Kunezinsuku lapho sizizwa sengathi asenze lutho, futhi sizizwa sidabukile kakhulu futhi sithwele kanzima. Lokho kuyinto evamile. Kodwa uma lo muzwa uqhubeka isikhathi esingaphezu kwamasonto amabili, uma konke kubonakala kungenathemba futhi kungenathemba, kungaba yinto ejulile kunokudabuka nje. Sikhuluma ngokucindezeleka, noma njengoba odokotela bekubiza kanjalo , 'Isifo Esiyinhloko Sokucindezeleka' . Lesi yisifo sengqondo esivame kakhulu emhlabeni. Kodwa ungakhathazeki, awuwedwa ekukhulumeni ngalokhu nasekuceleni usizo.
Kuyini ngempela ukucindezeleka?
Kalula nje, ukucindezeleka kuyisifo sengqondo esithinta imizwa yakho. Akusona isifo sengqondo noma into oyicabangayo. Kuyisifo sangempela sezokwelapha. Nakuba kungekho imbangela eyodwa etholakele, ososayensi bakholelwa ukuthi kungase kubangelwe yinhlanganisela yezici, okuhlanganisa izinguquko zamakhemikhali ebuchosheni, amathonya ezakhi zofuzo, kanye nezenzakalo zokuphila ezibuhlungu.
Ukuze uxilonge lesi simo, kufanele ube nezimpawu eziningana ezilandelayo okungenani amasonto amabili elandelana:
- Usizi olujulile kanye nokungabi nalutho okuzwakala sengathi kuhlala usuku lonke.
- Ukulahlekelwa isithakazelo ezintweni owawuzijabulela.
- Ukuzizwa ukhathele kakhulu, ungenampilo.
- Ukushintsha kokulala (ukulala kakhulu noma ukungalali nhlobo).
- Izinguquko ekufiseni ukudla (ukulahlekelwa yisifiso sokudla noma ukudla ngokweqile).
- Ukuzibukela phansi, ukuzizwa ungelutho.
- Ubunzima bokugxilisa ingqondo.
Into ebalulekile ukuthi lesi yisimo esingaphathwa kangcono ngokwelashwa, ngakho-ke akukaze kube sekwephuzile ukucela usizo.
Ukwelashwa kwakwenziwa kanjani esikhathini esidlule? Izindlela zemithi yakudala
Isikhathi eside, cishe iminyaka engama-50, uma kukhulunywa ngokwelapha ukucindezeleka, ososayensi bagxile kakhulu kumakhemikhali asebuchosheni bethu abizwa ngokuthi ama-neurotransmitters. Cabanga ngawo 'njengezibonakaliso' ezivumela amangqamuzana ezinzwa asebuchosheni bethu ukuthi akhulume. Uma lezi zibonakaliso zingasebenzi kahle, isimo sethu sengqondo singaphazamiseka.
Imithi eminingi emidala, ebizwa ngokuthi 'ama-antidepressants', yathuthukiswa ukuze ilinganisele umsebenzi wezithunywa ezintathu zamakhemikhali ikakhulukazi : i-serotonin, i-norepinephrine, ne-dopamine . Le mithi ibe nemiphumela emihle kubantu abaningi, kodwa hhayi kubo bonke.
Kungani lo muthi ungasebenzi kuwo wonke umuntu?
Nansi inkinga. Cishe abantu abathathu kwabayishumi abanokucindezeleka abatholi impumuzo enkulu ngisho nangemva kokushintsha hhayi umuthi owodwa nje kuphela, kodwa ababili. Odokotela babiza lesi simo ngokuthiKubizwa ngokuthi 'Ukucindezeleka Okumelana Nokwelashwa'.
Yingakho, eminyakeni engamashumi amabili edlule noma ngaphezulu, ososayensi beshintshe ngokuphelele indlela abacabanga ngayo ngokucindezeleka. Baye baqaphela ukuthi ukucindezeleka akuyona nje inkinga ngalabo bantu abathathu abasebenzisa amakhemikhali esikhulume ngabo ngaphambili. Ibhayoloji yobuchopho iyinkimbinkimbi kakhulu kunalokho. Futhi lokho kuvula indlela entsha yokuthola imithi emisha.
Ake sibheke umehluko phakathi kokwelashwa kwasendulo nokwanamuhla ngale ndlela.
| Isici | Ukwelashwa okudala (iningi lemithi yokucindezeleka) | Ukwelashwa kwakamuva |
|---|---|---|
| Umgomo oyinhloko | Ama-neurotransmitter afana ne-serotonin, i-norepinephrine, ne-dopamine | Ezinye izinhlelo zokubonisa izimpawu kanye nezifunda ze-neural ebuchosheni, njenge-GABA receptors |
| Isikhathi semiphumela | Kungathatha amasonto ambalwa noma inyanga. | Imiphumela esheshayo zingakapheli amahora noma izinsuku ezimbalwa |
| Indlela yokunikeza | Amaphilisi avame ukuthathwa nsuku zonke | Ukufakwa kwe-IV noma i-spray yamakhala |
Umuthi wakamuva osebenza ngokushesha
Umbono wokuthi ukucindezeleka kuthatha amasonto noma izinyanga ukuze kuphole uyashintsha. Ukwelashwa okusha okusheshayo kuye kwandisa imingcele yalokho okungenziwa kulo mkhakha.
Umuthi okhethekile wokucindezeleka kwangemva kokubeletha
Ngo-2019, kwavunyelwa umuthi obizwa ngokuthi iBrexanolone . Wenzelwe ngqoUkucindezeleka Kwangemva Kokubeletha uhlobo lwesifo sokucindezeleka okukhulu.
- Isebenza kanjani? Nakuba kungacaci ngokuphelele ukuthi isebenza kanjani, kuyikhophi yokwenziwa ye-steroid ekhiqizwa yimizimba yethu ngokwemvelo. Isebenza ngokuthinta ama-receptor ebuchosheni abizwa ngokuthi i-GABA, asiza ukulawula isimo sethu sengqondo.
- Uwuthatha kanjani? Lo muthi awulula ukuwuthatha njengeminye imithi yokucindezeleka. Kumelwe unikezwe njengomuthi wokumpompela nge-IV (njengosawoti) isikhathi esingamahora angama-60 , esibhedlela, ngaphansi kokuqashwa ngudokotela.
- Imiphumela? Okumangazayo ukuthi imiphumela ishesha kakhulu. Izimpawu zakho zokucindezeleka zingase ziqale ukwehla ngokushesha nje lapho ukwelashwa sekuqediwe.
Ngokufanayo, ucwaningo luyaqhubeka ngeminye imithi emisha enganikeza imiphumela esheshayo yokucindezeleka okungamelani nokwelashwa, okusho ukuthi singalindela ukwelashwa okungcono nakakhulu esikhathini esizayo.
Ngakho-ke, kufanele ngenzeni?
Uma ufunda lesi sihloko futhi unezinye zalezi zimpawu, sicela ungahlupheki wedwa. Unganqumi ukuthi unesifo ngokubheka ku-inthanethi.
Into engcono kakhulu ongayenza ukubona udokotela wakho omethembayo bese nixoxa ngalokhu.
Udokotela wakho kuphela ongahlonza isimo sakho ngokunembile futhi anqume ukwelashwa okungcono kakhulu kuwe. Lokhu kungafaka phakathi imithi evamile, ukwelulekwa/ukwelashwa, noma ukudluliselwa kuchwepheshe wezempilo yengqondo uma kudingeka. Khumbula, ukucela usizo kuwuphawu lwamandla.
Umlayezo Wokuya Nawe Ekhaya
- Isifo Sokucindezeleka Okukhulu akusona ubuthakathaka, kuyisimo sangempela sezokwelapha esidinga ukwelashwa.
- Nakuba imithi emidala isiza abantu abaningi, ayisebenzi kuwo wonke umuntu.
- Ngokuthuthuka kwesayensi, manje sekukhona izindlela zokwelapha zesimanje eziqondisa ezinye izinhlelo zokubonisana ebuchosheni futhi zinikeze imiphumela esheshayo.
- Izindlela zokwelapha ezisebenza kahle kakhulu nezisheshayo seziyatholakala manje ezimweni ezithile, njengokucindezeleka kwangemva kokubeletha.
- Ungalokothi uzihlole noma uzenzele imithi. Uma usola ukuthi unesifo sokucindezeleka, funa iseluleko sezokwelapha ngokushesha.
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