Ngisho nangemva kokululama ku-COVID , usazizwa sengathi umzimba wakho nengqondo yakho akulungile? Ingabe uvame ukuba nekhanda elibuhlungu, ukukhathala, kanye nemizwa yokucindezeleka, ukudabuka, kanye nokukhungatheka? Mhlawumbe ulwa wedwa nokucindezeleka kwangemva kwe-COVID. Ungakhathazeki, lokhu akuyona into eyenzeka kuwe wedwa. Ake sixoxe ngalokhu ngokuningiliziwe nangokulula.
Kuyini ukucindezeleka kwe-COVID?
Kalula nje, lokhu kufana nanoma yisiphi esinye isimo sokucindezeleka. Kodwa isizathu esiyinhloko salokhu ukungena kwegciwane le-Covid-19 emizimbeni yethu. Leli gciwane libangela izinguquko ezithile zamakhemikhali kanye nezebhayoloji emizimbeni yethu, ikakhulukazi ebuchosheni, ezivula indlela yalesi simo.
Ucwaningo luthole ukuthi abanye abantu abane-COVID-19 baye banciphisa ukugaywa kwe-glucose, umthombo wamandla ebuchosheni. Ngokufanayo, kwabanye abantu, lapho ukucindezeleka kuqala ngemva kwe-COVID, amazinga e-serotonin, ikhemikhali esisiza sizizwe sijabule, ayancipha. Ucwaningo lusaqhubeka ukuze kuqondwe ukuthi ukuvuvukala okubangelwa yigciwane emizimbeni yethu nasezingqondweni zethu kukuthinta kanjani lokhu.
Kuyini ukuxhumana phakathi kwe-Covid nokucindezeleka?
Ngisho noma izimpawu zakho ze-COVID (njengomkhuhlane nokukhwehlela) seziphelile, ungase uzizwe ungaphilile nhlobo. Ungase ube nekhanda elibuhlungu njalo, uzizwe ubuthakathaka, uzizwe ukhathazekile, futhi ube nenkinga yokusebenza emsebenzini.
Eqinisweni, ucwaningo lukhombisile ukuthi inani elikhulu labantu abalulama ku-COVID-19 liyaqhubeka nokubonisa izimpawu zokucindezeleka ezinyangeni ezimbalwa kamuva. Le ngozi iphezulu kakhulu kulabo abaye baba nesifo esibi kakhulu.
Ngaphezu kwalokho, izimo ezifana nokucindezeleka kwangemva kwenhlekelele (PTSD), ukukhathazeka, ukuqwasha, kanye nesifo sokuzibamba esibangelwa ukucindezeleka ( OCD ) nazo zibikiwe phakathi kwabasindile ku-COVID-19. Lokhu kusho ukuthi umuntu oke waba ne-COVID cishe uzoba nezinkinga zempilo yengqondo ngemva kokululama.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Ukutheleleka yi-COVID kungathinta impilo yakho yengqondo ngezizathu ezimbili eziyinhloko.
| Isizathu | Incazelo elula |
|---|---|
| 1. Impendulo yomzimba yokulwa negciwane | Uma ungenwe yigciwane, amasosha omzimba wakho alungiselela ukulwa. Ngalesi sikhathi, akhiqiza amakhemikhali okuvuvukala abizwa ngokuthi ama-cytokine. Uma lokhu kwanda ngaphandle kokulawulwa, kungalimaza isimiso sezinzwa futhi kuthinte ubuchopho. Lezi zinguquko zezinto eziphilayo yizo ezibangela izimo ezifana nokucindezeleka. |
| 2. Ukucindezeleka okuhlobene nokutheleleka | Ukwesaba ukugula, ukuhlukaniswa nabantu, ukwesaba ukuthelela abanye, kanye nokucwaswa okuhambisana nalesi sifo kungabangela ukucindezeleka okukhulu kwengqondo. Lokhu kucindezeleka kuphakeme kakhulu kulabo abalaliswe esibhedlela futhi abathola ukwelashwa bodwa. Lokhu kucindezeleka kwengqondo nakho kuyimbangela enkulu yokucindezeleka. |
Ingabe nawe unalezi zimpawu?
Uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo emavikini amane noma ngaphezulu ngemva kokuthola i-COVID, kufanele nakanjani uziqaphele. Lezi zingase zibe khona njalo noma zingase ziphele.
| Izimpawu ezivamile zokucindezeleka | |
|---|---|
| • Ukuzizwa udabukile futhi ukhungathekile njalo | • Ukungakwazi ukuthola injabulo kunoma yini |
| • Ukudumazeka ngempilo | • Ukukhathala okuqhubekayo, umuzwa wobuthakathaka |
| • Ukungakwazi ukugxila ngisho nasezintweni ezincane kakhulu (isib. ukubukela i-TV) | • Ukulahlekelwa yisifiso sokudla noma ukudla ngokweqile |
| • Ukulala kakhulu noma ukungalali kahle (ukungalali kahle) | • Imicabango yokuzilimaza noma yokuzibulala |
Uma unezimpawu ezinjengalezi, sicela ungazihluphi wedwa futhi funa iseluleko kudokotela womndeni wakho noma kuchwepheshe wezempilo yengqondo .
Udokotela usithola kanjani lesi simo ngokunembile?
Akukho ukuhlolwa okuqondile kwalokhu. Uma uya kudokotela, uzokubuza imibuzo embalwa mayelana nemizwa yakho, imicabango yakho, kanye nokuhlangenwe nakho kwakho nge-COVID. Kubaluleke kakhulu ukuthi umtshele ukuthi une-COVID nokuthi awufihli lutho ngayo .
Udokotela angase abuze izinto ezifana nalezi:
- Bekunzima kangakanani kuwe?
- Ingabe ukhona oye wakusiza?
- Ingabe wangeniswa esibhedlela? Uhlale isikhathi esingakanani lapho?
- Ubusegunjini labagula kakhulu (ICU)?
- Sinjani isikhathi sokululama?
- Ingabe lezi zimpawu zaqala ngaphambi noma ngemva kwe-Covid?
Ngaphezu kwalokho, ukuhlolwa ngokomzimba kungenziwa ukuze kuhlolwe imbangela engokwenyama kanye nokuhlolwa kwegazi ukuze kuhlolwe inkinga yamahomoni, njengenkinga ye-thyroid.
Yiziphi izindlela zokwelapha ezitholakalayo?
Ucwaningo lusaqhubeka ukuthola izindlela zokwelapha ezingcono kakhulu zalokhu, kodwa izindlela zokwelapha zamanje zingasiza ukulawula izimpawu zakho futhi zikusize uphinde ululame.
- Ukwelashwa ngemithi: Udokotela wakho angase akunike imithi yokucindezeleka .
- Ukwelulekwa Nokwelashwa Ngengqondo: Ukukhuluma nomeluleki wezempilo yengqondo kungaba yindlela enhle yokuqonda nokuphatha imizwa yakho. Ukwelashwa Kokuziphatha Kokuqonda (i-CBT) kuyindlela ephumelelayo yalokhu.
- Ukusekelwa Kontanga: Ukukhuluma namaqembu abantu ababhekene nokucindezeleka kwesikhathi eside kwe-COVID noma i-COVID njengani kungakusiza uzizwe sengathi awuwedwa.
- Izinhlelo zokuvuselela:Lokhu kuzosiza ukunqoba ubuthakathaka obungokomzimba obubangelwa yi-Covid. Uma umzimba unamandla, ingqondo nayo izizwa kahle.
Yini ebhekwa njengesimo esiphuthumayo?
Ngezinye izikhathi, uma kungelashwa noma kungatholakalanga, kungaba nzima kakhulu futhi kube yisimo esiphuthumayo. Uma wena noma othile omaziyo enezimpawu ezilandelayo, sicela ufune usizo ngokushesha.
- Imicabango ephindaphindayo yokuzilimaza.
- Imicabango ephindaphindayo yokufa noma ukuzibulala.
- Ukuzizwa sengathi ufuna ukufa.
- Ukuzama ukuzibulala.
Esimweni esinjalo, sicela uye esibhedlela esiseduze noMnyango Wezimo Eziphuthumayo (i-ETU). Ngaphandle kwalokho, ungashayela inombolo yezimo eziphuthumayo i-National Institute of Mental Health (NIMH) amahora angama-24 ngosuku, izinsuku eziyi-7 ngesonto, u-1926 ukuze uthole usizo olusheshayo.
Umlayezo Wokuya Nawe Ekhaya
- I-COVID-19 akuyona nje isifo sokuphefumula. Ingabangela izinguquko zamakhemikhali ebuchosheni bakho, okuholela ezimweni ezifana nokucindezeleka.
- Uma uzizwa ngale ndlela, akulona iphutha lakho noma ubuthakathaka. Kuyisimo sempilo.
- Ukudabuka okuqhubekayo, ukukhathala, ukukhungatheka, kanye nokungabi nandaba nanoma yini ngisho namasonto ambalwa ngemva kokululama ku-COVID kuyizimpawu ezidinga ukunakwa.
- Sicela ungahlupheki wedwa ngalokhu. Khuluma nomuntu omethembayo. Qiniseka ukuthi ubonana nodokotela wakho futhi uthole iseluleko.
- Lesi simo singalulama ngokuphelele ngemithi, ukwelulekwa, kanye nezinye izinsizakalo zokusekela.
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