EUnited States, ngaphezu kweepesenti ezi-7 zabantu abadala kunye nabantwana (abangaphezu kweminyaka eyi-12) baye babhekana nokudakumba kwixesha leeveki ezimbini. Enyanisweni, ukudakumba kukuba yenye yeemeko zempilo ezingapheliyo ezichazwe oogqirha kwiirekhodi zabo zezonyango.
Nangona uxinzelelo luqhelekile, ukuba ucinga ukuba unayo, ungaqinisekanga malunga nokuba uqala kuphi.
Nazi iindlela zokufumana unyango lwakho lwezempilo, ukuze uziva kakuhle.
Ukujonga Unonophelo Lwenkcukacha Udokotela
Ukuba uyakrokrela ukuba unokudakumba, uhambo lwakho lokuqala kufuneka lube kwintsapho yakho okanye ugqirha wokunyamekela okokuqala ukuze uhlolisise. Nangona oogqirha abaninzi bekhusela ukuxinezeleka, kulungile ukuba phambili kwaye uxelele ugqirha wakho phambili malunga neenkxalabo zakho. Ugqirha wakho ukhona ukukunceda, ngoko ungagcini.
Ngaloo nto, ugqirha unokubuza imibuzo emininzi enxulumene nokudakumba kwakho. Imizekelo yale mibuzo ingabandakanya:
- Kude kube nini uziva uhlungu okanye uhla?
- Ngaba ulala ngaphezu kwexesha eliqhelekileyo okanye unzima ukulala?
- Ungathanda njani? Ngaba ulahlekelwe isisindo okanye ubukhulu?
- Ingakanani amandla akho?
- Ngaba unenkathazo yokugxila okanye ukwenza izigqibo?
- Ngaba ucinga ngokufa okanye unokuzibulala?
Iimpendulo zakho kule mibuzo (kunye nabanye) ziya kunceda ugqirha wakho ukuba ungenawo okanye unayo ingxaki enkulu yokudandatheka, edla ngokubhekisele nje njengokudandatheka.
Nangona kunjalo, ngaphambi kokuqinisekisa ukuxilongwa, ugqirha wakho uya kufuna ukulawula ezinye iingxaki zempilo. Oku kungenxa yokuba kukho iimpawu zonyango ezininzi ezinokuzifanisa nokuxinezeleka. Oku kuyinyani ngokukodwa kubantu abadala asebekhulile.
Ezinye zeemeko zempilo ziquka:
- Ukunqongophala kwe-Vitamin (umzekelo, ukungabikho kwe-vitamin B12)
- IAnemia
- Ishukela eliphantsi kwegazi
- Hypothyroidism
- I-calcium okanye enye i-electrolyte engafanelekiyo
- Iingxaki zezintso okanye isibindi
Nangona uvavanyo lwegazi lungasetyenziselwa ukuxilonga ukuxinezeleka, kunokuyalelwa ngugqirha wakho ukuba alawule ezinye zeemeko ezingentla.
Ngokuqhelekanga, uvavanyo lweemifanekiso luyalelwe, njengengqondo ye-MRI, ukulawula izifo zengqondo, ezifana nokubetha, ikakhulukazi ukuba kukho izibonakaliso zomzimba kwiimvavanyo zomntu okanye ubungqina beengxaki zengqondo.
Ukongezelela, amanye amayeza angabangela iimpawu zokudakumba njengempembelelo yecala. Qiniseka ukuba uxelele ugqirha wakho onke amayeza owathathayo, kubandakanya zombini umyalelo kunye nezidakamizwa ezingaphezu kwee-counter.
Ekugqibeleni, kufanelekile ukuphawula ukuba ngamanye amaxesha ezinye zeemeko zempilo yengqondo zinokuba nzima ukukrazula ngaphandle kokudandatheka.
Ngokomzekelo, ingxaki yokuguquka kwe-bipolar inokungaqondwa kakubi ekuqaleni njengengcinezelo. Oku kungenxa yokuba iimpawu ze-mania zinganakunyuswa, njengoko iimpawu zomntu ezixakekayo ziziva zibi kakhulu kwaye ziqale zizingenise ekuqaleni. Ukusetyenziswa kakubi kweziyobisi, ukuxhatshazwa okanye ukuhoxiswa, kunokubangelwa neempawu ezibangelwa ukudakumba.
Zama ukuhlala unomonde njengoko ugqirha wakho ehamba ngeempawu zakho.
Ukudluliselwa kwiNgcali yezeMpilo yengqondo
Emva kwembali epheleleyo yezobugcisa kunye nokuhlolwa kwangokwenyama, ukuba ugqirha wakho ufumanisa ukuba uxinezelekile, ungathunyelwa kwi- engcali yezempilo yengqondo , njengengqondo
Inxaxheba yesazi sengqondo kukuba kuqhutywe phambili ukuvavanya imivo yakho kwaye unqume ukuba ngaba uncedo lweyeza. Ukuba uya kuzuza kwakhona kwi- psychotherapy (uphando lubonisa ukuba ukudibanisa amayeza kunye nonyango lusebenza kakuhle ekuphatheni ukudakumba), i-psychiatrists ngokubanzi iyakwazi ukujongana nale nto, nangona abanye banokukhetha ukukuthumela kwenye ingcali yezempilo yengqondo, kwengqondo.
Nangona abanye abantu baya kwenza kakuhle ukuphathwa ngonyango lwabo lokuqala, abanye banokuzuza xa bebona umqondo wengqondo ngokukodwa xa iimpawu zingaphuculanga kunye nesilingo sokuqala se-anti-depressant, okanye ukuxinezeleka kunzima ukususela ekuqaleni.
Ngamafutshane, ukuba ufumanisa ukuba unokuxinezeleka, kubonakala kunengqiqo ukuqala kunye, okanye ubuncinane ufumane ukuhanjiswa kuyo, kwingcali yezempilo yengqondo.
Unyango lwexinzelelo luyinkimbinkimbi
Kubalulekile ukuphawula unyango lokudakumba akulula njengokubhala umyalelo weprozac (i-fluoxetine). Izizathu zodwa zokudakumba zihlukeneyo kwaye ziqondwa kakuhle. Amachiza asetyenziswe ukunyanga afana neentlobo ezahlukeneyo, ngoko ke ukufanisa nesilwanyana nomntu akuyiyo isigqibo esicacileyo.
Izimpawu zomntu, izigulane ezikhoyo, ukunyamezela kweempembelelo zecala, kunye nemichiza eyayizame ngaphambili zizinto ezimbalwa eziqwalaselwa xa ugqirha wakho ukhetha ukuxhatshazwa kwakho.
Kwakhona, unyango lunokuthatha ixesha. Nangona abantu abaninzi beqala ukuziva bebhetele kwiiveki ezimbini ukuya kweyesibini, kunokuthabatha iiveki ezintandathu ukuya kweyeshumi elinesibini ukuze uzive umphumo opheleleyo weyeza lakho.
Nangona kunjalo, qiniseka ukuba ulandelelene kunye nogqirha wakho, ngokukodwa ukuba unobungozi obunzima. Kwakhona, ukuba uqaphela kakhulu okanye akukho phuculo lweempawu zakho emva kweeveki ezimbini ukuya kwezine, ugqirha wakho unokwandisa umthamo wakho, ungeze elinye iyeza ukunyusa umphumo walo, okanye utshintshe amayeza akho.
ILizwi
Into ebaluleke kakhulu ukuba uyikhumbule ngokufuna unyango lokudandatheka kukuthetha nje kwaye ucele. Ukudandatheka akusona uphawu lobuthathaka okanye ubuvila. Kuwuphawu lokuba into ayiphumeleli. Xa unyango olufanelekileyo, oluqhelekileyo luquka iindlela ezimbini zokunyanga kwamayeza kunye ne-psychotherapy, unokuziva kwakhona.
> Imithombo:
> Amacandelo okuLawula nokuLawula izifo. (2016). I-National Health Statistics: Uxinzelelo.
> Cuijpers P, Dekker J, SD Holers, Andersson G. Ukongeza i-psychotherapy kwi-pharmacotherapy ekunyanga ukuphazamiseka kwabantu abadala: ukuhlaziywa kwemeta. J Clin Psychiatry . 2009; 70 (9): 1219.
> Maurer DM, UkuCaphula kweNkcitho. I-Phys Physician . 2012 Jan 15; 85 (2): 139-44.
> Simon G. (2017). Imfundo yesineke: Ukunyanzeliswa kwezonyango kubantu abadala (Ngaphandle kweZiseko). Roy-Byrne PP, ed. Isemgangathweno. Waltham, MA: UpToDate Inc.