Ngaba usebenzisa iyeza lokudakumba xa uxinezelekile? Ukuba kunjalo, mhlawumbi uyazi ukuba iintsuku zokuqala ezimbalwa, mhlawumbi neeveki, zokusela eli yeza zinokuba nzima kancinci. Unokufumana iziphumo ebezingalindelekanga ezifana nesiyezi, isicaphucaphu, kunye nezandla ezibilayo. Ekubeni eli yeza lithatha ixesha ukusebenza, usenokuba uzibuza, "Ngaba kukho sizathu sokuthatha eli yeza emva kokubandezeleka inyanga yonke?"
Zinike ixesha lokufumana amayeza afanelekileyo.
Okokuqala, khumbula ukuba ngokuqinisekileyo uza kuziva ungcono . Kuya kufuneka uzinike ixesha. Amayeza okudakumba asebenza njengokutyala isityalo. Kuthatha ixesha ukuba sihlume, sikhule, kwaye sidubule, akunjalo? Yiyo loo nto kunjalo. La mayeza achaphazela ii-neurotransmitters ezingqondweni zethu kwaye athatha ixesha ukubuyisela ibhalansi yazo.
Ngokuqhelekileyo, ukuba awuziva naluphi na utshintsho oluhle kwimo yakho emva kweeveki ezi-6 ukuya kwezi-8, mhlawumbi ayiloyeza elifanelekileyo kuwe. Kodwa ungakhathazeki. Oku kuqhelekile kakhulu.
Uphononongo olukhulu lufumanise ukuba yi-30% kuphela yabantu abanesifo sokudakumba abafumana amayeza okokuqala abafumana ukukhululeka ngokupheleleyo kwiimpawu zabo kwiinyanga ezine.
Oko kuthetha ukuba abantu abangama-70 kwabayi-100 abayi kufumana amayeza okuqala ngokuchanekileyo. Kodwa oko akuthethi ukuba abayi kuphila. Malunga nama-20% abo baya kuphila xa betshintshela kwenye iyeza lokudakumba, okanye xa bongeza into efana ne-talk therapy. Xa abanye betshintshela kwenye iyeza, ekugqibeleni abantu abangaphezu kwama-70% baya kuphila ngokupheleleyo kwi-depression yabo.
Ngoko ke eyona nto ibalulekileyo kukunganikezeli ngokukhawuleza . Kubalulekile ukuhlala unxibelelana nogqirha wakho, uthethe ngendlela oziva ngayo, kwaye wenze naluphi na utshintsho olufunekayo.
Ukubaluleka kokuthetha nengcali
Rhoqo, ugqirha wethu wosapho (GP) usenokuba ngowokuqala ukusinika iyeza lokudakumba. Akukho nto imbi ngaloo nto. Kodwa ngamanye amaxesha, ukuthetha nogqirha wengqondo onolwazi olunzulu ngamayeza ahlukeneyo, imilinganiselo yawo, kunye nemiphumo emibi kunokwenza umahluko omkhulu.
Kutheni ingcali yezengqondo ibalulekile?
- Ukuchonga iDosi echanekileyo: Ngamanye amaxesha ingxaki ayisiyomithi oyithathayo, kodwa yidosi. Oogqirha banokukuqalisa ngononophelo idosi ephantsi. Oku kubizwa ngokuba yi-"under-dosing." Ingcali yezengqondo inokuvavanya ngokuchanekileyo imeko yakho kwaye ikunike idosi echanekileyo. Ngamanye amaxesha, ukwandisa idosi kancinci kunokusombulula ingxaki.
- Ukuchonga ezinye iimeko:Ugqirha wengqondo unokubona ngcono ukuba uneemeko ezifana nokuxhalaba okanye ukuphazamiseka kovalo kunye nokudakumba.
- Ukubonelela ngezinye iindlela: Ukuba iyeza elinye alisebenzi, unokwenza izigqibo malunga nokuba loluphi unyango aza kulunika, nokuba uza kulunika amayeza amabini kunye, okanye nokuba uza kulufaka na 'Talk Therapy'.
Jonga ukuba kukho ezinye iingxaki eziphazamisana na namayeza.
Ngamanye amaxesha isizathu sokuba i-antidepressant ingasebenzi sisenokuba sibangelwa yenye ingxaki engundoqo.
| Imeko enokubakho engaphantsi | Indlela elichaphazela ngayo eli yeza |
|---|---|
| Ixhala/Ingxaki Yokuxhalaba | Ezinye iziyobisi zokudakumba zinokubangela ukwanda kancinci kwexhala xa uqala ukuzisebenzisa. Kubantu abaninzi, oku kuya kuphela kwiintsuku ezimbalwa, kodwa kwabanye abantu, kusenokuqhubeka. Kwimeko enjalo, kuya kufuneka unyange zombini uxinzelelo kunye noxinzelelo ngaxeshanye. |
| Ukuxhuzula | Mhlawumbi awunayo i-depression, kodwa une-Bipolar Disorder. Le yimeko apho utshintshatshintshana phakathi kwe-extreme depression kunye ne-extreme manic states. Ukuba unika umntu onjalo i-antidepressant, inokubangela ezo mpawu ze-manic ngequbuliso. Uhlobo olwahlukileyo lwamayeza lulungele yena. |
Ngoko ke ukuba uqala ukuziva uxhalabile kakhulu okanye uloyiko emva kokuqalisa amayeza akho, okanye ukuba ngequbuliso uzive wonwabile kakhulu okanye usebenza kakhulu, xelela ugqirha wakho ngoko nangoko .
Lumka nemikhwa yakho kunye neemvakalelo zakho.
Ngamanye amaxesha, iyeza elisebenze kakuhle ixesha elide lisenokuvakala ngathi liyaphela kancinci kancinci. Abanye abantu babiza oku ngokuthi "yiProzac poop-out." Kodwa uninzi lwexesha, ayiloyeza elibangela oku, kodwa yinto eyahlukileyo kwindlela esiphila ngayo.
- Ukusetyenziswa kotywala okanye iziyobisi:Utywala buyadambisa uxinzelelo. Oko kuthetha ukuba buyandisa uxinzelelo. Ukuba usela utywala ngelixa usela iyeza lokudambisa uxinzelelo, bunokuphazamisana kakhulu nokusebenza kakuhle kwamayeza.
- Uxinzelelo ebomini: Iingxaki emsebenzini, iingxaki zosapho, kunye neengxaki zemali zinokunyusa amanqanaba ethu oxinzelelo. Emva koko singaziva ngathi amayeza awasebenzi.
- Umlinganiselo onganeleyo: Ekuhambeni kwexesha, umzimba wakho usenokungakwazi ukumelana nomlinganiselo.
Ngamaxesha anje, abanye abantu bacela ukuba amayeza anyuswe. Kodwa kwabaninzi, iinyanga ezimbalwa zonyango lokuthetha zibanika amandla amaninzi okumelana neli xesha linzima.
Cinga ngonyango lokuthetha.
Izifundo zibonise ngokucacileyo ukuba unyango lokuthetha, kunye namayeza, yeyona ndlela ilungileyo yokoyisa uxinezeleko.
Oku kuquka ukuthetha ngeengxaki zakho nomcebisi oqeqeshiweyo okanye ugqirha wengqondo. Akufani nokuthetha nje nomhlobo. Kukufundisa ukuchonga iindlela zakho zokucinga, ukujongana neengxaki zobomi ngendlela eyahlukileyo, nokuqinisa ubudlelwane. `Cognitive Therapy (CBT)` kunye `Interpersonal Psychotherapy (IPT)` ziindlela ezimbini zonyango eziye zangqinwa ngokwesayensi ukuba ziyasebenza.
Khetha indlela yonyango ekufaneleyo.
Ekugqibeleni, eyona nto ibalulekileyo yintando yakho.
- Abanye abantu banokuthi, "Andinakuthatha amayeza konke konke."
- Omnye umntu unokuthi, "Andithandi ukuthetha ngeengxaki zam nomntu endingamaziyo."
Ngamaxesha anje, isigqibo sicacile. Kodwa ukuba uneempawu ezinzima kangangokuba awukwazi ukutya okanye ukulala kakuhle, oogqirha badla ngokukucebisa ukuba uqale unyango.
Khumbula, ukudakumba yingxaki enzima kakhulu. Iphenjelelwa zizinto zemfuza, izinto zebhayoloji, kunye neziganeko zobomi. Asinakutshintsha ii-genes zethu ngaxeshanye. Kodwa singafunda indlela yokujongana neengxaki zobomi. Ngamanye amaxesha, xa amayeza enceda ukuba imeko yakho iphucuke kancinci, ufumana ithemba elitsha namandla. Oko kuqala ukutshintsha ubudlelwane bakho, umsebenzi wakho, kunye nendlela ojonga ngayo ubomi.
Umyalezo Wokuya Ekhaya
- Kuthatha iiveki ezininzi ukuba iyeza lokuthomalalisa uxinezeleko lisebenze, ngoko ke yiba nomonde .
- Ukuba akukho tshintsho emva kweeveki ezi-6-8, ungakhathazeki kwaye uthethe nogqirha wakho . Oku kuqhelekile.
- Mhlawumbi kufuneka utshintshe amayeza, utshintshe umthamo, okanye uqalise unyango lokuthetha .
- Xelela ugqirha wakho yonke into oyivayo (imiphumo emibi, utshintsho lweemvakalelo) ngaphandle kokuyifihla .
- Kuphephe ngokupheleleyo ukusebenzisa utywala neziyobisi kuba ziphazamisa ukusebenza kakuhle kwamayeza.
- Uhambo oluya ekuchacheni kwingxaki yokudakumba lunokuba lude, kodwa ngonyango olufanelekileyo, ngokuqinisekileyo ungachacha.
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