Isiyaluyalu Esithinta Isizini (Isifo Esikhulu Sokucindezeleka Ngephethini Yonyaka)

-Delile

• Ziyini izimbangela zokuphazamiseka kokuphazamiseka kwesizini?
• Ziyini izimpawu zokuphazamiseka kokuphazamiseka kwesizini?
• Kutholakala kanjani ukuphazamiseka kokuphazamiseka kwesizini?
• Silashwa kanjani isifo sokuphazamiseka sonyaka?
• Kufanele ngilufune nini usizo lwezokwelapha?

Yini inkinga yokuphazamiseka kwesizini?

Isifo sokuphazamiseka kwesizini (i-SAD) yisikhathi esidala sokucindezeleka okukhulu (MDD) ngephethini yonyaka. Isimo sengqondo esiholela ekucindezelekeni, okuvame ukucasulwa wushintsho lwesizini. Abantu bajwayele ukuhlangabezana nalesi simo ebusika. Isimo esivame ukwenzeka kwabesifazane nasebusheni nasebancane.

Ziyini izimbangela zokuphazamiseka kokuphazamiseka kwesizini?

Isizathu ngqo se-SAD (MDD ngephethini yesizini) asaziwa. Izici ezinikelayo zingahluka kumuntu nomuntu. Kodwa-ke, abantu abahlala ezingxenyeni zezwe ezinobusuku obude basebusika (ngenxa yezindawo eziphakemeyo) nokukhanya kwelanga okuncane kunamathuba amaningi okuthola lesi simo. Isibonelo, i-SAD ivame kakhulu eCanada nase-Alaska kunase-sunnier Florida.

Ukukhanya kucatshangwa ukuthi kuthonya i-SAD. Omunye umbono ukuthi ukwehla kokushiswa yilanga kuthinta iwashi lemvelo elilawula ama-hormone, ukulala nezimo. Enye inkolelo ukuthi amakhemikhali obuchopho ancike ekukhanyeni athinteka kakhulu kulabo abane-SAD.

Abantu abanamalungu omndeni wabo anomlando wezimo zengqondo nabo basengozini enkulu ye-SAD.

Ziyini izimpawu zokuphazamiseka kokuphazamiseka kwesizini?

Ngenkathi i-SAD ithinta abantu ngokuhlukile, izimpawu zivame ukuqala ngo-Okthoba noma ngoNovemba futhi ziphele ngoMashi noma ngo-Ephreli. Kodwa-ke, kungenzeka ukuzwa izimpawu ngaphambi noma ngemuva kwalesi sikhathi.

Ngokuvamile, kunezinhlobo ezimbili ze-SAD: isikhathi sasebusika nesikhathi sasehlobo.

Izimpawu zesikhathi sasebusika i-SAD zifaka:

• ukukhathala kwasemini
• ubunzima bokugxila
• imizwa yokuphelelwa ithemba
• ukwanda kokucasuka
• ukungabi nentshisekelo emisebenzini yomphakathi
• ukukhathala
• kunciphise inzalo yezocansi
• ukungajabuli
• ukuzuza kwesisindo

Izimpawu zesikhathi sasehlobo i-SAD zifaka:

• ukuyaluza
• ubunzima bokulala
• ukwanda kokungahlaliseki
• ukungabi nesifiso sokudla
• ukuncipha komzimba

Ezimweni ezinzima, abantu abane-SAD bangathola imicabango yokuzibulala.

Kutholakala kanjani ukuphazamiseka kokuphazamiseka kwesizini?

Izimpawu ze-SAD zingabonisa ezinye izimo eziningana. Lokhu kufaka phakathi:

• ukuphazamiseka kwengqondo okuguquguqukayo
• i-hypothyroidism
• mononucleosis

Udokotela angancoma izivivinyo eziningana ukukhipha lezi zimo ngaphambi kokuba ahlolisise i-SAD, njengokuhlolwa kwehomoni yegilo ngokuhlolwa kwegazi okulula.

Udokotela noma udokotela wezifo zengqondo uzokubuza imibuzo eminingana mayelana nezimpawu zakho nokuthi uqale wazibona nini. Abantu abane-SAD bavame ukuzwa izimpawu njalo ngonyaka. Akujwayelekile ngokuhlobene nomcimbi ongokomzwelo, njengokuphela kobudlelwano bothando.

Silashwa kanjani isifo sokuphazamiseka sonyaka?

Zombili izinhlobo ze-SAD zingelashwa ngokululekwa nangokwelashwa. Enye indlela yokwelapha ebusika i-SAD yindlela elula yokwelapha. Lokhu kubandakanya ukusebenzisa ibhokisi lokukhanya elikhethekile noma i-visor okungenani imizuzu engama-30 usuku ngalunye ukuphindaphinda ukukhanya kwemvelo.

Enye indlela yokwelashwa yi-simulator yokusa. Isebenzisa isibani esisebenza nge-timer ukulingisa ukuphuma kwelanga, okusiza ukuvusa iwashi lomzimba.

Ukwelashwa okulula kufanele kusetshenziswe kuphela ngaphansi kokuqondisa kukadokotela nakumadivayisi agunyaziwe. Eminye imithombo ekhipha ukukhanya, njengemibhede yokushuka, ayiphephile ukusetshenziswa.

Imikhuba yokuphila enempilo ingasiza futhi ekunciphiseni izimpawu ze-SAD. Lokhu kungafaka:

• ukudla okunempilo okunamaprotheni amancane, izithelo nemifino
• ukuzivocavoca umzimba
• ukulala njalo

Abanye abantu bayazuza emithini efana nezidambisi. Lokhu kungafaka imithi efana ne-fluoxetine (Prozac) ne-bupropion (Wellbutrin). Khuluma nodokotela wakho mayelana nokuthi imuphi umuthi ongaba ngcono ukwelapha izimpawu zakho.

Kufanele ngilufune nini usizo lwezokwelapha?

Uma uhlangabezana nezimpawu ezihambisana ne-SAD, bheka udokotela, umeluleki, noma udokotela wezifo zengqondo.

Uma unemicabango yokufuna ukuzilimaza wena noma abanye, noma unomuzwa wokuthi impilo ayisakufanele ukuphila, funa usizo lwezokwelapha ngokushesha noma ushayele iNational Suicide Prevention Lifeline ku-800-273-TALK (8255) ukuthola eminye imininingwane.