Kuramba uchishungurudzika kusagadzikana

Persistent depression disorder (PDD) isingaperi (inoenderera) rudzi rwekushungurudzika umo mafungire emunhu anogara ari pasi.

Kuenderera mberi kwekushungurudzika kusagadzikana kwaimbodaidzwa kunzi dysthymia.

Chikonzero chaicho chePDD hachizivikanwe. Inogona kumhanya mumhuri. PDD inoitika kazhinji muvakadzi.

Vazhinji vanhu vane PDD vanozovewo nechikamu chekushungurudzika kukuru pane imwe nguva muhupenyu hwavo.

Vakwegura vane PDD vanogona kunetseka kuzvitarisira, kunetseka nekuzviparadzanisa, kana kuva nezvirwere zvekurapa.

Chiratidzo chikuru chePDD chakadzika, chakasviba, kana chinosuruvarisa mazuva mazhinji kweanenge makore maviri. Muvana nevechiri kuyaruka, mafungiro anogona kutsamwa pane kushushikana uye anogara kweinenge gore rimwe chete.

Uye zvakare, maviri kana anopfuura ezviratidzo zvinotevera aripo nguva ingangoitika.

• Kunzwa kwekushaya tariro
• Kunyanya kurara kana kunyanyisa kurara
• Simba rakaderera kana kuneta
• Kuzvitarisira pasi
• Kusadya zvakanaka kana kudya zvakanyanya
• Kufungisisa kwakashata

Vanhu vane PDD vanowanzo tora yakaipa kana inoodza moyo maonero avo pachavo, ramangwana ravo, vamwe vanhu, uye zviitiko zvehupenyu. Zvinetso zvinowanzoita senge zvakaoma kugadzirisa.

Anopa hutano hwako anotora nhoroondo yemafungire ako uye zvimwe zviratidzo zvehutano hwepfungwa. Iye mupi anogona zvakare kutarisa ropa rako uye weti kutonga kunze kwekurapa kunokonzera kushushikana.

Pane zvinhu zvinoverengeka zvaunogona kuyedza kugadzirisa PDD:

• Wana nguva yakakwana yokurara.
• Tevera kudya kunovaka muviri, kunovaka muviri.
• Tora mishonga zvakanaka. Kurukurai chero mhedzisiro nemupi wako.
• Dzidza kutarisa zviratidzo zvekutanga zvekuti PDD yako iri kuramba ichiwedzera. Iva nezano rekuti ungapindura sei kana zvikadaro.
• Edza kurovedza muviri nguva dzose.
• Tsvaga zviitwa zvinoita kuti ufare.
• Taura nemumwe munhu waunovimba naye nezve manzwiro auri kuita.
• Zvitenderedze nevanhu vane hanya uye vane tariro.
• Dzivisa doro uye zvinodhaka zvisiri pamutemo. Izvi zvinogona kuita kuti mafungiro ako awedzere kupfuura nguva uye kukanganisa kutonga kwako.

Mishonga inowanzo shanda kuPDD, kunyange dzimwe nguva isingashande pamwe chete nezvavanoita pakudzvinyirira kukuru uye zvinogona kutora nguva kuti zvishande.

Usarega kutora mushonga wako uri wega, kunyangwe iwe uchinzwa zvirinani kana uine mhedzisiro. Nguva dzose danaidza mupiki wako kutanga.

Kana yakwana nguva yekumisa mushonga wako, mupi wako anokuraira maitiro ekudzora zvishoma nezvishoma dosi pane kumira pakarepo.

Vanhu vane PDD vanogona zvakare kubatsirwa nerumwe rudzi rwekurapa kwekutaura. Kutaura kurapa inzvimbo yakanaka yekutaura nezvekunzwa uye pfungwa, uye kudzidza nzira dzekugadzirisa nazvo. Izvo zvinogona zvakare kubatsira kuti unzwisise kuti PDD yako yakachinja sei hupenyu hwako uye kuti utsungirire zvinobudirira. Mhando dzekutaura kurapa dzinosanganisira:

• Kufungisisa kwehunhu hwekurapa (CBT), iyo inobatsira iwe kudzidza kunyatsoziva zviratidzo zvako uye izvo zvinoita kuti zviwedzere. Iwe unozodzidziswa hunyanzvi hwekugadzirisa matambudziko.
• Insight-yakanangidzirwa kana psychotherapy, iyo inogona kubatsira vanhu vane PDD kunzwisisa zvinhu zvinogona kunge zviri kuseri kwekufunga kwavo kunetseka uye nemanzwiro.

Kujoinha boka rekutsigira vanhu vane matambudziko senge ako kunogona kubatsira. Kumbira murapi wako kana mupi wehutano kuti akurudzire boka.

PDD chirwere chisingaperi chinogona kugara kwemakore. Vanhu vazhinji vanopora zvizere nepo vamwe vachiramba vaine zvimwe zviratidzo, kunyangwe nekurapwa.

PDD inowedzerawo njodzi yekuzviuraya.

Dana kuti usangane nemupi wako kana:

• Unogara uchinzwa kuora mwoyo kana kudzikira
• Zviratidzo zvako zviri kuwedzera

Shevedza rubatsiro ipapo ipapo kana iwe kana mumwe munhu waunoziva akatanga zviratidzo zvekuzviuraya:

• Kupa zvinhu, kana kutaura nezvekuenda uye kudiwa kwekutora "zvinhu zvakarongeka"
• Kuita maitiro ekuzvikuvadza, sekuzvikuvadza
• Kamwe kamwe kuchinja maitiro, kunyanya kudzikama mushure menguva yekufunganya
• Kutaura nezvekufa kana kuzviuraya
• Kubva kune shamwari kana kusada kuenda chero kupi

PDD; Kusingaperi kushushikana; Kushungurudzika - kusingaperi; Dysthymia

American Psychiatric Association. Kuramba uchishungurudzika kusagadzikana (dysthymia). Kuongorora uye Statistical Manual yeMental Dambudziko. 5 ed. Arlington, VA: American Psychiatric Publishing, 2013; 168-171.

Fava M, Østergaard SD, Cassano P.Mood kusagadzikana: kushushikana kwepfungwa (hombe kushungurudzika kusagadzikana). Mune: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Yakakwana Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016: chitsiko 29.

Schramm E, Klein DN, Elsaesser M, Furukawa TA, Domschke K. Ongororo ye dysthymia uye inoramba ichidzvinyirira kusagadzikana: nhoroondo, kuwirirana, uye kurapwa. Lancet Psychiatry. 2020; 7 (9): 801-812. PMID: 32828168 pubmed.ncbi.nlm.nih.gov/32828168/.