Ukucindezeleka

Ukudangala kungachazwa njengokuzizwa udabukile, uluhlaza okwesibhakabhaka, ungajabule, unosizi, noma uphansi ezindaweni zokulahla. Abaningi bethu bazizwa ngale ndlela ngasikhathi sinye ngezikhathi ezithile.

Ukudangala kwemitholampilo ukugula kwemizwa lapho imizwa yokudabuka, ukulahlekelwa, intukuthelo, noma ukukhungatheka iphazamisa impilo yansuku zonke amasonto noma ngaphezulu.

Ukudangala kungenzeka kubantu bayo yonke iminyaka:

• Abantu abadala
• Intsha
• Abantu abadala asebekhulile

Izimpawu zokucindezeleka zifaka:

• Isimo esiphansi noma imizwa ecasulayo isikhathi esiningi
• Inkinga yokulala noma ukulala kakhulu
• Ushintsho olukhulu ekudleni, imvamisa ngokuzuza kwesisindo noma ngokulahleka
• Ukukhathala nokuntuleka kwamandla
• Imizwa yokungabi nalutho, ukuzizonda nokuzizwa unecala
• Kunzima ukugxila
• Ukuhamba kancane noma okusheshayo
• Ukuntuleka komsebenzi nokugwema imisebenzi ejwayelekile
• Ngizizwa ngingenathemba noma ngingenakuzisiza
• Imicabango ephindaphindwayo yokufa noma yokuzibulala
• Ukungabi nenjabulo emisebenzini ojwayele ukuyithanda, kufaka phakathi ucansi

Khumbula ukuthi izingane zingaba nezimpawu ezihlukile kunezabantu abadala. Buka izinguquko emsebenzini wesikole, ukulala nokuziphatha. Uma uzibuza ukuthi ingane yakho ingahle icindezeleke yini, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo. Umhlinzeki wakho angakusiza ufunde ukuthi ungayisiza kanjani ingane yakho ngokucindezeleka.

Izinhlobo eziyinhloko zokucindezeleka zifaka:

• Ukucindezeleka okukhulu. Kwenzeka lapho imizwa yokudabuka, ukulahlekelwa, intukuthelo, noma ukukhungatheka iphazamisa impilo yansuku zonke amasonto noma isikhathi eside.
• Ukucindezeleka okuqhubekayo. Lesi yisimo sokucindezeleka esihlala iminyaka emi-2. Ngaphezulu kwaleyo nkathi yesikhathi, ungaba nezikhathi zokucindezeleka okukhulu, ngezikhathi lapho izimpawu zakho zithamba khona.

Ezinye izinhlobo ezivamile zokucindezeleka zifaka:

• Ukudangala kwangemva kokubeletha. Abesifazane abaningi bazizwa bephansi ngandlela thile ngemuva kokuthola umntwana. Kodwa-ke, ukucindezeleka kwangempela kokubeletha kunzima kakhulu futhi kufaka nezimpawu zokucindezeleka okukhulu.
• Isifo se-premenstrual dysphoric (PMDD). Izimpawu zokucindezeleka zenzeka ngesonto eli-1 ngaphambi kwesikhathi sakho futhi zinyamalale ngemuva kokuya esikhathini.
• Ukuphazamiseka kwesizini (SAD). Lokhu kwenzeka kaningi ngesikhathi sekwindla nasebusika, futhi kuyanyamalala entwasahlobo nasehlobo. Kungenzeka kakhulu ngenxa yokuntuleka kwelanga.
• Ukudangala okukhulu okunezici zengqondo. Lokhu kwenzeka lapho umuntu enengcindezi nokulahleka kokuthintana neqiniso (psychosis).

Isifo se-bipolar senzeka lapho ukucindezeleka kushintshana ne-mania (ngaphambili eyayibizwa ngokuthi i-manic depression). Ukuphazamiseka kwe-bipolar kunesifo sokudangala njengesinye sezimpawu zayo, kepha kunguhlobo oluhlukile lokugula kwengqondo.

Ukucindezeleka kuvame ukusebenza emindenini. Lokhu kungahle kube ngenxa yezakhi zofuzo zakho, indlela oziphatha ngayo ekhaya, noma imvelo yakho. Ukudangala kungadalwa yimicimbi yokuphila ecindezelayo noma engajabulisi. Imvamisa, kuyinhlanganisela yalezi zinto.

Izici eziningi zingaletha ukucindezeleka, kufaka phakathi:

• Utshwala noma ukusetshenziswa kwezidakamizwa
• Izimo zezokwelapha, njengomdlavuza noma ubuhlungu besikhathi eside (obungapheli)
• Imicimbi yokuphila enengcindezi, njengokulahleka komsebenzi, isehlukaniso, noma ukushona komlingani noma elinye ilungu lomndeni
• Ukuzihlukanisa nomphakathi (imbangela ejwayelekile yokudangala kubantu abadala)

Shayela ku-911 noma inombolo ephuthumayo yasendaweni, noma ushayele ucingo lwangasese lokuzibulala, noma uye egumbini lezimo eziphuthumayo eliseduze uma ucabanga ukuzilimaza wena noma abanye.

Shayela umhlinzeki wakho uma:

• Uzwa amazwi angekho lapho.
• Ukhala kaningi ngaphandle kwesizathu.
• Ukudana kwakho kuthinte umsebenzi wakho, isikole, noma impilo yomndeni isikhathi eside kunamasonto ama-2.
• Unezimpawu ezintathu noma ngaphezulu zokucindezeleka.
• Ucabanga ukuthi omunye wemithi yakho yamanje kungenzeka ukuthi ukukwenza uzizwe ucindezelekile. Ungashintshi noma uyeke ukuthatha noma yimiphi imithi ngaphandle kokukhuluma nomhlinzeki wakho.
• Uma ucabanga ukuthi ingane yakho noma osemusha kungenzeka ukuthi ucindezelekile.

Kufanele futhi ushayele umhlinzeki wakho uma:

• Ucabanga ukuthi kufanele unciphise ukuphuza utshwala
• Ilungu lomndeni noma umngani ukucele ukuthi wehlise ekuphuzeni utshwala
• Uzizwa unecala ngenani lotshwala obuphuzayo
• Uphuza utshwala kuqala ekuseni

Amablues; I-Gloom; Ukudabuka; Ukucindezeleka

• Ukudangala ezinganeni
• Ukudangala nesifo senhliziyo
• Ukudangala kanye nomjikelezo wokuya esikhathini
• Ukudangala nokuqwasha

Iwebhusayithi yeAmerican Psychiatric Association. Izinkinga zokucindezeleka. Ku: I-American Psychiatric Association. Incwajana Yokuhlola Nezibalo Yezinkinga Zengqondo. Umhlaka 5. I-Arlington, VA: Ukushicilelwa Kwe-Psychiatric yaseMelika. 2013: 155-188.

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.

Kraus C, Kadriu B, Lanzenberger R, Zarate Jr CA, Kasper S. Prognosis kanye nemiphumela ethuthukisiwe ekucindezelekeni okukhulu: ukubuyekeza. Humusha i-Psychiatry. 2019; 9 (1): 127. I-PMID: 30944309 pubmed.ncbi.nlm.nih.gov/30944309/.

UWalter HJ, uDeMaso DR. Ukuphazamiseka kwemizwelo. 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 39.

UZuckerbrot RA, uCheung A, uJensen PS, uStein REK, uLaraque D; I-GLAD-PC STEERING GROUP. Imihlahlandlela yokudangala kwentsha ekunakekelweni okuyisisekelo (i-GLAD-PC): ingxenye I. Zijwayeze ukulungiselela, ukukhomba, ukuhlola, kanye nokuphathwa kokuqala. Izifo zezingane. 2018; 141 (3). pii: e20174081. I-PMID: 29483200 pubmed.ncbi.nlm.nih.gov/29483200/.