Wake wazizwa udabuke kakhulu, unesizungu, ukhathele, futhi ukhungathekile kangangokuthi awukwazi ukwenza lutho? Eqinisweni, sonke sizizwa le mizwa ngesinye isikhathi empilweni yethu. Kujwayelekile. Kodwa uma lo muzwa ungapheli ezinsukwini ezimbalwa, kodwa ukhathaza ingqondo yakho amasonto noma izinyanga, futhi uphazamisa imisebenzi yakho yansuku zonke, khona-ke akusikho ukudabuka nje kuphela. Kungaba yisimo esibizwa ngokuthi "Ukucindezeleka." Ake sixoxe ngalokhu namuhla.
Ukucindezeleka akusikho ubuthakathaka benhliziyo noma uphawu lwento ethile. Njengesifo sikashukela noma umfutho wegazi ophakeme, kuyisimo sangempela sezokwelapha esidinga ukwelashwa. Ngezinye izikhathi ukucindezeleka kungabangelwa esinye isimo sezokwelapha. Kodwa isikhathi esiningi, kuyisimo sengqondo esiyinkimbinkimbi kakhulu. Into ebalulekile ukuthi ukucindezeleka akuveli ngendlela ethile. Kunezinhlobo ezahlukene kanye nezinhlobo ezincane.
Yiziphi izinhlobo eziyinhloko zokucindezeleka?
Ake sixoxe ngezinye zezinhlobo ezivame kakhulu zokucindezeleka. Ngayinye yalezi zinezimpawu ezihlukile kancane.
- Isifo Sokucindezeleka Okukhulu: Lesi yisimo esibi kakhulu esivame ukusisho uma sithi "ukucindezeleka."
- Isifo Sokucindezeleka Esiqhubekayo (i-Dysthymia): Isimo sokucindezeleka esihlala isikhathi eside futhi esingesibi kangako.
- Isifo Sokuthinteka Kwezinkathi (i-SAD): Isimo sokucindezeleka esenzeka ngezikhathi ezithile zonyaka kuphela.
- Ukucindezeleka Kwengqondo: Isimo esibi esibonakala ngezimpawu zokucindezeleka kanye nokubona izinto ezingekho.
- Ukucindezeleka Kwe-Bipolar: Lesi yisigameko sokucindezeleka esenzeka njengengxenye yesifo se-bipolar.
Ake sibheke ngayinye yalezi ngemininingwane ethe xaxa.
Isifo Sokucindezeleka Esiyinhloko
Umuntu onalesi simo uzizwa edabukile kakhulu, ephelelwe yithemba, futhi engenalutho. Lokhu kuhlanganiswa kwezimpawu kwenza kube nzima ukwenza izinto zansuku zonke njengokusebenza, ukufunda, ukulala nokudla. Ngisho nezinto ezazijabulisa azisenalo injabulo. Lesi simo singafika sidlule kanye empilweni, kodwa kubantu abaningi singenzeka izikhathi eziningana empilweni yabo.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukuzizwa udabukile noma ungenalutho ngaso sonke isikhathi | Ukuzizwa udabukile futhi usinda usuku lonke ngaphandle kwesizathu. |
| Ukulahlekelwa isithakazelo ezintweni obuzijabulela ngaphambili | Izinto ezifana nokubuka i-movie noma ukuhlangana nomngane azisenalo injabulo. |
| Izinguquko ebuthongweni | Ukungalali noma ukulala ngokweqile. |
| Izinguquko zokudla kanye nezinguquko zesisindo | Ukwehla kwesisindo ngenxa yokulahlekelwa yisifiso sokudla noma ukukhuluphala ngenxa yokudla ngokweqile. |
| Ukuntuleka kwamandla, ukukhathala njalo | Ngisho noma ngivuka ekuseni, ngizizwa ngingenalutho, ngikhathele kakhulu ukwenza ngisho nomsebenzi omncane kakhulu. |
| Ubunzima bokugxila | Ukuthola ubunzima bokufunda incwadi, ukwenza isinqumo, noma ukukhumbula okuthile. |
| Ukuzizwa kabi ngawe, ukuzizwa unecala | Imicabango efana nokuthi "Angilutho", "Nginomthwalo wemfanelo wakho konke". |
| Imicabango yokuqeda impilo yakho | Imicabango efana nokuthi “Lokhu kuphila akunanjongo,” “Ngingathanda ukufa.” Lesi isici esiyingozi kakhulu. |
Ukucindezeleka Kwengqondo
Lolu uhlobo lokucindezeleka olubi kakhulu. Cishe ama-25% eziguli ezicindezelekile esibhedlela zinalesi simo. Ngaphezu kwezimpawu zokucindezeleka okukhulunywe ngazo ngaphambili, kunezinye izimpawu ezimbili ezinzima.
1. Ukubona izinto ezingekho: Ukubona noma ukuzwa izinto ezingekho ngempela (isib. ukuzwa othile ekhuluma, ukubona izithombe ezingekho).
2. Ukukhohlisa: Ukuvela kwezinkolelo ezingamanga ezingenangqondo neziqinile ezingenasisekelo eqinisweni. (Isibonelo, ukukholelwa ngokuqinile ezintweni ezinjengokuthi "Ngenze isono esikhulu futhi ngiyajeziswa ngaso," "Othile uzama ukungilimaza.")
Abantu abanalesi simo bangase bangatsheli abanye ngalokho abakubonayo noma abakuzwayo ngenxa yamahloni noma ukwesaba, okwenza kube nzima ukuxilonga.
Kungani sithola ukucindezeleka?
Akukho imbangela eyodwa yalokhu. Kuyinkimbinkimbi kakhulu. Ukucindezeleka kuvame ukwenzeka ngenxa yokuhlanganiswa kwezinto eziningana.
- Ithonya lezakhi zofuzo (i-Biology): Uma othile emndenini wakho eke waba nokucindezeleka, nawe ungase ube sengozini yokuba nakho.
- Izinguquko zamakhemikhali ebuchosheni: Kungase kube ngenxa yokungalingani kwamakhemikhali ebuchosheni (ama-neurotransmitter) alawula imizwa yethu njengenjabulo nokudabuka.
- Izehlakalo ezibuhlungu empilweni: Ukushona komuntu omthandayo, ukulahlekelwa umsebenzi, ukubhidliza ubuhlobo, noma ukugula okungathi sína konke kungabangela ukucindezeleka.
- Izici zemvelo: Izinto ezifana nokucindezeleka isikhathi eside, isizungu, kanye nokuntuleka kokusekelwa komphakathi nazo zidlala indima.
Into ebalulekile ukuthi ngezinye izikhathi ukucindezeleka kungenzeka ngaphandle kwesizathu esibonakalayo. Ngakho-ke ungabi namahloni noma uzizwe unamahloni ngokucabanga ukuthi, "Akukho sizathu sokuba ngibe kanje."
Wazi kanjani ukuthi lesi yisifo? Yiziphi izindlela zokwelapha?
Uma unezimpawu ezishiwo ngenhla isikhathi esingaphezu kwamasonto amabili futhi zithinta impilo yakho yansuku zonke, into yokuqala nebaluleke kakhulu okufanele uyenze ukubona udokotela ofanelekayo.
Udokotela wakho uzokubuza imibuzo, ahlole ukuthi izimpawu zakho zinzima kangakanani, nokuthi usunesikhathi esingakanani unazo ngaphambi kokuthola ukuthi unazo yini izifo. Ngezinye izikhathi, izimpawu zokucindezeleka zingabangelwa ezinye izimo zomzimba, njengezinkinga ze-thyroid, ngakho-ke angenza izinto ezifana nokuhlolwa kwegazi ukuze aqinisekise ukuthi azikho.
Izindaba ezinhle ukuthi ukucindezeleka kungelashwa.Izindaba ezinhle ukuthi ukucindezeleka kuyisifo esingelapheka. Ngokwelashwa, ungaphinde ulawule impilo yakho.
Izindlela ezimbili eziyinhloko zisetshenziswa njengokwelashwa:
1. Imithi: Kunezinhlobo zemithi yokucindezeleka. Isibonelo, izinhlobo zemithi efana ne-'SSRIs' kanye ne-'SNRIs'. Lezi zisebenza ngokulinganisela kabusha amakhemikhali asebuchosheni asebengalingani. Le mithi kufanele iqalwe kuphela ngeseluleko sikadokotela .
2. Ukwelulekwa kanye nokwelashwa ngenkulumo (Ukwelashwa Ngengqondo/Ukwelashwa Ngenkulumo):Ukukhuluma nodokotela wengqondo noma umeluleki oqeqeshiwe, ukuhlonza izinkinga zakho kanye nezindlela zakho zokucabanga bese ufunda ukuzilawula. Imiphumela iphumelela kakhulu uma lezi zindlela ezimbili zisetshenziswa ndawonye.
Ezimweni ezimbi kakhulu ezingaphenduli kwezinye izindlela zokwelapha, ezinye izindlela zokwelapha ezikhethekile njenge-'ECT (Electroconvulsive Therapy)' zinganconywa.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka akusona ubuthakathaka, kuyisifo sangempela esidinga ukwelashwa.
- Uma wena noma othile omaziyo ebhekene nezimpawu zokucindezeleka, ungakushayi indiva lokho. Ungabi namahloni okucela usizo.
- Isinyathelo sokuqala kufanele kube ukubona udokotela womndeni wakho (udokotela). Uzokwazi ukukunikeza isiqondiso esifanele.
- Ukucindezeleka kungaphathwa ngempumelelo enkulu ngemithi kanye nokwelulekwa. Ngokwelashwa okufanele, ungaphila impilo enhle futhi.
- Awuwedwa. Baningi abantu abahlushwa yilesi simo, futhi bakhona abangakusiza.
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