Okufanele ukwenze ukwelapha ukudangala

-Delile
- 1. Ukusetshenziswa kwemithi
- 2. Izikhathi ze-Psychotherapy
- 3. Ukwelashwa kwe-Electroconvulsive
- 4. Izindlela zokwelapha ezintsha
- 5. Ezinye izindlela zokwelapha
- 6. Phatha ezinye izimbangela zokucindezeleka
- Ukwelashwa kokucindezeleka kuhlala isikhathi esingakanani?
Ukudangala kungalapheka, kepha, njengoba izimbangela zazo zingakacaciswa ngokuphelele, ayikho ifomula, kepha ezinye izindlela ezingasetshenziswa ecaleni ngalinye, ukuguqula ukuphendula kobuchopho nokwenza ngcono imizwa.
Kuyisifo sengqondo, lapho imizwa yokudangala nokulahlekelwa yintando, okuhambisana nezinye izimpawu, njengokushintsha kokulala, ukudla, ukukhathala nokuzizwa unecala, kuphazamisa impilo yomuntu yansuku zonke. Kunezici ezinomthelela ekukhuleni kokudangala, njengezimbangela zofuzo noma zofuzo, nezimbangela zemvelo, njengesikhathi esinengcindezi empilweni noma ukulahlekelwa ngumuntu obalulekile, ngokwesibonelo. Ukuze uqonde kangcono izimpawu nezimbangela zalesi sifo, bona ukuthi ungahlukanisa kanjani ukudabuka nokudangala.
Ngakho-ke, ukwelapha isimo sokudangala, kunezinye izindlela zokwelashwa, ezingenziwa ngokwehlukana noma ndawonye, kepha uhlobo oluhamba phambili, isikhathi esidingekayo nemithamo esetshenzisiwe ingahluka ngokuya komuntu ngamunye. Ngaphezu kwalokho, ezimweni zokusola, kubalulekile njalo ukufuna usizo kudokotela wezifo zengqondo, ozochaza uhlobo lwezokwelapha oludingekayo.
1. Ukusetshenziswa kwemithi
Ama-anti-depressants yizidakamizwa ezisetshenziselwa ukufaka ama-neurotransmitters ebuchosheni, njenge-serotonin, i-dopamine ne-norepinephrine, evame ukwehliswa ekucindezelekeni. Ukusetshenziswa kwemithi kuboniswa ikakhulu ezimweni ezilinganiselayo nezimbi, futhi kufanele kusetshenziswe njalo, ngaphandle kwalokho kungaba nzima kakhulu ukululama kulesi sifo.
Izidambisi ezinkulu ezisetshenziselwa ukwelapha ukucindezeleka yilezi:
Isigaba se-antidepressant | Amanye amagama ejwayelekile | Okuqhamuka uma udla imishanguzo |
I-Tricyclic antidepressants | Imipramine, Clomipramine, Amitriptyline noma i-Nortriptyline | Umlomo owomile, ukugcinwa komchamo, ukuqunjelwa, ukukhohliswa, ukozela, umfutho wegazi ophansi nesiyezi ekukhuphukeni |
I-serotonin reuptake inhibitors ekhethiwe | I-Fluoxetine, i-Paroxetine, i-Citalopram, i-Escitalopram, i-Sertraline noma i-Trazodone | Ukucanuzela kwenhliziyo, umlomo owomile, ukozela, ukujuluka okweqile, ukuthuthumela, ukuqunjelwa, ubuhlungu bekhanda nezinkinga zokuphuma |
Ama-inhibitors angenayo noma umsebenzi owandayo we-serotonin norepinephrine | I-Venlafaxine, i-Desvenlafaxine, i-Duloxetine noma i-Mirtazapine | Umlomo owomile, ukuqwasha, ukwethuka, ukundindizela, ukozela, isicanucanu, ukuhlanza, izinkinga zokukhipha umchamo, ukujuluka okweqile nokubona okufiphele |
I-Monoaminoxidase inhibitors | Seleginine, Pargyline, Phenelzine noma Toloxatone | Ingcindezi eyandisiwe, i-postural hypotension, isisindo somzimba, ukuqwasha |
Imithi izosebenza cishe emavikini amabili kuya kwayisithupha, kanti nesikhathi sokwelashwa singahluka futhi kumuntu nomuntu, ekubeni, kwezinye izimo, sidingeka isikhathi esifushane, njengezinyanga eziyisithupha, njengoba kungadingeka iminyaka eminingi. Yini ezosiza udokotela ukuthola isikhathi sokwelashwa, umthamo nohlobo lomuthi ukwenziwa ngcono kwezimpawu nendlela umuntu asabela ngayo ekwelashweni.
Ngaphezu kwalokho, ukusetshenziswa kwemithi kukodwa kungeke kwanele ukwelapha ukudangala, futhi kubalulekile ukuthi lowo muntu asebenze ngasohlangothini lwabo lwezengqondo, ngezingxoxo, izikhathi zokwelashwa kwengqondo nemisebenzi evusa ukuzazi, isibonelo.
2. Izikhathi ze-Psychotherapy
I-Psychotherapy yenziwa ngudokotela wezengqondo noma wezifo zengqondo, futhi kubalulekile ukusiza ekuxazululeni ubunzima obungokomzwelo, ukuvuselela ukuzazi komuntu nokuxazulula izingxabano zangaphakathi. Kubalulekile, noma ngabe umuntu usevele uyayisebenzisa imithi, ngoba kuyasiza ukuhlela kabusha imicabango nokuvuselela imizwa nemizwa yenjabulo.
Izikhathi ze-Psychotherapy zivame ukubanjwa ama-8, 4 noma ama-2 ngenyanga, ngokwesibonelo, kuya ngezidingo zomuntu ngamunye.
3. Ukwelashwa kwe-Electroconvulsive
Ukwelashwa kwe-Electroconvulsive kuqukethe izinqubo ze-electroshock yobuchopho, ngendlela elawulwayo futhi engenabuhlungu, eyenza ukuhlelwa kabusha komsebenzi wobuchopho. Luhlobo lwezokwelapha olwenzelwe amacala okudangala okukhulu, lapho bekungekho ukuthuthuka nezinye izindlela zokwelapha ezitholakalayo.
4. Izindlela zokwelapha ezintsha
Kunezindlela zokwelashwa zakamuva, ezikhombise imiphumela emihle yokwelashwa kwengcindezi kubantu abangathuthuki nezinye izindlela zokwelashwa. Phakathi kwazo kukhona ukukhuthazwa kwamagnetic transcranial, ukugqugquzela imizwa ye-vagus nokukhuthaza kobuchopho okujulile.
Lezi izindlela zokukhuthaza nokuhlela kabusha umsebenzi wobuchopho, ngokufakwa kwama-electrode amancane ashukumisayo, akwazi ukwelapha nezifo eziningana zezinzwa, njengokucindezeleka, isithuthwane noma iParkinson's, ngokwesibonelo.
Bona ukuthi kwenziwa kanjani nokuthi yiziphi izifo ezingelashwa ngokugqugquzela okujulile kobuchopho.
5. Ezinye izindlela zokwelapha
Kunezindlela eziningi zemvelo ezingabahlanganyeli abakhulu bokulekelela ekwelapheni ukudangala, kepha lokho akufanele kuthathe indawo yokwelashwa okuholwa ngudokotela. Phakathi kwazo kukhona:
- Ukuthoma: kunganciphisa izimpawu eziningana ezihambisana nalesi sifo, njengobuhlungu, ukukhathazeka nokuqwasha;
- Ukuzindla: inikeza ulwazi lokuzilawula nokulawula imizwa, okungathuthukisa ukuzethemba nokuzethemba;
- Umsebenzi womzimba: ukuzivocavoca umzimba njalo kusiza ukukhipha ama-hormone afana ne-serotonin nama-endorphin, abalulekile ekwelapheni ukucindezeleka, ngaphezu kokuthuthukisa inhlalakahle. Ukuzivocavoca ngamaqembu, njengomdlalo, kungaba nezinzuzo ezengeziwe, ngenxa yokuthuthuka kokuhlalisana komphakathi;
- Reiki: kuyindlela enikeza ukuphumula nenhlalakahle, futhi ingaba wusizo ekulweni nezimpawu zokudangala;
- Ukondla okucindezelayo: kukhona ukudla, njengobhanana, amakinati, i-oats nobisi, okwandisa amazinga we-tryptophan nezinye izinto, njenge-magnesium, evuselela ukukhiqizwa kwamahomoni enhlalakahle. Thola ukuthi yikuphi ukudla okusiza ukuphuma ekucindezelekeni.
Ngaphezu kwalokho, kunconywa ukuthi utshale imali ezintweni zokuzilibazisa ezifana nomculo, imisebenzi yokufunda neyeqembu, isibonelo, njengoba lokhu kuyimisebenzi ethuthukisa ukuzethemba nokuzethemba, okuyizinyathelo ezibalulekile zokwelapha ukudangala. Bona amathiphu amaningi wokuthi ungakuthuthukisa kanjani ukuzethemba.
6. Phatha ezinye izimbangela zokucindezeleka
Kunezinye izifo ezingadala noma zenyuse amathuba okuba nesifo sokudangala, njenge-hypothyroidism, ukuntuleka kwe-vitamin B12, isifo sikashukela, i-Alzheimer's, iParkinson noma i-post-stroke, ngokwesibonelo, ngakho-ke, kuyadingeka ukwelashwa okufanele ukuze sikwazi ukulwa nezimpawu.
Ngaphezu kwalokho, kukhona namakhambi angasetshenziswa ukwelapha ezinye izinkinga futhi adala imizwa yokudangala, njengePropranolol, iSimvastatin nePhenobarbital, ngokwesibonelo. Ngakho-ke, uma kunezimpawu zokucindezeleka ngenxa yokusebenzisa noma imuphi umuthi, kubalulekile ukukhuluma nodokotela olandelayo ukuze axoxe ngokushintshwa kokwelashwa.
Ukwelashwa kokucindezeleka kuhlala isikhathi esingakanani?
Asikho isikhathi esichazwe ngaphambilini sokwelapha ukwelashwa, ngakho-ke abanye abantu baba ngcono emva kwezinyanga ezimbalwa, kanti abanye badinga ukuselapha iminyaka. Lokhu kuvame ukuncika kwisizathu nobukhulu besifo, kanye namandla omuntu nokuzimisela kwakhe ukulandela ukwelashwa ngendlela efanele. Amanye amathiphu wokuthuthukisa ukwelashwa kwengcindezi, nokuvumela ukwelashwa okusheshayo, yile:
- Ungagcini umuthi ofanayo uma kungekho ukuthuthuka ngemuva kwamasonto ayisithupha: lesi yisikhathi esidingeka ukuthi noma imuphi umuthi uqale ukusebenza, ngakho-ke uma kule nkathi kungabikho nqubekela phambili okuqashelwe, kubalulekile ukukhuluma nodokotela wezifo zengqondo ukuze akhuphule umthamo noma, kwezinye izimo, ashintshe uhlobo lomuthi;
- Yenza ukuhlolwa kabusha nodokotela wezifo zengqondo: kubalulekile ukuthi kube nokuxhumana okulandelanayo nodokotela ngezikhathi ezibekiwe, njalo ezinyangeni ezi-3 noma ezi-6, ngokwesibonelo, ukuze izimpawu kanye nesidingo sokushintsha imithamo ziphinde zihlolwe;
- Sesha usizo: kunzima kakhulu ukunqoba ukucindezeleka wedwa, ngakho-ke kubalulekile ukukhuluma nomngani, ilunga lomndeni, isazi sokusebenza kwengqondo noma udokotela noma nini lapho ungaphilile, noma ubona ukuwohloka kwezimpawu;
- Zibekele imigomo: ukwamukela umgomo noma umgomo wokuwufinyelela, njengokuqala iphrojekthi entsha, umsebenzi noma umsebenzi, njengoba kungaba yimicabango esiza ukunika injongo empilweni.
Ngaphezu kwalokho, kubalulekile ukuthuthukisa ingokomoya, njengoba ukuba ngumuntu onomoya akusho ukuthi uyinkolo, kepha ukuba nesimo sokukholelwa ukuthi kunesizathu esikhethekile sokuphila futhi ujabulele izikhathi, ngaleyo ndlela unikeze incazelo ekhetheke kakhudlwana impilo.
Bona amanye amathiphu wokuthi yini ongayenza ngenkathi welapha ukucindezeleka.