დეპრესია – 21 საუკუნის უკურნებელი სენი?!
ნაირა ფუტკარაძე 27 48 93
depresia msoflioSi yvelaze gavrcelebul fsiqikur darRvevaTa erT-erT jgufs miekuTvneba da, samwuxarod, bevr adamians tanjavs, upirvelesad ki qalebs. depresiis mZime formam adamiani SeiZleba TviTmkvlelobamdec miiyvanos. misi mkurnalobis efeqturi saSualebebi arsebobs, Tumca yvelaze mniSvnelovani mainc diagnozis zusti da drouli dasmaa.
ra simptomebi axasiaTebs mas, rogor gavumklavdeT da ra meTodebiT, yovelive amaze fsiqologi Sorena vaSaZe gvesaubreba.
depresiis ganviTareba da maTi profilaqtika
depresiis niSnebi Zalian mravalferovania. klasikurad sami ZiriTadi niSani ikveTeba. pirveli – daqveiTebuli guneba-ganwyoba, meore – asociaciuri procesebis Seneleba, rodesac adamiani azrebis simwires ganicdis (magaliTad, Tu Cveulebriv 5 wuTSi vambobT 100 sityvas, depresiis dros sityvebis raodenoba mcirdeba, xSirad laparakis survili saerTod qreba, TavSi azrebi ar modis), mesame – motoruli sferos, moZraobebis Seferxeba. depresiis dros adamians samsaxurSi, megobrebSi, gasarTobad da a.S. siarulis survili uqreba. urCevnia, mTeli dRis ganmavlobaSi loginSi iwves. depresiis yvela am niSnidan sxva niuansebic ikveTeba. es aris siamovnebis gancdis unaris dakargva. xSiria, rodesac adamians, romelsac varjiSi, Tevzaoba, qsova an sxva nebismieri saqmianoba siamovnebas aniWebda, depresiis dros maTgan veRarafers ganicdis, araferi uxaria. cnobilia, rom mzis sxivebi axdens garkveul gavlenas depresiaze. rac ufro mokle dRea, miT maRalia depresiis maCvenebeli. arsebobs fotoTerapia, meti raodenobiT mzis sxivebis miReba da a.S. gadian Terapiis kurss. depresiis ganviTareba damokidebulia socialuri, fsiqologiuri da biologiuri faqtorebis urTierTmoqmedebis Sedegze. depresiam Tavis mxriv SeiZleba gaaZlieros stresi, daarRvios normaluri yoveldRiuri cxovreba, gaauaresos situacia, ris Sedegadac SeiZleba Camoyalibdes depresiis ufro mZime forma. arsebobs urTierTdamokidebuleba depresiasa da fizikur janmrTelobas Soris. magaliTad, gul-sisxlZarRvTa daavadebebma SeiZleba gamoiwvios depresia da piriqiT. dadgenilia, rom fsiqikuri janmrTelobis prevenciis programebis danergva sagrZnoblad amcirebs am daavadebebis tvirTs. depresiis prevenciisaTvis saWiroa adgilobriv sirTuleebze gaTvlili efeqturi midgomebi. magaliTad, skolebSi Zaladobis Tavidan acilebis programebi an iseTi programebi, romlebic gaaumjobesebs bavSvebis SemecnebiT da socialur unarebs, agreTve aswavlis maT problemebis gadaWras. RonisZiebebs, romlebic gaTvlilia mSoblebis qcevebis koreqtirebaze, SeuZlia Seamciron mSoblebSi depresiuli simptomebi da dadebiTi Sedegebi miviRoT bavSvebis fsiqikur janmrTelobasTan dakavSirebiT momavalSi. xandazmulTaTvis gankuTvnili fizikuri aqtivobis programebi, aseve sasargebloa maTTvis depresis profilaqtikisaTvis.
diagnostika da mkurnaloba
arsebobs depresiis mkurnalobis efeqturi saSualebebi. kvalificiur eqims yovelTvis SeuZlia zusti/drouli diagnozis dasma da efeqturi mkurnalobis daniSvna. saSualo da mZime formis depresiis mkurnalobis dros antidepresantebTan erTad rekomendebulia daavadebulis fsiqosocialuri mxardaWera an fsiqoTerapia, magaliTad, qcevis Semecnebis Terapia, interpersonaluri fsiqoTerapia an problemebis gadaWrisken mimarTuli Terapia, msubuqi depresiis dros pirvel rigSi efeqturia fsiqosocialuri Terapia. medikamenturi da fsiqosocialuri Terapiis kombinacia ki saWiroa saSualo da mZime depresiis dros. antidepresantebiT mkurnaloba efeqturia saSualo da mZime depresiis SemTxvevaSi, xolo maTi gamoyeneba msubuqi formis dros ar iTvleba pirveli rigis Terapiad. antidepresantebi didi sifrTxiliT unda gamoviyenoT. miiCneva pirveli rigis Terapiad bavSvebsa da mozardebSi. iqidan gamomdinare, rom depresiis dros xSiria suicidisken midrekileba, aucilebelia amaze dakvirveba. arsebobs qveynebi, sadac strategiebic ki SemuSavebulia da saxelmwifoebriv donezea ayvanili sakiTxi, rogor unda daexmaron adamianebs am situaciaSi. moqmedebs antisuiciduri centrebic.
yvela adamians aqvs problema, Tumca zogierTi maTgani ver axerxebs Tavad gaumklavdes mas. erTi emateba meores da xdeba ise, rom adamiani moeqceva im velSi, saidanac gamosvla martos Zalian uWirs. zogierTi maTgani saWirod ar Tvlis, mimarTos eqims an fsiqologs da ganagrZobs sakuTar TavTan brZolas. me, rogorc fsiqologs da rogorc ubralod adamians, mimaCnia, rom yvelaze mniSvnelovani da aucilebeli siyvarulia. yvelaze kritikul situaciaSi adamianebs sworedac rom gvWirdeba Tanadgoma. Tu vgrZnobT viRacis siyvaruls da gverdSi dgomas, Zlierebi vxdebiT da nebismieri problemis daregulirebis, mogvarebis didi Zala da energia gviCndeba.
Tu am statiis wakiTxvis Semdeg aRmoaCenT, rom msgavsi simptomebi gawuxebT, nu darCebiT sakuTar TavTan marto. yvelaze mniSvnelovani drouli da swori diagnostikaa.
