Ukudangala Nokuguga

-Delile

• Ziyini Izimpawu?
• Ziyini Izimbangela?
• Izakhi zofuzo
• Ukucindezeleka
• I-Brain Chemistry
• Ukucindezeleka Kutholakala Kanjani?
• Ukuhlolwa Nezivivinyo
• Ukuhlolwa Komzimba
• Ukuhlolwa Kwegazi
• Ukuhlolwa Kwengqondo
• Izinhlobo Zokucindezeleka
• Ukuphazamiseka Okukhulu Kokucindezeleka
• Ukuphikelela Kokucindezeleka Okuqhubekayo
• Ukuphazamiseka KweBipolar
• Kwelashwa Kanjani Ukucindezeleka?
• Imithi Yokulwa Nokucindezelwa
• I-Serotonin Reuptake Inhibitors ekhethiwe (SSRIs)
• ISerotonin neNorepinephrine Reuptake Inhibitors (SNRIs)
• Ama-Tricyclics (ama-TCAs)
• I-Monoamine Oxidase Inhibitors (MAOIs)
• Ukwelashwa kwengqondo
• Ukwelashwa kwe-Electroconvulsive
• Ungamsiza Kanjani Umuntu Onokucindezeleka?
• Khuluma
• Ukusekela
• Ubungani
• Ithemba
• Ukuvimbela ukuzibulala

Kuyini Ukucindezeleka?

Kunezikhathi empilweni lapho uzozizwa udabukile. Le mizwa imvamisa ihlala amahora ambalwa noma izinsuku ezimbalwa. Kulapho uzizwa uphansi noma uphatheke kabi isikhathi eside, futhi lapho leyo mizwa inamandla kakhulu lapho le mizwa ithathwa njengengcindezi.

Ukudangala kuyinkinga enkulu yengqondo engaphazamisa impilo yakho yansuku zonke. Kungenza kube nzima kuwe ukwenza imisebenzi yakho yansuku zonke futhi uthole injabulo emisebenzini owake wayijabulela.

Abantu abaningi babhekana nokudangala. Eqinisweni, ngesinye sezifo zengqondo ezivame kakhulu e-United States, ngokusho kweNational Institute of Mental Health (NIH). Ngokusho kocwaningo olwenziwe yi-Substance Abuse and Mental Health Services Administration (SAMHSA), amaphesenti ayisithupha abantu abadala baseMelika ahlangabezana okungenani nesiqephu esisodwa sokucindezeleka unyaka nonyaka weshumi eliqala ngonyaka ka-2005.

Ukudana imvamisa kuqala ukuvela ekubeni mdala, kodwa futhi kuvamile kubantu abadala, ngokwe-NIH. Ucwaningo olwenziwe ngokulinganisela ukuthi abantu abadala baseMelika abangaphezu kwezigidi ezingama-7 abaneminyaka engaphezu kwengama-65 babhekana nokudangala unyaka nonyaka. ICDC ibuye ibike ukuthi abantu abadala abangaphezu kweminyaka engama-65 bakha amaphesenti ayi-16 abo bonke abantu abazibulala ngo-2004.

Ziyini Izimpawu?

Ukucindezeleka kuvame kakhulu kubantu abanezinye izinkinga zezokwelapha. Abantu abadala asebekhulile bangaba nezinkinga eziningi zezokwelapha, ezingakhuphula ingozi yabo yokudangala. Yize ukucindezeleka kujwayelekile kubantu abadala, akuyona ingxenye ejwayelekile yokuguga. Abanye abantu abadala asebekhulile kungenzeka bangacabangi ukuthi bacindezelekile ngoba ukudabuka akusona isibonakaliso sabo esikhulu.

Izimpawu zokudangala ziyahlukahluka kuye ngomuntu. Kubantu abadala, ezinye zezimpawu ezivame kakhulu zifaka:

• ukuzwa ukudabuka noma "ukungabi nalutho"
• ngizizwa ngingenathemba, nginciphile, nginovalo, noma nginecala ngaphandle kwesizathu
• ukungathokozi ngokuzumayo ezintweni ozithandayo
• ukukhathala
• ukulahlekelwa ukugxila noma inkumbulo
• kungaba ukuqwasha noma ukulala kakhulu
• ukudla kakhulu noma ukudla okuncane kakhulu
• imicabango noma imizamo yokuzibulala
• izinhlungu nezinhlungu
• ikhanda
• amajaqamba esiswini
• izingqinamba zokugaya ukudla

Ziyini Izimbangela?

Ochwepheshe abazi kahle ukuthi yini ebangela ukucindezeleka. Kunezici eziningana ezingabandakanyeka, njengezakhi zofuzo, ukucindezeleka, kanye namakhemikhali obuchopho.

Izakhi zofuzo

Ukuba nelungu lomndeni elike labhekana nokudangala kukubeka engcupheni enkulu yokuba nengcindezi.

Ukucindezeleka

Izehlakalo ezicindezelayo njengokufa emndenini, ubudlelwane obuyinselele, noma izinkinga emsebenzini kungadala ukucindezeleka.

I-Brain Chemistry

Ukuhlungwa kwamakhemikhali athile ebuchosheni kungaba nomthelela ekukhuleni kwesifo sokucindezeleka kwabanye abantu.

Ukucindezeleka kuvame ukuhambisana nezinye izimo zezokwelapha kubantu abadala. Ukudangala kungazenza zibe zimbi kakhulu lezi zimo. Eminye imithi yalezi zinkinga zezokwelapha ingadala imiphumela emibi engathinta ukucindezeleka kwakho.

Ukucindezeleka Kutholakala Kanjani?

Ukuhlolwa Nezivivinyo

Udokotela wakho angaqhuba izinhlobo eziningana zokuhlolwa kanye nezivivinyo uma esola ukuthi ubhekene nokudangala.

Ukuhlolwa Komzimba

Udokotela wakho uzokuhlolela umzimba bese ekubuza imibuzo ngempilo yakho. Kwabanye abantu, ukucindezeleka kungaxhunyaniswa nesimo esivele sikhona sezokwelapha.

Ukuhlolwa Kwegazi

Udokotela wakho angalawula ukuhlolwa kwegazi ukukala amanani ahlukene egazini lakho ukuze ahlole izimo zezokwelapha ezikhona ezingadala ukucindezeleka kwakho.

Ukuhlolwa Kwengqondo

Udokotela wakho uzokubuza ngezimpawu zakho, imicabango, imizwa, nemikhuba yansuku zonke. Bangakucela ukuthi ugcwalise uhlu lwemibuzo ukuze uphendule le mibuzo.

Izinhlobo Zokucindezeleka

Kunezinhlobo eziningana zokuphazamiseka kokucindezeleka. Uhlobo ngalunye lunezinqubo zalo zokuxilonga.

Ukuphazamiseka Okukhulu Kokucindezeleka

Isifo esikhulu sokucindezeleka sibonakala ngokudangala okukhulu noma ukuphelelwa yintshisekelo emisebenzini yansuku zonke ephazamisa impilo yansuku zonke okungenani amasonto amabili

Ukuphikelela Kokucindezeleka Okuqhubekayo

Isifo sokucindezeleka esiqhubekayo yisimo sokucindezeleka esihlala okungenani iminyaka emibili.

Ukuphazamiseka KweBipolar

Isifo se-bipolar sibonakala ngokushintshashintsha kwemizwelo yokuhamba ngebhayisikili kusuka ekuphakameni okwedlulele kuye kwezingaphansi kakhulu.

Kwelashwa Kanjani Ukucindezeleka?

Kunezindlela zokwelashwa ezahlukahlukene zokucindezeleka. Imvamisa, abantu baphathwa ngenhlanganisela yemithi nokwelashwa kwengqondo.

Imithi Yokulwa Nokucindezelwa

Kunezinhlobonhlobo zemithi evame ukubekelwa ukucindezeleka.

I-Serotonin Reuptake Inhibitors ekhethiwe (SSRIs)

• i-fluoxetine (Prozac)
• i-sertraline (Zoloft)
• i-escitalopram (Lexapro)
• i-paroxetine (Paxil)
• I-citalopram (Celexa)
• venlafaxine (Effexor)
• i-duloxetine (iCymbalta)
• i-bupropion (Wellbutrin)
• imimpramine
• nolwaz
• isocarboxazid (Marplan)
• i-phenelzine (Nardil)
• i-selegiline (Emsam)
• i-tranylcypromine (iParnate)

ISerotonin neNorepinephrine Reuptake Inhibitors (SNRIs)

Ama-Tricyclics (ama-TCAs)

I-Monoamine Oxidase Inhibitors (MAOIs)

Ama-anti-depressants angathatha amasonto ambalwa ukusebenza, ngakho-ke kubalulekile ukuwathatha njengoba kuqondisiwe noma ungeke uzwe ukuthuthuka khona manjalo. Le mithi ingadala imiphumela emibi kubandakanya:

• ikhanda
• isisu esibuhlungu
• ukuqwasha
• ukukhathazeka
• ukungahlaliseki
• ukuyaluza
• izindaba zocansi

Le miphumela emibi ivame ukuhamba ngokuhamba kwesikhathi, kodwa kubalulekile ukukhuluma nodokotela wakho ngayo ngokushesha.

Ukwelashwa kwengqondo

Ukuya ngezikhathi zokwelashwa kusiza abantu abaningi abanokudangala. Ukwelashwa kusiza ngokukufundisa izindlela ezintsha zokucabanga nokwenza. Ungafunda nezindlela zokushintsha noma imiphi imikhuba engaba nomthelela ekucindezelekeni kwakho. Ukwelashwa kungakusiza uqonde kangcono futhi udlule ezimeni eziyinselele ezingase zibangele noma zenze ukudangala kwakho kube kubi ngokwengeziwe.

Ukwelashwa kwe-Electroconvulsive

Ukwelashwa kwe-Electroconvulsive kuvame ukusetshenziselwa kuphela ukwelapha amacala abucayi. Isebenza ngokuthumela ukushaqeka okuncane kagesi ebuchosheni ukushintsha ukuthi amakhemikhali asebuchosheni asebenza kanjani. Kungadala imiphumela emibi ethile, kufaka phakathi ukudideka nokulahleka kwememori. Le miphumela emibi akuvamile ukuthi ihlale isikhathi eside.

Ungamsiza Kanjani Umuntu Onokucindezeleka?

Siza othandekayo wakho afike kudokotela uma usola ukuthi banokudangala. Udokotela angakwazi ukuxilonga isimo bese enikeza ukwelashwa. Ungasiza futhi ngezindlela ezilandelayo.

Khuluma

Khuluma nomuntu omthandayo njalo, futhi ulalelisise. Nikeza izeluleko uma bebuza. Thatha abakushoyo ngokungathi sína. Ungalokothi ungazinaki izinsongo zokuzibulala noma ukuphawula ngokuzibulala

Ukusekela

Nikeza ukwesekwa. Khuthaza, ubekezele futhi uqonde.

Ubungani

Yiba umngane. Bameme njalo ukuthi beze bazochitha isikhathi nawe.

Ithemba

Qhubeka ukhumbuza othandekayo wakho ukuthi, ngokuhamba kwesikhathi nokwelashwa, ukucindezeleka kwabo kuzoncipha.

Kufanele njalo ubike inkulumo yokuzibulala kudokotela womuntu omthandayo, futhi, uma kunesidingo, bayise esibhedlela ukuze uthole usizo lwengqondo.

Ukuvimbela ukuzibulala

Uma ucabanga ukuthi othile usengozini ngokushesha yokuzilimaza noma ukulimaza omunye umuntu:

• Shayela ku-911 noma inombolo yakho ephuthumayo yasendaweni.
• Hlala nalo muntu kuze kufike usizo.
• Susa noma yiziphi izibhamu, imimese, imishanguzo, noma ezinye izinto ezingadala ingozi.
• Lalela, kodwa ungahluleli, uphikise, usongele, noma umemeze.

Uma ucabanga ukuthi othile ucabanga ukuzibulala, thola usizo enhlekeleleni noma ku-hotline yokuvimbela ukuzibulala. Zama i-National Suicide Prevention Lifeline ku-800-273-8255.

Imithombo: I-National Suicide Prevention Lifeline kanye Ukusetshenziswa Kwezidakamizwa Nokuphathwa Kwezinsizakalo Zempilo Yengqondo