Kukhumudwa - kusiya mankhwala anu

Ma anti-depressants ndi mankhwala omwe mungamwe kuti muthandize kupsinjika, nkhawa, kapena kupweteka. Monga mankhwala aliwonse, pali zifukwa zomwe mungamwe mankhwala opatsirana pogonana kwakanthawi kenako osaganiziranso.

Kuyimitsa mankhwala anu kungakhale chisankho chabwino kwa inu. Koma choyamba, muyenera kukambirana ndi omwe amakuthandizani. Njira yabwino yosiya kumwa mankhwalawa ndikuchepetsa mlingo pakapita nthawi. Mukasiya kumwa mankhwala mwadzidzidzi, muli pachiwopsezo cha:

• Zizindikiro zobwerera, monga kukhumudwa kwakukulu
• Zowonjezera zodzipha (kwa anthu ena)
• Zizindikiro zosiya, zomwe zimatha kumva ngati chimfine kapena kubweretsa mavuto ogona, chizungulire, kupweteka mutu, nkhawa, kapena kukwiya

Lembani zifukwa zonse zomwe mukufuna kusiya kumwa mankhwala.

Kodi mukuvutikabe maganizo? Kodi mankhwala sakugwira ntchito? Ngati ndi choncho, ganizirani izi:

• Mukuyembekeza chiyani chingasinthe ndi mankhwalawa?
• Kodi mwakhala mukumwa mankhwalawa kwa nthawi yayitali kuti agwire ntchito?

Ngati muli ndi zotsatirapo, lembani zomwe zili komanso nthawi yomwe zimachitikira. Wothandizira anu akhoza kusintha mankhwala anu kuti athetse mavutowa.

Kodi muli ndi nkhawa zina zakumwa mankhwalawa?

• Kodi mukuvutika kulipira?
• Kodi zimakuvutani kuti muzimwa tsiku lililonse?
• Kodi zimakuvutitsani kuganiza kuti muli ndi matenda ovutika maganizo ndipo mukufunikira kumwa mankhwala?
• Kodi mukuganiza kuti mutha kuthana ndi malingaliro anu popanda mankhwala?
• Kodi ena akuti simukufuna mankhwala kapena simuyenera kumwa?

Kodi mukuganiza kuti vutoli litha, ndipo mukuganiza kuti mungayimitse mankhwalawa tsopano?

Tengani mndandanda wazifukwa zomwe mwasiya kumwa mankhwalawo kwa omwe amakupatsani mankhwalawo. Lankhulani za mfundo iliyonse.

Kenako, funsani omwe akukuthandizani:

• Kodi timagwirizana pazolinga zathu zamankhwala?
• Kodi maubwino okhalabe ndi mankhwalawa tsopano ndi ati?
• Kodi kuopsa kosiya mankhwalawa tsopano ndi kotani?

Fufuzani ngati pali zina zomwe mungachite kuti mukwaniritse zifukwa zomwe mwasiya mankhwala, monga:

• Kusintha mlingo wa mankhwala
• Kusintha nthawi yamasiku omwe mumamwa mankhwala
• Kusintha momwe mumamwa mankhwalawa mogwirizana ndi chakudya
• Kutenga mankhwala osiyana m'malo mwake
• Kuchiza zovuta zilizonse
• Kuphatikiza chithandizo china, monga mankhwala olankhulira

Pezani zomwe mukufuna kuti mupange chisankho chabwino. Ganizirani za thanzi lanu komanso zomwe zili zofunika kwa inu. Zokambirana izi ndi omwe akukuthandizani zikuthandizani kusankha ngati:

• Pitirizani kumwa mankhwalawo
• Yesetsani kusintha china chake kapena kuwonjezera china
• Lekani kumwa mankhwalawa tsopano

Onetsetsani kuti mukumvetsetsa zomwe muyenera kuchita kuti muimitse mankhwala mosamala. Funsani omwe akukuthandizani momwe mungachepetsere mankhwalawa pakapita nthawi. Osasiya kumwa mankhwala mwadzidzidzi.

Mukamachepetsa kuchuluka kwa mankhwala omwe mumamwa, lembani zizindikilo zilizonse zomwe mumamva komanso nthawi yomwe mumamva. Kenako kambiranani izi ndi omwe akukuthandizani.

Kukhumudwa kapena kuda nkhawa sikungabwerere nthawi yomweyo mukasiya kumwa mankhwala, koma atha kubwereranso mtsogolo. Mukayamba kukhumudwa kapena kuda nkhawa, itanani omwe akukuthandizani. Muyeneranso kuyimbira omwe akukuthandizani ngati muli ndi zizindikiritso zomwe zatchulidwa pamwambapa. Ndikofunikira kwambiri kupeza chithandizo ngati mukuganiza zodzipweteka nokha kapena anzanu.

Msonkhano wa American Psychiatric. Kusokonezeka kwakukulu. Diagnostic and Statistical Manual of Mental Disways: DSM-5. 5th ed. Arlington, VA: Kusindikiza kwa Psychiatric kwa America. 2013: 160-168.

Fava M, Østergaard SD, Cassano P. Mavuto am'maganizo: Matenda okhumudwa (kusokonezeka kwakukulu). Mu: Stern TA, Fava M, Wilens TE, Rosenbaum JF, olemba. Chipatala cha Massachusetts General Hospital Comprehensive Clinical Psychiatry. Wachiwiri ed. Philadelphia, PA: Elsevier; 2016: chap 29.

• Mankhwala opatsirana
• Matenda okhumudwa