Uma unesifo sokucindezeleka okukhulu (MDD), ungase uzibuze ngokuqala umndeni. "Ingabe kuzomele ngiyeke imithi yami?", "Ingabe ingane izoba sengozini uma ngingayeki ukuyithatha?", "Ngingayithatha le mithi ngenkathi ngincelisa?" Ungase ube nemibuzo eminingi engqondweni yakho. Kungenzeka ukuthi ubulokhu ulwa nokucindezeleka isikhathi eside, noma kungenzeka ukuthi usanda kutholakala ukuthi unaso. Kungakhathaliseki ukuthi imbangela iyini, kunezinto ezithile okudingeka uziqaphele njengoba uqala lolu hambo. Ake sixoxe ngazo.
Kungani ukwelashwa kubaluleke kangaka?
Kalula nje, uma ungelaphi ukucindezeleka kwakho, izimpawu zakho zingabuya ngokuphindaphindiwe. Lokhu sikubiza ngokuthi ukuphinda ukhathazeke. Uma ucindezelekile, kungenzeka ukuthi uphuthelwe izinto ezifana nokudla nokuphuza, ukuthola ukunakekelwa kwezokwelapha okudingayo wena nomntanakho, futhi kungenzeka ukuthi uphendukele ezintweni ezifana nezidakamizwa.
Okubaluleke kakhulu, kunengozi enkulu kakhulu yokucindezeleka kwangemva kokubeletha , okungathinta ngqo ubuhlobo bakho nomntwana wakho.
Njengoba ochwepheshe bezokwelapha besho, izingane ezizalwa omama abahlushwa ukucindezeleka, ukucindezeleka, noma ukukhathazeka ngesikhathi sokukhulelwa zinamazinga aphezulu e-hormone yokucindezeleka 'i-Cortisol'. Lokhu kungenza lezo zingane zibe nomuzwa ophakeme ngokomzwelo (zisabela kakhulu) zisencane. Lokhu kungabavulela indlela yokuba zibe nezinkinga zengqondo esikhathini esizayo.
Ukukhetha ukwelashwa okufanele kuncike ezintweni eziningana.
- Ubunzima bokucindezeleka kwakho.
- Yikuphi ukwelashwa okutholayo njengamanje?
- Indlela owasabela ngayo emithini owawuyisebenzisa ngaphambilini.
- Kungakhathaliseki ukuthi ukhulelwe, uhlela ukukhulelwa, noma uncelisa.
Uma ukucindezeleka kwakho kuncane, futhi uke wathola impumuzo ezintweni ezifana nokwelashwa kwengqondo, amaqembu okusekela, noma i-yoga yokukhulelwa, ungase ukwazi ukudlula kulesi sikhathi ngaphandle kwemithi. Kodwa lokho kuyinto okufanele uyixoxe nodokotela wakho. Uma udinga imithi kamuva, kunezindlela eziningi ongaqala ngazo imithi engenangozi kakhulu.
Ezimweni ezinzima zokucindezeleka ezingaphenduli emithini, kukhona nokwelashwa okubizwa ngokuthi i-electroconvulsive therapy (ECT) . Lokhu kuhilela ukuthumela ama-pulse amancane kagesi ebuchosheni, okushintsha umsebenzi wamaseli ezinzwa (ama-neurons) kanye namakhemikhali athile. Lokhu kwelashwa kubhekwa njengokuphephile kuwe nakumntwana wakho .
Imithi kanye nezingozi zayo
Ngokuvamile, ingozi yokuzalwa nokukhubazeka noma ezinye izinkinga enganeni ngenxa yokusebenzisa imithi yokucindezeleka ngesikhathi sokukhulelwa iphansi kakhulu. Kodwa-ke, ucwaningo lukhombisile ukuthi eminye imithi iphephile kuneminye. Ake sibheke ukuthi iyini.
| Isikhathi | Okufanele ukwenze kanye nemithi okufanele uyicabangele |
|---|---|
| Ngaphambi kokukhulelwa | Uma kungenzeka, khuluma nodokotela wakho wezifo zabesifazane kanye nodokotela wezifo zengqondo ngaphambi kokuba uqale ukucabanga ngokuba nomntwana bese uqhamuka nohlelo lokwelashwa. Uma udinga ukushintsha imithi, lesi yisikhathi esihle sokwenza kanjalo. Izinhlobo ezimbili zemithi yokucindezeleka eziye zabonakala ziphephile ngesikhathi sokukhulelwa yi -SSRIs (Selective Serotonin Reuptake Inhibitors) kanye ne -TCAs (Tricyclic Antidepressants) . Kodwa-ke, ngenxa yokuthi ama-TCA ayimithi emidala enemiphumela emibi eminingi, odokotela abawancomi kuqala. Iningi labantu linikezwa i-SSRI ecwaningwe kahle. Izibonelo: i-Citalopram (Celexa), i-Escitalopram (Lexapro), i-Fluoxetine (Prozac), i-Sertraline (Zoloft) . |
| Ngesikhathi sokukhulelwa | Uma usuvele uthatha imithi, ungashintsheli komunye umuthi ngokuzumayo, kungakhathaliseki ukuthi uyini. Lokhu kuzovimbela umntwana ukuthi athole imithi eminingi ngokungadingekile. Okubaluleke kakhulu, ungazizwa unecala ngokuthatha imithi yokucindezeleka ngesikhathi sokukhulelwa. Abanye abantu, ngisho nodokotela, bacabanga ukuthi lo muthi kufanele uthathwe "kuphela uma kudingeka ngempela." Kodwa ukucindezeleka kuyisimo sezokwelapha esidinga ukwelashwa, njengesifo sikashukela noma umfutho wegazi ophakeme. |
| Ngemva kokuthola umntwana | Kunzima kakhulu ukubhekana nezimpawu zokucindezeleka ngenkathi unakekela usana olusanda kuzalwa. Ngakho-ke kubaluleke kakhulu ukuqhubeka uthatha imithi yakho. Uma uzizwa sengathi izimpawu zakho ziya ziba zimbi kakhulu, khuluma nodokotela wakho ngokushesha. Imithi ingadlulela obisini lwebele, kodwa ngamanani amancane kakhulu. Uma sikhuluma iqiniso, ngaphansi kuka-10% womthamo owuthathayo.Ngakho-ke, asikho isimo lapho kufanele uyeke ukuncelisa ingane yakho ngoba uphuza imithi. |
Ake sifunde nangezinye izinhlobo zemithi.
Uma uthatha i-SNRI (Serotonin-Norepinephrine Reuptake Inhibitor) ngoba ama-SSRI awasebenzi kuwe, njenge-Duloxetine (Cymbalta) noma i-Venlafaxine (Effexor), lokho akuyona into enkulu. Odokotela bathi, "Uma lo muthi usebenza kulo muntu, futhi sazi ukuthi omunye ungase ungasebenzi, angifuni ukuwushintsha." Ngoba kunezifundo ezibonisa izinga elithile lokuphepha kwama-SNRI.
Kodwa-ke, imithi emisha efana ne-Vortioxetine (Trintellix) ayikakafundwa ngokwanele ukuze kutholakale ukuphepha kwayo ngesikhathi sokukhulelwa. Ezimweni ezinjalo, udokotela wakho angase ancome ukuthi ushintshele emithini ephephile.
Imizwa ekukhathazayo...
"Ingabe ngingumama omubi ngoba ngiphuza imithi?" Le micabango ingase ifike engqondweni yakho. Kodwa akunjalo ngempela.
"Ngenxa yesihlamba esihambisana nokugula ngengqondo ezweni lakithi, abantu abaningi bacabanga ukuthi ukuphuza imithi yokucindezeleka kuyinto engadingekile, engadingekile. Uma uthi, 'Thatha lo muthi kuphela uma uwudinga ngempela,' umama uzizwa enecala kakhulu ngaye," kusho ochwepheshe.
Into ebaluleke kakhulu okudingeka uyiqonde ukuthi ukucindezeleka akusona ubuthakathaka bakho. Kuyisifo esidinga ukwelashwa. Ukuba ngumama onempilo kudala indawo engcono kakhulu yengane enempilo. Uma kudingeka imithi, ukuyithatha kuyinto engcono kakhulu ongayenza wena nengane yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka kuyisifo sangempela. Kubalulekile ukuselapha wena kanye nengane yakho.
- Noma nini lapho kungenzeka, khuluma nodokotela wakho ngaphambi kokukhulelwa bese usungula uhlelo lokwelashwa.
- Imithi eminingi esetshenziselwa ukucindezeleka iphephile ngesikhathi sokukhulelwa kanye nokuncelisa.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kokubonisana nodokotela wakho.
- Ungazizwa unecala ngokuthatha imithi ukuze uhlale uphilile. Umama ophilile uyisipho esihle kakhulu sengane enempilo.
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