Kungenzeka ukuthi ubusebenzisa imithi yokucindezeleka izinyanga, mhlawumbe ngisho neminyaka. Kungenzeka ukuthi usubone odokotela abaningana. Kodwa awukazizwa ukhululekile noma ushintshe? Ingabe lowo muzwa omnyama nosindayo usekhona? Uzizwa sengathi lezi zindlela zokwelapha ngeke zisize? Khona-ke awuwedwa. Lokhu kuyinto eyenzeka kubantu abaningi. Uma lolu hlobo lokwelashwa lungasebenzi, ngokwezokwelapha sikubiza ngokuthi 'Ukucindezeleka Okumelana Nokwelashwa' (TRD) .
Kalula nje, kuyini lokhu 'ukucindezeleka okumelana nokwelashwa'?
Lokhu kungase kuzwakale njengento enkulu uma uzwa igama. Kodwa ngamafuphi, kusho ukuthi uthatha ukwelashwa okufanele kokucindezeleka, okusho okungenani ama-antidepressant amabili avela ezigabeni ezahlukene, ngesilinganiso esifanele, isikhathi eside ngokwanele, kodwa izimpawu zakho azithuthuki kakhulu.
Cabanga ngalokhu: Cishe izingxenye ezimbili kwezintathu zabantu abanesifo sokucindezeleka abatholi ukuthi umuthi wokuqala abawuzamayo usebenza kahle. Futhi cishe ingxenye eyodwa kwezintathu ingase ingalulami ngisho nangemva kokuzama imithi eminingana.
Into ebalulekile ukuthi, lokhu akulona iphutha lakho. Futhi akusho ukuthi ngeke uphinde ululame kukho. Kusho ukuthi kuzodingeka usebenze kanzima ukuze uthole ukwelashwa okufanele.
Kuthiwani uma ngisola ukuthi nginalesi simo?
Uma nawe ungabaza ngalokhu, zibuze le mibuzo.
| Ingabe nawe uzizwa ngale ndlela? |
|---|
| Awuzizwa yini uthuthuke noma ushintshe okuthile ngemva kokwelashwa okutholayo? |
| Ngisho noma uzizwa ungcono kancane ngemva kokwelashwa, ingabe uzizwa sengathi amandla akho akudala nenjabulo akukabuyi? |
| Ingabe unenkinga yokubekezelela imiphumela emibi yemithi oyinikezwe? |
| Ingabe ukuvama kanye nobukhali bokucindezeleka kukhuphukile ngokuhamba kwesikhathi? |
| Uzizwa sengathi ezinye izinkinga zengqondo, njengokukhathazeka, sezikhulile? |
Uma uphendule ngokuthi “yebo” kunoma yikuphi kwalokhu, kufanele nakanjani ukhulume nodokotela wakho ngakho. Akusho ukuthi une-TRD, kodwa kuyisibonakaliso esihle sokuthi uhlelo lwakho lokwelashwa ludinga ukushintshwa.
Uthola kanjani usizo ngempela?
Esikhathini esiningi, udokotela wakho oyinhloko angelapha ukucindezeleka. Kodwa-ke, uma unomuzwa wokuthi isimo sakho siyamelana nalolu hlobo lokwelashwa, kungcono ukubona udokotela wezifo zengqondo, onolwazi olukhethekile ekwelapheni lezi zimo eziyinkimbinkimbi.
Uma ubona uchwepheshe, uzohlola ngokucophelela lezi zinto:
1. Qiniseka ukuthi ukuxilongwa kwakho kulungile: Ngezinye izikhathi lokho ocabanga ukuthi ukucindezeleka kungaba yinto ehlukile. Isibonelo, umuntu onesifo sokuphazamiseka kwengqondo angase angasabeli kahle emithini yokucindezeleka evamile. Futhi, izimpawu zokucindezeleka zingabangelwa izimo zomzimba ezifana ne-hypothyroidism. Ngakho-ke uma ukuxilongwa kungalungile, ukwelashwa kungase kungasebenzi.
2. Hlola ukuthi uthatha imithi yakho ngendlela efanele: Abanye abantu abayithathi imithi yabo ngesikhathi, abayithathi imithamo, noma abayiyeki ngenxa yemiphumela emibi. Khumbula, kungathatha amasonto ama-4 kuya kwayi-12 ukuthi umuthi wokucindezeleka usebenze. Ngakho-ke akuwona umqondo omuhle ukuyeka ukuwuthatha ngokushesha kakhulu.
3. Hlola ezinye izimbangela: Utshwala, ukusetshenziswa kwezidakamizwa, imithi esetshenziswa kwezinye izifo, nezinye izici nakho kungenza ukucindezeleka kube kubi kakhulu noma kukwenze kungasabeli ekwelashweni.
Yiziphi izindlela zokwelapha ezikhona?
Ungalilahli ithemba! Kunezindlela eziningi zokwelapha ezitholakalayo ze-TRD. Udokotela wakho uzokusiza ukhethe okulungele wena.
Amasu Okwelapha
Kukhona izithunywa zamakhemikhali ebuchosheni bethu ezilawula imizwa, sizibiza ngokuthi ama-neurotransmitter . Ama-antidepressant asebenza ngokulinganisela umsebenzi walezi zinto. Uma umuthi owodwa ungasebenzi, ungazama omunye umuthi osebenza ngendlela ehlukile.
- Ukushintsha Imithi: Uma i-SSRI eyodwa (i-Selective Serotonin Reuptake Inhibitor) ingasebenzi kuwe, omunye umuthi osekilasini elifanayo ungasebenza. Noma ungashintshela ekilasini elihlukile ngokuphelele, njenge-SNRIs, i-Tricyclics, noma i-MAO inhibitors.
- Ukwengeza omunye umuthi (Ukwandisa/Okungeziwe):Ngezinye izikhathi, uma uthola impumuzo ethile emithini yakho yamanje, udokotela wakho angase anqume ukwengeza umuthi ovela kwelinye ikilasi ukuze akusize, kunokuba awuyeke. Isibonelo, imithi efana ne-Aripiprazole ne-Quetiapine isetshenziswa ngale ndlela.
- Izindlela zokwelapha zanamuhla: I-spray yamakhala esanda kwethulwa i-Esketamine (Spravato) kanye ne- Ketamine ejovwayo nazo zisetshenziswa ngempumelelo kwi-TRD. Zithinta ubuchopho ngendlela ehlukile kunemithi yokucindezeleka evamile, okusiza ekunikezeni impumuzo esheshayo.
Ukwelashwa Okungeyona Imithi
Kunezinye izindlela eziningi zokusiza nge-TRD, hhayi imithi kuphela.
| Indlela yokwelapha | Kalula nje, |
|---|---|
| Ukwelapha ngengqondo | Izindlela ezifana ne -Cognitive Behavioral Therapy (CBT) zikusiza ukuthi unqobe ukucindezeleka ngokushintsha indlela ocabanga ngayo kanye nezindlela zakho zokuziphatha. Uma kuhlanganiswa nemithi, lokhu kwelashwa kusebenza kahle kakhulu. |
| Ukwelashwa Nge-Electroconvulsive (ECT) | Ungesabi uma uzwa leli gama. Lolu uhlobo lokwelashwa oluphephile kakhulu, oluqeda izinhlungu, futhi oluqondiswa udokotela. Lusebenza kahle kakhulu ekunikezeni impumuzo esheshayo kulabo abanokucindezeleka okukhulu kanye nemicabango yokuzibulala abangazange baphendule kunoma yiluphi olunye uhlobo lokwelashwa. |
| Ukukhuthazwa Kwamagnetic Kwe-Transcranial (TMS) | Lokhu kuyindlela yokwelapha engadingi ukuhlinzwa esebenzisa amaza kazibuthe avela ngaphandle kogebhezi ukuvuselela izingxenye ezithile zobuchopho. Lena futhi indlela yokwelapha ephumelelayo. |
| Ukukhuthazwa Kwemizwa Yesitho Sangasese Sowesifazane (VNS) | Idivayisi encane ifakwa ngokuhlinzwa ngaphansi kwesikhumba sesifuba futhi ivuselela i-vagus nerve entanyeni. Lokhu kusetshenziselwa ukucindezeleka kwesikhathi eside, okungamelani nokwelashwa. |
Ukulaliswa esibhedlela
Ngezinye izikhathi, uma ukucindezeleka kwakho kukhulu kangangokuthi usengozini yokuzilimaza, udokotela wakho angase anqume ukukulalisa esibhedlela isikhathi esifushane. Lokhu kukuvumela ukuba ube sendaweni ephephile, kude nokucindezeleka kokuphila kwansuku zonke, futhi kuvumela odokotela bakho ukuthi bakhe uhlelo lokwelashwa olukulungele kangcono.
Izinto ongazenza ngenkathi uphila nalesi simo
Kungathatha isikhathi ukuthola ukwelashwa okufanele. Okwamanje, lezi zinto zingakusiza ukuphatha isimo sakho.
- Landela uhlelo lwakho lokwelashwa ngqo. Ungayeki ukuthatha imithi yakho noma ushintshe umthamo kuze kube yilapho udokotela wakho ekuyala ukuthi wenze kanjalo.
- Gwema utshwala nezidakamizwa ngokuphelele. Lokhu kuphazamisa ukusebenza kahle kwemithi yokucindezeleka futhi kungenza ukucindezeleka kube kubi nakakhulu.
- Lala kahle ebusuku. Zama ukulala amahora angu-7-8 ngaphandle kokuphazamiseka ngosuku.
- Lawula ukucindezeleka. Yenza okuthile okukulethela ukuthula nsuku zonke, njengokuzindla, i-yoga, noma ukulalela umculo.
- Ukuzivocavoca. Ukuhamba noma ukugijima okungenani imizuzu engama-30 nsuku zonke kungasiza ekuthuthukiseni isimo sakho sengqondo.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka okumelana nokwelashwa (TRD) akulona iphutha lakho noma ubuthakathaka. Kuyisimo sezokwelapha.
- Kujwayelekile ukuzinika isikhathi ukuthola ukwelashwa okufanele. Kudinga isineke nomzamo.
- Esimweni esinjengalesi, kubaluleke kakhulu ukusebenza nodokotela wezifo zengqondo onguchwepheshe.
- Ngokuvamile, inhlanganisela yemithi kanye nokwelashwa ngokukhuluma (psychotherapy) iyona ephumelela kakhulu.
- Ungalokothi ulahle ithemba. Ungalulama ngokuphelele kulesi simo. Kunezindlela eziningi zokwelapha nezindlela ezingakusiza.
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