Wake wazizwa ukhathele, ungenasithakazelo empilweni, noma uphansi? Ungase ucabange, "O... yilokho engiyikho." Kodwa ungase ungazi, futhi ungase uhlaselwe yisimo esibizwa ngokuthi i-Dysthymia, noma i-Persistent Depression Disorder (PDD). Lokhu futhi kuyindlela yokucindezeleka.
Uyini umehluko phakathi kokucindezeleka kanye ne-dysthymia?
Kalula nje, i-dysthymia isimo sengqondo esithatha isikhathi eside, esidabukisayo, nesingenathemba. Sifana kakhulu nesimo sonke esisazi ngokuthi i-Major Depression Disorder (MDD). Kodwa umehluko omkhulu ubude besikhathi.
Umuntu one-dysthymia angase abe nezimpawu ezimbalwa kunomuntu onesifo sokucindezeleka okukhulu. Kodwa lezo zimpawu zingahlala iminyaka emibili . Kungenzeka ukuthi ube nalesi simo kusukela useyingane kodwa ungasiqapheli. Ngoba sivame ukufika sidlule, kodwa asipheli ngokuphelele.
Ngakolunye uhlangothi, esimweni esibizwa ngokuthi i-major depression disorder (MDD), izimpawu zinzima kakhulu, kodwa zihlala isikhathi esifushane. Okusho ukuthi, izimpawu ezinzima zibonakala ngokucacile okungenani amasonto amabili .
Into ebalulekile ukuthi kunezindlela zokwelapha ezisebenzayo zombili lezi zimo, ngakho akudingeki uthwale umthwalo wemizwa yakho wedwa.
Ungahlukanisa kanjani phakathi kwalokhu okubili ngokusekelwe ezimpawini?
Zombili lezi zimo zinezimpawu eziningana ezivamile. Eyokuqala ukuzizwa udangele futhi ucindezelekile usuku lonke. Udokotela wakho uzokubuza ngalezi zimpawu ukuze anqume ukuthi une-dysthymia.
Ake sibheke leli thebula ukuze siqonde kahle lo mehluko.
| I-Dysthymia/PDD | Ukucindezeleka Okukhulu (MDD) |
|---|---|
| Ubude besikhathi: Izimpawu zihlala okungenani iminyaka emi-2 (unyaka owodwa ezinganeni). Ngisho noma impumuzo iba khona, ayihlali isikhathi esingaphezu kwezinyanga ezi-2. | Ubude besikhathi: Izimpawu zihlala okungenani amasonto amabili . |
| Inani lezimpawu: Ngaphezu kwesimo sengqondo sokudabuka, okungenani izimpawu ezimbili kwezilandelayo zikhona. | Inani lezimpawu: Ukuba khona okungenani kwezimpawu ezi-5 kwezilandelayo. |
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Kuyini "Ukucindezeleka Okuphindwe Kabili"?
Ngezinye izikhathi, umuntu one-dysthymia angase abe nesifo sokucindezeleka okukhulu (MDD) ngesikhathi esithile empilweni yakhe. Lokhu kusho ukuthi ngaphezu kosizi lwesikhathi eside, kunezinye izimpawu ezinzima. Odokotela babiza lesi simo ngokuthi "ukucindezeleka okuphindwe kabili."
Yiziphi izizathu ezibangela lezi zimo?
Akukho sizathu esisodwa sokuthi kungani lokhu kwenzeka. Ochwepheshe bakholelwa ukuthi inhlanganisela yezinto ingaba nomthelela.
- Izimbangela zezinto eziphilayo: Amazinga aphezulu okucindezeleka angabangela izinguquko ebuchosheni bakho. Izinguquko ekusebenzeni kwamakhemikhali emvelo ebuchosheni, abizwa ngokuthi ama-neurotransmitters, nazo zingabangela ukucindezeleka.
- Umlando womndeni: Uma omunye wezihlobo zakho eziseduze enesifo sokucindezeleka, nawe usengozini enkulu yokuba naso.
- Imicimbi yokuphila: Imicimbi enomthelela omkhulu engqondweni, njengokufa komuntu omthandayo, izinkinga zezimali, noma ukulahlekelwa umsebenzi, ingabangela ukucindezeleka.
Udokotela uhlonza kanjani lokhu?
Akukho ukuhlolwa kwelabhoratri okuqondile ukuthola ukucindezeleka noma i-dysthymia.Uma ubona udokotela, uzokhuluma nawe kabanzi ngezimpawu zakho, imicabango nemizwa yakho, ukuthi usunesikhathi esingakanani unalesi simo, nokuthi siye sathinta kanjani impilo yakho yansuku zonke.
Kodwa-ke, kungadingeka ukuthi uhlolwe igazi ukuze kubonakale ukuthi kukhona yini esinye isizathu esibonakalayo sezimpawu zakho. Isibonelo, i-hypothyroidism, isimo lapho kuncipha khona i-hormone ye-thyroid, ingabangela nezimpawu ezifana nokucindezeleka. Lezi zivivinyo zingasiza ekususeni izimo ezinjalo. Uma kudingeka, udokotela wakho angakudlulisela kudokotela wezifo zengqondo noma umeluleki.
Yiziphi izindlela zokwelapha lokhu?
Izindaba ezinhle ukuthi kunezindlela zokwelapha zombili lezi zimo. Ngokuvamile, kusetshenziswa inhlanganisela yezindlela zokwelapha.
- Imithi: Udokotela wakho angakunikeza uhlobo lomuthi olubizwa ngokuthi ama-antidepressants. Lokhu kusebenza ngokulinganisela amakhemikhali ebuchosheni. Eminye imithi ingathatha amasonto ambalwa ukusebenza. Ungalokothi uyeke ukuthatha umuthi wakho ngaphandle kokubuza udokotela wakho.
- Ukwelapha: Ukukhuluma ngemicabango nemizwa yakho nodokotela noma umeluleki kubaluleke kakhulu. Ngale ndlela, ungafunda izindlela zokulawula imicabango yakho, ukuphatha ukucindezeleka, nokuthuthukisa ubudlelwano bomphakathi.
- Izinguquko endleleni yokuphila: Izinto ezifana nokudla ukudla okulinganiselayo, ukulala ngokwanele, ukuzivocavoca njalo, nokugwema utshwala nezidakamizwa kungasiza kakhulu ingqondo nomzimba wakho.
Ungamsiza kanjani umngane noma ilungu lomndeni?
Uma othandekayo wakho ehlushwa yilesi simo, kunezindlela eziningana ongasiza ngazo.
Khumbula, ukusho izinto ezinjengokuthi “cabanga ngakho bese ukukulungisa” noma “cabanga kakhudlwana” ngeke kusize. Kunalokho, kubalulekile ukuzilalela.
- Khuluma ngokukhululekile: Abantu abaningi banamahloni okukhuluma ngokucindezeleka. Bazise ukuthi kuyinto evamile nokuthi ukhona ukulalela.
- Phakamisa ukufuna usizo: Uma ubona othandekayo wakho enalezi zimpawu, phakamisa ngobumnene ukuthi abonane nodokotela.
- Qaphela ingozi yokuzibulala: Uma othandekayo wakho ekhuluma ngokufa, ukuthi impilo ayinanjongo, noma ekhomba ukuzibulala, bona udokotela ngokushesha noma umyise egumbini lezimo eziphuthumayo esibhedlela esiseduze (i-ETU) . Ungashayela futhi inombolo yosizo lwezempilo yengqondo kazwelonke ethi 1926.
- Hlala usithinta:Bahlole njalo ngokubashayela ucingo noma ngokubathumelela imiyalezo. Ngisho noma bethi abakwazi ukuza, xoxani ngokuphuma ndawonye.
- Cabanga ngawe futhi: Ukuhlala nomuntu ocindezelekile kungakucindezela ngokwengqondo. Cabanga nangempilo yakho yengqondo. Thatha ikhefu.
Umlayezo Wokuya Nawe Ekhaya
- I-Dysthymia isifo sokucindezeleka esihlala isikhathi eside esihlala iminyaka eminingi. Nakuba izimpawu zingenamandla kakhulu kunezokucindezeleka okukhulu, ziyaphikelela.
- Nakuba ukucindezeleka Okukhulu kungokwesikhashana, izimpawu zinzima kakhulu.
- Zombili lezi zimo zingabangelwa izinguquko zamakhemikhali ebuchosheni, umlando womndeni, kanye nezenzakalo ezibuhlungu empilweni.
- Zombili lezi zimo zingelashwa ngempumelelo ngemithi, ukwelulekwa, kanye nokushintsha indlela yokuphila okuhle.
- Uma wena noma othile omaziyo enalezi zimpawu, ungalokothi ulibale ukufuna iseluleko sezokwelapha.
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