Ðe nèsena le ɖokuiwò me be yele dɔ lém ɣesiaɣi togbɔ be ŋutilãmedɔléle aɖeke mele ŋuwò oa? Mina míaƒo nu tso (Somatic Symptom Disorder) sia ŋu!

Ðe nèse le ɖokuiwò me kpɔ be togbɔ be yeyi ɖɔkta gbɔ eye wògblɔ be dɔléle sesẽ aɖeke mele ye ŋu o hã la, yegakpɔtɔ le dɔ lém vevie eye dzesiwo dzena ɖe wo nɔewo yomea? Alo ɖe nèsena le ɖokuiwò me be agba gã aɖe kple dzimaɖitsitsi le ye ŋu ne dɔléle sue aɖe le ŋuwò gɔ̃ hã? Ðe nusiawo xea mɔ na wò be màte ŋu awɔ wò gbesiagbedɔwo nyuie oa? Ne nenemae la, ke nyati si ŋu míele nu ƒom tsoe egbea la anɔ vevie na wò ŋutɔ.

Nukae nye ``Somatic Symptom Disorder''?

Kpuie ko la, `(Somatic Symptom Disorder - SSD)` nye susu ƒe nɔnɔme si me nèkpea fu akpa eye nètsia dzi ɖe nane ŋu, ne menye ŋutilãmedɔ ŋutɔŋutɔe wònye o gɔ̃ hã, alo ne míagblɔe tututu la, nane si le sue hã. Nusi dzɔna le esia me enye be wò dzimaɖitsitsi kple vɔvɔ̃ nana ŋutilã me dzesiwo dzena, alo nana dzesi siwo li xoxo la gagblẽna ɖe edzi. Esia ate ŋu agblẽ nu le wò gbesiagbegbenɔnɔ ŋu eye wòaɖe vivisese si le asiwò le agbe me dzi akpɔtɔ.

Nu vevitɔe nye be, ame siawo mele nu wɔm o. Wole vevesese ma, vevesese ma me tom ŋutɔŋutɔ. Gake nusitae wòku ɖo la do ƒome kple susu ƒe dɔwɔwɔ wu dɔléle sesẽ aɖe si le ŋutilãa me. Ame siawo yia ɖɔktawo gbɔ ɣesiaɣi, wowɔa dodokpɔwo, gake woƒe susu medzea akɔ anyi o.

Vovototo kae le `(Somatic Symptom Disorder)` kple `(Dɔléle ƒe Dzimaɖitsitsi ƒe Dɔléle)` dome?

Fifia àte ŋu anɔ ɖokuiwò biam be ɖe esia sɔ kple `(Dɔléle ƒe Dzimaɖitsitsidɔ)` hã. Wo ame evea to vovo vie. Zi geɖe la, ame si ŋu `(Dɔléle ƒe Dzimaɖitsitsi ƒe Dɔléle)` le la mekpɔa ŋutilã me dzesi gãwo o, gake wosusuna ɣesiaɣi be yewole dɔléle sesẽ aɖe xɔ ge, alo wovɔ̃na vevie be dɔléle aɖe le ye ŋu xoxo, eye esiae nye nusi ŋu wobuna. Gake le `(Somatic Symptom Disorder) me la, wosea ŋutilã me dzesiawo ŋutɔŋutɔ, eye ema ŋue wotsia dzi ɖo wu eye wotsia dzimaɖi wu.

Vovototo kae le `(Tɔtrɔ ƒe Dɔléle)` kple `(Somatic Symptom Disorder)` dome?

Nenema kee wòle le `(Tɔtrɔ ƒe Dɔléle - Functional Neurological Symptom Disorder)` hã ​​gome. Le esia me la, le kuxi aɖe si le lãmekawo ƒe dɔwɔwɔ me (gake menye le ŋutilã me nugbegblẽ le lãmekawo ŋu ta o) ta la, dzesiwo abe azɔlizɔzɔ ƒe ŋutetemanɔamesi, nuƒoƒo ƒe ŋutetemanɔamesi, kple nukpɔkpɔ ƒe bublu ene dona. Ke hã, le `(Tɔtrɔ ƒe Dɔléle)` me la, dzimaɖitsitsi kple nuteɖeamedzi fũ ɖe ŋutilã me dzesi siwo doa mo ɖa ŋu menye nu vevitɔ o. Ke hã, le `(Somatic Symptom Disorder)` me la, nu vevitɔe nye dzimaɖitsitsi fũu akpa ɖe ŋutilã me dzesiwo kple nuteɖeamedzi si dona tso eme ta.

Amekawoe nɔnɔme sia gblẽa nu le? Aleke gbegbe wòbɔe?

``(Somatic Symptom Disorder)`` nɔnɔme sia ateŋu adze ɖeviwo, sɔhɛwo, kple ame tsitsiwo dzi. Zi geɖe la, nɔnɔme sia ƒe dzesiwo dzea egɔme dzena hafi woxɔa ƒe 30. Ele be míade dzesii be nyɔnuwo kpɔa dɔléle sia abe zi gbɔ zi ewo ene wu ŋutsuwo.

Esia mebɔ nenema gbegbe o. Ðɔktawo gblɔ be ame tsitsiwo ƒe 5% va ɖo 7% ate ŋu axɔ dɔléle sia.

Nukae nye `(Somatic Symptom Disorder)` ƒe dzesiwo kple dzesiwo?

Ame si ŋu nɔnɔme sia le ate ŋu akpɔ ŋutilã me dzesi vovovowo. Dzesi siwo bɔ wue nye:

• Ŋutilã ƒe vevesese (esiae nye dzesi si ŋu woka nya ta le wu). Ate ŋu anye nusianu tso taɖuame, dɔgbo ƒe vevesese, va ɖo ƒunukpeƒeveame dzi.
• Ðeɖiteameŋu, agbemanɔamesi ƒe seselelãme.
• Yagbɔgbɔ sesẽ (woyɔnae ɣeaɖewoɣi be ``Dyspnea'', si fia be woase le wo ɖokui me be gbɔgbɔtsixe tsi ye alo gbɔgbɔ sesẽ na ye).

Dzesi siawo ate ŋu anɔ bɔbɔe, alo woate ŋu asẽ. Dzesi ɖeka alo esi wu nenema ate ŋu anɔ eme. Ðewohĩ atikewɔwɔ me susu aɖe li si tae wòle alea ɖo, alo susu aɖeke si dze ƒã manɔ anyi o.

Ke hã, tsɔ kpe ɖe ŋutilã me dzesi siawo ŋu la, ``Somatic Symptom Disorder`` ƒe nɔnɔme vevitɔwoe nye alesi ame siawo bua tamee, wɔa nui, eye wosena le wo ɖokui me le wo ŋu. Ema nye:

• Wova vɔ̃na akpa eye wotsia dzi ɖe woƒe ŋutilã me dzesiwo ŋu.
• Wosusuna be dzesi sue aɖe gɔ̃ hã nye dɔléle si wua ame ƒe dzesi. Bu eŋu kpɔ, ne ƒodo meve wò vie la, àtsi dzi ŋkeke geɖe, anɔ susum be, ‘Oo, nyemenya ne kansa gɔ̃ hã le ŋunye o.’
• Woyia ɖɔktawo gbɔ hewɔa dodokpɔwo kple dodokpɔwo, gake ne dodokpɔa me tsonuawo trɔ gbɔ la, womexɔa wo dzi sena o. Wosusuna be, "Ðɔkta mate ŋu akpɔ nye dɔlélea o."
• Mesena le ɖokuinye me be ɖɔktaa metsɔ ɖeke le nye dɔlélea ƒe dzesiwo me ŋutɔŋutɔ o.
• Trɔtrɔ tso ɖɔkta ɖeka gbɔ yi bubu gbɔ, alo atike xɔxɔ tso ɖɔkta geɖe gbɔ le ɣeyiɣi ɖeka me (woyɔa esia hã be `ɖɔkta ƒe asiƒle`).
• Wozãa ɣeyiɣi kple agbagbadzedze geɖe tsɔ bua woƒe lãmesẽkuxiwo ŋu hekpɔa wo gbɔ kpɔnu.
• Edze abe mesea veve ɖe atikewo ƒe nugbegblẽ le ame ŋu nu ŋutɔ ɣesiaɣi ene. Megblɔna ɣesiaɣi be, ‘Oo, ɖɔkta, le atike ma nono vɔ megbe la, esia dzɔ ɖe dzinye, esia dzɔ ɖe dzinye.’
• Wodzea ŋuɖoɖo ɖe ame bubuwo ŋu gɔme. Wobiaa kpekpeɖeŋu, be woakpe ɖe yewo ŋu le seselelãme gome. Wodoa dziku ne womekpɔ woƒe nuhiahiãwo gbɔ o.
• Tamesusu, seselelãme, kple nuwɔna siwo ku ɖe woƒe ŋutilã me dzesiwo ŋu wɔnɛ be manya wɔ be woawɔ gbesiagbedɔwo nyuie o.

Vevietɔ la, amesiwo ŋu Somatic Symptom Disorder le ƒe 30% va ɖo 60% hã ateŋu akpɔ susumedɔléle siwo dzɔna ɖekae abe dzimaɖitsitsi kple/alo blanuiléle ene.

Nukawoe nye susu siwo tae wòle alea ɖo?

Nukatae esia dzɔna ɖo? Numekulawo gblɔ be nu geɖe li siwo ate ŋu ahe esia vɛ. Esiawo dometɔ aɖewoe nye domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi, nutoa me ƒe nɔnɔmewo, kple susumenuwo. Nu vevi siwo wokpɔ be nusiwo gbɔ wòtsona dometɔ aɖewoe nye:

• Ŋutilã alo gbɔdɔdɔ ƒe ŋutasẽnuwɔwɔ le ɖevime. Nu siawo ƒomevi ate ŋu ahe seselelãme ƒe fuɖename vɛ.
• Ŋutete si ame mate ŋu ase eƒe seselelãmewo gɔme ahakpɔ wo dzi nyuie le ɖevime o. Esia ateŋu atso nuwo abe `Dzilawo ƒe Ðekematsɔleme` alo `Seselelãme ƒe Teteɖeanyi ƒe Manɔmanɔ` gbɔ ɣeaɖewoɣi, si nye lɔlɔ̃, susu, alo seselelãme ƒe kplikplikpli ƒe anyimanɔmanɔ tso dzilawo gbɔ.
• Dzimaɖitsitsi fũ ɖe tɔtrɔ siwo ava wò ŋutilã kple wò ŋutilã ƒe dɔwɔwɔ ŋu, anɔ ɖokuiwò biam ɣesiaɣi be yeadze dɔ hã.

Aleke wokpɔa dɔléle sia dzea sii?

Ne èyi ɖɔkta gbɔ la, ado wò kpɔ gbã (`Ŋutilãme Dodokpɔ`), eye ate ŋu aɖe gbe be woado ʋu kpɔ, aɖuɖɔ dodokpɔ, kple bubuawo hã (`Nudokpɔƒe Dodokpɔwo`). Wowɔa esia be woakpɔe ɖa be ŋutilã me nu bubu aɖe hã li si gbɔ dzesi siwo me tom nèle tsona hã. Abia nya tso wò dɔléle siwo nèkpɔ va yi hã ŋu (`Lãmesẽ Ŋutinya`).

Le dodokpɔ siawo megbe la, ne woɖo kpe edzi be ŋutilãmedɔléle sesẽ aɖeke mele ŋuwò o, alo ne womete ŋu ke ɖe atikewɔwɔ me nusi gbɔ wò dzesiawo ƒe sesẽ tso o la, wò ɖɔkta ate ŋu aɖo wò ɖe susumedɔléle ŋuti aɖaŋuɖola , abe tagbɔdɔdala alo susuŋutinunyala ene .

Susu ƒe lãmesẽ ŋuti aɖaŋuɖola anɔ te ɖe dzidzenu tɔxɛ aɖewo dzi akpɔe ɖa be nɔnɔme aɖe si woyɔna be ``Somatic Symptom Disorder`` le ŋuwò hã. Be ame nate ŋu anya esia la, ele be:

1. Ele be ŋutilã me dzesi ɖeka alo esi wu nenema nanɔ ŋuwò si ado kplamatse wò gbesiagbegbenɔnɔ eye wòaɖe fu na wò ɣleti ade ya teti .

2. Azɔ hã, ele be tamesusu, seselelãme, alo nuwɔna siwo gbɔ eme nanɔ anyi le dzesi mawo ŋu. Eyae nye be ele be nusiwo gbɔna dometɔ ɖeka ya teti nanɔ anyi:

• Ŋutilã me dzesiwo ƒe sesẽ ŋu bubu fũ akpa kple ɣeyiɣi didi.
• Dzimaɖitsitsi si nu sẽ atraɖii ɖe lãmesẽ alo ŋutilã me dzesiwo ŋu.
• Ɣeyiɣi kple ŋusẽ geɖe zazã ɖe ŋutilã me dzesiwo kple lãmesẽkuxiwo ŋu.

Le amesiwo ŋu `(Somatic Symptom Disorder)` sia le gome la, ateŋu asesẽ ɣeaɖewoɣi be woalɔ̃ ɖe edzi be yewoƒe dzimaɖitsitsiwo kple vɔvɔ̃wo "sɔ gbɔ akpa."

Ðe atike aɖe li na esia?

Ẽ, keŋkeŋ. Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be woaɖu ŋutilã me dzesiwo dzi esime wole susu me dzesiwo hã dam. Esia bia nuƒoƒo ƒe atikewɔwɔ (tagbɔdɔdamɔnu) kple ɣeaɖewoɣi atike na dzimaɖitsitsi kple blanuiléle si gbɔ wòtso .

Sidzedze ƒe Nuwɔna Ŋuti Dɔdamɔnu (CBT) nye susumedɔdada ƒomevi aɖe si wozãna zi geɖe. Ekpena ɖe amewo ŋu wotrɔa woƒe tamebubu kple nuwɔna, si wɔnɛ be wotrɔa alesi wosena le wo ɖokui me. Le tagbɔdɔdala alo susuŋutinunyala ƒe mɔfiafia te la, CBT ate ŋu akpe ɖe amewo ŋu woakpɔ dzimaɖitsitsi kple nuteɖeamedzi gbɔ eye woanɔ te ɖe nɔnɔme vovovowo nu nyuie wu.

Ne `(Somatic Symptom Disorder) le ŋuwò la, `(CBT)` ateŋu akpeɖe ŋuwò le nuwo abe:

• Da wò seselelãmewo kple dzixɔsewo kpɔ le wò ŋutilã me dzesiwo kple wò lãmesẽ bliboa ŋu.
• Di mɔ siwo dzi nàto aɖe nuteɖeamedzi kple dzimaɖitsitsi ɖe wò dzesiwo ŋu dzi akpɔtɔ.
• Dzudzɔ wò ŋutilã me dzesiwo ŋu bubu vevie.
• De dzesi nusiwo nana wò ŋutilã me dzesiwo gagblẽna ɖe edzi.
• Ne vevesese alo dzesi bubuwo le ŋuwò hã la, di mɔ siwo dzi nàto anɔ dɔ dzi ahanɔ ha dem.
• Wɔ wò gbesiagbedɔwo nyuie wu.

Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu aŋlɔ atikewo abe blanuilélenutsitikewo ene na wò . Tsɔ kpe ɖe seselelãme ƒe nyonyo ŋu la, woka nya ta be esiawo kpena ɖe ame ŋu wòɖea dzesiwo abe vevesese, ɖeɖiteameŋu, ƒunukpeƒeveame, kple alɔ̃madɔmadɔ ene dzi kpɔtɔna.

Nukawoe nye nusiwo ate ŋu ahe nɔnɔme sia vɛ?

Numekukuwo de dzesi afɔku geɖe siwo nana nɔnɔme sia va doa mo ɖa. Kpɔɖeŋu aɖewoe nye:

• Lé ŋku ɖe ŋutilã ƒe seselelãmewo ŋu fũ akpa.
• Atike Vɔ̃ɖiwo Zazã ƒe Dɔléle.
• Ahanono ƒe Dɔléle.
• Ðekematsɔleme le ɖevime.
• Be woawɔ ŋlɔmi le ame ŋu le ŋutilã me kple gbɔdɔdɔ ƒe agbegbegblẽnɔnɔ me.
• Agbenɔnɔ si me zitɔtɔ le/Trauma.
• Dɔléle siwo nɔa anyi didi le ɖevime ƒe fukpekpe (`Dɔléle si nɔa anyi didi le ɖevime`).
• Tagbɔdɔléle bubuwo ƒe amesinɔnɔ, vevietɔ dzimaɖitsitsi alo blanuiléle.
• Amenyenye ƒe kuxi aɖewo ƒe amesinɔnɔ, le kpɔɖeŋu me, Avoidant Personality Disorder, Paranoid Personality Disorder, kple Obsessive-Compulsive Personality Disorder.

Tagbɔdɔdada ate ŋu akpe ɖe amesiwo ŋu SSD le ŋu woasrɔ̃ mɔ bubu siwo dzi woato akpɔ nuteɖeamedzi kple nusiwo hea dɔlélea vɛ siwo dzia dzesiawo ɖe edzi gbɔ. Esia ate ŋu akpe ɖe ame ŋu be woaɖe woƒe dzesiawo ƒe sesẽ dzi akpɔtɔ.

Nukae nye nɔnɔme sia ƒe ŋgɔdonya?

Anɔ eme be Somatic Symptom Disorder nye dɔléle si nɔa anyi didi (si nɔa anyi didi). Eyae nye be ate ŋu anye nɔnɔme si me dzesiawo va dona eye wodzona le, eye ɣeyiɣi aɖewo ƒe tsɔtsɔke, si nɔa anyi tso ɣleti ʋɛ aɖewo va ɖo ƒe geɖe.

Ne womewɔ atike na Somatic Symptom Disorder o la, ate ŋu ahe nusiwo gbɔna vɛ:

• Gbesiagbe dɔwɔnawo ƒe seɖoƒe.
• Dɔwɔwɔ ƒe ŋutetemanɔamesi alo dɔwɔwɔ nyuie dzi ɖeɖe kpɔtɔ le dɔwɔƒe.
• Susu ƒe Nuwɔametɔnyenye.
• Agbenɔnɔ ƒe nyonyome dzi ɖe kpɔtɔ.
• Ahanono kple atike muamewo zazã ƒe numame.

Gake nya nyuiae nye be ne woda dɔ na ame geɖe la, woate ŋu akpɔ dɔyɔyɔ alo woƒe dzesiwo dzi aɖe akpɔtɔ ŋutɔ. Eyata ele vevie be mɔkpɔkpɔ nanɔ ame si.

Aleke malé be na ɖokuinye?

Ne wokpɔe be Somatic Symptom Disorder le ŋuwò la, afɔɖeɖe siawo wɔwɔ akpe ɖe ŋuwò le wò atikewɔwɔ kple hayahaya me:

• Tu ƒomedodo nyui, si me nuwɔwɔ aduadu, kple kakaɖedzi le ɖo kple wò lãmesẽdɔwɔla vevitɔ, ɖɔkta si gbɔ nèyina edziedzi.
• Na atikewɔla gbãtɔ ma ke nanɔ asiwò. Esia ate ŋu akpe ɖe ŋuwò nàƒo asa na dodokpɔ kple atikewɔwɔ siwo mehiã o.
• Kpɔ wò ɖɔkta edziedzi be nàkpɔ alesi nèle te nɔm ɖe wò ŋutilã me dzesiwo nu.
• Kpɔ wò susuŋutinunyala (susuŋutinunyala alo aɖaŋuɖola) gbɔ edziedzi be nàkpɔ wò susu ƒe lãmesẽ ƒe dzesiwo, abe dzimaɖitsitsi kple vɔvɔ̃ si gbɔ eme ene gbɔ ahalé ŋku ɖe wo ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta tso nya sia ŋu?

Ele vevie ŋutɔ be nàkpɔ wò lãmesẽdɔwɔla vevitɔ kple/alo susumedɔdala ne nusiawo dometɔ aɖe le ŋuwò:

• Ne ètsi dzimaɖi ɖe wò ŋutilã me dzesiwo ŋu ale gbegbe be màte ŋu awɔ naneke tso wo ŋu o, alo be wodoa kplamatse wò gbesiagbedɔwo.
• Ne dzimaɖitsitsi alo blanuiléle ƒe dzesiwo le ŋuwò (wòlé blanui ɣesiaɣi, mètsɔ ɖeke le naneke me o, alɔ̃dɔdɔ sesẽna na wò, màte ŋu aɖu nu o, kple bubuawo).

Nu vevitɔ si dzi wòle be míaɖo ŋkui enye be Somatic Symptom Disorder (SSD) nye susumedɔléle. Abe susumedɔlélewo katã ene la, kpekpeɖeŋu didi ne dzesiawo nya dze ko ate ŋu akpe ɖe ŋuwò nàɖe tɔtɔ si le wò agbe me dzi akpɔtɔ. Susuŋutinunyalawo ate ŋu ana atikewɔwɔ ŋuti ɖoɖowo be woakpe ɖe ŋuwò nàkpɔ wò tamesusuwo kple nuwɔnawo dzi.

Eyata nukae míetsɔna yia aƒemee tso ŋutinya sia me?

Kpuie ko la, ``Somatic Symptom Disorder`` nye nɔnɔme si me nètsia dzimaɖi fũu akpa eye nètsia dzi ɖe ŋutilã me dzesiwo ŋu, ne dɔléle gã aɖeke mele wò ŋutilã me o gɔ̃ hã. Esia menye nusi nèsusuna le susu me o, ke boŋ enye nusi nèsena le ɖokuiwò me ŋutɔŋutɔ. Susu si tae wòle alea ɖo la do ƒome kple susu wu ŋutilã.

• Ne dzesi siawo tɔgbe le ŋuwò, si fia be tsɔ kpe ɖe ŋutilã me dzesiwo ŋu la, èle vɔvɔ̃ kple dzimaɖitsitsi si gbɔ eme le eŋu, si le wò gbesiagbedɔwo gblẽm la, mègakpe ŋu alo nàvɔ̃ be yeayi ɖɔkta alo susumedɔléle ŋuti aɖaŋuɖola gbɔ o .
• Ne wowɔ atike nyuie (vevietɔ susumedɔdada abe CBT ene kple ne ehiã la, atikewo) kple kpekpeɖeŋu la, woate ŋu akpɔ nɔnɔme sia gbɔ nyuie.
• Menye wò ɖeka koe o, ame bubuwo hã to nusiawo me kpɔ. Nu vevitɔ kekeakee nye be nàbia kpekpeɖeŋu ahadi atike. Mɔ geɖe li siwo dzi míato akpɔ gbɔdzɔe.

` Somatic symptom disorder, ŋutilã me dzesiwo, susu ƒe lãmesẽ, dzimaɖitsitsi, blanuiléle, CBT, susumedɔdada