Niba ubona ko ufite ibimenyetso by'ihungabana, ikintu cyiza wakora ni ukujya kwa muganga w'umuryango wawe. Azagusuzuma, nibiba ngombwa akwohereze inzobere mu by'ubuzima bwo mu mutwe.

Isuzuma

Bitanzwe na muganga:

1.Hazakorwa isuzuma ry’umubiri kugira ngo harebwe izindi ndwara.

2. Ibintu nk'urugero rw'imisemburo ya tiroyide bizagenzurwa binyuze mu bipimo by'amaraso .

3. Bazakubwira ibitekerezo byawe, uko wiyumva, n'imyitwarire yawe. Ibi ni ingenzi cyane.

4. Ibimenyetso byawe bizapimwa hakurikijwe ibipimo bya (DSM-5).

Ubuvuzi

Uburyo bwo kuvura buterwa n'imiterere n'uburemere bw'ibimenyetso byawe.

• Imiti: Imiti igabanya kwiheba igira akamaro cyane mu kuvura indwara yo kwiheba. Ushobora kugerageza imiti myinshi kugira ngo ubone igufitiye akamaro. Iyi miti igomba gukoreshwa gusa uyobowe na muganga.
• Ubuvuzi bw'imitekerereze: Muri make, ubu ni uburyo bwo kuvura mu buryo bwo kuganira. Kuganira ku bibazo byawe n'umujyanama mu by'ubuzima bwo mu mutwe bishobora kugufasha guhangana n'ibimenyetso byawe. Ubuvuzi bw'imyitwarire yo mu mutwe (CBT) ni bumwe mu buryo buzwi cyane bukoreshwa muri ibi.
• Ubundi buryo bwo kuvura: Mu bihe bikomeye bitabaye ngombwa ko imiti ivurwa, imiti yihariye nka electroconvulsive therapy (ECT) ishobora kuba yagirwa inama.

Ibimenyetso by'ibyago n'ibitekerezo byo kwiyahura

Iki ni ikintu cy'ingenzi cyane kandi cy'ingenzi.

Niba wowe cyangwa umuntu uzi ateganya cyangwa avuga ku kwiyangiza, jya mu bitaro bikuru by’ubutabazi bwihuse (ETU) by’ibitaro biri hafi yawe. Cyangwa ushake muganga vuba bishoboka.