Xa ugqirha wakho ekuxelela ukuba unesifo sokudakumba, unokuxelelwa ukuba uqale ukuthatha amayeza. Ngelo xesha, kuyinto eqhelekileyo ukuba ingqondo yakho ibe nemibuzo emininzi kunye noloyiko olufana nolu, 'Ngaba eli yeza lilungile kum?', 'Ngaba ukuthatha eli yeza kuya kunceda?', 'Ngaba kuza kubakho iziphumo ebezingalindelekanga?' Ukudakumba akusiyo nje imvakalelo yokudakumba, yimeko echaphazela ubomi bethu bonke. Ke ngoko, akumangalisi ukuba xa sithetha ngonyango, sineengxaki zengqondo. Ngoko ke namhlanje, masithethe ngezi ziyobisi zokudakumba, okanye izinto ekufuneka uzazi ngazo.
Ngubani olona yeza lisebenza kakhulu kuye?
Akukho mpendulo ilula koku. Kodwa uphando lubonisa ukuba la mayeza asebenza kubantu abaninzi. Kodwa kusenokwenzeka ukuba ukhe weva ukuba la mayeza asebenza kakuhle kubantu abanesifo sokudakumba okukhulu . Kukho inyaniso ethile kuloo bali, kodwa kukho indlela yokuyiqonda.
Ngamafutshane, kunje. Xa oogqirha besenza uphando, basebenzisa into ebizwa ngokuba yi-"placebo." Oko kukuthi, banika izigulane amayeza, kodwa ayinayo naliphi na iyeza. Kufana nje nebhola yeswekile. Okumangalisayo kukuba, abanye abantu baziva bengcono emva kokuthatha le "placebo." Oku kungenxa yenkolelo yengqondo edalwa yiyo.
Ngoku, xa umntu onesifo soxinzelelo olukhulu enikwa iyeza lokwenyani, libonisa iziphumo ezingcono kakhulu kune-"placebo". Kodwa kumntu onesifo soxinzelelo oluncinci , ngamanye amaxesha akukho mahluko mkhulu phakathi konyango oluvela kwi-"placebo" kunye nonyango oluvela kwiyeza lokwenyani.
Oku kuthetha ukuba ukuba iimpawu zakho zokudakumba azikho qatha kakhulu, kukho ithuba elihle lokuba uya kuphila kakuhle ngezinye iindlela zonyango ezingezizo ezamayeza.
Umzekelo, kufanelekile ukuzama izinto ezifana neengcebiso , ingakumbi unyango lokuziphatha kwengqondo (i-CBT) , kuqala. Ezi zinokukunceda woyise ukudakumba ngokutshintsha indlela ocinga ngayo noziphatha ngayo.
Ukhetha njani amayeza afanelekileyo kuwe?
Oogqirha abasenandlela yokuthi "Eli liyeza elifanelekileyo kwesi sigulana." Liyahluka kakhulu kumntu nomntu. Kodwa ngokuqhelekileyo, oogqirha baqala olu nyango ngokulandelelana okuthile. Makhe sibone ukuba luyintoni.
Amayeza okukhetha kuqala: ii-SSRI
La ngamayeza okuqala ugqirha aya kuwanika wona. Asebenza ngokulawula amanqanaba e-neurotransmitter ebizwa ngokuba yi-serotonin engqondweni yethu. I-Serotonin sisithunywa seekhemikhali esinceda silawule iimvakalelo zethu.
| Uhlobo lweziyobisi | Ulwazi olubalulekileyo |
|---|---|
| IiSelective Serotonin Reuptake Inhibitors (SSRIs) |
|
Uhlobo lwesibini lwamayeza ekufuneka luqwalaselwe: ii-SNRI
Ukuba amayeza e-SSRI awasebenzanga kakuhle kuwe, ugqirha wakho angacinga ngolu hlobo lulandelayo. La mayeza asebenza kwi- serotonin kunye ne -norepinephrine, iikhemikhali ezikwingqondo.
| Uhlobo lweziyobisi | Ulwazi olubalulekileyo |
|---|---|
| IiSerotonin eziKhethekileyo kunye neeNorepinephrine Reuptake Inhibitors (ii-SNRI) |
|
Kuthekani ukuba amayeza odwa awanelanga? - Unyango olongezelelweyo
Ngamanye amaxesha, oko kukuthi, malunga ne-30% - 50% yabantu abanesifo sokudakumba abaphili ngokupheleleyo ngeyeza elinye kuphela. Ukuba oko kuyenzeka kuwe, ugqirha wakho unokugqiba ekubeni wongeze enye indlela yonyango ngaxeshanye. Ezi ziquka:
- Ezinye iintlobo zemithi yokudakumba (imithi yokudakumba engaqhelekanga)
- Amanye amayeza okugula ngengqondo (ii-antipsychotics ezingaqhelekanga)
- I-Ketamine impumlo spray
Ukwengeza,Kukho unyango oluvuselela ingqondo . Olu ludla ngokusetyenziselwa ukudakumba okukhulu okungakhange kuphendule kwezinye iindlela zonyango.
- Unyango lwe-Electroconvulsive (ECT)
- Ukuvuselelwa kwemagnethi ye-Transcranial (TMS)
- Ukuvuselelwa kwemithambo-luvo yeVagus (VNS)
Imibuzo ekufuneka uyibuze ugqirha wakho ngokuqinisekileyo
"Uxinzelelo lomzimba yenye yezona meko zinzima kakhulu zonyango. Ukuze kufumaneke iziphumo ezilungileyo, kufuneka kubekho ukuqondana okuhle phakathi kwesigulana nogqirha."
Ngoko ke, xa ubona ugqirha wakho, ungoyiki ukubuza le mibuzo. Baza kukunceda uqonde kakuhle unyango lwakho.
| Umbuzo omele uwubuze | Kutheni oko kubalulekile? |
|---|---|
| Kuza kuthatha ixesha elingakanani ukuba ndibone iziphumo? | Ukwazi ukuba amayeza athatha ixesha ukusebenza kuyanceda ekuthinteleni ukuphoxeka kwangethuba. |
| Ngaba kuya kuba nzima ngakumbi kum kwiintsuku ezimbalwa zokuqala? | Amanye amayeza anokubangela ukungakhululeki okuncinci njengoko umzimba uqhelana nawo. Kubalulekile ukukwazi oku kwangaphambili. |
| Kuza kuthatha ixesha elingakanani ndize ndiphinde ndimbone ugqirha? | Kubalulekile ukuhlala unxibelelana rhoqo ukuze ujonge inkqubela yonyango kwaye wenze naluphi na utshintsho olufunekayo. |
| Zithini iziphumo ebezingalindelekanga eziqhelekileyo ? Zihlala ixesha elingakanani? | Ngokwazi ukuba zeziphi iziphumo ebezingalindelekanga eziqhelekileyo nezinzima, ungakuphepha ukuxhalaba kwaye uxelele ugqirha wakho ngokukhawuleza ukuba kukho into enzulu eyenzekayo. |
| Wenza ntoni ukuba eli yeza liyekile ukusebenza? | Kubalulekile ukuba nesicwangciso samanyathelo alandelayo (ukutshintsha umthamo weyeza, ukutshintshela kwelinye iyeza). |
| Kufuneka ndithathe eli yeza ixesha elingakanani? | Kubalulekile ukuba nokuqonda okucacileyo ngexesha lonyango. |
| Zeziphi ezinye iindlela zonyango ezikhoyo ngaphandle kwamayeza? | Ngokwazi iindlela ezahlukeneyo ezifana neengcebiso, ungadibanisa iindlela ezahlukeneyo zonyango. |
Musa ukuphelelwa lithemba ngokukhawuleza!
Kuqhelekile ukuziva ngathi kufuneka uphile ngokukhawuleza. Kodwa inyaniso kukuba, la mayeza okudakumba athatha ixesha ukusebenza. Isizathu esichanekileyo soku asaziwa, kodwa enye ingcamango kukuba athatha iintsuku okanye iiveki ukutshintsha iindlela zeekhemikhali ezingqondweni zethu ezibangela ukudakumba nokuzibuyisela kwimeko yesiqhelo.
Kudla ngokuthatha malunga neeveki ezi-4 ukuya kwezi-6 ukuze ubone uphuculo olubonakalayo. Nangona kunjalo, ukuze uthethe ngenene, "Eli yeza alisebenzi kum konke konke," kufuneka ulithathe rhoqo iyeza ubuncinane iiveki ezi-8 .
Kwakhona, musa ukuyeka unyango kuba unyango lokuqala aluzange lusebenze. Uphando lubonise ukuba amathuba akho okuphila aphezulu kakhulu xa uzama unyango olungaphezu kolunye.
Eyona nto ibalulekileyo kukuba ukudakumba sisifo esinokunyangwa. Amayeza kunye nezinye iindlela zonyango zisebenza kakuhle. Kodwa eyona nto ibalulekileyo ekufuneka uyenze kukungalahli ithemba, hlala unxibelelana nogqirha wakho, kwaye ulandele imiyalelo yakhe.
Umyalezo Wokuya Ekhaya
- Amayeza okudakumba lunyango olusebenzayo kakhulu, kodwa kungathatha ixesha ukufumana amayeza kunye nomlinganiselo ofanelekileyo kuwe.
- Thetha nogqirha wakho ngokusondeleyo nangokucacileyo ukuze uyile isicwangciso sonyango. Musa ukoyika ukubuza nayiphi na imibuzo onayo.
- Ukongeza kumayeza, unyango olufana nonyango lwengqondo (ingakumbi i-CBT) lubaluleke kakhulu. Xa ezi zimbini zisetyenziswa kunye, iziphumo ziyaphumelela kakhulu.
- Yiba nomonde. Kungathatha iiveki ezininzi ukubona iziphumo ezipheleleyo zamayeza. Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha wakho.
- Awuwedwa. Ungazinceda woyise ukudakumba. Ngonyango olufanelekileyo, ungachacha.
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