Ke hoʻāʻo nei ʻoe e maʻi? A i ʻole ke hana nei ʻoe e like me ia? Hiki i kēia ke ʻano he 'Factitious Disorder Imposed on Self' (i ʻike mua ʻia ʻo 'Munchausen Syndrome')!

Ua lohe paha ʻoe i kekahi e hoʻohālike ana he maʻi a i ʻole e hoʻohālike ana he maʻi? E kahaha paha ʻoe i ka lohe ʻana i kēia. Akā, he pilikia olakino noʻonoʻo maoli kēia. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano kūlana.

He aha maoli kēia? 'Ka maʻi hoʻopunipuni i hoʻokau ʻia ma luna o ʻoe iho'?

I ka ʻōlelo maʻalahi, ʻo ka 'Factitious Disorder Imposed on Self' he ʻano noʻonoʻo ia kahi āu e hoʻohālike ai he maʻi ʻoe, a i ʻole e hoʻohālike ana he mau hōʻailona kou, a i kekahi manawa e hoʻāʻo e hoʻomaʻi iā ʻoe iho . Ua kapa ʻia kēia ma mua ʻo '(Munchausen Syndrome)'.

I ka manawa pinepine, hōʻike kēia poʻe i nā hōʻailona e pili ana i nā maʻi kino. E noʻonoʻo i ka ʻeha o ka umauma, ka ʻeha o ka ʻōpū, a i ʻole ke kuni. Eia nō naʻe, hiki i ke kanaka me kēia maʻi ke loaʻa i nā hōʻailona noʻonoʻo, e like me nā hallucinations a i ʻole ka lohe ʻana i nā leo.

He kūlana weliweli iki kēia, no ka mea, ma o kēia ʻano hana hiki iā ʻoe ke hana i ka "hōʻeha iā ʻoe iho" .

Pehea i loaʻa ai ka inoa ʻo 'Munchausen Syndrome'?

Ua kapa mua ʻia kēia maʻi ʻo 'Munchausen Syndrome' ma hope o Baron Munchausen, he luna Kelemania o ke kenekulia 18. Ua kaulana ʻo ia no kāna mau moʻolelo hoʻonui e pili ana i kona ola a me nā ʻike. No laila, i kēia hihia, ua hoʻonui ʻia nā hōʻailona, ​​ʻo ia ke kumu i kapa ʻia ai pēlā. Eia naʻe, ʻaʻole hōʻike maoli kēlā inoa i ka paʻakikī o kēia ma ke ʻano he maʻi noʻonoʻo. ʻO ia ke kumu e hoʻohana ai nā kauka i kēia lā i ka inoa ʻo 'Factitious Disorder Imposed on Self'.

Pehea ka maʻamau o kēia ʻano?

ʻAʻole maʻamau ka Factitious Disorder Imposed on Self. He mea paʻakikī ke ʻōlelo pololei i ka nui o ka poʻe i loaʻa iā ia. No ka mea, he nui ka poʻe e hele i nā kauka like ʻole no ka mālama ʻana, ʻaʻole hiki ke loaʻa nā helu pololei.

He aha ke ʻano o kēia ʻano hana?

Aia kekahi mau ʻano hana e ʻike ʻia ma kēia kūlana:

• Ke hoʻohālike nei he mau hōʻailona kino (e like me ke poʻo, ka ʻeha ʻōpū, ka ʻeha umauma) ʻaʻole maoli ma laila.
• Ke hoʻohālike nei he mau hōʻailona noʻonoʻo ʻaʻole maoli ma laila (e.g., ʻike ʻana i nā mea i ʻole ma laila, lohe ʻana i kekahi e kamaʻilio ana).
• Ka hoʻomaʻi ʻana iā ʻoe iho a i ʻole ke kumu ʻana i nā hōʻailona kino (e like me ka hōʻino ʻana i kahi ʻeha ma ka ʻae ʻole ʻana e ho'ōla, ka luaʻi ʻana, a i ʻole ka ʻai ʻana i kahi mea ʻawahia).

He aha nā ʻano āu e ʻike ai ma kēia?

Inā loaʻa iā ʻoe ka 'Factitious Disorder Imposed on Self', hiki iā ʻoe ke hoʻopunipuni a hoʻonui paha i nā hōʻailona. Hiki paha iā ʻoe:

• Hiki iā ʻoe ke wahaheʻe a ʻōlelo he mau hōʻailona kou ʻaʻole iā ʻoe.
• Hiki ke ʻike ʻia nā hōʻailona hou ma hope o ka hiki ʻana mai o nā hopena hoʻāʻo a i ʻole ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau.
• Hiki ke ʻike ʻia nā hōʻailona ke noho hoʻokahi ʻoe .
• Hiki ke hoʻololi ʻia nā hoʻokolohua diagnostics (e laʻa, me ka hoʻohui ʻana i kahi mea ʻē aʻe i kahi hāpana mimi).
• Hiki iā lākou ke hoʻohālike e lawe ana i ka lāʻau lapaʻau, hūnā, a waiho paha i waho.
• Hiki iā ʻoe ke hōʻeha iā ʻoe iho i nā manawa a pau .

ʻO nā hōʻailona ʻē aʻe paha:

• Nā moʻolelo lapaʻau kūʻē.
• Ke hoʻololi ʻana i ka ʻike o ke kanaka a i ʻole ka hōʻike ʻana i kahi ʻike wahaheʻe.
• Ke hele nei i nā haukapila like ʻole a me nā kikowaena lapaʻau no ka mālama ʻana.
• Ke kānalua nei e ʻae i nā kauka e ʻike i ko lākou ʻohana, a i ʻole e kamaʻilio me nā kauka i mālama mua iā lākou.
• Ka makemake e hana i nā hoʻokolohua a i ʻole nā ​​​​lāʻau ʻeha.

No ke aha lā kēia e hana nei? He aha nā kumu?

ʻAʻole maopopo loa i nā kauka ke kumu o ka Factitious Disorder. Eia nō naʻe, hōʻike nā noiʻi he hiki ke hana ʻia e nā kumu noʻonoʻo (nā ʻāpana o kou ʻano e hoʻopilikia ai i kou mau manaʻo a me kāu mau hana) a me nā kumu olaola (nā kemika i loko o kou lolo a me ke ʻano genetic).

Ua hōʻike ʻia nā noiʻi e hiki i nā mea aʻe ke hoʻololi i kou ʻano e hoʻopunipuni i nā kauka:

• Ke makemake o kekahi kanaka e mālama i kou mau pono kino a noʻonoʻo paha.
• Ke ʻimi nei i ka mana a i ʻole ke kūlana kiʻekiʻe ma luna o haʻi.
• E hoʻēmi i ka hopohopo o ka haʻalele ʻia.
• E hana i kahi ʻano pilikino hou.

Eia nō naʻe, hiki ke hana ʻia kēia ʻano me ka ʻole o kekahi kumu maopopo .

He aha ke kumu o kēia ʻano hana?

ʻIke pinepine ka poʻe me kēia maʻi e hana ana lākou. Eia naʻe, ʻaʻole lākou e manaʻo i kekahi mau pono maopopo (e laʻa, ka haʻalele ʻana i ka hana, ka loaʻa ʻana o nā pono kīnā) mai ka hoʻopunipuni ʻana a i ʻole ka hoʻonui ʻana i kēia mau mea. ʻO kēia mau pono he mea i ʻike ʻole ʻia, he naʻau . ʻAʻole paha lākou e ʻike i nā pono a lākou e loaʻa nei.

He mea kēia i loaʻa mai nā hanauna mai?

ʻAʻohe pilina i ʻike ʻia ma waena o ka 'Factitious Disorder Imposed on Self' a me nā genes. Ke hana ʻia nei nā noiʻi hou aʻe e hoʻoholo ai i ke kumu.

ʻO wai ka mea i pilikia nui no kēia maʻi?

ʻOiai he maʻi kakaikahi ka Factitious Disorder, hiki ke hoʻonui ʻia kou pilikia inā ua loaʻa iā ʻoe kēia mau mea:

• ʻO ka hana ʻino ʻia a i ʻole ka mālama ʻole ʻia i ka wā kamaliʻi.
• Ke ʻike nei i ka trauma nui.
• Nā maʻi e hoʻopilikia pinepine iā ʻoe a i ʻole kāu mea aloha.
• Ke alo ʻana o nā hana kūpono ʻole i loko o ka ʻohana.
• Ma hope o ka hoʻolilo ʻana i ka manawa nui ma kahi e hoʻolako ana i nā pono lapaʻau.

Pehea e ʻike ai nā kauka i kēia?

He mea paʻakikī iki i nā kauka ke ʻike i ka 'Factitious Disorder Imposed on Self'. Hoʻopau mua ke kauka i nā kūlana kino a me ka noʻonoʻo ʻē aʻe a hoʻokumu i nā pae hōʻailona. Pono e loaʻa nā hōʻike maopopo e hoʻopunipuni ana ʻoe a haku wale paha i nā hōʻailona. Hana pinepine ʻia ka hōʻailona ma hope o kekahi mau hoʻokolohua a me nā lāʻau lapaʻau. Hana ʻia ka hōʻailona e nā kauka like ʻole e hana pū ana.

Aia kekahi hoʻāʻo kūikawā no kēia?

ʻAʻohe hoʻāʻo kikoʻī e ʻike ai i ka 'Factitious Disorder Imposed on Self'. Hiki ke hana i nā hoʻāʻo koko, nā hoʻāʻo mimi, a me nā '(Imaging tests)' e kāpae i nā maʻi ʻē aʻe.

Hana kāu kauka i kahi hōʻailona ma ka hoʻopau ʻana i nā maʻi kino a i ʻole nā ​​​​kūlana psychiatric ʻē aʻe a me ka nānā ʻana i kou mau ʻano a me kāu mau hana.

I kekahi mau hihia, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi kauka noʻonoʻo a i ʻole psychologist (nā loea i hoʻomaʻamaʻa kūikawā ʻia e ʻike a mālama i nā kūlana olakino noʻonoʻo). Hana nā psychiatrist a me nā psychologists i kahi loiloi me ka hoʻohana ʻana i ka mōʻaukala lapaʻau piha, ka mōʻaukala kino, nā hoʻokolohua hale hana a/a i ʻole nā ​​​​​​hoʻokolohua kiʻi, a me nā mea hana loiloi psychological.

ʻO ka maʻi hoʻopunipuni i kau ʻia ma luna o ʻoe iho ma ka DSM-5

E hoʻohana kāu mau kauka i ka Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) e hoʻohālikelike i kāu mau hōʻailona me nā pae hoʻohālikelike no kēia kūlana. ʻO ka DSM-5 ka puke maʻamau no ka ʻike ʻana i nā kūlana olakino noʻonoʻo ma ʻAmelika Hui Pū ʻIa.

ʻO nā pae hoʻohālikelike no ka 'Factitious Disorder Imposed on Self':

• Ke hoʻopunipuni nei i nā hōʻailona a me nā ʻōuli kino a noʻonoʻo paha, e hōʻeha ana a maʻi paha.
• Ke ʻike ʻia nei e kekahi poʻe he maʻi, nāwaliwali, a ʻeha paha.
• Ke ʻano hoʻopunipuni me ka manaʻo ʻole i ka loaʻa kālā o waho .
• ʻAʻole hiki ke wehewehe pono ʻia kēia ʻano e kekahi maʻi olakino noʻonoʻo ʻē aʻe.

Pehea e mālama ai? (Lapaʻau)

ʻO ka pahuhopu mua o ka mālama ʻana no ka 'Factitious Disorder Imposed on Self' ʻo ia ka hoʻololi ʻana i nā ʻano hana ʻino a hōʻemi i ka hoʻohana pono ʻole ʻana a i ʻole ka hoʻohana nui ʻana i nā kumuwaiwai lapaʻau. Ke hoʻokō ʻia kēia mau pahuhopu, e kālele ana kāu hui lapaʻau i nā kumu kumu o kāu ʻano.

ʻO ke kumu nui ka hōʻemi ʻana i ka pōʻino. Hiki i nā kauka ke hana pū e hōʻoia ʻaʻole ʻoe e hana i nā hoʻokolohua lapaʻau a i ʻole nā ​​​​lāʻau lapaʻau pono ʻole. Hiki i nā hoʻokolohua a me nā lāʻau lapaʻau he nui ke loaʻa nā hopena ʻino inā ʻaʻole ʻoe makemake iā lākou. E hana pū kāu mau kauka me ʻoe e pale aku i ka pōʻino ma muli o kāu mau pono.

ʻO ka Cognitive Behavioral Therapy (CBT), kahi ʻano psychotherapy e kālele ana i kou mau manaʻo a me nā ʻano hana, hiki ke kōkua i ka mālama ʻana i kēia maʻi. Hiki i ka ʻohana ke kōkua i kou ʻohana e aʻo hou e pili ana i ke ʻano. Hiki i ka hui therapy ke kōkua i ka hōʻemi ʻana i nā manaʻo o ka mehameha a i ʻole ka haʻalele ʻia.

Hiki ke paʻakikī ka mālama ʻana no ka mea he nui ka poʻe me ka `Factitious Disorder Imposed on Self` e hōʻole nei ua loaʻa iā lākou ke ʻano. Eia nō naʻe, inā ua mākaukau ʻoe, hiki iā ʻoe ke loaʻa ka mālama ʻana.

E pono pinepine ʻoe i ka lāʻau lapaʻau mai hoʻokahi kauka a i ʻole ka hui pū ʻana o ʻelua kauka me nā ʻoihana kūikawā like ʻole (no ka laʻana, he kauka noʻonoʻo a me ke kauka ʻohana). E kālele ana kāu mau kauka i ka hōʻemi ʻana i ka hōʻeha ponoʻī a me ke aʻo ʻana iā ʻoe pehea e mālama ai iā ʻoe iho a pale aku i nā pilikia.

He aha ka mea e hana ʻia ma hope o ka mālama ʻana? (Prognosis)

Aia kou ho'ōla ʻana ma kou makemake e ʻae i kahi hoʻolālā lapaʻau a hahai iā ia. Inā ʻoe e ʻae i kāu hōʻailona a hahai i nā ʻōlelo a kāu kauka i ka wā o ka lapaʻau ʻana, e loaʻa paha iā ʻoe kahi hopena maikaʻi . Inā ʻoe e hōʻole a haʻalele paha i ka lapaʻau, hiki ke maikaʻi ʻole ka hopena, a hiki i kāu ʻano ke lilo i mea weliweli loa, a hiki ke hoʻoweliweli i ke ola.

ʻOiai hoʻokahi wale nō ka ʻike ʻana o kekahi poʻe i kēia maʻi, hiki i nā poʻe he nui ke ʻike pinepine iā ia i ko lākou ola a pau, no laila pono ka mālama mau ʻana.

Aia kekahi ala e pale aku ai i kēia?

ʻAʻohe ala i ʻike ʻia e pale aku ai i kēia maʻi, akā ʻo ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona hiki ke kōkua i ka hoʻokō ʻana i nā hopena maikaʻi loa.

He mea nui: ʻO ka 'Factitious Disorder Imped on Self' he kūlana weliweli ia, a he mea hoʻoweliweli hoʻi i ke ola. Inā ʻoe e hōʻeha pinepine iā ʻoe iho a lawe paha i ka lāʻau lapaʻau no nā hōʻailona āu i loaʻa ʻole ai, hiki iā ʻoe ke loaʻa nā hopena ʻaoʻao koʻikoʻi e hoʻopilikia i ke ʻano o ka hana ʻana o kou kino. ʻO ka hana ʻana i nā hoʻokolohua a i ʻole nā ​​​​lāʻau lapaʻau pono ʻole hiki ke hana i ka ʻino ma mua o ka maikaʻi i kou kino.

Eia kekahi, nui ka poʻe i ʻike ʻia me ka 'Factitious Disorder Imposed on Self' e pilikia ana i ka maʻi hoʻohana ʻona a me ka pepehi kanaka iā lākou iho.

Inā ʻoe a i ʻole kekahi mea aloha e noʻonoʻo ana e hōʻeha iā lākou iho a i ʻole he mau manaʻo pepehi kanaka, e ʻimi koke i ke kōkua lapaʻau a kāhea aku paha i ka 988 (ka Suicide and Crisis Helpline). Inā manaʻo ʻoe a i ʻole kekahi mea aloha e pilikia koke ana lākou, e kāhea aku i ka 911 a i ʻole kāu helu ulia pōpilikia kūloko.

Pehea ʻoe e kōkua ai i kekahi e like me kēia?

He maʻi olakino noʻonoʻo koʻikoʻi ka Factitious Disorder Imposed on Self. Hiki ke paʻakikī i ka mea me ia ke hoʻomaopopo i kona pōʻino. Inā loaʻa i kāu mea aloha kēia maʻi, me he mea lā he mea maʻalahi ke kuhikuhi i ka wā e wahaheʻe ana lākou. Eia nō naʻe, hiki i kēia ke manaʻo he hoʻouka pilikino iā lākou, a hiki iā lākou ke pane i kāu mau ʻōlelo me ka huhū, ka pale ʻana, a i ʻole ka hoʻouka kaua.

Paipai kekahi mau kauka e kamaʻilio pololei i ke kanaka e pili ana i kēia mau ʻano a nīnau inā ke kaumaha nei lākou, hopohopo, hopohopo, a kaumaha paha. Paipai kekahi i ka lawe ʻana i kahi ala kūʻē ʻole, me ka hāʻawi ʻole ʻana i ke kumu, a kuhikuhi iā lākou i kahi psychologist.

Inā ʻaʻole ʻoe maopopo i kahi e hoʻomaka ai, e ʻimi i ka ʻōlelo aʻo mai ke kauka a i ʻole ke kākāʻōlelo olakino noʻonoʻo .Hiki iā lākou ke aʻo iā ʻoe, kāu mea aloha, a me kou ʻohana a me nā hoaaloha e pili ana i ke kūlana. Ma ka hana pū ʻana, hiki iā ʻoe ke kōkua i ka hōʻoia ʻana e hahai ana kāu mea aloha i kā lākou hoʻolālā lapaʻau pilikino. E lawe iā lākou e ʻike i kahi psychologist a/a i ʻole nā ​​​​hoʻonohonoho therapy. ʻO ke kākoʻo ʻana i kāu mea aloha (ʻaʻole e ʻae i kā lākou ʻano) ke ala maikaʻi loa e kōkua ai i kahi mea me ka Factitious Disorder Imped on Self.

Āhea wau e ʻike ai i ke kauka?

Inā ʻoe a i ʻole kahi mea aloha e hōʻike ana i nā ʻano o ka 'Factitious Disorder Imposed on Self', e ʻike i ke kauka. ʻO ka mālama ʻana i kēia maʻi i ka wā mua e hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o ka pōʻino a hoʻomaikaʻi i kou olakino.

He aha nā nīnau āu e nīnau ai i ke kauka?

• He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
• Loaʻa iaʻu kekahi maʻi ʻē aʻe e pili ana i ke olakino noʻonoʻo, e like me ke kaumaha a i ʻole kahi maʻi pilikino?
• Hiki iā ʻoe ke paipai i kahi kauka lapaʻau a kauka noʻonoʻo paha?
• ʻEhia pinepine e pono ai iaʻu e ʻike iā ʻoe no ka mālama ʻana?
• Pehea lā wau e kamaʻilio ai me koʻu ʻohana a me koʻu mau hoaaloha e pili ana i kēia kūlana?

He aha ka ʻokoʻa ma waena o kēia a me ka "hoʻopunipuni"?

Inā ʻoe e hana ana i nā ʻano `(Malingering)`, ke hana nei ʻoe e loaʻa kahi mea maopopo (e laʻa, ka haʻalele ʻana i ka hana a i ke kula paha, ka loaʻa ʻana o kahi bonus). ʻAʻole loaʻa i kekahi mea ka mea me ka `Factitious Disorder Imposed on Self`. Akā, hiki i kēia mau ʻano ke hāʻawi i kahi pono naʻau subconscious .

He aha ka ʻokoʻa ma waena o ka noʻonoʻo ʻana i kahi maʻi no ʻoe iho a me ka noʻonoʻo ʻana i kahi maʻi no kekahi (Munchausen Syndrome by Proxy)?

ʻO ka maʻi hoʻopunipuni i kau ʻia ma luna o ʻoe iho (ʻo ia hoʻi ʻo "Munchausen Syndrome") a me ka maʻi hoʻopunipuni i kau ʻia ma luna o kekahi (ʻo "Munchausen Syndrome by Proxy" ma mua) ʻelua ʻano o nā maʻi hoʻopunipuni.

• ʻO ke ʻano o ke "Factitious Disorder Improved on Self" ʻo ia hoʻi ka hoʻohālike ʻana he maʻi kou.
• ʻO ke ʻano o ka "Factitious Disorder Improved on Other" ʻo ia ka wā e hoʻohālike ai ʻoe he mau hōʻailona o kahi maʻi kekahi i loko o kāu mālama (e laʻa me ke keiki a i ʻole ka pākeke). Hiki iā ʻoe ke hōʻeha i kekahi i loko o kāu mālama a hōʻike iā lākou i nā hōʻailona o kahi maʻi kino a noʻonoʻo paha i loaʻa ʻole iā lākou. He hana ʻino kēia.

Leka Hoʻihoʻi Hope Loa

ʻO ka Factitious Disorder Imposed on Self he maʻi olakino koʻikoʻi ia e hōʻeha ai iā ʻoe iho. Hiki ke paʻakikī ke ʻike a mālama. Akā, inā ua mākaukau ʻoe, aia nā lāʻau lapaʻau e kōkua iā ʻoe.

Hiki iā ʻoe ke hoʻomaopopo i kāu poʻe aloha e pili ana i kou kūlana, i hiki iā lākou ke kōkua iā ʻoe e hoʻopaʻa iā ʻoe. Eia kekahi, he mea nui loa ka haʻi ʻana i ka ʻoiaʻiʻo ke ʻike ʻoe i kāu mau kauka, no ka mea makemake lākou e hana i ka mea maikaʻi loa nou a kōkua iā ʻoe "e lilo i ʻoe maoli."

Inā ʻoe e noʻonoʻo ana e hōʻeha iā ʻoe iho, e ʻike koke i ke kauka. Inā ʻoe a i ʻole kahi mea aloha i loko o ka pōʻino koke, e kāhea koke i nā lawelawe ulia pōpilikia. E hoʻomanaʻo, ʻo ke noi ʻana i ke kōkua ʻaʻole ia he hōʻailona o ka nāwaliwali, he hōʻailona ia o ka ikaika.

ʻO ka maʻi hoʻopunipuni i kau ʻia ma luna o ʻoe iho, Munchausen Syndrome, Ola kino noʻonoʻo, Nā hōʻailona hoʻopunipuni, hōʻeha iā ʻoe iho, Maʻi noʻonoʻo, Lapaʻau