Uxinzelelo olukhulu

Uxinzelelo kukuziva ulusizi, luhlaza okwesibhakabhaka, awonwabanga, okanye usezantsi kwindawo zokulahla. Uninzi lwabantu luziva ngale ndlela kanye ethubeni.

Uxinzelelo olukhulu kukuphazamiseka kwemood. Kwenzeka xa iimvakalelo zosizi, ukulahleka, umsindo, okanye unxunguphalo zingena endleleni yobomi bakho ixesha elide. Ikwatshintsha nendlela osebenza ngayo umzimba wakho.

Ababoneleli ngezempilo abazazi ezona zinto zibangela uxinzelelo. Kukholelwa ukuba utshintsho lweekhemikhali kwingqondo lunoxanduva. Oku kunokuba ngenxa yengxaki kwimfuza yakho. Okanye kunokubangelwa ziziganeko ezithile zoxinzelelo. Ngokunokwenzeka, kukudityaniswa kwazo zombini.

Ezinye iintlobo zoxinzelelo ziqhutywa kwiintsapho. Ezinye iintlobo zenzeka nokuba awunayo imbali yosapho yokugula. Nabani na onokukhulisa uxinzelelo, kubandakanya abantwana kunye nolutsha.

Uxinzelelo lunokuziswa:

• Utywala okanye iziyobisi
• Ezinye iingxaki zonyango, ezinje ngokungasebenzi kakuhle kwedlala lengqula, umhlaza, okanye iintlungu zexesha elide
• Ezinye iintlobo zamayeza, ezinjengee-steroids
• Iingxaki zokulala
• Uxinzelelo lwezehlo zobomi, ezinje ngokufa okanye ukugula komntu osondeleyo kuwe, uqhawulo-mtshato, iingxaki zonyango, ukuxhatshazwa kwabantwana okanye ukungakhathalelwa, isizungu (esiqhelekile kubantu abadala), kunye nokuqhekeka kobudlelwane

Ukudakumba kunokutshintsha okanye kugqwethe indlela ozibona ngayo, ubomi bakho, kunye nabo bakungqongileyo.

Ngoxinzelelo, uhlala ubona yonke into ngendlela engalunganga. Kunzima kuwe ukucinga ukuba ingxaki okanye imeko inokusonjululwa ngendlela elungileyo.

Iimpawu zoxinzelelo zinokubandakanya:

• Ukuphazamiseka, ukungazinzi, kunye nomsindo
• Ukurhoxa okanye ukubekwa wedwa
• Ukudinwa kunye nokungabikho kwamandla
• Ndiziva ndingenathemba, ndingenakuzinceda, ndingento yanto, ndinetyala, nokuzithiya
• Ukuphulukana nomdla okanye ukonwaba kwimisebenzi ekhe yananditshwa
• Ukutshintsha ngesiquphe ekutyeni, ngokufuthi ngokufumana ubunzima okanye ukunciphisa umzimba
• Iingcinga zokufa okanye ukuzibulala
• Ingxaki yokujonga
• Ingxaki yokulala okanye ukulala kakhulu

Uxinzelelo kulutsha kunokuba nzima ukuluqonda. Iingxaki zesikolo, indlela yokuziphatha, okanye utywala okanye ukusebenzisa iziyobisi zonke zinokuba ziimpawu.

Ukuba uxinzelelo lukhulu kakhulu, unokuba nemibono kunye nokukhohlisa (iinkolelo zobuxoki). Le meko ibizwa ngokuba luxinzelelo kunye neempawu zengqondo.

Umboneleli wakho uya kubuza malunga nembali yakho yonyango kunye neempawu. Iimpendulo zakho zinokunceda umboneleli wakho afumanise uxinzelelo kwaye anqume ukuba kunokuba kubi kangakanani.

Uvavanyo lwegazi kunye nomchamo lunokwenziwa ukulawula ezinye iimeko zonyango ezineempawu ezifanayo nokudakumba.

Uxinzelelo lunokunyangwa. Unyango lubandakanya amayeza, kunye okanye ngaphandle kwonyango lwentetho.

Ukuba ucinga ngokuzibulala okanye uxinezeleke kakhulu kwaye awukwazi ukusebenza, kungafuneka uphathwe esibhedlele.

Emva kokuba uye kunyango, ukuba uziva ukuba iimpawu zakho ziya zisiba mbi, thetha nomboneleli wakho. Isicwangciso sakho sonyango sinokufuna ukutshintshwa.

AMAYEZA

Amayeza okulwa noxinzelelo ngamayeza asetyenziselwa ukunyanga uxinzelelo. Basebenza ngokubuyisela iikhemikhali kwingqondo yakho kumanqanaba afanelekileyo. Oku kunceda ukukhulula iimpawu zakho.

Ukuba unobuqhetseba okanye ukubona izinto ezingekhoyo, umboneleli wakho unokumisela amayeza ongezelelweyo.

Xelela umboneleli wakho ngamanye amayeza owathathayo. Amanye amayeza anokutshintsha indlela esebenza ngayo i-anti-depressants emzimbeni wakho.

Vumela amayeza akho ukuba asebenze. Kungathabatha iiveki ezimbalwa phambi kokuba uzive ungcono. Qhubeka uthatha iyeza lakho njengoko kuyalelwe. SUKUYEKE ukuyithatha okanye utshintshe inani (idosi) oyithathayo ngaphandle kokuthetha nomboneleli wakho. Buza umboneleli wakho malunga nemiphumo emibi, kwaye wenzeni ukuba unayo.

Ukuba uziva ukuba iyeza lakho alisebenzi okanye libangela iziphumo ebezingalindelekanga, xelela umboneleli wakho. Iyeza okanye idosi yalo inokufuna ukutshintshwa. SUKUYEKE ukuthatha amayeza wedwa.

ISILUMKISO

Abantwana, ulutsha, kunye nabantu abadala abancinci kufuneka bajongwe ngononophelo kwindlela yokuzibulala. Oku kuyinyani ngakumbi kwiinyanga zokuqala ezimbalwa emva kokuqalisa amayeza woxinzelelo.

Abasetyhini abanyangelwa uxinzelelo abakhulelweyo okanye abacinga ngokukhulelwa akufuneki bayeke ukuthatha i-anti-depressant bengakhange baqale bathethe nomboneleli wabo.

Lumkela amayeza endalo afana neSt. Eli litya lithengiswa ngaphandle kokumiselwa. Inokunceda abanye abantu abanexinzelelo oluncinci. Kodwa inokutshintsha indlela amanye amayeza asebenza ngayo emzimbeni wakho, kubandakanya neyeza lokuthintela uxinzelelo. Thetha nomboneleli wakho ngaphambi kokuzama le mifuno.

Ukuba uziva ukuba iyeza lakho likwenza mbi ngakumbi okanye libangela iimpawu ezintsha (ezinje ngokudideka), xelela umboneleli wakho kwangoko. Yiya kwigumbi likaxakeka ukuba ukhathazekile ngokhuseleko lwakho.

UNYANGO LOKUTHETHA

Unyango oluthethwayo kukucebisa ukuba uthethe ngeemvakalelo zakho nangengcinga zakho, kwaye kukuncede ufunde ukuba ungajongana njani nazo.

Iindidi zonyango lwentetho zibandakanya:

• Ukunyanga ngokuziphatha kwengqondo kukufundisa indlela yokulwa neengcinga ezimbi. Ufunda indlela yokuqonda ngakumbi iimpawu zakho kunye nendlela yokujonga izinto ezenza ukuba uxinzelelo lwakho lube lubi. Ufundiswa nezakhono zokusombulula iingxaki.
• Unyango ngengqondo lunokukunceda uqonde imiba enokubangela ukuba ucinge kunye neemvakalelo zakho.
• Kunyango lweqela, wabelana nabanye abaneengxaki ezifana nezakho. Umgqirha wakho okanye umboneleli unokukuxelela ngakumbi malunga nonyango lweqela.

OLUNYE UNYANGO LOKUXHAPHAZA

• Unyango lwe-Electroconvulsive (ECT) lunokuphucula imeko kubantu abanexinzelelo okanye iingcinga zokuzibulala ezingangcono kwezinye iindlela zonyango. I-ECT ikhuselekile ngokubanzi.
• Unyango olukhanyayo lunokuthomalalisa iimpawu zoxinzelelo ngexesha lasebusika. Olu hlobo loxinzelelo lubizwa ngokuba kukuphazamiseka ngokwamaxesha onyaka.

Ungaqala ukuziva ubhetele kwiiveki ezimbalwa emva kokuqala unyango. Ukuba uthatha amayeza, kuyakufuneka uhlale kwiyeza iinyanga ezininzi ukuze uzive ulungile kwaye uthintele uxinzelelo ekubuyeni. Ukuba ukudakumba kuqhubeka kubuya, kungafuneka uhlale kwiyeza lakho ixesha elide.

Uxinzelelo lwexesha elide (olungapheliyo) lunokwenza kube nzima kuwe ukulawula ezinye izifo ezinjengesifo seswekile okanye isifo sentliziyo. Buza umboneleli wakho ngoncedo ekulawuleni ezi ngxaki zempilo.

Utywala okanye ukusebenzisa iziyobisi kunokubangela uxinzelelo ngakumbi. Thetha nomboneleli wakho malunga nokufumana uncedo.

Ukuba ucinga ngokuzenzakalisa wena okanye abanye, tsalela umnxeba ku-911 okanye inombolo yongxamiseko yendawo kwangoko. Okanye, yiya kwigumbi likaxakeka esibhedlele. SUKULIBazisa.

Ungatsalela umnxeba iNational Suicide Prevention Lifeline kwa-1-800-273-8255 (1-800-273-TALK), apho unokufumana inkxaso yasimahla neyimfihlo nanini na emini okanye ebusuku.

Fowunela umboneleli wakho ngoko nangoko ukuba:

• Uva amazwi angaveli kubantu abakungqongileyo.
• Uhlala ulila ngaphandle kwesizathu esincinci okanye kungekho sizathu.
• Uxinzelelo lwakho luphazamisa umsebenzi, isikolo, okanye ubomi bosapho.
• Ucinga ukuba iyeza lakho langoku alisebenzi okanye lidala iziphumo ebezingalindelekanga. SUKUYEKE okanye utshintshe amayeza akho ngaphandle kokuthetha nomboneleli wakho.

Musa ukusela utywala okanye usebenzise iziyobisi ezingekho mthethweni. Ezi zinto zenza uxinzelelo ngakumbi kwaye zinokukhokelela kwiingcinga zokuzibulala.

Thatha amayeza akho ngokuchanekileyo njengoko umboneleli wakho eyalelayo. Funda ukuqaphela iimpawu zokuqala zokuba ukudakumba kwakho kuya kusiba mandundu.

Qhubeka uye kwiiseshoni zonyango lwakho lokuthetha.

Ezi ngcebiso zilandelayo zinokukunceda uzive ungcono:

• Zilolonge ngakumbi.
• Gcina imikhwa efanelekileyo yokulala.
• Yenza izinto ezikonwabisa.
• Zivolontiye okanye uthathe inxaxheba kwimisebenzi yeqela.
• Thetha nomntu omthembileyo malunga nendlela oziva ngayo.
• Zama ukuba phakathi kwabantu abanenkathalo nabanethemba.

Funda ngakumbi ngoxinzelelo ngokunxibelelana neklinikhi yempilo yengqondo. Inkqubo yakho yokuncedisa abasebenzi emsebenzini (EAP) ikwangumthombo olungileyo. Izixhobo ezikwi-Intanethi zinokubonelela ngolwazi olufanelekileyo.

Uxinzelelo - olukhulu; Uxinzelelo-lwezonyango; Uxinzelelo lwezonyango; Ukudakumba kwe-Unipolar; Uxinzelelo olukhulu lokudakumba

• Iifom zokudakumba
• Uxinzelelo kunye namadoda
• Wort eSt
• Ukuhambela impilo

Umbutho weAmerican Psychiatric Association iwebhusayithi. Ukuphazamiseka koxinzelelo. Ku: Umbutho wezengqondo zaseMelika. Unyango woNyango kunye neNgcaciso yeNcwadi yokuPhazamiseka kwengqondo. Umhla we-5. IArlington, VA: Ukupapashwa kwengqondo yaseMelika. Ngo-2013: 155-188.

Fava M, Østergaard SD, Cassano P.Ukuphazamiseka kwemood: ukuphazamiseka koxinzelelo (ukuphazamiseka kwengqondo). Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ii-eds. Isibhedlele saseMassachusetts Jikelele esiBanzi seNyango yoNyango. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2016: isahluko 29.

Iziko lewebhusayithi yokuPhucula iiNkqubo zeKlinikhi. Uxinzelelo lwabantu abadala kunyango lokuqala. www.icsi.org/wp-content/uploads/2019/01/Depr.pdf. Ukuhlaziywa ngo-Matshi 2016. Kufikeleleke ngoJuni 23, 2020.

U-Lyness JM. Ukuphazamiseka kwengqondo kunyango. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 369.