Ukucindezeleka sekungenye yezinkinga zempilo yengqondo ezithola ukunakwa okukhulu eSpain nakwamanye amazwe aseYurophu. Asikhulumi ngokudabuka okuphansi noma okulula: kuyisifo esingaphazamisa ubuthongo, ukugxilisa ingqondo, kanye nekhono lokujabulela impilo , futhi ezimweni zaso ezimbi kakhulu, singahambisana nemicabango yokuzibulala. Ubufakazi obuqoqwe yizinhlangano zomhlaba wonke kanye namaqembu ezokwelapha bugcizelela ukuthi kuthinta izigidi zabantu, kanye nomthwalo omkhulu phakathi kwentsha kanye nabantu abadala.
Naphezu kwentuthuko, kusasele igebe phakathi kwalokho okwaziwayo nalokho okwelashwayo. Iziguli eziningi ziyathuthuka ngokwelashwa, kodwa ezinye azitholi impendulo eyanele futhi zibhajwe emjikelezweni wezivivinyo zokwelapha. Ngesikhathi esifanayo, ingcindezi yomphakathi, ukungaqiniseki kwezomnotho, kanye nokucwaswa kwenezela izithiyo ezingaxazululwa njalo ekubonisaneni.
Kuyini ukucindezeleka nokuthi yini okungeyona
Ochwepheshe basikhumbuza ukuthi ukucindezeleka kuyisifo esiyinkimbinkimbi esidlula ukudabuka noma ukuba sesimweni esibi. Kungabonakala nge-anhedonia, ukuzindla, ukuqwasha, ukunganaki, noma ukukhathala okuqhubekayo, futhi kuthinta kakhulu impilo yansuku zonke yalabo abahlushwa yiso . Ukukhathazeka kuvame ukuhambisana nokucindezeleka, kuze kube seqophelweni lokuthi kokubili kubhekwa njengezifo ezivamile futhi ezivame ukuhlangana.
Ubhubhane lushiye uphawu oluhlala njalo empilweni engokomzwelo yabantu. Ukungazethembi emsebenzini, ukuhlukaniswa, kanye nokukhathazeka ngempilo kwandisa izimo ezazikhona noma kwaletha izimpawu ezintsha . Ngenxa yalesi sizathu, imikhakha ehlukahlukene, kusukela kwezempilo yomphakathi kuya ezinhlanganweni zenkolo nezenhlalo, igcizelela isidingo sokunikeza ukwesekwa ngaphandle kokunciphisa inkinga.
Uma ukwelashwa okuvamile kunganele
Ingxenye enkulu yabantu abanesifo sokucindezeleka ayitholi impumuzo eyanele ngemithi yokuqala. Lokhu kwaziwa ngokuthi ukucindezeleka okumelana nokwelashwa, okwenzeka lapho okungenani ama-antidepressant amabili ehluleka ukuletha impumuzo . Kulezi zimo, kuvame ukuhlolwa ezinye izinketho: ukushintsha imithi, i-ketamine, i-transcranial magnetic stimulation, noma ukwelashwa nge-electroconvulsive.
Kodwa-ke, akubona bonke abasabelayo. Ukusesha ezinye izindlela kuholele ezifundweni ezintsha ngezici eziyingozi kanye nentuthuko ekwelashweni okukwazi ukusebenza ezifundeni ezithile zobuchopho. Isibonelo esisodwa i-capsulotomy esebenzisa i-stereotactic radiosurgery, ehlose indawo encane ye-capsule yangaphakathi ngaphandle kokuvula ugebhezi. Ucwaningo lokubuka olwenziwe ezigulini ezingu-20 luthole ukwehla kwezimpawu kanye nemicabango yokuzibulala, yize ochwepheshe benxusa ukuba kuqashelwe ngenxa yezingozi kanye nesidingo sokukhetha ngokucophelela abantu abazongenela ukhetho.
Ukuhlolwa kwengqondo okunembile kanye nezinqubo ezintsha
Ukubuyekezwa yi-Sant Pau Research Institute kusikisela ukuthi kudlulele ngale kokuxilongwa kwendabuko bese kubhekwana nokwelashwa kwengqondo okunembe kakhudlwana. Ngokwale ndlela, izimpawu ezifana ne-anhedonia, ukucabanga, ukuqwasha, kanye nokuziphatha kokuzibulala zingahlotshaniswa namaphrofayili ahlukile okusebenza kwezinzwa. Lokhu kungasiza ekukhetheni ukwelashwa okufaneleka kangcono kumuntu ngamunye.
Amanye amaqembu aseSpain alandela indlela efanayo ngezinqubo zokuguqula imizwa. Lokho okubizwa ngokuthi i-Seville Protocol, eyasungulwa e-Andalusia, isebenzisa ukukhuthazwa okulandelanayo kwezinhlangothi zombili ukuze kuncishiswe ukukhathazeka kanye nokucindezeleka okumelana nokwelashwa ngasikhathi sinye. Kuqala ngokuvimbela i-dorsolateral prefrontal cortex yangakwesokudla bese kuvusa kwesobunxele, ngenhloso yokulawula umsebenzi we-amygdala kanye nezindawo ezihilelekile ekulawulweni kwemizwa.
Lezi zindlela aziyithathi indawo ngokuphelele ye-pharmacology, kodwa zishintsha isimo. Izibhedlela ezifana neLa Fe, 12 de Octubre, Clínic, i-Álava Psychiatric Hospital, kanye nezikhungo eziseCastilla-La Mancha nase-Alicante sezivele zisebenzisa i-transcranial magnetic stimulation. Isibhedlela iVirgen del Rocío kulindeleke ukuthi sijoyine maduze nje , ngokusho kwezibikezelo ezishicilelwe.
I-precision psychiatry ibheke nasekuwohlokeni kwengqondo kanye nesifo sokungalawuleki kwengqondo. Ucwaningo luyaqhubeka kusetshenziswa ukukhuthazwa kwe-transcranial pulse yesifo se-Alzheimer's esisesigabeni sokuqala, futhi kusungulwa izinqubo zokubhekana ne-OCD, ukucindezeleka, kanye nokukhathazeka ezindaweni ezintathu zobuchopho. Umgomo uwukulungisa ukwelashwa kusetshenziswa ama-biomarker ezakhi zofuzo kanye ne-electroencephalographic ngaphambi kokuqala ukwelashwa.
Ingcindezi yomphakathi, ezomnotho, kanye nokucwaswa
Ukucindezeleka akuchazi nje kuphela ngebhayoloji. Ukuntuleka kokuzinza ngokwezimali kunganciphisa izinqumo eziyisisekelo, kusukela lapho uzohlala khona kuya kulowo msebenzi ozowamukela, futhi kuholele ekukhathazekeni okuqhubekayo ngokuthola imali yokuziphilisa . Lokhu kucindezeleka okuhlala isikhathi eside kuhlotshaniswa nokukhathazeka nokucindezeleka, yize kungebona bonke abantu ababhekene nobunzima bezezimali abanesifo. Kubalulekile ukuqonda ukuthi ukucindezeleka akulona nje ikhemikhali ; okuhlangenwe nakho kwempilo nakho kudlala indima.
Imidlalo yezinga eliphezulu nayo ibe ubuso bale nkinga. Abadlali abanjengoSimone Biles, uNaomi Osaka, uMichael Phelps, noRicky Rubio bakhulume ngokucindezeleka, ukukhathazeka, kanye nokucindezelwa kwabezindaba. Izindaba zabo zonke zifana ngento eyodwa: ukufuna usizo lochwepheshe kanye nokuqeda ukuthula kubalulekile . Ukuziveza njalo, ukwesaba ukwehluleka, kanye nezidingo ezinkulu kungadala i-cocktail eyingozi.
Emkhakheni wezenkolo, uPapa Francis ucele umthandazo nokusekelwa kwalabo abahlushwa ukukhathala kwengqondo, ngokomzwelo, kanye nothando. I-Association of Catholic Ministers of Mental Health ikhuthaza ukunqoba ukucwaswa nokwakha imiphakathi yokusekela. Ukusondelana, ukulalela ngaphandle kokwahlulela, kanye nokungalulazi ukuhlupheka kuyizimiso ezibalulekile ezabelwana ngazo ochwepheshe kanye namaqembu omphakathi.
Isithombe sokugcina siyinkinga eyinkimbinkimbi edinga izimpendulo eziningi. Ukucindezeleka kuthinta izigidi zabantu, ngokuvamile kanye nokukhathazeka, futhi akuhlali kusabela ekwelashweni okujwayelekile. Ucwaningo luqhubekela phambili ekubhekaneni nezindlela zokwelapha ezinembile, njengokuguqulwa kwemizwa noma ukuhlinzwa kwe-radio ezimweni ezikhethiwe kakhulu, kuyilapho uhlelo lwezempilo lwaseSpain luhlanganisa kancane kancane lezi zinsiza. Ngesikhathi esifanayo, izici ezifana nokuqashwa okuyingozi, ingcindezi yomphakathi, kanye nokucwaswa kuyaqhubeka nokuba nomthelela omkhulu. Ukuqaphela izimpawu, ukucela usizo, kanye nokuthola ukwesekwa okufanele kusalokhu kuyisinyathelo sokuqala sokuba abantu abaningi babuyisele izimpilo zabo.
