Ngaba izinto owawuzithanda azisenantsingiselo? Makhe sithethe ngeAnhedonia!

Khawucinge nje, into obukade uyonwabela kwaye uyonwabela ukuyenza… mhlawumbi uhamba nohambo nabahlobo, ubukele imovie entle, utya igadi encinci, okanye utye ukutya okuthandayo. Kodwa ngoku awusaziva uvuyo, ulonwabo, 'ulwaneliseko' kuzo naziphi na ezo zinto? Kuthekani ukuba ezo zinto azisaziva 'zimnandi' kuwe? Yiloo nto siyibiza ngokuba yi-anhedonia ngokwezonyango. Ngamafutshane, ukulahlekelwa kukwazi ukufumana ulonwabo.

Yintoni kanye kanye iAnhedonia?

Igama elithi Anhedonia lithetha “ukungabikho kolonwabo.” Luphawu oluqhelekileyo lokudakumba kunye nezinye iimeko zempilo yengqondo. Enyanisweni, malunga nabantu abasixhenxe kwabalishumi abane-major depression disorder (MDD) bane-anhedonia. Sidla ngokwazi ukuba yintoni ulonwabo, kwaye siyonwabela izinto ezithile. Kodwa xa oku kusenzeka, loo mvakalelo yolonwabo iyanyamalala. Ubukade uthanda ukutya itshokholethi okanye ukumamela ingoma. Ngoku unokufumanisa ukuba ukwenza ezo zinto kukwenza uzive ungonwabanga kangako. Usenokungazi nokuba kutheni. Umntu one-anhedonia usenokuvakalelwa kukuba ubuhlobo nolwalamano losapho luxabisekile, kodwa usenokungaluva ulonwabo, okanye 'umvuzo', oluvela kwezo zinto, ngoko ke usenokuvakalelwa kukuba akukho sizathu sokuzisebenzela nzima.

Ngaba kukho iintlobo eziphambili ze-anhedonia?

Ewe, sithetha ngeentlobo ezimbini eziphambili ze-anhedonia. Kukwakho nezinye iintlobo ezimbalwa ezithile. Masizijonge ezi kwitheyibhile.

Ezinye iintlobo ezithile

• I-Anhedonia yokulindela: Ukungalindeli ulonwabo ngento eyonwabisayo (umz., uhambo) oluzayo. Ukungakwazi ukuvuya ngayo nangona usazi ukuba iza kuba mnandi.
• I-Anhedonia yokugqiba: Ukungonwabi kwinto ethile ngelo xesha. Ukungonwabi xa uthetha nomhlobo.
• I-Anhedonia yoMculo: Ukungakwazi ukonwabela umculo, umculo, okanye ithoni . Ingoma ivakala ngathi sisandi nje, ngaphandle kwemvakalelo.
• I-Ejaculatory Anhedonia: Le yimeko ethile yempilo yesondo apho unokufumana i-orgasm ngexesha lesondo kodwa ungonwabi.

Kutheni oku kusenzeka? Zithini izizathu?

Nangona i-anhedonia luphawu oluphambili lokudakumba, kukho ezinye izinto ezininzi ezinokubangela oku. Usenokuba sengozini enkulu yokuba ne-anhedonia ukuba unezi meko zilandelayo:

• Uxinzelelo
Ezinye izifo zengqondo ezifana ne -schizophrenia , i-bipolar disorder , kunye ne-post-traumatic stress disorder (PTSD)
• Izifo ze-neurological ezifana nesifo sikaParkinson
• Ukusetyenziswa kweziyobisi okanye utywala
• Intlungu engapheliyo

Ngokwesayensi, i-anhedonia ibangelwa kukuphazamiseka kwimijikelezo yolonwabo kunye nomvuzo engqondweni yethu . Iingcali ezininzi zikholelwa ukuba unobangela oyintloko kukuncipha komsebenzi wekhemikhali engqondweni ebizwa ngokuba yi-dopamine . I-Dopamine yi-hormone "eyenza sonwabe, saneliseke kwaye sikhuthazeke." Xa le nkqubo ye-dopamine iphazamisekile, asifumani lonwabo luninzi.

Ngaba nawe unazo ezi mpawu?

I-Anhedonia ivakala ngathi yintsiba. Apho bekukho ulonwabo khona, ngoku kusenokuba kukho ukuziva ungenanto, ukungabikho kweemvakalelo. Nezinto ezintle azivakali zintle. Iimpawu eziqhelekileyo ziquka:

• Ukuba ndindisholo
• Ukulahlekelwa ngumdla kwizinto ozithandayo owawuzithanda ngaphambili
• Ukuzikhwebula kwabanye nokuphepha imisebenzi yoluntu
• Ubunzima bokwenza izigqibo
• Ukuhlala ulusizi, ungonwabanga, okanye udiniwe
• Ukungakhathali (ukungabi namdla okanye ukuzimisela ukwenza nantoni na)
• Iingxaki zokulala kunye nokuncipha komnqweno wesondo

Ezi mpawu azifani kuye wonke umntu. Kwabanye abantu, ziyafika zihambe okwethutyana, ngoxa kwabanye, zisenokuba zihlala zihleli.

Ugqirha uyifumana njani le nto?

Xa uchaza ezi mpawu, ugqirha wakho uza kuqala ajonge ukuba unesifo sokudakumba na. Baza kukhangela nezinye iimeko zomzimba ezinokubangela ezi mpawu. Ukuze wenze oku,

• Uza kubuzwa imibuzo embalwa malunga nendlela ovakalelwa ngayo kunye neempawu zakho.
• Uvavanyo lwegazi lunokwenziwa ukujonga ukuba amanqanaba e-vitamin D aphantsi okanye i-thyroid hormone.
• Impilo yakho yomzimba iya kuhlolwa.
• Ngamanye amaxesha ungasebenzisa nemibuzo ekhethekileyo (ii-surveys) ezenzelwe ukulinganisa inqanaba lakho lokonwaba.

Konke oku kwenzelwa ukufumanisa ngokuchanekileyo imeko yakho nokukhetha unyango olufanelekileyo.

Zithini iindlela zonyango zoku?

Ngenxa yokuba i-anhedonia luphawu, eyona nto ibalulekileyo xa uyinyanga kukufumanisa unobangela oyintloko. Isicwangciso sonyango sidla ngokuba yindibaniselwano yamayeza kunye nonyango lokuthetha.

Amayeza

Ezinye iziyobisi zokudakumba zinokunceda. Ngokukodwa, amayeza achaphazela amanqanaba e-dopamine engqondweni, njenge -bupropion (Wellbutrin), abonakalisiwe eluncedo kwezinye izigulana. Ezinye izifundo zibonise ukuba amayeza e-SSRI emveli awanampembelelo ingako kule meko, kwaye asenokudambisa iimvakalelo. Ngoko ke ugqirha wakho uya kugqiba ukuba loluphi unyango olulungele wena. Kwezinye iimeko ezingaphenduliyo kwezinye iindlela zonyango, unyango olutsha, olufana nonyango lwe -ketamine , nalo luyaphandwa.

Unyango lokuThetha

Le yinxalenye ebaluleke kakhulu yenkqubo yokuphiliswa.

• Unyango Lokuziphatha Olusebenzisa Ingqondo (CBT): Oku kukunceda ukuba ubone kwaye utshintshe iindlela zakho zokucinga ezimbi. Oku kukuvumela ukuba uphonononge iingcinga ezikuthintela ekubeni ufumane ulonwabo.
• Ukusebenza Kokuziphatha: Ingcali yezonyango ikukhuthaza ukuba uqale kancinci kancinci ukwenza izinto obukade uzonwabela, nokuba awufuni ukuzenza. Njengoko uziqhela kancinci kancinci, usenokuqala ukuzinandipha kwakhona.

Ezinye iindlela zonyango ziquka unyango lwe-electroconvulsive (ECT) kunye ne-transcranial magnetic stimulation (TMS).

Iingozi ukuba azinyangwa

I-Anhedonia ayikokungonwabi nje kuphela. Ukuba ayinyangwa, inokuba nefuthe elikhulu ebomini bakho.

• Ukusilela koqhagamshelo:Ukuchitha ixesha nabahlobo kunye nosapho kunokuba ngumthwalo kuba awonwabanga. Oku kunokubangela ukuba kancinci kancinci ube kude nabantu bonke.
• Ukuzihlukanisa nabantu: Kunokubakho uloyiko okanye ukungafuni ukudibana nabantu nokuthatha inxaxheba kwimisebenzi yoluntu.
• Ukuwohloka kweemeko zempilo yengqondo: I-Anhedonia ingenza iimeko ezinje ngokudakumba zibe mandundu.
• Iingcinga zokuzibulala: Le yingxaki enzulu kakhulu . Kukho unxibelelwano oluqinileyo phakathi kwe-anhedonia kunye neengcinga zokuzibulala.

I-Anhedonia ayisiyongxaki ehlala ihleli. Inganyangeka ngokupheleleyo ngonyango olufanelekileyo. Ke ngoko, ukuba uneempawu, kubaluleke kakhulu ukufuna iingcebiso zonyango ngokukhawuleza. I-Anhedonia, i-anhedonia, ukudakumba, i-dopamine, impilo yengqondo