Sonke sizizwa sidabukile futhi sicindezelekile ngezinye izikhathi ekuphileni kwethu. Kuvamile kakhulu. Kodwa-ke, ukuzizwa sidabukile ngale ndlela evamile kanye nokuxilongwa ukuthi unesifo sokucindezeleka, okuyisimo sezokwelapha, kuyizinto ezimbili ezihluke ngokuphelele. Lokhu kufanele kuhlolwe futhi kuhlolwe udokotela oqeqeshiwe. Uzokuhlola futhi, uma kudingeka, asebenzise uhlu lwemibuzo lokuxilongwa kokucindezeleka ukuze anqume ukuthi hlobo luni lwesimo onaso.
Kalula nje, akukho ukuhlolwa kwegazi okukodwa noma iskeni okungakutshela ngqo ukuthi unesifo sokucindezeleka. Esikhundleni salokho, udokotela uzokwenza izivivinyo ukuze anqume ezinye izimo (njenge-hypothyroidism), asebenzise uhlu lwemibuzo lokuhlola ukucindezeleka, futhi abe nengxoxo enhle nawe.
Kungani kunzima ukuqaphela ukucindezeleka?
Ukucindezeleka kungaba nzima kancane ukukuthola ngezinye izikhathi, ngoba kuthinta wonke umuntu ngendlela ehlukile. Isibonelo, uma umuntu ecindezelekile, uyathula kakhulu futhi alahlekelwe yisithakazelo kunoma yini. Okusho ukuthi, uba yedwa ngokwengqondo. Kodwa abanye bangaba nolaka kakhulu futhi bangahlaliseki.
Kuyafana nokudla, ukuphuza, nokulala. Umuntu oyedwa udla kakhulu noma ulala kakhulu. Kodwa omunye umuntu uyeka ngokuphelele ukudla, ukuphuza, nokulala. Ngezinye izikhathi, kungakhathaliseki ukuthi umuntu unenkinga enkulu kangakanani engqondweni ngaphakathi, izimpawu zangaphandle zingaba zicashile kakhulu. Yingakho kunzima kancane ukuqaphela lokhu ngqo.
Ukucindezeleka yisimo sezokwelapha esingathinta umzimba womuntu, imizwa, imicabango kanye nokuziphatha ngezindlela ezahlukene.
Yiziphi izinhlobo eziyinhloko zokucindezeleka?
Esikhathini esidlule, zonke izifo zengqondo zazihlanganiswa ndawonye, kodwa manje, ngentuthuko kwezesayensi yezokwelapha, kungenzeka ukuhlonza ukuthi hlobo luni lokucindezeleka onalo. Lokhu kuhlukaniswa kubaluleke kakhulu, ngoba ukwelashwa kohlobo ngalunye kuhlukile .
Ukunikeza izibonelo ezimbalwa:
- Isifo Sokucindezeleka Okukhulu: Lolu uhlobo oluyinhloko esivame ukukhuluma ngalo uma sikhuluma ngokucindezeleka.
- I-Dysthymia: Isimo sokudabuka esihlala siphansi iminyaka eminingi.
- Isifo Sokuthinteka Kwezinkathi (i-SAD): Nakuba lokhu kungavamile kakhulu ezweni lakithi, kuyisimo sokucindezeleka esenzeka ngezikhathi zokukhanya kwelanga okuphansi (isb. ubusika). Lokhu kubonisa ukuthi izimbangela zingahluka ngohlobo ngalunye.
- Ukucindezeleka Kwangemva Kokubeletha/Kwangemva Kokubeletha: Ukucindezeleka okwenzeka komama (futhi ngezinye izikhathi obaba) ngemva kokuthola umntwana.
Uma udokotela wakho esethole uhlobo oluqondile onalo, uzokunikeza uhlelo lokwelashwa olufanele kakhulu.
Izindlela udokotela azisebenzisayo ukuxilonga ukucindezeleka
Kunezinhlu zezindlela ezicacile ezisiza odokotela ukuhlonza izinhlobo ezahlukene zokucindezeleka. Ake sibheke lolu lwazi etafuleni.
| Uhlobo lokucindezeleka | Izici ezibalulekile okufanele uzibone |
|---|---|
| Ukucindezeleka Okukhulu | Kumelwe kube khona esinye sezimpawu ezimbili: isimo sengqondo sokucindezeleka noma ukulahlekelwa intshisekelo noma injabulo empilweni amasonto amabili noma ngaphezulu. Ngaphezu kwalokho, kumele kube khona ezine noma ngaphezulu kwezimpawu ezilandelayo:
|
| Isifo Sokuphazamiseka Kwengqondo | Isimo sokucindezeleka esihlale okungenani iminyaka emibili (ngaphandle kokukhululeka ezimpawini isikhathi esingaphezu kwezinyanga ezimbili). Ngaphezu kwalokho, kumele kube nezimpawu ezimbili noma ngaphezulu kwalezi ezilandelayo:
|
| Ukucindezeleka Kwangaphambi Kokuzalwa | Ngaphezu kwezimpawu ezibalwe ngenhla, ungase ubhekane nezinye zalezi:
|
Ukuhlolwa ngokomzimba ukuhlola ukucindezeleka
Uma udokotela wakho ekuhlola okokuqala, cishe uzokwenza izivivinyo zezokwelapha eziyisisekelo. Khumbula, lezi zivivinyo azenzelwanga ukuxilonga ukucindezeleka ngqo. Zenzelwe ukuvimbela ezinye izimo zomzimba ezingase zibangele izimpawu zakho.
- Ukuhlolwa kwegazi: Hlola izinto ezifana namazinga e-thyroid hormone, ukusebenza kwesibindi nezinso, kanye nokuntuleka kwamavithamini. Izinguquko kulokhu zingabangela nezimpawu ezifana nokucindezeleka.
- Ukuskena kobuchopho: Ukuskena okungu-`(CT)`` noma ``(MRI)`` kungenziwa ukuqinisekisa ukuthi asikho isimo esibucayi njengesimila sobuchopho.
- Ezinye izivivinyo: Uma kusolwa ukuthi kukhona isifo senhliziyo, kungenziwa i-electrocardiogram (EKG) noma i-EEG yokuhlola ukusebenza kukagesi kobuchopho.
Ukuhlolwa Kokuhlola Ukusiza Ukuthola Ukucindezeleka
Ngemva kokukhuluma nawe, udokotela wakho angase akubuze uchungechunge lwemibuzo. Lezi yimibuzo eyenzelwe ngqo ukuxilonga ukucindezeleka. Lezi ziyingxenye eyodwa nje yenqubo yokuxilonga. Izimpendulo zale mibuzo zizosiza udokotela wakho ukuba aqonde ngokujulile impilo yakho yengqondo.
Isibonelo, kunemibuzo emibili elula kakhulu kodwa ephumelelayo kakhulu:
1. "Phakathi nenyanga edlule, ingabe uke wazizwa udabukile, ukhungathekile, noma ungenathemba?"
2. "Enyangeni edlule, ingabe ulahlekelwe yisithakazelo noma injabulo ezintweni ovame ukuzijabulela?"
Izimpendulo zakho zizonquma ukuthi udokotela wakho uzokwenzenjani ngokulandelayo. Kodwa-ke, lezi mibuzo zodwa azikwazi ukusetshenziselwa ukuthola isifo. Azithathi indawo yengxoxo nodokotela, kodwa ziwusizo. Ngakho-ke, kubaluleke kakhulu ukuphendula le mibuzo ngokwethembeka ngangokunokwenzeka .
Yini ongayenza ukuze usize udokotela ?
Kungaba nzima kancane ukwenza isinqumo sokuya kudokotela uyokhuluma ngento efana nale. Kodwa uma ungena ulungiselele, kuzokwenza uzizwe ungcono kakhulu.
Into ebaluleke kakhulu ukuba ukhululeke futhi uthembeke ngangokunokwenzeka ngemizwa yakho nezimpawu zakho lapho ukhuluma nodokotela wakho. Uma udokotela wakho enolwazi oluningi, kuzoba lula ngaye ukuhlonza isimo sakho ngokunembile futhi akunikeze uhlelo lokwelashwa oluphumelelayo.
Ngaphambi kokuthi uye kudokotela, bhala phansi lezi zinto ephepheni:
- Izinkinga zengqondo nezomzimba obhekene nazo (isib. ikhanda elibuhlungu elingapheli, ukuzizwa udangele)
- Izinguquko ezingavamile ekuziphatheni kwakho
- Kungakhathaliseki ukuthi ukhona yini emndenini wakho oke waba nokucindezeleka noma ezinye izifo zengqondo ngaphambili
- Yonke imithi oyithathayo njengamanje (ebhalwe ngudokotela futhi ethengiswa ngaphandle kwemithi kadokotela)
- Noma yimaphi amavithamini engeziwe noma imikhiqizo yezitshalo oyithathayo
- Imikhuba yakho yokuphila (ukuzivocavoca umzimba, ukudla okudlayo, ukubhema, ukusebenzisa utshwala)
- Izimbangela zokucindezeleka empilweni yakho (isib. izinkinga zomshado, izinkinga zomsebenzi)
- Imibuzo okudingeka uyazi mayelana nokucindezeleka kanye nokwelashwa
Wazi kanjani ukuthi kufanele ucele nini usizo?
Isithiyo esikhulu ekuxilongeni nasekwelapheni ukucindezeleka ukuqaphela ukuthi othile unesifo. Ngokudabukisayo, cishe ingxenye yabantu abanesifo sokucindezeleka abakaze baxilongwe noma bafune ukwelashwa. Ukungatholi ukwelashwa kungaba yingozi empilweni.
Uma imizwa yakho yokudabuka ithinta ubudlelwano bakho, umsebenzi, noma impilo yomndeni, futhi kungekho sixazululo esicacile, funa iseluleko sezokwelapha ngokushesha ngaphambi kokuba isimo sibe sibi kakhulu.
Ikakhulukazi, uma wena noma othile omaziyo enemicabango yokuzibulala, ungalibali. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Kungaba yindaba yokuphila nokufa, ngakho ungakuthathi kalula.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka akuyona nje umuzwa wokudabuka, kuyisimo sezokwelapha esidinga ukwelashwa.
- Lesi sifo sitholakala ngudokotela ngemva kokukhuluma nawe, ekuhloleni, nokuqinisekisa ukuthi awunazo ezinye izifo. Azikho izindlela ezinqamulelayo zalokhu.
- Kunezinhlobo ezahlukene zokucindezeleka, futhi ungathola ukwelashwa okungcono kakhulu kuphela uma uthola uhlobo oluqondile onalo.
- Khuluma nodokotela wakho ngokwethembeka nangokusobala ngangokunokwenzeka. Kuwusizo ukubhala phansi izimpawu zakho ngaphambi kokuba uye kuye.
- Uma isimo sakho sengqondo sithinta impilo yakho yansuku zonke, noma uma unemicabango yokuzibulala, ungalibali futhi ufune iseluleko sezokwelapha ngokushesha .
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