Ingabe ngezinye izikhathi uzizwa udabuke kakhulu, usinda, futhi ungafuni ukwenza lutho? Kodwa uma umngane ekufonela futhi ekuxoxela izindaba ezinhle, noma uma ubuka i-movie oyithandayo, ingabe lolo daba luyanyamalala isikhashana bese kufika injabulo encane engqondweni yakho? Bese uzizwa usizi nesisindo esifanayo futhi? Abantu abaningi bacabanga ukuthi ukucindezeleka kuyisimo sengqondo esihlala njalo, esingenanjabulo. Kodwa lolu 'hlobo oluhlukile lokucindezeleka' esikhuluma ngalo namuhla alunjalo. Luhlukile kancane.
Kuyini lokhu 'ukucindezeleka okungavamile'?
Kalula nje, ukucindezeleka okungavamile kuyingxenye encane yokucindezeleka. Kodwa-ke, izimpawu zako zihlukile kancane ezimpawini zesimo esivame ukusibiza ngokuthi ukucindezeleka.
Manje ungase ucabange ukuthi igama elithi 'atypical' lisho into 'engavamile' noma 'engabonwa njalo'. Kodwa akusikho lokho elikushoyo lapha. Lisho ukuthi, "ukubonisa izimpawu ezihlukile kwezimpawu zokucindezeleka esivame ukuzibona."
Isici esiyinhloko nesihlukile kakhulu salokhu ukuthi uma kwenzeka into ejabulisayo kuwe, usizi nokuphelelwa yithemba okuzizwayo kuyanyamalala okwesikhashana. Ngokuqondile, isimo sakho sengqondo 'siyasabela' ezenzakalweni ezinhle. Lokhu sikubiza kwezokwelapha (ukusabela kwesimo sengqondo) . Lesi yisici esiyinhloko esihlukanisa lesi simo kwezinye izimo zokucindezeleka.
Uyini umehluko phakathi kokucindezeleka 'okuvamile' kanye nalokhu kucindezeleka 'okuhlukile'?
Zombili ziyizimo zempilo yengqondo. Zombili zihilela umuzwa wokudabuka wesikhathi eside nokuphelelwa yithemba. Kodwa kukhona umehluko ocacile phakathi kwalezi ezimbili. Ake sibone ukuthi ziyini. Bheka leli shadi.
| Isici | Ukucindezeleka Okuvamile | Ukucindezeleka Okungavamile |
|---|---|---|
| Isimo sengqondo | Ngisho noma kwenzeka into enhle, usizi nokungabi nalutho kuyasala. Isimo sengqondo asishintshi. | Uma kwenzeka okuthile okuhle (isib. iphathi, izindaba ezinhle), usizi luyanyamalala okwesikhashana bese kuzwakala injabulo. |
| Isifiso sokudla kanye nesisindo | Ngokuvamile, isifiso sokudla siyancipha, okungaholela ekunciphiseni isisindo. | Ngokuvamile, isifiso sokudla siyanda kakhulu, okungaholela ekukhuluphaleni. |
| Ukulala | Ukungalali noma ukuvuka ngokweqile. | Kungakhathaliseki ukuthi ulala kangakanani, usazizwa sengathi awutholi ngokwanele. Une-hypersomnia eningi kakhulu. |
| Ubudala bokuqala | Kungenzeka kunoma yimuphi ubudala. | Ngokuvamile kuqala eminyakeni yobusha noma ekuqaleni kweminyaka yama-20. |
Uma ubona lo mehluko, cishe uyaqonda ukuthi ukucindezeleka okungavamile akusikho "ukucindezeleka okuncane," kodwa "uhlobo oluhlukile lokucindezeleka."
Ubani onamathuba amaningi okuthola lesi simo? Sivame kangakanani?
Lesi simo sivame kabili kwabesifazane kunakwabesilisa. Futhi, sivame ukuqala ebusheni, phakathi kweminyaka eyi-15-16 kanye nasekuqaleni kweminyaka engama-20.
Naphezu kwegama elithi 'Atypical', lokhu akuyona into engavamile kangako. Eqinisweni, phakathi kuka-15% no-36% wabantu abatholakale benokucindezeleka banalolu hlobo lokucindezeleka. Lokhu kusho ukuthi kuyisimo esivame kakhulu kunalokho esikucabangayo.
Ziyini ngempela izimpawu?
Ngaphezu kokusabela kwemizwa esikhulume ngakho ngaphambili, okuyilapho imizwa yakho ithuthuka khona lapho kwenzeka okuthile okuhle, udinga okungenani ukuba nezici ezimbili ezilandelayo ukuze uqaphele lesi simo.
- Isifiso sokudla ngokweqile kanye/noma ukukhuluphala: Ungase uzizwe sengathi ufuna ukudla okuthile ngaso sonke isikhathi. Ungase ufise kakhulu ukudla okunama-carbohydrate amaningi (irayisi, isinkwa, amaswidi). Lokhu kungaholela ekukhuluphaleni okukhulu.
- I-Hypersomnia: Ukuzizwa ulele ngisho nangemva kokulala amahora ayi-10 noma ayi-12 ngosuku. Ukulala njalo emini kubizwa ngokuthi i-hypersomnia .
- Ukukhubazeka kwe-Leaden: Izingalo nemilenze kuzwakala kusinda kakhulu futhi kungenampilo. Kuzwakala sengathi kusinda njenge-lead. Lokhu kungenza kube nzima ukuphuma embhedeni noma ukuhamba. Lokhu kubizwa ngokuthi ukukhubazeka kwe-leaden ngokwezokwelapha.
- Ukuzwela ngokweqile ekwenqatshweni: Ngisho nokugxekwa okuncane noma ukucasuka okuncane kokwenqatshwa kungaba buhlungu kakhulu. Lokhu kungaholela ekwesabeni noma ekungathandi ukuhlangana nabantu noma ukwenza umsebenzi. Lokhu kungaba ngenxa yokwenqatshwa kwangempela noma ukucatshangwa ukuthi wenqatshiwe.
Ngaphezu kwalezi zimpawu ezithile, izimpawu ezilandelayo ezibonakala ekucindezelekeni okuvamile nazo zingase zivele:
- Imizwa yokudabuka okukhulu nokuphelelwa yithemba.
- Ukulahlekelwa yisifiso sokwenza izinto ezazijabulisa ngaphambili.
- Ukuthambekela kokuthukuthela ngokushesha nokucasuka ngezinto ezincane.
- Ubunzima bokugxilisa ingqondo nokukhumbula izinto.
Kungani lesi simo senzeka?
Akukho sizathu esisodwa esitholiwe salokhu, kodwa abacwaningi bakholelwa ukuthi inhlanganisela yezici ingaba yimbangela.
- Izinguquko kumakhemikhali obuchopho: Kalula nje, lokhu kungabangelwa izinguquko ekusebenzeni kwamakhemikhali ebuchosheni bethu adlulisela imiyalezo (esiwabiza ngokuthi ama-neurotransmitter ) kanye nezindawo eziwatholayo ( ama-neuroreceptor) .
- Izakhi zofuzo: Uma othile emndenini wakho eke waba nesifo sengqondo esifana nokucindezeleka noma isifo sokuphazamiseka kwengqondo , usengozini enkulu yokuba nalesi simo.
- Ukuhlukumezeka: Izehlakalo ezibuhlungu, ikakhulukazi lezo ezenzeka ebuntwaneni, njengokuxhashazwa, zingaholela ekuveleni kwezimo ezinjalo kamuva ekuphileni.
- Ukucindezeleka Okungapheli: Ukucindezeleka kwesikhathi eside emsebenzini nasemndenini nakho kungathinta lokhu.
Ezinye izinto ezandisa ingozi
Ngaphezu kwezizathu ezingenhla, okulandelayo kungandisa ingozi yokuthola ukucindezeleka okungavamile:
- Ukuba nomlando wezimo ezifana nesifo sokuphazamiseka kwengqondo noma ukukhathazeka .
- Okuhlangenwe nakho okubi okwake kwenzeka ebuntwaneni.
- Ukuxhashazwa ngokomzwelo, ngokomzimba, noma ngokocansi.
- Isimo esibucayi sezokwelapha, njengengozi noma ukugula kwesikhathi eside.
- Usizi olungabekezeleleki njengokulahlekelwa othandekayo.
- Ukuba nomlando wokusebenzisa izidakamizwa noma utshwala.
Udokotela uhlonza kanjani lokhu?
Uma uya kudokotela, uzokhuluma nawe ngokucophelela ngezimpawu zakho, umlando wakho wezokwelapha, kanye nomlando wakho wezempilo yengqondo.
Khumbula, kubaluleke kakhulu ukutshela udokotela wakho ukuthi uzizwa kanjani kanye nezinkinga obhekene nazo ngaphandle kokufihla lutho.
Ngezinye izikhathi, ukuhlolwa kwegazi kungenziwa ukuze kuhlolwe ezinye izimbangela zomzimba zezimpawu zakho. Isibonelo, izinkinga ze-thyroid ngezinye izikhathi zingabangela izimpawu zokucindezeleka, ngakho-ke kubalulekile ukugwema lezo zimo.
Uma kudingeka, udokotela wakho angakudlulisela kuchwepheshe, njengodokotela wezifo zengqondo.
Yiziphi izindlela zokwelapha lokhu?
Izindaba ezinhle ukuthi ukucindezeleka okungavamile kuyisimo esingelashwa kahle kakhulu . Izindlela zokwelapha zingahluka kuye ngokuthi isimo sakho sibucayi kangakanani. Kunezinhlobo ezimbili eziyinhloko zokwelapha ezivame ukusetshenziswa.
Ukwelapha ngengqondo
Lokhu sikubiza nje ngokuthi ukwelulekwa. Lapha, ukhuluma ngezinkinga zakho nomeluleki wezempilo yengqondo oqeqeshiwe (umeluleki, isazi sokusebenza kwengqondo).
- Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Lokhu kuyindlela yokwelapha esetshenziswa kabanzi futhi ephumelelayo. Kukusiza ukuthi ubone imicabango nemizwa emibi efika engqondweni yakho futhi uqonde ukuthi ithinta kanjani izenzo zakho. Lokhu kukusiza ukuthi ushintshe lawo maphethini amabi futhi kukuqeqeshe ukuthi ucabange ngezindlela ezinempilo.
Imithi (Ama-antidepressant)
Kunezinhlobo ezahlukene zemithi esetshenziswa ukwelapha ukucindezeleka. Le mithi isebenza kakhulu ngokulinganisela amazinga ama -neurotransmitter ebuchosheni.
- Esikhathini esidlule, uhlobo lwemithi ebizwa ngokuthi ama-MAOI lwalusebenza kahle kakhulu kubantu abanokucindezeleka okungajwayelekile. Kodwa kwakunezinto eziningi okwakufanele uziqaphele lapho uzithatha kanye nokudla neziphuzo, futhi kwakunemiphumela eminingi emibi. Ngakho-ke manje odokotela abavamile ukuncoma lolo hlobo lwemithi.
- Manje, kunemithi eminingi ephephile, engabangeli imiphumela emibi kakhulu, futhi esebenza kahle kakhulu etholakalayo, njenge -SSRIs .
Udokotela wakho uzonquma ukuthi yimuphi umuthi ofanele wena nokuthi kufanele uwuthathe isikhathi esingakanani. Ngakho-ke, ungalokothi uqale noma uyeke ukuthatha umuthi ngaphandle kokubonisana nodokotela.
Ngaphezu kwalezi zindlela zokwelapha, ukwenza izinguquko ezithile endleleni yakho yokuphila (ukuzivocavoca umzimba, ukugwema ukusebenzisa utshwala nezidakamizwa) kungasiza futhi ekulawuleni izimpawu.
Kwenzekani uma ingelashwa?
Uma kungelashwa, lokhu kungaba nemiphumela emibi kakhulu.
- Isifiso sokudla ngokweqile esiholela ekudleni ngokweqile nasekukhuluphaleni.
- Ukwanda kwezingxabano ebudlelwaneni.
- Ingozi eyengeziwe yokulutha izidakamizwa.
- Ukunciphisa ukusebenza kahle kanye nokugwema umsebenzi noma imisebenzi yezemfundo.
- Ukwanda kwezinye izimo zomzimba.
- Ingozi yokuzibulala yanda.
Kodwa-ke, ngokwelashwa okufanele, abantu abangu-70% kuya ku-80% abanokucindezeleka bangathola ukuthuthuka okukhulu ezimpawini zabo. Ukwelashwa kokuqala oqala ngakho kungase kungasebenzi kuwe. Kodwa ungapheli amandla. Khuluma nodokotela wakho ukuze uthole uhlelo lokwelashwa olukusebenzelayo.
Kufanele ngimbone nini udokotela?
Uma uzizwa sengathi unezimpawu ezishiwo kulesi sihloko, sicela ungacabangi ukuthi, "Lokhu kumane nje kuwumuzwa wokudabuka, kuzolunga ngokuhamba kwesikhathi," futhi sicela ubonane nodokotela ngokushesha. Lesi yisimo sezokwelapha esidinga ukwelashwa, njengesifo sikashukela kanye nomfutho wegazi ophakeme.
Okubaluleke kakhulu: Uma wena noma othile omaziyo enemicabango yokuzibulala, sicela uye esibhedlela esiseduze nawe eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha noma ukhulume nomuntu omdala omethembayo ngakho. Ungahlupheki wedwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka Okungavamile uhlobo 'oluhlukile' lokucindezeleka. Isici esiyinhloko ukuthi usizi luyanyamalala okwesikhashana lapho kwenzeka okuthile okuhle.
- Lokhu akuyona into 'eyenzeka kaningi', kuvame kakhulu kunalokho esikucabangayo.
- Izimpawu eziyinhloko ukudla ngokweqile, ukozela ngokweqile, ukusinda ezingalweni nasemilenzeni, kanye nokuzwela okukhulu kokwenqatshwa.
- Lokhu akusibo ubuthakathaka, kodwa yisimo esingalapheka kangcono ngokwelashwa.
- Uma unalezi zimpawu, ungabi namahloni noma wesabe ukufuna iseluleko sezokwelapha. Uma uthola usizo ngokushesha, kulapho ungalulama khona ngokushesha.
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