Kodi inunso muli ndi "matenda otupa" ngati awa? Koma kodi si khunyu? (Psychogenic Nonepileptic Seizure - PNES) Tiyeni tikambirane za izi!

Tangoganizirani, mwadzidzidzi mukumva ngati mwagwidwa ndi khunyu, thupi lanu likugwedezeka, ndipo mwina mwataya chidziwitso ... monga momwe mulili ndi khunyu. Koma mukudziwa, izi sizimachitika nthawi zonse chifukwa cha khunyu yomwe imachitika chifukwa cha kusintha kwa magwiridwe antchito amagetsi mkati mwa ubongo. Nthawi zina zimatha kukhala zosiyana, koma zimathanso kuwoneka choncho. Lero tikambirana za vuto ngati limenelo, lomwe madokotala amalitcha `(Psychogenic Nonepileptic Seizure - PNES)`, kapena `(Functional Seizures - FS)`. Ngakhale izi zingawoneke zovuta pang'ono, tiyeni timvetse mosavuta.

Kodi ichi ndi chiyani kwenikweni `(PNES)`?

Mwachidule, PNES ndi mndandanda wa zochitika zomwe zimafanana kwambiri ndi zizindikiro za khunyu, kutanthauza kuti, mndandanda wa zochitika zomwe zimabwera ndikupita ngati "kuthamanga." Koma chofunika ndichakuti izi sizimachitika chifukwa cha ntchito yamagetsi yosazolowereka muubongo . Khunyu imachitika chifukwa cha kusokonezeka kwa ntchito yamagetsi muubongo. Koma mu PNES, sizili choncho.

Nanga n’chifukwa chiyani zinthu zimenezi zimachitika? Zimachitikadi ngati yankho la zinthu zina mu dongosolo lathu la mitsempha, kutanthauza, dongosolo la kumva la thupi lathu . Kodi zinthu zimenezo ndi ziti?

• Zifukwa zakuthupi: Mwina kuvulala, chinthu chonga kupweteka kosalekeza.
• Zinthu zomwe zimakhudza chilengedwe: Mavuto aakulu a maganizo ochokera kwa anthu omwe akuzungulirani, kutanthauza kupsinjika maganizo.
• Zochitika zoopsa zakale: Mwina panali chochitika chomwe simungachiiwale ndipo chomwe chinakhudza kwambiri maganizo anu.

Chofunika ndichakuti ngati muli ndi vutoli, "kuyenerera" komwe mukukumana nako ndi kwenikweni. Si chinthu chomwe mukuchita dala kapena kungonamizira. Simungathe kulamulira vutoli likachitika, ndi chinthu chomwe sichingatheke kulamulira. Ndikofunikira kwambiri kumvetsetsa izi kaye. Vutoli likhoza kusokoneza kwambiri moyo wanu, koma n'zotheka kupeza thandizo.

Nthawi zina madokotala amatcha vutoli kuti `(Functional Neurological Disorder - FND)`. Chifukwa cha izi ndichakuti zizindikirozi zitha kufotokozedwa ngati kusokonezeka kwa magwiridwe antchito a ubongo. Ena amafotokoza izi ngati vuto ndi `software'' ya kompyuta, kutanthauza, ndi mapulogalamu. Izi zimatchedwanso `psychogenic nonepileptic attacks``, ``episodes``` kapena ``spells``.

Kodi zizindikiro za `(PNES)` ndi ziti?

Chizindikiro chachikulu cha vutoli ndi chomwe chimatchedwa "kuyenerera." Koma izi zimatha kusiyana malinga ndi munthu.

Anthu ena angakumane ndi kugwedezeka ndi kugwedezeka kwa thupi lonse, monga momwe zimakhalira ndi "Tonic-clonic seizures," zomwe ndi mitundu yoopsa kwambiri ya khunyu. Ena angakumane ndi kugwedezeka ndi kupindika kwa miyendo. Nthawi zina, angaoneke ngati ataya chidziwitso kwa kanthawi kochepa, monga momwe zimakhalira ndi "Absence seizures," kapena angaoneke ngati akugwa pansi mwadzidzidzi, monga momwe zimakhalira ndi "Drop attacks. " Kusiyana kwake ndikuti palibe chilichonse mwa izi chomwe chimachitika chifukwa cha mafunde amagetsi osazolowereka muubongo.

Izi ndi zina mwa zizindikiro zodziwika bwino za PNES:

• Kusintha kwa kayendedwe ka thupi: miyendo ikugwedezeka ndi kupotoka m'njira zosiyanasiyana.
• Kugwedezeka kwa thupi pamene mukuzindikira: Nthawi zina, ngakhale thupi likugwedezeka, mumatha kumvabe zinthu zikuchitika mozungulira inu pamlingo winawake.
• Kutseka maso anu osayankha.
• Kugwedezeka kwa thupi lonse komwe kumatenga mphindi zoposa 10: Matenda a khunyu nthawi zambiri samatenga nthawi yayitali chonchi.
• Kutaya chidziwitso.
• Ziwalo zikuyenda mosagwirizana.
• Kusuntha kwa m'chiuno.
• Mutu ukugwedezeka mofulumira kuchokera mbali imodzi kupita mbali ina.

Kuwonjezera pa "kuyenerera" kumeneku, mutha kukumana ndi zizindikiro zina chifukwa cha mavuto ena okhudza thanzi la maganizo. Mwachitsanzo:

• Nkhawa
• Kuvutika maganizo
• Kuukira kwa mantha
• Matenda ovutika maganizo pambuyo pa zoopsa (PTSD)

Kodi zifukwa za `(PNES)` ndi ziti?

Ofufuza amakhulupirira kuti zizindikiro za FS zimayambitsidwa ndi kuphatikiza kwa zinthu zosiyanasiyana zomwe zimakhudza thupi lanu, malingaliro anu, ndi ubale wanu ndi anthu. Izi zimatchedwanso chitsanzo cha biopsychosocial. Izi zikutanthauza kuti zitha kuyambitsidwa ndi zinthu zomwe zimachokera m'magawo onse atatu: zamoyo, zamaganizo, komanso zachikhalidwe.

Kuphatikiza apo, zinthu izi zitha kuchititsa izi:

• Kuvuta kumvetsetsa ndi kufotokoza momwe akumvera: Anthu ena sangathe kufotokoza momveka bwino zomwe akumva.
• Mavuto okhudza kusinthasintha kwa masensa: Izi zikutanthauza kuti ubongo umavutika kusintha mauthenga ochokera ku mphamvu zathu monga maso ndi makutu athu kuti agwire ntchito.
• Mayankho olakwika pa nkhawa zakuthupi ndi zamaganizo: Chizolowezi chokwiya kwambiri komanso chosatha kupirira ngakhale vuto laling'ono.

Palinso chikhulupiriro chakuti mphamvu za majini zingathandize pakuchitika kwa vutoli pamlingo winawake.

Kawirikawiri, vuto la maganizo lomwe limabwera chifukwa cha "kusokonezeka maganizo" kumeneku likhoza kukhala chifukwa cha matenda amisala. Matenda ofala kwambiri omwe amawonedwa ndi awa:

• Matenda a nkhawa omwe ali ndi mantha
• Matenda ovutika maganizo
• Matenda osagwirizana
• Matenda a maganizo
• Matenda a umunthu
• Matenda ovutika maganizo pambuyo pa zoopsa (PTSD)
• Matenda a Somatic symptoms
• Matenda ogwiritsa ntchito mankhwala osokoneza bongo

Zinthu zoopsa zomwe zimayambitsa `(PNES)`

Mungakhale pachiwopsezo chachikulu chotenga matendawa ngati:

• Ngati mwakhala mukuzunzidwa kapena kunyalanyazidwa muli mwana, mwakuthupi, kapena m'maganizo.
• Ngati mwakumana ndi vuto lovuta kwambiri kapena loopsa.
• Ngati mukudwala matenda osatha monga ululu wosatha kapena fibromyalgia.

PNES nthawi zambiri imayamba muunyamata, koma ingayambe pa msinkhu uliwonse.

Mavuto omwe angakhalepo chifukwa cha `(PNES)`

"Kuyenerera" kumeneku kukachitika, mungataye chidziwitso chonse kapena kudzidzimuka konse. Chifukwa chake, pali chiopsezo chachikulu cha ngozi ndi kuvulala. Nthawi zina, izi zitha kukhala zoopsa kwa moyo. Tangoganizirani zomwe zingachitike ngati izi zitachitika mukuyendetsa galimoto kapena mutakhala pamalo okwera.

Inunso mungayambe kudzipatula kwa ena ndikukhala nokha, chifukwa cha kusadziwa, manyazi, kapena mantha. Izi zingakuthandizeni kuti musakhale ndi okondedwa anu, anzanu, ndi zinthu zomwe munkasangalala nazo kale.

Kukhala ndi vuto la kugona ngati limeneli kungakukhudzeninso kwambiri thanzi lanu la maganizo. Kukhala ndi vuto la kugona (FS) kungakulitse chiopsezo chanu chodzipha. Ngati muli ndi maganizo amenewa, chonde pemphani thandizo. Simuli nokha. Lankhulani ndi munthu amene mumamukhulupirira, kapena onani dokotala kapena mlangizi woyenerera. Simuyenera kudikira mpaka mutakumana ndi mavuto kuti mupeze thandizo.

Kodi madokotala amazindikira bwanji matenda a PNES?

Matenda a PNES amatha kukhala ovuta kuwazindikira chifukwa zizindikiro zake zimafanana kwambiri ndi matenda a khunyu. Dokotala wanu akhoza kuwazindikira pogwiritsa ntchito kanema (EEG - electroencephalogram) kuti alembe khunyu.

EEG imayesa ndikulemba zizindikiro zamagetsi muubongo wanu. Mukachita EEG, katswiri amaika mbale zazing'ono zachitsulo (ma electrode) pakhungu la mutu wanu. Ma electrode awa amalumikizidwa ku makina omwe amapatsa dokotala chidziwitso chokhudza momwe ubongo wanu umagwirira ntchito.

Ngati "fit" yomwe mukuchita ndi `(PNES)`, zomwe zikutanthauza kuti ndi vuto ndi momwe ubongo wanu umagwirira ntchito, mayeso a `(EEG)` adzawonetsa kuti ntchito zamagetsi za ubongo ndi zabwinobwino ngakhale panthawi ya "fit". Komabe, kwa munthu amene ali ndi khunyu, `(EEG)` idzawonetsa ntchito zamagetsi zachilendo panthawi ya "fit".

Anthu ambiri omwe ali ndi vutoli poyamba amadziwidwa molakwika kuti ali ndi khunyu. Komanso, nthawi zambiri, munthu amatha kukhala ndi "khunyu" komanso "PNES".

Kodi `(PNES)` imachiritsidwa bwanji?

Kafukufuku wasonyeza kuti mtundu wa mankhwala amisala otchedwa Cognitive Behavioral Therapy (CBT) ndiye mankhwala othandiza kwambiri a PNES .

Dokotala wanu adzakuthandizaninso kuthana ndi mavuto aliwonse omwe angayambitse matenda anu (monga kuvutika maganizo) omwe angayambitse matenda anu a khunyu. Izi zingaphatikizepo kumwa mankhwala oletsa kuvutika maganizo, monga momwe dokotala wanu wanenera, kuwonjezera pa CBT.

Chofunika kwambiri n’chakuti, mankhwala oletsa kugwidwa sagwira ntchito bwino pochiza vutoli (PNES).

Zambiri zokhudza chithandizo cha `(CBT)` cha `(PNES)`

Chithandizo cha Maganizo (CBT) ndi mtundu wa uphungu womwe umakuthandizani kuphunzira momwe maganizo ndi thupi lanu zimayankhira pazinthu zosiyanasiyana. Zimathandizanso kumvetsetsa momwe malingaliro anu amakhudzira malingaliro ndi machitidwe anu. Mlangizi wa zaumoyo wamaganizo angakuthandizeni kuzindikira ndikusintha malingaliro anu osafunikira, malingaliro, ndi machitidwe, ndikukuthandizani kuthana bwino ndi zochitika zopsinjika.

Ngati mukuona kuti CBT si yoyenera kwa inu, dokotala wanu angakulangizeni "FIT" kapena njira zina zolangizira kuti zikuthandizeni kuthana ndi mavuto anu amisala.

Pa nthawi yanu yopereka uphungu, mudzakumana ndi aphungu anu nthawi zonse. Pamodzi, mudzaphunzira zambiri za momwe malingaliro anu amakhudzira malingaliro anu ndi "kuyenerera kwanu." Kenako, pamodzi, mudzakhazikitsa zolinga ndikugwira ntchito kuti mukwaniritse. Mukayang'anira PNES, mungakhale ndi zolinga monga:

• Kuphunzira zambiri zokhudza matenda anu.
• Kuzindikira zinthu zakale kapena zamakono zomwe zimakuvutitsani maganizo ndikupeza njira zozichotsera.
• Kuzindikira zinthu zomwe zimayambitsa "kuyenerera" ndikuwongolera.
• Kukulitsa luso lowongolera malingaliro (monga njira zopumulira).
• Kumanganso moyo wanu (maubwenzi, maphunziro, ntchito, ndi zina zotero).

Palibe vuto ngati zolinga zanu sizili zofanana ndi izi. Zolinga za aliyense zimasiyana malinga ndi zosowa zawo.

Kwa akuluakulu, dokotala wanu angakupatseni pulogalamu yotchedwa ``Neurobehavioral therapy.'' Iyi ndi mtundu wa chithandizo chomwe chimagwiritsa ntchito buku logwirira ntchito, lofanana ndi kutenga kalasi. Mumapita ku misonkhano ya mlungu ndi mlungu, yomwe imakhala ndi mphindi 45 za chithandizo. Mumapatsidwanso "ntchito zoyeserera" kuti muchite kunyumba. Izi zitha kuphatikizapo zochitika monga kulemba buku kapena kupita ku chochitika chosangalatsa. Sabata iliyonse, mutha kuwonjezera zomwe mwaphunzira ndikupitiliza izi mpaka mutadziwa bwino luso linalake.

Ndiyenera kupita kwa dokotala liti?

Uphungu ungabweretse malingaliro ambiri omwe mwina simunawaganizirepo kapena simunawaganizirepo. Ngati mukumva ngati malingaliro anu akupitirira muyeso, kapena ngati mukumva kuti mulibe chitetezo, kumbukirani kuti uphungu wanu alipo kuti akuthandizeni paulendowu. Ndikofunikira kwambiri kulankhulana ndi madokotala anu kuti mukambirane mafunso aliwonse omwe mungakhale nawo okhudza chithandizo chanu kapena kuti akuthandizeni.

Kodi ndingayembekezere chiyani nditalandira chithandizo cha `(PNES)`?

PNES ndi matenda omwe angakhudze kwambiri moyo wanu. Komabe, ngati mutapeza matenda oyenera komanso kulandira chithandizo choyenera, zizindikiro zimatha kusintha.Anthu ena amanena kuti "kufooka" kwawo kwatha kwathunthu kapena kwachepa kwambiri chifukwa chotsatira upangiri wa dokotala wawo komanso kutenga nawo mbali mwachangu mu upangiri. Dokotala wanu angakupatseni chidziwitso chabwino kwambiri cha zomwe mungayembekezere kutengera momwe mulili.

Kupeza kuti kupsinjika maganizo kukuyambitsa matenda anu a PNES kungakhale kovuta kwambiri! Koma sikuyenera kutero. Gulu lanu lazachipatala lilipo kuti likuthandizeni kumvetsetsa matenda anu popanda kuweruza. Pamodzi, mutha kupanga dongosolo lochepetsera zizindikiro zanu ndikuchiza matenda aliwonse amisala omwe amayambitsa.

Madokotala anu adzakulimbikitsani kuti muzichita zinthu zomwe mumaphunzira mukamapereka uphungu. Monga chilichonse m'moyo, mukamayesetsa kwambiri, zotsatira zanu zidzakhala zabwino. Zimatenga nthawi kuti mupange luso latsopano, choncho musataye mtima ngati simukupeza nthawi yomweyo. Madokotala anu adzakuthandizani pa chilichonse chomwe mukuchita.

Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

PNES ndi matenda enieni, si chinthu chomwe mumachita dala. Ngakhale kuti zingakhale zovuta kuzizindikira, zimatha kuthandizidwa kwambiri ndi matenda oyenera komanso chithandizo, makamaka ndi CBT. Ngati muli ndi zizindikirozi, musachite manyazi kapena kuopa kufunafuna upangiri wa dokotala. Kumbukirani, simuli nokha, ndipo thandizo lilipo. Thanzi lanu la maganizo ndi lofunika kwambiri monga thanzi lanu lakuthupi. Choncho samaliraninso zimenezo.

'PNES, khunyu, khunyu yopanda chiphuphu, khunyu yochokera ku maganizo, khunyu, nkhawa, khunyu yosachokera ku khunyu, thanzi la maganizo, thanzi labwino