Kodi dokotala wa matenda amisala ndi ndani? Tiyeni tikambirane izi mwatsatanetsatane!

Kodi mudamvapo za dokotala wa matenda amisala? Mungaganize kuti anthu omwe ali ndi mavuto aakulu amisala okha ndi omwe ayenera kupita kwa dokotala wa matenda amisala. Koma ndikofunikira kudziwa bwino lomwe kuti dokotala wa matenda amisala ndani, zomwe amachita, komanso mtundu wa chithandizo chomwe angapereke.

Kodi katswiri wa zamaganizo uyu ndi ndani?

Mwachidule, dokotala wa matenda amisala ndi dokotala wokhala ndi digiri ya zachipatala . Iye ndi katswiri pa nkhani ya matenda amisala. Gawoli limayang'ana kwambiri pa kuzindikira, kuchiza, komanso kupewa mavuto osiyanasiyana amisala, malingaliro, ndi machitidwe . Amayang'ana thanzi lanu la maganizo komanso mavuto aliwonse akuthupi omwe angakhale okhudzana ndi matendawa.

Kodi kusiyana pakati pa katswiri wa zamaganizo ndi katswiri wa zamaganizo ndi kotani?

Ichi ndi chinthu chomwe anthu ambiri amasokonezeka nacho. Chabwino, ganizirani motere. Dokotala wa matenda amisala ndi dokotala. Izi zikutanthauza kuti amatha kuzindikira mavuto amisala, kupereka mankhwala, ndikupereka chithandizo china chamankhwala.

Komabe, katswiri wa zamaganizo nthawi zambiri amakhala munthu amene ali ndi digiri ya PhD. Nthawi zambiri amachita kafukufuku wa zamaganizo kapena maphunziro azachipatala. Amachiritsa mavuto amisala kudzera mu psychotherapy, kapena chomwe timachitcha 'talk therapy'. Chofunika kwambiri, katswiri wa zamaganizo sangalembe mankhwala.

Madokotala a zamaganizo nthawi zambiri amachiritsa mavuto ovuta kwambiri a thanzi la maganizo kuposa akatswiri a zamaganizo, makamaka omwe amafunikira mankhwala kapena chithandizo chamankhwala . Mwa kuyankhula kwina, psychology ndi kuphunzira za malingaliro, malingaliro, ndi khalidwe. Psychiatry ndi gawo la zamankhwala lomwe limazindikira ndi kuchiza mavuto a thanzi la maganizo.

Ndiye kusiyana kotani pakati pa dokotala wa matenda amisala ndi katswiri wa zamaganizo?

Katswiri wa zamaganizo ndi munthu amene ali ndi digiri ya masters mu gawo la thanzi la maganizo, monga zamaganizo, zamaganizo olangiza, kapena chithandizo cha mabanja. Ali ndi ziyeneretso zoyesa thanzi la maganizo la munthu ndikugwiritsa ntchito njira zochiritsira, monga kulankhula ndi dokotala. Mwachitsanzo, ogwira ntchito zachitukuko omwe ali ndi zilolezo komanso alangizi azachipatala omwe ali ndi zilolezo ali mgululi. Komabe, katswiri wa zamaganizo sangalembe mankhwala.

Kumbukirani, dokotala wa matenda amisala ndi dokotala. Iye amatha kuzindikira mavuto amisala, kupereka mankhwala, komanso kupereka chithandizo chamankhwala.

Kodi kusiyana pakati pa dokotala wa matenda amisala ndi katswiri wa mitsempha ndi kotani?

Ndikofunikira kudziwa izi. Katswiri wa matenda a mitsempha nayenso ndi dokotala.Koma iye ndi katswiri pa matenda, kuchiza, ndi kusamalira matenda a ubongo ndi dongosolo la mitsempha (ndiko kuti, ubongo, msana, ndi mitsempha). Katswiri wa mitsempha amadziwa bwino kapangidwe ndi ntchito ya dongosolo lanu la mitsempha, komanso matenda omwe amakhudza.

Tsopano, ngakhale kuti madokotala amisala ndi akatswiri a mitsempha amagwira ntchito ndi matenda okhudzana ndi ubongo, akatswiri a mitsempha amaganizira kwambiri za thupi ndi zizindikiro za matendawa. Koma madokotala amisala amaganizira kwambiri za zizindikiro za matenda okhudza ubongo (zokhudzana ndi kuganiza) ndi khalidwe lawo. Komanso, akatswiri a mitsempha amachiritsa matenda omwe amakhudza mitsempha ndi msana, koma madokotala amisala sachita zimenezo.

Madokotala onsewa amatha kupereka mankhwala. Angagwirenso ntchito limodzi pochiza matenda ena omwe amakhudza ubongo. Mwachitsanzo, nthawi zambiri anthu omwe ali ndi matenda a Parkinson kapena omwe adadwalapo sitiroko amakumana ndi vuto la kuvutika maganizo.

Kodi dokotala wa matenda amisala amachita chiyani?

Dokotala wa matenda amisala amawunika, kuzindikira, ndikuchiza mavuto anu amisala, malingaliro, komanso machitidwe.

Popeza madokotala amisala ndi madokotala, amatha kuyitanitsa kapena kuchita mayeso osiyanasiyana azachipatala ndi/kapena amisala. Madokotala amisala amazindikira mavuto azaumoyo wamaganizo mwa kuphatikiza mayesowa ndi kukambirana za zizindikiro zanu komanso mbiri yanu yazachipatala komanso yabanja.

Amagwiritsa ntchito njira zomwe zili mu American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5) kuti adziwe mavuto a thanzi la maganizo.

Komanso, dongosolo la chithandizo limapangidwa lomwe likugwirizana ndi inu. Izi zitha kuphatikizapo psychotherapy (kulankhula ndi dokotala), mankhwala, ndi njira zina zamankhwala.

Ndi matenda amtundu wanji omwe madokotala amisala amachiritsa?

Madokotala a matenda amisala amatha kuzindikira ndi kuchiza mavuto ambiri amisala. Nazi zitsanzo zingapo:

• Matenda obwera chifukwa cha kumwa mowa ndi matenda ena obwera chifukwa cha kugwiritsa ntchito mankhwala osokoneza bongo
• Matenda a Alzheimer
• Matenda a nkhawa
• Matenda a ADHD (ADHD)
• Matenda a Autism spectrum
• Matenda a bipolar
• Matenda a thupi (nkhawa yopanda pake yokhudza mawonekedwe a thupi)
• Kuvutika maganizo
• Matenda a dissociative - mikhalidwe yomwe mumamva kuti mulibe ubale ndi inu nokha komanso malo anu
• Matenda a kudya
• Matenda a kutchova njuga
• Matenda a kusunga ndalama
• Matenda a maganizo
• Matenda okakamiza kwambiri (OCD)
• Matenda a mantha
• Matenda a umunthu
• Matenda ovutika maganizo pambuyo pa zoopsa (PTSD)
• Kuvutika maganizo pambuyo pa kubereka
Matenda a Schizoaffective Schizophrenia-maganizo `(Schizophrenia)`
• Matenda ogona

Ndi mankhwala otani omwe amagwiritsidwa ntchito?

Madokotala a matenda amisala amagwiritsa ntchito ndi kupereka mankhwala osiyanasiyana. Makamaka:

• Psychotherapy (mankhwala olankhula)
• Mankhwala
• Mankhwala ena, mwachitsanzo, chithandizo cha electroconvulsive (ECT) kapena transcranial magnetic stimulation (TMS)

Kumbukirani, mankhwala ochizira matenda amisala amasiyana kwambiri malinga ndi munthu. Sankhani mankhwala omwe akukuthandizani. Nthawi zambiri, mankhwala ophatikizana awa amagwiritsidwa ntchito.

Zambiri zokhudza mankhwala olankhula (Psychotherapy)...

Chithandizo cha maganizo, kapena chomwe timachitcha 'kulankhula' kapena 'chithandizo' mwachidule, ndi chithandizo chomwe chimaphatikizapo kulankhula ndi mlangizi wodziwa bwino za thanzi la maganizo kuti adziwe ndikuthana ndi zomwe zikukhudza thanzi lanu la maganizo kapena zomwe zimayambitsa malingaliro anu.

Cholinga chake ndi kuchotsa kapena kulamulira maganizo ndi machitidwe osafunikira omwe amakuvutitsani komanso omwe amasokoneza zochita zanu za tsiku ndi tsiku. Izi zimakupatsani mwayi wochita zinthu bwino. Kutengera ndi zizindikiro ndi matenda anu, chithandizochi chingakhale cha kanthawi kochepa kapena cha nthawi yayitali.

Pali njira zingapo za psychotherapy:

• Chithandizo cha Maganizo (CBT)
• Chithandizo cha Pakati pa Anthu (IPT)
• Chithandizo Choganizira Mozama (MBCT)
• Chithandizo cha Khalidwe Lolankhulana (DBT)
• Chithandizo Chothetsera Mavuto (PST)
• Chithandizo cha Maganizo

Mitundu ya mankhwala...

Madokotala a zamaganizo amatha kupereka mankhwala ochizira matenda amisala. Mankhwalawa amagwira ntchito posintha zizindikiro za mankhwala ndi kulumikizana muubongo wanu. Izi zingathandize kuchepetsa zizindikiro za matenda ena amisala.

Madokotala a matenda amisala nthawi zambiri amapereka mankhwala pamodzi ndi psychotherapy.

Mankhwala ena omwe madokotala amisala nthawi zambiri amapereka ndi awa:

• Mankhwala oletsa kuvutika maganizo
• Mankhwala oletsa matenda amisala
• Mankhwala ochititsa manyazi
• Zolimbitsa mtima
• Mankhwala ochepetsa nkhawa komanso ochepetsa nkhawa
• Zolimbikitsa
• Ketamine (mu milandu yapadera)

Mankhwala ena...

Madokotala a matenda amisala amagwiritsanso ntchito njira zina zochizira matenda amisala:

• Chithandizo cha Kutsekeka kwa Magazi (ECT)
• Kulimbikitsa Magnetic kwa Transcranial (TMS)
• Chithandizo chopepuka cha matenda amisala a nyengo (SAD)

Kuwonjezera pa izi, palinso mankhwala omwe sagwiritsidwa ntchito kawirikawiri:

• Kulimbikitsa Mitsempha ya Vagus (VNS)
• Kulimbikitsa Ubongo Kwambiri (DBS)

Kodi ndiyenera kupita kwa dokotala wa matenda amisala liti?

Kuti musankhe ngati mukufunika kupita kwa dokotala wa matenda amisala kapena ayi, muyenera kuganizira moona mtima za zizindikiro zanu ndi zomwe mukukumana nazo tsiku ndi tsiku. Musayese kupeza matenda amisala nokha. Koma mutha kuzindikira ndikulemba makhalidwe oipa, malingaliro, ndi malingaliro omwe akusokoneza moyo wanu.

Kupempha thandizo pa nkhani za matenda amisala nthawi zina kungakhale kovuta komanso kovuta, koma ndikofunikira kutero. Mavuto a thanzi la maganizo ndi ofala kwambiri. Thanzi lanu la maganizo ndi lofunika mofanana ndi thanzi lanu lakuthupi.

Nthawi zina, dokotala wa banja lanu (Wopereka Chithandizo Chachikulu) akakuuzani za zizindikiro zanu, angakutumizireni kwa dokotala wa matenda amisala. Komabe, ngati mukufuna, mutha kuwonanso dokotala wa matenda amisala mwachindunji kuti akuthandizeni kupeza matenda ndikukonzekera chithandizo.

Mavuto amisala amatha kuchitika mwadzidzidzi, mosakhazikika, kapena mosalekeza. Chofunika kwambiri, ngati akukukhudzani kwambiri, ndi chizindikiro chodziwikiratu kuti muyenera kufunafuna thandizo.

Ngati muli ndi zizindikiro kapena zokumana nazo izi, ganizirani kupita kwa dokotala wa matenda amisala, kapena uzani dokotala wa banja lanu:

• Kusatha kulamulira kapena kulamulira malingaliro anu.
• Kukwiya nthawi zonse kapena kawirikawiri, kukwiya.
• Kumva mantha opitirira muyeso kapena achilendo.
• Kuchita ntchito zoopsa.
• Kumva nkhawa kwambiri komanso/kapena chisoni.
• Kusintha kwakukulu kwa kagonedwe.
• Kugwiritsa ntchito mankhwala osokoneza bongo.
• Matenda a kudya.
• Kulephera kuchita bwino kusukulu kapena kuntchito.
• Kukhala patali patali ndi anthu ena.
• Maganizo odzivulaza.

Kumbukirani, palibe manyazi kukhala ndi vuto la matenda amisala kapena kufunafuna thandizo. Mukalandira thandizo ndi chithandizo mwachangu, mudzamva bwino msanga.

Kodi muyenera kuyembekezera chiyani mukapita kukaonana ndi dokotala wa matenda amisala?

Kuti mupindule kwambiri ndi ulendo wanu kwa dokotala wa matenda amisala, ndi bwino kukonzekera. Nazi zinthu zina zomwe zingakuthandizeni kuchita izi:

• Lembani mndandanda wa zinthu zofunika kwambiri zomwe mukufuna kukambirana ndi dokotala wanu wa matenda amisala.
• Kambiranani za zizindikiro zatsopano kapena kusintha kwa zizindikiro zanu zakale. Ngati n'kotheka, lembani za zizindikiro zanu tsiku lililonse m'buku lanu. Izi zidzakuthandizani kukumbukira momwe zimasinthira komanso momwe zimakhudzira moyo wanu.
• Ngati pali kusintha kulikonse pa thanzi lanu, chonde tiuzeni za izo.
• Tiuzeni za matenda akuthupi ndi amisala omwe banja lanu lili nawo .
• Mundiuze mmene abale anu, abwenzi, ndi ogwira nawo ntchito omwe amakukondanidi amakuonerani .
• Bweretsani mndandanda wa mankhwala ndi zinthu zonse zomwe mukumwa panopa. Phatikizanipo chilichonse kuyambira mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mavitamini, zowonjezera, mankhwala achikhalidwe, ndi mankhwala osokoneza bongo.

Kodi ndi mafunso otani ofunika kufunsa dokotala wa matenda amisala?

Mukapita kwa dokotala wa matenda amisala, zingakhale zothandiza kufunsa mafunso ngati awa:

• Kodi matenda anga ndi otani? Kodi mwafika bwanji pamenepa?
• Kodi mwakumana ndi zotani pochiza vuto langa?
• Kodi ndi njira ziti zochiritsira zomwe ndili nazo?
• Kodi ndingayembekezere kuti ndidzachira liti?
• Ndingadziwe bwanji ngati ndikupeza bwino?
• Ndiyenera kuchita chiyani ngati ndikuvutika kwambiri?
• Kodi ndiyenera kuyimbira ndani ndikakumana ndi vuto ladzidzidzi?
• Kodi zotsatirapo zake za mankhwala anga ndi ziti?
• Kodi mungagwire ntchito ndi madokotala anga ena?

Kodi mungakhale bwanji dokotala wa zamaganizo?

Kuti mukhale dokotala wa matenda amisala, muyenera kuchita izi:

• Maphunziro a digiri yoyamba ya zaka zinayi kuchokera ku koleji kapena ku yunivesite amabweretsa digiri ya bachelor.
• Maphunziro a zaka zinayi kusukulu ya zachipatala amabweretsa digiri ya zachipatala, kaya ya "Doctor of Medicine - MD" kapena "Doctor of Osteopathic Medicine - DO".
• Pulogalamu yophunzitsira anthu okhala m'nyumba kwa zaka zinayi.

Akamaliza maphunziro a kukhala m'chipatala, madokotala ambiri amisala amakhala madokotala amisala ovomerezeka ndi bungwe la boma pochita kafukufuku wodzifunira wolembedwa komanso wa pakamwa woperekedwa ndi American Board of Psychiatry and Neurology.

Madokotala ena amisala amatsatira mapulogalamu oyanjana kuti apeze ukatswiri pa gawo linalake la matenda amisala, monga matenda amisala a ana ndi achinyamata (omwe amayang'ana kwambiri thanzi la maganizo la ana) kapena upangiri wa psychiatry (womwe umaphunzira momwe thanzi la thupi ndi la maganizo limagwirira ntchito m'magulu azachipatala).

Kodi ndi maphunziro ati ang'onoang'ono mu psychiatry?

Zina mwa zinthu zapadera mu psychiatry ndi izi:

• Kusokoneza maganizo
• Zadzidzidzi za matenda amisala
• Udokotala wa zamaganizo (walamulo)
• Matenda amisala a okalamba
• Mankhwala opweteka
• Matenda amisala a ana ndi achinyamata
• Kufunsana-kulumikizana ndi matenda amisala
• Mankhwala ogona

Pomaliza, zinthu zoti muzikumbukira

Kuvomereza kuti muli ndi vuto la matenda amisala ndikupempha thandizo kungaoneke ngati kovuta, koma kumbukirani kuti ndikofunikira kutero. Dokotala wa matenda amisala angakupatseni matenda olondola ndikukupatsani njira yochizira. Ndi akatswiri pantchito yawo, ndipo amadziwa bwino kafukufuku waposachedwa, mankhwala, ndi njira zina zochizira zomwe zingakuthandizeni. Dokotala wanu wa matenda amisala adzagwira nanu ntchito kuti adziwe njira yabwino kwambiri yochizira matenda. Chifukwa chake, musachite mantha kapena kuchita manyazi kupempha thandizo. Thanzi lanu la maganizo ndi lofunika!

Dokotala wa zamaganizo , Thanzi la Maganizo, Katswiri wa zamaganizo, Chithandizo cha maganizo, Kukhumudwa, Nkhawa