Kuvamile ukuzizwa udangele, ucindezelekile, futhi unesithukuthezi ngezinye izikhathi. Wonke umuntu ubhekana nalezi zinto njengoba impilo iqhubeka. Kodwa ingabe unalo lolu sizi, ukuphelelwa yithemba, kanye nokuntuleka kwesisusa amasonto amaningi? Ingabe kufana nefu elimnyama elilenga phezu kwengqondo yakho? Ingabe uzizwa ukhathele kangangokuthi awukwazi ngisho nokwenza imisebenzi yakho yansuku zonke ngendlela efanele? Uma kunjalo, lesi sihloko esikhuluma ngaso namuhla sizoba sibaluleke kakhulu kuwe. Lokhu yilokho esikubiza ngokuthi 'ukucindezeleka' ngokwezokwelapha, noma Ukucindezeleka Okukhulu noma Ukucindezeleka Kwezokwelapha .
Kuyini Ukucindezeleka Okukhulu?
Kalula nje, ukucindezeleka kuyisimo esingelapheka esidlula nje ukuzizwa udabukile futhi sihilela amakhemikhali asebuchosheni bethu. Akuyona nje usuku olulodwa noma ezimbili zokudabuka, kodwa ukudabuka okujulile okuhlala cishe usuku lonke okungenani amasonto amabili futhi okubonakala ngokulahlekelwa isithakazelo ezintweni obuzijabulela.
Ngokusho kwe-Diagnostic and Statistical Manual of Mental Disorders (DSM-5), kunezinye izimpawu eziningana ezingabonakala ngaphezu kwalezi zimpawu ezimbili eziyinhloko. Cabanga ngakho, ingabe nawe uhlangabezana nalezi zinto?
| Isibonakaliso | Kuzwakala kanjani lokho? |
|---|---|
| Ukukhathala okuqhubekayo | Ngizizwa sengathi anginamandla. Angifuni ngisho nokwenza umsebenzi omncane kakhulu. Ngisho noma ngilala usuku lonke, ukukhathala ngeke kuphele. |
| Imizwa yokungafaneleki noma umuzwa wecala ongafanele | Ngihlala ngicabanga izinto ezinjengokuthi “Anginandaba”, “Konke kuyiphutha lami”. Ngihlala ngizisola ngamaphutha amadala. |
| Ubunzima bokugxila nokwenza izinqumo | Angikwazi ukugcina ingqondo yami igxile ekufundeni incwadi, ekubukeni i-TV, noma ekwenzeni umsebenzi. Ngichitha amahora amaningi ngicabanga ngisho nangesinqumo esincane kakhulu. |
| Izinguquko zokulala | Noma awukwazi ukulala kungakhathaliseki ukuthi uzama kangakanani (Ukungalali). Noma uzizwa ulele usuku lonke futhi ulale kakhulu kunalokho okufanele ulale (i-Hypersomnia). |
| I-Anhedonia (ukuntuleka kwenjabulo kunoma yini) | Isifiso sokukhuluma nabangani, ukulalela ingoma, noma ukubukela i-movie engangiyinayo manje asisekho nhlobo. Akukho lutho olungilethela injabulo. |
| Ukungaphumuli noma ukuvilapha komzimba | Kungakhathaliseki ukuthi uzizwa ungakhululekile futhi awukwazi ukuhlala endaweni eyodwa, noma ijubane lakho lokukhuluma, ukucabanga, noma ukuhamba liyehla ngendlela engavamile. |
| Imicabango ngokufa noma ukuzibulala | Nginomuzwa wokuthi impilo ayinanjongo. Imicabango efana nokuthi "Ngifisa sengathi ngabe ngifile" ivame ukungifikela engqondweni. |
| Ushintsho oluphawulekayo esisindweni somzimba | Ukulahlekelwa yisifiso sokudla, noma ukukhuluphala ngokweqile ngenxa yokudla ngokweqile (ukushintsha kwesisindo okungaphezu kuka-5% ngenyanga). |
Into ebalulekile ukuthi akuwona wonke umuntu onezimpawu ezilodwa noma ezimbili onesifo sokucindezeleka. Kodwa uma izimpawu eziningana zalezi zimpawu zenzeka ndawonye futhi zithinta impilo yakho yansuku zonke isikhathi eside, kufanele nakanjani ufune iseluleko sezokwelapha.
Ubani othinteka kakhulu ukucindezeleka?
Ukucindezeleka kungathinta noma ubani, kunoma yimuphi ubudala, kodwa abanye abantu basengozini enkulu.
Ingabe le ngozi iphezulu kwabesifazane?
Yebo. Izifundo zithole ukuthi abesifazane banamathuba aphindwe kabili okuphathwa ukucindezeleka kunabesilisa. Kunezizathu eziningana zalokhu.
- Izinguquko zama-hormone: Izinguquko zama-hormone ngesikhathi sokuthomba, ukuya esikhathini, ukukhulelwa, ngemva kokubeletha, kanye nokunqamuka kokuya esikhathini zingathinta i-chemistry yobuchopho futhi zibangele ukucindezeleka.
- Ingcindezi Yendlela Yokuphila:Lokhu kungenxa yokucindezeleka abesifazane ababhekana nakho ngenxa yemithwalo yabo yemfanelo, njengokulinganisela umsebenzi nemisebenzi yasekhaya, ukunakekela izingane, nokunakekela abazali asebekhulile, emasikweni ezwe lethu.
Ingabe izimpawu zihlukile kwabesilisa uma bebhekene nokucindezeleka?
Ngokuvamile, amadoda ayephuza ukuqaphela ukucindezeleka uma kwenzeka. Ngoba imibono engavamile yomphakathi efana nokuthi “amadoda akufanele akhale” kanye nokuthi “amadoda kufanele abe namandla” ibenza bangathandi ukukhuluma ngemizwa yabo noma ukucela usizo.
Ngakho-ke ukucindezeleka kwabo kuvela ngendlela ehlukile.
- Intukuthelo nokucasuka okungenangqondo.
- Ukusebenzisa kabi izidakamizwa (ngezinye izikhathi kuba umphumela wokucindezeleka, ngezinye izikhathi kuba imbangela yokucindezeleka).
- Ukuthambekela kokulimaza abanye noma wena.
- Ukuziphatha okuyingozi (njengokushesha).
Yiziphi izimbangela eziyinhloko zokucindezeleka?
Akukho imbangela eyodwa yokucindezeleka. Kuyinhlanganisela yamathonya ezakhi zofuzo, izinguquko zamakhemikhali obuchopho, kanye nezenzakalo zokuphila. Lezi yizinto eziyinhloko "ezingabangela" isiqephu sokucindezeleka.
- Ukulahlekelwa othandekayo: ngokufa, isehlukaniso, noma ukuhlukana kobudlelwano.
- Ukuzihlukanisa nabantu: Isizungu, umuzwa wokuba wedwa.
- Izinguquko ezinkulu empilweni: ukulahlekelwa umsebenzi, ukuthatha umhlalaphansi, ukuthuthela kwenye indawo.
- Izinkinga zobudlelwano: Izinkinga zesikhathi eside emndenini, emsebenzini.
- Ukuhlukunyezwa ngokwengqondo, ngokomzimba noma ngokocansi.
Wazi kanjani ukuthi unesifo sokucindezeleka?
Lona umbuzo obaluleke kakhulu. Akukuhle ukuzinqumela ukuthi unesifo sokucindezeleka. Futhi uma usola ukuthi unaso, akukuhle ukufihla lokho. Into engcono kakhulu ongayenza ukubona udokotela oqeqeshiwe.
Udokotela uzokuxilonga ngokucophelela, akubuze ngezimpawu zakho, bese ebuza ngomlando wakho wezokwelapha kanye nowomndeni wakho.
Khumbula, akukho ukuhlolwa kwegazi, i-X-ray, noma olunye ukuhlolwa okungahlonza ukucindezeleka. Kodwa-ke, udokotela wakho angenza ukuhlolwa kwegazi ukuze abone ukuthi unezinye izimo ezingabangela izimpawu ezifana nokucindezeleka. Isibonelo, i-hypothyroidism, i-thyroid gland engasebenzi kahle, nayo ingabangela izimpawu ezifana nokucindezeleka.
Yiziphi izindlela zokwelapha ukucindezeleka?
Nazi izindaba ezinhle: Nakuba ukucindezeleka kuyisifo esibi kakhulu, kungelashwa futhi kwelapheke ngempumelelo.
Izindlela zokwelapha ziyahlukahluka kuye ngokuthi isifo sibucayi kangakanani. Izindlela zokwelapha eziyinhloko yilezi:
1. Ama-antidepressant: Imithi elungisa ukungalingani kwama-neurotransmitter ebuchosheni. Lokhu kufanele kusetshenziswe njengoba nje udokotela wakho ekuyalele. Kungathatha amasonto ambalwa ukubona imiphumela. Uma umuthi owodwa ungasebenzi, udokotela wakho uzozama omunye umuthi.
2. Ukwelapha Ngengqondo: Okwaziwa nangokuthi "ukwelapha ngokukhuluma," lokhu kuhilela ukukhuluma nodokotela wezifo zengqondo noma umeluleki ukuze akusize uqonde futhi uphathe imizwa yakho, imicabango, kanye nokuziphatha kwakho.
Ngokuvamile, imiphumela emihle kakhulu itholakala ngokusebenzisa zombili lezi zindlela zokwelapha ndawonye. Ezimweni ezimbi kakhulu, lapho isifo singasabeli emithini, udokotela angakuthumela kwezinye izindlela zokwelapha ezikhethekile, njenge-"Electroconvulsive Therapy (ECT)".
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka akusikho ubuthakathaka benhliziyo noma ukucabanga nje. Kuyisifo sangempela, esingelapheka.
- Kunomehluko omkhulu phakathi kokuzizwa udabukile nokucindezeleka. Qaphela ukudabuka okujulile, ukuphelelwa yisithakazelo, kanye nezinye izimpawu ezihlala isikhathi esingaphezu kwamasonto amabili.
- Uma wena noma othile omaziyo ebhekene nalezi zimpawu, sicela ungazihluphi wedwa. Khuluma nodokotela. Ukucela usizo kuwuphawu lwamandla.
- Ungayeki ukuthatha imithi oyinikwe udokotela wakho, ikakhulukazi imithi, ngaphandle kokucabanga. Uma uyeka ukuthatha imithi ngoba nje uzizwa ungcono, lesi sifo singase sibuye.
- Ukusekela okungcono kakhulu ongakunikeza umuntu ohlushwa ukucindezeleka ukumqonda, ukumthumela ekwelashweni, nokumnika amandla alolo hambo.
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