Ukuba uneMajor Depression Disorder (MDD), usenokuba uzibuza ngokuqala usapho. "Ngaba kuya kufuneka ndiyeke amayeza am?", "Ngaba umntwana uza kuba semngciphekweni ukuba andiyeki ukuwasebenzisa?", "Ndingawasebenzisa la mayeza ngelixa ndincancisa?" Usenokuba unemibuzo emininzi engqondweni yakho. Usenokuba ubusoloko ulwa nokudakumba ixesha elide, okanye usenokuba usandula ukufunyanwa unawo. Nokuba yintoni na imbangela, kukho izinto ekufuneka uzazi njengoko uqala olu hambo. Makhe sithethe ngazo.
Kutheni unyango lubaluleke kangaka?
Ngamafutshane, ukuba awunyangi ukudakumba kwakho, iimpawu zakho zinokubuya kwakhona. Oku sikubiza ngokuba kukubuyela umva. Xa udandathekile, kusenokwenzeka ukuba uphoswe zizinto ezifana nokutya nokusela, ukufumana unyango olufunekayo wena nomntwana wakho, kwaye kusenokwenzeka ukuba uguqukele kwizinto ezifana neziyobisi.
Okubaluleke ngakumbi, kukho umngcipheko omkhulu wokudakumba emva kokuzalwa , okunokuchaphazela ngokuthe ngqo ulwalamano lwakho nomntwana wakho.
Njengoko iingcali zonyango zisitsho, abantwana abazelwe ngoomama abanengxaki yokudakumba, uxinzelelo, okanye ixhala ngexesha lokukhulelwa banamanqanaba aphezulu e-hormone yoxinzelelo 'iCortisol'. Oku kunokwenza abo bantwana babe novakalelo olukhulu ngokweemvakalelo (basabela kakhulu) besebancinci. Oku kunokubangela ukuba babe neengxaki zengqondo kwixesha elizayo.
Ukukhetha unyango olufanelekileyo kuwe kuxhomekeke kwizinto ezininzi.
- Ubunzima bokudandatheka kwakho.
- Loluphi unyango olufumanayo ngoku?
- Indlela owasabela ngayo kumayeza owawuwasebenzisa ngaphambili.
- Nokuba ukhulelwe, uceba ukukhulelwa, okanye uncancisa.
Ukuba ukudakumba kwakho kuncinci, kwaye sele ufumene isiqabu kwizinto ezifana ne-psychotherapy, amaqela enkxaso, okanye i-yoga yokukhulelwa, unokukwazi ukudlula kweli xesha ngaphandle kwamayeza. Kodwa yiloo nto omele uyixoxe nogqirha wakho. Ukuba ufuna amayeza kamva, kukho iindlela ezininzi onokukhetha kuzo ukuqala amayeza angenabungozi kangako.
Kwiimeko ezinzima zokudakumba ezingaphenduliyo kumayeza, kukwakho nonyango olubizwa ngokuba yi -electroconvulsive therapy (ECT) . Oku kuquka ukuthumela ii-electrical pulses ezincinci engqondweni, ukutshintsha umsebenzi weeseli zemithambo-luvo (ii-neurons) kunye neekhemikhali ezithile. Olu nyango luthathwa lukhuselekile kuwe nakumntwana wakho .
Amayeza kunye neengozi zawo
Ngokubanzi, umngcipheko wokuzalwa neziphene okanye ezinye iingxaki kumntwana ngenxa yokusebenzisa amayeza okudakumba ngexesha lokukhulelwa uphantsi kakhulu. Nangona kunjalo, uphando lubonise ukuba amanye amayeza akhuselekile kunezinye. Makhe sijonge ukuba zeziphi.
| Ixesha lelixa | Oko umele ukwenze kunye namayeza omele uwaqwalasele |
|---|---|
| Ngaphambi kokukhulelwa | Ukuba kunokwenzeka, thetha nogqirha wakho wezifo zabantwana kunye nogqirha wengqondo ngaphambi kokuba uqale ukucinga ngokuba nomntwana uze ucinge ngesicwangciso sonyango. Ukuba kufuneka utshintshe amayeza, eli lixesha elifanelekileyo lokwenza njalo. Iindidi ezimbini zemithi yokudakumba eziye zabonakala zikhuselekileyo ngexesha lokukhulelwa yi -SSRIs (Selective Serotonin Reuptake Inhibitors) kunye ne-TCAs (Tricyclic Antidepressants) . Nangona kunjalo, ngenxa yokuba ii-TCAs ziimithi ezindala ezinemiphumo emibi emininzi, oogqirha abazicebisi kuqala. Uninzi lwabantu lunikwa i-SSRI ephandwe kakuhle. Imizekelo: iCitalopram (Celexa), i-Escitalopram (Lexapro), i-Fluoxetine (Prozac), i-Sertraline (Zoloft) . |
| Ngexesha lokukhulelwa | Ukuba sele usela amayeza, ungatshintsheli kwelinye iyeza ngequbuliso, nokuba leliphi na. Oku kuya kuthintela umntwana ekubeni afumane amayeza amaninzi ngokungeyomfuneko. Okubaluleke kakhulu, ungaziva unetyala ngokuthatha amayeza okudakumba ngexesha lokukhulelwa. Abanye abantu, kwanoogqirha, bacinga ukuba eli yeza lifanele lithathwe "kuphela xa kufuneka ngokwenene." Kodwa ukudakumba yimeko yezonyango ekufuneka inyangwe, njengesifo seswekile okanye uxinzelelo lwegazi oluphezulu. |
| Emva kokuba nomntwana | Kunzima kakhulu ukumelana neempawu zokudakumba ngelixa unyamekela usana olusandul’ ukuzalwa. Ngoko ke kubaluleke kakhulu ukuqhubeka usela amayeza akho. Ukuba uziva ukuba iimpawu zakho ziya zisiba mandundu, thetha nogqirha wakho ngoko nangoko. Amayeza anokungena kubisi lwebele, kodwa kuphela ngamanani amancinci kakhulu. Ukuchaneka, ngaphantsi kwe-10% yedosi oyithathayo.Ngoko ke, akukho meko apho kufuneka uyeke ukuncancisa umntwana wakho kuba usela amayeza. |
Masifunde nangezinye iintlobo zamayeza.
Ukuba uthatha i-SNRI (i-Serotonin-Norepinephrine Reuptake Inhibitor) kuba ii-SSRI azikusebenzeli, njengeDuloxetine (Cymbalta) okanye iVenlafaxine (Effexor), loo nto ayibalulekanga kangako. Oogqirha bathi, "Ukuba eli yeza liyasebenza kulo mntu, kwaye siyazi ukuba elinye lisenokungasebenzi, andifuni ukulitshintsha." Kuba kukho izifundo ezibonisa inqanaba elithile lokhuseleko kwi-SNRIs.
Nangona kunjalo, amayeza amatsha afana neVortioxetine (Trintellix) akakafundwa ngokwaneleyo ukuqinisekisa ukhuseleko lwawo ngexesha lokukhulelwa. Kwimeko ezinjalo, ugqirha wakho unokucebisa ukuba utshintshele kumayeza akhuselekileyo.
Iimvakalelo ezikukhathazayo...
"Ingaba ndingumama ombi kuba ndisela amayeza?" Ezi ngcinga zingafika engqondweni yakho. Kodwa akunjalo ngokwenene.
"Ngenxa yebala elijikelezileyo elijikeleze ukugula ngengqondo kwilizwe lethu, abantu abaninzi bacinga ukuba ukuthatha amayeza okudakumba yinto engaphezulu, engeyomfuneko. Xa uthi, 'Thatha la mayeza kuphela ukuba uyawadinga ngokwenene,' umama uziva enetyala kakhulu ngaye," iingcali zitsho.
Eyona nto ibalulekileyo ekufuneka uyiqonde kukuba ukudakumba akubangelwa bubuthathaka bakho. Sisifo esifuna unyango. Ukuba ngumama osempilweni kudala imeko-bume engcono yomntwana osempilweni. Ukuba kuyimfuneko amayeza, ukuwasela yeyona nto ilungileyo onokuyenza kuwe nakumntwana wakho.
Umyalezo Wokuya Ekhaya
- Uxinzelelo sisifo sokwenyani. Kubalulekile ukunyanga wena nomntwana wakho.
- Nanini na xa kunokwenzeka, thetha nogqirha wakho ngaphambi kokuba ukhulelwe kwaye wenze isicwangciso sonyango.
- Amayeza amaninzi asetyenziselwa ukudakumba akhuselekile ngexesha lokukhulelwa nokuncancisa.
- Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kokubonisana nogqirha wakho.
- Musa ukuziva unetyala ngokuthatha amayeza ukuze uhlale usempilweni. Umama osempilweni sesona sipho silungileyo kumntwana osempilweni.
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