Kodi mukuvutika kulamulira mkwiyo wadzidzidzi? Tiyeni tikambirane za matenda ophulika omwe amakhudza nthawi zonse (IED)!

Kodi nthawi zina mumakwiya ndi chinthu chaching'ono kwambiri moti simungathe kuchiganizira? Kodi mumafuula, kuponya chinthu pansi, kapena ngakhale kumenya munthu? Ichi chingakhale chinthu chozama kuposa kungokhala "chizolowezi choipa" kapena "munthu amene amakwiya msanga." Lero tikambirana za mtundu uwu wa mkwiyo woopsa, matenda amisala otchedwa `(Intermittent Explosive Disorder - IED)`.

Kodi "Intermittent Explosive Disorder - IED" ndi chiyani?

Mwachidule, Intermittent Explosive Disorder (IED) ndi matenda amisala omwe amadziwika ndi khalidwe ladzidzidzi, losalamulirika, laukali kapena mkwiyo. Chofunika kwambiri ndichakuti anthuwa achitepo kanthu pa mkwiyowo mwanjira yosiyana kwambiri ndi momwe zinthu zilili. Ngakhale chinthu chaching'ono chimakhala chovuta kwambiri kwa iwo. Tangoganizirani, ngati wina akudumphira patsogolo panu pamzere, ndipo mukukwiya kwambiri mpaka kutuluka mgalimoto yanu ndikudzipha, mkwiyo umenewo si wachibadwa.

Koma chodabwitsa n'chakuti, akakhala osakwiya, anthu omwe ali ndi "IED" amachita zinthu mwachizolowezi komanso bwino. Uwu ndi mkhalidwe womwe uli m'gulu la "matenda oletsa kugwedezeka kwa malingaliro", kutanthauza matenda omwe zimakhala zovuta kulamulira zilakolako zomwe zimabuka m'maganizo.

Kafukufuku wapeza kuti anthu okwana 80% omwe ali ndi IED akhoza kukhala ndi vuto lina la maganizo. Matenda ofala kwambiri ndi nkhawa, bipolar disorder, autism, ndi matenda amisala.

Ndani amene akukhudzidwa kwambiri ndi vutoli la `(IED)`?

Matendawa amatha kukhudza ana azaka 6 kapena akuluakulu. Komabe, nthawi zambiri amapezeka mwa achinyamata osakwana zaka 40. Amanenedwanso kuti amapezeka kwambiri mwa amuna .

Ofufuza akuyerekeza kuti pakati pa 1.4% ndi 7% ya anthu padziko lonse lapansi akhoza kukhala ndi matenda ophulika omwe amachitikira nthawi zina. Izi zikutanthauza kuti ngakhale kuti si ofala kwambiri, anthu ambiri amadwala matendawa.

Kodi zizindikiro za `(Intermittent Explosive Disorder - IED)` ndi ziti?

Khalidwe lalikulu la vutoli ndilakuti mkwiyo umabuka mwadzidzidzi m'njira yosayenera konse, yosayenera, komanso yosagwirizana ndi momwe zinthu zilili. Anthuwa amadziwa kuti khalidwe lawo ndi lolakwika komanso losayenera, koma panthawiyo amavutika kudziletsa.

Umu ndi momwe mkwiyo umakhalira:

• Si chinthu chomwe chimachitika mwadala, koma ndi chinthu chomwe chimachitika mwadzidzidzi komanso mopupuluma. Si chinthu chomwe chimakonzedwa pasadakhale.
• Mkwiyo uwu umayamba mkati mwa mphindi zochepa kuchokera pamene chinachake chachitika (kukwiyitsa).
• Mkwiyo umenewu nthawi zambiri sumatenga mphindi zoposa 30.
• Chochitika ichi chimamupangitsa munthuyo kuvutika maganizo kwambiri komanso kukhala ndi chisoni chachikulu.
• Khalidweli limayambitsa mavuto kusukulu, kuntchito, komanso kunyumba.

Kodi mkwiyo uwu umatuluka bwanji?

Mkwiyo uwu ukhoza kuonekera m'njira zambiri. Nazi zitsanzo zingapo:

• Kukwiya msanga: Makhalidwe monga kugubuduzika pansi, kulira, ndi kufuula ngati mwana wamng'ono.
• Kuopseza ndi mawu: kufuula, kuopseza ena, kutukwana.
• Kuukira anthu kapena nyama mwakuthupi: kukankha, kumenya, kubaya, ndipo nthawi zina kugwiritsa ntchito chida chopweteka.
• Kuwononga katundu: kuponya zinthu mwakufuna, kumenya, kuswa mipando, kutseka zitseko.
• Nkhanza za m'banja: Kuchitira nkhanza achibale.
• Mkwiyo wa pamsewu: Tangoganizani kuti mwakwiya kwambiri moti mukufuna kupha munthu chifukwa chakuti wangodutsani kumene mumsewu.

Zochitika zokwiya izi nthawi zina zimakhala zazing'ono, ndipo nthawi zina zimakhala zoopsa kwambiri moti wina angavulale kwambiri, kapena kuphedwa.

Ndi zinthu ziti zomwe mungamve musanakwiye?

Musanayambe kuphulika mwamphamvu ngati kumeneku, mungakumane ndi zizindikiro izi:

• Mkwiyo, kumverera kwa mkwiyo komwe sikungathe kusungidwa m'maganizo.
• Kukwiya.
• Ndikumva kupsinjika kwakukulu mumtima mwanga.
• Zili ngati maganizo omwe ali m'mutu mwanu akuyenda mofulumira nthawi zonse.
• Sindingathe kulankhula bwino ndi anthu ena.
• Zili ngati thupi langa lakhala ndi mphamvu zambiri mwadzidzidzi.
• Kugwedezeka.
• Kugunda kwa mtima kumawonjezeka mwadzidzidzi (kugunda kwa mtima).
• Kulimba pachifuwa.

Mkwiyo ukatha, pamakhala mpumulo kwakanthawi, koma kenako chisoni, chisoni, ndi manyazi zimabuka. Mumadzifunsa kuti, "Ndachita chiyani?"

N’chifukwa chiyani matenda ophulika a intermittent (IED) amachitika?

Ofufuza akuyesetsabe kupeza chomwe chimayambitsa izi, koma akuganiza kuti izi zikuchitika chifukwa cha zinthu zitatu zazikulu:

1. Zinthu zokhudzana ndi majini: Izi zitha kuchitika m'mabanja. Izi zikutanthauza kuti ngati wina m'banja mwanu ali ndi vutoli, inunso muli ndi mwayi wolitenga. Kafukufuku wasonyeza kuti pali mphamvu ya majini ya 44% mpaka 72% pakukula kwa machitidwe otere opupuluma komanso aukali.

2. Zinthu zamoyo: Kusintha kwa kapangidwe ndi ntchito ya ubongo wathu kungathandize pa izi. Mwachitsanzo, MRI (Magnetic Resonance Imaging) scans yapeza kuti gawo la ubongo lotchedwa amygdala, lomwe limalamulira malingaliro athu, limakhudzidwa. Anapezanso kuti kuchuluka kwa serotonin ya neurotransmitter (mankhwala omwe amanyamula mauthenga pakati pa mitsempha komanso amagwira ntchito ngati mahomoni) ndi kotsika kuposa kwachibadwa mwa anthu omwe ali ndi IED.

3.Zinthu Zachilengedwe: Kuzunzidwa mwachipongwe kapena mwakuthupi uli mwana, kapena kuwona nkhanza m'nyumba, kungathandize pakukula kwa vutoli. Komanso, chochitika chimodzi kapena zingapo zoopsa zomwe zidachitika uli mwana zingakhale chifukwa.

Kodi matenda ophulika a intermittent (IED) amawapeza bwanji?

Ngati mukuganiza kuti inuyo kapena munthu amene mumamudziwa, makamaka mwana wanu, ali ndi zizindikirozi, ndikofunikira kuonana ndi dokotala woyenerera kaye . Mwina angakutumizireni kwa katswiri wa zamaganizo yemwe ndi katswiri wodziwa bwino matenda amenewa. Ameneyu akhoza kukhala dokotala wa matenda amisala, katswiri wa zamaganizo, kapena wogwira ntchito zachipatala.

Amazindikira matenda a IED pogwiritsa ntchito njira zinazake zochokera ku American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM). Adzakulankhulani mosamala ndikukufunsani mafunso ozama okhudza zizindikiro zanu ndi khalidwe lanu. Adzakufunsani mafunso okhudza zinthu monga:

• Mbiri yanu ndi ya banja lanu, makamaka yokhudza matenda amisala.
• Zokhudza ubale wanu (Mbiri ya ubale).
• Zambiri za kusukulu ndi kuntchito.
• Za luso lanu lolamulira zilakolako zanu.

Mungathenso kupeza chidziwitso chokhudza khalidwe lanu ndi mbiri yanu kuchokera kwa achibale anu ndi anzanu apamtima.

Kuti mudziwe bwinobwino kuti muli ndi ``(IED)'', muyenera kusonyeza kuti simungathe kulamulira zilakolako zaukali, monga:

• Kapena, zochitika zobwerezabwereza, koma zosawononga kwambiri: kutanthauza kuukira mwaukali (kufuula, kuopseza, kukangana) kapena kuukira katundu, nyama, kapena anthu (koma popanda kuvulala kwambiri kapena kuwononga katundu) zomwe zimachitika kawiri pa sabata kwa miyezi itatu .
• Kapena, zochitika zosachitika kawirikawiri koma zazikulu: Zochitika zitatu za kuwonongeka kwa katundu ndi/kapena kuukira nyama kapena anthu zomwe zimapangitsa kuti pakhale kuvulala, mkati mwa miyezi 12 (chaka chimodzi) .

Chofunika kwambiri n’chakuti mkwiyo ukhale wosiyana ndi momwe zinthu zilili ndipo ndi woopsa kwambiri. Ndipo izi si zochita zokonzedweratu. Zimachitika mwadzidzidzi, chifukwa cha mkwiyo kapena kupupuluma. Komanso, dokotala adzaonetsetsa kuti zizindikirozi sizikuyambitsidwa ndi matenda ena amisala, matenda ena akuthupi, kapena kugwiritsa ntchito mankhwala osokoneza bongo.

Munthuyo ayenera kukhala ndi zaka zosachepera 6 kuti apezeke ndi vutoli, koma nthawi zambiri limayamba kuonekera ali mwana kapena ali wachinyamata.

Kodi mankhwala a ``Intermittent Explosive Disorder - IED'' ndi ati?

Chithandizo cha vutoli makamaka chimakhala cha psychotherapy (kulankhulana ndi dokotala) ndipo nthawi zina mankhwala. Dokotala wanu adzasankha malinga ndi msinkhu wanu, mtundu ndi kuopsa kwa zizindikiro zanu.

Cholinga chachikulu cha chithandizo ndikupeza kuchira kwathunthu kwa zizindikiro, kapena kuchepetsa kuopsa kwa chizindikiro chimodzi kapena ziwiri. Ngakhale anthu ena sangachire mokwanira, cholinga chake ndi kusunga munthuyo ndi ena otetezeka ndikuchepetsa kuchuluka, mphamvu, ndi kuchuluka kwa kuphulika kwa matenda.

`(Psychotherapy)` ya `(IED)`

Chithandizo cha maganizo ndicho chithandizo chachikulu komanso chofunikira kwambiri pa izi. Makamaka , Chithandizo cha Maganizo (CBT) chimagwiritsidwa ntchito bwino kwambiri pa izi.

>`(CBT)` ndi njira yochiritsira yokonzedwa bwino komanso yoganizira zolinga. Mwanjira imeneyi, katswiriyu amakuthandizani kuyang'ana mozama malingaliro ndi momwe mukumvera. Mutha kumvetsetsa momwe malingaliro anu amakhudzira zochita zanu. `(CBT)`, mutha kuchotsa malingaliro olakwika, ovulaza komanso machitidwe oipa m'mutu mwanu ndikuphunzira kuganiza ndikuchita zinthu mwanjira yathanzi m'malo mwake. `(IED)` ingathandize anthu omwe ali ndi `(CBT)` kuthana ndi zovuta m'moyo watsiku ndi tsiku ndikulamulira zilakolako zomwe zimayambitsa mkwiyo.

Njira zina zomwe zimagwiritsidwa ntchito pa IED mu CBT ndi izi:

• Kukonzanso maganizo: Izi zikuphatikizapo kuzindikira ndikusintha malingaliro olakwika ndi malingaliro oipa omwe muli nawo okhudza zochitika zomwe zimayambitsa mkwiyo kapena zinthu zomwe mumaziona ngati zoopsa.
• Maphunziro opumula: Kupuma mozama komanso kupumula minofu pang'onopang'ono (njira yomwe mumakankhira ndikupumula minofu m'thupi lanu pang'onopang'ono mukamaganizira zochitika zomwe zimayambitsa mkwiyo) zingakuthandizeni kuchepetsa momwe mungayankhire mkwiyo.
• Maphunziro a luso lothana ndi mavuto: Kusewera ndi katswiri wa zamaganizo, zochitika zomwe mkwiyo ungabuke, ndikuchita zinthu zothandiza, monga kuchoka pamalopo.
• Kupewa kubwereranso m'mbuyo: Anthu omwe ali ndi IED amaphunzitsidwa kuti ndi zachilendo kuti abwererenso m'makhalidwe aukali, ndipo sayenera kuonedwa ngati kulephera, koma ngati 'cholakwika' chaching'ono kapena 'kubwerera m'mbuyo'.

Mankhwala a `(IED)`

Mankhwala ena amatha kuwonjezera "malire" anu, zomwe zikutanthauza kuti simungakwiye ngakhale pazinthu zazing'ono.

Fluoxetine (Selective Serotonin Reuptake Inhibitor - SSRI) ndi mankhwala omwe amaphunziridwa kwambiri pochiza IED. Mankhwala ena omwe aphunziridwa pa IED ndi monga Phenytoin, Lithium, Oxcarbazepine, ndi Carbamazepine.

Madokotala nthawi zambiri amatha kupereka mitundu iyi ya mankhwala a IED:

• `(Mankhwala Oletsa Kuvutika Maganizo)`
• `(Mankhwala oletsa matenda amisala)` (mankhwala a matenda amisala)
• `(Mankhwala Oletsa Kugwedezeka)` (mankhwala operekedwa ku matenda monga khunyu)
• `(Mankhwala oletsa nkhawa)` (Mankhwala oletsa nkhawa)
• `(Zowongolera Maganizo)` (mankhwala omwe amakhazikitsa malingaliro)

Chofunika: Mankhwalawa ayenera kumwedwa pokhapokha ngati dokotala akuwayang'anira, mu mlingo wovomerezeka, komanso kwa nthawi yomwe apatsidwa. Kumwa kapena kusiya mankhwala nthawi iliyonse yomwe mukufuna kungayambitse zotsatirapo zoyipa kwambiri.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda ophulika a intermittent (IED)?

Ofufuza apeza zinthu zingapo zomwe zimayambitsa vutoli:

• Kukhala wachinyamata.
• Kusowa ntchito.
• Kukhala wosakwatiwa (wosakwatiwa).
• Maphunziro otsika kwambiri.
• Kuzunzidwa mwakuthupi kapena kugonana, makamaka ali mwana.
• Kukhala ndi wachibale wapafupi amene ali ndi matenda otupa omwe amafalikira nthawi zina.

Ngati muli ndi mantha kapena kukayikira kuti mwana wanu akhoza kukhala ndi vutoli, ndi bwino kulankhula ndi dokotala za vutoli.

Kodi munthu amene ali ndi vuto la Intermittent Explosive Disorder (IED) angayembekezere chiyani?

Kafukufuku akusonyeza kuti anthu omwe ali ndi IED amakhala ndi moyo wosakhutira komanso moyo wawo ndi wochepa. Izi zitha kukhala ndi zotsatirapo zoipa pa thanzi lanu lonse, ndipo zingayambitse mavuto akulu pa moyo wanu, m'banja lanu, kuntchito, komanso m'maubwenzi anu.

Nkhani yabwino ndi yakuti IED imatha kuthandizidwa bwino ndi Cognitive Behavioral Therapy (CBT) ndipo, ngati pakufunika, mankhwala. Komabe, ndikofunikira kukumbukira kuti kafukufuku akuwonetsa kuti IED nthawi zambiri ndi vuto la nthawi yayitali, lomwe limatenga zaka 12-20, kapena moyo wonse.

Kuphatikiza apo, anthu omwe ali ndi IED ali ndi mwayi wokumana ndi izi:

• `(Kuvutika maganizo)` (Kuvutika maganizo)
• `(Nkhawa)` (Nkhawa)`
• `(Matenda ogwiritsira ntchito mowa)` (Kuledzera mowa)
• `(Matenda ogwiritsira ntchito mankhwala osokoneza bongo)` (Kuzolowera mankhwala ena osokoneza bongo)

Chofunika kwambiri: Anthu omwe ali ndi IED ali pachiwopsezo chachikulu chodzivulaza (monga kudzicheka, kupsa) ndi kudzipha. Chifukwa chake, ngati mukuganiza kuti inuyo kapena wina m'banja mwanu ali ndi Intermittent Explosive Disorder, ndikofunikira kupeza upangiri wachipatala mwachangu momwe mungathere.

Kodi ndingadzisamalire bwanji ngati ndili ndi vuto la Intermittent Explosive Disorder (IED)?

Ngati mwapezeka ndi matenda a Intermittent Explosive Disorder, pali zinthu zofunika zomwe mungachite kuti mudzisamalire. Chofunika kwambiri mwa izi ndikupeza chithandizo cha akatswiri komanso chamankhwala ndikutsatira. Mu chithandizo, mutha kuphunzira zinthu zambiri zomwe zingakuthandizeni kupewa mkwiyo ndipo ngati uchitika, lamulirani:

• Njira zopumulira: Zinthu monga kuchita masewera olimbitsa thupi opumira kwambiri komanso kusinkhasinkha.
• Kusintha momwe mumaganizira (Kukonzanso maganizo): Kuzindikira ndikusintha maganizo omwe amayambitsa mkwiyo.
• Luso lolankhulana: Kuphunzira kufotokoza zakukhosi kwanu ndi zosowa zanu momveka bwino kwa ena popanda mkwiyo.
• Sinthani malo anu, ndipo phunzirani kuthawa malo opsinjika ngati n'kotheka: Nthawi zina, kungochoka pamalo kapena munthu wina kwa kanthawi kungapangitse kusiyana kwakukulu.

Chinthu china chofunika kwambiri ndi kupewa kumwa mowa ndi kugwiritsa ntchito mankhwala osokoneza bongo. Izi zingachepetse mphamvu zanu zolamulira zilakolako zanu ndikuwonjezera chiopsezo chanu cha khalidwe lachiwawa.

Kodi ndiyenera kupita liti kwa dokotala pankhani ya `(Intermittent Explosive Disorder - IED)`?

Ngati inu kapena mwana wanu mwapezeka ndi matenda a Intermittent Explosive Disorder, muyenera kukumana ndi gulu lanu lachipatala (dokotala, katswiri wa zamaganizo) nthawi zonse kuti muwone ngati chithandizo chanu (psychotherapy ndi/kapena mankhwala) chikugwira ntchito komanso ngati pakufunika kusintha kulikonse.

Ngati khalidwe lanu kapena la mwana wanu likuvulaza kapena kuopseza ena (anthu ena, nyama), funani thandizo lachipatala nthawi yomweyo. Komanso, ngati munthu amene ali ndi `(IED)` akuganiza zodzivulaza kapena kuyesa kudzipha, thandizo likufunika nthawi yomweyo. Chonde dziwitsani dokotala kapena munthu wodalirika nthawi yomweyo, kapena tumizani ku bungwe lapafupi la zaumoyo wamaganizo (monga chipatala cha matenda amisala cha chipatala cha boma).

Kumbukirani, Intermittent Explosive Disorder (IED) ndi matenda amisala. Si chizolowezi choipa kapena chizolowezi choipa. Monga momwe zimakhalira ndi matenda amisala, kufunafuna thandizo mukangozindikira zizindikiro kungathandize kuchepetsa kusokonezeka ndi mavuto m'moyo wanu. Akatswiri azaumoyo wamaganizo angakupatseni dongosolo la chithandizo lomwe likugwirizana ndi inu ndikukuthandizani kuwongolera malingaliro ndi machitidwe anu.

Achibale ndi okondedwa a anthu omwe ali ndi IED nthawi zambiri amamva kupsinjika maganizo, kukhumudwa, komanso kusungulumwa. Ndikofunikira kusamalira thanzi lanu la maganizo ndikupempha thandizo ngati muli ndi zizindikiro izi. Ngati muli pachibwenzi ndi munthu amene ali ndi IED, ganizirani zochita kuti mudziteteze nokha ndi ana anu.

Zinthu zofunika kwambiri kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tifotokoze mwachidule zina mwa zinthu zofunika kwambiri zomwe muyenera kukumbukira kuchokera pa zomwe takambirana.

• Matenda Ophulika Ochitika Nthawi Zonse (IED) ndi vuto lenileni la thanzi la maganizo. Sikuti ndi "kupsa mtima" kapena "kupsa mtima kokha."
• Vutoli lingathe kuthetsedwa bwino ndi mankhwala amisala, ndipo ngati pakufunika, mankhwala.
• Ndi bwino kupeza thandizo ndi chithandizo mwamsanga kuti mavuto athe msanga asanafike poipa kwambiri.
• Musachite manyazi kupempha thandizo pa vuto ngati ili. Simuli nokha.
• Mofanana ndi munthu amene ali ndi IED, achibale ake amafunikira thandizo ndi chithandizo. Iwonso angavutike ndi izi.

Ngati muli ndi mafunso ena okhudza izi, chonde lankhulani ndi dokotala kapena mlangizi wodziwa bwino za thanzi la maganizo .

Matenda Ophulika Ochitika Nthawi ndi Nthawi, IED, Kulamulira Mkwiyo, Khalidwe Losakhazikika, Thanzi Lamaganizo, CBT, Chithandizo