Uxinzelelo

Uxinzelelo kunokuthi kuchazwe njengokuziva ulusizi, uluhlaza okwesibhakabhaka, awonwabanga, ulusizi, okanye wehlile kwindawo zokulahla. Uninzi lwethu luziva ngale ndlela ngexesha elinye okanye elinye ixesha elifutshane.

Uxinzelelo lweklinikhi kukuphazamiseka kwemood apho iimvakalelo zosizi, ukulahleka, umsindo, okanye unxunguphalo ziphazamisa ubomi bemihla ngemihla iiveki okanye nangaphezulu.

Ukudakumba kunokwenzeka kubantu bayo yonke iminyaka:

• Abantu abadala
• Abakwishumi elivisayo
• Abantu abadala abadala

Iimpawu zoxinzelelo zibandakanya:

• Umoya ophantsi okanye imeko ecaphukisayo ixesha elininzi
• Ingxaki yokulala okanye ukulala kakhulu
• Utshintsho olukhulu kukutya, uhlala uzuza ubunzima okanye ulahlekelwe
• Ukudinwa nokungabikho kwamandla
• Ukuziva ungaxabisekanga, ukuzonda nokuzithemba
• Kunzima ukugxila
• Ukuhamba kancinci okanye okukhawulezayo
• Ukungabikho kwemisebenzi kunye nokuphepha imisebenzi yesiqhelo
• Ndiziva ndingenathemba okanye ndingenakuzinceda
• Iingcinga eziphindiweyo zokufa okanye ukuzibulala
• Ukungabikho kolonwabo kwizinto oqhele ukuzonwabela, kubandakanya isondo

Khumbula ukuba abantwana banokuba neempawu ezahlukeneyo kunabantu abadala. Jonga utshintsho lomsebenzi wesikolo, ukulala kunye nokuziphatha. Ukuba uyazibuza ukuba ingaba umntwana wakho unokudandatheka, thetha nomboneleli wakho wezempilo. Umboneleli wakho unokukunceda ufunde ukuba ungamnceda njani umntwana wakho ngoxinzelelo.

Ezona ntlobo ziphambili zoxinzelelo zibandakanya:

• Uxinzelelo olukhulu. Kwenzeka xa iimvakalelo zosizi, ukulahleka, umsindo, okanye unxunguphalo ziphazamisa ubomi bemihla ngemihla iiveki okanye ixesha elide.
• Ukuqhubeka nokudakumba. Le yimeko yokudakumba ehlala iminyaka emi-2. Ngaphezulu kobude bexesha, unokuba namaxesha oxinzelelo olukhulu, kunye namaxesha apho iimpawu zakho zinzima.

Ezinye iindlela eziqhelekileyo zokudakumba zibandakanya:

• Uxinzelelo lwasemva kokubeleka. Abafazi abaninzi baziva bephantsi noko emva kokuba befumene umntwana. Nangona kunjalo, uxinzelelo lokwenyani lwasemva kokubeleka lukhulu kakhulu kwaye lubandakanya iimpawu zoxinzelelo olukhulu.
• Isiphazamiso sokuqala kwangaphambi kokuya esikhathini (PMDD). Iimpawu zoxinzelelo zenzeka kwiveki e-1 ngaphambi kwexesha lakho kwaye zinyamalale emva kokuba sexesheni.
• Ukuphazamiseka kwexesha elithile (SAD). Oku kwenzeka rhoqo ngexesha lekwindla nasebusika, kwaye kuyanyamalala entwasahlobo nasehlotyeni. Kungenzeka ngenxa yokungabikho kwelanga.
• Uxinzelelo olukhulu kunye neempawu zengqondo. Oku kwenzeka xa umntu enexinzelelo kunye nelahleko yokuthinta inyani (psychosis).

Isifo seBipolar senzeka xa ukudakumba kutshintsha nemania (eyayibizwa ngokuba kukudakumba komntu). Ukuphazamiseka kwengqondo okuguquguqukayo kunokudakumba njengenye yeempawu zayo, kodwa luhlobo olwahlukileyo lokugula ngengqondo.

Uxinzelelo luhlala luhamba kwiintsapho. Oku kunokuba ngenxa yemfuza yakho, indlela yokuziphatha oyifunda ekhaya, okanye imeko-bume yakho. Uxinzelelo kunokubangelwa luxinzelelo okanye ukungonwabi kweziganeko zobomi. Rhoqo, kukudityaniswa kwezi zinto.

Zininzi izinto ezinokubangela ukudakumba, kubandakanya:

• Utywala okanye iziyobisi
• Iimeko zonyango, ezinje ngomhlaza okanye iintlungu zexesha elide (ezingapheliyo)
• Uxinzelelo lweziganeko zobomi, ezinje ngokulahleka kwemisebenzi, uqhawulo-mtshato, okanye ukusweleka kweqabane okanye elinye ilungu losapho
• Ukuzihlukanisa ngokwasentlalweni (oonobangela abaqhelekileyo boxinzelelo kubantu abadala)

Tsalela u-911 okanye inombolo yongxamiseko yendawo, okanye utsalele umnxeba kwinombolo yomnxeba yokuzibulala, okanye uye kwigumbi likaxakeka elikufutshane ukuba uneengcinga zokuzenzakalisa okanye zenzakalise abanye.

Fowunela umnikezeli wakho ukuba:

• Uva amazwi angekhoyo.
• Uhlala ulila ngaphandle kwesizathu.
• Ukudakumba kwakho kuchaphazele umsebenzi wakho, isikolo, okanye ubomi bosapho ixesha elide kuneeveki ezi-2.
• Uneempawu ezintathu nangaphezulu zoxinzelelo.
• Ucinga ukuba amanye amayeza akho ngoku anokukwenza uzive uxinezelekile. SUKUTSHINTSHE okanye uyeke ukuthatha nawaphi na amayeza ngaphandle kokuthetha nomboneleli wakho.
• Ukuba ucinga ukuba umntwana wakho okanye ulutsha lunokudandatheka.

Kuya kufuneka ubize umnikezeli wakho ukuba:

• Ucinga ukuba kufuneka unciphise ukusela utywala
• Ilungu losapho okanye umhlobo ukucele ukuba unciphise ukusela utywala
• Uziva unetyala malunga nobungakanani botywala obuselayo
• Usela utywala kuqala ekuseni

Blues; Ubushushu; Usizi; Ulusu

• Uxinzelelo ebantwaneni
• Uxinzelelo kunye nesifo sentliziyo
• Uxinzelelo kunye nomjikelo wokuya exesheni
• Uxinzelelo kunye nokuphuthelwa

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.

UKraus C, uKadriu B, uLanzenberger R, uZarate Jr CA, uKasper S. Ukuqikelela kunye neziphumo eziphuculweyo kuxinzelelo olukhulu: uphononongo. Guqula i-Psychiatry. Ngo-2019; 9 (1): 127. IINKCUKACHA: 30944309 pubmed.ncbi.nlm.nih.gov/30944309/.

UWalter HJ, uDeMaso DR. Ukuphazamiseka kwemo. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 39.

UZuckerbrot RA, uCheung A, uJensen PS, uStein REK, uLaraque D; IQELA LOKUJONGA I-PC. Izikhokelo zoxinzelelo kulutsha kulolongo lokuqala (GLAD-PC): icandelo I. Ziqhelise ukulungiselela, ukuchonga, ukuvavanya, kunye nolawulo lokuqala. IPediatrics. 2018; 141 (3). ipii: e20174081. IINKCUKACHA: 29483200 pubmed.ncbi.nlm.nih.gov/29483200/.