Ngaba ngamanye amaxesha uziva ulusizi kakhulu, unesizungu, kwaye ungenamdla wokwenza nantoni na? Sonke sinazo ezo ntsuku ebomini bethu. Kuqhelekile. Kodwa ukuba le meko iyaqhubeka kangangeeveki okanye iinyanga, ukuba umoya wakho uphantsi kangangokuba awukwazi ukwenza imisebenzi yakho yemihla ngemihla, isenokuba yinto engaphezulu nje kosizi oluqhelekileyo. Kwizonyango, esi simo sisibiza ngokuba yiMajor Depression Disorder (MDD) . Oku akusibo ubuthathaka bengqondo, kodwa sisifo sokwenyani esifuna unyango.
Yintoni ukudakumba okungamelaniyo namayeza (i-TRD)?
Ngokwesiqhelo, xa ugqirha eqala ukunyanga umntu onesifo sokudakumba, uninzi lwabantu luqala ukuziva ngcono emva kwexesha elithile. Kodwa abanye abantu abakwenzi oko. Umzekelo, ukuba iimpawu zakho aziphucuki nokuba sele usele ubuncinane amayeza amabini okudakumba amiselwe ngugqirha wakho, ngedosi efanelekileyo, ixesha elide (ngesiqhelo iiveki ezi-4 ukuya kwezi-6), sibiza loo nto ngokuba yi-depression enganyangekiyo kunyango (TRD) .
Ngamafutshane, kuthetha ukuba umzimba wakho kunye nengqondo yakho azisabeli kakuhle kumayeza aqhelekileyo okudakumba. Musa ukoyika oku. Oku akuthethi ukuba awusoze uphile. Kuthetha nje ukuba kufuneka sicinge ngezinye iindlela zonyango ezisebenzayo ngakumbi.
Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho ukuba uziva ngathi awufumani ncedo kwiyeza, ngaphandle kokuligcina kuwe.
Ziziphi iimpawu eziqhelekileyo zokudakumba kunye ne-TRD?
Iimpawu zoxinzelelo olunganyangekiyo ngonyango (TRD) ziyafana nezo zesifo sokudakumba esikhulu (MDD). Umahluko kukuba ezi mpawu zihlala zikho nasemva kokuba usele amayeza. Makhe sijonge ukuba zeziphi ezi mpawu. Kusenokwenzeka ukuba nawe ukhe wazibona ezinye zazo.
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Uxinzelelo kunye namandla aphantsi | Ukuziva ulusizi nokungabi nanto okuhlala imini yonke. Umzimba ongenabomi, uziva unqena ukwenza neyona misebenzi incinci. |
| I-Anhedonia (ukungonwabi nantoni na) | Izinto obukade uzonwabela ukuzenza (umz. ukubukela imuvi, ukuthetha nabahlobo, izinto ozithandayo) ngoku azibonakali zingenamsebenzi. |
| Ukudana malunga nekamva | Iingcinga ezimbi ezifana nokuthi "Andisoze ndiphile" kunye nokuthi "Ubomi bam buphelile" zihlala zifika engqondweni. |
| Ubunzima bokugxila | Ubunzima bokufunda incwadi, ukwenza umsebenzi, ukwenza izigqibo. Ukungakwazi ukugcina ingqondo yakho ikwindawo enye. |
| Ukuziva unetyala ngawe | Ukuziva ungento yanto, uzibeka ityala nangezinto ezincinci. |
| Utshintsho ebuthongweni | Nokuba kukulala kakhulu (ukozela emini), okanye ukungakwazi ukulala ebusuku okanye ukuvuka ebuthongweni. |
| Utshintsho ekutyeni nasekutyebeni | Ukwehla kobunzima ngenxa yokulahlekelwa ngumdla wokutya okanye ukunyuka kobunzima ngenxa yokutya kakhulu. |
| Iingcinga malunga nokufa okanye ukuzibulala | Uziva ngathi unqwenela ukuba ungabuphelisa ubomi bakho. Olu luphawu olubi kakhulu, kwaye ukuba unezi ngcinga, kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza. |
Kuza kwenzeka ntoni ukuba le meko ayinyangwa?
Ukudakumba okunganyangwanga kunokukhokelela kwizinto ezifana nokungakwazi ukuzinyamekela nokuzikhwebula kwabanye. Usenokungakwazi ukwenza umsebenzi wakho ngokufanelekileyo. Usenokuba neengxaki ngobomi bosapho kunye nobuhlobo. Kwiimeko ezimbi kakhulu, kunokuba yingozi ebomini.
Ngoko ke musa ukuthatha ezi mpawu lula. Asikuko ukuba unetyala. Yimeko yezonyango ebangelwa kukungalingani kweekhemikhali engqondweni. Akukho ntloni ukufumana uncedo ngayo. Kufana nokusela amayeza esifo seswekile okanye uxinzelelo lwegazi oluphezulu.
Ngaba likho ithemba? Unyango lwanamhlanje!
Nazi iindaba ezimnandi! Isayensi yezonyango yenze inkqubela enkulu ekunyangeni ukudakumba kwiminyaka embalwa edlulileyo. Ngokungafaniyo nexesha elidlulileyo, ngoku kukho unyango oluninzi olusebenzayo olufumanekayo, kwanakwabo bane-treat-resistant depression (TRD).
Amayeza amadala ayejolise kakhulu kwiikhemikhali (ii-neurotransmitters) engqondweni ezifana ne-serotonin, i-dopamine, kunye ne-norepinephrine. Kodwa unyango olutsha lusebenza ngendlela eyahlukileyo, lusebenza ngezinye iindlela engqondweni.
Amayeza Asebenza Ngokukhawuleza
Enye yezona nzuzo zinkulu zezi ndlela zonyango zanamhlanje kukukhawuleza kwazo. Cinga ngako, ngaphambili, bekufuneka ulinde iiveki, mhlawumbi inyanga okanye ezimbini, ukuze uve imiphumo yeyeza. Kodwa ngezinye zeendlela zonyango zanamhlanje ezikhoyo ngoku, ungaqala ukuziva ukhululekile kwiimpawu kwiiyure okanye iintsuku ezimbalwa.
Lingakanani ithemba eli kumntu onesifo se-TRD kwaye uzive edanile ngobomi bakhe? Amandla engqondo amakhulu kuphela anokumnceda ukuba aphile ngokukhawuleza kwimeko yakhe embi. Ungacela ugqirha wakho ulwazi malunga nolu nyango lwanamhlanje. Ayizizo zonke iindlela zonyango ezifanelekileyo kuye wonke umntu. Ke ngoko, ngugqirha wakho oza kuhlola imeko yakho ngononophelo aze agqibe ukuba loluphi unyango olulungele wena.
Umyalezo Wokuya Ekhaya
- Ukudakumba sisifo: asikobuthathaka bentliziyo, kwaye asikuko nobangela wakho. Yimeko yokwenyani efuna unyango.
- Xelela ugqirha wakho ukuba amayeza awasebenzi: Ukuba awuziva bhetele ngamayeza owasebenzisayo, musa ukuwabamba uze ubandezeleke, kodwa ngokuqinisekileyo xelela ugqirha wakho. Usenokuba ne-treat-resistant depression (TRD).
- Unyango lwanamhlanje luyafumaneka: Kwanabo bane-TRD ngoku banokuba nethemba. Unyango lwanamhlanje luyafumaneka olusebenza ngokukhawuleza kwaye lusebenza kakuhle kakhulu.
- Musa ukoyika ukucela uncedo: Impilo yengqondo ibaluleke njengempilo yomzimba. Ukucela uncedo luphawu lwamandla, hayi ubuthathaka. Ugqirha wakho uhlala ekhona ukukunceda.
- Awuwedwa: izigidi zabantu eSri Lanka nakwihlabathi liphela ziphila noxinzelelo. Ngonyango olufanelekileyo kunye nenkxaso, nawe ungaphila ubomi obusempilweni kwakhona.
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