Umlingo kunye nokuxinezeleka kudla rhoqo, kodwa okokuqala kuqala akusoloko kucacile. Kwezinye iimeko, iziyobisi okanye utywala ziphendulelwa ukuba zithuthuke kwiintlungu zengqondo. Kwabanye, ukuxinezeleka kuqhubeka ngenxa yomonakalo ngokomzwelo nangokwenyama owenziwe ngumlutha.
Yintoni ecacileyo yile: Xa kusetyenziswe izinto ezisetyenziswayo kunye nezifo zengqondo ezifana nokudakumba, imiba inokutshatyalaliswa, kubangele ukuba imiphumo emibi yande.
Yaye ukuba i-disorder enye iphathwa ngaphandle kwesinye, ukuphucula kuya kuba nzima.
Isidingo Sonyango Oluhlangeneyo
Ukusetyenziswa kakubi kweziyobisi kunye noLawulo lweeNkonzo zezeMpilo zeMental (SAMHSA) liqikelela ukuba abantu abadala abayizigidi ezili-9 baye baququzeleleka kwimpilo yengqondo kunye neengxaki zokusebenzisa izidakamizwa, kodwa kuphela iipesenti ezi-7 zifumana uncedo kuzo zombini iimeko. Abaninzi abaninzi, malunga neepesenti ezingama-60, abafumana unyango nonke. Phakathi kolutsha, uphando lubonisa ukuba phakathi kwama-55-74 ekhulwini abo bafuna unyango lwezilwalathiso banemiba yempilo yengqondo njengengcinezelo okanye intlungu, kodwa ezi zinto azifanekiyo.
Ngaphandle kwonyango olunzulu, kukho amathuba amakhulu okuba neziphumo ezintle ezifana nempilo engokwenyama, ukuphuhliswa kwezinye iingxaki zempilo yengqondo, ixesha elifutshane lokuphila, ukungabikho komakhaya nokuboshwa.
Ukuzibulala kuya kuba yingozi kakhulu. Abo babasebenzisa izinto sele sele benomngcipheko omkhulu wokuthatha ubomi babo.
Enyanisweni, abo abaneengxaki zotywala zihlandlo ezili-10 eziphezulu zokuzibulala ngaphezu koluntu jikelele, kwaye isibalo senyukela kumaxesha angama-14 omkhulu mngcipheko kulabo abasebenzisa iziyobisi. Xa ukusetyenziswa kweziyobisi kudibene nokudakumba, imbangela ebangela ukuzibulala, umngcipheko wokufa ngokuzibulala ukhula ngokukhawuleza.
Nangona xa uncedo olwenziwe unyango luza kuza, abo abanenkinga yokubambisana nabo bajamelana nokujamelana okunye. Utywala kunye neziyobisi zingena kwindlela yokhathazwa kwempilo yengqondo, kwaye ukuxinezeleka kuyisicatshulwa esibalulekileyo sokuphinda kubuyiselwe kwizinto ezisetyenziswayo. Kwaye kukho enye inkxalabo: Abo banenkinga yokulutha umlutha badla ngokungaqondi ukuba bajongana nokudandatheka. Umlutha ungathatha ibakala eliphambili kwaye ufike kubonakale ngathi yingxaki ebalulekileyo xa ngokuqhelekileyo kukho impawu yokudandatheka. Umntu obomphefumlo obuthileyo ngaye ngenxa yokusetyenziswa kwakhe kotywala, umzekelo, unokungacinga ukuba ukusela kwakhe kubangela ukuba ahlale ehlaselwa kunokuba aqaphele ukuba ukunyameka kwakhe kwakusenokubangela ukusela. Ukunyanga kuphela ukuxhatshazwa kwakuya kuthi, ngokukodwa, ulahlekelwe yingxenye ebalulekileyo yepuzzles.
Ulwaphulo oludibeneyo olujolise ekuchongeni nasekuphulukeleni ukudandatheka kunye nokuxilwa kwexilongo akuxhomekeke kuphela kwiziphumo ezingcono kodwa ngeendleko eziphantsi kumntu kunye noluntu, amanqaku eSAMHSA. Iqela lezempilo loluntu, lelinye lezinto ezininzi ezinxusa ukwamkelwa komntwana omkhulu kunye nokufumaneka kwonyango oludibeneyo, unikeza uluhlu lweenkcukacha zolwazi ukunika inkxaso, iindawo zoluntu kunye nemibutho ukuseka iinkqubo zabo ezisekelwe kubungqina.
Ukubamba iingxaki kusenokwenzeka kwakhona kukubalulekileyo. Ngenxa yokuba ukudakumba kwenza umntu abe mngcipheko ekuphuhliseni umlutha kwaye ngokuphambene nanjalo, ukunyanga kwimiba nganye ngokukhawuleza kubonakala kunokunceda ukukhusela ingxaki enye ukuba ingabini. Uphando lufumene, umzekelo, ukuba abantwana abaselula bayaphathwa ngenxa yokudakumba kwabo basenokungasebenzisi kakubi iziyobisi emva koko.
Indlela yokwelapha
Ngenxa yobunzima bokuxilongwa okubini kwexilongo kunye nokudakumba, akukho ndlela efanelekileyo yokuyiphatha; kodwa, kukho izicwangciso eziboniswe ukuba luncedo. Imithi enjenge-naltrexone kunye ne-acamprosate, umzekelo, inokubangela ukukhusela amaninzi amachiza nokunciphisa izifiso.
Ukuxhatshazwa kweengxaki ezifana neprozac, iZoloft, Paxil kunye ne-Wellbutrin, ukubiza nje ezimbalwa, kunokukunceda ukulawula ii-circuits zobuchopho ezichaphazela isimo sengqondo. Ezo mayeza ngamanye amaxesha ziza kuba neziphumo, nangona kunjalo, ngoko unzima ukufumana iingenelo ezinobungozi kunye nomboneleli wakho wezempilo.
Amagciwane asebenza ngokugqithiseleyo xa esetyenziswa ngokubambisana kunye neyeza zonyango kunye nentsapho, kunye neengqondo zengqondo ezifana ne-ctnitive therapy (CBT), efundisa iipatheni zokucinga. Uphando olutshanje lunikeza ubungqina bendalo be-CBT ukuphumelela, kubonisa ukuba kunokutshintsha abaphawuli begazi abadibene nexinzelelo kwabanye. Ukunyangwa kwengqondo yindlela enye yokuthandwa kwindlela yokwelapha; uphando luye lwabonisa ukuba lunokusebenza njenge-CBT yokudandatheka.
Ngokuxhomekeka kububungqina bokuxhatshazwa kwempilo kunye nempilo yengqondo, uncedo lunokufumaneka kwimithombo eyahlukeneyo: ukuphulukana nesifo sengqondo kunye nokuphulukiswa kwezigulane, ukunyamekela ngabanye kumcebisi, ugqirha okanye ingqondo, kunye namaqela enkxaso efanayo, njenge-SMART Recovery okanye i-Alcoholics engaziwa. Kungakhathaliseki ukuba uphendukela phi uncedo, nangona kunjalo, khangela abo baqonda ubunzima bezinto ezinokubambisana kunye kwaye balungele ukukunceda ukujongana. Ngaloo ndlela, umjikelezo ungaqala ukuguqula. Esikhundleni sokudakumba kwakho kunye nokwenza umlutha okwenzelana komnye nomnye, bangaqalisa ukwenza ngcono.
Imithombo:
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"Naltrexone." Ukusetyenziswa kakubi kweziyobisi kunye noMbutho Weenkonzo Zempilo Yengqondo . Ukusetyenziswa kakubi kweziyobisi kunye noMbutho Weenkonzo Zempilo Yengqondo. Kufumaneka: Ngo-Meyi 27, 2015.
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