Kodi inunso mumamva ngati simuli nokha? Kodi malo akuoneka osawoneka bwino? Tiyeni tikambirane za (Depersonalization-Derealization Disorder).

Kodi munayamba mwamvapo chonchi? Zili ngati muli kunja kwa thupi lanu ndipo mumadziona nokha. Kapena zinthu zomwe zikukuzungulirani sizikumveka ngati zenizeni, ngati kuti ndi maloto. Zochitikazi ndi zachilendo pang'ono, mwina zoopsa, sichoncho? Lero tikulankhula za mkhalidwe wamaganizo womwe umachitika mukakhala ndi zochitika zamtunduwu mobwerezabwereza.

Kodi kudzimva kumeneku kodzipatula kwa iwe mwini ndi chilengedwe n’chiyani?

Mwachidule, mu mkhalidwe uwu wotchedwa ``Depersonalization-Derealization Disorder'', mungamve ngati mwadzipatula nokha (wotchedwa ``Depersonalization'') ndipo mwadzipatula ku malo omwe muli ndi malo omwe mumakhala (wotchedwa ``Derealization'').

Tangoganizani mukupita ku sitolo kukagula chinachake. Koma mukumva ngati si inu, koma wina akukhala mkati mwa thupi lanu, akukankhira trolley, akusankha katunduyo, akulipira. Zili ngati mukuyang'ana kuchokera kumbali. Mwina ngati muwona chithunzi chanu pawindo la sitolo, mumamva kuti mwapatukana kwambiri kotero kuti simungathe kuchizindikira. Ichi ndi chomwe timachitcha ``(Depersonalization)``` kapena kudzipatula kwa inu nokha . Apa ndi pamene mumamva ngati malingaliro anu, malingaliro anu, ngakhale thupi lanu si lanu.

Mbali inayo ndi `(Derealization)`. Izi zikutanthauza kuti, malo ozungulira inu, malo anu, amamva ngati si enieni kwa inu . Zingamveke ngati mukuyang'ana dziko lapansi kudzera pawindo la chifunga, kapena ngati mukuonera filimu yakuda ndi yoyera. Nthawi zina mawonekedwe ndi kukula kwa zinthu zingawoneke ngati zikusintha. Mutha kumva ngati zikusintha pamene mukuziyang'ana. Tangoganizirani kuti mukuyenda mumsewu, nyumba zonse ndi mitengo zimawoneka ngati zopangidwa ndi makatoni, ngati zoseweretsa. Umenewo ndi mkhalidwe wotchedwa `(Derealization)`.

Munthu amene ali ndi vuto la Depersonalization-Derealization Disorder angakumane ndi zonsezi, kapena chimodzi chokha. Chofunika ndichakuti muzindikire kuti zinthuzi si zenizeni . Simunataye mtima. Koma kudziwa kuti zochitikazi si zenizeni komanso kusatha kuzithawa kungayambitse nkhawa ndi nkhawa zambiri.

Madokotala amaika vutoli m'gulu la matenda amisala monga "Dissociative Disorder" mu gulu la "DSM-V". Matenda monga "Dissociative Identity Disorder" (yomwe ndi mkhalidwe womwe munthu amakhala ndi umunthu wambiri) ndi "Dissociative Amnesia" (yomwe ndi mkhalidwe womwe kukumbukira kumatayika) nawonso ndi a m'gululi.

Kodi vutoli ndi lofala bwanji?

Ndipotu, tonsefe timamva ngati sitili m'dziko lino panthawi ina m'miyoyo yathu. Ndi zachilendo. Zimatchedwa "kusadziona ngati munthu nthawi yochepa". Zimatanthauza kumva kwakanthawi . Koma chomwe tikulankhula ndi "Kusadziona ngati munthu - Kusadziona ngati munthu nthawi zonse". Iyi si vuto la nthawi yayitali, kapena vuto lomwe limabwera ndikupita . Vutoli nthawi zambiri limakhudza munthu m'modzi kapena awiri mwa zana lililonse (1%-2%). Koma ndilofala kwambiri pakati pa achinyamata ndi ana okhwima.Mutha kuwona izi pang'ono.

Kodi zizindikiro za izi ndi ziti?

Anthu omwe ali ndi vutoli amavutika kufotokoza momwe akumvera. Anthu ena ali ndi mawu oti anene, koma ena sangamvetse kapena kuganiza kuti sakusamala. Komabe, chizindikiro chachikulu cha Depersonalization-Derealization Disorder ndikumva kusagwirizana ndi kusagwirizana . Mungakumane ndi zinthu monga:

• Kusadziona ngati munthu weniweni ndi kumva ngati kuti mwapatukana ndi maganizo anu, malingaliro anu, ndi thupi lanu.
• Kutaya chidziwitso ndi kumva ngati uli kutali ndi malo ozungulira ndi malo ozungulira.
• Kumva ngati loboti, kapena anthu okuzungulirani akumva ngati maloboti.
• Kumva ngati wataya mtima, ngati kuti wataya mtima wonse.
• Zikumveka ngati ukutuluka m'thupi lako ndikudziyang'ana wekha.
• Zikumveka ngati kukhala m'dziko la maloto.
• Kumva chisoni ndi nkhawa.

Zizindikiro zimenezi zingakupangitseni kupsinjika maganizo ndi nkhawa kwambiri. Mungayambe kudzifunsa kuti, 'Kodi ndachitapo kanthu kolakwika?' Mungayesedwe kuganizira zizindikirozi ndikuyesera kuziletsa. Izi zingakulitse nkhawa ndi mantha anu, ndikupangitsa zizindikiro zanu kukhala zovuta kwambiri .

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Madokotala sakudziwabe chomwe chimayambitsa matenda a Depersonalization-Derealization, koma nthawi zambiri amagwirizanitsidwa ndi kupsinjika maganizo kapena chochitika choopsa . Mwachitsanzo:

• Kuzunzidwa mwakuthupi.
• Nkhanza zapakhomo (zomwe zachitika kapena zomwe zawonedwapo).
• Kukumana ndi ngozi kapena masoka achilengedwe.
• Zochitika zoopsa zomwe zimaika moyo pachiswe.
• Imfa yadzidzidzi ya wokondedwa.
• Kukulira ndi kholo lomwe limadwala matenda aakulu amisala.

Tangoganizirani, anthu ena amakumana ndi vuto loopsa ali ana. Ena amakhulupirira kuti kudzipatula kumeneku kungabukenso ngati njira yoti maganizo azitha kuthawa kupsinjika maganizo kosapiririka komwe kumachitika panthawiyo, kuti adziteteze. Ndiko kuti, maganizo amayesa kukhala 'osiyana' ndi zomwe zawachitikirazo.

Ndani amene ali pachiwopsezo chachikulu cha vutoli?

Anthu ena akhoza kukhala pachiwopsezo chachikulu chotenga matenda odzipatula, kapena kukhala opatukana. Pali zinthu zingapo zomwe zimapangitsa izi:

• Kusadziwa bwino momwe munthu akumvera (monga kusadziwa bwino zomwe akumva).
• Kukhala ndi matenda ena a umunthu kapena matenda ena amisala.
• Kukhala ndi matenda monga khunyu.

Kodi mumazindikira bwanji izi?

Ngati muli ndi zizindikiro izi, ndinu mlangizi wa zaumoyo wamaganizo., zomwe zikutanthauza kuti ndibwino kuonana ndi dokotala wa matenda amisala kapena mlangizi. Iye adzakufunsani mafunso angapo okhudza zizindikiro zanu. Adzafufuzanso matenda ena amisala omwe angayambitse zizindikiro zanu. Mwachitsanzo:

• Kuvutika maganizo
• Nkhawa
• Matenda Odzikuza ndi Okakamiza (OCD)
• Matenda Ovutika Maganizo Pambuyo pa Zoopsa (PTSD)
• Matenda a Umunthu

Ngati mulibe matenda ena ngati awa, ngati zizindikirozi sizikuonekera mutasiya kumwa mankhwala aliwonse, ndipo ngati zinthuzi sizikuyambitsidwa ndi kugwiritsa ntchito mankhwala osokoneza bongo kapena mowa, dokotala wanu angakupezeni kuti muli ndi vuto la Depersonalization-Derealization Disorder.

Ngati mukufunsani mayeso omwe akuchitidwa kuti adziwe izi, dokotala wanu adzakufunsani mafunso kuti adziwe zizindikiro zanu, kuchuluka kwa matendawa, komanso kuchuluka kwa matendawa komwe kumakhudza moyo wanu watsiku ndi tsiku. Mungapatsidwenso mayeso ena oti mulembe kapena kuchita pa kompyuta. Zingakhale zovuta kufotokoza momwe mukumvera, koma ndikofunikira kukhala omveka bwino momwe mungathere za zomwe mwakumana nazo . Izi zipangitsa kuti dokotala wanu akuthandizeni mosavuta.

Kodi mankhwala ochizira izi ndi otani?

Ndipotu, ofufuza akuyesetsabe kupeza chithandizo chabwino kwambiri cha Depersonalization-Derealization Disorder. Musanayambe chithandizo, dokotala wanu adzakuuzani za mbiri yanu yachipatala, zizindikiro, ndi zomwe mukuyembekezera kuchokera ku chithandizocho. Nthawi zambiri, kuphatikiza mankhwala ndi psychotherapy kungalimbikitsidwe. Izi zitha kuphatikizapo cognitive behavioral therapy (CBT) kapena eye movement desensitization and reprocessing (EMDR).

Taganizirani izi, chithandizo cha `(CBT)` chimakuphunzitsani momwe mungathanirane ndi malingaliro ndi malingaliro achilendo awa, momwe mungawathanirane nawo. Mukamva ngati ``Sindine ine'', mumaphunzitsidwa kutsutsa lingaliro limenelo, kuliwona mwanjira ina. Chithandizo cha `(EMDR)` chingakhale chothandiza kwambiri, makamaka ngati vutoli likugwirizana ndi zochitika zoopsa.

Mankhwala

Chithandizo cha kulankhula chimaonedwa kuti ndi njira yabwino kwambiri yothandizira izi. Komabe, dokotala wanu wamaganizo angakulimbikitseninso mankhwala amodzi kapena angapo ngati gawo la chithandizo chanu. Mwachitsanzo:

• `(Selective Serotonin Reuptake Inhibitors - SSRIs)` (Awa ndi mtundu wa mankhwala operekedwa pochiza kuvutika maganizo ndi nkhawa).
• Mankhwala oletsa nkhawa.
• Mankhwala okhazikitsa maganizo.
• Mankhwala oletsa matenda amisala ndi mankhwala operekedwa pa matenda ena amisala.

Mankhwalawa amaperekedwa kuti athandize kuchepetsa zizindikiro, koma ndikofunikira kukumbukira kuti mankhwala awa okha sangachiritse vutoli kwathunthu.

Kodi pali zotsatirapo zilizonse za mankhwalawa?

Popeza mankhwala osiyanasiyana amagwiritsidwa ntchito pa matenda a Depersonalization-Derealization Disorder, zotsatira zake zimatha kusiyana. Komabe, nazi zina mwa zotsatira zake zofala kwambiri:

• Kudzimbidwa.
• Chizungulire.
• Kugona tulo.
• Pakamwa pouma.
• Kuwonjezeka kwa njala.
• Kuthekera kwa zotsatirapo zoipa ndi mankhwala ena, mankhwala osokoneza bongo, kapena mowa womwe mukumwa.
• Kuvuta kukodza (Kusunga mkodzo).
• Kulemera.

Choncho, ndikofunikira kwambiri kudziwitsa dokotala wanu ngati mukukumana ndi zotsatirapo zilizonse zoyipa . Dokotalayo amatha kusintha mlingo kapena kukupatsani mankhwala ena ngati pakufunika kutero.

Kodi vutoli lidzatha liti?

Palibe kafukufuku wambiri pa izi. Komabe, ngati sichikuthandizidwa, Depersonalization-Derealization Disorder ikhoza kukhalapo kwa zaka zambiri . Nthawi zina imatha yokha. Komabe, ikhoza kukhala ndi zotsatirapo zoipa pa ubale wanu ndi magwiridwe antchito anu. Gawo labwino kwambiri ndilakuti mukalandira chithandizo, zizindikiro nthawi zambiri zimayamba kusintha pakatha miyezi ingapo .

Kodi mumadzisamalira bwanji?

Ngati mukupitirizabe kukhala ndi zizindikiro za Depersonalization-Derealization Disorder, choyamba muyenera kupempha chithandizo kuchokera kwa mlangizi wa zaumoyo wamaganizo . Mungafunike kuonana ndi anthu angapo poyamba, kenako kukhala ndi misonkhano yokhazikika ndi katswiri wa zamaganizo komanso nthawi zina kukumana ndi dokotala wa matenda amisala. Katswiri wa zamaganizo angakuthandizeni kupeza chithandizo choyenera kwa inu ndikukuthandizani kuthana ndi zotsatirapo zoyipa za mankhwala. Mlangizi angakuphunzitseni momwe mungathanirane ndi zizindikiro zanu kudzera mukulankhulana ndi kuzindikira zomwe zimayambitsa.

Pakadali pano, imwani mankhwala omwe mwapatsidwa pa nthawi yake . Khalani okoma mtima kwa inu nokha. Palibe vuto ngati simungathe kufotokoza momwe mukumvera. Ndizachibadwa kuda nkhawa ndi thanzi lanu, koma musamangoganizira kwambiri za izo. Mutha kuchepetsa nkhawa yanu pochita zinthu monga kupuma pang'onopang'ono kapena kusinkhasinkha .

Kodi pali zinthu zina zomwe sizili bwino kudya kapena kumwa?

Ngati muli ndi vuto la Depersonalization-Derealization Disorder, ndi bwino kupewa kugwiritsa ntchito mankhwala osokoneza bongo ndi mowa . Mankhwala osokoneza bongo ndi mowa angayambitse zizindikiro za depersonalization ndi derealization. Zingasokonezenso mankhwala omwe mukumwa. Ngati mukugwiritsa ntchito mankhwala osokoneza bongo kapena mowa,Khalani oona mtima ndi gulu lanu la zaumoyo wamaganizo pankhaniyi kuti akupatseni chithandizo chomwe mukufunikira kuti muthane nacho bwino.

Kodi muyenera kupita kwa dokotala liti?

Madokotala anu adzakonza nthawi yokumana ndi dokotala nthawi zonse kuti akaone momwe mulili, zizindikiro, ndi zotsatirapo zake pa chithandizo chanu. Komabe, nthawi zina mungakhale ndi vuto kapena mukufuna thandizo, koma mungaphonye nthawi yokumana ndi dokotala. Ngati zizindikiro zanu zikuipiraipira, musazengereze kulankhulana ndi dokotala wanu . Ngati mukuganiza kuti mudzivulaza nokha kapena wina, pezani thandizo nthawi yomweyo . Ku Sri Lanka, pitani ku chipinda chadzidzidzi cha chipatala chapafupi nanu, kapena imbani 1926 (National Mental Health Helpline). (Ku US, mutha kuyimba 988 kuti mupeze thandizo lodzipha komanso ladzidzidzi kapena 911 kuti mupeze thandizo ladzidzidzi, koma ku Sri Lanka, timagwiritsa ntchito ntchito zomwe zilipo mdziko lathu.)

Ndi mafunso ati omwe muyenera kufunsa dokotala wanu?

Musachite mantha kapena kuchita mantha kufunsa dokotala wanu mafunso. Ndi ufulu wanu. Nthawi zina dokotala akakufunsani kuti, "Kodi muli ndi mafunso aliwonse?", sitingaganizire chilichonse nthawi yomweyo. Chifukwa chake, ndi bwino kulemba mndandanda wa mafunso omwe muyenera kufunsa . Mutha kufunsa mafunso ngati awa:

• Kodi zinditengera nthawi yayitali bwanji kuti ndidzimve ngati ndine ndekha?
• Ndi zotsatirapo ziti zomwe ndiyenera kuyembekezera kuchokera ku chithandizochi?
• Kodi ndiyenera kumwa mankhwala ndi/kapena kupita kukalankhula ndi dokotala kwa nthawi yayitali bwanji?
• Ngati ndili ndi mafunso kapena nkhawa, ndingalumikizane bwanji nanu?
• Kodi ndiyenera kuchita chiyani ngati zizindikiro zanga zikuipiraipira? Nanga bwanji ngati zikuchira nditamaliza ntchito kapena kumapeto kwa sabata?

N'zosavuta kumva ngati uli wekha ukakhala ndi vuto la Depersonalization-Derealization. Mungamve ngati uli kutali ndi iwe mwini kapena dziko lozungulira iwe. Kapena mungamve ngati ukukhala m'maloto, kapena mungamve ngati ukuyang'ana moyo kudzera mu galasi lokhuthala komanso lopanda chifunga. Maganizo amenewa angakupangitseni kumva ngati uli wekha. Koma kumbukirani, gulu lanu la zaumoyo wamaganizo lilipo kuti likuthandizeni . Ndipo banja lanu, anzanu ... ngakhale kuti angavutike kumvetsetsa zenizeni zanu, amakukondani. Sadzasiya kukuthandizani chifukwa sangamvetse. Auzeni zomwe mukufuna kuchokera kwa iwo . Kenako adzadziwa momwe angakuthandizireni.

Pomaliza, chinthu chofunika kwambiri

Mwachidule, Depersonalization-Derealization Disorder ndi vuto la maganizo lomwe limakupangitsani kukhala ndi malingaliro achilendo komanso osatheka okhudza inu nokha ndi malo ozungulira inu. Izi si vuto lanu, ndipo si kufooka . Ili ndi vuto lochiritsika. Simuli nokha . Ngati muli ndi zizindikiro izi, chonde funsani upangiri wa dokotala. Ndi chithandizo choyenera, mutha kukhalanso ndi moyo wabwinobwino.Khalani okoma mtima kwa inu nokha, khalani oleza mtima, ndipo musaope kupempha thandizo.

Kudzipatula ku kudzikonda, kudzipatula ku chilengedwe, Kusadziona ngati munthu weniweni - Matenda a Derealization, thanzi la maganizo, matenda osagwirizana, nkhawa, kupsinjika maganizo