Kodi mukuyesera kudwala? Kapena mukuchita zinthu ngati zimenezo? Izi zitha kukhala 'Factitious Disorder Imposed on Self' (yomwe kale inkadziwika kuti 'Munchausen Syndrome')!

Kodi mudamvapo za munthu amene amadzionetsera ngati akudwala kapena amene amadzionetsera ngati akudwala? Mungadabwe kumva izi. Koma, kwenikweni ili ndi vuto la matenda amisala. Lero tikambirana za vuto lotere.

Kodi ichi ndi chiyani kwenikweni? `Matenda Odzipangira Okha`?

Mwachidule, 'Factitious Disorder Imposed on Self' ndi matenda amisala omwe mumadzinamiza kuti mukudwala, kapena kudzinamiza kuti muli ndi zizindikiro, ndipo nthawi zina mumayesa kudzipangitsa kudwala . Izi kale zinkatchedwa `(Munchausen Syndrome)`.

Kawirikawiri, anthuwa amasonyeza zizindikiro zokhudzana ndi matenda akuthupi. Taganizirani kupweteka pachifuwa, kupweteka m'mimba, kapena kutentha thupi. Komabe, munthu amene ali ndi vutoli akhozanso kukhala ndi zizindikiro zamaganizo, monga kuona zinthu molakwika kapena kumva mawu.

Izi ndi zoopsa pang'ono, chifukwa kudzera mu khalidweli mutha kudzivulaza .

Kodi dzina lakuti `Munchausen Syndrome` linayamba bwanji?

Matendawa kale ankatchedwa `Munchausen Syndrome` potengera Baron Munchausen, mkulu wa asilikali aku Germany wa m'zaka za m'ma 1700. Ankadziwika ndi nkhani zake zokokomeza zokhudza moyo wake ndi zomwe anakumana nazo. Choncho, pankhaniyi, zizindikiro zake zimakokomeza, ndichifukwa chake amatchedwa choncho. Komabe, dzina limenelo silikusonyeza momwe izi zilili zovuta ngati matenda amisala. Ndicho chifukwa chake madokotala masiku ano amagwiritsa ntchito dzina lakuti `Factitious Disorder Imposed on Self`.

Kodi vutoli ndi lofala bwanji?

Matenda Odzipangira Okha Siachilendo kwenikweni. N'zovuta kunena kuti ndi anthu angati omwe ali ndi matendawa. Popeza anthu ambiri amapita kwa madokotala osiyanasiyana kuti akalandire chithandizo, n'zosatheka kupeza ziwerengero zolondola.

Khalidwe la mtundu wanji ili?

Pali makhalidwe angapo omwe angawonekere mu mkhalidwe uwu:

• Kudzionetsera ngati uli ndi zizindikiro zakuthupi (monga mutu, kupweteka m'mimba, kupweteka pachifuwa) zomwe sizilipo kwenikweni.
• Kudzionetsera ngati uli ndi zizindikiro za m'maganizo zomwe sizilipo (monga kuona zinthu zomwe sizilipo, kumva wina akulankhula).
• Kudzidwalitsa kapena kuyambitsa zizindikiro zakuthupi (monga kuwononga bala posalola kuti lichiritse, kusanza, kapena kudya chinthu chakupha).

Ndi makhalidwe ati omwe mukuwona mu izi?

Ngati muli ndi `Factitious Disorder Imposed on Self`, mukhoza kunamizira kapena kukokomeza zizindikiro. Mutha:

• Munganene bodza n’kunena kuti muli ndi zizindikiro zomwe mulibe.
• Zizindikiro zatsopano zingawonekere zotsatira za mayeso zitayamba kapena chithandizo chikayamba.
• Zizindikiro zingaonekere pokhapokha mukakhala nokha .
• Mayeso ozindikira matenda angasinthidwe (monga kuwonjezera china ku chitsanzo cha mkodzo).
• Angayerekezere kuti akumwa mankhwalawo, kuwabisa, kapena kuwasiya.
• Nthawi zonse mukhoza kudzivulaza .

Zizindikiro zina zingaphatikizepo:

• Mbiri ya zamankhwala yotsutsana.
• Kusintha umunthu wa munthu kapena kupereka umunthu wabodza.
• Kupita kuzipatala zosiyanasiyana ndi malo azachipatala kuti akalandire chithandizo.
• Kusafuna kulola madokotala kuonana ndi achibale awo, kapena kulankhula ndi madokotala omwe adawachizapo kale.
• Kufunitsitsa kuyesedwa kapena kulandira chithandizo chopweteka.

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

Madokotala sakudziwabe chomwe chimayambitsa matenda a Factitious Disorder. Komabe, kafukufuku akusonyeza kuti izi zitha kuchitika chifukwa cha zinthu zonse ziwiri zamaganizo (mbali zina za umunthu wanu zomwe zimakhudza malingaliro ndi zochita zanu) komanso zinthu zamoyo (mankhwala omwe ali muubongo wanu ndi kapangidwe ka majini).

Kafukufuku akusonyeza kuti zinthu zotsatirazi zingakhudze chizolowezi chanu chobera madokotala:

• Kufunitsitsa kwa munthu wina kusamalira zosowa zanu zakuthupi kapena zamaganizo.
• Kufuna mphamvu kapena kupambana ena.
• Chepetsani nkhawa yoti munthu wina wasiya kumusamalira.
• Pangani umunthu watsopano.

Komabe, vutoli likhoza kuchitika popanda chifukwa chodziwika bwino .

Kodi cholinga cha khalidweli n’chiyani?

Anthu omwe ali ndi vutoli nthawi zambiri amadziwa kuti akuchitapo kanthu. Komabe, sayembekezera phindu lililonse lodziwikiratu (monga kuchoka kuntchito, kupeza ndalama zothandizira anthu olumala) chifukwa chonamizira kapena kukokomeza zinthuzi. Ubwino umenewu nthawi zambiri umakhala wosazindikira, wamaganizo . Mwina sangadziwe ngakhale phindu lomwe akulandira.

Kodi izi ndi zinthu zomwe zimachokera ku mibadwomibadwo?

Palibe mgwirizano wodziwika pakati pa `Factitious Disorder Imposed on Self` ndi majini. Kafukufuku wina akupitilira kuti adziwe chomwe chimayambitsa.

Ndani amene ali pachiwopsezo chachikulu cha vutoli?

Ngakhale kuti matenda a Factitious ndi matenda osowa, chiopsezo chanu chikhoza kuwonjezeka ngati mwakumana ndi zotsatirazi:

• Kuzunzidwa kapena kunyalanyazidwa uli mwana.
• Kukumana ndi zoopsa kwambiri.
• Matenda omwe nthawi zambiri amakukhudzani inu kapena wokondedwa wanu.
• Kupezeka kwa zochitika zosakhazikika m'banja.
• Ndakhala nthawi yayitali pamalo omwe amapereka zipatala.

Kodi madokotala amazindikira bwanji izi?

`Matenda Odzipangira Okha` ndi ovuta pang'ono kuti madokotala adziwe matendawo. Choyamba dokotala amachotsa matenda ena akuthupi ndi amisala ndipo amakhazikitsa njira zodziwira matendawo. Payenera kukhala umboni womveka bwino wosonyeza kuti mukunamizira kapena mukungopeka zizindikiro. Matendawa nthawi zambiri amapangidwa pambuyo poyesedwa kangapo ndi chithandizo. Matendawa amapangidwa ndi madokotala osiyanasiyana ogwira ntchito limodzi.

Kodi pali mayeso apadera a izi?

Palibe mayeso enieni oti azindikire `Factitious Disorder Imposed on Self`. Mayeso a magazi, mayeso a mkodzo, ndi `(mayeso ojambulira zithunzi)` angachitike kuti athetse matenda ena.

Dokotala wanu amazindikira matendawa mwa kuchotsa matenda ena kapena matenda ena amisala ndikuwona momwe mumaonera komanso momwe mumachitira.

Nthawi zina, dokotala wanu angakutumizireni kwa dokotala wa matenda amisala kapena katswiri wa zamaganizo (akatswiri ophunzitsidwa bwino kuti azindikire ndikuchiza matenda amisala). Madokotala a zamaganizo ndi akatswiri a zamaganizo amachita kafukufuku pogwiritsa ntchito mbiri yonse yachipatala, mbiri ya thupi, mayeso a labotale ndi/kapena kujambula zithunzi, ndi zida zowunikira zamaganizo.

"Matenda Omwe Amadzipangira Wekha" mu "DSM-5"

Madokotala anu adzagwiritsa ntchito Buku Lofufuza ndi Kuwerengera la Matenda a Mitsempha, Kope Lachisanu (DSM-5) kuti ayerekezere zizindikiro zanu ndi zofunikira za vutoli. DSM-5 ndiye buku lothandizira kudziwa matenda amisala ku United States.

Njira zodziwira matenda a `Factitious Disorder Imposed on Self` zikuphatikizapo:

• Kunyenga zizindikiro zakuthupi kapena zamaganizo, zomwe zimayambitsa kuvulala kapena matenda.
• Kuonekera kwa ena ngati wodwala, wofooka, kapena wovulala.
• Khalidwe lachinyengo popanda kuyembekezera phindu lakunja .
• Khalidweli silingathe kufotokozedwa bwino ndi vuto lina la matenda amisala.

Kodi chithandizo ndi chiyani? (Chithandizo)

Cholinga choyamba cha chithandizo cha `Factitious Disorder Imposed on Self` ndikusintha makhalidwe oipa ndikuchepetsa kugwiritsa ntchito molakwika kapena kugwiritsa ntchito mopitirira muyeso zinthu zachipatala. Zolinga izi zikakwaniritsidwa, gulu lanu lachipatala lidzayang'ana kwambiri zomwe zimayambitsa khalidwe lanu.

Cholinga chachikulu ndi kuchepetsa mavuto. Madokotala angagwire ntchito limodzi kuti atsimikizire kuti simukuyesedwa kapena kulandira chithandizo chosafunikira. Mayeso ambiri azachipatala ndi chithandizo amatha kukhala ndi zotsatirapo zoyipa ngati simukuzifuna. Madokotala anu adzagwira nanu ntchito limodzi kuti apewe mavuto kutengera zosowa zanu.

Chithandizo cha Maganizo (CBT), mtundu wa mankhwala amisala omwe amayang'ana kwambiri malingaliro anu ndi machitidwe anu, angathandize kuchiza vutoli. Chithandizo cha mabanja chingathandizenso banja lanu kudziwa zambiri za vutoli. Chithandizo chamagulu chingathandize kuchepetsa kusungulumwa kapena kusiyidwa.

Chithandizo chingakhale chovuta chifukwa anthu ambiri omwe ali ndi vuto la 'Factitious Disorder Imposed on Self' amakana kuti ali ndi vutoli. Komabe, ngati mwakonzeka, mutha kulandira chithandizo.

Nthawi zambiri mungafunike chithandizo kuchokera kwa dokotala mmodzi kapena kuphatikiza madokotala awiri omwe ali ndi luso losiyana (monga dokotala wa matenda amisala ndi dokotala wa banja). Madokotala anu adzayang'ana kwambiri kuchepetsa kudzivulaza ndikukuphunzitsani momwe mungadzisamalire nokha ndikupewa zovuta.

Kodi chidzachitike ndi chiyani mukalandira chithandizo? (Zomwe zidzachitike mukalandira chithandizo)

Kuchira kwanu kumadalira kufunitsitsa kwanu kulandira dongosolo la chithandizo ndikulitsatira. Ngati muvomereza matenda anu ndikutsatira malangizo a dokotala wanu panthawi ya chithandizo, mwina mudzakhala ndi zotsatira zabwino . Ngati mukana kapena kunyalanyaza chithandizo, zotsatira zake zingakhale zoipa, ndipo khalidwe lanu likhoza kukhala loopsa kwambiri, ngakhale kupha.

Ngakhale anthu ena amakumana ndi vutoli kamodzi kokha, anthu ambiri amatha kukumana nalo mobwerezabwereza m'miyoyo yawo yonse, kotero chithandizo chopitilira ndi chofunikira.

Kodi pali njira yopewera izi?

Palibe njira yodziwika yopewera vutoli, koma kuyamba chithandizo mwamsanga zizindikiro zikaonekera kungathandize kupeza zotsatira zabwino kwambiri.

Chofunika: `Matenda Odzipangira Okha` ndi matenda oopsa, omwe angawononge moyo. Ngati mumadzivulaza nthawi zonse kapena kumwa mankhwala a zizindikiro zomwe mulibe, mutha kukhala ndi zotsatirapo zoyipa zomwe zimakhudza momwe thupi lanu limagwirira ntchito. Kuyesedwa kosafunikira kapena kulandira chithandizo kungayambitsenso mavuto ambiri kuposa zabwino ku thupi lanu.

Kuphatikiza apo, anthu ambiri omwe apezeka ndi 'Factitious Disorder Imposed on Self' ali pachiwopsezo cha matenda ogwiritsira ntchito mankhwala osokoneza bongo komanso kudzipha.

Ngati inu kapena wokondedwa wanu mukuganiza zodzivulaza kapena kukhala ndi maganizo ofuna kudzipha, pitani kuchipatala nthawi yomweyo kapena imbani 988 (Suicide and Crisis Helpline). Ngati inu kapena wokondedwa wanu mukuona kuti ali pachiwopsezo chachikulu, imbani 911 kapena nambala yanu yadzidzidzi yapafupi.

Kodi mumathandiza bwanji munthu wotere?

Matenda Odzipangira Wekha ndi matenda aakulu amisala. Zingakhale zovuta kuti munthu amene ali ndi vutoli amvetse momwe limawonongera. Ngati wokondedwa wanu ali ndi vutoli, zingawoneke zosavuta kumudziwitsa pamene akunama. Komabe, izi zingamveke ngati kuukira kwa iye mwini, ndipo angayankhe mawu anu mokwiya, kupewa, kapena mwankhanza.

Madokotala ena amalimbikitsa kulankhula mwachindunji ndi munthuyo za makhalidwe amenewa ndikufunsa ngati akumva kupsinjika maganizo, nkhawa, nkhawa, kapena kuvutika maganizo. Ena amalimbikitsa kugwiritsa ntchito njira yosalimbana, popanda kupereka chifukwa, ndikuwatumiza kwa katswiri wa zamaganizo.

Ngati simukudziwa komwe mungayambire, funsani upangiri kwa dokotala kapena mlangizi wa zaumoyo wamaganizo .Angakuphunzitseni inu, wokondedwa wanu, ndi banja lanu ndi anzanu za vutoli. Mukagwira ntchito limodzi, mungathandize kuonetsetsa kuti wokondedwa wanu akutsatira dongosolo lake la chithandizo. Pitani naye kwa katswiri wa zamaganizo ndi/kapena kukaonana ndi dokotala wa matenda amisala. Kuthandiza wokondedwa wanu (osati kulekerera khalidwe lake) ndiyo njira yabwino kwambiri yothandizira munthu amene ali ndi vuto la Factitious Disorder Imposed on Self.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati inu kapena wokondedwa wanu mukuwonetsa machitidwe a `Factitious Disorder Imposed on Self`, pitani kwa dokotala. Kuchiza vutoli msanga kungathandize kuchepetsa chiopsezo cha kuvulala ndikukweza thanzi lanu.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

• Ndi chithandizo chiti chomwe chili chabwino kwa ine?
• Kodi ndili ndi matenda ena ofanana ndi amenewa, monga kuvutika maganizo kapena vuto la umunthu?
• Kodi mungandipangire dokotala wa matenda amisala kapena katswiri wa zamaganizo?
• Kodi ndiyenera kukuonani kangati kuti mukalandire chithandizo?
• Kodi ndingalankhule bwanji ndi anzanga ndi abale anga za vutoli?

Kodi kusiyana pakati pa izi ndi "kusokoneza" ndi kotani?

Ngati mukuchita zinthu zosayenera, mukuchita zinthu zoti mupeze chinthu chodziwikiratu (monga kuphonya ntchito kapena sukulu, kupeza bonasi). Munthu amene ali ndi vuto la 'Factitious Disorder Imposed on Self' sapeza chilichonse mwadala. M'malo mwake, makhalidwe amenewa angapereke phindu la maganizo losazindikira .

Kodi kusiyana kotani pakati pa kuganiza za matenda a munthu wina ndi kuganiza za matenda a munthu wina (Munchausen Syndrome by Proxy)?

'Matenda Okhudzana ndi Kudziona Ngati Wokha' (omwe kale anali `Munchausen Syndrome`) ndi 'Matenda Okhudzana ndi Kudziona Ngati Wokha' (omwe kale anali `Munchausen Syndrome by Proxy`) ndi mitundu iwiri ya 'Matenda Okhudzana ndi Kudziona Ngati Wokha'.

• 'Kusokonezeka Maganizo Kodzipangitsa Kudzikakamiza' kumatanthauza kunamizira kuti muli ndi matenda.
• 'Matenda Omwe Amaperekedwa kwa Wina' ndi pamene mumadzinamiza kuti munthu amene mukumusamalira (monga mwana kapena wamkulu) ali ndi zizindikiro za matenda. Mungavulaze munthu amene mukumusamalira ndikumupangitsa kusonyeza zizindikiro za matenda akuthupi kapena amisala omwe alibe. Uku ndi nkhanza.

Uthenga Womaliza Wopita Nawo Kunyumba

Matenda Okhudza Kudzidalira Ndi Matenda Amisala Omwe Amadzipangitsa Kukhala Okha Ndi Matenda Aakulu Amisala Omwe Amayambitsa Kudzivulaza. Zingakhale zovuta kuzizindikira ndi kuchiza. Koma, ngati mwakonzeka, pali mankhwala oti akuthandizeni.

Mukhoza kuuza okondedwa anu za vuto lanu, kuti akuthandizeni kuyankha mlandu. Komanso, ndikofunikira kwambiri kunena zoona mukapita kwa madokotala anu, chifukwa akufuna kuchita zomwe zingakukomereni ndikukuthandizani "kukhala inu enieni."

Ngati mukuganiza zodzivulaza, pitani kwa dokotala nthawi yomweyo. Ngati inuyo kapena wokondedwa wanu muli pachiwopsezo, imbani ogwira ntchito zadzidzidzi nthawi yomweyo. Kumbukirani, kupempha thandizo si chizindikiro cha kufooka, koma chizindikiro cha mphamvu.

Matenda Okhudzana ndi Kudzidalira, Munchausen Syndrome, Thanzi la Maganizo, Zizindikiro Zonyenga, Kudzivulaza, Matenda a Maganizo, Chithandizo