Ukuzibulala nokuzibulala

Ukuzibulala isenzo sokuthatha impilo yomuntu ngamabomu. Ukuziphatha ngokuzibulala kunanoma yisiphi isenzo esingahle sidale ukuthi umuntu afe, njengokuthatha ukweqisa izidakamizwa noma ukushayisa imoto ngenhloso.

Ukuziphatha kokuzibulala nokuzibulala kuvame ukwenzeka kubantu abanokunye noma okuningi kokulandelayo:

• Ukuphazamiseka kwe-bipolar
• Ukuphazamiseka kobuntu bomngcele
• Ukucindezeleka
• Ukusetshenziswa kwezidakamizwa noma utshwala
• Isifo sokucindezeleka kwangemva kwenhlekelele (PTSD)
• Ischizophrenia
• Umlando wokuhlukunyezwa ngokomzimba, ngokocansi, noma ngokomzwelo
  
• Izinkinga zokuphila ezicindezelayo, njengezinkinga ezinkulu zezezimali noma zobudlelwano

Abantu abazama ukuzibulala bavame ukuzama ukubalekela isimo esibonakala singenakwenzeka ukubhekana naso. Abaningi abazama ukuzibulala bafuna ukukhululeka ku:

• Ukuzizwa unamahloni, unecala, noma njengomthwalo kwabanye
• Ukuzizwa njengesisulu
• Imizwa yokulahlwa, ukulahlekelwa, noma isizungu

Ukuziphatha kokuzibulala kungenzeka lapho kunesimo noma umcimbi lowo muntu awuthola ungaphezu kwamandla, njenge:

• Ukuguga (abantu asebekhulile banamazinga aphezulu okuzibulala)
• Ukufa kothandekayo
• Ukusetshenziswa kwezidakamizwa noma utshwala
• Ukuhlukumezeka ngokomzwelo
• Ukugula okungathi sína ngokomzimba noma ubuhlungu
• Ukungasebenzi noma izinkinga zemali

Izingozi zokuzibulala kwentsha zifaka:

• Ukutholakala kwezibhamu
• Ilungu lomndeni eliqede ukuzibulala
• Umlando wokuzilimaza ngamabomu
• Umlando wokunganakwa noma ukuhlukunyezwa
• Ukuhlala emiphakathini lapho kuqubuke khona ukuzibulala kwabantu abasha muva nje
• Ukuhlukana kwezothando

Ngenkathi amadoda esengozini yokufa ngokuzibulala kunabesifazane, abesifazane banamathuba aphindwe kabili okuzama ukuzibulala.

Iningi lemizamo yokuzibulala aliholeli ekufeni. Eminingi yale mizamo yenziwa ngendlela eyenza ukutakulwa kube nokwenzeka. Le mizamo ivame ukukhala yosizo.

Abanye abantu bazama ukuzibulala ngendlela engeke ibabulale, njengokufaka ubuthi noma ukweqisa. Amadoda maningi amathuba okuthi akhethe izindlela ezinobudlova, njengokuzidubula. Ngenxa yalokhu, imizamo yokuzibulala yamadoda kungenzeka iholele ekufeni.

Izihlobo zabantu abazama noma ukuqeda ukuzibulala bavame ukuzibeka icala noma bathukuthele kakhulu. Bangabona umzamo wokuzibulala njengobugovu. Kodwa-ke, abantu abazama ukuzibulala bavame ukukholelwa ngephutha ukuthi benzela abangane babo nezihlobo umusa ngokuzikhipha emhlabeni.

Imvamisa, kepha hhayi njalo, umuntu angakhombisa izimpawu ezithile nokuziphatha ngaphambi komzamo wokuzibulala, ofana nalokhu:

• Unenkinga yokugxila noma ukucabanga kahle
• Ukunikeza okungokwakhe
• Ukukhuluma ngokuhamba noma isidingo sokuthi "ngilungise izindaba zami"
• Ukuziphatha okungazelelwe, ikakhulukazi ukuzola ngemuva kwesikhathi sokukhathazeka
• Ukuphelelwa yintshisekelo emisebenzini ababeyijabulela
• Ukuziphatha okuzilimazayo, njengokuphuza kakhulu utshwala, ukusebenzisa izidakamizwa ezingekho emthethweni, noma ukusika imizimba yabo
• Ukudonsa kude nabangane noma ukungafuni ukuphuma
• Ngokungazelelwe nginenkinga esikoleni noma emsebenzini
• Ukukhuluma ngokufa noma ukuzibulala, noma ngisho nokusho ukuthi bafuna ukuzilimaza
• Ukukhuluma ngokuzizwa ungenathemba noma unecala
• Ukushintsha imikhuba yokulala noma yokudla
• Ukuhlela izindlela zokuzibulala (njengokuthenga isibhamu noma amaphilisi amaningi)

Abantu abasengozini yokuzibulala kungenzeka bangafuni ukwelashwa ngezizathu eziningi, kufaka phakathi:

• Bakholelwa ukuthi akukho okuzosiza
• Abafuni ukutshela noma ubani ukuthi banezinkinga
• Bacabanga ukuthi ukucela usizo kuwuphawu lobuthakathaka
• Abazi ukuthi bangalutholaphi usizo
• Bakholelwa ukuthi abantu ababathandayo bangaphila kangcono ngaphandle kwabo

Umuntu angadinga ukwelashwa okuphuthumayo ngemuva komzamo wokuzibulala. Bangadinga usizo lokuqala, i-CPR, noma ukwelashwa okunamandla kakhulu.

Abantu abazama ukuzibulala bangadinga ukuhlala esibhedlela ukuze bathole ukwelashwa nokunciphisa ubungozi bemizamo yesikhathi esizayo. Ukwelashwa kungenye yezingxenye ezibaluleke kakhulu zokwelashwa.

Noma yikuphi ukuphazamiseka kwengqondo okungaholela ekuzameni ukuzibulala kufanele kuhlolwe futhi kulashwe. Lokhu kufaka:

• Ukuphazamiseka kwe-bipolar
• Ukuphazamiseka kobuntu bomngcele
• Ukuthembela ezidakamizweni noma kotshwala
• Ukucindezeleka okukhulu
• Ischizophrenia
• Isifo sokucindezeleka kwangemva kwenhlekelele (PTSD)
  

Njalo thatha ngokungathi sína imizamo yokuzibulala nezinsongo. Uma wena noma omunye umuntu omaziyo ecabanga ngokuzibulala, ungashayela iNational Suicide Prevention Lifeline ku-1-800-273-8255 (1-800-273-TALK), lapho ungathola khona ukwesekwa kwamahhala nokuyimfihlo nganoma yisiphi isikhathi emini noma ebusuku.

Shayela ku-911 noma inombolo ephuthumayo yasendaweni ngokushesha uma othile omaziyo ezama ukuzibulala. Ungamshiyi yedwa lowo muntu, noma ngabe usucele usizo.

Cishe ingxenye eyodwa kwezintathu yabantu abazama ukuzibulala bazozama futhi kungakapheli unyaka. Cishe i-10% yabantu abenza izinsongo noma abazame ukuzibulala bazogcina bezibulele.

Shayela umhlinzeki wezempilo ngokushesha uma wena noma umuntu omaziyo enemicabango yokuzibulala. Umuntu udinga ukunakekelwa kwezempilo yengqondo ngokushesha. UNGAMXOSHISI lowo muntu njengokuzama nje ukunakwa.

Ukugwema utshwala nezidakamizwa (ngaphandle kwemithi enqunyiwe) kunganciphisa ingozi yokuzibulala.

Emakhaya anezingane noma intsha:

• Gcina yonke imithi kadokotela iphakeme futhi ikhiyiwe.
• Musa ukugcina utshwala ekhaya, noma ubugcine buhluthulelwe.
• Ungazigcini izibhamu ekhaya. Uma ugcina izibhamu ekhaya, zikhiye futhi ugcine izinhlamvu zihlukile.

Kubantu abadala asebekhulile, qhubeka uphenye imizwa yokungabi nathemba, ukuba ngumthwalo, nokungabi ngowakho.

Abantu abaningi abazama ukuthatha impilo yabo bakhuluma ngakho ngaphambi kokwenza umzamo. Kwesinye isikhathi, ukukhuluma nje nomuntu obakhathalelayo futhi ongabahluleli kwanele ukunciphisa ingozi yokuzibulala.

Kodwa-ke, uma ungumngane, ilungu lomndeni, noma wazi othile ocabanga ukuthi angazama ukuzibulala, ungalokothi uzame ukuphatha inkinga uwedwa. Funa usizo. Izikhungo zokuvimbela ukuzibulala zinezinsizakalo "zocingo" zocingo.

Ungalokothi unganaki usongo lokuzibulala noma uzame ukuzibulala.

Ukudangala - ukuzibulala; IBipolar - ukuzibulala

• Ukudangala ezinganeni
• Ukudangala phakathi kwabantu asebekhulile

Iwebhusayithi yeAmerican Psychiatric Association. Incwajana Yokuhlola Nezibalo Yezinkinga Zengqondo. Umhlaka 5. I-Arlington, VA: Ukushicilelwa Kwe-Psychiatric yaseMelika. 2013.

IBrendel RW, iBrezing CA, iLagomasino IT, iPerlis RH, iStern TA. Isiguli sokuzibulala. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ama-eds. IMassachusetts General Hospital Comprehensive Clinical Psychiatry. Okwesibili. IPhiladelphia, PA: Elsevier; 2016: isahluko 53.

UDeMaso DR, uWalter HJ. Ukuzibulala nokuzama ukuzibulala. Ku: Kliegman RM, St Geme JW, Blum, NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 40.