Uma udokotela ekutshela ukuthi unesifo sokucindezeleka, ungase welashwe ngemithi yokucindezeleka kanye nokwelashwa ngenkulumo. Zombili lezi zindlela zokwelapha zingasiza ekunciphiseni ukudabuka nokukhathazeka kwakho futhi zikunike amandla okubhekana nokuphila futhi. Kodwa ukuze uthole okuningi kulezi zindlela zokwelapha, udinga ukwenza zombili lezi zinto njalo.
Kodwa abantu abaningi abaqhubeki nalokhu kwelashwa. Ucwaningo luthole ukuthi cishe ingxenye yabantu abaphuza imithi yokucindezeleka bayayeka ukuyiphuza phakathi noma abayiphuzi ngesikhathi. Abanye abantu besaba imiphumela emibi yale mithi. Abanye bacabanga ukuthi, "Le mithi ayisebenzi." Futhi, abantu abaningi bayayeka ukuthatha imithi yabo ngenxa yesihlamba sokuthi "Ubani ozocabanga ukuthi ngiphuza imithi yokugula kwengqondo?" Kungakhathaliseki ukuthi siyini isizathu, ukuyeka imithi ngaphambi kokuba udokotela wakho akutshele kungaba yingozi.
Kwenzekani uma uyeka ukuthatha imithi ngokuzumayo?
Ngokuvamile, abantu abaphuza imithi bavele bayeke ukuyiphuza uma isiphelile. Abacabangi ngisho nokubona udokotela futhi.
Kodwa ukungathandi ukudla kungabangela izinkinga eziningi. Cabanga ngakho, uma uthatha imithi yokucindezeleka, ubuchopho bakho bujwayela ukugcina amazinga amakhemikhali afana ne-serotonin ebuchosheni bakho ngendlela ethile. Uma uyeka ukuthatha imithi ngokuzumayo, amazinga ala makhemikhali ehla ngokuzumayo. Lokhu kungabangela ukuthi uzwe izimpawu zokuhoxa, okuyizinkinga ezihambisana nokuyeka imithi.
Into ebaluleke kakhulu ukuthi ngaphandle kwemithi, ukucindezeleka kwakho kungenzeka kuphinde kubuye. Ukungalashwa kungenza kube kubi nakakhulu, mhlawumbe kudinge ukuthi ulaliswe esibhedlela.
| Izimpawu Zokuhoxa | |
|---|---|
| Ubuhlungu bekhanda | Isiyezi |
| Ukukhathala | Ukucasuka |
| Ukukhathazeka | Inkinga yokulala |
| Izinguquko ezingazelelwe zesimo sengqondo | |
Ngakho-ke, uma uzizwa sengathi udinga ukuyeka ukuthatha imithi yakho, khuluma nodokotela wakho kuqala. Uzokutshela ukuthi lesi yisikhathi esifanele sokwenza kanjalo, futhi uma kunjalo, ukuthi ungakwenza kanjani ngokuphephile.
Yiziphi izizathu ezivamile ezenza abantu bacabange ukuyeka imithi?
Kunezizathu eziningana ezenza abantu abaningi bayeke ukuthatha imithi yabo yokucindezeleka. Ake sibheke ukuthi iyini nokuthi yini engenziwa ngayo.
| Isizathu | Okudingeka sikwazi ngakho nokuthi yini esingayenza ngakho |
|---|---|
| "Nginemiphumela emibi evela emithini yami." | Njengayo yonke imithi, imithi yokucindezeleka ingaba nemiphumela emibi. Abantu abangaba ngu-40% abathatha ama-SSRI avame ukunqunywa bathola uhlobo oluthile lwemiphumela emibi.
Okufanele ukwenze: Eminye imiphumela emibi iyaphela ngemva kwezinyanga ezimbalwa. Uma ungakwazi ukuyibekezelela, khuluma nodokotela wakho mayelana nokwehlisa umthamo wakho noma ukushintshela komunye umuthi. Isibonelo, ngezinkinga zocansi, omunye umuthi (njenge-bupropion) ungangezwa. |
| "Sengiphilile manje. Angidingi umuthi." | Leli yiphutha elikhulu elenziwa abantu abaningi. Uzizwa ungcono ngoba umuthi owuthathayo uyasebenza. Lokho kusho ukuthi umuthi uyasebenza. Ingozi: Uma uyeka ukuthatha imithi, ukucindezeleka kwakho kungenzeka kubuye. Kungase kungabi khona konke ngesikhathi esisodwa, kodwa kungase kwenzeke uma unenkinga encane noma ubuhlungu benhliziyo. Umuthi ufana nesivikelo esikunika amandla ngezikhathi ezinjengalezi. |
| "Le mithi ayisizi." | Imithi yokucindezeleka kanye nomkhuhlane ayisebenzi ezinsukwini ezimbili. Kungathatha amasonto amane kuya kwayisishiyagalombili ukuthi umuthi uqale ukusebenza. Ngakho-ke kubaluleke kakhulu ukuba nesineke. Okufanele ukwenze: Uma kungekho ukuthuthuka ngemva kwamasonto ambalwa, khuluma nodokotela wakho bese ubuza ukuthi udinga ukwenza ushintsho yini. Ukuthola imithi efanele yokucindezeleka ngezinye izikhathi akwenzeki ngobusuku obubodwa. Kungathatha imizamo eminingana. |
| "Ukwesaba lokho abantu abazokucabanga (Ukucwaswa)." | Kusenemibono eyiphutha enkulu mayelana nempilo yengqondo emphakathini wethu. Lokhu kwesaba kungavela ngaphakathi ("Ngibuthakathaka", "Kukhona okungahambi kahle ngami"). Ngezinye izikhathi, ingcindezi ingavela emndenini ngisho nakubangane. Okufanele ukwenze: Indlela engcono kakhulu yokwenza lokhu ukuqaphela. Wena nabathandekayo bakho kudingeka niqonde ukuthi ukucindezeleka kuyisifo esibangelwa izinguquko zamakhemikhali ebuchosheni, hhayi ubuthakathaka. Funda ngakho emithonjeni ethembekile. |
Yini okufanele uyenze uma imithi yodwa ingasebenzi?
Ngezinye izikhathi ukwandisa umthamo, ukushintsha imithi, noma ngisho nokuzama imithi emibili ehlukene kungase kungakusizi ukucindezeleka kwakho. Kulezo zimo, kunezinye izinketho ongazizama, kanye nokwelashwa ngenkulumo.
- Ukukhuthazwa Kwamagnetic Kwe-Transcranial (TMS): Lokhu kuhilela ukuthumela amagagasi kazibuthe ngekhanda lakho aye ebuchosheni bakho ukuze kuncishiswe ukucindezeleka. Lena inqubo elula nengenabuhlungu. Kuzodingeka wenze lokhu kwelashwa izinsuku ezi-5 ngesonto cishe amasonto ama-4-6.
- Ukwelashwa Nge-Electroconvulsive (ECT): Lokhu kuyindlela yokwelapha ephumelela kakhulu yokucindezeleka okukhulu okungazange kuphendule kwezinye izindlela zokwelapha. Kwenziwa ngenkathi ulaliswe ngokuphelele. Ngakho-ke ngeke uzwe ubuhlungu. Nakuba lokhu kuyindlela yokwelapha ephephile, kungabangela imiphumela emibi, njengokulahlekelwa yinkumbulo yesikhashana.
Kufanele uxoxe ngalezi zinto nodokotela wakho ngaphambi kokwenza noma yiziphi izinqumo.
Khuluma nodokotela wakho.
Uma nganoma yisiphi isizathu ufuna ukuyeka ukwelashwa, ungenzi leso sinqumo ngokuzumayo.
"Shayela udokotela okunike imithi bese ukhuluma naye ngalokhu."
Kubalulekile ukuthola udokotela nomeluleki omethembayo. Khona-ke ningakhuluma ngokukhululekile ngalokho okusengqondweni yakho nalokho okufunayo. Uma wena nodokotela wakho nivumelana ngokuthi lesi yisikhathi esihle sokuyeka ukuthatha imithi yakho, bazokusiza ukuthi unciphise kancane kancane imithi, kunokuba uyeke konke ngesikhathi esisodwa .
Ukuyeka imithi kungaba yinto enhle, kodwa kufanele kwenziwe ngesikhathi esifanele futhi ngokwemiyalelo kadokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka kuyisifo esingelapheka. Imithi kanye nokwelashwa ngokukhuluma yizona zindlela zokwelapha eziphumelela kakhulu.
- Ngisho noma uqala ukuzizwa ungcono, ungayeki ukuthatha imithi ngaphandle kweseluleko sikadokotela wakho. Ungase uzizwe ungcono ngoba imithi iyasebenza.
- Kuvamile ukuba nemiphumela emibi evela emithini. Ungesabi ukukhuluma nodokotela wakho ngakho. Kunezixazululo zalokho.
- Kungathatha amasonto angu-4-8 ukuthi umuthi usebenze. Yiba nesineke ngokwelashwa.
- Uma unemibuzo noma ukukhathazeka mayelana nokwelashwa, xoxa ngakho nodokotela wakho. Ungalokothi wenze izinqumo wedwa.
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