Ukukhathazeka Okuvamile

-Delile

• Izimpawu zesifo sokukhathazeka esijwayelekile
• Ukuhlukanisa i-GAD kwezinye izindaba zezempilo yengqondo
• Ziyini izimbangela nezici zobungozi be-GAD?
• Sitholakala kanjani isifo sokukhathazeka esijwayelekile?
• Selashwa kanjani isifo sokukhathazeka okujwayelekile?
• Ukwelashwa kokuziphatha kwengqondo
• Imithi
• Izinguquko zokuphila ukusiza ukunciphisa izimpawu ze-GAD
• Utshwala nokukhathazeka
• Umbono walabo abanenkinga yokukhathazeka ejwayelekile
• Lokho Okuzwayo Ukuphila Nokukhathazeka

Izithombe zeMaskot / Offset

Kuyini ukukhathazeka okujwayelekile?

Abantu abane-generalised disorder disorder, noma i-GAD, bakhathazeka ngokungalawuleki ngezimo ezivamile nezimo. Futhi kwesinye isikhathi kwaziwa njenge-neurosis engapheli yokukhathazeka.

I-GAD yehlukile kwimizwa ejwayelekile yokukhathazeka. Kuvamile ukuzizwa ukhathazekile ngezinto ezenzeka empilweni yakho - njengezezimali zakho - njalo ngesikhashana. Umuntu one-GAD angakhathazeka ngokungalawuleki ngezimali zakhe izikhathi eziningana ngosuku izinyanga ekugcineni. Lokhu kungenzeka noma ngabe asikho isizathu sokukhathazeka. Umuntu uvame ukwazi ukuthi asikho isizathu sokuthi bakhathazeke.

Kwesinye isikhathi abantu abanalesi simo bayakhathazeka nje, kepha abakwazi ukusho ukuthi bakhathazeke ngani. Babika imizwa yokuthi kukhona okubi okungenzeka kwenzeke noma bangabika ukuthi abakwazi nje ukwehlisa umoya.

Lokhu kukhathazeka ngokweqile, okungenangqondo kungasabisa futhi kungaphazamisa ubudlelwano nemisebenzi yansuku zonke.

Izimpawu zesifo sokukhathazeka esijwayelekile

Izimpawu ze-GAD zifaka:

• ubunzima bokugxila
• ubunzima bokulala
• ukucasuka
• ukukhathala nokukhathala
• ukungezwani kwemisipha
• isisu esibuhlungu noma isifo sohudo
• izintende ezijulukile
• eqhaqhazela
• ukushaya kwenhliziyo okusheshayo
• izimpawu zezinzwa, njengokundikindiki noma ukuncinza ezingxenyeni ezihlukene zomzimba

Ukuhlukanisa i-GAD kwezinye izindaba zezempilo yengqondo

Ukukhathazeka kuyisifo esivamile sezimo eziningi zempilo yengqondo, njengokucindezeleka kanye nama-phobias ahlukahlukene. I-GAD yehlukile kulezi zimo ngezindlela eziningana.

Abantu abanokucindezeleka ngezikhathi ezithile bangazizwa bekhathazekile, futhi abantu abane-phobia bakhathazeka ngento eyodwa. Kepha abantu abane-GAD bakhathazeka ngezihloko ezahlukahlukene ezahlukahlukene esikhathini eside (izinyanga eziyisithupha noma ngaphezulu), noma kungenzeka bangakwazi ukuthola umthombo wokukhathazeka kwabo.

Ziyini izimbangela nezici zobungozi be-GAD?

Izimbangela zezici zobungozi ze-GAD zingafaka:

• umlando womndeni wokukhathazeka
• ukuvezwa kwakamuva noma okude ezimeni ezicindezelayo, kufaka phakathi ukugula komuntu siqu noma komndeni
• ukusetshenziswa ngokweqile kwe-caffeine noma ugwayi, okungenza ukukhathazeka okukhona kube kubi kakhulu
• ukuhlukunyezwa ebuntwaneni

Ngokusho kweMayo Clinic, abesifazane banamathuba aphindwe kabili kunamadoda okuthola i-GAD.

Sitholakala kanjani isifo sokukhathazeka esijwayelekile?

I-GAD itholakala ngokuhlolwa kwezempilo yengqondo okungenziwa ngumhlinzeki wakho wokunakekelwa okuyinhloko. Bazokubuza imibuzo mayelana nezimpawu zakho nokuthi unesikhathi esingakanani unazo. Bangakudlulisela kuchwepheshe wezempilo yengqondo, ofana nodokotela wezengqondo noma wezifo zengqondo.

Udokotela wakho angenza nokuhlolwa kwezempilo ukuthola ukuthi ngabe kukhona yini ukugula okuyisisekelo noma inkinga yokusebenzisa kabi izidakamizwa edala izimpawu zakho. Ukukhathazeka kuye kwaxhunyaniswa ne:

• isifo se-reflux se-gastroesophageal (GERD)
• iziyaluyalu
• Isifo senhliziyo
• ukunqamuka kokuya esikhathini

Uma umhlinzeki wakho wokunakekela oyinhloko esola ukuthi isimo sezokwelapha noma inkinga yokusebenzisa kabi izidakamizwa kubangela ukukhathazeka, bangenza izivivinyo eziningi. Lokhu kungafaka:

• ukuhlolwa kwegazi, ukuhlola amazinga ama-hormone angakhombisa ukuphazamiseka kwegilo
• ukuhlolwa komchamo, ukubheka ukusetshenziswa kabi kwezidakamizwa
• izivivinyo ze-reflux esiswini, njenge-X-ray yohlelo lwakho lokugaya ukudla noma inqubo ye-endoscopy yokubheka indawo yakho, ukuhlola i-GERD
• Ama-X-ray nokuhlolwa kwengcindezi, ukuhlola izimo zenhliziyo

Selashwa kanjani isifo sokukhathazeka okujwayelekile?

Ukwelashwa kokuziphatha kwengqondo

Lokhu kwelashwa kubandakanya ukuhlangana njalo ukhulume nodokotela wezempilo yengqondo. Umgomo ukushintsha ukucabanga kwakho nokuziphatha kwakho. Le ndlela iphumelele ekwakheni ushintsho olungapheli kubantu abaningi abanexhala. Kucatshangelwa ukwelashwa komugqa wokuqala kwezinkinga zokukhathazeka kubantu abakhulelwe. Abanye bathole ukuthi izinzuzo zokwelashwa kokuziphatha kwengqondo zinikeze ukukhululeka kokukhathazeka kwesikhathi eside.

Ezikhathini zokwelashwa, uzofunda ukuthi ungayibona futhi uyilawule kanjani imicabango yakho yokukhathazeka. Uchwepheshe wakho uzokufundisa nokuthi ungazithoba kanjani lapho kuvela imicabango ecasulayo.

Odokotela bavame ukunikela ngemithi kanye nokwelashwa ukwelapha i-GAD.

Imithi

Uma udokotela wakho encoma izidakamizwa, cishe bazokwakha uhlelo lwemithi lwesikhashana kanye nohlelo lwemithi lwesikhathi eside.

Imithi yesikhathi esifushane ithambisa ezinye zezimpawu zomzimba zokukhathazeka, njengokucindezela kwemisipha nokucinana kwesisu. Lokhu kubizwa ngemithi yokulwa nokukhathazeka. Eminye imithi ejwayelekile yokulwa nokukhathazeka yilena:

• i-alprazolam (Xanax)
• i-clonazepam (iKlonopin)
• I-lorazepam (Ativan)

Izidakamizwa ezilwa nokukhathazeka azihloselwe ukuthi zithathwe isikhathi eside, njengoba zinengozi enkulu yokuthembela nokuhlukunyezwa.

Imithi ebizwa ngama-anti-depressants isebenza kahle ekwelashweni isikhathi eside. Amanye ama-anti-depressants ajwayelekile yilawa:

• i-buspirone (Buspar)
• I-citalopram (Celexa)
• i-escitalopram (Lexapro)
• i-fluoxetine (i-Prozac, i-Prozac Masonto onke, iSarafem)
• i-fluvoxamine (i-Luvox, i-Luvox CR)
• i-paroxetine (Paxil, Paxil CR, Pexeva)
• i-sertraline (Zoloft)
• i-venlafaxine (i-Effexor XR)
• desvenlafaxine (Pristiq)
• i-duloxetine (iCymbalta)

Le mithi ingathatha amasonto ambalwa ukuqala ukusebenza. Zingaba nemiphumela emibi, njengomlomo owomile, isicanucanu, nohudo. Lezi zimpawu zibakhathaza kakhulu abanye abantu baze bayeke ukuthatha le mithi.

Kukhona ingozi ephansi kakhulu yokwanda kwemicabango yokuzibulala kubantu abadala abasebasha ekuqaleni kokwelashwa ngama-anti-depressants. Hlala usondelene nommeli wakho uma usebenzisa imishanguzo. Qiniseka ukuthi ubika noma yiziphi izinguquko zemizwa noma zemicabango ezikukhathazayo.

Udokotela wakho angakunikeza yomibili imishanguzo yokulwa nokukhathazeka kanye ne-anti-depressant. Uma kunjalo, mhlawumbe uzothatha kuphela umuthi olwa nokukhathazeka amasonto ambalwa kuze kube yilapho i-antidepressant yakho iqala ukusebenza, noma ngesisekelo esidingekayo.

Izinguquko zokuphila ukusiza ukunciphisa izimpawu ze-GAD

Abantu abaningi bangathola ukukhululeka ngokusebenzisa imikhuba ethile yokuphila. Lokhu kungafaka:

• ukuzivocavoca umzimba njalo, ukudla okunempilo nokulala ngokwanele
• i-yoga nokuzindla
• ukugwema izikhuthazi, njengekhofi neminye imishanguzo yokuthenga, njengamaphilisi okudla kanye namaphilisi e-caffeine
• ukukhuluma nomngane omethembayo, oshade naye, noma ilungu lomndeni mayelana nokwesaba nokukhathazeka

Utshwala nokukhathazeka

Ukuphuza utshwala kungakwenza uzizwe ungakhathazeki cishe ngokushesha. Yingakho abantu abaningi abahlushwa ukukhathazeka bephendukela ekuphuzeni utshwala ukuze bazizwe bengcono.

Kodwa-ke, kubalulekile ukukhumbula ukuthi utshwala bungaba nomthelela omubi emoyeni wakho. Emahoreni ambalwa emva kokuphuza, noma ngosuku olulandelayo, ungazizwa ucasuke kakhulu noma udangele. Utshwala bungaphazamisa nemithi esetshenziselwa ukwelapha ukukhathazeka. Ezinye izinhlanganisela zemithi notshwala zingabulala.

Uma uthola ukuthi ukuphuza kwakho kuphazamisa imisebenzi yakho yansuku zonke, khuluma nomhlinzeki wakho wokunakekela oyinhloko. Ungathola nokuxhaswa kwamahhala kokuyeka ukuphuza nge-Alcoholics Anonymous (AA).

Umbono walabo abanenkinga yokukhathazeka ejwayelekile

Iningi labantu lingaphatha i-GAD ngenhlanganisela yokwelashwa, imithi, nezinguquko zendlela yokuphila. Khuluma nodokotela wakho uma ukhathazekile ngokuthi ukhathazeka kangakanani. Bangakudlulisela kuchwepheshe wezempilo yengqondo.

Lokho Okuzwayo Ukuphila Nokukhathazeka