Ukucindezeleka, okuvame ukubizwa ngokuthi ukucindezeleka, kuyisimo esiyinkimbinkimbi. Kuyinkimbinkimbi kakhulu kunokuzizwa udabukile noma ukudlula esikhathini esinzima. Ukudangala kuyisimo sempilo yengqondo yangempela esithonywa inhlanganisela yezici futhi esidinga ukuthathwa ngokungathi sína. Lapho isethi esifanele sezithako sihlangana kothile, izimpawu zokuxineka zingena futhi zingalimaza uma zishiywa zingalashwa.
Ukudangala kwangemva kokubeletha kuyisimo esivamile futhi esingaba sibi kakhulu esitholakala ngesikhathi sokukhulelwa noma ngemuva kokukhulelwa. Ngokwe-American College of Obstetricians and Gynecologists (ACOG), “ukudangala kuyinkinga ejwayelekile yokukhulelwa enemiphumela engaba yingozi uma kungaziwa futhi kungalashwa. 1 .
Ngesikhathi sokucindezeleka, abantu banemizwa yokudabuka, ukuba ndikindiki, noma ukungabi namandla okungagcina izinsuku, amasonto, noma izinyanga. Abantu bangaba nezinguquko ekulaleni, ekudleni, noma enhlizweni futhi bangayeka ukuhlangana nabangane noma ukuya emsebenzini. Bangase futhi bathole ukuthi abasenasithakazelo ezintweni ababezithola zijabulisa, njengezinto zokuzilibazisa. Abantu abanokucindezeleka kwangemva kokubeletha nabo bangathola imicabango nemizwa ecindezelayo ngengane yabo, njengokuzizwa ukude nabo, ukungabaza amandla abo okubanakekela, nokucabanga ukuzilimaza bona noma ingane yabo 2 .
Kwesinye isikhathi, abantu ababhekene nesikhathi sokucindezeleka bangazizwa bengenathemba noma ukuthi impilo ayisakufanele ukuphila, okungafika nemicabango yokuzibulala. Kubalulekile ukubheka imicabango yokuzibulala kubantu abanalesi simo. Ngeminye imininingwane ngokuzibulala, ungavakashela i- ikhasi lokuzibulala .
Kungenzeka ukuthi wazi othile onesifo sokudangala ngenxa yokuthi isimo sivame kangakanani. Bangaphezu kuka-7% abantu base-US ababhekane okungenani nesiqephu esisodwa sokucindezeleka ngonyaka odlule 4 . Ukubona izimpawu nezimpawu zokudangala kukuvumela ukuthi weseke labo abasempilweni yakho abangahlala nalesi simo. Kungenzeka ukuthi ubhekene nokucindezeleka ngokwakho, noma kungenzeka wazi othile okwaziyo. Kunoma ikuphi, usizo luyatholakala.
Ngaphezulu
7 %
yabantu base-US babone okungenani isiqephu esisodwa esikhulu sokucindezeleka ngonyaka odlule.
1 phakathi 5
abesifazane babhekana nokudangala kwangemva kokubeletha empilweni yabo 3 .
Izimpawu Nezimpawu Ezijwayelekile Zokucindezeleka
Ukudangala kungathinta abantu ngokuhlukile, kepha imvamisa izimpawu zithinta indlela ozizwa ngayo, ocabanga ngayo, futhi oyiphatha ngayo imisebenzi yempilo yansuku zonke. Izimpawu nazo zivame ukubakhona isikhathi esingaphezu kwamasonto amabili. Ezinye zalezi zimpawu ezijwayelekile zifaka:
- Imizwa eqhubekayo yokudabuka, yokukhathazeka noma “engenalutho”
- Ukuphela kwamandla
- Ukuntuleka kokuhlushwa
- Imizwa yecala, ukungabi nalutho noma ukungasizi
- Ukuzizwa uthukuthele noma ucasukile
- Ukwanda komuzwa wecala
- Izinguquko zokudla noma zokulala – zanda noma zehla
- Ukungabi nentshisekelo kwimisebenzi ebithokozelwa phambilini
- Imizwa yokuphelelwa yithemba
- Imizwa nemicabango yokufuna ukufa
- Ukuzilimaza noma Ukuzibulala
Ukwelashwa Kokucindezeleka
A umelaphi noma udokotela kungasiza ukuhlinzeka ngezindlela zokwelashwa ezifana ne- ukwelashwa kwengqondo , imithi , noma izinguquko endleleni yokuphila .
Imininingwane Eyengeziwe Ngokucindezeleka
Ngemininingwane eyengeziwe mayelana nezinhlobo ezahlukahlukene zokucindezeleka, izinto ezinobungozi, kanye nemininingwane ejulile ngezinhlobo ezahlukahlukene zokwelashwa ezitholakalayo zokudangala ungavakashela okulandelayo:
- Isikhungo Sikazwelonke Sezempilo Yengqondo (NIMH) .
- INational Alliance on Mental Illness (NAMI) .
- IMental Health America (MHA) .
- Izikhungo Zokulawula Nokuvimbela Izifo (CDC) .
Uma uhlangabezana nobunzima bokuthola ukunakekelwa noma uma unezinkinga ngohlelo lwakho lwezempilo, i- Umnyango Womshuwalense waseTexas kanye ne- IHhovisi LeKhomishini Yezempilo Nemisebenzi Yabantu yaseTexas lika-Ombudsman kungenzeka ukwazi ukusiza. Bangakusiza nokuthi ufunde kabanzi ngamalungelo akho.
Imithombo
1. Isitatimende sika-ACOG District IX Chair (2020)
https://www.2020mom.org/acog-statement
I-CDC, Impilo Yokuzala, Ukucindezeleka Ngesikhathi Sokukhulelwa nangemva Kokukhulelwa (2020)
https://www.cdc.gov/reproductivehealth/features/maternal-depression/index.html
3. Ngokuya Ngezimpawu Ze-Vital: Izimpawu Zokucindezeleka Zangemva Kokubeletha Nezingxoxo Zabanikezeli Ngokucindezeleka KwePerinatal – I-United States, i-2018 , CDC (2020)
https://www.cdc.gov/mmwr/volumes/69/wr/mm6919a2.htm?s_cid=mm6919a2_w
4. Isikhungo Sikazwelonke Sezempilo Yengqondo: Izibalo Zokucindezeleka.
https://www.nimh.nih.gov/health/statistics/major-depression.shtml#part_155029
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