Kodi wokondedwa wanu akunamizira matenda omwe alibe? Tiyeni tikambirane za vuto loopsa ili (Factitious Disorder Imposed on Another - FDA)!

Kodi mudamvapo za anthu omwe amasamalira mwana, munthu wokalamba, kapena munthu wolumala amene sadwala, amadzionetsera ngati akudwala kenako n’kupita naye kwa dokotala n’kuwapatsa mankhwala? Izi n’zovuta kuziganizira, koma nthawi zina zimachitika. Lero tikambirana za vuto la maganizo lovuta komanso loopsa chonchi.

Kodi FDA iyi (Factitious Disorder Imposed on Another) ndi chiyani?

Mwachidule, 'Factitious Disorder Imposed on Another' (FDA) ndi matenda amisala omwe munthu amene ali ndi vutoli amayesa kutsimikizira ena, makamaka madokotala, kuti munthu amene akumusamalira (monga mwana wosakwana zaka 6, munthu wolumala, kapena munthu wamkulu woposa zaka 65) akudwala pamene alibe matenda.

Dzina limeneli linkatchedwa `Munchausen syndrome ndi proxy`. Dzina limenelo limachokera kwa munthu wina wakale amene ankakokomeza nkhani. Komabe, mawu akuti `Factitious Disorder Imposed on Another` tsopano akugwiritsidwa ntchito kufotokoza bwino khalidweli.

Chofunika kwambiri ndichakuti kunamizira kotereku n’koopsa kwambiri. Chifukwa kungapangitse munthu wosalakwa komanso wachikondi kuti ayesedwe mosayenera, ndipo nthawi zina opaleshoni yoopsa. Izi ndi zomwe zimachitika pamene magulu azachipatala akuyesera kupeza zomwe zikuchitikadi.

Izi zimaonedwa ngati matenda amisala komanso mtundu wina wa nkhanza . Komabe, pali njira zopezera thandizo kwa munthu amene ali ndi matenda a FDA komanso wovutikayo.

Vutoli silili lofala kwambiri m'dera lathu. Komanso, palibe ziwerengero zenizeni za kuchuluka kwa anthu omwe ali ndi matendawa. Chifukwa milandu yambiri siipezeka.

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

Madokotala sakudziwa chomwe chimayambitsa izi, koma kafukufuku akusonyeza kuti zinthu zotsatirazi zingayambitse vutoli:

• Kuvulala kwambiri, nkhanza, kapena kunyalanyazidwa m'mbuyomu: Mwina munakumana ndi zinthu ngati izi muli mwana.
• Kutaya kholo kapena wosamalira: Vutoli likhoza kuyamba chifukwa cholephera kuthana ndi kutayika kotereku.
• Kupsinjika maganizo kwambiri: Pamene moyo umakhala wovuta kwambiri moti sungathe kuupirira.
• Kufunika kwakukulu kwa chisamaliro kuchokera kwa ena: Chikhumbo choti ena azilankhula ndi kuyamikira za iwo eni komanso kudzipereka kwawo.

Izi ndi zina mwa zifukwa zazikulu zomwe zadziwika.

Kodi munthu amene ali ndi vutoli amakhala ndi makhalidwe otani?

Ngati muli ndi udindo uwu wa FDA, mungathe kuchita zinthu monga:

• Muuzeni dokotala kuti munthu amene mumamusamalira ali ndi zizindikiro zomwe sizilipo kwenikweni.
• Nthawi zina, munthu winayo amavulazidwa mwakuthupi kuti ayambe zizindikiro (monga, pomuletsa kudya kuti aletse kunenepa).
• Kusintha zotsatira za malipoti a mayeso a zachipatala a munthu wina (mwachitsanzo, posakaniza china mu mkodzo).
• Zimasokoneza dongosolo la chithandizo cha munthu winayo ndipo zimamulepheretsa kuchira.

Kodi zizindikiro zooneka za munthu amene wayamba kuzunzidwa ndi ziti?

Ngati mwakumana ndi vuto la FDA, mutha kuwona zizindikiro ngati izi kwa wolandira chithandizo:

• Simumusiya yekha , kapena kumusiya kutali ndi inu.
• Angakhale ndi mbiri yogonekedwa m'chipatala pafupipafupi, kuyezetsa magazi, ndi njira zosiyanasiyana zachipatala .
• Malipoti azachipatala sangagwirizane ndipo akhoza kukhala otsutsana.
• Zizindikiro sizingafanane ndi matenda amodzi, kapena sizingatheke kupeza matenda enieni .
• Zizindikiro zitha kupezeka kunyumba kokha , ndipo sizingawonekere pamaso pa dokotala.
• Tinganene kuti zizindikirozo zinachepa pamene munali kuchipatala, koma zinawonjezekanso mutafika kunyumba .
• Nthawi zina, zitsanzo za magazi kapena mkodzo zomwe zayesedwa mu labu sizingafanane ndi mtundu wa magazi kapena mkodzo wa munthuyo , kapena zingasonyeze umboni wakuti zasinthidwa.

Tangoganizani, pali mwana wamng'ono, amayi ake nthawi zonse amamutengera kuchipatala, akumuuza za matenda osiyanasiyana. Ngakhale madokotala atamuyesa kamodzi kokha, palibe matenda omwe amapezeka. Koma akapita kunyumba, mayiyo akunenanso kuti mwanayo ali m'mavuto. Mwina pamene palibe dokotala, mayiyo amadzionetsera ngati akudwala pochita zinazake kwa mwanayo. Ichi ndi chiopsezo cha FDA.

Kodi izi ndi zobadwa nazo? Kodi zinthu zoopsa ndi ziti?

Choyambitsa matenda a FDA sichinapezeke m'majini, zomwe zikutanthauza kuti si matenda obadwa nawo .

Komabe, vutoli limapezeka kwambiri pakati pa azimayi osamalira ana . Limapezekanso pakati pa anthu omwe ali ndi vuto la umunthu .

Zizindikiro zina zodziwika bwino zomwe zimapezeka mwa anthu omwe ali ndi vutoli ndi izi:

• Muli ndi chidziwitso chabwino cha chithandizo chamankhwala ndi chidziwitso cha thanzi.
• Ndiwe wochezeka kwambiri ndipo umagwirizana mosavuta ndi ena .
• Ndinu odzipereka kwambiri komanso odzipereka monga wosamalira.

Chifukwa cha makhalidwe amenewa, nthawi zina ena sakayikira chilichonse.

Kodi madokotala amazindikira bwanji vutoli?

Ndipotu, n'zovuta kwambiri kuti madokotala azindikire vuto la FDA. Chifukwa, chinthu chofunikira kwambiri pa vutoli ndi kusakhulupirika ndi chinyengo.Dokotala adzaonetsetsa kaye kuti munthu amene mukumusamalila alibe matenda ena aliwonse okhudzana ndi zizindikiro zomwe akukumana nazo. Pokhapokha adzaganizira ngati muli ndi vuto la FDA. Izi zingatenge nthawi .

Dokotala adzayamba wafunsa za zizindikiro za wokondedwa wanu ndipo, ngati pakufunika, adzakuyezani thupi ndi mayeso ena. Adzakufunsani za mbiri yawo yachipatala komanso mbiri yachipatala ya banja. Panthawiyi, dokotalayo adzayang'anira zinthu monga:

• Kodi nthawi zambiri mumapita kuzipatala zosiyanasiyana kukalandira chithandizo?
• Kodi mbiri ya zamankhwala imatsutsana?
• Kodi mumakayikira kupereka zolemba zachipatala pasadakhale, kapena kukambirana izi ndi anzanu ndi abale anu?
• Kodi madokotala saloledwa kulankhula ndi munthu amene akulandira chithandizo yekha?

Ngati mukukayikira ngati izi, dokotala adzakulankhulani za khalidweli ndikuonetsetsa kuti inu ndi munthu amene mukusamalira muli otetezeka.

Njira zodziwira matenda a FDA mu `DSM-5`

Malinga ndi buku la American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, kope lachisanu (DSM-5), mfundo zotsatirazi ziyenera kukwaniritsidwa kuti munthu apezeke ndi matenda a FDA:

• Kunyengezera zizindikiro zakuthupi kapena zamaganizo, kapena kuyambitsa kuvulala kapena matenda, ndi cholinga chonyenga ena.
• Munthu mmodzi akuwonetsa munthu wina (wozunzidwayo) kwa ena ngati wodwala, wofooka, kapena wovulala .
• Khalidwe lachinyengo limeneli silichitika ndi chiyembekezo cha phindu lalikulu, looneka bwino .
• Khalidweli silimayambitsidwa ndi vuto lina la matenda amisala .

Kodi mankhwala ochizira izi ndi otani?

Cholinga choyamba pochiza matenda a FDA ndikusintha makhalidwe oipa ndikuchepetsa kugwiritsa ntchito molakwika kapena kugwiritsa ntchito mopitirira muyeso zinthu zachipatala . Kenako, gulu lanu lachipatala lidzafufuza zomwe zimayambitsa khalidwe lanu.

Madokotala adzagwira ntchito limodzi kuti atsimikizire kuti munthu amene mukumusamalira sali pachiwopsezo komanso kuti sakulandira mayeso kapena chithandizo chosafunikira chamankhwala. Wozunzidwayo, kutanthauza munthu amene mukumusamalira, angafunikenso thandizo pa:

• Kumuchotsa m'manja mwanu ndikumuika m'manja mwa wina.
• Kuchiza kuvulala kulikonse kapena matenda omwe angakhale atakumana nawo.
• Kulankhula ndi mlangizi wa zaumoyo wamaganizo , katswiri wa zamaganizo, kapena katswiri wina wa zachipatala za matenda monga Post-Traumatic Stress Disorder (PTSD), Depression, ndi Nkhawa zomwe zingachitike chifukwa cha nkhanzazi.

Kuti athetse vuto la khalidwe lanu, dokotala wanu angakutumizireni ku Cognitive Behavioral Therapy (CBT).Mungatumizidwe ku pulogalamu ya psychotherapy monga. Cholinga cha chithandizochi ndikuzindikira momwe malingaliro ndi malingaliro anu amakhudzira khalidwe lanu. Zimakuphunzitsaninso kufunika kokhala oona mtima . Mlangizi wa zaumoyo wamaganizo angakuthandizeni kusintha maganizo ndi khalidwe lanu.

Kawirikawiri, matenda a FDA ndi vuto lovuta kwambiri kuchiza, lomwe limafuna chithandizo cha nthawi yayitali . Mautumiki othandiza anthu, apolisi, mautumiki oteteza ana, mautumiki oteteza akuluakulu, ndi madokotala onse ayenera kugwira ntchito limodzi ngati gulu kuti athetse khalidweli.

Kodi vutoli lingapewedwe? Kodi zotsatira zake zoopsa ndi ziti?

Palibe njira yodziwika yopewera vutoli. Komabe, kufunafuna chithandizo mwamsanga zizindikiro zikayamba kungathandize kuchepetsa kuwonongeka . Mwachitsanzo, kuchotsa munthu amene mukumusamalira kungathandize kupewa mavuto osafunikira.

Mkhalidwe wa FDA ukhoza kukhala ndi zotsatirapo zoopsa kwambiri. Zina mwa izo ndi izi:

• Nkhani zamalamulo (nkhanza izi ndi mlandu waukulu).
• Wozunzidwayo amakumana ndi nkhanza nthawi zonse .
• Mwana wozunzidwayo akafika pa msinkhu waukulu, akhozanso kukhala ndi vuto lomwe lingapangitse matenda ake (`Factitious Disorder Imposed on Self`) .
• Muzochitika zina zoopsa, wozunzidwayo amathanso kufa .

Zotsatirapo zoopsazi zitha kupewedwa poonetsetsa kuti vutoli likulandira chithandizo choyenera mwachangu.

Kodi muyenera kupempha thandizo liti? Kodi muyenera kufunsa ndani?

Ngati mukukayikira kuti munthu wapafupi nanu akuwonetsa machitidwe awa a FDA, imbani dokotala kapena wantchito yazaumoyo nthawi yomweyo . Ngati muwona zizindikiro za nkhanza, nenani ku Adult Protective Services kapena Child Protective Services yoyenera. Ngati wina ali pachiwopsezo, musazengereze kuyimba 911 kapena nambala yanu yadzidzidzi yapafupi.

Mungathe kufunsa mafunso ngati awa kuti mudziwe zambiri zokhudza munthu amene mukukayikira kuti ali ndi FDA:

• Kodi mumapita kwa dokotala kangati?
• Kodi mumapita kwa dokotala yemweyo, kapena mumasinthana pakati pa madokotala angapo?
• Kodi munthu amene mumamukonda amamva bwanji atatha kuyesedwa kwambiri?
• Kodi munthu amene mumamusamalira ali ndi zizindikiro ngakhale pamene simuli pafupi?
• Kodi mumamva nkhawa kwambiri ngati wosamalira?

Koma kumbukirani, chifukwa vuto la FDA lingayambitse khalidwe lonyenga, simungapeze mayankho omveka bwino a mafunso awa. Mukamayesa kusonkhanitsa mfundo, pewani kufunsa mafunso otsutsa . Yambani kukambirana mofatsa komanso mofufuza.

Mwachidule, zinthu zomwe tiyenera kukumbukira

Matenda Okhudza Munthu Wina (FDA) ndi vuto lovuta kulizindikira, kulichiza, komanso loopsa kwambiri. Khalidwe lonyengali lingayambitse mavuto aakulu kwa moyo wonse.

Koma, nkhanza zimenezi zitha kuthetsedwa . Musazengereze kukambirana moona mtima ndipo, ngati kuli kofunikira, lumikizanani ndi anthu omwe ali ndi zinthu zosiyanasiyana pamlingo wa dziko lonse komanso wakomweko. Aliyense amene akukhudzidwa angapeze thandizo. Simuli nokha .

Tikukhulupirira kuti izi zikuthandizani. Ngati muli ndi mafunso ena okhudza izi, chonde lankhulani ndi dokotala wodalirika.

Matenda Okhudzana ndi Kukhulupirira Zinthu Zoona Amayikidwa pa Wina, FDA, matenda a Munchausen ndi woimira, thanzi la maganizo, nkhanza za ana, matenda abodza, nkhanza zosamalira ana