Kungenzeka ukuthi usuhlushwa ukucindezeleka isikhathi eside. Kungenzeka ukuthi awuzange uzame umuthi owodwa, kodwa emibili noma emithathu oyinikezwe udokotela wakho. Kodwa awukayitholi impumuzo obuyilindele? Ngezinye izikhathi ungase uzibuze, "Kungani lokhu kwenzeka kimi ngedwa? Ingabe lesi sifo ngeke siphele?" Ungakhathazeki. Awuwedwa. Baningi abantu ababhekene nalesi simo. Kwezokwelapha, lokhu sikubiza ngokuthi "ukucindezeleka okumelana nokwelashwa" noma "UKUCINDEZELEKA OKUMELANA NOKWELASHWA" (TRD) . Ngakho-ke, namuhla sizoxoxa ngeminye yemibuzo ebaluleke kakhulu okufanele uyibuze uma ukhuluma nodokotela wakho ngalokhu.
1. Odokotela, kuyini ngempela ukucindezeleka okumelana nokwelashwa?
Kubalulekile ukuqonda kuqala ukuthi lesi simo siyini. Odokotela abahlukene bangase babe nezincazelo ezihlukile kancane zokuthi kusho ukuthini ukuthi "ukungazweli ukwelashwa". Kodwa ngokuvamile, kusho ukuthi izimpawu zakho azikathuthuki ngemuva kokuthatha okungenani izinhlobo ezimbili ezahlukene zemithi yokucindezeleka, ngesilinganiso esifanele kanye nesikhathi esibekiwe (ngokuvamile cishe amasonto ayisishiyagalombili) . Ngakho-ke qiniseka ukuthi ubuza udokotela wakho ukuthi usibona kanjani lesi simo, ukuthi sisho ukuthini, nokuthi sizokuthinta kanjani ukwelashwa kwakho kwesikhathi esizayo.
2. Uyini ulwazi lwakho ekwelapheni lezi zinhlobo zezimo?
Lokhu kungase kubonakale kuyinkinga ebucayi, kodwa ungesabi ukubuza. Ukucindezeleka Okumelana Nokwelashwa kuyisimo esiyinkimbinkimbi kakhulu kunokucindezeleka okuvamile. Yingakho kubalulekile ukubona umuntu onolwazi nolwazi lokukwelapha. Odokotela bezifo zengqondo ngokuvamile yibona abelapha lezi zimo. Udokotela onolwazi lokusiza abantu abanokucindezeleka kwesikhathi eside angaba usizo olukhulu. Ngakho-ke buza udokotela wakho ngalokhu.
3. Kungani ukucindezeleka kwami kunzima kangaka ukukwelapha ngemithi?
Kungaba nezizathu eziningana zalokhu. Khuluma nodokotela wakho ngakho ngokukhululekile.
- Mhlawumbe awuzange uthathe umthamo onqunyiwe womuthi owawuwuthatha ngaphambili.
- Noma mhlawumbe awukawuthathi umuthi isikhathi esanele (amasonto ayisithupha kuya kwayisishiyagalombili) ukuze uqale ukusebenza.
- Ezinye izimo zezokwelapha onazo (isibonelo, izinkinga ze-thyroid - i-Hypothyroidism ) zingase zibe nomthelela kulokhu.
- Ezinye izinkinga zempilo yengqondo (njengokusebenzisa kabi utshwala noma izidakamizwa, isifo sokukhathazeka) zingaphazamisa ukwelashwa kokucindezeleka.
Into ebaluleke kakhulu ukuthi imithi eminingi yokucindezeleka ithatha amasonto ayisithupha kuya kwayisishiyagalombili ukusebenza, ngakho-ke kubalulekile ukuba nesineke ngokwelashwa kwakho.
4. Ingabe ikhona eminye imithi engangisiza?
Impela ikhona. Ungalokothi ulahle ithemba uma umuthi owuzamile kuze kube manje ungasebenzi. Kuhlala kunezinketho ezintsha kwezokwelapha. Ungase ukwazi ukuba ngcono ngezinhlobo ezahlukene zemithi, imithamo ehlukene, noma inhlanganisela yemithi. Khuluma nodokotela wakho ngokuthi yiziphi lezo zinketho nokuthi yimiphi imiphumela yazo emibi, bese wenza isinqumo.
5. Yiziphi ezinye izindlela zokwelapha ezikhona ngaphandle kwemithi?
Imithi iyindlela eyodwa kuphela. Kunezinye izindlela eziningi zokwelapha ezisebenzayo ezitholakalayo. Buza udokotela wakho ngezinye izindlela azisebenzisayo ukusiza iziguli ezinjengalezi.
| Indlela yokwelapha | Incazelo elula |
|---|---|
| Ukwelashwa Ngezingxoxo | Ukwelulekwa, ikakhulukazi izindlela ezifana ne -Cognitive Behavioral Therapy (CBT), kungakusiza ukuthi ushintshe indlela ocabanga ngayo. |
| Ukwelashwa nge-Ketamine | Lokhu ukwelashwa okuqondiswa udokotela okunikeza impumuzo esheshayo kwezinye izimo ezinzima zokucindezeleka. |
| Ukwelashwa Kokukhuthazwa Kobuchopho | Kunezindlela zokwelapha eziningana eziwela ngaphansi kwalesi sigaba. Izibonelo zifaka: Ukwelashwa Nge-Electroconvulsive (ECT) , Ukukhuthazwa Kwamagnetic Kwe-Transcranial (TMS) , kanye Nokukhuthazwa Kwemizwa Yesitho Sangasese Somlomo (VNS) . Lokhu kungaba usizo kakhulu kubantu abangasabeli emithini. |
6. Ngingalwenza kanjani uhlelo lwami lokwelashwa lube lula ngangokunokwenzeka?
Uhlelo lokwelapha lungaba nzima, okwenza kube nzima ukululandela. Ngakho-ke uma kukhona okungakucaceli kahle, buza imibuzo.
- Ngingawuthatha nini umuthi ngosuku?
- Ingabe leso sikhathi siyahambisana nokuphila kwakho kwansuku zonke?
- Ingabe kufanele ngithathe umuthi ngaphambi noma ngemva kokudla?
Qiniseka ukuthi uyakuqonda konke lokhu. Futhi, khuluma nodokotela wakho mayelana nezindleko zokwelashwa kanye nomshwalense wakho.
7. Ingabe ezinye izifo noma imithi iyakuthinta ukucindezeleka kwami?
Yebo, impela. Izinto eziningi zingabangela noma zibhebhethekise izimpawu zokucindezeleka, njengesifo senhliziyo, umdlavuza, izinkinga ze-thyroid, kanye nokusebenzisa kabi izidakamizwa. Futhi, eminye imithi oyithathayo ingaphazamisa ukusebenza kahle kwemithi yokucindezeleka. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho ophelele wezokwelapha kanye nayo yonke imithi (kufaka phakathi amavithamini kanye nezithasiselo) oyithathayo .
8. Ingabe kufanele ngicabangele izindlela ezintsha zokwelapha ezisesesigabeni socwaningo?
Uma ungakayitholi impumuzo ekwelashweni okuvamile, ungase ufune ukucabangela lokhu. Lokhu kubizwa ngokuthi isivivinyo somtholampilo . Lezi yimithi noma ukwelashwa okusesesigabeni socwaningo futhi okungakavunyelwa ngokugcwele yizikhungo ezifana ne-FDA (Food and Drug Administration) njengokwelashwa kokucindezeleka. Buza udokotela wakho ukuthi ungumuntu ofanele yini kulolu hlobo lwesivivinyo.
9. Yiziphi izinguquko okudingeka ngizenze endleleni yami yokuphila?
Njengesengezo sokwelashwa, kunezinto eziningi ongazenza wena. Lezi zingaba usizo olukhulu ekunciphiseni izimpawu zakho.
- Ukuzivocavoca umzimba: Ukuzivocavoca okuncane nsuku zonke kuhle kakhulu empilweni yengqondo.
- Ukulala: Kubalulekile ukulala kahle ebusuku. Zama ukugcina isikhathi sakho sokulala nesokuvuka sihambisana.
- Ukudla: Yidla ukudla okunempilo nokulinganiselayo.
Thola iseluleko kudokotela wakho ngalokhu okufanele wena.
10. Yini okufanele ngiyenze uma kunesimo esiphuthumayo?
Lona umbuzo obaluleke kakhulu. Wena nomndeni wakho kufanele nibe nohlelo olucacile lokuthi yini okufanele niyenze uma kwenzeka isimo esiphuthumayo (inhlekelele) . Uma uzizwa sengathi ufuna ukuzilimaza noma ukuzilimaza abanye, khuluma nodokotela wakho mayelana nezinyathelo okufanele uzithathe. Cacisa ukuthi ubani okufanele ukhulume naye nokuthi uye kuphi (njengegumbi lezimo eziphuthumayo esibhedlela esiseduze (i-ETU) ).
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka Okumelana Nokwelashwa akulona iphutha lakho. Kuyisifo esingelapheka.
- Khuluma nodokotela wakho ngokukhululekile nangokwethembeka. Mbuze ngemizwa yakho, ukwesaba kwakho, kanye nemibuzo yakho.
- Kunezinye izindlela eziningi, hhayi imithi nje kuphela, njengokwelulekwa kanye nokwelashwa kokuvuselela ubuchopho.
- Izinguquko ezincane zendlela yokuphila (ukuzivocavoca umzimba, ukulala kahle, ukudla okunempilo) zizosiza kakhulu ekululameni kwakho.
- Ungalokothi uhlupheke wedwa. Unganqikazi ukucela usizo esimweni esiphuthumayo. Kuhlale kukhona abantu abangakusiza.
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