Ukucindezeleka kwengqondo

-Delile

• Yiziphi Izimpawu Ezihambisana Ne-Depression Psychosis?
• Yini Ebangela Ukucindezeleka Kwengqondo?
• Yiziphi Izici Zengozi Yengqondo Yokucindezeleka?
• Ihlolwe Kanjani Ingqondo Yokucindezeleka?
• Yiziphi izinkinga ze-Depression Psychosis?
• Iphathwa Kanjani Ingqondo Yokucindezeleka?
• Imithi
• Ukwelashwa kwe-Electroconvulsive Therapy (ECT)
• Uyini Umbono Wabantu Abanoxinzelelo Lokucindezeleka?
• Ukuvimbela ukuzibulala

Kuyini Ukucindezeleka kwengqondo?

Ngokusho kweNational Alliance on Mental Illness (NAMI), abantu abalinganiselwa kumaphesenti angama-20 abanokucindezeleka okukhulu nabo banezimpawu zengqondo. Le nhlanganisela yaziwa njenge-psychosis yokudangala. Amanye amagama alesi simo yilawa:

• ukucindezeleka okukhohlisayo
• ukucindezeleka kwengqondo
• ukuphazamiseka okukhulu kokudangala okunezimpawu zengqondo ezihlangene
• ukucindezeleka okukhulu okunezici zengqondo ezingahambisani nesimo

Lesi simo sidala ukuthi ube nezimpawu zengqondo kanye nosizi nokungabi nathemba okuhambisana nokudangala. Lokhu kusho ukubona, ukuzwa, ukuhogela, noma ukukholelwa izinto ezingezona ezangempela. Ukucindezeleka kwengqondo kuyingozi ikakhulukazi ngoba ukukhohlisa kungadala ukuthi abantu bazibulale.

Yiziphi Izimpawu Ezihambisana Ne-Depression Psychosis?

Umuntu obhekana nokucindezeleka kwengqondo unokudangala okukhulu nezimpawu zengqondo. Ukudana komoya kwenzeka uma unemizwa engemihle ethinta impilo yakho yansuku zonke. Le mizwa ingafaka:

• ukudabuka
• ukungabi nathemba
• icala
• ukucasuka

Uma unesifo sokudangala ngokomtholampilo, ungahle ubhekane nezinguquko ekudleni, ekulaleni, noma emazingeni wamandla.

Izibonelo zezimpawu zengqondo zifaka:

• ukukhohlisa
• ukusangana
• ukuphambana

Ngokusho kweJenali yeClinical Psychiatry, ukukhohlisa ekucindezelekeni kwengqondo okucindezelayo kuvamise ukuba necala, ukuphambana, noma ukuhlobana nomzimba wakho. Isibonelo, ungahle ukhohliswe ukuthi amagciwane adla amathumbu akho nokuthi ukufanele ngoba "umubi" kakhulu.

Yini Ebangela Ukucindezeleka Kwengqondo?

I-psychosis yokudangala ayinayo imbangela eyaziwayo. Kwabanye abantu, kucatshangwa ukuthi ukungalingani kwamakhemikhali ebuchosheni kuyisici. Kodwa-ke, abacwaningi abakhombanga imbangela ethile.

Yiziphi Izici Zengozi Yengqondo Yokucindezeleka?

Ngokusho kwe-NAMI, ukucindezeleka kwengqondo kungaba nengxenye yezakhi zofuzo. Yize abacwaningi bengakhombanga isakhi esithile, bayazi ukuthi ukuba nelungu lomndeni eliseduze, njengomama, ubaba, udadewenu, noma umfowenu, kwandisa amathuba akho okuba nokudangala kwengqondo. Abesifazane nabo bavame ukuzwa ukucindezeleka kwengqondo kunamadoda.

Ngokusho kwephephabhuku iBMC Psychiatry, abantu abadala asebekhulile basengozini enkulu yokudangala kwengqondo. Kulinganiselwa ukuthi amaphesenti angama-45 alabo abanokucindezeleka banezici zengqondo.

Ihlolwe Kanjani Ingqondo Yokucindezeleka?

Udokotela wakho kufanele akuthole ukuthi unokudangala okukhulu kanye ne-psychosis ukuze ube nengqondo yokudangala. Lokhu kungaba nzima ngoba abantu abaningi abanokucindezeleka kwengqondo bangasaba ukwabelana ngokuhlangenwe nakho kwabo kwengqondo.

Kufanele ube nesiqephu sokucindezeleka esihlala amasonto amabili noma ngaphezulu ukuze utholakale unesifo sokucindezeleka. Ukutholakala ukuthi unesifo sokudangala kusho nokuthi unezimpawu ezinhlanu noma ngaphezulu kulezi ezilandelayo:

• ukuyaluza noma ukuhamba kancane kwemoto
• ushintsho ekudleni noma isisindo
• imizwa ecindezelekile
• ubunzima bokugxila
• imizwa yecala
• ukuqwasha noma ukulala kakhulu
• ukungabi nentshisekelo noma injabulo ezintweni eziningi
• amazinga aphansi wamandla
• imicabango yokufa noma yokuzibulala

Ngaphezu kwale micabango ehambisana nokudangala, umuntu one-psychosis yokudangala unezimpawu zengqondo, njengokukhohlisa, okuyizinkolelo zamanga, nemibono, okuyizinto ezibonakala zingokoqobo kodwa ezingekho. Ukuba nemibono kungasho ukuthi ubona, uzwa, noma unuka okuthile okungekho.

Yiziphi izinkinga ze-Depression Psychosis?

Ukucindezeleka kwengqondo kuvame ukubhekwa njengesimo esiphuthumayo sezifo zengqondo ngoba usengozini eyandayo yokuzibulala nokuziphatha, ikakhulukazi uma uzwa amazwi athi uzilimaze. Shayela u-911 ngokushesha uma wena noma othandekayo ucabanga ukuzibulala.

Iphathwa Kanjani Ingqondo Yokucindezeleka?

Njengamanje, azikho izindlela zokwelashwa ezikhethekile zesifo sokudangala kwengqondo ezivunyelwe yi-FDA. Kunezindlela zokwelapha ukucindezeleka kanye ne-psychosis, kodwa azikho ngokukhethekile kubantu abanezimo zombili ngasikhathi sinye.

Imithi

Udokotela wakho angakulapha ngalesi simo noma akudlulisele kuchwepheshe wezempilo yengqondo onelayisense ogxile ekusetshenzisweni kwemithi yalezi zimo.

Abahlinzeki bezempilo yengqondo banganquma inhlanganisela yama-anti-depressants kanye ne-antipsychotic. Le mithi ithinta ama-neurotransmitters ebuchosheni avame ukungalingani kumuntu onalesi simo.

Izibonelo zale mithi zibandakanya i-serotonin reuptake inhibitors ekhethiwe (i-SSRIs), efana ne-fluoxetine (Prozac). Lokhu kungahlanganiswa ne-antipsychotic ye-atypical, efana nale:

• i-olanzapine (Zyprexa)
• i-quetiapine (iSeroquel)
• i-risperidone (Risperdal)

Kodwa-ke, le mithi ithatha izinyanga ezimbalwa ukuthi iphumelele kakhulu.

Ukwelashwa kwe-Electroconvulsive Therapy (ECT)

Inketho yokwelashwa yesibili yi-electroconvulsive therapy (ECT). Le ndlela yokwelashwa yenziwa esibhedlela futhi ihilela ukulala ne-anesthesia ejwayelekile.

Udokotela wakho wezifo zengqondo uzokwengamela imisinga kagesi ngamanani alawulwayo ngobuchopho. Lokhu kudala ukuquleka okuthinta amazinga akho ama-neurotransmitters ebuchosheni. Lokhu kwelashwa kunemiphumela engemihle, kufaka phakathi ukulahleka kwenkumbulo yesikhashana. Kodwa-ke, kucatshangwa ukuthi kusebenza ngokushesha nangempumelelo kubantu abanemicabango yokuzibulala nezimpawu zengqondo.

Udokotela wakho wezifo zengqondo angaxoxa ngalezi zinketho nawe nomndeni wakho ukunquma indlela engcono yokwelashwa yesimo sakho. Ngoba ukubuyela emuva kungenzeka, udokotela wezifo zengqondo wakho angancoma ukuthi uphuze nemithi ngemuva kwe-ECT.

Uyini Umbono Wabantu Abanoxinzelelo Lokucindezeleka?

Ukuphila ne-psychosis yokudangala kungazwakala kuyimpi engapheli. Noma izimpawu zakho zingaphansi kokulawulwa, ungahle ukhathazeke ukuthi zizobuya. Abantu abaningi futhi bakhetha ukufuna ukwelashwa kwengqondo ukuphatha izimpawu nokunqoba ukwesaba.

Ukwelashwa kungasiza ekwehliseni imicabango yokuphazamiseka kwengqondo nokudangala, kepha kungaba nemiphumela yabo emibi. Lokhu kufaka phakathi:

• ukulahlekelwa inkumbulo yesikhashana
• ukozela
• isiyezi
• inkathazo yokulala
• izinguquko esisindweni

Kodwa-ke, ungaphila impilo enempilo nenenjongo ngalezi zindlela zokwelashwa kunalokho ongakwenza ngaphandle kwazo.

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