Usenokuba ubusela amayeza okudakumba kangangeenyanga, mhlawumbi neminyaka. Usenokuba ubone oogqirha abaliqela. Kodwa awukaziva kukhululeka okanye utshintsho? Ngaba loo mvakalelo imnyama nenzima isekhona? Ngaba uvakalelwa kukuba olu nyango aluyi kunceda? Ngoko awuwedwa. Le yinto eyenzeka kubantu abaninzi. Xa olu hlobo lonyango lungasebenzi, ngokwezonyango silubiza ngokuba yi -'Treatment-Resistant Depression' (TRD) .
Ngamafutshane, yintoni le 'ngxaki yokudakumba enganyangekiyo'?
Oku kusenokuvakala ngathi yinto enkulu xa usiva eli gama. Kodwa ngamafutshane, kuthetha ukuba uthatha unyango olufanelekileyo lokudakumba, oko kuthetha ukuba uthatha ubuncinane amayeza amabini okudakumba avela kwiindidi ezahlukeneyo, ngedosi efanelekileyo, ixesha elide ngokwaneleyo, kodwa iimpawu zakho aziphucuki kakhulu.
Khawucinge ngoku: Malunga nesibini kwisithathu sabantu abanesifo sokudakumba abafumani ukuba amayeza okuqala abawazamayo ayasebenza kakuhle. Kwaye malunga nesinye kwisithathu sisenokungapholi nasemva kokuba bezame amayeza amaninzi.
Into ebalulekileyo kukuba, oku akulotyala lakho. Kwaye akuthethi ukuba awusoze uphinde uphile. Kuthetha nje ukuba kuya kufuneka usebenze nzima ukuze ufumane unyango olufanelekileyo kuwe.
Kuthekani ukuba ndicinga ukuba ndinale meko?
Ukuba nawe unamathandabuzo ngale nto, zibuze le mibuzo.
| Ngaba nawe uvakalelwa ngolu hlobo? |
|---|
| Ngaba awuziva naluphi na utshintsho okanye uphuculo emva konyango olufumanayo? |
| Nangona uzive ungcono kancinci emva konyango, ngaba uziva ngathi amandla akho akudala kunye nolonwabo azikabuyi? |
| Ngaba unengxaki yokunyamezela iziphumo ebezingalindelekanga zamayeza owanikwe wona? |
| Ngaba ukuphindaphindeka nobunzima bokudandatheka kuye kwanda ngokuhamba kwexesha? |
| Ngaba uziva ngathi ezinye iingxaki zengqondo, ezifana nexhala, zinyukile? |
Ukuba uphendule ngokuthi "ewe" kuyo nayiphi na kwezi, ngokuqinisekileyo kuya kufuneka uthethe nogqirha wakho ngayo loo nto. Oko akuthethi ukuba une-TRD, kodwa luphawu oluhle lokuba isicwangciso sakho sonyango kufuneka sitshintshwe.
Ufumana njani uncedo kanye kanye?
Uninzi lwexesha, ugqirha wakho oyintloko unokunyanga ukudakumba. Nangona kunjalo, ukuba uvakalelwa kukuba imeko yakho ayilungelani nolu hlobo lonyango, kungcono ukubona ugqirha wengqondo, onolwazi olukhethekileyo ekunyangeni ezi meko zinzima.
Xa ubona ingcali, iya kuzihlola ngononophelo ezi zinto:
1. Qinisekisa ukuba uxilongo lwakho luchanekile: Ngamanye amaxesha into ocinga ukuba luxilongo isenokuba yinto eyahlukileyo. Umzekelo, umntu onesifo se-bipolar usenokungasabeli kakuhle kwimithi eqhelekileyo yokudakumba. Kwakhona, iimpawu zokudakumba zinokubangelwa ziimeko zomzimba ezifana ne-hypothyroidism. Ngoko ke ukuba uxilongo aluchanekanga, unyango lusenokungasebenzi.
2. Qinisekisa ukuba usela amayeza akho ngokuchanekileyo: Abanye abantu abawaseli amayeza abo ngexesha, bayawatsiba, okanye bayayeka ukuwasela ngenxa yeziphumo ebezingalindelekanga. Khumbula, kungathatha iiveki ezi-4 ukuya kwezili-12 ukuba iyeza lokudakumba lisebenze. Ngoko ke ayingombono ulungileyo ukuyeka ukuwasela kwangoko.
3. Jonga ezinye izizathu: Utywala, ukusetyenziswa kweziyobisi, amayeza asetyenziswa kwezinye izifo, kunye nezinye izinto zinokwenza ukudakumba kube mandundu okanye kukwenze kungangeni nyango.
Ziziphi iindlela zonyango ezikhoyo?
Musa ukuphelelwa lithemba! Kukho unyango oluninzi olufumanekayo lwe-TRD. Ugqirha wakho uza kukunceda ukhethe olukulungeleyo.
Amaqhinga Onyango
Kukho izithunywa zeekhemikhali engqondweni yethu ezilawula imood, sizibiza ngokuba zii-neurotransmitters . Ii-antidepressants zisebenza ngokulinganisela umsebenzi wazo. Ukuba ichiza elinye alisebenzi, ungazama elinye ichiza elisebenza ngendlela eyahlukileyo.
- Ukutshintsha Amayeza: Ukuba i-SSRI (i-Selective Serotonin Reuptake Inhibitor) ayisebenzi kuwe, elinye iyeza elikudidi olufanayo lingasebenza. Okanye ungatshintshela kudidi olwahlukileyo ngokupheleleyo, njenge-SNRIs, i-Tricyclics, okanye i-MAO inhibitors.
- Ukongeza elinye iyeza (Ukwandisa/Isisombululo):Ngamanye amaxesha, ukuba ufumana isiqabu esithile kumayeza akho angoku, ugqirha wakho unokugqiba ekubeni wongeze amayeza avela kolunye uhlobo ukunceda, endaweni yokuwayeka. Umzekelo, amayeza afana ne-Aripiprazole kunye ne-Quetiapine asetyenziswa ngale ndlela.
- Unyango lwanamhlanje: I -Esketamine (Spravato) esandul’ ukwaziswa kunye ne- Ketamine efakwayo nazo zisetyenziswa ngempumelelo kwi-TRD. Zichaphazela ingqondo ngendlela eyahlukileyo kune-antidepressants eqhelekileyo, zinceda ekunikezeni isiqabu ngokukhawuleza.
Unyango Olungelulo Unyango
Zininzi ezinye iindlela zokunceda nge-TRD, kungekuphela nje ngamayeza.
| Indlela yonyango | Kalula nje, |
|---|---|
| Unyango lwengqondo | Iindlela ezifana neCognitive Behavioral Therapy (CBT) zikunceda ukoyise ukudakumba ngokutshintsha indlela ocinga ngayo kunye neendlela oziphethe ngayo. Xa zidityaniswe namayeza, olu nyango lusebenza kakhulu. |
| Unyango lwe-Electroconvulsive (ECT) | Musa ukoyika xa usiva eli gama. Olu lunyango olukhuselekileyo, olunceda ekuthomalaliseni iintlungu, nolulawulwa ngugqirha. Lusebenza kakhulu ekuboneleleni ngoncedo olukhawulezileyo kwabo banesifo sokudakumba okukhulu kunye neengcinga zokuzibulala abangakhange baphendule kolunye unyango. |
| Ukukhuthazwa kweMagnetic yeTranscranial (TMS) | Olu lunyango olungelulo utyando olusebenzisa amaza emagnethi angaphandle kwekhakayi ukuvuselela iindawo ezithile zobuchopho. Le yindlela yonyango ephumelelayo. |
| Ukukhuthazwa kweNerve yeVagus (VNS) | Isixhobo esincinci sifakwa ngotyando phantsi kwesikhumba sesifuba kwaye sivuselela umthambo we-vagus entanyeni. Oku kusetyenziselwa ukudakumba okunyamezelayo ixesha elide. |
Ukulaliswa esibhedlele
Ngamanye amaxesha, ukuba ukudakumba kwakho kukhulu kangangokuba usengozini yokuzilimaza, ugqirha wakho unokugqiba ekubeni akulalise esibhedlele ixesha elifutshane. Oku kukuvumela ukuba ube kwindawo ekhuselekileyo, kude noxinzelelo lobomi bemihla ngemihla, kwaye kuvumela oogqirha bakho ukuba benze isicwangciso sonyango esilungele wena.
Izinto onokuzenza ngelixa uphila nale meko
Kungathatha ixesha ukufumana unyango olufanelekileyo kuwe. Okwangoku, ezi zinto zinokukunceda ulawule imeko yakho.
- Landela isicwangciso sakho sonyango ngokuchanekileyo. Musa ukuyeka ukuthatha amayeza akho okanye utshintshe umthamo de ugqirha wakho akuxelele ukuba wenjenjalo.
- Ziphephe ngokupheleleyo utywala neziyobisi. Ezi zinto ziphazamisa ukusebenza kakuhle kwemithi yokudakumba kwaye zingenza ukudakumba kube mandundu.
- Lala kakuhle ebusuku. Zama ukulala iiyure ezisi-7-8 ngaphandle kokuphazanyiswa ngosuku.
- Lawula uxinzelelo. Yenza into ekuzisela uxolo yonke imihla, njengokucamngca, i-yoga, okanye ukumamela umculo.
- Ukuzilolonga. Ukuhamba okanye ukubaleka ubuncinane imizuzu engama-30 yonke imihla kunokunceda ukuphucula indlela ovakalelwa ngayo.
Umyalezo Wokuya Ekhaya
- Ukudakumba okunganyangekiyo ngonyango (TRD) akuyongxaki yakho okanye ubuthathaka bakho. Yimeko yempilo.
- Kuqhelekile ukuba uzinike ixesha elithile ukuze ufumane unyango olufanelekileyo kuwe. Kufuna umonde nomgudu.
- Kwimeko efana nale, kubaluleke kakhulu ukusebenza nogqirha wengqondo oqeqeshiweyo.
- Amaxesha amaninzi, indibaniselwano yamayeza kunye nonyango lokuthetha (i-psychotherapy) yeyona isebenzayo.
- Ungaze ulahle ithemba. Ungaphila ngokupheleleyo kule meko. Zininzi iindlela zonyango kunye neendlela ezinokukunceda.
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