Kuvamile ukuzizwa udabukile futhi uphansi kancane ngezinye izikhathi ezimpilweni zethu. Kuhlukile kuwo wonke umuntu. Kodwa uma lokhu kudabuka nokukhathazeka kuqhubeka, uma uzizwa udabukile isikhathi esiningi sosuku, futhi uma kukuthinta kuze kube yilapho ungakwazi ukwenza imisebenzi yakho yansuku zonke, kungaba yinto engaphezu nje kokudabuka okuvamile. Kwezokwelapha, lesi simo sibizwa ngokuthi ukucindezeleka kwengqondo. Lesi yisimo esingalawulwa kahle ngemithi, ukwelashwa kwengqondo, kanye nokushintsha kwendlela yokuphila.
Kunezinhlobo ezahlukene zokucindezeleka. Ezinye zingabangelwa yizinto ezenzeka ekuphileni kwethu. Ezinye zingabangelwa izinguquko zamakhemikhali ebuchosheni bethu. Kungakhathaliseki ukuthi imbangela iyini, isinyathelo sokuqala uma uzizwa ngale ndlela ukukhuluma nodokotela wakho. Angakudlulisela kuchwepheshe wezempilo yengqondo. Ukuthola ukuthi hlobo luni lokucindezeleka onalo kubalulekile ukuze kunqunywe ukwelashwa okungcono kakhulu kuwe.
Ukucindezeleka Okukhulu
Lolu uhlobo lokucindezeleka olunzima kakhulu noluvame kakhulu. Kungenzeka ukuthi uke wezwa udokotela wakho ekubiza ngokuthi 'i-Major Depression Disorder' noma 'i-Clinical Depression.' Uma uzizwa udangele noma ukhathazekile cishe usuku lonke, cishe usuku lonke, cishe usuku lonke, cishe usuku lonke, cishe ungaba nalesi simo.
Lezi ezinye zezimpawu ezivamile ezibonakala ekucindezelekeni okukhulu.
| Isibonakaliso | Kuchazwe kalula |
|---|---|
| Ukulahlekelwa isithakazelo ezintweni obuzijabulela ngaphambili | Ulahlekelwa yisithakazelo ezintweni ezifana nokukhuluma nabantu obathandayo, ukubuka i-TV, noma ukulalela umculo. |
| Ukwehla noma ukuzuza isisindo | Izinguquko zesisindo ngaphandle kokulawula ukudla. |
| Izinguquko zokulala | Noma ngilala usuku lonke, noma angikwazi ukulala ebusuku. Ngivuka ekuseni. |
| Ukusebenza komzimba nengqondo | Abanye abantu bazizwa bengakhululekile futhi bekhathazekile. Abanye bazizwa sengathi imizimba yabo ayinampilo futhi izingqondo zabo zisebenza kanzima kakhulu. |
| Ukukhathala | Ngizizwa sengathi anginamandla okwenza noma yini, ngihlala ngikhathele. |
| Ukuzizwa ungelutho | Kuvela imizwa yecala eyeqile, njengokuthi "Anginandaba" nokuthi "Kufanele ngibe nomthwalo wemfanelo wakho konke." |
| Ubunzima bokugxila | Kunzima ukwenza isinqumo sakho nokwenza isinqumo, ngisho nangezinto ezincane. |
| Imicabango yokuqeda impilo yakho | Ukuzizwa ungenathemba ngokuphila, unemicabango yokuzibulala noma ukuzama ukwenza kanjalo. Uma uhlangabezana nemicabango enjalo, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha. |
Uma lezi zimpawu ezinhlanu noma ngaphezulu ziqhubeka amasonto amabili noma ngaphezulu, udokotela angaphetha ngokuthi unesifo sokucindezeleka okukhulu.
Izinhlobo ezincane zokucindezeleka okukhulu
Indlela umuntu ngamunye abhekana ngayo nalesi simo ingahluka, futhi kunezinhlobo eziningana zaso:
- Ukucindezeleka okukhathazayo: Ukuzizwa ungakhululekile futhi ukhathazekile cishe usuku lonke. Ukwesaba ukuthi kuzokwenzeka into embi futhi uzizwe ungalawuleki.
- Ukudabuka: Ukudabuka okungabekezeleleki, nomuzwa wokulangazelela konke owake wakuthanda. Awukwazi ukujabula ngisho nezinto ezinhle. Uzizwa usinda kakhulu, ikakhulukazi ekuseni. Ungase wehlise isisindo futhi ulahlekelwe yisifiso sokudla.
- Izici ezixubile: Kanye nokudabuka, kukhona izinga eliphezulu lomsebenzi. Ukukhuluma kakhulu, ukuhambahamba, nokwenza izinto ngokuphamazela.
Ukwelashwa kwengqondo kanye nemithi yokucindezeleka kusetshenziswa njengemithi yokwelapha. Ukuhlanganisa lezi zindlela ezimbili kungaletha imiphumela emihle kakhulu. Ngezinye izikhathi, ezimweni ezimbi kakhulu ezingalawulwa yilezi zindlela, odokotela bangase batuse ukwelashwa okukhethekile njenge-'Electroconvulsive therapy (ECT)' kanye ne-'Transcranial magnetic stimulation (TMS)'.
Isifo Sokucindezeleka Esiqhubekayo (PDD)
Uma unezimpawu zokucindezeleka eziqhubekayo iminyaka emibili noma ngaphezulu, sikubiza ngokuthi i-PDD. Kalula nje, kufana nokudabuka okungapheli. Ngaphambilini kwakubizwa ngokuthi 'i-dysthymia.' Nakuba kungekubi njengokucindezeleka okukhulu, kungahlala isikhathi eside futhi kungakususa injabulo yakho yokuphila.
Cabanga nje unomkhuhlane ophansi ngaso sonke isikhathi. Yileyo ndlela lesi simo esizizwa ngayo. Uhlala uzizwa udangele, unzima, futhi ungenasithakazelo kunoma yini.
Umuntu one-PDD angase abe nezimpawu ezifana nalezi:
- Izinguquko ekufiseni ukudla (ukudla okuncane noma ngaphezulu)
- Izinguquko zokulala (ukulala kakhulu noma okuncane kakhulu)
- Ukuntuleka kwamandla, ukukhathala okuqhubekayo
- Ukuzenyeza
- Ubunzima bokugxilisa ingqondo, ukwenza izinqumo
- Umuzwa wokuphelelwa yithemba ngekusasa
Lokhu kwelashwa futhi ngokwelashwa kwengqondo kanye nemithi, kungaba ndawonye noma ngokwehlukana.
Isifo se-Bipolar
Abanye abantu bakubiza nangokuthi 'ukucindezeleka okubangelwa ukudabuka okukhulu'. Umuntu onalesi simo ubhekana nokushintshashintsha kwemizwelo phakathi kwezimo ezimbili ezibucayi. Okusho ukuthi, ngesinye isikhathi uba sesimweni sokudangala okukhulu ngamandla aphezulu nenjabulo, futhi ngesikhathi esilandelayo ngokuzumayo awele esimweni sokucindezeleka okukhulu.
Ngesikhathi sesigaba sokucindezeleka, okungukuthi, ngesikhathi sesigaba sokucindezeleka, banezimpawu ezifanayo zokucindezeleka okukhulu esixoxe ngazo ekuqaleni.
Ukuze kulawulwe lesi simo sengqondo, kunikezwa imithi ebizwa ngokuthi 'izinzinzisi zemizwa'. Kunemithi eminingana ethile yokwelapha izigameko zokucindezeleka. Kulesi simo, imithi yokucindezeleka evamile isetshenziswa ngokuqapha okukhulu, ngoba ngezinye izikhathi ingadala isimo sengqondo esibi kakhulu (mania).
Isifo Sokuphazamiseka Kwemizwa Esiphazamisayo (DMDD) ebuntwaneni nasebusheni
Lesi yisifo sokucindezeleka esenzeka ebuntwaneni (abaneminyaka engu-6-18). Laba bantwana bavame ukuthukuthela ngokungalawuleki. Baphinde bacasuke kakhulu futhi bangahlaliseki ngezinye izikhathi. Lokhu kuziphatha kubi kakhulu kangangokuthi kunomthelela omkhulu ekhaya, esikoleni, ngisho nasebudlelwaneni nabangani. I-DMDD itholakala uma lezi zimpawu zikhona izinyanga ezingu-12 noma ngaphezulu. Ukwelashwa kwalokhu kuhlanganisa ukwelashwa kwengqondo kanye, uma kudingeka, imithi.
Isifo Sokuthinteka Kwezinkathi (i-SAD)
Lokhu futhi kuyindlela yokucindezeleka okukhulu. Kwenzeka ngokushintsha kwesimo sezulu. Kuvame ukwenzeka ebusika, lapho izinsuku zimfushane futhi ukukhanya kwelanga kuncane. Kuyanyamalala lapho ihlobo libuya futhi, lapho ilanga likhanya kakhulu.
Kukholelwa ukuthi lokhu kungenxa yezinguquko kuma-hormone athi `Serotonin` kanye nethi `Melatonin`, alawula ukulala kwethu kanye nemizwelo yethu. Lapho ukukhanya kwelanga kuncipha, umzimba wethu ukhiqiza i-`Melatonin` eningi futhi wehlise i-`Serotonin`. Lolu shintsho yilona olubangela ukudabuka, ukozela, kanye nezinguquko zokuziphatha. Imithi yokwelapha ukucindezeleka, ukwelashwa kwengqondo, ikakhulukazi ukwelashwa okulula kusetshenziswa njengemithi yokwelapha lokhu.
Ukucindezeleka Kwengqondo
Abantu abanalesi simo babonisa "izimpawu zengqondo" ngaphezu kwezimpawu zokucindezeleka okukhulu.
- Ukuphupha izinto ezingekho: Ukubona noma ukuzwa izinto ezingekho ngempela.
- Ukukhohlisa: Izinkolelo eziqinile ngezinto ezingelona iqiniso.
- Ukwesaba: Inkolelo eyiphutha yokuthi abanye bazama ukukulimaza.
Lesi yisimo esibi kakhulu. Ngenxa yalokhu, kusetshenziswa imithi yokucindezeleka kanye nemithi yokwelapha ingqondo ndawonye.
Ukucindezeleka Kwangaphambi Kokubeletha Nangemva Kokubeletha
Ukucindezeleka Kwangaphambi Kokubeletha
Izinguquko zama-hormone ngesikhathi sokukhulelwa zingabangela abanye besifazane ukuba babe nokudabuka okukhulu nokukhathazeka okuhlala izinsuku ezingaphezu kwezimbalwa. Lokhu akuvamile futhi kudinga ukwelashwa. Le ngozi iphezulu kakhulu kwabesifazane abanomlando wokugula ngengqondo, abaye babhekana nezimo ezicindezelayo ngesikhathi sokukhulelwa, futhi abangenalo ukwesekwa ngabalingani babo noma umndeni.
Ukucindezeleka Kwangemva Kokubeletha (PPD)
Yilokhu abantu abaningi abakubiza ngokuthi "ukucindezeleka kwangemva kokubeletha." Ukuzizwa udabuke kancane izinsuku ezimbalwa ngemuva kokuthola umntwana (ukudumala komntwana) kuyinto evamile. Kodwa uma unesizungu esikhulu, ukuphelelwa yithemba, kanye nokukhathazeka okuhlala isikhathi esingaphezu kwamasonto amabili, kungaba yi-PPD. Le mizwa ingaba nkulu kangangokuthi ingenza kube nzima ngomama ukusondelana nomntwana wakhe noma ngisho nokusebenza empilweni yakhe yansuku zonke.
Uma uzizwa ngale ndlela, awuwedwa. Lesi yisimo esibhekana nonina abaningi. Akulona iphutha lakho. Sicela ungazinaki lezi zimpawu. Bona udokotela wakho ngokushesha.
Isimo esibi kakhulu nesingavamile yi-'Postpartum Psychosis'. Kulesi simo, umama angase abe nokubona izinto ezingekho kanye nemicabango yokuzilimaza yena noma ingane. Lesi yisimo esiphuthumayo sezokwelapha. Kufanele kufunwe usizo lwezokwelapha ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela.
Ezinye izimo zokucindezeleka
- Isifo Sokucindezeleka Kwangaphambi Kokuya Esikhathini (PMDD): Lesi yisimo lapho abesifazane beba nezimpawu zokucindezeleka okukhulu kanye nezinye izimpawu (njengokuthukuthela okukhulu nokukhathazeka) esontweni noma amabili ngaphambi kokuya esikhathini. Sibi kakhulu kune-PMS evamile.
- Ukucindezeleka 'Kwesimo': Leli akulona igama elisemthethweni lezokwelapha. Kodwa-ke, leli gama lisetshenziselwa ukuchaza isimo sokudabuka esenzeka ngenxa yesenzakalo esicindezelayo ekuphileni kwethu (isib. ukufa emndenini, ukulahlekelwa umsebenzi, isehlukaniso, ukwehluleka ezivivinyweni). Ukwelulekwa kungaba yindlela enhle yokusisiza silulame kulesi simo.
- Ukucindezeleka Okumelana Nokwelashwa: Abanye abantu banenkinga yokulawula ukucindezeleka kwabo ngisho nangemva kokuzama ukwelashwa okuningana. Lokhu akusho ukuthi awukwazi ukwelapheka. Kusho ukuthi udinga ukusebenza kanzima nodokotela wakho ukuze uthole ukwelashwa okukusebenzela kahle.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka kungaphezu nje kokuzizwa udabukile, kuyisifo esibi esidinga ukwelashwa.
- Uma unesizungu noma ukukhathazeka okungabekezeleleki isikhathi esingaphezu kwamasonto amabili, noma uma kwenza kube nzima ukusebenza nsuku zonke, ungakushayi indiva.
- Kunezinhlobo ezahlukene zokucindezeleka, futhi ukuhlonza uhlobo onalo kubalulekile ukuze uthole ukwelashwa okufanele.
- Uma wena noma othile omaziyo ecabanga ukuzibulala, funa iseluleko sezokwelapha ngokushesha.
- Ngokwelashwa okufanele (imithi, ukwelulekwa) kanye nokushintsha indlela yokuphila (ukuzivocavoca umzimba, ukudla okunempilo), ukucindezeleka kungaphathwa ngempumelelo futhi kuphile ngenjabulo. Isinyathelo sokuqala ukukhuluma nodokotela wakho ngalokhu.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho