Ngaba unengxaki yokudakumba? Nokuba sele udibane nogqirha kwaye uthathe amayeza amiselweyo, awuziva uphuculo okanye utshintsho? Ngaba uzaliswe yimibuzo efana nale, "Kutheni oku kusenzeka kum ndedwa? Ngaba amayeza awasebenzi? Ngaba esi sifo asikuko kum kuphela?" Ukuba kunjalo, awuwedwa. Esi sisifo esichaphazela abantu abaninzi. Namhlanje siza kuthetha ngale nto. Ngokwezonyango, oku kubizwa ngokuba yi-Treat-Resistant Depression .
Masizame ukuqonda eli bali ngamava ebhinqa eliselula eligama linguImade. UImade libhinqa eliselula elinetalente nelifundileyo. Emva kokugqiba eyunivesithi edumileyo, wasebenza nzima ukuze afumane umsebenzi olungileyo. Kodwa kwakungelula kuye. Xa wayeqhubeka ezama kodwa engafumani msebenzi, waqala ukuziva uxinzelelo olukhulu kunye nokuwohloka. "Inyani yokuba bendingenamsebenzi, ukuziva ndingumntu osileleyo ebomini, kwandinika iingxaki zengqondo," utshilo. Engakwazi ukunyamezela olu xinzelelo, wade wazama nokuzibulala. Kwakungelo xesha apho oogqirha bamfumanisa ukuba uneMajor Depression Disorder .
“Kwakusemva kokuba ndizame ukuzibulala apho ndaqonda ukuba akukho nanye kwezi mithi zintathu endandizisebenzisa eyayisebenza,” utshilo uImade. Ngaba nawe ukhe wanamava afanayo? Ngoko makhe sibone ukuba yintoni enokubangela oku.
Yintoni kanye kanye i-depression enganyangekiyo kunyango?
Nangona eli gama lisenokuvakala lisoyikisa kancinci, kulula kakhulu ukuliqonda.
Ngamafutshane, i-Treatment-Resistant Depression (TRD) ithetha ukuba umntu one-Major Depression Disorder akafumani kuphumla okwaneleyo kwiimpawu zakhe nangona ethathe ubuncinane iintlobo ezimbini ezahlukeneyo ze-antidepressants, ngedosi echanekileyo nangexesha elifanelekileyo.
Cinga ngale ndlela. Iingqondo zethu zifana neesekethe ze-elektroniki ezintsonkothileyo. Uxinzelelo yimeko apho ezinye zeeswitshi kuloo sekethe zicinyiwe. Amayeza anikwa ngugqirha afana nezitshixo ezivula ezo switshi kwakhona. Ngamanye amaxesha awukwazi ukuvula ucango ngesitshixo esinye, kuya kufuneka uzame esinye. I-TRD injalo. Iyeza elinye lisenokungasebenzi. Mhlawumbi amayeza amabini asenokungasebenzi. Asikuko ukuba unetyala. Yimpendulo yomzimba nje.
Khumbula, asikuko ukuba wena okanye ubuthathaka bakho ukuba amayeza angasebenzi. Le yingxaki yempilo.
Makhe sijonge le theyibhile ukuze sicacise oku ngakumbi.
| Imeko | Kalula nje... |
|---|---|
| Ingxaki Enkulu Yokudakumba | Iimvakalelo zosizi olude, ukuphelelwa ngumdla kuyo nayiphi na into, utshintsho kwindlela yokulala nokutya, kunye nokukruquka bubomi. |
| Uxinzelelo olunganyangekiyo kunyango (TRD) | Le meko ingasentla ayikanyangeki nangona kunikwe ubuncinane iintlobo ezimbini ezahlukeneyo zemithi yokuthomalalisa uxinezeleko, ngedosi echanekileyo nangexesha elifanelekileyo. |
| Yintoni isizathu soku? | Umzimba nengqondo yomntu wonke zahlukile. Iyeza elifanayo alisebenzi ngendlela efanayo kuye wonke umntu. Ngamanye amaxesha ezinye iimeko zempilo ezingafunyaniswanga okanye iingxaki zempilo yengqondo zinokuba negalelo koku. |
Ayikokudakumba nje kuphela... ingaba nezinye iingxaki zengqondo nazo ziyayichaphazela?
Ewe. Eli linqaku elibaluleke kakhulu. Ngamanye amaxesha isizathu sokuba amayeza okudakumba angasebenzi kukuba kunokubakho esinye isifo sengqondo esingabonakaliyo.
Masibuyele kwibali lika-Imade. Emva kweminyaka emininzi yonyango lokudakumba ngaphandle kokufumana impumuzo, oogqirha bamvavanya ngakumbi. Kulapho bafumanisa ukuba naye unesifo esibizwa ngokuba yi-Borderline Personality Disorder (BPD) .
Yintoni i-borderline personality disorder (BPD)?
Okwenzekayo koku kukuba iimvakalelo zomntu zitshintsha ngokukhawuleza nangokubukhali.
- Ukulahlekelwa kukuzinza kwengqondo.
- Uloyiko oluhlala luhleli lokushiywa ngabanye abantu.
- Ukuba nomsindo kakhulu okanye ukuba lusizi kakhulu ngento encinci.
- Ukusebenza ngokungakhathali nangokungacingi.
Xa uImade walahlekelwa ngumsebenzi waza walahlwa, waba nezi mpawu ze-BPD. Oku kuthetha ukuba kwakukho esinye isizathu esinamandla sokudakumba kwakhe.
Ukongeza, ube nexhala elinzima. "Xa ndikruqukile bubomi, andinalo ixesha lokucinga, 'Ngaba ndinengxaki?'" utsho. Kamva, emva kokufumana unyango lwexhala, wafumana uxolo olukhulu lwengqondo.
Ngaba oku kusenza siqonde ukuba ngamanye amaxesha xa sifuna impendulo yombuzo omnye, isizathu saloo nto sisenokuba ngomnye umbuzo ofihliweyo ngaphantsi. Njengetswele. Xa ususa umaleko ongaphezulu, kukho omnye umaleko. Ngoko keUkuxilongwa ngokuchanekileyo kubaluleke kakhulu.
Ukuba iyeza alisebenzi, ndenze ntoni?
Le yeyona nto ibalulekileyo. Ukuba uziva ngathi awuphucuki emva kokusela iyeza, ungaze uyeke ukulisebenzisa okanye utshintshe umthamo ngokwakho. Oku kuya kuyenza ibe mandundu imeko. Into yokuqala neyona ilungileyo omele uyenze kukuthetha nogqirha wakho ngale nto ngokukhululekileyo.
"Gqirha, bendisoloko ndithatha eli yeza kangangeenyanga ngoku, kodwa andiva mahluko," ungatsho ngokunyaniseka. Lilungelo lakho elo.
Emva koko ugqirha wakho unokubhekisa kwizisombululo ezifana nezi:
- Ukutshintsha: Uhlobo olwahlukileyo lwe-antidepressant lunokunikwa endaweni yeyeza elikhoyo.
- Ukwandisa: Kunye namayeza asetyenziswayo ngoku, kunokongezwa olunye uhlobo lwamayeza oluya kwandisa ukusebenza kwawo.
- Uhlengahlengiso lweDosi: Ngamanye amaxesha idosi oyifunayo isenokunganeli. Ke ngoko, idosi ingatshintshwa.
- Ezinye iindlela zonyango: Ukongeza kumayeza, unyango lwengqondo lungasetyenziswa. Unyango lokuziphatha oludibanisa ingqondo (i-DBT) lolunye unyango oluye lwamnceda ukuba aphile.
- Ukujonga ezinye iimeko zempilo: Ngamanye amaxesha ukudakumba kunokubangelwa zezinye iimeko zomzimba, ezifana neengxaki zehomoni ye-thyroid. Ngoko ke ugqirha uya kuzijonga nezo.
Uyabona? Zininzi iindlela zokukunceda. Eyona nto ibalulekileyo kukungalahli ithemba nokusebenzisana nogqirha wakho ukuze ufumane unyango olukulungeleyo. Akukho sisombululo sinye esifanelana nazo zonke. Isisombululo sikwisicwangciso sonyango esilungiselelwe wena.
Umyalezo Wokuya Ekhaya
- Ukudakumba okumelana nonyango yimeko yonyango eyaziwayo. Asinto ubuyicinga.
- Asikuko ukuba i-antidepressant yakho ayisebenzi, kodwa kukho izizathu zebhayoloji.
- Ukuba awuziva kakuhle ngamayeza akho, eyona nto ibalulekileyo kukwazisa ugqirha wakho. Ungaze uyeke okanye utshintshe amayeza akho wedwa.
- Ngamanye amaxesha ukudakumba kunokuhambisana nezinye iimeko, ezifana nokuxhalaba okanye i-borderline personality disorder (BPD). Ukuxilongwa ngokuchanekileyo kubalulekile.
- Musa ukuphelelwa lithemba ukuba amayeza amabini okuqala awasebenzi. Kukho iindlela ezahlukeneyo zonyango ezikhoyo, kuquka unyango lwengqondo kunye namanye amayeza.Ngokuqinisekileyo ikho indlela yokubuyela esiqhelweni.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment