Kukhumudwa kwakukulu

Matenda okhumudwa ndikumverera wachisoni, wabuluu, wosasangalala, kapena kutsika m'malo otayira. Anthu ambiri amamva motere nthawi ndi nthawi.

Kukhumudwa kwakukulu ndimatenda amisala. Zimachitika pamene kumva chisoni, kutayika, mkwiyo, kapena kukhumudwa kukuyendetsani moyo wanu nthawi yayitali. Zimasinthanso momwe thupi lanu limagwirira ntchito.

Opereka chithandizo chamankhwala sadziwa zomwe zimayambitsa kukhumudwa. Amakhulupirira kuti kusintha kwamankhwala muubongo ndi komwe kumayambitsa. Izi zikhoza kukhala chifukwa cha vuto lanu. Kapenanso zimayamba chifukwa cha zovuta zina. Zowonjezera, ndizophatikiza zonse ziwiri.

Mitundu ina yamavuto imachitika m'mabanja. Mitundu ina imachitika ngakhale mutakhala kuti mulibe banja lanu. Aliyense atha kukhala ndi nkhawa, kuphatikiza ana ndi achinyamata.

Matenda okhumudwa atha kubweretsedwa ndi:

• Mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo
• Mavuto ena azachipatala, monga chithokomiro chosagwira ntchito, khansa, kapena kupweteka kwakanthawi
• Mitundu ina ya mankhwala, monga steroids
• Mavuto akugona
• Zochitika pamoyo wopanikizika, monga kufa kapena kudwala kwa munthu wapafupi ndi inu, chisudzulo, mavuto azachipatala, kuzunzidwa kwa ana kapena kunyalanyazidwa, kusungulumwa (wamba kwa okalamba), ndi kutha kwa ubale

Matenda okhumudwa amatha kusintha kapena kusokoneza momwe mumadzionera, moyo wanu, komanso omwe akukhala pafupi.

Ndi kupsinjika, nthawi zambiri mumawona chilichonse molakwika. Ndizovuta kwa inu kulingalira kuti vuto kapena vuto lingathetsedwe mwanjira yabwino.

Zizindikiro zakukhumudwa zitha kuphatikiza:

• Kupsa mtima, kupumula, kukwiya komanso mkwiyo
• Kuchotsedwa kapena kudzipatula
• Kutopa ndi kusowa mphamvu
• Kukhala wopanda chiyembekezo, wopanda thandizo, wopanda pake, wolakwa, komanso wodana ndi iwe mwini
• Kutaya chidwi kapena kusangalala ndi zochitika zomwe kale zidasangalatsidwa
• Kusintha mwadzidzidzi kwa njala, nthawi zambiri kumakhala kunenepa kapena kuchepa
• Malingaliro a imfa kapena kudzipha
• Kuvuta kulingalira
• Kuvuta kugona kapena kugona kwambiri

Matenda okhumudwa kwa achinyamata akhoza kukhala ovuta kuzindikira. Mavuto kusukulu, machitidwe, kumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo amatha kukhala zizindikilo.

Ngati kupsinjika ndikokulira, mutha kukhala ndi malingaliro olakwika (zikhulupiriro zabodza). Vutoli limatchedwa kukhumudwa komwe kumakhala ndi mawonekedwe amisala.

Wothandizira anu adzafunsa za mbiri yanu yazachipatala ndi zizindikilo zanu. Mayankho anu atha kuthandiza othandizira kuti azindikire kukhumudwa ndikuwona momwe zingakhalire zovuta.

Mayeso amwazi ndi mkodzo atha kuchitidwa kuti athetse mavuto ena azachipatala omwe ali ndi zizindikilo zofanana ndi kukhumudwa.

Matenda okhumudwa amatha kuchiritsidwa. Chithandizochi chimaphatikizapo mankhwala, kapena osalankhula.

Ngati mukuganiza zodzipha kapena muli ndi nkhawa kwambiri ndipo simungathe kugwira ntchito, mungafunike kukalandira chithandizo kuchipatala.

Mukalandira chithandizo, ngati mukumva kuti matenda anu akukula, lankhulani ndi omwe amakupatsani. Ndondomeko yanu yamankhwala imafunika kusintha.

MANKHWALA

Antidepressants ndi mankhwala omwe amagwiritsidwa ntchito kuthana ndi kukhumudwa. Amagwira ntchito pobwezeretsa mankhwala omwe ali muubongo wanu kumigawo yoyenera. Izi zimathandiza kuthetsa zizindikiro zanu.

Ngati mukuyesa zabodza kapena zopusitsa, wothandizira wanu akhoza kukupatsirani mankhwala owonjezera.

Uzani wothandizira wanu za mankhwala ena aliwonse omwe mumamwa. Mankhwala ena amatha kusintha momwe antidepressant amagwirira ntchito mthupi lanu.

Lolani nthawi yanu yamankhwala kuti igwire ntchito. Zitha kutenga milungu ingapo musanakhale bwino. Pitirizani kumwa mankhwala anu monga momwe adalangizira. Osasiya kuzitenga kapena kusintha kuchuluka (kuchuluka) komwe mukutenga osalankhula ndi omwe amakupatsani. Funsani omwe akukuthandizani za zovuta zomwe zingachitike, ndi zomwe mungachite ngati muli nazo.

Ngati mukumva kuti mankhwala anu sakugwira ntchito kapena akuyambitsa mavuto, uzani omwe akukuthandizani. Mankhwala kapena mlingo wake angafunike kusintha. Osasiya kumwa mankhwala wekha.

CHENJEZO

Ana, achinyamata, ndi achinyamata ayenera kuyang'aniridwa mosamala ngati akufuna kudzipha. Izi ndizowona makamaka m'miyezi ingapo yoyambirira mutayamba mankhwala okhumudwa.

Azimayi omwe amathandizidwa kukhumudwa omwe ali ndi pakati kapena akuganiza zokhala ndi pakati sayenera kusiya kumwa mankhwala opatsirana pogonana asanalankhule ndi omwe amawapatsa.

Chenjerani ndi mankhwala achilengedwe monga St. John's wort. Ichi ndi zitsamba chogulitsidwa popanda mankhwala. Zitha kuthandiza anthu ena omwe ali ndi nkhawa pang'ono. Koma imatha kusintha momwe mankhwala ena amagwirira ntchito mthupi lanu, kuphatikiza mankhwala opatsirana. Lankhulani ndi omwe akukuthandizani musanayese zitsamba izi.

Ngati mukumva kuti mankhwala anu akukukulitsani kapena akuyambitsa zizindikilo zatsopano (monga kusokonezeka), uzani omwe akukuthandizani nthawi yomweyo. Pitani kuchipinda chadzidzidzi ngati muli ndi nkhawa ndi chitetezo chanu.

KULANKHULA CHITHANDIZO

Talk therapy ndikulangiza kuti mukambirane zakukhosi kwanu komanso malingaliro anu, ndikuthandizani kuphunzira momwe mungathanirane nazo.

Mitundu yamankhwala oyankhulira ndi awa:

• Chidziwitso chamakhalidwe abwino chimakuphunzitsani momwe mungapewere malingaliro olakwika. Mumaphunzira momwe mungadziwire bwino zidziwitso zanu komanso momwe mungawonere zinthu zomwe zimakulitsa kupsinjika kwanu. Mumaphunzitsidwanso maluso othetsera mavuto.
• Psychotherapy ingakuthandizeni kumvetsetsa zomwe zingakhale kumbuyo kwa malingaliro anu ndi malingaliro anu.
• Pothandizidwa pagulu, mumagawana ndi ena omwe ali ndi mavuto ngati anu. Wothandizira kapena wothandizira akhoza kukuwuzani zambiri zamankhwala othandizira pagulu.

CHithandizo CHINA CHOKHUMUDWIRA MTIMA

• Electroconvulsive therapy (ECT) itha kusintha malingaliro mwa anthu omwe ali ndi nkhawa yayikulu kapena malingaliro ofuna kudzipha omwe samachira ndi mankhwala ena. ECT nthawi zambiri imakhala yotetezeka.
• Mankhwala opepuka amatha kuchepetsa zizindikilo zakukhumudwa m'nyengo yozizira. Matenda amtunduwu amatchedwa nyengo yosokoneza.

Mutha kuyamba kumva bwino milungu ingapo mutayamba mankhwala. Mukamamwa mankhwala, muyenera kupitiriza kumwa mankhwalawo kwa miyezi ingapo kuti mumve bwino ndikupewa kukhumudwa kuti kusabwerere. Ngati kupsinjika kwanu kumabwereranso, mungafunikire kupitiriza kumwa mankhwala anu kwa nthawi yayitali.

Kupsinjika kwa nthawi yayitali (kosatha) kumatha kukupangitsani kukhala kovuta kuti muthane ndi matenda ena monga matenda ashuga kapena matenda amtima. Funsani omwe akukuthandizani kuthana ndi mavutowa.

Mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo kumatha kukulitsa kukhumudwa. Lankhulani ndi omwe amakupatsani mwayi wopeza thandizo.

Ngati mukuganiza zodzipweteka nokha kapena ena, itanani 911 kapena nambala yadzidzidzi yakomweko nthawi yomweyo. Kapena, pitani kuchipatala chadzidzidzi. Musachedwe.

Mutha kuyimbanso National Suicide Prevention Lifeline ku 1-800-273-8255 (1-800-273-TALK), komwe mungalandire thandizo laulere komanso lachinsinsi nthawi iliyonse masana kapena usiku.

Itanani omwe akukuthandizani nthawi yomweyo ngati:

• Mumamva mawu osachokera kwa anthu okuzungulirani.
• Mumakhala ndikulira pafupipafupi popanda chifukwa kapena popanda chifukwa.
• Kukhumudwa kwanu ndikusokoneza ntchito, sukulu, kapena banja.
• Mukuganiza kuti mankhwala anu pano sakugwira ntchito kapena akuyambitsa zovuta zina. Osayimitsa kapena kusintha mankhwala anu osalankhula ndi omwe akukuthandizani.

Musamamwe mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo. Zinthu izi zimakulitsa kukhumudwa ndipo zimatha kubweretsa malingaliro ofuna kudzipha.

Tengani mankhwala anu chimodzimodzi monga omwe amakupatsani. Phunzirani kuzindikira zizindikilo zoyambirira kuti kukhumudwa kwanu kukukulira.

Pitilizani kupita kumisonkhano yanu yolankhulira.

Malangizo otsatirawa angakuthandizeni kuti mukhale bwino:

• Chitani masewera olimbitsa thupi.
• Pitirizani kukhala ndi chizolowezi chabwino chogona.
• Chitani zinthu zomwe zimakusangalatsani.
• Dziperekeni kapena chitani nawo zochitika pagulu.
• Lankhulani ndi munthu amene mumamukhulupirira za momwe mukumvera.
• Yesetsani kukhala pafupi ndi anthu omwe amakukondani komanso amakuuzani zabwino.

Dziwani zambiri za kukhumudwa polumikizana ndi azachipatala am'deralo. Dongosolo lanu lothandizira pantchito (EAP) ndichinthu chabwino. Zomwe zili pa intaneti zitha kuperekanso chidziwitso chabwino.

Kukhumudwa - kwakukulu; Depression - matenda; Matenda kukhumudwa; Unipolar maganizo; Kusokonezeka kwakukulu

• Mitundu ya kukhumudwa
• Kukhumudwa ndi amuna
• St. John's Wort
• Kuyenda wathanzi

Tsamba la American Psychiatric Association. Matenda okhumudwa. Mu: American Psychiatric Association. Kusanthula ndi Buku Lophatikiza la Mavuto Amisala. 5th ed. Arlington, VA: Kusindikiza kwa Psychiatric kwa America. 2013: 155-188.

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.

Institute for Clinical Systems Improvement tsamba lawebusayiti. Kukhumudwa kwa achikulire pachisamaliro choyambirira. www.icsi.org/wp-content/uploads/2019/01/Depr.pdf. Idasinthidwa pa Marichi 2016. Idapezeka pa June 23, 2020.

Lyness JM. Matenda amisala pamankhwala. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 369.