Created at:1/16/2025
Seasonal Affective Disorder (SAD), ni ubwoko bwa depression (agahinda gakabije) buza kandi bugashira bitewe n'impinduka z'ibihe. Abantu benshi bafite SAD bagira ibimenyetso mu gihe cy'igitumba n'impeshyi, igihe amasaha y'umunsi agabanuka, nubwo bamwe babona mu mpeshyi no mu mpeshyi.
Tekereza kuri SAD nk'uburyo umubiri wawe usubiza ku gukebwa kw'izuba. Kimwe n'ibimera bikenera izuba kugira ngo bikure, ubwonko bwawe bushingiye ku mucyo w'umwanya kugira ngo bugenzure imiti igengwa n'imitekerereze. Iyo urwego rw'umucyo rugabanutse cyane, bishobora gutera ibibazo by'agahinda gakabije bishira uko ibihe bihinduka.
Ibimenyetso bya SAD bisanzwe bisa n'ibya depression ikomeye ariko bikurikira umusingi w'ibihe. Ushobora kubona izi mpinduka ziza gahoro gahoro uko igihe cyanyu gikomeye kigenda kigera, hanyuma zigakira uko kirangira.
Ibimenyetso bisanzwe mu gihe cy'igitumba muri SAD birimo:
Ibi bimenyetso bihanga uruziga aho wumva uhindagurika cyane kandi utakibanye n'abandi. Inkuru nziza ni uko kumenya iyi ngero bigufasha kumva ko ibyo urimo kunyuramo bifite izina kandi hari ubuvuzi bukoreshwa.
SAD yo mu mpeshyi, nubwo idakunze kugaragara, igaragara mu buryo butandukanye. Ushobora kugira ibibazo byo gusinzira, kudashaka kurya, kugabanuka k'uburemere, guhangayika, n'ibibazo byo guhangayika cyangwa kurakara. Bamwe mu bantu bagira kandi umutima mwinshi muri iyi mezi.
Hari ubwoko bubiri nyamukuru bwa SAD, buhuriye ku bihe bitandukanye n'imiterere y'umucyo. Kumenya ubwoko bukugiraho ingaruka bifasha mu kuyobora uburyo bwiza bwo kuvura.
SAD yo mu gihe cy'itumba ni yo ikunze kugaragara, igira ingaruka kuri 5% by'abantu bakuru muri Leta Zunze Ubumwe za Amerika. Isanzwe itangira mu mpeshyi cyangwa mu ntangiriro z'itumba kandi ikagenda irangira mu mpeshyi no mu mpeshyi. Ubu bwoko buhuriye cyane ku gukebwa kw'izuba kandi bukunze kugaragara mu turere twa ruguru aho iminsi y'itumba iba migufi cyane.
SAD yo mu mpeshyi ntiyakunze kugaragara ariko ni yo nyayo, igira ingaruka kuri 1% by'abantu bafite SAD. Isanzwe itangira mu mpeshyi cyangwa mu ntangiriro z'impeshyi kandi ikagenda irangira mu gihe cy'igitumba n'impeshyi. Ubu bwoko bushobora guterwa n'ubushyuhe bwinshi, ubushuhe, cyangwa amasaha maremare y'izuba buhindura imiterere yo gusinzira.
Bamwe mu bantu bagira verisiyo yoroheje yitwa subsyndromal SAD cyangwa 'agahinda k'itumba'. Ushobora kubona impinduka mu mitekerereze n'umunaniro muke mu gihe cyanyu gikomeye, ariko ibimenyetso ntibigira ingaruka zikomeye ku mikorere ya buri munsi. Iyi ndwara ikwiye kwitabwaho kandi ishobora kugira akamaro mu buvuzi.
SAD iterwa n'impinduka z'ibihe zihindagura isaha y'imbere mu mubiri wawe n'imiti y'ubwonko. Uburyo bwawe bwo gusinzira, bugengwa n'amasinzira n'umusaruro w'imisemburo, bushingiye cyane ku bimenyetso by'umucyo kugira ngo buhora buhujwe.
Gukebwa kw'izuba mu mezi y'itumba bishobora guhindura iyi mibanire mu buryo butandukanye:
Ubwonko bwawe buhinduka uburyo bw'umunsi cyangwa igihe cy'umwaka. Iyi mpinduka igira ingaruka ku musaruro n'igihe cy'imiti ikomeye igenzura imitekerereze, ibyishimo, n'amasinzira.
Ku bijyanye na SAD yo mu mpeshyi, impamvu ntizisobanutse ariko zishobora kuba zirimo ubukana bw'ubushyuhe, izuba ryinshi rihindagura amasinzira, cyangwa allergie ku mbuto z'impeshyi. Bamwe mu bashakashatsi bemeza ko bihuriye no kugorana gucunga ubushyuhe bw'umubiri mu mezi ashyushye.
Ukwiye gutekereza kubona umuganga niba impinduka z'imitekerereze z'ibihe zigira ingaruka ku buzima bwawe bwa buri munsi, imibanire, cyangwa imikorere yawe. Abantu benshi bakuraho ibimenyetso bya SAD nk'agahinda gasanzwe k'itumba, ariko ibimenyetso biramba bikwiye kwitabwaho n'inzobere.
Shaka ubufasha niba ufite imwe muri iyi mimerere:
Ntugatege amatwi kugeza ibibazo bikomeye. Kugira ubufasha hakiri kare bikunze gutera ibyiza kandi bishobora kubuza ibimenyetso kuba bibi. Muganga wawe ashobora kugufasha kumenya niba ufite SAD, undi mu bwoko bwa depression, cyangwa undi mubare w'ibibazo.
Niba ufite ibitekerezo byo kwiyahura cyangwa kwibabaza, shaka ubufasha bw'ihutirwa uhamagara 988 (Suicide & Crisis Lifeline) cyangwa ujya mu bitaro by'ubutabazi biri hafi yawe. Ibi byiyumvo ni ikimenyetso cy'uko ukeneye ubufasha bw'inzobere ako kanya.
Ibintu bimwe bishobora kongera amahirwe yawe yo kugira SAD, nubwo ufite ibyago ntibibuza ko uzagira iyo ndwara. Kumenya ibi bintu bigufasha kumenya niba ushobora kuba ufite ibyago byinshi.
Ibintu by'ubwibumiro n'ibidukikije bigira uruhare rukomeye:
Ibiranga umuntu byongera ibyago birimo kuba umugore, kuko abagore bapimwa kuri SAD kenshi kurusha abagabo inshuro enye. Abantu bakuru bakiri bato n'abafite amateka yo mu muryango wa depression cyangwa bipolar disorder nabo bafite ibyago byinshi.
Kugira ikibazo cy'ubuzima bwo mu mutwe nka depression cyangwa bipolar disorder bishobora kukugira ibyago byinshi byo kugira impinduka z'imitekerereze y'ibihe. Byongeye kandi, abantu bafite ibibazo by'ubuzima nka thyroid disorders cyangwa chronic fatigue syndrome bashobora kuba bafite ibyago byinshi.
Icy'ingenzi, bimwe mu bintu bidasanzwe by'imyororokere bigira ingaruka ku buryo umubiri wawe utunganya umucyo kandi ugenzura amasinzira. Ibi bintu by'imyororokere bishobora gusobanura impamvu SAD rimwe na rimwe igaragara mu miryango, nubwo ibintu by'ibidukikije bisa.
Ntabwo bivuwe, SAD ishobora gutera ibibazo byinshi bigira ingaruka ku mibereho yawe. Ibi bibazo bikunze kuza gahoro gahoro, bituma biroroshye kubireka kugeza bibaye ibibazo bikomeye.
Ibibazo bisanzwe birimo:
Ibi bibazo bishobora guhanga uruziga aho ibimenyetso bya SAD bigira ingaruka ku mibereho yawe, ibyo bikaba bigira ingaruka ku bimenyetso by'agahinda gakomeye. Kwica iki kizunguzungu bikunze gusaba ubufasha bw'inzobere n'ubufasha.
Mu bihe bidasanzwe, SAD itabonye ubuvuzi ishobora guhinduka depression ikomeye ihoraho umwaka wose. Bamwe mu bantu bagira kandi bipolar disorder, bagira ibibazo byo guhangayika mu bihe byabo 'byiza' n'ibibazo by'agahinda mu bihe bikomeye.
Inkuru nziza ni uko, hakoreshejwe ubuvuzi bukwiye, abantu benshi bafite SAD bashobora gukumira ibi bibazo kandi bagumana ubuzima bwiza mu bihe byose.
Nubwo udashobora gukumira SAD burundu, ushobora gufata ingamba zo kugabanya ibyago byayo no kugabanya ibimenyetso iyo bibaye. Ingamba zo gukumira zikora neza iyo uzitangiye mbere y'igihe cyanyu gikomeye.
Kubonana n'izuba ni igikoresho cyawe gikomeye cyo gukumira. Gerageza kujya hanze mu masaha y'izuba, ndetse no ku minsi y'imvura, kuko izuba ry'umwanya rirusha izuba ryo mu nzu.
Kugira imibereho myiza ni shingiro rikomeye:
Niba warigeze ufite SAD, tekereza gutangira ubuvuzi bwo gukumira mbere y'uko ibimenyetso bisanzwe bitangira. Ibi bishobora kuba birimo ubuvuzi bw'umucyo, ubuvuzi bwo mu mutwe, cyangwa imiti ku buyobozi bw'umuganga wawe.
Kurema ahantu heza mu rugo no ku kazi bishobora kandi gufasha. Shyira izuba ry'umwanya mu buryo bwo gufungura idirishya, kwicara hafi y'amadirishya, no gukoresha amatara akomeye iyo bikenewe.
Gupima SAD birimo isuzuma ryimbitse ryibimenyetso byawe, igihe biba, n'ingaruka zabyo ku buzima bwawe. Nta kizami kimwe cya SAD, muganga wawe azishingira ku mateka yawe arambuye no kureba.
Umuvuzi wawe azakubaza ibibazo byawe, igihe biba, n'uburyo bigira ingaruka ku mikorere yawe ya buri munsi. Azashaka kumenya niba wabonye umusingi w'ibihe mu myaka ibiri ishize, ibimenyetso bikagenda birangira mu gihe cyanyu 'cyiza'.
Uburyo bwo gupima busanzwe burimo:
Muganga wawe agomba gukumira ibindi bibazo bishobora kumera nk'ibimenyetso bya SAD. Ibibazo bya thyroid, chronic fatigue syndrome, n'ubundi bwoko bwa depression bishobora gutera ibimenyetso bisa ariko bikeneye ubuvuzi butandukanye.
Ibipimo by'ingenzi byo gupima birimo kugira ibimenyetso by'agahinda mu bihe runaka by'imyaka ibiri ikurikira, ibimenyetso bikagenda birangira mu bindi bihe. Ibimenyetso byawe bigomba kandi kugira ingaruka zikomeye ku buzima bwawe bwa buri munsi n'imibanire.
Bamwe mu baganga bakoresha ibibazo byihariye nka Seasonal Pattern Assessment Questionnaire kugira ngo bafashe kumenya imiterere y'ibihe mu mitekerereze yawe n'imyitwarire. Iki gikoresho gifasha gutandukanya SAD n'ubundi bwoko bwa depression.
Ubuvuzi bwa SAD bugira akamaro cyane, abantu benshi bagaragaza iterambere rikomeye mu bimenyetso byabo. Uburyo bwiza bukunze guhuza ubuvuzi bwinshi buhuye n'ibyo ukeneye n'uburemere bw'ibimenyetso.
Ubuvuzi bw'umucyo busanzwe ari bwo buvuzi bwa mbere bwa SAD yo mu gihe cy'itumba. Uzakoreshwa igikoresho cyihariye cy'umucyo gitanga 10.000 lux y'umucyo (irusha izuba ryo mu nzu) iminota 20-30 buri gitondo. Ibi bifasha gusubiza amasinzira yawe no kongera imisemburo ya serotonin.
Ubuvuzi bwo mu mutwe, cyane cyane cognitive behavioral therapy (CBT), bugufasha kumenya no guhindura imitekerereze mibi ifitanye isano n'impinduka z'ibihe. CBT ya SAD irimo ubuhanga bwihariye bwo gucunga impinduka z'imitekerereze y'ibihe no kugumana imyitwarire myiza mu mezi akomeye.
Uburyo bwo kuvura burimo:
Muganga wawe ashobora kugusaba gutangira ubuvuzi mbere y'uko ibimenyetso byawe bisanzwe bigaragara. Iyi ngamba yo gukumira ishobora kugabanya uburemere bw'ibimenyetso cyangwa ikababuza kubaho.
Ibyuma byo gukora izuba, bigenda byongera umucyo mu cyumba cyawe kugira ngo bigere ku izuba ry'umwanya, bishobora kandi gufasha. Ibi bikora neza cyane ku bantu bagira ibibazo byo kubyuka mu gitondo cy'itumba.
Ku bijyanye na SAD yo mu mpeshyi, ubuvuzi bushingiye ku kuguma utuje, gucunga ibibazo byo gusinzira, rimwe na rimwe gukoresha air conditioning cyangwa ahantu hatuje. Ubuvuzi bw'umucyo ntibusanzwe bukoreshwa kuri ubu bwoko bwa SAD.
Uburyo bwo gucunga murugo bushobora kunoza cyane ibimenyetso byawe bya SAD kandi bukora neza hamwe n'ubuvuzi bw'inzobere. Ibi bintu byibanda ku kurema ahantu n'imikorere ishyigikira ubuzima bwawe bwo mu mutwe mu bihe bikomeye.
Shyira izuba ryinshi mu gihe cyose cy'umunsi ufungura amadirishya n'amadirishya, wicara hafi y'amadirishya mugihe ukora, no gutembera mu masaha y'izuba. Nubwo ku minsi y'imvura, izuba ry'umwanya rirusha izuba ryo mu nzu kandi rishobora gufasha kunoza imitekerereze yawe.
Kora gahunda ya buri munsi irimo:
Aho utuye bishobora kugira ingaruka ku mitekerereze yawe. Komereza mu rugo rwawe rumeze neza hamwe n'amatara akomeye, komeza ubushyuhe buhagije, kandi urema ahantu heza aho wumva utekanye kandi ushimye.
Witondere indyo yawe mu gihe cyanyu gikomeye. Nubwo ushobora kwifuza ibiryo birimo isukari, gerageza kugumana indyo yuzuye irimo imbuto, imboga, na poroteyine nke. Omega-3 fatty acids iboneka mu mafi, ama walnuts, na flaxseeds ishobora gufasha kunoza imitekerereze.
Uburyo bwo guhangana n'umunaniro nko guhumeka neza, gutekereza, cyangwa yoga yoroheje bishobora kugufasha guhangana n'ibimenyetso. Nubwo iminota itanu yo gutekereza buri munsi bishobora kugira akamaro mu buryo wumva.
Gutegura ibikorwa bishimishije mu gihe cyanyu gikomeye kugira ngo wihe ibintu byo kwitegereza. Ibi bishobora kuba birimo imyidagaduro yo mu nzu, guterana mu matsinda, cyangwa kujya mu ngendo zihariye zikuzanira ibyishimo.
Kwitunganya mbere yo kubona muganga bifasha guhamya ko ubonye isuzuma ryiza n'uburyo bwiza bwo kuvura. Kuzana amakuru arambuye yerekeye ibimenyetso byawe n'imiterere bizafasha muganga wawe kumva uko ibintu byawe bimeze.
Komeza umunsi ku munsi ibyiyumvo byawe n'ibimenyetso byawe byibuze ibyumweru bibiri mbere yo kubona muganga. Kora urutonde rw'ibyishimo byawe, imiterere yo gusinzira, impinduka mu ishyaka ryo kurya, n'imitekerereze yawe umunsi ku munsi. Bandika imiterere y'ibihe wabonye mu myaka ishize.
Tegura ibiganiro:
Andika ibibazo byawe mbere yo kubona muganga kugira ngo wibuke ibibazo by'ingenzi. Baza ibyerekeye uburyo bwo kuvura, igihe cyitezwe cyo gukira, n'icyo wakora niba ibimenyetso bikomeye.
Zana inshuti cyangwa umuryango wizewe niba bigufasha kumva utekanye. Bashobora gutanga ubundi buryo bwo kureba ibimenyetso byawe no kugufasha kwibuka amakuru y'ingenzi yavuzwe mu gihe cy'ibyo ugomba kubwira muganga.
Ba umunyambabazi ku ngaruka za SAD ku buzima bwawe. Abantu benshi bagabanya ibimenyetso byabo, ariko muganga wawe akeneye kumva ibintu byose kugira ngo aguhe ubufasha bwiza.
Seasonal Affective Disorder ni indwara nyayo, ivurwa, igira ingaruka kuri miliyoni z'abantu ku isi. Niba ubona imiterere ihoraho y'ibihe mu mitekerereze yawe n'ibyishimo, nturi kwibeshya, kandi nturi wenyine.
Ikintu cy'ingenzi cyo kuzirikana ni uko ubuvuzi bugira akamaro buhari. Ubuvuzi bw'umucyo, ubuvuzi bwo mu mutwe, imiti, n'impinduka mu mibereho bishobora kunoza cyane ubuzima bwawe mu bihe bikomeye. Abantu benshi bafite SAD bashobora kwiga gucunga ibimenyetso byabo neza hakoreshejwe uburyo bukwiye bwo kuvura.
Ntugatege amatwi kugeza ibimenyetso bikomeye kugira ngo ushake ubufasha. Kugira ubufasha hakiri kare bikunze gutera ibyiza kandi bishobora kubuza ibibazo kubaho. Impinduka z'imitekerereze y'ibihe ni ibibazo by'ingenzi bikwiye kwitabwaho n'inzobere n'ubufasha.
Hifashishijwe ubuvuzi bukwiye n'ingamba zo kwita ku buzima bwawe, ushobora kugumana ubuzima bwiza bwo mu mutwe mu bihe byose. SAD ntigomba kugengura ubuzima bwawe cyangwa kugabanya ibikorwa byawe mu mezi amwe y'umwaka.
Yego, abana n'abangavu bashobora kugira SAD, nubwo bidakunze kubaho nk'uko bigenda ku bakuru. Ibimenyetso bishobora kuba birimo kurakara, kugorana kwiga, impinduka mu miterere yo gusinzira, no kwirukana mu mibanire. Niba ubona impinduka zihoraho z'imitekerereze y'ibihe ku mwana wawe, shaka ubufasha bw'umuganga w'abana cyangwa umuganga w'ubuzima bwo mu mutwe uzi gukorana n'abakiri bato.
Nubwo kubura vitamine D bishobora gutera ibimenyetso bya SAD, si indwara imwe. SAD ni ubwoko bwa depression buterwa n'impinduka z'ibihe mu guhabwa izuba, mu gihe kubura vitamine D ari ikibazo cy'imirire. Ariko kandi, abantu benshi bafite SAD bafite urwego ruke rwa vitamine D, kandi kuyongeramo bishobora kuba igice cy'uburyo bwiza bwo kuvura.
Abantu benshi batangira kubona iterambere mu cyumweru kimwe cyangwa bibiri bakoresheje ubuvuzi bw'umucyo buhoraho. Ariko kandi, bishobora gufata ukwezi kugira ngo ubone inyungu zose. Ni ngombwa gukoresha igikoresho cy'umucyo buri gihe igihe kimwe buri munsi, isanzwe mu gitondo, igihe cyateganijwe.
Yego, ushobora kugira SAD nubwo utuye mu karere k'izuba, nubwo bidakunze kubaho. Ibintu nko gukora imbere umunsi wose, kugira gahunda yo gusinzira idahwitse, cyangwa kuba ufite ubukana bw'impinduka z'ibihe bishobora gutera SAD uko aho utuye kose. SAD yo mu mpeshyi ishobora kandi kubaho ahantu hose.
Nubwo ibimenyetso bya SAD bisanzwe bigenda bigenda uko ibihe bihinduka, iyo ndwara isanzwe igaruka umwaka ku mwaka idavuwe. Kubona ubufasha bw'inzobere no kwiga uburyo bwo gucunga bishobora kugabanya uburemere bw'ibibazo by'igihe kizaza no kunoza ubuzima bwawe muri rusange. Abantu benshi basanga hakoreshejwe ubuvuzi bukwiye, ibimenyetso byabo bigenda bigabanuka uko igihe kigenda.