Indlela yokuchonga i-Disist Depression Disorder, okanye i-Dysthymia
Ngamanye amaxesha, xa abantu befumana uxinezeko oluncinane, oluphantsi, abanakho ukuqonda ukuba bacinezelekile. Enyanisweni, iimvakalelo zabo ezingapheliyo zokudabuka kunye nemizwa ephantsi zi nokuba zide zide kangangokuba ziva ngathi ziqhelekile kubo.
Nangona kunjalo, akuqhelekanga ukuba ufumane ubomi obungenakuvuyela lonke ixesha. Wonke umntu uya kufumana iimvakalelo zexesha lokudakumba ekuphenduleni iziganeko ezibuhlungu okanye ezixinzelelekileyo zobomi .
Kodwa ukuziva ubi kakubi akufanele ukuba ibali lobomi bakho.
Iimpawu zeSigxina esingapheliyo seBakala
Ukudakumba okungapheliyo kwexesha eliphantsi kuyimpawu yimeko ebizwa ngokuthi yi- dysthymic disorder , okanye i-dysthymia. Elinye igama le ngxaki yesimo sengqondo yiNkathazo yokuPhepha okuPhezulu (PDD). Ngelixa sele lidweliswe ngokwahlukileyo kwimeko yokudakumba okukhulu, zihlanganisiwe nje ngokuba akukho mvelaphi ebonakalayo yenzululwazi phakathi kwabo.
Iimpawu kunye neempawu zesifo se-dysthym zifana kakhulu nesifo esixhalabisayo esikhulu, ngaphandle kokuba zivame ukuba zilukhuni kwaye ziyimeko engapheliyo. Ezi ziquka:
- Usizi okanye ukudandatheka
- Ayinandipha izinto ezazisetyenziswa ukuzisa
- Utshintsho kwisisindo okanye ngesondlo
- Iingxaki zokulala
- Ukungabi naso
- Amandla aphantsi
- Ukukhathala
- Imiva yokungathembeki, ukungabi nantoni, okanye ityala
- Iingxaki ngokugxininisa okanye ukwenza izigqibo
- Iingcamango zokufa okanye ukuzibulala
Izizathu
Njengengxaki enkulu yokudandatheka, i-dysthymic disorder ikholelwa ukuba yinkqubo eninzi.
Kubonakala kubangelwa ukudibanisa kwezinto zokuzalwa kwemvelo, ukungalingani kwemvelo, ukuxinwa kwempilo kunye neemeko zendalo.
Kwimizuzu engama-3 yezigulane ezine-dysthymia, kunzima ukuphazamisa nje isizathu esona sizathu sengxaki, njengoko ezi zi gulane zivame ukuba nezinye izinto ezinzima, ezifana nokugula okungapheliyo, esinye isifo sengqondo, okanye ukusetyenziswa kakubi kweziyobisi .
Kule meko, kuba nzima kakhulu ukuthetha ukuba ngaba ukuxinezeleka kuya kubakho ngaphandle kwesinye imeko. Ukongezelela, le miba edibeneyo idla ngokudala umjikelezo onobungozi apho isifo ngasinye senza enye nzima nzima ukuyiphatha.
Ukuxilongwa
Njengezinye iindidi zokudandatheka, akukho ukuhlolwa kwegazi okanye ukukhangela kwengqondo engasetyenziselwa ukuxilongwa kwesifo se-dysthymic. Kunoko, oogqirha kufuneka bahambe ngeempawu abanokuzigcina, kunye naziphi na izimpawu izigulane zibaxelela. Emva koko bafuna ukubona ukuba iimpawu zesigulane zabo zihambelana nomzekelo obhalwe yi-"Diagnostic and Statistical Manual of Disabilities Disorders (DSM)," esiyisikhokelo sokufumana iingxaki zengqondo ezifana nokudandatheka.
Kwimeko yesifo se-dysthymic, oogqirha bajonga ukuba ngaba iimpawu ezibhalwe apha ngasentla zikho ixesha elide. Ukongezelela, bacinga ukuba ubunzima beempawu zingaphantsi kwento isigulane esinokujamelana nayo nengxaki enkulu yokudandatheka.
Ugqirha wakho uzakuzama ukulawula zonke iinkqubo zezokwelapha, ezinjenge-hypothyroidism, ezinokubangela ukudakumba kwakho okungapheliyo. Iimvavanyo zegazi kunye nomchamo zenziwa ukuba zikhangele ezi meko.
Ezinye izinto ugqirha uya kuziqwalasela xa ukwenza ukuxilongwa kubandakanya imbali yakho yezonyango nokuba ingaba kukho nayiphi na imbali yokudakumba phakathi kwezihlobo zakho eziseduze.
Unyango
Ingxaki ye-Dysthymic iyaphendula kwiinkqubo ezifanayo ezisetyenziselwa ukuphatha ingxaki enkulu yokudandatheka. Amachiza okuxhatshazwayo ngokuqhelekileyo anqunywe, kunye ne-serotonin reuptake inhibitors ( SSRIs ) ekhethiweyo. Ukongezelela, uthetha unyango olunjenge- psychotherapy okanye unyango lokuziphatha oluqhelanisiweyo lunokuthi luncedo kakhulu kulabo abane-disysthymic disorder. Uya kufuneka usebenze kunye nomboneleli wakho wezempilo yengqondo ukuphuhlisa isicwangciso sonyango esifanelekileyo kuwe.
Ukuzinyamekela kunokunceda ukuphucula iimpawu zakho:
- Qiniseka ukuba ulala ngokwaneleyo kwaye uqinisekise ukuba unendawo yokulala exhasa ukuphumla okuhle.
- Yidla ukutya okunempilo okuphezulu kwondlo.
- Gwema utywala kunye neziyobisi ezingekho mthethweni.
- Ukuzivocavoca rhoqo. Cwangcisa imizuzu engama-30 ngokunyamekela ngokunyanisekileyo kweentsuku zeveki, kunye nokusebenza ngamandla xa unako ukwenza njalo.
- Fumana izinto zokwenza oko uzonandiphayo.
- Funa abantu abahlobo abanomdla kwaye abonisa ukuba bayakukhathalela.
- Qiniseka ukuba uthatha onke amayeza akho ngokuchanekileyo, kwaye qiniseka ukuxelela ugqirha wakho malunga nayiphi na isongezelelo okanye imishanguzo yemithi oyithathayo.
Ukuba uyaphawula ukuba ukudakumba kwakho kuya kwanda, funa uncedo. I-PDD iphakamisa umngcipheko wokuzibulala.
> Imithombo:
> I-American Psychiatric Association. Ingxaki yokuhlala ecinezelekileyo (i-dysthymia). I-Diagnostic and Statistical Manual of Disabilities Disorders 5th. Arlington, VA: Upapasho lwe-Psychiatric American, 2013; 168-171.
> Inkxalabo yokuPhalazela. MedlinePlus. https://medlineplus.gov/ency/article/000918.htm.