Funda ukuthi ikhanda lakho nokucindezeleka kungaxhunyaniswa kanjani.
Awusiye wedwa uma uhlupheka kokubili ukucindezeleka kanye nesifo sengqondo. Enye ingase ibangele enye, noma kungenzeka ukuthi kwenzeke ukuthi ukhuthaze izimo ezimbili zokwelapha ezibucayi nezibuhlungu ngesikhathi esifanayo. Kuyinto ekhohlisayo ukuhlukana, futhi ososayensi baqala ukukhanda amakhanda abo phezu kwesixhumanisi esiqondile.
Ingabe Ukucindezeleka Kusobala?
Cha, hhayi njalo. Ngezinye izikhathi, abantu abakholisi kudokotela wabo noma othandekayo "ngokuzizwa bebuhlungu noma bephansi." Kungenzeka, kunalokho, bakhononde ngezifo zomzimba.
Lezi zifo ziqinisekisa ukuthi uphenyo, kodwa uma oluvamile, lungabonisa ukuguquka kwemizwelo. Njengoba nje ukuphazamiseka kwengqondo, ikakhulukazi okungavamile, kunganciphisa ukucindezeleka - ukucindezeleka kunganciphisa ikhanda. Kufana nenkolelo yezinkukhu kanye neqanda futhi kungadambisa odokotela ukukhipha. Khumbula, noma ngabe ukucindezeleka kuyimbangela yesikhumba somuntu, ubuhlungu bekhanda babo kusekhona ngempela.
Ngaphandle kwekhanda, nansi ezinye izikhalazo zomzimba (somzimba) ongazizwa nokucindezeleka:
- Ubuhlungu (intamo, emuva, kwesisu)
- Ama-aches kanye nezinhlungu ezihlangene
- Ukuqokwa
- Ukungabi namandla
Iyini i-Major Depression Disorder?
Ngokwe- Manual Diagnostic and Statistical of Mental Disorders , eyanyatheliswa yi-American Psychiatric Association, inqubo ye-Major Depression Disorder (MDD) yilezi ezilandelayo:
Ukuzizwa ecindezelekile noma ukulahlekelwa injabulo / isithakazelo emisebenzini yansuku zonke emavikini angaphezu kwamabili futhi okungenani ama-5 kwangu-9 avela ngezansi, abe khona cishe nsuku zonke.
- Umzwelo ocindezelekile noma othukuthele kakhulu usuku lonke, cishe nsuku zonke, njengoba kuboniswe ngumbiko wokuziphendulela (isb. Uzizwa udabukile noma ungenalutho) noma ukubonwa ngabanye (isib. Kubonakala sengathi kuyabuhlungu).
- Nciphisa intshisekelo noma injabulo emisebenzini eminingi, iningi lusuku ngalunye.
- Ukuguqulwa kwesisindo esibalulekile (5%) noma ukuguquka kokudla
- Shintsha ukulala (Insomnia noma hypersomnia)
- Shintsha emisebenzini (ukucindezeleka kwe-psychomotor noma ukuthambekela kwengqondo)
- Ukukhathala noma ukulahlekelwa amandla
- Ukuziphendulela / ukungabi nalutho: Imizwa yokungabi nalutho noma icala elingafanele noma elingalungile
- Ukugxila: Ikhono elincishisiwe lokucabanga noma lokugxila, noma ukugxeka ngaphezulu
- Ukuzibulala: Imicabango yokufa noma yokuzibulala, noma inqubo yokuzibulala
UDokotela wami uzongilingisa kanjani ukucindezeleka?
Ngesikhathi esilandelayo lapho uya khona ukuze uhlolwe ngokomzimba wakho, ungamangali uma udokotela wakho ekukwenzela ukucindezeleka, ikakhulu uma unomlando wesifo esingapheli, njenge-migraines noma i-cluster headaches. Umbuzo WezeMpilo Weziguli-9 (PHQ-9) ungenye yamathuluzi avamile asetshenziselwa ukuhlola ukucindezeleka. Kuzo iziguli ezikhulile, odokotela bavame ukusebenzisa i-15-item Geriatric Depression Scale.
Ingabe Ezinye Izimo Zezokwelapha Ukucindezeleka Kwemithi?
Yebo. Uma ucabangela ukucindezeleka, udokotela wakho angakuhlola nezinye izifo zokuxilongwa kwengqondo ezingakwazi ukulinganisa noma ukuzihlanganisa ne-Major Depression Disorder.
- ukucindezeleka kwe-bipolar
- i-dysthymic disorder
- isifo schizoaffective
- schizophrenia
- ukushonelwa
Udokotela wakho angakuhlola futhi ngalezi zimo zezokwelapha ezilingisa izimpawu zokucindezeleka njenge:
- vitamin b12
- isibindi noma isifo sezinso
- i-calcium ephezulu
Ngaphansi
Uma ucabanga ukuthi ikhanda lakho lingase libe uphawu lokucindezeleka, noma uma ikhanda lakho lidala imicabango ecasulayo, sicela ufune isiqondiso somhlinzeki wakho wezempilo. Udokotela wakho angase anikeze i-tricyclic anti-depressant noma i-serotonin i-reuptake inhibitor ekhethiwe ukuze aphathe ikhanda lakho elihlotshaniswa nokucindezeleka. Awuwedwa. Yiba nomthelela ekunakekeleni kwezempilo kanye nenhlalakahle yakho.
Imithombo
I-American Psychiatric Association. Incwadi Yokuhlola Nezibalo Zezinkinga Zengqondo. I-4th ed., Ukubuyekezwa kombhalo. Washington, DC: Association of Psychiatric Association; 2000.
I-American Psychiatric Association. Ukuthuthukiswa kwe-DSM-5. http://www.dsm5.org/Pages/Default.aspx.Iphumelele ngo-Aug 31st 2014.
I-Sheikh JI, i-YesAvage JA. Isilinganiso sokucindezeleka kwe-Geriatric (GDS): ubufakazi bamuva nokuthuthukiswa kwenguqulo emifushane. Ku: Brink TL, ed. Gerontology Clinic: Umhlahlandlela Wokuhlola Nokungenelela. I-London, United Kingdom: Taylor & Francis; 1986: 170 .
http://www.stanford.edu/~yesavage/GDS.english.short.score.html. Ifinyelele ngo-Septhemba 2014.
www.phqscreeners.com/. Ifinyelele ngo-Septhemba 2014.
http://www.headaches.org/education/Headache_Topic_Sheets/Depression_and_Headache. Ifinyelele ngo-Aug 31st 2014.
ISICELO: Leli sayithi lenzelwe izinjongo zokwaziswa kuphela. Akufanele isetshenziswe njengengxenye yokunakekelwa ngumuntu udokotela olayisenisi. Sicela ubheke udokotela wakho ukuze ahlolwe futhi aphathwe noma yiziphi izimpawu noma isimo sezokwelapha .