Ukucindezeleka okuqhubekayo

I-Persistent depress disorder (PDD) uhlobo lokucindezeleka olungapheli (oluqhubekayo) lapho imizwa yomuntu iphansi njalo.

Isifo sokucindezeleka esiqhubekayo sasibizwa ngokuthi i-dysthymia.

Imbangela ngqo yePDD ayaziwa. Ingagijima emindenini. I-PDD yenzeka kaningi kwabesifazane.

Iningi labantu abane-PDD lizoba nesiqephu sokucindezeleka okukhulu ngesinye isikhathi ezimpilweni zabo.

Abantu abadala abane-PDD bangaba nobunzima bokuzinakekela, balwa nokuhlukaniswa, noma babe nezifo zokwelashwa.

Uphawu olukhulu lwe-PDD yisimo esiphansi, esimnyama, noma esidabukisayo ezinsukwini eziningi okungenani iminyaka emibili. Ezinganeni nasebusheni, imizwa ingacasuka esikhundleni sokucindezeleka futhi ihlala okungenani unyaka owodwa.

Ngaphezu kwalokho, ezimbili noma ngaphezulu zezimpawu ezilandelayo zikhona cishe sonke isikhathi:

• Imizwa yokuphelelwa yithemba
• Ukulala kancane noma ngokweqile
• Amandla aphansi noma ukukhathala
• Ukuzenyeza
• Ukudla okungafanele noma ukudla ngokweqile
• Ukuhlushwa okungalungile

Abantu abane-PDD bavame ukuthatha umbono omubi noma odikibalisayo ngabo, ikusasa labo, abanye abantu, kanye nemicimbi yokuphila. Izinkinga zivame ukubonakala kunzima ukuzixazulula.

Umhlinzeki wakho wokunakekelwa kwezempilo uzothatha umlando wemizwa yakho nezinye izimpawu zempilo yengqondo. Umhlinzeki angahlola futhi igazi nomchamo wakho ukuthola izimbangela zezokwelapha zokucindezeleka.

Kunezinto eziningi ongazama ngazo ukwenza ngcono i-PDD:

• Lala ngokwanele.
• Landela ukudla okunempilo, okunomsoco.
• Thatha imithi ngendlela efanele. Xoxa nganoma yimiphi imiphumela emibi nomhlinzeki wakho.
• Funda ukubuka izimpawu zokuqala ukuthi iPDD yakho iya ngokuya iba yimbi. Yiba nohlelo lokuthi uzophendula kanjani uma lwenza.
• Zama ukuzivocavoca njalo.
• Funa imisebenzi ekujabulisa.
• Khuluma nomuntu omethembayo mayelana nokuthi uzizwa kanjani.
• Zizungeze nabantu abakhathalelayo nabanethemba.
• Gwema utshwala nezidakamizwa ezingekho emthethweni. Lokhu kungenza isimo sakho sengqondo sibe sibi ngokuhamba kwesikhathi futhi kuphazamise ukwahlulela kwakho.

Imithi ivame ukusebenza ku-PDD, yize kwesinye isikhathi ingasebenzi njengoba yenzela ukucindezeleka okukhulu futhi kungathatha isikhathi eside ukusebenza.

Ungayeki ukuthatha umuthi wakho uwedwa, noma ngabe uzizwa ungcono noma unemiphumela engemihle. Njalo shayela umhlinzeki wakho kuqala.

Uma sekuyisikhathi sokumisa umuthi wakho, umhlinzeki wakho uzokuyala ngokuthi ungawunciphisa kanjani kancane umthamo esikhundleni sokuma ngokuzumayo.

Abantu abane-PDD bangasizwa futhi ngohlobo oluthile lokwelashwa kokukhuluma. Ukwelashwa kokukhuluma kuyindawo enhle yokukhuluma ngemizwa nangemicabango, nokufunda izindlela zokubhekana nayo. Kungasiza futhi ukuqonda ukuthi iPDD yakho iyithinte kanjani impilo yakho nokuthi ubhekane nayo ngempumelelo. Izinhlobo zokwelashwa kokukhuluma zifaka:

• Ukwelashwa ngokuziphatha kwengqondo (CBT), okusiza ukuthi ufunde ukuqaphela izimpawu zakho nokuthi yini ezenza zibe zimbi kakhulu. Uzofundiswa amakhono wokuxazulula izinkinga.
• I-Insight-oriented or psychotherapy, engasiza abantu abane-PDD ukuqonda izinto ezingaba ngemuva kwemicabango nemizwa yabo ecindezelayo.

Ukujoyina iqembu lokusekela labantu abanezinkinga ezifana nezakho nakho kungasiza. Buza umelaphi wakho noma umhlinzeki wokunakekelwa kwezempilo ukuthi ancome iqembu.

I-PDD yisimo esingalapheki esingahlala iminyaka. Abantu abaningi balulama ngokuphelele ngenkathi abanye beqhubeka nokuba nezimpawu ezithile, noma ngabe belashwa.

I-PDD nayo inyusa ingozi yokuzibulala.

Shayela i-aphoyintimenti nomhlinzeki wakho uma:

• Uhlala uzizwa ucindezelekile noma uphansi
• Izimpawu zakho ziya ngokuya ziba zimbi

Shayela usizo ngokushesha uma wena noma umuntu omaziyo eba nezimpawu zokuzibulala:

• Ukunikezela ngezinto, noma ukukhuluma ngokuhamba nesidingo sokwenza "izindaba zilandelane"
• Ukwenza isimilo sokuzibulala, njengokuzilimaza
• Ukuziphatha okungazelelwe okuguqukayo, ikakhulukazi ukuzola ngemuva kwesikhathi sokukhathazeka
• Ukukhuluma ngokufa noma ukuzibulala
• Ukuhoxa kubangani noma ukungazimiseli ukuphuma noma kuphi

PDD; Ukucindezeleka okungapheli; Ukucindezeleka - okungapheli; I-Dysthymia

I-American Psychiatric Association. Ukuphikelela kokucindezeleka okuqhubekayo (i-dysthymia). Incwajana Yokuhlola Nezibalo Yezinkinga Zengqondo. Umhlaka 5. I-Arlington, VA: Ukushicilelwa Kwe-Psychiatric yaseMelika, i-2013; 168-171.

I-Fava M, i-Østergaard SD, i-Cassano P. Izinkinga zomoya: ukuphazamiseka kwengcindezi (ukucindezeleka okukhulu) Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ama-eds. IMassachusetts General Hospital Comprehensive Clinical Psychiatry. Okwesibili. IPhiladelphia, PA: Elsevier; 2016: isahluko 29.

Schramm E, Klein DN, Elsaesser M, Furukawa TA, Domschke K. Ukubuyekezwa kwe-dysthymia nokuphazamiseka kokucindezela okuqhubekayo: umlando, ama-correlates, kanye nemiphumela yomtholampilo. ILancet Psychiatry. 2020; 7 (9): 801-812. I-PMID: 32828168 pubmed.ncbi.nlm.nih.gov/32828168/.