Ðe nèle agbagba dzem be yeadze dɔa? Alo ɖe nèle nu wɔm nenema? Esia ateŋu anye Factitious Disorder Imposed on Self (si woyɔna tsã be Munchausen Syndrome)!

Èse ame aɖe si wɔ eɖokui abe ɖe wòle dɔ lém ene alo wɔ abe ɖe wòle dɔ lém ene kpɔa? Ðewohĩ awɔ nuku na wò be nàse nya sia. Gake, le nyateƒe me la, esia nye susu ƒe lãmesẽkuxi. Egbea míele nu ƒom tso nɔnɔme sia tɔgbe ŋu.

Nuka tututue nye esia? `Factitious Disorder si Wozi Ðe Ðokui Dzi`?

Kpuie ko la, `Factitious Disorder Imposed on Self` nye susu ƒe nɔnɔme si me nèwɔna abe ɖe nèdze dɔ ene, alo wɔa abe ɖe dzesiwo le ŋuwò ene, eye ɣeaɖewoɣi gɔ̃ hã nèdzea agbagba be yeana ye ɖokui nadze dɔ . Woyɔa esia tsã be `(Munchausen Syndrome)`.

Zi geɖe la, ame siawo ɖea dzesi siwo do ƒome kple ŋutilãmedɔlélewo fiana. Bu akɔtave, dɔgbo ƒe veve, alo asrã ŋu kpɔ. Gake amesi ŋu dɔléle sia le ate ŋu akpɔ susu me dzesiwo hã, abe susumenuwo alo gbe sese ene.

Esia nye nɔnɔme si me afɔku le vie, elabena to nuwɔna sia dzi la, àte ŋu ahe ``nuveviwɔame ɖokui'' vɛ .

Aleke ŋkɔ `Munchausen Syndrome` va dzɔ?

Woyɔa nɔnɔme sia tsã be `Munchausen Syndrome` le Baron Munchausen, si nye ƒe alafa 18 lia me Germany-srafomegã aɖe ƒe ŋkɔ me. Wonyae ɖe eƒe ŋutinya siwo gbɔ eme tso eƒe agbe kple nuteƒekpɔkpɔwo ŋu ta. Eyata le go sia hã me la, wogblɔa dzesiawo wògbɔa eme, si tae woyɔnɛ nenema ɖo. Gake ŋkɔ ma mefia alesi gbegbe esia sesẽe abe tagbɔdɔléle ene ŋutɔŋutɔ o. Esia tae ɖɔktawo zãa ŋkɔ si nye `Factitious Disorder Imposed on Self` egbea ɖo.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, Factitious Disorder Imposed on Self mebɔ nenema gbegbe o. Esesẽ be míagblɔ ame agbɔsɔsɔme si tututu wòle. Esi wònye be ame geɖe yia ɖɔkta vovovo geɖe gbɔ hena atikewɔwɔ ta la, manya wɔ be woakpɔ akɔntabubu siwo de pɛpɛpɛ o.

Nuwɔna ka ƒomevie nye esia?

Nuwɔna geɖewo li siwo woate ŋu akpɔ le nɔnɔme sia me:

• Ewɔ abe ɖe ŋutilã me dzesiwo le ŋuwò ene (e.g., taɖuame, dɔgbo ƒe vevesese, akɔtave) siwo mele afima ŋutɔŋutɔ o.
• Ewɔ abe ɖe susu ƒe dzesi siwo mele afima ŋutɔŋutɔ o le ye ŋu ene (e.g., nusiwo mele afima o kpɔkpɔ, ame aɖe ƒe nuƒoƒo sese).
• Ame ŋutɔ ƒe dɔléle alo ŋutilã me dzesiwo hehe vɛ (e.g., abi ƒe gbegblẽ to abi si meɖe mɔ nɛ be wòahaya o, aɖuɖɔɖɔɖɔ, alo aɖi nane ɖuɖu me).

Nɔnɔme kawoe nèkpɔ le esia me?

Ne `Factitious Disorder Imposed on Self` le ŋuwò la, àte ŋu awɔ aʋatso alo agbɔ eme dzesiwo. Àte ŋu:

• Àte ŋu ada alakpa agblɔ be dzesi aɖewo le ye ŋu siwo mele ye ŋu o.
• Dzesi yeyewo ate ŋu adze le dodokpɔa me tsonu ƒe vava megbe alo le atikewɔwɔ gɔmedzedze vɔ megbe.
• Ne wò ɖeka koe li ko hafi dzesiawo ate ŋu adze .
• Woate ŋu atrɔ dɔléle ŋuti dodokpɔwo (e.g., nu bubu tsɔtsɔ kpe ɖe aɖuɖɔ ƒe kpɔɖeŋu ŋu).
• Woate ŋu awɔ abe ɖe wole atikea nom ene, aɣlae, alo agblẽe ɖi.
• Àte ŋu agblẽ nu le ɖokuiwò ŋu ɣesiaɣi .

Dzesi bubuwo ate ŋu anye:

• Atikewɔwɔ ŋutinya siwo tsi tre ɖe wo nɔewo ŋu.
• Ame ƒe amenyenye tɔtrɔ alo alakpa amenyenye ɖeɖefia.
• Kɔdzi kple atikewɔƒe vovovo geɖewo yiyi hena atikewɔwɔ.
• Medi be yeana ɖɔktawo nakpɔ yewoƒe ƒomea o, alo aƒo nu kple ɖɔkta siwo da dɔ na wo va yi.
• Lɔlɔ̃ faa be woawɔ dodokpɔ alo atikewɔwɔ siwo me vevesese le.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

Ðɔktawo menya nusi tututu hea Factitious Disorder vɛ haɖe o. Gake numekukuwo ɖee fia be ate ŋu atso susuŋutinunya (wò amenyenye ƒe akpa siwo kpɔa ŋusẽ ɖe wò tamesusuwo kple nuwɔnawo dzi) kple nugbagbewo (atike siwo le wò ahɔhɔ̃ me kple domenyiŋusẽfianu ƒe wɔwɔme) siaa gbɔ.

Numekukuwo ɖee fia be nu siwo gbɔna ate ŋu akpɔ ŋusẽ ɖe ale si nèdi be yeable ɖɔktawo dzi:

• Ame bubu ƒe lɔlɔ̃ faa be yeakpɔ wò ŋutilã alo susu me nuhiahiãwo gbɔ.
• Ŋusẽ alo amegãnyenye didi wu ame bubuwo.
• Ðe dzimaɖitsitsi si nye be woagblẽ wò ɖi dzi akpɔtɔ.
• Wɔ ame ŋutɔ ƒe dzesidenu yeye.

Gake nɔnɔme sia ate ŋu adzɔ evɔ womate ŋu ade dzesi nusi gbɔ wòtso kɔte o .

Nukae ʋãa ame wòwɔa nu sia?

Zi geɖe la, amesiwo ŋu dɔléle sia le nya be yewole nu wɔm. Gake womekpɔa mɔ be viɖe aɖeke si dze ƒã (e.g., ɖiɖi le dɔme, nuwɔametɔwo ƒe viɖewo xɔxɔ) tso aʋatsokaka alo nu siawo gbɔgblɔ me o. Zi geɖe la, viɖe siawo tsoa ame ƒe susu me, seselelãme ta . Ðewohĩ womenya viɖe siwo xɔm wole gɔ̃ hã o.

Ðe esia nye nusi dzɔ tso dzidzimewo mea?

Wonya kadodo aɖeke le `Factitious Disorder Imposed on Self` kple domenyiŋusẽfianuwo dome o. Wole numekuku bubuwo wɔm be woanya nusi gbɔ wòtso.

Amekae le afɔku me wu le nɔnɔme sia me?

Togbɔ be Factitious Disorder nye dɔléle si mebɔ o hã la, wò afɔkua ate ŋu adzi ɖe edzi ne èto nusiwo gbɔna me kpɔ:

• Be woawɔ ŋlɔmi le ame ŋu alo aŋe aɖaba aƒu edzi le ɖevime.
• Nuveviwɔame sesẽ aɖe me toto.
• Dɔléle siwo gblẽa nu le ŋuwò alo wò lɔlɔ̃tɔ ŋu enuenu.
• Nuwɔna siwo medzɔna edziedzi o ƒe anyinɔnɔ le ƒomea me.
• Esi wòzã ɣeyiɣi geɖe le teƒe si wowɔa atikewɔƒewo le ta.

Aleke ɖɔktawo dea dzesi esiae?

`Factitious Disorder Imposed on Self` sesẽ vie na ɖɔktawo be woakpɔ dɔlélea. Ðɔkta aɖe gbea ŋutilã kple susu ƒe nɔnɔme bubuwo gbã eye wòɖoa dzidzenu siwo dzi woato anya dɔlélea. Ele be kpeɖodzi si me kɔ nanɔ anyi be èle aʋatsokaka alo dzesiwo tom. Zi geɖe la, wokpɔa dɔlélea le dodokpɔ kple atikewɔwɔ zi geɖe megbe. Ðɔkta vovovo siwo wɔa dɔ ɖekae ye dea dzesi dɔlélea.

Ðe dodokpɔ tɔxɛ aɖe li na esia?

Dodokpɔ aɖeke meli koŋ si woatsɔ anya `Factitious Disorder Imposed on Self` o. Woateŋu awɔ ʋudodokpɔ, aɖuɖɔ dodokpɔ, kple `(Imaging tests)` atsɔ aɖe nɔnɔme bubuwo ɖa.

Wò ɖɔkta wɔa dɔlélea didi to ŋutilãmedɔlélewo alo tagbɔdɔléle bubuwo ɖeɖeɖa kple ŋkuléle ɖe wò nɔnɔmewo kple nuwɔnawo ŋu me.

Le go aɖewo me la, wò ɖɔkta ate ŋu aɖo wò ɖe tagbɔdɔdala alo susuŋutinunyala (dɔnyala siwo wona hehee etɔxɛe be woanya tagbɔdɔlélewo ahada wo) gbɔ. Tagbɔdɔdalawo kple susuŋutinunyalawo zãa atikewɔwɔ ŋutinya blibo, ŋutilãmeŋutinya, nudokpɔƒe kple/alo nɔnɔmetatawo dodokpɔ, kple susuŋutinunya ƒe dodokpɔ dɔwɔnuwo tsɔ wɔa numekuku.

``Akpakpa ƒe Dɔléle si Wozi Ðe Ðokui Dzi'' le ``DSM-5'' me.

Wò ɖɔktawo azã Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) atsɔ atsɔ wò dzesiwo asɔ kple nɔnɔme sia ƒe dzidzenuwo. DSM-5 ye nye mɔfiamegbalẽ si wozãna tsɔ dea dzesi susumedɔlélewo le United States.

Dzesi siwo woatsɔ anya `Factitious Disorder Imposed on Self` ƒe dzesiwo dometɔ aɖewoe nye:

• Aʋatsokaka ŋutilã alo susu me dzesiwo kple dzesiwo, si hea abi alo dɔléle vɛ.
• Edzena na ame bubuwo abe dɔnɔwo, gbɔdzɔgbɔdzɔtɔwo, alo amesiwo xɔ abi ene.
• Ameflunuwɔna si womekpɔ mɔ na be yeakpɔ viɖe tso gotagome o .
• Womate ŋu aɖe nuwɔna sia me nyuie to susumedɔléle bubu me o.

Aleke woawɔ adae? (Dᴐyᴐyᴐ)

Taɖodzinu gbãtɔ si le `Factitious Disorder Imposed on Self` dada ŋue nye be woatrɔ nuwɔna siwo gblẽa nu le ame ŋu eye woaɖe atikewɔnuwo zazã ɖe mɔ gbegblẽ nu alo wo zazã fũu akpa dzi akpɔtɔ. Ne ènya ɖo taɖodzinu siawo gbɔ ko la, wò atikewɔlawo ƒe ƒuƒoƒoa alé fɔ ɖe nusiwo gbɔ wò nuwɔna tsona ŋu.

Nusi koŋ ŋu wotsia dzi ɖoe nye nusiwo gblẽa nu le ame ŋu dzi ɖeɖe kpɔtɔ. Ðɔktawo ate ŋu awɔ dɔ aduadu akpɔ egbɔ be mèwɔ dodokpɔ alo atike siwo mehiã o na wò o. Atikewɔwɔ me dodokpɔ kple atikewɔwɔ geɖe ate ŋu agblẽ nu le ame ŋu ne mèdi o. Wò ɖɔktawo awɔ dɔ kpli wò kplikplikpli be woaxe mɔ ɖe nuveviwɔame nu le wò nuhiahiãwo nu.

Cognitive Behavioral Therapy (CBT), si nye susumedɔdada ƒomevi aɖe si léa fɔ ɖe wò tamesusuwo kple nuwɔna ƒe ɖoɖowo ŋu, ate ŋu akpe ɖe ŋuwò nàda nɔnɔme sia. Ƒomea ƒe atikewɔwɔ ate ŋu akpe ɖe wò ƒomea hã ŋu woanya nu geɖe tso nɔnɔmea ŋu. Ƒuƒoƒo me dɔdamɔnu ate ŋu akpe ɖe ame ŋu be nàɖe akogotsitsi alo aƒegblẽ ɖi ƒe seselelãmewo dzi akpɔtɔ.

Atikewɔwɔ ateŋu asesẽ elabena ame geɖe siwo ŋu `Factitious Disorder Imposed on Self` le gbe be nɔnɔmea le yewo ŋu. Ke hã, ne èle klalo la, àte ŋu axɔ atike.

Zi geɖe la, àhiã atikewɔwɔ tso ɖɔkta ɖeka gbɔ alo ɖɔkta eve siwo ƒe dɔ tɔxɛwo to vovo (le kpɔɖeŋu me, tagbɔdɔdala kple ƒomea ƒe ɖɔkta) ƒe atikewɔwɔ. Wò ɖɔktawo alé fɔ ɖe nuvevi wɔwɔ ame ɖokui dzi ɖeɖe kpɔtɔ ŋu eye woafia nu wò tso alesi nàlé be na ɖokuiwò ahaxe mɔ ɖe kuxiwo nu ŋu.

Nukae adzɔ le atikewɔwɔ vɔ megbe? (Nyagblɔɖi) .

Wò hayahaya nɔ te ɖe alesi nàlɔ̃ faa alɔ̃ ɖe atikewɔwɔ ƒe ɖoɖo aɖe dzi ahawɔ ɖe edzi dzi. Ne èlɔ̃ ɖe dɔléle si wokpɔ le ŋuwò dzi eye nèwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi le atikewɔwɔ me la, anɔ eme be nu nyui aɖe ado tso eme . Ne ègbe atikewɔwɔ alo do kpo dɔdamɔnua la, emetsonua manyo o, eye wò nuwɔna ate ŋu azu afɔku gã aɖe, eye wòate ŋu ade wò agbe afɔku me gɔ̃ hã.

Togbɔ be zi ɖeka koe ame aɖewo toa nɔnɔme sia me hã la, ame geɖe ate ŋu akpɔe enuenu le woƒe agbemeŋkekewo katã me, eyata ehiã be woayi edzi adae.

Ðe mɔ aɖe li si dzi woato axe mɔ ɖe esia nua?

Mɔ aɖeke meli si wonya si dzi woato axe mɔ ɖe nɔnɔme sia nu o, gake ne wodze atikewɔwɔ gɔme ne dzesiawo dze ko la, ate ŋu akpe ɖe ame ŋu be nu nyuitɔ kekeake nado tso eme.

Vevietɔ: `Factitious Disorder Imposed on Self` nye nɔnɔme si me afɔku le, si ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã. Ne ègblẽa nu le ɖokuiwò ŋu edziedzi alo noa atike na dzesi siwo mele ŋuwò o la, àte ŋu akpɔ nugbegblẽ sesẽ siwo akpɔ ŋusẽ ɖe alesi wò ŋutilã wɔa dɔe dzi. Dodokpɔ alo dɔdamɔnu siwo mehiã o wɔwɔ hã ate ŋu agblẽ nu le wò ŋutilã ŋu wu viɖe.

Gakpe ɖe eŋu la, ame geɖe siwo ŋu wokpɔ be `Factitious Disorder Imposed on Self` le wo ŋu la le afɔku me be woaxɔ atike muamewo zazã ƒe dɔléle kple wo ɖokui wuwu.

Ne wò alo wò lɔlɔ̃tɔ aɖe le nu gblẽm le ye ɖokui ŋu alo ameɖokuiwuwu ƒe susu le yewo ŋu bum la, yi atikewɔƒe enumake alo ƒo ka na 988 (Ameɖokuiwuwu Kple Xaxa ƒe Kpekpeɖeŋunaƒe). Ne wò ŋutɔ alo wò lɔlɔ̃tɔ aɖe se le ɖokuiwò me be yewole afɔku me enumake la, ƒo ka na 911 alo wò nutoa me xexlẽdzesi kpata.

Aleke nàwɔ akpe ɖe ame sia tɔgbi ŋu?

Factitious Disorder Imposed on Self nye susu me dɔléle sesẽ aɖe. Ate ŋu asesẽ na amesi ŋu wòle be wòase alesi wògblẽa nu le ame ŋui gɔme. Ne nɔnɔme sia le wò lɔlɔ̃tɔa ŋu la, adze nu bɔbɔe be nàfia asi ne wole alakpa dam. Ke hã, esia ate ŋu ase le wo ɖokui me abe ame ŋutɔ ƒe amedzidzedze ene, eye woate ŋu awɔ nu ɖe ​​wò nyawo ŋu kple dziku, atsri nu, alo adãwɔwɔ.

Ðɔkta aɖewo ɖo aɖaŋu be nàƒo nu tso nuwɔna siawo ŋu na amea tẽ eye nàbiae nenye be nu te ɖe edzi, dzimaɖitsitsi, dzimaɖitsitsi, alo blanuiléle le eŋu. Ame bubuwo kafui be woawɔ mɔnu si me dzrewɔwɔ mele o, evɔ womagblɔ susu aɖeke o, eye woatsɔ wo ayi susuŋutinunyala gbɔ.

Ne mèka ɖe afisi nàdze egɔme tsoe dzi o la, di aɖaŋuɖoɖo tso ɖɔkta alo susumedɔléle ŋuti aɖaŋuɖola gbɔ .Woate ŋu afia nu wò, wò lɔlɔ̃tɔa, kple wò ƒometɔwo kple xɔlɔ̃wo tso nɔnɔmea ŋu. Ne miewɔ dɔ ɖekae la, miate ŋu akpe asi ɖe eŋu be miaƒe lɔlɔ̃tɔa wɔ ɖe woƒe atikewɔwɔ ƒe ɖoɖoa dzi. Kplɔ wo yi susuŋutinunyala gbɔ kple/alo atikewɔwɔ ƒe ɣeyiɣiwo. Kpekpeɖeŋu nana wò lɔlɔ̃tɔa (menye be nàda asi ɖe woƒe nuwɔna dzi o) nye mɔ nyuitɔ si dzi nàto akpe ɖe amesi ŋu Factitious Disorder Imposed on Self le ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne wò alo wò lɔlɔ̃tɔ aɖe le `Factitious Disorder Imposed on Self` ƒe nuwɔnawo ɖem fia la, yi ɖɔkta gbɔ. Dɔléle sia dada kaba ate ŋu akpe ɖe ŋuwò nàɖe afɔku si ate ŋu agblẽ nu le ŋuwò dzi akpɔtɔ eye wòana wò nyonyo nanyo ɖe edzi.

Nya kawoe wòle be nàbia ɖɔktaa?

• Atikewɔwɔ kae nyo nam wu?
• Ðe susumedɔléle bubu si do ƒome kplii le ŋunye, abe blanuiléle alo amenyenye ƒe kuxi aɖe enea?
• Ðe nàte ŋu akafu tagbɔdɔdala alo atikewɔla aɖe?
• Zi nenie wòle be makpɔ wò be woawɔ atike na wò?
• Aleke mawɔ aƒo nu tso nɔnɔme sia ŋu na xɔ̃nyewo kple ƒonyemetɔwo?

Vovototo kae le esia kple ``malingering'' dome?

Ne èle gome kpɔm le `(Malingering)` nuwɔna me la, ke èle fefem be yeakpɔ nane si dze ƒã (e.g., dɔ alo suku si bu, bonus xɔxɔ). Ame si ŋu `Factitious Disorder Imposed on Self` le la mekpɔa naneke le nyanya me o. Ke boŋ nuwɔna siawo ate ŋu ana seselelãme ƒe viɖe aɖe nasu ame si le manyamanya me .

Vovototo kae le dɔléle aɖe kpɔkpɔ le susu me na ame ɖokui kple dɔléle aɖe kpɔkpɔ le susu me na ame bubu (Munchausen Syndrome by Proxy) dome?

`Factitious Disorder Imposed on Self` (tsã la, `Munchausen Syndrome`) kple `Factitious Disorder Imposed on Another` (tsã la, `Munchausen Syndrome by Proxy`) nye `Factitious Disorders` ƒomevi eve.

• `Factitious Disorder Imposed on Self` fia be nàwɔ abe ɖe dɔléle aɖe le ŋuwò ene.
• `Factitious Disorder Imposed on Another` nye ne èwɔ abe ɖe ame aɖe si le wò dzikpɔkpɔ te (e.g. ɖevi alo ame tsitsi) ƒe dzesiwo le dɔléle aɖe ŋu ene. Àte ŋu agblẽ nu le ame aɖe si le wò dzikpɔkpɔ te ŋu eye nàna wòaɖe ŋutilã alo tagbɔdɔléle aɖe si mele wo si ŋutɔŋutɔ o ƒe dzesiwo afia. Esia nye ŋlɔmiwɔwɔ.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Factitious Disorder Imposed on Self nye susu me dɔléle sesẽ aɖe si gblẽa nu le ame ɖokui ŋu. Ate ŋu asesẽ be woakpɔ dɔlélea ahadae. Gake, ne èle klalo la, atikewɔwɔ aɖewo li siwo akpe ɖe ŋuwò.

Àte ŋu ana wò lɔlɔ̃tɔwo nanya nu tso wò nɔnɔmea ŋu, ale be woate ŋu akpe ɖe ŋuwò nàbia akɔnta tso asiwò. Azɔ hã, ele vevie ŋutɔ be nàgblɔ nyateƒea ne èkpɔ wò ɖɔktawo, elabena wodi be yewoawɔ nusi nyo na wò eye yewoakpe ɖe ŋuwò "anye wò ŋutɔŋutɔ."

Ne èle nu gblẽm le ɖokuiwò ŋu bum la, yi ɖɔkta gbɔ enumake. Ne wò ŋutɔ alo wò ame vevi aɖe ɖo afɔku me enumake la, ƒo ka na dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ enumake. Ðo ŋku edzi be kpekpeɖeŋu biabia menye gbɔdzɔgbɔdzɔ ƒe dzesi o, ke boŋ enye ŋusẽ ƒe dzesi.

` Factitious Disorder Imposed on Self, Munchausen Syndrome, Susu ƒe Lãmesẽ, Aʋatso Dzesiwo, Nuveviwɔame Ðokui, Tagbɔdɔléle, Atikewɔwɔ