Kodi mavuto anu okhudza thanzi la maganizo amakhudza thupi lanu? Tiyeni tikambirane za Conversion Disorder!

Kodi nthawi zina mumamva ngati mukukumana ndi zovuta zosiyanasiyana komanso matenda popanda chifukwa chomveka? Tangoganizirani, mwadzidzidzi mukulephera kulamulira manja kapena miyendo yanu, mwadzidzidzi mukuyamba kugwedezeka, nthawi zina mukusowa kuona, kapena simungathe kulankhula. Kaya madokotala achita mayeso angati, amati, "Tilibe umboni woti uwu ndi matenda akuthupi." Nthawi ngati zimenezi, tiyenera kuganizira mozama za matenda amenewa otchedwa `(Conversion Disorder).` Ngakhale kuti izi zikugwirizana ndi thanzi la maganizo, zizindikiro zakuthupi zomwe zimayambitsa sizongopeka, ndi zenizeni.

Kodi vuto la kusintha kwa thupi ndi chiyani kwenikweni?

Mwachidule, `(Conversion Disorder)` ndi vuto lomwe kugwira ntchito kwa ubongo kapena dongosolo la mitsempha kumasokonekera chifukwa cha kusintha kwina pa thanzi lanu la maganizo, zomwe zimapangitsa zizindikiro zakuthupi. Chomwe chimachitika apa ndichakuti china chake monga kupsinjika maganizo, kuvulala, ndi zina zotero "chimasinthidwa" kukhala chizindikiro chakuthupi. Chofunika ndichakuti zizindikirozi ndi zenizeni. Ichi si chinthu chomwe mukuchita kapena kuchita kuti ena azikuyamikirani. Komanso, ichi si chinthu chomwe chili m'maganizo mwanu. Zizindikirozi sizingalamuliridwe pongoganiza.

Kumbukirani, "Matenda Osasinthika" ndi matenda enieni amisala. Mavuto akuthupi omwe amabwera chifukwa cha matendawa ndi enieni.

Kodi kusiyana pakati pa Conversion Disorder ndi Somatic Symptom Disorder ndi kotani?

Matenda onsewa ali m'gulu lomwelo mu gulu la matenda amisala la American Psychiatric Association (DSM-5). Izi zikutanthauza kuti pali kufanana kwakukulu pakati pa awiriwa, ndipo nthawi zina amatha kukhala limodzi.

Mu Somatic Symptom Disorder, muli ndi chizindikiro chimodzi kapena zingapo zomwe zimayambitsa chisokonezo chachikulu komanso kusasangalala m'moyo wanu. Zotsatira zake, inu:

• Ndimaganizira nthawi zonse za zizindikiro zimenezo.
• Ndimada nkhawa komanso ndimaopa nthawi zonse za zizindikiro zimenezo.
• Amathera nthawi yambiri komanso khama lalikulu pa zizindikiro zimenezo.

Komabe, chinthu chachikulu chomwe chimachitika ndi `(Conversion Disorder)` ndichakuti mumakhala ndi chizindikiro chimodzi kapena zingapo zomwe zimawoneka kuti zikugwirizana ndi ubongo. Izi zitha kusokoneza kwambiri kotero kuti simungathe kuchita zinthu zanu zachizolowezi. Komabe, palibe matenda amitsempha omwe angapezeke omwe angayambitse zizindikirozi.

Ndani amene angakhudzidwe kwambiri ndi vutoli?

Matenda a kusintha kwa thupi amatha kuchitika pa msinkhu uliwonse, ngakhale kwa ana aang'ono kwambiri. Komabe, zizindikiro zina zimapezeka kwambiri m'magulu ena azaka. Mwachitsanzo, zizindikiro monga khunyu zimapezeka kwambiri kwa anthu azaka zapakati pa 20 ndi 29, ndipo zizindikiro zina zokhudzana ndi mayendedwe a thupi zimapezeka kwambiri kwa anthu azaka zapakati pa 30 ndi 39. Zapezekanso kuti vutoli limapezeka kwambiri kwa akazi .

Izi si zachilendo kwenikweni. Akatswiri amanena kuti anthu pakati pa anayi ndi khumi ndi awiri mwa anthu 100,000 amapezeka ndi "Conversion Disorder" chaka chilichonse.

Kodi Matenda Osintha Thupi Amakhudza Bwanji Thupi Langa?

Mu vutoli, zizindikiro zakuthupi zimachitika chifukwa cha kusintha kwa momwe ubongo wanu umagwirira ntchito. Kujambula kwapadera, monga MRI yogwira ntchito, kumatha kuwona momwe ubongo wa anthu omwe ali ndi vutoli umagwirira ntchito ndikuwonetsa ngati madera a ubongo omwe amagwirizana ndi zizindikirozo sakugwira ntchito bwino kapena asintha molakwika. Ichi si chinthu chomwe wina angachinyengeze.

Kodi zizindikiro za Conversion Disorder ndi ziti?

Zizindikiro zimatha kusiyana kwambiri kutengera gawo la ubongo lomwe lakhudzidwa. Nazi zina mwa zizindikiro zodziwika bwino:

• Matenda Osakhudza Khunyu (PNES): Matendawa nthawi zambiri amayamba chifukwa cha vuto la kapangidwe ka ubongo kapena ntchito yake. Komabe, mtundu uwu wa khunyu, wotchedwa PNES, umayamba chifukwa cha vuto la thanzi la maganizo.
• Kusokonezeka kwa kumva: Kusokonezeka kwa kuona, kumva, kununkhiza, kulawa, ndi kukhudza kungachitike. Mwachitsanzo, kuona zithunzi ziwiri nthawi imodzi, kuwona m'njira ya ngalande, kutayika kwa kumva, kumva kunjenjemera, ndi kutayika kwa kumva pamene chinachake chakhudza khungu.
• Ululu: Anthu omwe ali ndi vuto la kusintha kwa thupi amatha kumva ululu nthawi zonse. Nthawi zina ululuwo ukhoza kutsagana ndi zizindikiro zina, nthawi zina ululuwo ukhoza kungokhala.
• Kuuma kwa minofu kosazolowereka, kugwedezeka, kugwedezeka, ndi kugwedezeka: Zonsezi zimachitika chifukwa cha kusintha kwa momwe ubongo wanu umalamulira minofu yanu.
• Zinthu monga kufooka kwa minofu kapena kufooka kwa minofu.
• Kuvuta kumeza (Dysphagia).
• Chizungulire.
• Kumva kuzizira kapena kukomoka (Syncope).
• Kutopa kosatha kapena kusowa mphamvu.

Koma chinthu chachilendo n’chakuti, ngakhale kuti anthu ena ali ndi zizindikiro zoopsa chonchi, saoneka kuti ali ndi nkhawa kapena mantha. Amati, 'Ndi chiyani chimenecho?' Madokotala amatcha izi kuti "kusaganizira bwino." Koma izi si zomwe aliyense ali nazo, ndipo sizingaganizidwe kuti ndi chizindikiro.

Kodi zifukwa za Conversion Disorder ndi ziti?

Akatswiri sakudziwabe chomwe chimayambitsa vutoli. Komabe, apeza kuti limagwirizanitsidwa ndi matenda enaake. Matenda ofala kwambiri ndi awa:

• Kuzunzidwa mwa kugonana, mwakuthupi, kapena m'maganizo ndili mwana.
• Kukhala ndi matenda ena amisala, makamaka kuvutika maganizo kapena nkhawa .
• Chochitika chaposachedwa cha kupsinjika maganizo kapena zoopsa.
• Matenda kapena chochitika chaposachedwa cha thupi chingakhale chomwe chimayambitsa vuto la Conversion Disorder.

Matendawa si opatsirana. Izi zikutanthauza kuti simungathe kuwatenga kuchokera kwa anthu ena, komanso simungathe kuwafalitsa kwa ena.

Kodi Matenda a Kusintha kwa Matendawa amapezeka bwanji?

Dokotala wanu adzazindikira vutoli mwa kuphatikiza zinthu zingapo, kuphatikizapo kuyezetsa thupi ndi mitsempha, mayeso ozindikira matenda, ndi ma scan. Kuti mupezeke ndi ``Conversion Disorder``, zinthu zonse zinayi izi ziyenera kukwaniritsidwa:

1. Muyenera kukhala ndi chizindikiro chimodzi kapena zingapo zokhudzana ndi ubongo zomwe zimalamulira mayendedwe anu kapena momwe mumamvera.

2. Zizindikiro zanu siziyenera kufanana ndi matenda ena odziwika ndi dokotala.

3. Zizindikiro zanu siziyenera kufotokozedwa ndi vuto lina lililonse lakuthupi kapena vuto la maganizo.

4. Zizindikiro kapena mavuto amenewa ayenera kusokoneza moyo wanu watsiku ndi tsiku, makamaka kuntchito ndi maubwenzi.

Kodi "kusagwirizana" kumatanthauza chiyani?

Mu `(Conversion Disorder),` ndi chinthu chofunikira kwambiri kuti zizindikiro zanu "sizikugwirizana" ndi matenda odziwika bwino. Dokotala wanu adzayenera kufunafuna njira zomwe zizindikiro zanu sizikugwirizana ndi matenda ena odziwika. Izi sizikutanthauza kuti sakukhulupirirani, kapena kuti zizindikiro zanu ndi zabodza. Ndipotu, kupeza kusagwirizana koteroko ndiko kumathandiza kuzindikira molondola `(Conversion Disorder).` Ndiko kuti, angatsimikizire kuti mulibe matenda oopsa kwambiri muubongo omwe angakhale oopsa kwambiri.

Ndi mayeso ati omwe amachitidwa kuti adziwe vutoli?

Dokotala wanu adzasankha mayeso oti muchite kutengera zizindikiro zanu. Mayeso otsatirawa nthawi zambiri amalimbikitsidwa:

• Kuyezetsa magazi (izi zitha kuwona zinthu monga mavuto a chitetezo chamthupi, poizoni, ndi zitsulo zina).
• `(Computerized Tomography - CT) Scan`.
• Electroencephalogram (EEG) (mayeso omwe amayang'ana momwe magetsi amagwirira ntchito muubongo).
• Electromyogram (EMG) (kuyesa komwe kumayesa momwe minofu ndi mitsempha zimagwirira ntchito).
• `Mayeso oyeserera mphamvu` (mayeso omwe amayang'ana momwe ubongo umayankhira ku zomwe zimamveka).
• Kujambula kwa Magnetic Resonance (MRI).

Kodi matenda a Conversion Disorder amachiritsidwa bwanji? Kodi angachiritsidwe?

Popeza Matenda Osintha Maganizo ndi matenda amisala omwe amayambitsa zizindikiro zakuthupi, chithandizo chimayang'ana kwambiri mbali yamaganizo. Psychotherapy nthawi zambiri ndiyo njira yoyamba, komanso ndiyo njira yothandiza kwambiri. Njira zochiritsira matenda amisala zomwe zimagwiritsidwa ntchito kwambiri ndi izi:

• Chithandizo cha Maganizo (CBT): Ichi ndi njira yothandiza kwambiri komanso yothandiza kwambiri yochiritsira. Chimakuthandizani kusintha maganizo anu, momwe mukumvera, komanso machitidwe anu.
• (Kuchiza ndi Hypnotherapy):Izi nthawi zina zimagwiritsidwa ntchito ngati njira yachiwiri, makamaka kwa iwo omwe ali ndi vuto lolankhula kapena zizindikiro za kumva.
• Uphungu wa m'magulu kapena wa m'banja: Uphungu wa m'magulu umakupatsani mwayi wogawana zomwe mwakumana nazo ndi ena omwe akukumana ndi mavuto ofanana ndi omwewo ndikulandira chithandizo kuchokera kwa iwo. Uphungu wa m'banja umathandiza okondedwa anu kumvetsetsa vuto lanu ndikukutsogolerani powathandiza.

Kuwonjezera pa izi, palinso mankhwala ena omwe angathandize:

• Chithandizo cha Thupi: Ngakhale kuti "Vuto la Kutembenuka" limayamba ndi chifukwa cha maganizo, zotsatira zake zakuthupi ndi zenizeni. Chithandizo cha thupi chingakuthandizeni kuchira kapena kuzolowera zizindikirozo zakuthupi.
• Mankhwala: Ngati muli ndi matenda ena, monga kupsinjika maganizo kapena nkhawa, limodzi ndi Conversion Disorder, mankhwala a matenda amenewo angathandizenso kuchepetsa zizindikiro za Conversion Disorder. Mankhwala oletsa kuvutika maganizo angathandize, makamaka ndi zizindikiro zokhudzana ndi ululu.
• Biofeedback: Iyi ndi njira ina yochiritsira matenda. Mu izi, mumadziphunzitsa kusintha momwe thupi lanu limagwirira ntchito. Pogwiritsa ntchito zida, mumayesa ntchito ya thupi lanu ndipo mumaphunzitsidwa kusintha kutengera momwe zinthu zimayendera.

Mavuto kapena zotsatirapo zake zomwe zingachitike ndi mankhwala awa, makamaka ndi mankhwala, zimasiyana malinga ndi chithandizocho. Dokotala wanu ndiye munthu woyenera kukufotokozerani izi.

Kodi ndimadzisamalira bwanji/ndingathetse bwanji zizindikiro?

`(Conversion Disorder)` ingakhale yovuta kuizindikira ngakhale kwa dokotala wodziwa bwino ntchito yake. Zizindikiro zomwe zimayenderana ndi vutoli zimafanana kwambiri ndi zizindikiro za matenda oopsa komanso oopsa monga `(Stroke)` omwe amakhudza ubongo. Chifukwa chake, musayese kudzizindikira nokha vutoli kapena kudzichiritsa nokha. Nthawi zonse funsani upangiri kwa dokotala.

Nthawi yomwe zingatenge kuti ndimve bwino nditayamba kulandira chithandizo, chifukwa ichi ndi vuto la maganizo, zimadalira zinthu zambiri. Dokotala wanu ndiye munthu wabwino kwambiri woti akupatseni lingaliro la izi.

Kodi ndingapewe vuto la kusintha kwa zinthu?

Matenda a Kutembenuka kwa Matenda ndi matenda amisala omwe amachitika mwadzidzidzi. Chifukwa chake, palibe njira yeniyeni yopewera kapena kuchepetsa chiopsezo cha matendawa.

Kodi chimachitika ndi chiyani ngati ndili ndi vuto la kusintha kwa thupi?

Matendawa angakhudze kwambiri moyo wanu, kutengera zizindikiro zomwe muli nazo. Anthu ambiri sangathe kugwira ntchito mwakhama, kuchita zinthu zatsiku ndi tsiku, kapena kuchita zinthu zosangalatsa chifukwa cha zizindikiro zoopsa.

Anthu ambiri amavutika ndi momwe amamvera ndi vutoli komanso momwe ena amawachitira. Nthawi zambiri amamva ngati, "Palibe amene amandikhulupirira," "Aliyense amaganiza kuti ndikunama ndipo ndikuchita zinthu molakwika," ndipo angasiye kufunafuna chithandizo, makamaka ngati madokotala atawayankha choncho.

Matenda Osintha Maganizo Angapitirire Kwa Zaka Zambiri. Anthu ena ali ndi vuto lalikulu lomwe limatenga miyezi yosakwana isanu ndi umodzi, pomwe ena ali ndi vuto lopitirira lomwe limatenga miyezi yoposa isanu ndi umodzi. Nthawi zina ndi vuto la kanthawi kochepa, makamaka kwa ana. Komabe, kwa anthu omwe ali ndi zizindikiro zoopsa, omwe safuna chithandizo, kapena omwe satsatira bwino chithandizo, limatha kwa zaka zambiri, ngakhale moyo wonse.

Kodi chiyembekezo cha Conversion Disorder ndi chiyani?

Izi sizili zoopsa kapena zoopsa mwachindunji, koma zingakhudze kwambiri thanzi lanu lonse la maganizo ndi thanzi lanu.

Mwayi wopeza zotsatira zabwino umachepa:

• Ngati mwachedwa kufunafuna upangiri wa dokotala.
• Ngati akana kuvomereza kuti ali ndi vutoli.
• Ngati mulibe ubale wabwino kapena kulumikizana ndi dokotala wanu.
• Ngati simukutsatira ndondomeko ya chithandizo yomwe dokotala wakupatsani bwino.

Zotsatira zabwino kwambiri ndi kuchira kwathunthu. Pamene munthu akulimbitsa thanzi lake la maganizo ndi thanzi lake, kusokonezeka kwa ubongo kumatha kuchepetsedwa kapena kutheratu.

Kodi ndingadzisamalire bwanji?

Ngakhale zingakhale zovuta kumvetsetsa momwe thanzi lanu la maganizo lingayambitse zizindikiro zakuthupi, ndikofunikira kukumbukira kuti izi ndi zoona pa matenda ena ambiri. Taganizirani izi, kupsinjika maganizo, nkhawa, ndi mantha zimatha kuipitsa matenda monga zilonda zam'mimba, kuthamanga kwa magazi, ndi matenda a mtima, eti?

Ngati muli ndi `(Conversion Disorder)` chinthu chabwino kwambiri chomwe mungachite ndikugwira ntchito ndi dokotala wanu ndikutsatira malangizo awo a chithandizo. Anthu ambiri amavutika kulandira matendawa. Ngati mukumva chimodzimodzi, simuli nokha.

Ngati mukuvutika kuvomereza matendawa, lankhulani ndi dokotala wanu za vutoli. Kumanga ubale wolimba komanso wotseguka ndi dokotala wanu ndi chimodzi mwa zinthu zofunika kwambiri zomwe mungachite kuti muthandize.

Komanso, chitani izi:

• Pitani kwa dokotala monga momwe mwalangizidwira.
• Tengani nawo mbali mu maphunziro a uphungu (mankhwala olimbitsa thupi, uphungu wa maganizo) ndikuthandizira mwachangu.
• Ngati mankhwala alembedwa, amwe monga momwe mwalembedwera.

Kupita patsogolo ndi kupita patsogolo!

Kuchira ndi kusintha kuchokera ku matenda amisala nthawi zambiri si njira yolunjika. Ndizachibadwa kukumana ndi nthawi zovuta zochira. Nthawi zina mavuto kapena zizindikiro zanu zimatha kukulirakulira m'malo mokhala bwino. Izi ndi zachibadwa. Izi sizikutanthauza kuti ndinu wolephera kapena kuti vuto lanu silingathe.

Ngati mukukumana ndi vuto lamtunduwu, lankhulani ndi dokotala wanu. Angakupatseni upangiri wa zachipatala panjira yanu yochira. Angakupatseninso njira zomwe zingakuthandizeni kuthana ndi zopinga ndi nthawi zovuta izi.

Kodi ndiyenera kupeza chithandizo chadzidzidzi liti?

Anthu omwe ali ndi vuto la kusintha maganizo amakhala ndi mavuto ena amisala, monga kuvutika maganizo ndi nkhawa, ndipo ali pachiwopsezo chachikulu chofuna kudzipha.

Ngati mukuganiza zodzivulaza, kudzipha, kapena kuvulaza ena, muyenera kupeza chithandizo chamankhwala mwachangu. Ngati muli ndi malingaliro awa, ku Sri Lanka, mutha kuyimba 1926 (National Mental Health Helpline) kapena kupita ku chipinda chadzidzidzi cha chipatala chapafupi.

Kodi ndingathandize bwanji wokondedwa wanga amene ali ndi vuto la kusintha kwa thupi?

Ngati munthu amene ali pafupi nanu ali ndi vuto la kusintha kwa thupi, thandizo lanu lingathandize kwambiri pakuchira kwake komanso zotsatira za chithandizo chake. Nazi zina mwa "zoyenera kuchita" ndi "zosayenera" zomwe muyenera kukumbukira:

Zinthu zoti muchite:

• Alandireni, mvetserani: Matenda Osintha Maganizo ndi matenda enieni. Anthu omwe ali ndi vutoli nthawi zambiri amamva ngati ena sakuwakhulupirira. Kumva kumeneku kungawapangitse kuti asafune thandizo. Kumva ngati wina akuwakhulupirira kungakhale chilimbikitso chachikulu kwa iwo kuti akapeze chithandizo.
• Funsani momwe mungathandizire: Anthu omwe ali ndi vuto la kusintha kwa moyo wawo amatha kumva kuti ali okha komanso osungulumwa. Kudziwa kuti wina ali wokonzeka kuthandiza kungathandize kwambiri. Muthanso kuwalimbikitsa kuti apitirize kufunafuna chithandizo akamavutika.
• Dziwani zambiri za matenda awo, khalani okonzeka kuwathandiza: Dokotala wa wokondedwa wanu angafune kukambirana nanu za vutoli. Wokondedwa wanu kapena dokotala wawo angakufunseni ngati mukufuna kupita ku msonkhano wopereka uphungu. Yesetsani kupezekapo, chifukwa zomwe mwaphunzira zidzakuthandizani kuthandiza wokondedwa wanu.

Zinthu zomwe simuyenera kuchita:

• Musawanene kuti ananamizira: Kuwaneneza kuti ananamizira zizindikiro za vuto lenileni lodziwika bwino lotchedwa ``Conversion Disorder'' kungayambitse ululu ndi nkhawa zambiri kwa wokondedwa wanu.
• Musanene kuti, "Zili m'maganizo mwanu": Zotsatira za thanzi la maganizo sizimangokhala m'mutu mwa munthu. Ofufuza ndi akatswiri atsimikizira kuti mavuto a thanzi la maganizo amakhudza thupi lonse la munthu, ndipo ena angayambitse zizindikiro zoopsa komanso zoopsa.
• Musaiwale kudzisamalira: Monga matenda ena ambiri, okondedwa a anthu omwe ali ndi vuto la Conversion Disorder nawonso amatha kukhala ndi nkhawa. Musaiwale kusamalira thanzi lanu. Ngati simungathe kudzisamalira nokha, simungathe kuthandiza wina moyenera.

Pomaliza, pali chinthu choti muganizire.

Matenda a Zizindikiro za Mitsempha Yogwira Ntchito, kapena omwe amadziwika kuti Conversion Disorder, ndi vuto lomwe vuto la thanzi la maganizo limayambitsa zizindikiro zakuthupi. Vutoli ndi lenileni, ndipo zizindikiro zake si chinthu chomwe munthu angathe kuziletsa. Tsoka ilo, anthu ambiri omwe ali ndi vutoli amaona kuti ena - makamaka akatswiri azachipatala - sakhulupirira. Izi zingawapangitse kupewa kupeza chithandizo chamankhwala chomwe chingawathandize, zomwe nthawi zambiri zimapangitsa kuti zizindikiro zawo zikhale zovuta kwambiri.

Ngati muli ndi `(Conversion Disorder)`, kapena ngati dokotala wanu akuganiza kuti muli ndi vutoli, ndikwachibadwa kuchita mantha kapena kuda nkhawa ndi tanthauzo lake. Ngati mukuda nkhawa ndi izi, kapena ngati mukudabwa ngati dokotala wanu akukukhulupirirani, chinthu chabwino kwambiri choti muchite ndikuuza dokotala wanu. Udindo wa dokotala wanu si kukuweruzani. Udindo wawo ndikupeza zomwe zikukuchitikirani, chifukwa chake zikuchitika, kenako kuyesa kuzichiza. Ngati dokotala wanu akudziwa nkhawa zanu ndi mantha anu, adzatha kukumverani ndikupereka chithandizo, upangiri, kapena mayankho kuti akuthandizeni kukhala omasuka.

Matenda Osintha Maganizo, Thanzi la Maganizo, Zizindikiro Zakuthupi, Zizindikiro za Mitsempha, Chithandizo cha Maganizo, Kupsinjika Maganizo, Matenda a Somatoform