Uma udokotela ekutshela ukuthi unesifo sokucindezeleka, umbuzo omkhulu olandelayo ofika engqondweni 'yimithi'. Ungase wesabe kakhulu ngalo muthi. "Ingabe ngizoba umlutha walokhu?", "Ingabe lokhu kungibangela ezinye izinkinga?", "Ingabe lo muthi ungifanele?", njll., cishe ugijima engqondweni yakho. Eqinisweni, kuyinto evamile ukucabanga ngalezi zinto. Namuhla, ake sixoxe ngalo muthi olawula ukucindezeleka, futhi sithole izimpendulo zayo yonke imibuzo esengqondweni yakho.
Kungani kungithatha isikhathi eside kangaka ukuthola umuthi ofanele?
Lena yinto ebaluleke kakhulu okudingeka siyiqonde kuqala. Ukucindezeleka kuthinta wonke umuntu ngendlela ehlukile. Futhi, indlela umuthi osebenza ngayo kuyehluka kuye ngomuntu. Njengokuya esitolo ukuyokhetha ingubo, kuthatha isikhathi ukuthola umuthi ofanele umzimba wakho kanye nesimo sakho.
Cabanga nje, abanye abantu bazizwa bekhululekile kakhulu ngemithi yokuqala abayinikwayo. Kodwa abantu abaningi abazizwa bekhululekile. Ucwaningo olukhulu olwenziwe e-United States luthole ukuthi abantu abangu-30 kuphela kwabayi-100 abaqala ukuthatha imithi bathola impumuzo ephelele ngemithi yokuqala. Lokhu kusho ukuthi abantu abaningi kuzodingeka basebenzisane nodokotela wabo isikhashana ukuze bathole imithi efanele kanye nomthamo. Kunezizathu eziningana zalokhu:
- Ezinye izimo zezokwelapha: Uma unezinye izimo zezokwelapha, njengesifo senhliziyo, izinkinga zesibindi noma zezinso, eminye imithi yokucindezeleka ingase ingaphephile kuwe.
- Imiphumela emibi yemithi: Ngezinye izikhathi imithi oyinikwayo ingase ingasebenzi kuwe, noma umthamo onqunyiwe ungase unganeli.
- Isikhathi: Kungathatha amasonto amaningana, mhlawumbe kuze kube izinyanga ezimbili, ukuze imiphumela ephelele yale mithi izwakale.
- Imiphumela emibi: Abanye abantu babhekana nemiphumela emibi eminingi, okwenza kube nzima ukuqhubeka nokwelashwa.
Ngakho-ke, ungakhathazeki uma umuthi wokuqala ungasebenzi. Lokho kuvamile. Udokotela wakho uzokusiza ukuthola ikhambi elifanele wena.
Ziyini lezi zidakamizwa zokucindezeleka?
Kalula nje, le yimithi elinganisela umsebenzi wamakhemikhali athile (ama-neurotransmitter) ebuchosheni bethu. Ukungalingani kula makhemikhali kuyimbangela enkulu yokucindezeleka. Ngokukhethekile, amakhemikhali i-serotonin ne-norepinephrine ayabandakanyeka. Lokho okwenziwa yile mithi kusiza ukugcina amazinga afanele ala makhemikhali.
Ngokuvamile, ukwelashwa kwengqondo noma ukwelulekwa kuyanconywa kanye nale mithi. Imiphumela iphumelela kakhulu uma le mithi isetshenziswa ndawonye.
Yimiphi le mithi?
Kunezinhlobo eziningana zemithi eyinhloko yokucindezeleka. Uma uhlobo olulodwa lungasebenzi, udokotela wakho angase azame uhlobo oluhlukile. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lomuthi | Indlela esebenza ngayo kanye nemininingwane elula |
|---|---|
| Ama-Selective Serotonin Reuptake Inhibitors (SSRIs) | Lezi yizinhlobo ezisetshenziswa kakhulu namuhla. Zandisa amazinga e-serotonin ebuchosheni. Izibonelo: i-Fluoxetine, i-Sertraline, i-Citalopram. Imiphumela emibi evamile: Isicanucanu, ukucasuka kwesisu, ukungasebenzi kahle kocansi, ukukhathala, isiyezi, ukuqwasha, ukushintsha kwesisindo, ikhanda elibuhlungu. Lokhu kungase kubonakale ekuqaleni, kodwa kuvame ukuphela ngokuhamba kwesikhathi. |
| Ama-Serotonin kanye nama-Norepinephrine Reuptake Inhibitors (ama-SNRI) | Lokhu kwandisa amazinga e-serotonin kanye ne-norepinephrine. Izibonelo: I-Venlafaxine, i-Duloxetine. Imiphumela emibi evamile: Ukucasuka kwesisu, ukungakwazi ukulala, izinkinga zocansi, ukukhathazeka, isiyezi, ukukhathala. |
| Ama-Tricyclic Antidepressants (TCAs) | Lena yayingomunye wemithi yokuqala esetshenziswa ekucindezelekeni. Ayisasetshenziswa kakhulu namuhla. Izibonelo: I-Amitriptyline, i-Imipramine. Imiphumela emibi evamile: umlomo owomile, isiyezi, ukucasuka kwesisu, izinguquko ekucindezelweni kwegazi kanye namazinga kashukela. |
| Ama-Monoamine Oxidase Inhibitors (MAOIs) | Lena futhi imithi enamandla kakhulu eyayisetshenziswa ezinsukwini zokuqala. Kodwa-ke , odokotela bayinikeza ngokucophelela okukhulu ngoba ingabangela ukuhlangana okukhulu nokudla okuthile (njengoshizi osekhulile nenyama egciniwe) kanye neminye imithi . |
| Ezinye izinhlobo (ezingavamile) | Kukhona nemithi esebenza ngezinye izindlela, njengeBupropion, iMirtazapine, neTrazodone. Isibonelo, iMirtazapine inikezwa abantu abanezinkinga zokulala ebusuku ngoba ibangela ukozela. Kucatshangwa ukuthi iBupropion inemiphumela emibi embalwa yocansi. |
Isixwayiso Esibalulekile: Eminye imithi yokucindezeleka inesixwayiso sokuthi ingandisa kancane ingozi yokucabanga ngokuzibulala , ikakhulukazi ezinganeni, entsheni, kanye nabantu abadala abangaphansi kweminyaka engama-24. Ngakho-ke uma ubona noma yiziphi izinguquko ekuziphatheni noma emicabangweni yakho noma yengane yakho ekuqaleni kokwelashwa, tshela udokotela wakho ngokushesha.
Yini okufanele ngiyenze ukuze ngithole okungcono kakhulu ekwelashweni?
Akwanele ukuphuza imithi nje. Umnikelo wakho nawo ubaluleke kakhulu. Nazi ezinye izinto ongazenza.
Gcina incwadi yemizwa yakho.
Bhala phansi indlela ozizwa ngayo kanye nokushintshashintsha kwemizwa yakho usuku lonke. Uma uyibheka kanye ngesonto, uzozazi ukuthi isimo sakho siya siba ngcono noma sibi kakhulu. Uma unezinkinga, ungabonisa udokotela wakho bese ukhuluma ngazo.
Sondeza abantu abazokusiza.
Kunzima ukuhamba lolu hambo wedwa. Khuluma nomyeni/umkakho, umndeni, abangane abakhulu, nomuntu omethembayo ngalokhu. Ukuba neqembu elihle labantu abakuzungezile abazokusekela kuyisici esikhulu.
Landela ukwelashwa ngqo.
Thatha umthamo onqunyiwe ngesikhathi esinqunyiwe, njengoba udokotela wakho ekutshela. Ungayeki imithi yakho. Kuthatha cishe amasonto ayi-6-8 ukuthi le mithi isebenze ngokugcwele. Ngakho-ke, ungayeki phakathi nendawo, uthi, "Ayikasebenzi okwamanje." Uma ungayithathi kahle imithi, kufana nokuthi awuyiniki ithuba lokusebenza.
Yakha imikhuba emihle.
Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke. Akulula ukuyikhohlwa uma uyihlanganisa neminye imisebenzi, njengokudla kwasekuseni noma ngaphambi kokulala ebusuku. Kungumqondo omuhle futhi ukusebenzisa ibhokisi lamaphilisi lamasonto onke ukuze ugcine imithi yakho ingaphakathi.
Ungayinaki imiphumela emibi
Imiphumela emibi iyimbangela enkulu yokuyeka imithi. Uma unenkinga nganoma yimiphi imiphumela emibi, ungathuli ngayo bese ukhuluma nodokotela wakho. Bangase bakwazi ukuthola indlela yokunciphisa leyo miphumela.
Khumbula, imiphumela eminingi emibi ibonakala kakhulu emasontweni ambalwa okuqala okuqala kokusebenzisa umuthi, kodwa iyancipha kancane kancane njengoba umzimba ujwayela umuthi.
Ungayeki ukuthatha imithi yakho ngaphandle kwemvume kadokotela wakho!
Lokhu kubaluleke kakhulu.Ungayeki ukuphuza imithi yakho ngoba nje uzizwa ungcono. Ukwenza kanjalo kungenza ukucindezeleka kwakho kube kubi kakhulu futhi kubangele izimpawu zokuhoxa. Uma uzizwa sengathi udinga ukuyeka ukuphuza imithi yakho, khuluma nodokotela wakho ngakho. Uzokwazi ukunciphisa kancane kancane umthamo wakho futhi akubonise ukuthi ungayeka kanjani ukuphuza imithi yakho ngokuphephile.
Umlayezo Wokuya Nawe Ekhaya
- Kujwayelekile ukuzinika isikhathi ukuthola imithi efanele kanye nomthamo wokucindezeleka kwakho. Ungakhathazeki ngakho.
- Kuthatha amasonto ambalwa ukuthi imiphumela ephelele yomuthi izwakale, ngakho-ke yiba nokholo ekwelashweni bese uqhubeka.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imiphumela emibi oyitholayo noma noma yiziphi izinguquko esimweni sakho sengqondo.
- Uma uphuza imithi yanoma yisiphi esinye isifo, qiniseka ukuthi utshela udokotela ukuthi ubani owelapha ukucindezeleka kwakho.
- Ungalokothi uqale, ushintshe umthamo, noma uyeke ukuthatha imithi ngaphandle kweseluleko sikadokotela wakho.
- Awuwedwa kulolu hambo. Ngokwelashwa nokusekelwa okufanele, ungaphinde uthole inhlalakahle yengqondo yakho.
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