Kodi mumamva munthu akulankhula pamene palibe munthu? Kapena mumamva mawu osiyanasiyana, nyimbo, ndi zina zotero? Ngati mwakumanapo ndi izi, musadandaule. Simuli nokha. Matendawa amadziwika kuti ndi amisala . Apa ndi pamene mumamva ngati mukumva phokoso ngakhale kuti palibe phokoso. Lero, tikambirana izi mwatsatanetsatane komanso mosavuta.
Kodi mawu amenewa akumveka bwanji kwenikweni?
Mawu omwe mumamva amatha kusiyana kwambiri malinga ndi munthu ndi munthu. Angaoneke ngati akuchokera m'makutu mwanu, m'mutu mwanu, kapena m'malo ozungulira inu. Izi zitha kuchitika tsiku lonse, kapena zitha kuchitika kamodzi kapena kawiri patsiku.
Izi zitha kugawidwa m'mitundu iwiri makamaka.
| Mtundu wa Kuganiza Zolakwika | Kufotokozera |
|---|---|
| Kumva mawu (Kuona Zinthu Molakwika) | Uwu ndi mtundu wofala kwambiri. Mumamva mawu pamene palibe amene akulankhula. Mawuwo akhoza kukhala ochokera kwa munthu amene mumamudziwa, kapena akhoza kukhala ochokera kwa munthu amene simukumudziwa. Nthawi zina ndi mawu amodzi okha, nthawi zina zimamveka ngati anthu angapo akulankhula. Angalankhule nanu mwachindunji, angakangane nanu, kapena afotokoze zomwe mukuchita. Mawu awa anganene zabwino, anganene zoipa, anganene zoopsa, kapena angakulamulireni kuti mudzivulaze nokha kapena ena. |
| Kumva mawu ena (Mawu Osagwiritsa Ntchito Mawu) | Apa ndi pamene mumamva mawu ena m'malo mwa mawu. Mwachitsanzo, nyimbo, phokoso la nyama, kugogoda pa zitseko, kapena madzi oyenda. Mawu amenewa akhoza kukhala ofewa kwambiri kapena okwera kwambiri. |
Kodi ndi zachilendo kumva phokoso ngati limeneli?
Mvetsetsani izi bwino. Izi sizili nthawi zonse chizindikiro cha matenda.
- Kuona Zinthu Molakwika: Ngati mukumva mawu osiyanasiyana pamene mukugona, mwina ndi zachilendo. Sikoyenera kuda nkhawa.
- Kuona Zinthu Molakwika: N'zofala kumva mawu munthu akadzuka ku tulo asanabwerere ku chidziwitso chonse.
Komabe, ngati mukumva mawu amenewa nthawi zonse muli maso komanso muli maso, izi zitha kukhala chizindikiro cha matenda amisala kapena amitsempha. Choncho ndi bwino kulankhula ndi dokotala za vutoli.
Kodi n’chiyani chingayambitse izi?
Pali zifukwa zingapo zomwe zingayambitse izi. Zina ndi zakanthawi kochepa, zina ndi za nthawi yayitali. Malinga ndi asayansi, zitha kuchitika chifukwa cha kulumikizana kwa makutu muubongo mwathu komwe kumayamba kugwira ntchito mwadzidzidzi popanda chifukwa, kapena chifukwa cha kusalingana kwa ma neurotransmitters monga dopamine ndi serotonin muubongo.
Nazi zina mwa zifukwa zazikulu:
1. Mavuto a thanzi la maganizo
- Schizophrenia : Ichi ndiye chifukwa chachikulu. Pafupifupi 75% ya anthu omwe ali ndi schizophrenia amamva mawu mwanjira iyi. Iyi ndi mkhalidwe wosiyana ndi zenizeni.
- Matenda a Bipolar: Pakati pa 20% -50% ya anthu omwe ali ndi vutoli akhoza kukumana ndi vutoli.
- Matenda a post-traumatic stress disorder (PTSD): Matendawa angachitike mwa anthu pafupifupi 40% omwe adakumanapo ndi zoopsa zazikulu.
- Matenda Oda nkhawa ndi Kuvutika Maganizo Kwambiri: Nthawi zina zinthu ngati zimenezi zimatha kuoneka ngati zikuyenda bwino.
2. Kulephera kumva
Anthu omwe ali ndi vuto la kumva, makamaka akamakalamba, ali ndi mwayi wa 16% wokhala ndi vutoli. Kulira kosalekeza m'makutu, komwe kumakhala kulira kosalekeza, nthawi zina kumatha kugwirizanitsidwa ndi vutoli. Kumva kwambiri kukachuluka, kumakhala ndi mwayi waukulu wokumana ndi zilombozi.
3. Matenda a mitsempha
- Matenda okhudzana ndi tulo (monga matenda ovutika kugona , kusowa tulo)
- Matenda a Parkinson
- Stroke
- Mutu waching'alang'ala
- Zotupa za muubongo kapena zilonda
4. Zifukwa zina zakanthawi
- Kugwiritsa ntchito mowa ndi mankhwala osokoneza bongo
- Kusowa tulo kwakukulu
- Njala yaikulu
- Monga zotsatira zoyipa za mankhwala ena olembedwa ndi dokotala
- Kuvutika maganizo kwambiri kapena chisoni chachikulu, monga imfa ya wokondedwa
- Matenda monga matenda a mkodzo (UTIs), makamaka kwa okalamba
- Mukachira ku opaleshoni pambuyo pa opaleshoni
Kodi mankhwala ochizira izi ndi otani?
Chithandizo chimadalira chomwe chayambitsa vutoli. Ngati chomwe chayambitsa vutoli ndi chakanthawi, monga kusowa tulo kapena njala, phokoso lidzasiya chifukwa chakecho chitatha.
Komabe, ngati izi ndi mbali ya vuto la nthawi yayitali, chithandizo chamankhwala chikufunika.
- Mankhwala:
- Mankhwala Oletsa Matenda a Maganizo: Mu matenda monga schizophrenia, mankhwalawa amatha kuchepetsa kuchuluka ndi kuopsa kwa mawu omveka. Mwachitsanzo, mankhwala a Clozapine ndi othandiza kwambiri, koma ayenera kugwiritsidwa ntchito moyang'aniridwa ndi dokotala chifukwa cha zotsatira zake zoyipa.
- Mankhwala ena a psychotropic: Zizindikirozi zitha kuthetsedwanso ndi mankhwala operekedwa pa matenda monga kuvutika maganizo kapena matenda a bipolar.
- Chithandizo cha Maganizo / Kulankhulana:
Uphungu ndi wofunika kwambiri pamodzi ndi mankhwala. Izi zidzakuthandizani kukhala ndi vutoli, kulithetsa, komanso kuthana ndi mantha anu.
- Chithandizo cha Maganizo (CBT): Izi zimakuthandizani kusintha momwe mumaonera mawu omwe mumamva ndikuphunzira kuwalamulira.
- Kulandira ndi Kudzipereka (ACT): Izi zikuphatikizapo kuvomereza kuti mukumva mawu awa ndikudzipatsa mphamvu kuti mukwaniritse zolinga zanu za moyo.
- Chithandizo Chogwirizana ndi Kuwona Zinthu Mopanda Kuganiza (HIT): Iyi ndi njira yothandizira yomwe cholinga chake ndi kumva mawu.
Kodi ndingatani kuti ndithetse vutoli?
Kuwonjezera pa mankhwala omwe dokotala wanu amakupatsani, palinso zina zomwe mungachite.
- Zosokoneza: Mukayamba kumva phokoso, valani mahedifoni ndikumvetsera nyimbo, kuchita masewera olimbitsa thupi, kuphika china chake chomwe mumakonda, kapena kuchita china chomwe mumakonda.
- Magulu Othandizira: Kulowa m'gulu la anthu omwe ali ndi zokumana nazo zofanana ndi zanu kungakupatseni mphamvu zambiri.
- Kulamulira: Anthu ena amanyalanyaza mawu omwe amamva. Ena amayesa kuwalamulira mwa kuwauza m'maganizo kuti "asiye kulankhula."
- Moyo Wathanzi: Zinthu monga kugona mokwanira, kupewa mowa/mankhwala osokoneza bongo, ndi kudya zakudya zopatsa thanzi ndizofunikira kwambiri.
Kodi ndiyenera kupita kwa dokotala liti?
Iyi ndi gawo lofunika kwambiri.
Ngati phokoso limene mukumva likupangitsani mantha, kupsinjika maganizo, kapena chisoni , kapena ngati likusokoneza zochita zanu za tsiku ndi tsiku , pitani kwa dokotala.
Makamaka ngati mawu omwe mukumva akukuuzani kuti mudzivulaze nokha kapena wina, ndi vuto ladzidzidzi. Zikatero, funsani upangiri wa dokotala nthawi yomweyo.
Ngati wina amene mumamudziwa akuvutika ndi vutoli ndipo akuchita zinthu mosagwirizana ndi zenizeni ndipo akhoza kukhala oopsa kwa iwo eni kapena ena, ndikofunikira kwambiri kupita naye ku chipatala chapafupi cha Emergency Department (ETU) .
Musaope kulankhula momasuka za izi ndi banja lanu, mnzanu wodalirika, komanso makamaka dokotala wanu. Izi ndi matenda omwe angathe kuthetsedwa bwino ndi chithandizo.
Uthenga Wopita Nawo Kunyumba
- Kumva mawu pamene palibe munthu (Auditory Hallucinations) ndi vuto lomwe lingachitike pazifukwa zosiyanasiyana. Sizimakhala nthawi zonse chizindikiro cha matenda aakulu.
- Zingakhale zachilendo kuti zinthu ngati izi zichitike mukagona kapena mukudzuka.
- Ngati mupitiriza kumva mawu muli maso, makamaka ngati akukuvutitsani, ndikofunikira kukaonana ndi dokotala.
- Matenda amisala monga schizophrenia ndi bipolar disorder, vuto la kumva, ndi matenda amitsempha ndizomwe zimayambitsa izi.
- Vutoli lingathe kuthetsedwa bwino kwambiri ndi mankhwala ndi psychotherapy. Choncho, musachite mantha kapena kuchita manyazi kufunafuna chithandizo.
- Ngati mukumva mawu akukulamulani kuti mudzivulaze nokha kapena ena, onani kuti ndi vuto ladzidzidzi ndipo pitani kuchipatala nthawi yomweyo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi kumva mawu/mawu omwe palibe wina angamve ndi vuto lotani?
Uku si kupweteka kwa khutu kwachibadwa! Ichi ndi chizindikiro chachikulu cha 'psychosis'. Kumva mawu ndi vuto la maganizo loopsa kwambiri pamene mumakhala nokha m'chipinda ndipo palibe wina amene angakumveni, koma mumamva wina akukulankhulani. Mawu awa akhoza kukhala akukudzudzulani, kukusekani, kapena kukupatsani malamulo oopsa (kulamula kuti muone zinthu molakwika).
💬 Kodi ndi zinthu ziti zomwe zimayambitsa phokoso la kumva lomwe sililipo (Auditory Hallucinations)?
Chifukwa chachikulu cha izi ndi matenda oopsa amisala otchedwa 'Schizophrenia' (70% ya odwalawa amavutika ndi izi). Kuphatikiza apo, anthu omwe ali ndi vuto la kuvutika maganizo kwambiri, odwala matenda a bipolar, anthu omwe ali ndi vuto la post-traumatic stress disorder (PTSD), komanso anthu omwe awononga ubongo wawo pogwiritsa ntchito mankhwala osokoneza bongo (Ice / Methamphetamines / Cocaine) amatha kumva mawu owopsa otere.
💬 Kodi ndi 'zadzidzidzi' ziti zomwe zimafuna kuti munthu agonekedwe m'chipatala nthawi yomweyo ngati wina amva mawu ngati awa?
Choopsa chachikulu komanso chachikulu kwambiri ndichakuti mawu awa akukulamulani kuti 'mudziphe', mulumphe sitima, kapena muphe munthu/mwana wina wosalakwa (mawu odzipha/olamula)! Nthawi ngati izi, sadziwa kuti ndi bodza, adzachitadi zimenezo. Chifukwa chake, muyenera kupita ndi wodwalayo kwa dokotala wamisala/chipatala (Psychiatric Emergency) mwachangu.











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