Kodi mwana wanu akuchita zinthu monyanyira? Kodi ndi vuto lolamulira maganizo? Tiyeni tikambirane za izi!

Kodi mumaona ngati mwana wanu nthawi zonse amachita zinthu mopanda kuganizira ena? Kodi nthawi zina amakwiya ndi zinthu zazing'ono? Kapena amakumana ndi mavuto aakulu chifukwa sangathe kusiya zizolowezi zina zoipa? Monga kholo, ndi zachilendo kuti mumve chisoni kwambiri, mwinanso mantha, mukaona zinthu ngati izi. Lero tikambirana za mitundu iyi ya machitidwe, omwe m'mawu azachipatala amatchedwa "Impulse Control Disorders" kapena matenda oletsa kutengeka maganizo.

Kodi matenda oletsa kugwedezeka maganizo ndi ati?

Mwachidule, "Matenda Oletsa Kugwedezeka" ndi gulu la matenda amisala ndi machitidwe omwe amachititsa kuti zikhale zovuta kulamulira zilakolako za munthu, kapena malingaliro ake, ndi zochita zake. Makhalidwe otere nthawi zambiri amatha kudzivulaza kapena kuvulaza ena. Nthawi zina, machitidwe amenewa angayambitsenso mavuto ndi lamulo.

Tangoganizirani, mkwiyo wadzidzidzi womwe umakupangitsani kufuula, kutaya zinthu, kapena kukhala ndi chilakolako chosalamulirika chofuna kutenga chinthu cha wina. Izi ndi zitsanzo zochepa chabe.

Zina mwa makhalidwe ovuta awa ndi awa:

• Mkwiyo wadzidzidzi, wachiwawa ndi zochita zomwe zimayenderana nawo.
• Kukangana ndi kumenyana ndi ena nthawi zonse.
• Kuwononga zinthu za anthu ena ndi katundu wa anthu onse.
• Kusamvera akuluakulu ndi olamulira, kunyalanyaza malangizo awo.
• Kuba.
• Kuswa malamulo.

Zizindikiro za "Matenda Oletsa Kusokonezeka Maganizo" nthawi zambiri zimayamba ali ana , ndipo nthawi zina, ngati sizikuchiritsidwa, matendawa amatha kupitirira mpaka atakula.

Kodi mitundu ikuluikulu ya matenda oletsa kugwedezeka ndi iti?

Malinga ndi buku lotsogolera matenda amisala la American Psychiatric Association (American Psychiatric Association) logawa magulu, DSM-5, mitundu ingapo yayikulu ya "Impulse Control Disorders" yapezeka. Tiyeni tiwone zomwe zili.

1. Matenda Otsutsa Otsutsa (ODD)

Chomwe chimachitika pamenepa n’chakuti mwanayo nthawi zonse, kutanthauza kuti, kwa miyezi ingapo, samvera akuluakulu (monga makolo, aphunzitsi), amakangana nawo nthawi zonse, ndipo amachita zinthu zomwe zimamukwiyitsa. Angakwiyitse ena mwadala. Koma izi si nkhani yongofuna chabe, koma ndi vuto lalikulu.

2. Kusokonezeka kwa Makhalidwe

Vutoli ndi lalikulu pang'ono kuposa "ODD". Pano, mwana kapena wachinyamata akupitiriza kuchita zinthu mwankhanza kwa ena, kuzunza nyama, kunama, kuba, kutuluka m'nyumba mozemba, komanso kuswa malamulo a sukulu mwamphamvu . Saganizira malamulo a anthu kapena ufulu wa ena.

3. Matenda Ophulika Ochitika Nthawi ndi Nthawi

Kodi chimachitika ndi chiyani pamenepa,Mkwiyo wobuka mwadzidzidzi, kaya popanda chifukwa kapena pazifukwa zazing'ono, womwe ndi waukulu kwambiri moti n'zosatheka kuuletsa. Mwadzidzidzi, amafuula, kutukwana, kugwetsa zinthu pansi, ndikuukira ena. Pambuyo pa mkwiyowu, angamve chisoni kwambiri. Koma panthawiyo, alibe ulamuliro.

4. Kleptomania

Izi ndi zosiyana pang'ono. Chomwe chimachitika apa ndi chakuti muli ndi chilakolako chosalamulirika, champhamvu chofuna kuba zinthu zopanda phindu komanso zomwe simukuzifuna nkomwe. Mukudziwa kuti kuba n'kolakwika ndipo mudzagwidwa. Koma simungathe kuletsa chilakolako chimenecho ndi kuba. Mumamva bwino kwambiri mukaba, koma musanayambe zimenezo mumamva kupsinjika maganizo ndi nkhawa zambiri.

5. Pyromania

Izi ndi zachilendo kwambiri. Chomwe chimachitika pamenepa ndi chakuti pali chilakolako champhamvu chosalamulirika choyatsa moto mwadala. Ngakhale akudziwa kuti kuyatsa moto kungayambitse mavuto, sangathe kulamulira chilakolakocho ndikuyatsa moto. Amamva kupsinjika maganizo ndi nkhawa zambiri asanayatse moto, komanso chisangalalo chachikulu ndi mpumulo atayatsa moto. Sayatsa moto pazifukwa zina (monga kubwezera, ndalama), koma chifukwa cha chilakolakochi.

Kodi "Matenda Oletsa Kugwedezeka kwa Maganizo" amenewa ndi ofala bwanji?

Kufalikira kwa "matenda oletsa kugwedezeka kwa maganizo" kulikonse m'gulu kumasiyana. Mwachitsanzo, malinga ndi ziwerengero ku United States:

• Matenda Otsutsa Osasinthasintha (ODD): Pafupifupi 3.3% ya ana ndi achinyamata.
• Matenda Okhudzana ndi Khalidwe: Pafupifupi 4% ya ana ndi achinyamata.
• Matenda Ophulika Ochitika Nthawi ndi Nthawi: Pafupifupi 2.7% ya anthu onse.
• Kleptomania: Pafupifupi 0.6% ya anthu onse.

Pyromania ndi vuto lochepa kwambiri mwa izi. Kafukufuku wina adawonetsa kuti 3% yokha ya anthu omwe ali m'ndende chifukwa chowotcha nyumba zawo amawonetsa zizindikiro za pyromania. Mavuto ofanana amapezekanso ku Sri Lanka, koma n'kovuta kupeza ziwerengero zolondola.

Kodi zizindikiro za `(Impulse Control Disorders)` ndi ziti?

Ngakhale kuti "Vuto la Kulamulira Maganizo" lililonse lili ndi zizindikiro zake zapadera, chizindikiro chofala cha zonsezi ndi kuchepa kwa mphamvu yolamulira khalidwe la munthu. Izi nthawi zambiri zimayambitsa mavuto kwa ena kapena zimayambitsa mavuto azamalamulo.

Kawirikawiri, anthu omwe ali ndi vuto la "Impulse Control Disorder" amadziwa kuti khalidwe lawo ndi lolakwika komanso losayenera. Koma sangathe kuliletsa. Anthuwa asanayambe kuchita zinthu mosayenera, amamva kupsinjika maganizo ndi nkhawa zambiri zikuwonjezeka mkati mwawo. Akachita zinthu zosayenerazo, amamva mpumulo komanso ufulu wambiri.

Mwa kuyankhula kwina, anthu omwe ali ndi "ma ICD" amenewa amatulutsa mkwiyo wawo, chisoni chawo, ndi kukhumudwa kwawo kudzera mwa ena. Izi zikutanthauza kuti, "akutulutsa" khalidwe lawo.Izi nthawi zambiri zimayambitsa mikangano ndi ena. Izi zimasiyana ndi matenda monga nkhawa kapena matenda a maganizo, komwe munthu amaika nkhawa ndi nkhawa m'maganizo mwake.

Koma apa pali chinthu chofunikira kukumbukira. Ana ambiri, makamaka ali aang'ono komanso achinyamata, amachita zinthu mopanda kumvera akuluakulu. Amachita izi kuti aphunzire malire awo komanso malire a ena. Zimenezo n'zachibadwa. Koma mu "Impulse Control Disorders", makhalidwe amenewa amapezeka kawirikawiri, amakhala ovuta, ndipo amakhalapo kwa nthawi yayitali. Ndipo makhalidwe amenewa amakhudza kwambiri zochita za mwana za tsiku ndi tsiku, maphunziro ake, ubale wake ndi banja lake, komanso ubale wake ndi anzake.

Kodi zimayambitsa `(Matenda Oletsa Kusokonezeka Maganizo)` ndi ziti?

Ofufuza akuyesetsabe kupeza zomwe zimayambitsa "Matenda Oletsa Kusokonezeka Maganizo." Monga momwe tikudziwira, mwina ndi zinthu zosiyanasiyana.

• Majini : Kafukufuku wasonyeza kuti makolo a ana omwe ali ndi ODD ali ndi mwayi waukulu wokhala ndi matenda a maganizo. Mofananamo, makolo a ana omwe ali ndi vuto la khalidwe labwino akhoza kukhala ndi matenda monga schizophrenia , attention deficit hyperactivity disorder (ADHD), drug use disorders (SUD), kapena antisocial personality disorders (ASPDs). Izi zikusonyeza kuti pakhoza kukhala ubale wa majini.
• Zinthu Zachilengedwe : Kafukufuku wapeza kuti zinthu zachilengedwe zingathandize kuti ana ochokera m'mabanja osauka apeze zinthu zofunika pa moyo wawo akhale ndi mavuto amenewa, ana omwe amakulira m'malo ochitira zachiwawa, ana omwe sanalandire chisamaliro choyenera kuchokera kwa makolo awo ali ana, ana omwe adazunzidwa kapena kuonedwa akuzunzidwa mwakuthupi kapena m'maganizo, komanso ana omwe ali ndi anzawo oipa.
• Zifukwa za chilengedwe : Kafukufuku wina wasonyeza kuti anthu omwe ali ndi ma ICD amakhala ndi kusintha kosazolowereka mu ntchito zina za ubongo kapena kuchuluka kwa mahomoni (monga hormone cortisol).

Kodi mungazindikire bwanji `(Matenda Oletsa Kugwedezeka kwa Maganizo)`?

Matendawa amawazindikira ndi akatswiri azaumoyo wamaganizo, monga madokotala amisala kapena akatswiri a zamaganizo. Amagwiritsa ntchito njira zomwe zili mu DSM-5. Nthawi zambiri, zizindikiro ziyenera kukhalapo kwa miyezi yosachepera 6 mpaka 12. Ziyeneranso kuyambitsa mavuto aakulu kapena kusokoneza moyo watsiku ndi tsiku.

Ngati mukukayikira kuti inu kapena mwana wanu muli ndi zizindikiro za "Impulse Control Disorder," muyenera kuonana ndi dokotala wa matenda amisala kapena katswiri wa zamaganizo. Amagwiritsa ntchito njira zapadera zoyankhulana ndi kuwunika kuti adziwe bwino matenda amisala ndi machitidwe awa.

Kawirikawiri, akatswiriwa amapeza chidziwitso kuchokera kwa anthu omwe ali pafupi kwambiri ndi munthuyo (monga makolo, abale, abwenzi, aphunzitsi) kuti adziwe bwino khalidwe la munthuyo.

Kodi `(Matenda Oletsa Kusokonezeka kwa Maganizo)` amachiritsidwa bwanji?

Pakadali pano palibe mankhwala omwe avomerezedwa ndi bungwe la US Food and Drug Administration (FDA) kuti athetse "Matenda Oletsa Kusokonezeka kwa Maganizo". Chifukwa chake, chithandizo chachikulu ndi njira zosiyanasiyana zochiritsira komanso kusintha kofunikira m'njira zomwe makolo amachitira ana awo.

Nazi njira zothandiza zomwe makolo angatsatire kuti athandize ana kuthana ndi mavuto awa:

• Kuchepetsa mayankho abwino ku khalidwe losayenera (monga kupatsa mwana zomwe akufuna akamalira).
• Kulimbikitsa makhalidwe achifundo ndi osamala (makhalidwe olimbikitsa anthu ena) kwa ena.
• Kugwiritsa ntchito njira zopewera nkhanza.
• Kupanga zisankho zokhazikika komanso zodziwikiratu polanga ana (osati njira ina lero, ina mawa).

Njira zina zochiritsira zomwe zimathandiza pa izi ndi izi:

• Maphunziro a Kuyang'anira Makolo (PMT) : Izi zikuphatikizapo kuphunzitsa makolo kapena osamalira ana awo njira zomwe zimathandiza mwana wawo kukonza khalidwe lake ndikuphunzira maluso atsopano. Cholinga cha chithandizochi ndikupereka chilango chokhazikika komanso kupereka mayankho oyenera komanso abwino pa khalidwe labwino la mwana.
• Chithandizo cha Multisystemic Therapy (MST) : Chithandizochi chimagwiritsa ntchito mphamvu za banja kuti chilimbikitse kuthana ndi mavuto. Katswiri wodziwa bwino ntchito amagwira ntchito ndi makolo kuti athandize kulimbikitsa makhalidwe abwino ndikuchepetsa makhalidwe oipa. Amathandizanso banja kukhala ndi udindo komanso luso lothana ndi mavuto.
• Chithandizo cha Maganizo (CBT) : CBT ndi njira yokhazikika komanso yoganizira zolinga za munthu. Nthawi zambiri imagwiritsidwa ntchito limodzi ndi maphunziro a makolo. Mu CBT, katswiri wa zamaganizo amathandiza mwana kuwunika maganizo ndi momwe akumvera. Kenako mwanayo amamvetsetsa momwe maganizo ake amakhudzira zochita zake. Kudzera mu CBT, mwanayo amatha kusintha maganizo ndi machitidwe oipa, ndikuphunzira kuganiza bwino komanso machitidwe abwino.

Kodi chiyembekezo cha `(Impulse Control Disorders)` ndi chiyani?

Mawonekedwe a `(Impulse Control Disorders)` awa, kutanthauza momwe vutoli lidzawonekere, amatha kusiyana kutengera vutolo ndi kuopsa kwake. Komabe, kawirikawiri, `(ICDs)` izi zitha kukhala matenda osatha . Ndipo zimatha kukhudza kwambiri miyoyo ya munthu amene akukhudzidwayo komanso okondedwa ake.

Kafukufuku wasonyeza kuti anthu omwe ali ndi ma ICD ali ndi mwayi wokumana ndi zotsatirazi mtsogolomu:

• Kutembenukira ku kugwiritsa ntchito mankhwala osokoneza bongo.
• Kuvutika maganizo.
• Kuopsa kotaya ntchito.
• Kuvuta kusunga ubale.

Komabe, chithandizo champhamvu chamankhwala chingathandize kwambiri kuwongolera machitidwe ovuta awa.

Kodi "Matenda Oletsa Kugwedezeka kwa Maganizo" angapewedwe?

Matendawa sangakhale opeweratu. Komabe, pozindikira ndi kuchiza matendawa msanga , mutha kuchepetsa kwambiri nkhawa ndi mavuto omwe mwana wanu ndi banja lanu angakumane nawo. Sikuti zokhazo, komanso zingathandize kupewa mavuto ena (monga kusokonezeka kwa maphunziro ndi nkhani zamalamulo) omwe angagwirizane ndi "ma ICD" awa.

Ana ndi achinyamata omwe amachita zinthu mwankhanza komanso kuswa malamulo ndi vuto lalikulu kwa makolo. Ngakhale kuti nthawi zina ana ndi achinyamata amachita zinthu mopupuluma, ngati amachita zinthu mosasinthasintha komanso m'njira yosokoneza ena, izi zitha kukhala chizindikiro cha "Impulse Control Disorder".

Ndikofunikira kwambiri kuyamba kulandira chithandizo cha `(Impulse Control Disorders)` mwamsanga momwe mungathere. Gawo loyamba pofunafuna chithandizo ndikukumana ndi dokotala wa banja lanu, katswiri wa matenda amisala, kapena katswiri wa zamaganizo ndikukambirana za izi. Musaope kufunsa mafunso omwe ali m'maganizo mwanu. Alipo kuti akuthandizeni.

Chidule ndi Uthenga Wopita Nawo Kunyumba

"Matenda Oletsa Kuganiza Molakwika" omwe takhala tikukamba ndi machitidwe opupuluma omwe sangalamuliridwe. Izi si ntchito ya "mwana woipa" chabe, koma zitha kukhala matenda ozama kwambiri omwe amafunikira thandizo lachipatala.

Chofunika kwambiri ndikupempha thandizo la akatswiri ngati muli ndi nkhawa yaikulu ndi khalidwe la mwana wanu, m'malo monyalanyaza. Akadziwika msanga, zotsatira za chithandizo zimakhala zabwino.

Kumbukirani:

• Makhalidwe ena omwe amawonedwa ali ana ndi abwinobwino, koma m'ma ICD, machitidwewa ndi ofala, ovuta, komanso okhalitsa.
• Zinthu zimenezi zingakhudzidwe ndi majini, chilengedwe, ndi zamoyo.
• Njira zochiritsira ndi mapulogalamu ophunzitsira makolo ndi opambana kwambiri ngati chithandizo.
• Simuli nokha. Pali makolo ena ambiri omwe akukumana ndi mavuto ofanana, ndipo pali akatswiri omwe angakuthandizeni.

Ngati mukuganiza kuti mwana wanu ali ndi vuto ngati ili, chonde funsani upangiri kwa dokotala. Kuthandiza mwamsanga kungabweretse chitonthozo chachikulu kwa mwanayo ndi banja lonse.

Kulamulira maganizo , mavuto a khalidwe, thanzi la maganizo la mwana, ODD, Matenda a Khalidwe, upangiri wa makolo, psychotherapy