Izibhedlela kanye nodokotelaJulayi 16, 2026🔄 Updated: Jul 16, 2026⏱ 5 min

Ubani udokotela wezifo zengqondo? Ake siqaphele lokhu.

Creator: Dr. Priya Sammani
Published: 2026-07-16T13:51:51.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Sicabanga kangakanani ngenhlalakahle yemizimba yethu? Kodwa okubaluleke kakhulu, futhi mhlawumbe nakakhulu, inhlalakahle yezingqondo zethu, okungukuthi, impilo yengqondo. Ngezinye izikhathi izingqondo zethu zingazizwa zithwele kanzima, zikhathazekile, futhi zidabukile. Ungase ucabange, "Angikwazi ukutshela muntu lezi zinto," "Akekho ozoqonda." Kodwa ngezikhathi ezinjalo, kukhona uchwepheshe ongakulalela, akuqonde, futhi akusize. Lowo dokotela yilokho esikubiza ngokuthi udokotela wezifo zengqondo .

'Udokotela Wezifo Zengqondo', 'Udokotela Wezifo Zengqondo', 'Udokotela Wezifo Zengqondo'... Bangobani laba bantu? Uyini umehluko?

Abantu abaningi bayadideka kancane uma bezwa la magama amathathu. Kuvamile ukuzibuza, "Ingabe wonke enza into efanayo? Kufanele ngibone bani uma nginenkinga?" Ake sihlukanise umehluko omkhulu phakathi kwalawa amathathu ngendlela elula kakhulu. Kubalulekile ukuthi ukwazi kahle lokhu.

Umuntu	Iziqu kanye Nendima
Udokotela Wezifo Zengqondo	Lona udokotela onguchwepheshe ofunde esikoleni sezokwelapha, wathola iziqu zobudokotela (MBBS), wabe esefundela iziqu zobungcweti kwezokwelapha kwengqondo (MD in Psychiatry). Izifo zengqondo zingatholakala. Nguye kuphela onegunya lokukunikeza imithi. Uma kudingeka, ukulaliswa esibhedlela kanye nokwelashwa okukhethekile okufana ne-'ECT' kungenziwa. Odokotela bezifo zengqondo bavame ukwelapha izifo zengqondo ezingathi sína.
Isazi sokusebenza kwengqondo	Lona uchwepheshe oqeqeshiwe kakhulu, njengeziqu ze-psychology kanye ne-PhD, kodwa hhayi udokotela. Izindlela zokwelapha eziyinhloko ukwelashwa kwengqondo, okungukuthi, ukwelashwa ngokukhuluma (`I-Psychotherapy` noma i-Talk Therapy) kanye nokwelulekwa. Umuthi awukwazi ukunqunywa. Kungenziwa izivivinyo ezikhethekile zengqondo (izivivinyo zokuxilonga ingqondo) ezilinganisa izinto ezifana nokuhlakanipha nobuntu.
Udokotela/Umeluleki	Kuneziqu zalokhu njengeziqu ze-Master noma idiploma. Ukwelashwa ngenkulumo kanye nokwelulekwa yizona zinto eziyinhloko. Umuthi awukwazi ukunqunywa. Kuyasiza ngezinkinga zokuphila kwansuku zonke, izinkinga zobudlelwano, kanye nokucindezeleka.

Kalula nje, uma uzizwa sengathi udinga imithi yempilo yakho yengqondo noma uma unesifo esibucayi, kufanele nakanjani ubonane nodokotela wezifo zengqondo.

Kwenzekani uma ubona udokotela wezifo zengqondo?

Uma uya kudokotela wezifo zengqondo, uzoqala ngokukhuluma nawe ngomusa kakhulu futhi akubuze ngezimpawu zakho zengqondo nezomzimba. Cabanga ukuthi ubulokhu uzizwa unzima futhi udangele isikhathi eside, awunasithakazelo sokwenza noma yini, futhi awulali kahle. Ungakhuluma ngazo zonke lezi zinto ngokukhululekile nodokotela.

Ngemuva kwalokho, uma kudingeka, ungenza izinto ezinjengalezi:

Ukuhlolwa komzimba: Hlola ukuthi lezi zimpawu zibangelwa yini esinye isifo.
Ukuhlolwa okufana nokuhlolwa kwegazi: Isibonelo, izimo ezinjengamazinga aphansi e-hormone ye-thyroid ngezinye izikhathi zingabangela izimpawu ezifana nokucindezeleka. Ngakho-ke, ukuhlolwa kunganikezwa ukuze kunqunywe izinto ezinjalo.
Ukuhlolwa kwengqondo: Ubuza imibuzo ukuze uqonde imicabango yakho, imizwa yakho, kanye nezindlela zakho zokuziphatha.

Ngemva kokwenza konke lokhu, udokotela uzosebenzisa izindlela zokuxilonga ezamukelwa emhlabeni wonke (isib. i-DSM-5) ukuze ahlole ngokunembile isimo sakho. Lokhu kungadinga ukuvakashelwa kudokotela izikhathi ezingaphezu kwesisodwa.

Izimo ezivamile eziphathwa odokotela bezifo zengqondo

Odokotela bezifo zengqondo belapha izifo zengqondo ezahlukahlukene kanye nezinkinga zokuziphatha. Ezinye zazo zifaka:

Ukucindezeleka kanye nezinkinga ezihlobene nakho
Izinkinga zokukhathazeka
Izinkinga ze-Bipolar kanye nezinkinga ezihlobene nazo

I-Schizophrenia

Imicabango nezenzo ezingafuneki (Izinkinga zokuzikhukhumeza nokuzicindezela kanye nezinkinga ezihlobene nazo - i-OCD)
Izinkinga ezihlobene nokuhlukumezeka kanye nokucindezeleka (PTSD)
Izinkinga ezihlobene nezidakamizwa kanye nokulutha
Izinkinga zokudla kanye nokudla
Izinkinga zokulala
Ukuphazamiseka kobuntu

Yiziphi izindlela zokwelapha ezinikezwayo?

Ngemva kokuxilongwa, udokotela wakho uzoxoxa nawe ngohlelo lokwelashwa olukufanele kakhulu. Lokhu kungase kuhilele ukwelashwa okukodwa noma ngaphezulu.

Indlela yokwelapha	Incazelo elula
Imithi	Zisiza ekulungiseni ukungalingani kwamakhemikhali (ama-neurotransmitter) ebuchosheni. Lokhu kufaka phakathi izinhlobo ezahlukene zemithi efana ne-'Antidepressants', 'Antipsychotics', kanye ne-'Mood stabilizers'.
Ukwelapha ngengqondo	Lokhu kubizwa nangokuthi "i-Talk Therapy." Kusho ukukhuluma nodokotela wakho ngezinkinga zakho, imicabango, nemizwa kanye nokufunda izindlela zokuzilawula.
Ukwelashwa kokuvuselela ubuchopho	Lezi izindlela zokwelapha zesimanje neziphephile ezisetshenziswa ezimweni ezimbi kakhulu ezingelapheki ngemithi. Izibonelo zifaka phakathi ukwelashwa nge-electroconvulsive (ECT), i-TMS, kanye ne-DBS.

Kufanele ubonane nini nodokotela wezifo zengqondo?

Ungase ucabange, "Nginenkinga encane, kufanele ngiye kudokotela ngenxa yalokhu?" Kodwa uma wena noma othile omaziyo ubelokhu ebhekene nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo isikhathi eside, kungcono ukufuna iseluleko sezokwelapha.

Ukudabuka isikhathi eside, ukuphelelwa yithemba, kanye nokungabi nalutho.
Ukukhathazeka okungalawuleki, ukwesaba, kanye nokwesaba.
Imicabango yokuzibulala . (Uma unale micabango, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze (i-ETU) ngokushesha noma utshele umuntu omethembayo.)
Ukuzilimaza ngokomzimba.
Ukubona noma ukuzwa izinto ezingekho (Ukuzibona sengathi kukhona okungalungile noma ukuphupha).
Ukungakwazi ukulawula ukusetshenziswa kotshwala noma izidakamizwa.
Ukuqhuma njalo kwentukuthelo nobunzima bokulawula imizwa.
Izinkinga ezinkulu zokulala (ukungakwazi ukulala kahle njengangaphambili noma ukulala kakhulu).
Ukuncipha kokugxilisa ingqondo kuze kube sezingeni lokungakwazi ukwenza imisebenzi yansuku zonke, umsebenzi, noma umsebenzi wesikole.

Ulungiselela kanjani usuku lokuqala?

Kuvamile ukuzizwa ukhathazekile futhi wesaba kancane uma uqala ukubona udokotela wezifo zengqondo. Kodwa khumbula, ukhona ukuzokusiza. Nansi indlela ongazilungiselela ngayo.

1. Bhala phansi lokho ofuna ukukhuluma ngakho: Bhala phansi ephepheni izinkinga ezikukhathazayo, izimpawu ozizwayo, nokuthi zaqala nini. Ngaleyo ndlela, ngeke ukhohlwe lutho.

2. Uhlu lwemithi: Tshela udokotela wakho ngayo yonke imithi oyithathayo njengamanje (kufaka phakathi imithi yezinye izimo, amavithamini, kanye nemithi yendabuko). Uma kungenzeka, yiphathe nawe.

3. Buza imibuzo: Ungesabi ukubuza imibuzo nganoma yini ofuna ukuyazi, mayelana nokwelashwa, kanye nemiphumela emibi yemithi.

4. Mayelana nezindleko: Uma uya emtholampilo wezempilo yengqondo (Psychiatry Clinic) esibhedlela sikahulumeni, akukho mali ekhokhwayo. Emkhakheni ozimele, kukhokhwa imali. Yazi lokho kusenesikhathi.

Khumbula, ukucela usizo ngenkinga yempilo yengqondo akulona uphawu lobuthakathaka. Kuyisinqumo esiqinile esenziwe ngumuntu ozikhathalelayo futhi ozithandayo.

Umlayezo Wokuya Nawe Ekhaya

Udokotela wezifo zengqondo udokotela othole ukuqeqeshwa okukhethekile ngempilo yengqondo yethu.

Udokotela wezifo zengqondo kuphela ongakunikeza imithi yesimo sakho sengqondo. Izazi zengqondo noma abeluleki abakwazi.

Uma wena noma othile omaziyo ebhekene nokucindezeleka ngokomzwelo, akukaze kube sekwephuzile ukucela usizo. Akusibo ubuthakathaka, kungamandla.

Uma ungaqiniseki ukuthi uzokhuluma nobani, qala ubonane nodokotela womndeni wakho. Uzokudlulisela kumuntu ofanele.

Lezi zinsizakalo zitholakala mahhala emitholampilo yezempilo yengqondo ezibhedlela zikahulumeni.

Udokotela Wengqondo, Udokotela Wengqondo, Impilo Yengqondo, Isazi Sengqondo, Ukugula Kwengqondo, Ukucindezeleka, Ukukhathazeka, Impilo Yengqondo eSri Lanka, uManasika Saukhyaya

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Izibhedlela kanye nodokotelaJulayi 16, 2026