Ingabe ngezinye izikhathi uzizwa udabuke kakhulu, unesizungu, futhi ungenaso isimo sengqondo sokwenza noma yini? Sonke sinalezo zinsuku ekuphileni kwethu. Kuvamile. Kodwa uma lesi simo siqhubeka amasonto noma izinyanga, uma isimo sakho sengqondo siphansi kangangokuthi awukwazi ukwenza imisebenzi yakho yansuku zonke, kungaba yinto engaphezu nje kokudabuka okuvamile. Kwezokwelapha, lesi simo sibizwa ngokuthi i-Major Depression Disorder (MDD) . Lokhu akusikho ubuthakathaka bengqondo, kodwa ukugula kwangempela okudinga ukwelashwa.
Kuyini ukucindezeleka okungamelana nemithi (TRD)?
Ngokuvamile, lapho udokotela eqala ukwelapha umuntu onesifo sokucindezeleka, abantu abaningi baqala ukuzizwa bengcono ngemva kwesikhashana. Kodwa abanye abantu abazizwa bengcono. Isibonelo, uma izimpawu zakho zingathuthuki ngisho nangemva kokuthatha okungenani imithi emibili yokucindezeleka enikezwe udokotela wakho, ngesilinganiso esifanele, isikhathi eside (ngokuvamile amasonto amane kuya kwayisithupha), lokho sikubiza ngokuthi ukucindezeleka okumelana nokwelashwa (TRD) .
Kalula nje, kusho ukuthi umzimba wakho nobuchopho bakho akusabela kahle emithini evamile yokucindezeleka. Ungakhathazeki ngalokhu. Lokhu akusho ukuthi awusoze waba ngcono. Kusho ukuthi sidinga ukucabangela ezinye izindlela zokwelapha ezisebenza kahle.
Into ebaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho uma uzizwa sengathi awutholi impumuzo emuthini, ngaphandle kokuwugcina wedwa.
Yiziphi izimpawu ezivamile zokucindezeleka kanye ne-TRD?
Izimpawu zokucindezeleka okungamelani nokwelashwa (TRD) zifana nezesifo sokucindezeleka okukhulu (MDD). Umehluko ukuthi lezi zimpawu ziyaqhubeka ngisho nangemva kokuthatha imithi. Ake sibheke ukuthi ziyini lezi zimpawu. Kungenzeka ukuthi nawe uke wabhekana nezinye zalezi.
| Isibonakaliso | Kusho ukuthini lokhu? |
|---|---|
| Ukucindezeleka kanye namandla aphansi | Umuzwa wokudabuka nokungabi nalutho ohlala usuku lonke. Umzimba ongenampilo, ozizwa uvilapha ukwenza ngisho nemisebenzi emincane kakhulu. |
| I-Anhedonia (ukuntuleka kwenjabulo kunoma yini) | Izinto owawuzijabulela ukuzenza (isib. ukubukela i-movie, ukukhuluma nabangani, izinto ozithandayo) manje sezibonakala zingasizi ngalutho. |
| Ukudumazeka ngekusasa | Imicabango engemihle efana nokuthi “Angisoze ngalulama” kanye nokuthi “Impilo yami isiphelile” ihlala ifika engqondweni. |
| Ubunzima bokugxila | Ukuthola ubunzima bokufunda incwadi, ukwenza umsebenzi, ukwenza izinqumo. Ukungakwazi ukugcina ingqondo yakho endaweni eyodwa. |
| Ukuzizwa unecala ngawe | Ukuzizwa ungelutho, uzisole ngisho nangezinto ezincane kakhulu. |
| Izinguquko zokulala | Ukulala kakhulu (ukozela emini), noma ukungakwazi ukulala ebusuku noma ukuvuka ebuthongweni. |
| Izinguquko ekufiseni ukudla kanye nesisindo | Ukwehla kwesisindo ngenxa yokulahlekelwa yisifiso sokudla noma ukukhuluphala ngenxa yokudla ngokweqile. |
| Imicabango ngokufa noma ukuzibulala | Ukuzizwa sengathi ufisa sengathi ungaqeda impilo yakho. Lokhu kuyimpawu engathi sína kakhulu, futhi uma unale micabango, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha. |
Kwenzekani uma lesi simo singelashwa?
Ukucindezeleka okungalashwanga kungaholela ezintweni ezifana nokungakwazi ukuzinakekela nokuzihlukanisa nabanye. Ungase ungakwazi ukwenza umsebenzi wakho kahle. Ungase ube nezinkinga ngempilo yomndeni kanye nobungane. Ezimweni ezimbi kakhulu, kungaba yingozi ngisho nokuphila.
Ngakho-ke ungazithathi kalula lezi zimpawu. Akulona iphutha lakho. Kuyisimo sezokwelapha esibangelwa ukungalingani kwamakhemikhali ebuchosheni. Akukho namahloni okuthola usizo ngaso. Kufana nje nokuthatha imithi yesifo sikashukela noma umfutho wegazi ophakeme.
Ingabe likhona ithemba? Izindlela zokwelapha zesimanje!
Nazi izindaba ezinhle! Isayensi yezokwelapha yenze intuthuko enkulu ekwelapheni ukucindezeleka eminyakeni embalwa edlule. Ngokungafani nesikhathi esidlule, manje kunezindlela eziningi zokwelapha ezisebenzayo ezitholakalayo, ngisho nakulabo abanesifo sokucindezeleka esingamelana nokwelashwa (TRD).
Imithi emidala yayigxile kakhulu kumakhemikhali (ama-neurotransmitter) ebuchosheni njenge-serotonin, i-dopamine, ne-norepinephrine. Kodwa izindlela zokwelapha ezintsha zisebenza ngendlela ehlukile, zisebenza ngezinye izindlela ebuchosheni.
Imithi Esebenza Ngokushesha
Enye yezinzuzo ezinkulu zalezi zindlela zokwelapha zesimanje ijubane lazo. Cabanga ngakho, esikhathini esidlule, kwakudingeka ulinde amasonto, mhlawumbe inyanga noma ezimbili, ukuze uzwe imiphumela yomuthi. Kodwa ngezinye zezindlela zokwelapha zesimanje ezitholakalayo manje, ungaqala ukuzwa impumuzo ezimpawini zingakapheli amahora noma izinsuku ezimbalwa.
Lingakanani ithemba leli kumuntu ohlushwa yi-TRD futhi ozizwa edangele ngempilo yakhe? Amandla amakhulu engqondo kuphela angamsiza ukuba alulame ngokushesha esimweni sakhe esibuhlungu. Ungacela udokotela wakho ulwazi mayelana nalezi zindlela zokwelapha zesimanje. Akuzona zonke izindlela zokwelapha ezifanele wonke umuntu. Ngakho-ke, udokotela wakho ozohlola ngokucophelela isimo sakho bese enquma ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka kuyisifo: akusikho ubuthakathaka benhliziyo, futhi akulona iphutha lakho. Kuyisimo sangempela esidinga ukwelashwa.
- Tshela udokotela wakho uma imithi ingasebenzi: Uma ungazizwa ungcono ngemithi oyiphuzayo, ungabambeleli bese uhlupheka, kodwa mtshele nakanjani udokotela wakho. Ungase ube nokucindezeleka okungamelani nokwelashwa (TRD).
- Izindlela zokwelapha zesimanje ziyatholakala: Ngisho nalabo abane-TRD manje sebengaba nethemba. Izindlela zokwelapha zesimanje seziyatholakala ezisebenza ngokushesha futhi ezisebenza kahle kakhulu.
- Ungesabi ukucela usizo: Impilo yengqondo ibaluleke njengempilo yomzimba. Ukucela usizo kuwuphawu lwamandla, hhayi ubuthakathaka. Udokotela wakho uhlala ekhona ukukusiza.
- Awuwedwa: izigidi zabantu eSri Lanka nasemhlabeni wonke ziphila nokucindezeleka. Ngokwelashwa okufanele nokusekelwa, nawe ungaphila impilo enempilo futhi.
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