Kodi mumakwiya kwambiri moti simungathe kudziletsa ngakhale pa zinthu zazing'ono? Kodi ndi Intermittent Explosive Disorder (IED)?

Kodi nthawi zina mumakwiya kwambiri moti simungathe kulamulira, ngakhale pa chochitika chaching'ono? Mumafuula, kutseka zitseko, kugwetsa zinthu pansi, ndipo nthawi zina mumamenya munthu wina. Zonse zikatha, kodi mumamva chisoni ndi manyazi ambiri, mukumaganiza kuti, "O, n’chifukwa chiyani ndinachita zimenezo?" Ngati mwakumanapo ndi izi, simuli nokha. Lero tikulankhula za matenda amisala omwe angayambitse mkwiyo wosalamulirika woterewu. Ndi Intermittent Explosive Disorder, kapena IED mwachidule.

Mwachidule, kodi Intermittent Explosive Disorder (IED) ndi chiyani?

Mwachidule, Intermittent Explosive Disorder (IED) ndi matenda amisala omwe amadziwika ndi mkwiyo wosalamulirika, wosakonzekera, komanso wadzidzidzi kapena khalidwe laukali. Chofunika kwambiri, mkwiyowo suli wofanana ndi zomwe zinayambitsa. Izi zikutanthauza kuti ngakhale vuto laling'ono kwambiri lingayambitse mavuto ambiri.

Tangoganizirani wina akudumpha patsogolo panu pamzere. Munthu wabwinobwino angakhumudwe pang'ono, ndipo mwina sanganene chilichonse. Koma munthu amene ali ndi vuto la IED angakwiye kwambiri moti sangathe kudziletsa, angamufuule munthuyo, ndikuyamba ndewu yaikulu.

Ngati kukwiya kumeneku sikukuchitika, anthuwa amachita zinthu mwachibadwa komanso bwino. Koma akatero, sangathe kuletsa mkwiyo wawo. Uku si kukwiya kokha, ndi matenda amisala. Pafupifupi 80% ya anthu omwe ali ndi vutoli akhozanso kukhala ndi matenda ena amisala monga nkhawa kapena matenda a bipolar.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Matenda a IED angakhudze ana azaka zopitirira 6 ndi akuluakulu. Komabe, akuluakulu omwe amapezeka ndi matendawa nthawi zambiri amakhala osakwana zaka 40. Komanso, matendawa amapezeka kwambiri mwa amuna kuposa akazi.

Kafukufuku akuyerekeza kuti pakati pa 1.4% ndi 7% ya anthu padziko lonse lapansi akhoza kukhala ndi IED, zomwe zikutanthauza kuti si vuto lachilendo.

Kodi zizindikiro za IED ndi ziti? Kodi timazizindikira bwanji?

Chizindikiro chachikulu ndi mkwiyo wobuka mwadzidzidzi womwe suli woyenera mkhalidwewo. Anthu omwe ali ndi vutoli amadziwa kuti mkwiyo wawo ndi wolakwika, koma panthawiyo amamva ngati sangathe kuuletsa.

Pali zinthu zingapo zomwe zimachitika chifukwa cha mkwiyo uwu:

• Si cholinga: Izi si zinthu zomwe zakonzedwa pasadakhale, monga, "Ndikumenyana ndi Aruth lero." Ndi zinthu zomwe zimachitika mwadzidzidzi.
• Zimachitika mwachangu: Munthu akapwetekedwa kapena kukwiya, kukwiya kumeneku kumachitika pasanathe masekondi ambiri.
• Nthawi yochepa: Nthawi zambiri mkwiyowu umakhala pachimake osati kupitirira mphindi 30.
• Kupsinjika maganizo pambuyo pa zoopsa: Mkwiyo ukatha, pamakhala kupsinjika maganizo kwakukulu, manyazi, ndi chisoni.
• Zotsatira pa ubale: Khalidweli limayambitsa mavuto kusukulu, kuntchito, komanso kunyumba.

Gome ili m'munsimu likuwonetsa momwe mkwiyowu umatulukira komanso malingaliro omwe amabwera patsogolo pake.

Mkwiyo umenewu nthawi zina ungakhale wochepa, koma ukhozanso kukhala woopsa kwambiri moti ungachititse kuvulala kwambiri kapena imfa. Mkwiyo ukatha, pamakhala mpumulo poyamba, koma kenako pamakhala chisoni chachikulu ndi manyazi chifukwa cha zomwe zinachitika.

Nchifukwa chiyani izi zimachitika? Kodi zimayambitsa matenda a IED ndi chiyani?

Ofufuza akuyesetsabe kupeza chomwe chimayambitsa vutoli, koma kutengera zomwe apeza mpaka pano, akukhulupirira kuti pali zinthu zitatu zazikulu zomwe zikugwira ntchito.

1. Zinthu zokhudza majini: Matendawa amatha kuchitika m'mabanja. Izi zikutanthauza kuti ngati kholo kapena wachibale wapafupi ali ndi khalidwe lotere losaganizira bwino, pali mwayi woti ana awo nawonso adzakhala nalo. Kafukufuku akusonyeza kuti pakati pa 44% ndi 72% ya nthawi, majini amachita gawo pakukula kwa khalidweli.

2. Zinthu zamoyo: Kusintha kwa kapangidwe ka ubongo ndi ntchito yake kungakhale chifukwa. Mwachitsanzo, MRI scans ya ubongo yasonyeza kuti anthu omwe ali ndi IED ali ndi kusintha kwa amygdala, gawo la ubongo lomwe limakhudzidwa ndi kulamulira malingaliro. Apezanso kuti anthu omwe ali ndi IED ali ndi serotonin yochepa ya neurotransmitter, yomwe imalamulira malingaliro athu.

3. Zinthu zokhudzana ndi chilengedwe: Zinthu zovuta zomwe munthu anakumana nazo ali mwana zimakhudza kwambiri izi.

• Kuzunzidwa mwakuthupi kapena m'maganizo uli mwana.
• Kuona ena m'banja akuchitiridwa nkhanza.
• Kukumana ndi vuto limodzi kapena angapo loopsa ali mwana.

Zochitika ngati izi zingakhudze kukula kwa ubongo ndi momwe malingaliro amalamulidwira, zomwe pambuyo pake zingayambitse IED.

Kodi mungadziwe bwanji ngati iyi ndi IED? (Kuzindikira)

Ngati mukukayikira pang'ono kuti inu kapena mwana wanu ali ndi vutoli, chinthu chabwino kuchita ndikulankhula ndi dokotala wanu. Iye angakutumizireni kwa mlangizi wa zaumoyo wamaganizo (dokotala wa zamaganizo, katswiri wa zamaganizo) yemwe ali ndi luso pankhaniyi.

Mlangizi wa zaumoyo wamaganizo amazindikira vutoli mwa kulankhula nanu mosamala ndikuyang'ana mwatsatanetsatane zizindikiro zanu. Adzakufunsani mafunso monga:

• Mbiri yanu ndi ya banja lanu ya matenda (makamaka matenda amisala).
• Za ubale wanu ndi anthu ena.
• Mbiri ya kusukulu kapena kuntchito.
• Luso lolamulira zilakolako zanu.

Kuti munthu apezeke ndi IED, chimodzi mwa zinthu zotsatirazi chiyenera kukwaniritsidwa:

Chofunika kwambiri ndichakuti mkwiyo ukhale wosiyana kwambiri ndi zomwe zachitika. Sizilinso zadala. Dokotala adzaonetsetsanso kuti zizindikirozi sizikuchitika chifukwa cha matenda ena amisala, matenda akuthupi, kapena kugwiritsa ntchito mankhwala osokoneza bongo.

Kodi pali mankhwala a vutoli?

Inde, ndithudi. IED ndi vuto lomwe lingathe kuthetsedwa bwino. Cholinga chachikulu cha chithandizo ndikuchotsa kwathunthu zizindikiro (kupsa mtima) kapena kuchepetsa mphamvu ndi kuchuluka kwake kufika pamlingo womwe munthuyo ndi ena angakhalire moyo wawo mosatekeseka.

Njira zochiritsira zimagawidwa m'magawo awiri:

1. Chithandizo cha maganizo

Iyi ndiyo njira yayikulu yochizira. Chithandizo cha Maganizo Okhudza Khalidwe (CBT) makamaka chimagwira ntchito bwino kwambiri.

Mu CBT, katswiri wa zamaganizo amakuthandizani kuyang'ana mozama malingaliro ndi momwe mukumvera. Mutha kumvetsetsa momwe malingaliro anu amakhudzira zochita zanu. Kudzera mu izi, mumaphunzira kusintha malingaliro olakwika omwe amayambitsa mkwiyo, kuganiza ndikuchita zinthu m'njira zabwino.

Njira zina zomwe zimagwiritsidwa ntchito mu CBT:

• Kusintha Maganizo: Kusintha momwe mumaganizira zinthu zomwe zimayambitsa mkwiyo.
• Maphunziro Opumula: Yesetsani kuyankha modekha pazochitika zomwe zimakwiyitsa munthu pogwiritsa ntchito njira monga kupuma mozama komanso kupumula minofu.
• Maphunziro a Maluso Othana ndi Mavuto: Sewerani zochitika zomwe zingayambitse mkwiyo ndikuchita momwe mungathanirane nazo mwanjira yabwino (monga kusiya mkhalidwewo).
• Kupewa Kubwereranso M'mbuyo: Ngati khalidwe lamtunduwu litabwereranso pambuyo pa chithandizo, silimaonedwa ngati kugonja, koma ndi phunziro lomwe laphunziridwa ndi kuphunzitsidwa momwe mungapitirire patsogolo.

2. Mankhwala

Nthawi zina, madokotala amalimbikitsa kugwiritsa ntchito mankhwala pamodzi ndi psychotherapy. Mankhwalawa amagwira ntchito powonjezera malire anu a mkwiyo. Izi zikutanthauza kuti simukukwiyanso ndi zinthu zazing'ono zomwe zinkakukwiyitsani.

Fluoxetine ndi mankhwala omwe amaphunziridwa kwambiri pankhaniyi. Kuphatikiza apo, mankhwala oletsa kuvutika maganizo, mankhwala oletsa matenda amisala, ndi mankhwala oletsa kusinthasintha maganizo angapatsidwenso ndi dokotala kutengera zaka ndi zizindikiro.

Kodi vutoli lipitirira? Ndi zoopsa zina ziti zomwe zingachitike?

Anthu omwe ali ndi IED angakumane ndi kuchepa kwa chisangalalo cha moyo komanso moyo wawo ukhale wochepa. Izi zitha kuwononga thanzi lanu komanso ubale wanu.

Ngakhale kuti ikhoza kuthandizidwa bwino ndi chithandizo, kafukufuku akusonyeza kuti IED nthawi zambiri imakhala vuto la nthawi yayitali, lomwe limatenga zaka 12-20, kapena moyo wonse.

Kuphatikiza apo, anthu omwe ali ndi IED ali pachiwopsezo chachikulu chotenga matenda otsatirawa:

• Kuvutika maganizo
• Nkhawa
• Matenda Okhudzana ndi Kugwiritsa Ntchito Mowa ndi Mankhwala Osokoneza Bongo

Ngati inu kapena munthu amene mumamudziwa akuganiza zodzivulaza, chonde imbani nambala 1926 ya chithandizo cha matenda amisala ku Sri Lanka nthawi yomweyo.

Zinthu zomwe mungachite kuti mudzisamalire nokha

Ngati muli ndi IED, ndikofunikira kupeza chithandizo chamankhwala cha akatswiri. Kuphatikiza apo, ndikofunikira kuphatikiza zinthu zomwe mwaphunzira kuchokera ku chithandizo m'moyo wanu.

• Yesetsani njira zochepetsera nkhawa: Yesetsani kuchita zinthu monga kupuma mozama tsiku lililonse.
• Sinthani maganizo anu: Mukakwiya, dzifunseni kuti, "N’chifukwa chiyani izi zikundichitikira?" ndipo yesani kusintha maganizo amenewo.
• Kulitsani luso lolankhulana: Yesetsani kufotokoza malingaliro anu modekha kudzera m'mawu, popanda mkwiyo.
• Dzichotseni ku zovuta: Ngati mukumva kuti mwakwiya, dzichotseni ku zovutazo kwa kanthawi ngati n'kotheka.

Pewani mowa ndi mankhwala osokoneza bongo kotheratu. Izi zingapangitse kuti khalidwe lanu losaganiza bwino liipireipire.

Ngati wina m'banja mwanu kapena wapafupi nanu ali ndi IED, zingakuvutitseni maganizo. Choncho, samalirani thanzi lanu la maganizo. Funsani uphungu ngati pakufunika kutero. Ndikofunikanso kuchitapo kanthu kuti mudziteteze nokha ndi ana anu.