Kodi mudawonapo kapena kumvapo za anthu omwe amabera ena, kupezera ena mwayi, kunyalanyaza lamulo, komanso osadandaula ndi zochita zawo? Mwina pali vuto la maganizo lomwe lili kumbuyo kwa zinthuzi. Umenewo ndi mkhalidwe womwe tikambirane lero , Matenda a Antisocial Personality Disorder (ASPD) . Ngakhale kuti nkhaniyi ndi yovuta, tiyeni tikambirane mwachidule komanso mwaulemu, chifukwa ndikofunikira kwambiri kudziwa.
Kodi vuto la umunthu wosagwirizana ndi anthu (ASPD) ndi chiyani?
Mwachidule, ASPD ndi matenda amisala omwe amakhudza momwe munthu amaganizira komanso momwe amachitira zinthu ndi ena. Munthu amene ali ndi vutoli akhoza:
- Amanyenga ena kapena kuwanamiza.
- Amagwiritsa ntchito kapena kudyera ena masuku pamutu pawo .
- Salemekeza lamulo kapena ufulu wa anthu ena.
- Sadzimva chisoni kapena kudzimva kuti ali ndi mlandu pa zimene amachita.
Anthu omwe ali ndi ASPD nthawi zambiri amaonedwa ngati osalemekeza, oswa malamulo, osadziwa zotsatira za zochita zawo, komanso osafuna kutenga udindo. Izi zitha kukhala zoopsa, chifukwa anthuwa nthawi zambiri amavulaza iwo okha komanso ena, mwakuthupi komanso m'maganizo.
Matenda a ASPD ndi amodzi mwa matenda ambiri a umunthu . Matenda a umunthu ndi matenda omwe amakhudza momwe mumaganizira komanso momwe mumachitira zinthu.
Kodi vutoli ndi lofala bwanji?
Akuti pakati pa 1% ndi 4% ya akuluakulu ku United States ali ndi vutoli (ASPD). Matenda ofanana ndi amenewa amapezekanso ku Sri Lanka, koma ziwerengero zenizeni n’zovuta kupeza.
Kodi zizindikiro za munthu amene ali ndi `(ASPD)` ndi ziti?
Munthu amene ali ndi `(ASPD)` akhoza kusonyeza zizindikiro izi:
- Kuukira ena mwakuthupi, kukhala wankhanza, kuchita zinthu mwankhanza . Tangoganizirani, kukwiya mwadzidzidzi ndikuyamba ndewu pa chilichonse.
- Amachita zinthu popanda kuganizira chilichonse, kupanga zisankho mopupuluma , ngati kuti sakuganizira za tsogolo.
- Amaswa malamulo, saganizira za miyambo ya anthu . Amayesedwa kuchita zinthu zosiyana ndi malamulo kuyambira ali aang'ono.
- Amakwiya ndipo amaganiza kuti ndi amphamvu komanso apamwamba kuposa ena .
- Amagwiritsa ntchito chinyengo chawo, kulankhula monyoza, ndi kuyamikira ena , ndipo amanama kuti apindule kapena kusangalala nawo.
- Sadzitengera mlandu pa zochita zawo. Nthawi zonse amaimba mlandu ena.
- Sasonyeza chisoni, chisoni, kapena nkhawa ndi khalidwe lawo. Amachita ngati palibe chomwe chachitika.
Zizindikiro zimenezi sizimachitika mofanana kwa aliyense. Anthu ena akhoza kukhala ndi zizindikiro zina mosavuta.
Zofunika:Ngati inu kapena munthu amene mumamudziwa akuganiza zodzivulaza kapena kuvulaza ena, chonde funani thandizo. Pitani kwa dokotala. Ku Sri Lanka, mutha kupeza thandizo kuchokera ku bungwe ngati Sumithrayo (0112692909). Pakagwa ngozi, imbani ambulansi ya 1990.
Kodi vuto la `(ASPD)` limayamba liti?
Matenda a ASPD nthawi zambiri amayamba asanakwanitse zaka 15. Amayamba kupezeka ngati Matenda a Khalidwe . Ana omwe ali ndi Matenda a Khalidwe amachita zinthu mwankhanza komanso mosamvera m'njira zomwe zingavulaze ena. Anganama, kuba, kuswa malamulo, komanso kuzunza ana ena.
Tangoganizirani, pamene mwana wanu anali wamng'ono, kapena mwana amene mumamudziwa, kodi munamuonapo akuzunza ana ena nthawi zonse, akunama, akuba, kapena akuchita zinthu mosasamala malamulo aliwonse? Nthawi zina makhalidwe amenewa ndi zizindikiro za "Makhalidwe Olakwika ." Makamaka, kukhala ndi moto ali mwana ndi kuchitira nkhanza nyama ndi zinthu ziwiri zoopsa zomwe zimayambitsa vutoli la "ASPD".
Nthawi zina makolo ndi madokotala angaphonye zizindikiro za "Matenda Ovuta" chifukwa zizindikirozi zingasokonezedwe ndi matenda ena. Mwachitsanzo:
- Matenda a ADHD (ADHD)
- Kuvutika maganizo
- Matenda Otsutsa Otsutsa (ODD)
Ngati ``Matenda Ovuta`` apezeka msanga ndipo chithandizo chimayamba ali aang'ono, makhalidwe amenewa sangapitirire mpaka munthu atakula. Komabe, ngati makhalidwe amenewa apitirira, amapezeka kuti ndi ``(ASPD)`` akakwanitsa zaka 18 .
Kafukufuku akusonyeza kuti zizindikiro za ASPD zimakhala zoipitsitsa pakati pa zaka 20 ndi 40, ndipo nthawi zambiri zimachepa pang'ono munthu akakwanitsa zaka 40 .
Kodi zifukwa za vutoli ndi ziti? (ASPD)
Madokotala sakudziwa bwino chomwe chimayambitsa ASPD, koma kafukufuku akusonyeza kuti ikhoza kuyambitsidwa ndi zinthu zosiyanasiyana, kuyambira majini anu mpaka momwe munaleredwera komanso zomwe mwakumana nazo.
Chinthu chimodzi chachikulu ndi biology ya ubongo . Zingakhale kuti kuchuluka kwa serotonin muubongo wanu sikwabwinobwino. Serotonin ndi mankhwala omwe amalamulira malingaliro anu, monga chisangalalo. Kusintha kumeneku kwa kuchuluka kwa serotonin kungayambitse machitidwe a ASPD.
Kodi `(ASPD)` ndi chinthu chomwe chimachokera ku majini?
Inde, majini anu.Izi zitha kuwonjezera chiopsezo chanu chokhala ndi ASPD. Kafukufuku akupitilira, koma majini enieni omwe amayambitsa vutoli sanadziwikebe. Kafukufuku wapeza kuti ngati wachibale wanu wa m'magazi ali ndi ASPD, muli pachiwopsezo chachikulu chotenga matendawa.
Kodi ndi zinthu ziti zomwe zimayambitsa `(ASPD)`?
ASPD ingakhudze aliyense. Koma mungakhale pachiwopsezo chachikulu chotenga matendawa pazifukwa zotsatirazi:
- Kupezeka ndi vuto la khalidwe asanakwanitse zaka 15.
- Ndiwe mwamuna (vutoli limapezeka kwambiri mwa amuna).
- Kuzunzidwa kapena kuzunzidwa ali mwana .
- Kukhala ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo (SUD) kapena kukhala ndi wachibale amene ali ndi vutoli.
- Kukhala ndi mbiri ya matenda amisala pakati pa achibale anu a m'magazi .
- Maphunziro otsika poyerekeza ndi ena.
- Kukhala m'ndende .
Kodi mavuto omwe angakhalepo chifukwa cha ASPD ndi ati?
ASPD ndi matenda oopsa, nthawi zina omwe amaika moyo pachiswe kwa munthu amene wakhudzidwayo komanso anthu ena oyandikana nawo. Angayambitse mavuto monga:
- Nkhanza kapena nkhanza.
- Kusasamala, kunyalanyaza.
- Kudzipha .
- Matenda Ogwiritsa Ntchito Mankhwala Osokoneza Bongo .
- Kusokonezeka kwa Kugwiritsa Ntchito Mowa .
- Kumangidwa ndi kutsekeredwa m'ndende.
- Mavuto ena azaumoyo.
- Matenda ena amisala (monga kuvutika maganizo , nkhawa) .
- Kulephera kukwaniritsa maudindo aumwini, achikhalidwe, a ntchito, kapena a maphunziro.
Kodi mungazindikire bwanji `(ASPD)`?
Katswiri wa zamaganizo, monga dokotala wa matenda amisala kapena katswiri wa zamaganizo , amafufuza matenda a ASPD. Amachita kafukufuku wa zamaganizo . Izi zimaphatikizapo kufufuza maganizo ndi machitidwe a munthu kuti awone ngati ali ndi zizindikiro za ASPD. Madokotala amagwiritsa ntchito Buku Lofufuza ndi Kuwerengera Matenda a Mitsempha, buku lachisanu, Text Revision (DSM-5-TR) ngati chitsogozo.
Anthu ambiri omwe ali ndi ASPD safuna kudzifufuza okha. Nthawi zambiri amafufuza matenda amisala pokhapokha ngati khoti lalamula.
Kodi pali mayeso apadera a `(ASPD)`?
Ayi, palibe mayeso odziyesa, magazi, kapena scan yomwe ingathe kuzindikira ASPD. Ndi bwino kufunsa upangiri wa dokotala ngati mukuda nkhawa ndi zizindikiro kapena machitidwe anu. Choyamba mutha kuwonana ndi dokotala wamkulu (PCP). Iye adzatenga mbiri yanu yachipatala, adzakuyesani thupi, ndikuyesa zizindikiro zanu. Kenako angakutumizireni kwa dokotala wamisala kapena wamisala kuti akakupezeni matenda a ASPD.
Matenda ena omwe angasokonezedwe ndi `(ASPD)` (Differential Diagnosis)
Matenda ena akhoza kukhala ndi zizindikiro zofanana ndi za ASPD, choncho dokotala wanu adzaganizira izi asanapeze matenda ovomerezeka:
- Matenda a Borderline Personality Disorder (BPD) : Maganizo osakhazikika komanso khalidwe lodziletsa.
- Matenda a Narcissistic Personality Disorder (NPD) : Kudzidalira kwambiri.
- Matenda Ogwiritsa Ntchito Mankhwala Osokoneza Bongo : Kumwa mankhwala osokoneza bongo kapena mowa mopitirira muyeso.
Kodi ASPD imachiritsidwa bwanji?
Madokotala angalimbikitse njira zotsatirazi za ASPD:
- Mankhwala: Mankhwala angathandize kuchepetsa zizindikiro monga mkwiyo ndi kusintha kwa maganizo.
- Chithandizo cha Maganizo: Chithandizo cha Maganizo (CBT) ndi mtundu wa uphungu womwe umayang'ana kwambiri pakusintha malingaliro ndi machitidwe anu. Chithandizochi chimakuthandizani kumvetsetsa momwe khalidwe lanu limakhudzira ena. Mungapindule ndi chithandizo cha munthu payekha, chithandizo chamagulu, kapena chithandizo cha mabanja.
Dokotala angakulimbikitseninso kugwiritsa ntchito mankhwala ndi mankhwala amisala. Komanso, ngati pali matenda ena omwe amabwera chifukwa cha kugwiritsa ntchito mankhwala osokoneza bongo, nawonso adzachiritsidwa.
Kunena zoona, kuchiza ASPD kungakhale kovuta pang'ono. Chifukwa munthu amene ali ndi vutoli sangavomereze kuti makhalidwe ndi malingaliro ake ndi oipa. Ndizachibadwa kukwiya ndikukana wina akabwera kudzathandiza. Koma chofunika kumvetsetsa ndichakuti ngati mwakonzeka kulandira chithandizo, muli ndi chithandizo. Sizophweka, koma ndi chithandizo mutha kudziteteza nokha ndi omwe akuzungulirani.
Kodi mankhwala operekedwa a `(ASPD)` ndi ati?
Palibe mankhwala enieni omwe amavomerezedwa a ASPD. Komabe, mankhwala angathandize kuchepetsa mkwiyo, kuvutika maganizo, kapena kusintha kwa maganizo. Dokotala wanu angakupatseni mankhwala monga:
- Mankhwala oletsa kuvutika maganizo: Izi zimatha kuwongolera kuchuluka kwa serotonin muubongo. Zitsanzo: Sertraline, Fluoxetine .
- Mankhwala oletsa matenda amisala: Amatha kuletsa khalidwe lachiwawa kapena nkhanza. Zitsanzo: Risperidone, Quetiapine .
- Zinthu Zolimbitsa Maganizo:Zimathandiza kulamulira kusintha kwakukulu kwa malingaliro kapena khalidwe. Zitsanzo: `(Lithium)`, `(Carbamazepine)` .
Kodi chiyembekezo cha `(ASPD)` ndi chotani?
ASPD ndi vuto la moyo wonse . Zizindikiro nthawi zambiri zimakhala zoipitsitsa kwambiri zikafika zaka 20, ndipo nthawi zina zimachepa pang'ono akafika zaka 40. Kafukufuku akupitilira kuti amvetsetse chifukwa chake zizindikiro zimasintha ndi ukalamba.
Mukalandira chithandizo, maganizo anu amatha kusintha. Koma kuti mupewe mavuto, muyenera kupitiriza kulandira chithandizo kwa moyo wanu wonse. Ndikofunikira kumvetsetsa kuti kuchiza ASPD sikophweka. Zimafunika mphamvu zambiri komanso khama kuti musinthe zinthu. Mukasiya chithandizo, zizindikiro zanu zitha kukulirakulira , zomwe zingakulitse chiopsezo chanu komanso cha omwe akuzungulirani.
Kodi ASPD ingachiritsidwe kwathunthu?
Ayi, palibe mankhwala a ASPD. Komabe, vutoli lingathe kuthetsedwa ndi chithandizo cha moyo wonse. Chithandizo choyenera chingakuthandizeni kusintha khalidwe lanu ndikuchepetsa mavuto omwe mumayambitsa kwa omwe akuzungulirani. Kusunga ubale wabwino komanso kukhala ndi gulu lothandizira ndi zinthu ziwiri zofunika kwambiri pakuthana ndi ASPD kwa nthawi yayitali.
Kodi ASPD ingapewedwe?
Palibe njira yopewera ASPD. Komabe, ngati vutoli lapezeka ndikuchiritsidwa ali aang'ono, chiopsezo chokhala ndi ASPD muukulu chingachepe.
Kodi muyenera kupita kwa dokotala liti?
Ngati inu kapena munthu amene mumamudziwa ali ndi zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo :
- Kusintha kwakukulu kwa maganizo .
- Maganizo kapena zochita zodzivulaza .
- Maganizo odzipha .
- Khalidwe lachiwawa .
Ku Sri Lanka, kuti mupeze chithandizo chadzidzidzi cha thanzi la maganizo, mutha kuyimbira National Mental Health Helpline 1926. Komanso, Sumitrayo (0112692909 / 0112682535) imapereka chithandizo chachinsinsi. Pakagwa mwadzidzidzi, imbani ambulansi 1990 kapena nambala yadzidzidzi ya apolisi 119.
Ndi mafunso ati omwe muyenera kufunsa dokotala wanu?
Mungathe kufunsa dokotala wanu mafunso monga:
- Kodi mumalimbikitsa chithandizo chamtundu wanji?
- Kodi pali zotsatirapo zilizonse za mankhwalawa?
- Kodi ndikufunika kupitiriza kulandira chithandizo ngakhale ndikumva bwino?
- Kodi mumalimbikitsa mtundu wanji wa psychotherapy?
- Kodi ndiyenera kupita ku psychotherapy kwa nthawi yayitali bwanji?
Pomaliza, kumbukirani...
Anthu ambiri amaganiza kuti ASPD ndi vuto la umunthu lomwe limawapangitsa kusakonda kukhala pafupi ndi anthu ena ndipo amakonda kukhala okha. Koma ASPD kwenikweni ndi vuto lalikulu la thanzi la maganizo.Anthu omwe ali ndi vutoli angachite zinthu popanda kuganizira za zotsatira za khalidwe lawo kapena momwe limakhudzira ena. Nthawi zambiri, chifukwa cha khalidwe losaloledwa, matenda ndi chithandizo zimalamulidwa ndi khoti. Izi zitha kupulumutsa moyo.
Chofunika kwambiri ndikumvetsetsa kuti chithandizo si chilango. Ndi chisamaliro ndi chithandizo cha anthu omwe ali pafupi nanu, pali chithandizo chomwe chingakuthandizeni kumva bwino. Choncho musaope kupempha thandizo.
Matenda amisala, ASPD, thanzi la maganizo, mavuto a khalidwe, mavuto a umunthu, matenda a khalidwe, chithandizo











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