Kukhalitsa kwachisokonezo

Persistent depression disorder (PDD) ndiwosakhalitsa (wopitilira) mtundu wamavuto momwe malingaliro a munthu amakhala otsika pafupipafupi.

Matenda okhalitsa omwe kale amatchedwa dysthymia.

Zomwe zimayambitsa PDD sizikudziwika. Itha kuyenda m'mabanja. PDD imachitika nthawi zambiri mwa akazi.

Anthu ambiri omwe ali ndi PDD adzakhalanso ndi vuto lakukhumudwa kwakanthawi pamoyo wawo.

Okalamba omwe ali ndi PDD atha kukhala ndi vuto lodzisamalira, kulimbana ndi kudzipatula, kapena matenda azachipatala.

Chizindikiro chachikulu cha PDD ndikuchepa, mdima, kapena kukhumudwa masiku ambiri kwa zaka zosachepera 2. Kwa ana ndi achinyamata, chisangalalo chimatha kukhala chokwiyitsa m'malo mokhumudwa ndipo chimatha chaka chimodzi.

Kuphatikiza apo, zizindikiro ziwiri kapena zingapo zotsatirazi zimapezeka pafupifupi nthawi zonse:

• Kudzimva kukhala wopanda chiyembekezo
• Kugona pang'ono kapena kugona kwambiri
• Mphamvu zochepa kapena kutopa
• Kudziyang'anira pansi
• Kulakalaka kudya kapena kudya mopitirira muyeso
• Kusazindikira bwino

Anthu omwe ali ndi PDD nthawi zambiri amakhala ndi malingaliro olakwika kapena okhumudwitsa iwowo, tsogolo lawo, anthu ena, komanso zochitika m'moyo. Mavuto nthawi zambiri amawoneka ovuta kuwathetsa.

Wothandizira zaumoyo wanu adzakhala ndi mbiri yakusintha kwanu komanso zizindikilo zina zamatenda amisala. Wothandizirayo amathanso kuyang'ana magazi ndi mkodzo wanu kuti athetse zomwe zimayambitsa kukhumudwa.

Pali zinthu zingapo zomwe mungayesere kusintha PDD:

• Muzigona mokwanira.
• Tsatirani chakudya chopatsa thanzi, chopatsa thanzi.
• Imwani mankhwala molondola. Kambiranani za zovuta zilizonse ndi omwe akukuthandizani.
• Phunzirani kuwonera zizindikilo zoyambirira kuti PDD yanu ikuipiraipira. Khalani ndi pulani yamomwe mungayankhire ngati zingatero.
• Yesetsani kuchita masewera olimbitsa thupi nthawi zonse.
• Yang'anani zinthu zomwe zingakusangalatseni.
• Lankhulani ndi munthu amene mumamukhulupirira za momwe mukumvera.
• Dzizungulitseni ndi anthu omwe amasamala komanso achidwi.
• Pewani mowa ndi mankhwala osokoneza bongo. Izi zimatha kukulitsa nkhawa pakapita nthawi ndikuwononga kuweruza kwanu.

Mankhwala nthawi zambiri amakhala othandiza kwa PDD, ngakhale nthawi zina sagwira ntchito mofanana ndi momwe amathandizira kukhumudwa kwakukulu ndipo zimatha kutenga nthawi kuti agwire ntchito.

Osasiya kumwa nokha mankhwalawo, ngakhale mutakhala bwino kapena mukukumana ndi zovuta zina. Nthawi zonse muziyitana wothandizira wanu poyamba.

Nthawi yakwana yoti muimitse mankhwala anu, omwe akukuthandizani adzakuphunzitsani momwe mungachepetsere pang'ono mlingo m'malo modzidzimutsa.

Anthu omwe ali ndi PDD amathanso kuthandizidwa ndi mtundu wina wamankhwala olankhula. Kulankhula ndi malo abwino kukambirana zakukhosi ndi malingaliro, ndikuphunzira njira zothetsera mavutowo. Zingathandizenso kumvetsetsa momwe PDD yanu yakhudzira moyo wanu komanso kuthana nayo moyenera. Mitundu yamankhwala oyankhulira ndi awa:

• Chidziwitso chamakhalidwe (CBT), chomwe chimakuthandizani kuti muphunzire kuzindikira zizindikilo zanu komanso zomwe zimawapangitsa kukhala oipitsitsa. Mudzaphunzitsidwa maluso othetsera mavuto.
• Kuzindikira kapena psychotherapy, komwe kumatha kuthandiza anthu omwe ali ndi PDD kumvetsetsa zinthu zomwe zimayambitsa kukhumudwa kwawo.

Kulowa nawo gulu lothandizira anthu omwe akukumana ndi mavuto ngati anu kungathandizenso. Funsani wothandizira kapena wothandizira zaumoyo kuti alangize gulu.

PDD ndi matenda osatha omwe amatha zaka zambiri. Anthu ambiri amachira kwathunthu pomwe ena amapitilizabe kukhala ndi zizindikilo, ngakhale atalandira chithandizo chamankhwala.

PDD imawonjezeranso chiopsezo chodzipha.

Itanani kuti mudzakumane ndi wokuthandizani ngati:

• Nthawi zonse mumakhala wokhumudwa kapena wotsika
• Zizindikiro zanu zikuipiraipira

Itanani thandizo nthawi yomweyo ngati inu kapena munthu wina amene mumamudziwa ali ndi ziwopsezo zodzipha:

• Kupereka katundu, kapena kuyankhula zakunyamuka komanso kufunika kokonza "zinthu mwadongosolo"
• Kuchita zinthu zodziwononga, monga kudzivulaza
• Kusintha mwadzidzidzi, makamaka kukhala wodekha mutakhala ndi nkhawa
• Kuyankhula za imfa kapena kudzipha
• Kusiya anzanu kapena kukhala osafuna kupita kulikonse

PDD; Kusokonezeka maganizo; Depression - aakulu; Dysthymia

Msonkhano wa American Psychiatric. Matenda okhalitsa okhumudwa (dysthymia). Kusanthula ndi Buku Lophatikiza la Mavuto Amisala. 5th ed. Arlington, VA: Kusindikiza kwa Psychiatric ku America, 2013; 168-171.

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.

Schramm E, Klein DN, Elsaesser M, Furukawa TA, Domschke K. Kuwunikanso kwa dysthymia ndi vuto lokhalitsa lachisoni: mbiri, ma correlates, ndi zovuta zamatenda. Lancet Psychiatry. Chizindikiro. 2020; 7 (9): 801-812. PMID: 32828168 pubmed.ncbi.nlm.nih.gov/32828168/.