Kodi mulinso ndi mavuto amisala komanso kugwiritsa ntchito mankhwala osokoneza bongo? Tiyeni tiphunzire za Kuzindikira Matenda Awiri!

Kodi nthawi zina mumamva ngati mwayamba kumwa mowa kapena mankhwala ena osokoneza bongo mosadziwa kuti muchepetse nkhawa ndi nkhawa zanu? Kapena mumamva ngati zina mwa zizolowezi zanu zikukhudza thanzi lanu la maganizo? Izi zimachitika kawirikawiri pakati pathu. Lero, tikambirana momwe mungazindikire mavuto awiriwa ogwirizana komanso zomwe mungachite pamavutowa.

Kodi Kuzindikira Matenda Awiri N'chiyani? Tiyeni timvetse mosavuta!

Mwachidule, matenda awiriwa amatanthauza kuti muli ndi matenda amisala (monga kuvutika maganizo kapena nkhawa) komanso matenda ogwiritsa ntchito mankhwala osokoneza bongo nthawi imodzi. Izi nthawi zina zimatchedwa matenda obwera chifukwa cha mankhwala . Chofunika kwambiri ndichakuti matenda awiriwa si matenda atsopano, ndi kuphatikiza kwa matenda awiri omwe alipo.

Tangoganizirani, munthu ali ndi nkhawa yaikulu. Polephera kupirira, amayamba kumwa mowa kuti apeze mpumulo. Pakapita nthawi, amayamba kugwiritsa ntchito mowa mopitirira muyeso. Kenako amakhala ndi nkhawa komanso mavuto okhudzana ndi kugwiritsa ntchito mowa. Ndicho chimene timachitcha matenda awiri.

Chomwe chimachitika apa n'chakuti vuto lina limakhudza lina. Zili ngati kuzungulira koipa. Mavuto amisala osathandizidwa amatha kuipitsa kugwiritsa ntchito mankhwala osokoneza bongo, ndipo pamene kugwiritsa ntchito mankhwala osokoneza bongo kukuchulukirachulukira, mavuto amisala nawonso amatha kuchulukirachulukira.

Kodi vutoli (Dual Diagnosis) ndi lofala bwanji?

Matendawa ndi ofala kwambiri m'dera lathu kuposa momwe mungaganizire. Kafukufuku wapeza kuti pafupifupi 50% ya anthu omwe ali ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo amakhala ndi vuto la maganizo nthawi ina m'miyoyo yawo. Mofananamo, 50% ya anthu omwe ali ndi vuto la maganizo alinso ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo. Tangoganizani, mu 2020 yokha, akuluakulu 17 miliyoni ku United States anali ndi vuto la maganizo komanso vuto la kugwiritsa ntchito mankhwala osokoneza bongo. Vutoli likhoza kuoneka kwambiri ku Sri Lanka.

Kodi zizindikiro za matenda a (Dual Diagnosis) ndi ziti?

Izi n'zovuta pang'ono, chifukwa zizindikiro zanu zokhudzana ndi vuto lanu logwiritsa ntchito mankhwala osokoneza bongo zimasiyana ndi zizindikiro zanu zokhudzana ndi vuto lanu la matenda amisala. Chifukwa chake, zizindikiro zomwe mumasonyeza pofufuza matenda awiri zimadalira mtundu wa mankhwala omwe mukugwiritsa ntchito komanso matenda amisala omwe muli nawo. Pakhoza kukhala mitundu yosiyanasiyana, kotero zizindikiro zimatha kukhala zosiyanasiyana kwambiri.

Zizindikiro zina zodziwika bwino za vuto la kugwiritsa ntchito mankhwala osokoneza bongo:

• Kuyesera kukhala kutali ndi achibale ndi abwenzi.
• Pa chinachakeKuvuta kuyika maganizo pa chinthu.
• Kuwonetsa kusintha kwakukulu mwadzidzidzi kwa khalidwe .
• Kuchita zinthu zoopsa pafupipafupi (monga kuyendetsa galimoto aledzera).
• Kukhala ndi vuto la kulekerera kwambiri mankhwala (kutanthauza kuti kuchuluka kwa mankhwala omwe mudamwa kale sikukukwanira) komanso/kapena kukumana ndi zizindikiro zosiya kumwa mankhwalawo mukapanda kumwa.
• Kumva ngati mankhwala osokoneza bongo ndi ofunikira pa moyo ndi magwiridwe antchito.

Zizindikiro zina zodziwika bwino za matenda amisala:

• Kusintha kwakukulu kwa maganizo.
• Kumva kusokonezeka kwambiri .
• Kuvuta kuyika chidwi .
• Kulephera kuchita bwino ntchito kuntchito kapena kusukulu.
• Kupewa kuyanjana ndi ena .
• Maganizo odzipha .

Chofunika: Ngati inu kapena munthu amene mumamudziwa ali ndi chimodzi mwa zizindikiro izi, ndikofunikira kwambiri kufunafuna upangiri wa dokotala.

Ndi iti mwa zinthu ziwirizi yomwe imabwera poyamba?

Izi zili ngati funso lakuti "Ndi chiyani chinayamba, nkhuku kapena dzira?" N'zovuta kunena kuti ndi matenda ati mwa matenda awiriwa omwe anayamba . (Dual Diagnosis) Ngakhale chimodzi chitakhala pamodzi, sizikutanthauza kuti chimodzi chinayambitsa china.

Komabe, ngakhale kuti kugwiritsa ntchito mankhwala osokoneza bongo sikumayambitsa matenda amisala mwachindunji (ndipo mosiyana, pali mgwirizano womveka bwino pakati pa ziwirizi. Mowa ndi mankhwala osokoneza bongo zimatha kuipitsa zizindikiro za matenda amisala. Ndipo, kugwiritsa ntchito zinthuzi nthawi zonse kungapangitse kuti munthu adwale matenda amisala.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a Dual Diagnosis?

Ofufuza amapereka malingaliro osiyanasiyana okhudza chifukwa chake kugwiritsa ntchito mankhwala osokoneza bongo ndi mavuto amisala kumachitika limodzi.

Zinthu zomwe zimagawidwa pachiwopsezo

Pali zinthu zina zomwe zingayambitse matenda amisala komanso kugwiritsa ntchito mankhwala osokoneza bongo.

• Majini: Monga matenda amisala, kugwiritsa ntchito mankhwala osokoneza bongo kungachitike m'mabanja. Izi zikutanthauza kuti ngati wina m'banja mwanu wakhala ndi vutoli, muli pachiwopsezo chachikulu. Kafukufuku akusonyeza kuti pali majini angapo omwe amathandizira pa matenda onse awiriwa.
• Zinthu Zachilengedwe: Zinthu zina zomwe zili m'malo mwathu, monga kupsinjika maganizo ndi kuvulala (monga kuvulala kwa ana kapena nkhanza), zingayambitse zonsezi. Nthawi zina, zochitika zoopsazi zimatha kukhudza mibadwo yonse.

Kugwiritsa ntchito mankhwala osokoneza bongo chifukwa cha matenda amisala

Ngati muli ndi matenda amisala, mungayesedwe "kudzipatsa mankhwala." Izi zikutanthauza kuti mumagwiritsa ntchito mowa kapena mankhwala osokoneza bongo kuti muchepetse ululu wanu, nkhawa, kapena kuvutika maganizo kwakanthawi. Ngakhale izi zitha kuchepetsa zizindikiro zanu kwakanthawi, zimatha kuzikulitsa kwambiri pakapita nthawi . Komanso, matenda ena amisala amatha kusintha magwiridwe antchito a "malo opezera mphotho" muubongo wanu. Izi zitha kuwonjezera chiopsezo chanu chokhala ndi chizolowezi chogwiritsa ntchito mankhwala osokoneza bongo.

Matenda amisala omwe amayamba chifukwa chogwiritsa ntchito mankhwala osokoneza bongo

Mukagwiritsa ntchito mowa, mankhwala osokoneza bongo, ndi zinthu zina zosokoneza ubongo, zimatha kusokoneza kapangidwe ndi ntchito ya ubongo wanu . Kusinthaku kungakulitse chiopsezo chanu chokhala ndi matenda amisala. Mwachitsanzo, mankhwala ena angayambitse mantha kapena kuganiza zinthu molakwika, kapena kuona zinthu molakwika kapena kuganiza zinthu molakwika.

Kodi mungazindikire bwanji (Kuzindikira Kawiri)?

Monga tanenera kale, matenda awiri si matenda atsopano, ndi kuphatikiza kwa matenda awiri. Zizindikiro za matenda onsewa zimatha kukhala zofanana komanso zofanana, kupeza matenda molondola nthawi zina kungakhale kovuta, ngakhale kwa dokotala.

Komabe, dokotala wanu adzagwiritsa ntchito zida zapadera zoyezera matenda anu kuti akuyeseni matenda onsewa. Ndikofunikira kukhala oona mtima momwe mungathere mukalankhula ndi dokotala wanu panthawiyi. Kutengera ndi mayankho anu, adzatha kudziwa matenda omwe mungakhale nawo komanso chithandizo chomwe chili chabwino kwa inu.

Kodi njira zochizira matenda a Dual Diagnosis ndi ziti?

Pochiza matenda awiri, njira yabwino kwambiri ndiyo kuchiza matenda anu amisala komanso vuto lanu logwiritsa ntchito mankhwala osokoneza bongo nthawi imodzi . Inu ndi dokotala wanu muyenera kumvetsetsa momwe matenda awiriwa amakhudzirana. Pokhapokha mungasankhe njira yothandiza kwambiri yothandizira.

Kuti muchiritse matenda awiriwa, muyenera kusiya kugwiritsa ntchito mankhwala omwe mumagwiritsa ntchito . Kwa anthu ambiri, izi zimayamba ndi njira yotchedwa detoxification . Pakuchotsa poizoni m'thupi m'nyumba, opereka chithandizo chamankhwala amakuyang'anirani maola 24 patsiku kwa pafupifupi sabata imodzi. Amakuthandizani pang'onopang'ono kusiya kumwa mankhwalawo ndikukupatsani njira zochepetsera zotsatirapo zoyipa za kusamwa mankhwalawa.

Kutengera ndi momwe zinthu zilili, chithandizo cha Dual Diagnosis chingaphatikizepo chithandizo cha khalidwe , mankhwala , magulu othandizira, kapenaChisamaliro cha odwala m'thupi chikhoza kuphatikizidwa.

Chithandizo cha Khalidwe

Pali njira zingapo zochiritsira kusintha khalidwe zomwe zathandiza pochiza matenda omwe amabwera chifukwa cha izi:

• Chithandizo cha Maganizo (CBT): (CBT) ndi mtundu wa chithandizo chomwe chimakuphunzitsani kuzindikira, kuthana ndi, ndikusintha njira zosagwira ntchito m'maganizo anu. Izi zingakuthandizeni kuphunzira njira zatsopano zothetsera mavuto.
• Chithandizo cha Maganizo Okhudza Maganizo (DBT): DBT ndi njira yochizira yomwe imakuthandizani kuchepetsa makhalidwe odzivulaza, makamaka kugwiritsa ntchito mankhwala osokoneza bongo, kudzicheka, ndi malingaliro kapena zochita zodzipha. Ingakuthandizeni kuphunzira kulamulira malingaliro anu ndikukhala ndi ubale wabwino ndi ena.

Mankhwala

Dokotala wanu angakulembereni mankhwala a vuto limodzi kapena onse awiri. Mankhwala ena angathandize kuchiza zizindikiro za matenda onse awiriwa. Mwachitsanzo, mankhwala a bupropion amavomerezedwa ndi FDA kuti athetse kuvutika maganizo (monga Wellbutrin®) ndi kudalira nikotini (monga Zyban®).

Magulu Othandizira

Magulu othandizira ndi malo abwino kwambiri opezera chithandizo chamaganizo ndi cha anthu chomwe mukufunikira kuti mukhale osamwa mowa. Anthu omwe ali m'magulu awa ndi anthu omwe adakumanapo ndi vuto lomwelo monga inu. Anzanu angakuuzeni zomwe adakumana nazo ndikuyankha mafunso anu. Angakupatseninso upangiri wamomwe mungathanirane ndi mavuto a moyo watsiku ndi tsiku. Alcoholics Anonymous (AA) ndi Narcotics Anonymous (NA) ndi magulu othandizira odziwika bwino.

Chisamaliro cha odwala omwe ali m'chipatala

Ngati muli ndi chizolowezi chogwiritsa ntchito mankhwala osokoneza bongo komanso muli ndi matenda amisala, mungapindule kwambiri mukalandira chithandizo chamankhwala kunyumba ku malo ochizira matenda awiri . Kumeneko, mungapeze chithandizo chamankhwala ndi thanzi la maganizo, mankhwala, chithandizo, ndi chithandizo chomwe mukufuna zonse pamalo amodzi.

Kodi mungachepetse bwanji chiopsezo cha (Kuzindikira Matenda Awiri)?

Monga matenda amisala, kugwiritsa ntchito mankhwala osokoneza bongo ndi matenda a muubongo . Ngakhale kuti sangathe kupewedwa kotheratu, mungachite izi kuti muchepetse chiopsezo chanu:

• Dziwani mbiri ya banja lanu . Ndiye kuti, fufuzani ngati pali wina m'banja mwanu amene wakhalapo ndi matenda amisala kapena mavuto okhudzana ndi kugwiritsa ntchito mankhwala osokoneza bongo.
• Ngati mumwa mowa, chepetsani kuchuluka kwake .
• Ngati muli ndi vuto lililonse la maganizo kapena vuto linalake, lankhulani ndi dokotala wanu za vutoli.Ngati zapezeka msanga, zimakhala zosavuta kuchiza.

Kodi mungayembekezere chiyani ngati muli ndi matenda awiri?

Ndi chithandizo choyenera, mumakhala ndi mwayi wabwino kwambiri wochira matenda awiri . Mutha kusintha moyo wanu ndikuyembekezera zotsatira zabwino. Komabe, kuti mupitirize kuchira, muyenera kupitiriza kugwira ntchito ndi madokotala anu ndi/kapena magulu othandizira . Musamaope kupempha thandizo.

Kodi mungamuthandize bwanji wokondedwa wanu ndi matenda awiri?

Kuthandiza munthu amene ali ndi vuto linalake kungakhale kovuta kwambiri . Wokondedwa wanu angakane kuti ali ndi vuto ndipo sangafune kufunafuna chithandizo. Ngakhale atayamba kulandira chithandizo, ulendo wopita kuchipatala ukhoza kukhala wautali.

Mvetsetsani zomwe mungathe ndi zomwe simungachite. Simungakakamize wokondedwa wanu kusiya kugwiritsa ntchito mankhwala osokoneza bongo, kumwa mankhwala, kapena kupita kwa uphungu.

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Koma, mutha kupanga zisankho zabwino nokha . Mutha kulimbikitsa wokondedwa wanu kuti apeze thandizo, mutha kuwapatsa chikondi chanu chopanda malire ndi chithandizo. Mumvereni, yesani kuwamvetsa.

Ngati mukudwala matenda awiri, mungamve ngati muli "mbali yolakwika ya msewu." Mungamvenso ngati mukuchita nokha. Komabe, ndikofunikira kukumbukira kuti matenda amisala ndi kugwiritsa ntchito mankhwala osokoneza bongo ndi matenda odziwika bwino azachipatala . Kungoti "sawoneka" sikutanthauza kuti si enieni. Musaope kuonana ndi dokotala wanu ndikupempha thandizo. Khalani oona mtima komanso omasuka nawo, ndipo adzakuthandizani kupeza chithandizo chomwe mukufuna. Kupempha thandizo ndi sitepe yoyamba paulendo wopita kuchireni.

Chidule (Uthenga Wopita Nawo Kunyumba)

• Kuzindikira matenda awiri ndi vuto la matenda amisala komanso vuto la kugwiritsa ntchito mankhwala osokoneza bongo nthawi imodzi . Izi zimachitika kawirikawiri kuposa momwe mungaganizire.
• Zinthu ziwirizi zimatha kukhudzana ndipo zimatha kugwira ntchito ngati chizolowezi choipa .
• Izi zitha kuchitika chifukwa cha majini, zinthu zomwe zimachitika m'chilengedwe, kugwiritsa ntchito mankhwala ochepetsa nkhawa, komanso zotsatira za mankhwala pa ubongo.
• Ndikofunikira kwambiri kumvetsetsa zizindikiro ndikupempha upangiri kwa dokotala .
• Njira zochiritsira zimaphatikizapo chithandizo chosintha khalidwe, mankhwala, magulu othandizira, ndi chithandizo cha m'nyumba . Kuphatikiza zonsezi ndikothandiza kwambiri.
• Ndi chithandizo choyenera komanso chithandizo, matenda awiriwa angathandize kuti munthu achire bwino. Musaope kupempha thandizo, limenelo ndilo gawo lofunika kwambiri.

'Kuzindikira Zinthu Ziwiri, thanzi la maganizo, kugwiritsa ntchito mankhwala osokoneza bongo, chizolowezi, matenda amisala, chithandizo, matenda obwera chifukwa cha mankhwala ena