Sonke sinezikhathi ekuphileni kwethu lapho sizizwa sidabukile futhi sidumele, akunjalo? Kuvamile kakhulu ukuzizwa sidabukile lapho ulahlekelwa othandekayo, uhluleka ukuhlolwa, noma ulahlekelwa umsebenzi wakho. Kungokwemvelo yethu ukuba nomuzwa wokudabuka. Kodwa uma lokhu kudabuka okukhulu, ukungabi namandla, kanye nokungafaneleki okuzizwa kuhlala izinsuku noma amasonto, kulimaza impilo yakho yonke, kungaba yinto engaphezu nje kokudabuka okuvamile. Yilokho esikhuluma ngakho namuhla, ukucindezeleka, noma isimo esingelapheka esibizwa ngokuthi ukucindezeleka komtholampilo .
Kuyini ngempela ukucindezeleka? (Kuyini ukucindezeleka?)
Kalula nje, ukucindezeleka kuyisimo sempilo yengqondo esithinta imizwa yakho. Kungabangela ukuthi uzizwe udangele ngaso sonke isikhathi noma ulahlekelwe yisithakazelo ezintweni obuzijabulela. Kufana nefu elimnyama elilenga phezu kwekhanda lakho. Kuthinta indlela ocabanga ngayo, indlela ozizwa ngayo, ngisho nendlela osebenza ngayo empilweni yakho yansuku zonke.
Into ebalulekile ukuthi ukucindezeleka akusikho ubuvila noma ubuthakathaka bengqondo. Kuyisimo sangempela sezokwelapha esidinga ukwelashwa, njengesifo sikashukela noma umfutho wegazi ophakeme.
Nakuba kungekho "iphilisi lomlingo" elingayelapha ngokuphelele lesi simo, ngokwelashwa okufanele kanye nokwelulekwa, izimpawu zingalawulwa ngokuphelele futhi ungaphila impilo evamile nejabulisayo. Lesi simo sisibiza ngokuthi ukukhululwa kwesifo. Ngakho ungalilahli ithemba.
Ingabe nawe unalezi zimpawu?
Ngokusho kwe-Diagnostic and Statistical Manual of Mental Disorders (DSM-5), odokotela abayisebenzisayo ukuxilonga izifo zengqondo, uma unezimpawu ezinhlanu noma ngaphezulu kwezilandelayo amasonto amabili , ungase ube nokucindezeleka. Ake sibheke ukuthi ziyini.
| Isibonakaliso | Incazelo elula |
|---|---|
| Isimo sengqondo esidabukisayo esihlala usuku lonke | Ubuze, ukudabuka, kanye nokukhungatheka ozizwayo, ikakhulukazi ekuseni. |
| Ukuntuleka kwamandla/ukukhathala | Ukuzizwa ukhathele futhi ulele usuku lonke ngisho noma ungenzi lutho. |
| Imizwa yokungazibaluli/ukuzizwa unecala ngawe | Imicabango evamile efana nokuthi "Angilutho" nokuthi "Nginomthwalo wemfanelo wakho konke." |
| Ukuzizwa uphoxekile | Imicabango yokuphelelwa yithemba efana nokuthi "akukho lutho oluyoke lube ngcono." |
| Ubunzima bokugxila nokwenza izinqumo | Ubunzima bokukhumbula izinto ezincane, ukugxila emsebenzini, nokwenza izinqumo. |
| Izinguquko zokulala | Ukungalali noma ukulala ngokweqile (ukozela usuku lonke). |
| Ukulahlekelwa isithakazelo ezintweni ezazijabulisa ngaphambili | Ukulahlekelwa isithakazelo sokukhuluma nabangani, ukubukela i-TV, noma ukwenza izinto zokuzilibazisa. |
| Imicabango ngokufa noma ukuzibulala | Ukucabanga ukuthi impilo ayinanjongo, ukucabanga ngokuzilimaza. |
| Ukushintsha kwesisindo somzimba | Ukulahlekelwa yisifiso sokudla kanye nokwehla kwesisindo noma ukwanda kwesifiso sokudla kanye nokwanda kwesisindo. |
Ngaphezu kwalokho, izimpawu zomzimba ezifana nokucasuka njalo, ukungahlaliseki, ubuhlungu bomzimba obuqhubekayo, ikhanda elibuhlungu, kanye nokuphazamiseka kwesisu nakho kungase kwenzeke. Lokhu kungenxa yokuthi amakhemikhali obuchopho ahlobene nokucindezeleka, njenge -serotonin ne- norepinephrine, ahlotshaniswa nesimo sethu sengqondo kanye nobuhlungu.
Ingabe izingane ezincane kanye nabantu abasha nabo banesifo sokucindezeleka?
Yebo. Lokhu kungathinta noma ubani wanoma yimuphi ubudala.
- Izingane ezincane: Kuvamile ukuthi ingane izizwe idabukile. Kodwa uma usizi luqhubeka izinsuku eziningana, futhi kukhona izinguquko zokuziphatha eziphazamisa umsebenzi wesikole noma ukudlala nabangani, kungaba ukucindezeleka.
- Intsha: Ukushintshashintsha kwemizwa kuvamile kule minyaka. Kodwa-ke, uma ubona izimpawu zokudabuka okuhlala isikhathi esingaphezu kwamasonto amabili, uphuthelwa umsebenzi wesikole, ukuhoxa kubangani, noma ukuphendukela ezidakamizweni noma otshwaleni, kufanele ukhathazeke. Khuluma nodokotela ngokushesha ukuze uthole iseluleko.
Yiziphi izimbangela zokucindezeleka?
Akukho imbangela eyodwa eqondile yokucindezeleka etholakele, kodwa odokotela bakholelwa ukuthi kungenzeka ukuthi ibangelwa yinhlanganisela yezici.
- Isakhiwo sobuchopho: Izinguquko zomzimba zingabonakala kwezinye izingxenye zobuchopho babantu abacindezelekile.
- Izinguquko Zamakhemikhali Ebuchosheni: Isimo sethu sengqondo silawulwa yizithunywa zamakhemikhali ebuchosheni ezibizwa ngokuthi ama-neurotransmitters . Uma lezi zingalingani, ukucindezeleka kungenzeka.
- Ama-hormone: Ukucindezeleka kungabangelwa izinguquko zama-hormone ezenzeka ngesikhathi sokukhulelwa, ngemva kokubeletha, izinkinga ze-thyroid, kanye nokunqamuka kokuya esikhathini.
- Izakhi zofuzo: Uma othile emndenini wakho enesifo sokucindezeleka, ungase ube sengozini enkulu yokuba naso.
Ingabe kunezinhlobo ezahlukene zokucindezeleka?
Yebo, ukucindezeleka kungafika ngezindlela eziningi nangamagama amaningi ahlukene. Udokotela wakho uzohlonza uhlobo onalo ngokusekelwe ezimpawini zakho.
- Ukucindezeleka okukhulu kwe-Unipolar: Uhlobo oluvame kakhulu lokucindezeleka.
- Isifo sokucindezeleka esiqhubekayo (i-Dysthymia): Isimo sokucindezeleka esingabi sibi kangako kodwa esihlala isikhathi eside esihlala iminyaka emibili noma ngaphezulu.
- Isifo sokuphazamiseka kwengqondo ngaphambi kokuya esikhathini (PMDD): Isimo esibangela abesifazane ukuba babe nokucindezeleka kanye nokushintshashintsha kwemizwelo okunzima kakhulu kune-PMS evamile.
- Ukucindezeleka Kwesikhathi Sokubeletha: Ukucindezeleka okwenzeka ngesikhathi sokukhulelwa noma ngemva kokubeletha.
- Isifo sengqondo esibangelwa izidakamizwa: Izimpawu zokucindezeleka ezivela ngenxa yokusebenzisa izidakamizwa noma utshwala noma ngemva kokuziyeka.
- Iphethini yesizini: Ukuqala kwezimpawu zokucindezeleka ngezikhathi ezithile zonyaka, ikakhulukazi phakathi nezinyanga ezimnyama nezingenalanga kakhulu.
Ukucindezeleka kutholakala futhi kwelashwe kanjani?
Uma ucabanga ukuthi unezimpawu zokucindezeleka, into engcono kakhulu ongayenza ukubona udokotela womndeni wakho. Uzokuhlola futhi, uma kudingeka, akuthumele kuchwepheshe wezempilo yengqondo.
Ukuxilongwa
Ngudokotela:
1.Kuzohlolwa ngokomzimba ukuze kuhlolwe ezinye izimo zezokwelapha.
2. Izinto ezifana namazinga e-thyroid hormone zizohlolwa ngokuhlolwa kwegazi .
3. Bazokhuluma nawe ngemicabango yakho, imizwa yakho, kanye nezindlela zakho zokuziphatha. Lokhu kubaluleke kakhulu.
4. Izimpawu zakho zizohlolwa ngokwemigomo (DSM-5).
Ukwelashwa
Indlela yokwelapha incike ohlotsheni kanye nobukhali bezimpawu zakho.
- Imithi: Imithi yokucindezeleka iyasebenza kakhulu ekucindezelekeni. Kungase kudingeke uzame imithi eminingana ukuze uthole okusebenzela kahle kakhulu. Le mithi kufanele isetshenziswe kuphela ngaphansi kokuqondisa kukadokotela.
- Ukwelapha Ngengqondo: Kalula nje, lokhu kuyindlela yokukhuluma. Ukukhuluma ngezinkinga zakho nomeluleki wezempilo yengqondo kungakusiza ukuthi uphathe izimpawu zakho. Ukwelapha Ngokuziphatha Kokuqonda (i-CBT) kuyindlela ethandwayo esetshenziswa kulokhu.
- Ezinye izindlela zokwelapha: Ezimweni ezimbi kakhulu ezingaphenduli emithini, ukwelashwa okukhethekile njengokwelashwa nge-electroconvulsive (ECT) kunganconywa.
Izimpawu zobungozi kanye nemicabango yokuzibulala
Lolu udaba olubaluleke kakhulu futhi olubucayi.
Uma uvame ukucabanga ngokuzilimaza noma ukufa, ungakushayi indiva. Kuyingxenye yesifo. Ungalokothi unqikaze ukucela usizo.
Uma wena noma othile omaziyo ehlela noma ekhuluma ngokuzilimaza, iya esibhedlela esiseduze i-Emergency Treatment Unit (ETU) ngokushesha. Noma ubone udokotela ngokushesha okukhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka akusona ubuthakathaka bengqondo, kuyisifo esingelapheka.
- Uma wena noma othile omaziyo enokudabuka, ukungabi nasithakazelo, kanye nezinye izimpawu ezihlala isikhathi esingaphezu kwamasonto amabili, ungangabazi ukufuna iseluleko sezokwelapha.
- Ngokwelashwa okufanele (imithi kanye nokwelashwa kwengqondo), ukucindezeleka kungalawulwa ngempumelelo futhi ungaphila impilo ejabulisayo.
- Uma unemicabango yokuzilimaza, kuyisimo esiphuthumayo. Funa usizo lwezokwelapha ngokushesha. Awuwedwa, baningi abantu abangakusiza.
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