Isifo senhliziyo nokudangala

Isifo senhliziyo nokudangala kaningi kuyahambisana.

• Kungenzeka ukuthi uzizwe udabukile noma ucindezelekile ngemuva kokuhlaselwa yinhliziyo noma ukuhlinzwa kwenhliziyo, noma lapho izimpawu zesifo senhliziyo ziguqula impilo yakho.
• Abantu abacindezelekile banamathuba amaningi okuba nesifo senhliziyo.

Izindaba ezinhle ukuthi ukwelapha ukucindezeleka kungasiza ekuthuthukiseni impilo yakho yengqondo nengokwenyama.

Isifo senhliziyo nokudangala kuxhumene ngezindlela eziningi. Ezinye izimpawu zokudangala, njengokuntuleka kwamandla, kungenza kube nzima ukunakekela impilo yakho. Abantu abacindezelekile bangahle babe:

• Phuza utshwala, udle ngokweqile, noma ubheme ukuze ubhekane nemizwa yokudangala
• Hhayi ukuzivocavoca umzimba
• Zizwe ucindezelekile, okwandisa ubungozi besigqi senhliziyo esingajwayelekile nomfutho wegazi ophakeme.
• Hhayi ukuthatha imithi yabo ngendlela efanele

Zonke lezi zinto:

• Khulisa ubungozi bokuhlaselwa yisifo senhliziyo
• Khulisa ubungozi bakho bokufa ngemuva kokuhlaselwa yinhliziyo
• Kukhulisa ubungozi bokubuyiselwa esibhedlela
• Nciphisa ukubuyiswa kwakho ngemuva kokuhlaselwa yinhliziyo noma ukuhlinzwa kwenhliziyo

Kuyinto evamile ukuzizwa uphansi noma udabukile ngemuva kokuhlaselwa yinhliziyo noma ukuhlinzwa kwenhliziyo. Kodwa-ke, kufanele uqale ukuzizwa unethemba njengoba usalulama.

Uma imizwa yokudabuka ingapheli noma izimpawu eziningi zivela, ungabi namahloni. Esikhundleni salokho, kufanele ushayele umhlinzeki wakho wezokunakekelwa kwempilo. Ungahle ube nokudangala okudinga ukwelashwa.

Ezinye izimpawu zokucindezeleka zifaka:

• Ukuzizwa uthukuthele
• Unenkinga yokugxila noma yokwenza izinqumo
• Ukuzizwa ukhathele noma ungenawo amandla
• Ngizizwa ngingenathemba noma ngingenakuzisiza
• Inkinga yokulala, noma ukulala kakhulu
• Ushintsho olukhulu ekudleni, imvamisa ngokuzuza kwesisindo noma ngokulahleka
• Ukuphelelwa yinjabulo emisebenzini ojwayele ukuyithanda, kufaka phakathi ucansi
• Imizwa yokungabi nalutho, ukuzizonda nokuzizwa unecala
• Imicabango ephindaphindwayo yokufa noma yokuzibulala

Ukwelashwa kwengcindezi kuzoya ngokuthi kubi kangakanani.

Kunezinhlobo ezimbili zokwelapha zokudangala:

• Ukwelashwa kokukhuluma. Ukwelashwa kokuziphatha kwengqondo (CBT) wuhlobo lokwelashwa kokukhuluma okusetshenziswa kakhulu ekwelapheni ukucindezeleka. Kukusiza ukuthi ushintshe izindlela zokucabanga nokuziphatha okungangezela ekucindezelekeni kwakho. Ezinye izinhlobo zokwelashwa nazo zingasiza.
• Imithi elwa nokudangala. Kunezinhlobo eziningi ze-anti-depressants. I-serotonin reuptake inhibitors (SSRIs) ekhethiwe kanye ne-serotonin ne-norepinephrine reuptake inhibitors (SNRIs) yizinhlobo ezimbili zemithi ezisetshenziswa ukwelapha ukudangala. Umhlinzeki wakho noma umelaphi angakusiza ukuthi uthole okukusebenzelayo.

Uma ukucindezeleka kwakho kumnene, ukwelashwa kokukhuluma kunganele ukusiza. Uma unesifo sokudangala esimaphakathi kuya kwesinzima, umhlinzeki wakho angasikisela kokubili ukwelashwa kokukhuluma nomuthi.

Ukucindezeleka kungenza kube nzima ukuzizwa uthanda ukwenza noma yini. Kepha kunezindlela ongazisiza ngazo uzizwe ungcono. Nawa amathiphu ambalwa:

• Hambisa okuningi. Ukuvivinya umzimba njalo kungasiza ekunciphiseni ukucindezeleka. Kodwa-ke, uma usalulama ezinkingeni zenhliziyo, kufanele uthole OK kadokotela wakho ngaphambi kokuqala ukuzivocavoca umzimba. Udokotela wakho angancoma ukujoyina uhlelo lokuvuselela inhliziyo. Uma ukuvuselelwa kwenhliziyo kungakulungele, cela udokotela wakho ukuthi asikisele ezinye izinhlelo zokuzivocavoca umzimba.
• Thatha indima ebonakalayo empilweni yakho. Ucwaningo lukhombisa ukuthi ukubandakanyeka ekululameni kwakho nasempilweni yonke kungakusiza uzizwe unethemba. Lokhu kufaka phakathi ukuthatha imithi yakho njengokuyalelwa futhi unamathele ohlelweni lwakho lokudla.
• Nciphisa ukucindezeleka kwakho. Chitha isikhathi usuku ngalunye wenza izinto ozithola ziphumule, njengokulalela umculo. Noma cabanga ngokuzindla, i-tai chi, noma ezinye izindlela zokuphumula.
• Funa ukusekelwa komphakathi. Ukwabelana ngemizwa nokwesaba kwakho nabantu obathembayo kungakusiza uzizwe ungcono. Kungakusiza ukubhekana kangcono nokucindezeleka nokudangala. Ezinye izifundo zibonisa ukuthi kungakusiza nokuthi uphile isikhathi eside.
• Landela imikhuba enempilo. Lala ngokwanele futhi udle ukudla okunempilo. Gwema utshwala, insangu, nezinye izidakamizwa zokuzijabulisa.

Shayela ku-911 noma inombolo ephuthumayo yasendaweni, i-hotline yokuzibulala (ngokwesibonelo iNational Suicide Prevention Lifeline: 1-800-273-8255), noma uye egumbini lezimo eziphuthumayo eliseduze uma ucabanga ukuzilimaza wena noma abanye.

Shayela umhlinzeki wakho wezempilo uma:

• Uzwa amazwi angekho lapho.
• Ukhala kaningi ngaphandle kwesizathu.
• Ukudana kwakho kuthinte amandla akho okubamba iqhaza ekululameni kwakho, noma emsebenzini wakho, noma empilweni yomndeni isikhathi esingaphezu kwamasonto amabili.
• Unezimpawu ezi-3 noma ngaphezulu zokucindezeleka.
• Ucabanga ukuthi omunye wemithi yakho kungenzeka ukuthi ukukwenza uzizwe ucindezelekile. Ungashintshi noma uyeke ukuthatha noma yimiphi imithi ngaphandle kokukhuluma nomhlinzeki wakho.

Ibhishi SR, uCelano CM, uHuffman JC, uLanuzi JL, uStern TA. Ukuphathwa kwengqondo kweziguli ezinesifo senhliziyo. Ku: Stern TA, Freudenreich O, Smith FA, Fricchione GL, Rosenbaum JF, abahleli. IMassachusetts General Hospital Handbook yeGeneral Hospital Psychiatry. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 26.

ULichtman JH, uFroelicher ES, uBlumenthal JA, et al. Ukudangala njengengozi yobungozi obubi phakathi kweziguli ezine-acute coronary syndrome: ukubuyekezwa okuhlelekile nezincomo: isitatimende sesayensi esivela ku-American Heart Association. Ukujikeleza. 2014; 129 (12): 1350-1369. I-PMID: 24566200 pubmed.ncbi.nlm.nih.gov/24566200/.

UVaccarino V, uBremner JD. Izici zengqondo nokuziphatha kwesifo senhliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 96.

U-Wei J, Rooks C, Ramadan R, et al. Ukuhlaziywa kwe-meta kwe-myocardial ischemia kanye nengcindezi yenhliziyo elandelayo ezigulini ezinesifo somthambo. NginguJ Cardiol. 2014; 114 (2): 187-192. I-PMID: 24856319 pubmed.ncbi.nlm.nih.gov/24856319/.

• Ukucindezeleka
• Izifo Zenhliziyo