Tonsefe timafuna kukanidwa ndi winawake m'miyoyo yathu, eti? Zingakhale muubwenzi wachikondi, ubwenzi, kapena ngakhale kuntchito. Zikatero, n'zachibadwa kumva chisoni, kukwiya, kapena kukhumudwa. Koma nthawi zambiri timatha kulamulira ndikuwongolera malingaliro amenewo kwakanthawi ndikubwerera ku moyo wabwinobwino.
Koma taganizirani, bwanji ngati kukanidwa kukupangitsani kupweteka kwambiri kwamaganizo kotero kuti simungathe kupirira, kotero kuti simungathe kuganiza zolamulira malingaliro amenewo? Mwina muli ndi zomwe madokotala amatcha " rejection sensitive dysphoria" (RSD) . Kafukufuku wasonyeza kuti ngati muli ndi Attention Deficit Hyperactivity Disorder (ADHD) , muli ndi mwayi waukulu wopeza RSD.
Kodi RSD iyi ndi chiyani kwenikweni?
RSD si matenda odziwika bwino omwe ali ndi mndandanda wa zizindikiro. Izi zikutanthauza kuti, saonedwa ngati matenda osiyana. Komabe, madokotala ndi akatswiri a zamaganizo amagwiritsa ntchito mawuwa pofotokoza momwe munthu amamvera kwambiri akakana zomwe nthawi zambiri zimagwirizanitsidwa ndi matenda odziwika bwino monga ADHD.
Mawu akuti "dysphoria" amachokera ku chilankhulo cha Chigiriki. Amatanthauza "ululu waukulu kapena kusasangalala." Anthu omwe ali ndi RSD amavutika kwambiri kuthana ndi kukanidwa. Ndipotu, amavutika kufotokoza momwe akumvera m'mawu. Nthawi zambiri amagwiritsa ntchito mawu monga "osapiririka" ndi "owononga." Chifukwa cha izi, anthu ena amapewa kuyanjana ndi anthu chifukwa choopa kukanidwa.
Kodi pali kugwirizana kotani pakati pa vutoli ndi ADHD?
Kafukufuku akadali wosamveka bwino wokhudza amene amalandira RSD ndi momwe imagwirizanirana ndi ADHD, chifukwa kukana n'kovuta kuyeza. Koma akatswiri amakhulupirira kuti anthu omwe ali ndi ADHD nthawi zambiri amakhala ndi zizindikiro za RSD chifukwa cha kusintha kwina kwa kapangidwe ka ubongo wawo.
Munthu amene ali ndi ADHD ali ndi mbali yosiyana pang'ono ya ubongo, yomwe imayang'anira zinthu monga chidwi, chilankhulo, luso locheza ndi anthu, kulamulira maganizo, kuweruza, ndi kuthetsa mavuto. Zotsatira zake, mungaphonye zizindikiro zina za anthu, kukhala ndi vuto logwira ntchito ndi gulu, kapena kulephera kumvetsera tsatanetsatane.
Pachifukwa ichi, ena akamanena za khalidwe lanu, kapena kunena zinthu zosamveka bwino, mungatanthauze kuti ndi kudzudzula, kunyoza, kapena kukana .
Kusamvetsetsana kumeneku kungakupangitseni kumva kukhumudwa kwakukulu, kupweteka, chisoni, ndi kuperekedwa. Mungakhale ndi vuto loletsa malingaliro amenewa mwachangu monga momwe munthu wopanda ADHD amavutikira.
RSD ingakhalenso yogwirizana ndi matenda ena amisala ndi matenda a maganizo, koma kafukufuku wowonjezereka akufunika kuti timvetse bwino izi.
Kodi zizindikiro za RSD ndi ziti?
Ngakhale kuti RSD si matenda ovomerezeka, anthu omwe ali ndi vutoli nthawi zambiri amakhala ndi zizindikiro zotsatirazi. Tiyeni tiwone ngati izi zikumveka ngati mukudziwa kale.
| Khalidwe | Kufotokozera |
|---|---|
| Kuyesa kusangalatsa ena (Kukondweretsa anthu) | Kuyesetsa kusangalatsa ena kwambiri kuti apewe kukanidwa. |
| Kudziyang'anira pansi | Kusadzidalira, kudzikayikira nthawi zonse komanso manyazi. |
| Kukwiya mwadzidzidzi | Maganizo omwe amaonekera ngakhale mwakuthupi, monga mkwiyo, misozi, ndi chisoni chosatha. |
| Kudzilankhula molakwika | Nthawi zonse muzidziimba mlandu ngati chinachake chalakwika kapena chakanidwa. |
| Kudzipatula pagulu | Kupewa mwayi wocheza ndi anthu, ntchito, ndi maudindo chifukwa choopa kukanidwa. |
| Kukonda kuchita zinthu mwangwiro | Kuyesetsa kuchita chilichonse bwino kuti pasakhale mpata wodzudzula kapena kulephera. |
Nthawi zina, kuopa kutsutsidwa kapena kukanidwa ndi ena kungakupangitseni kupewa ntchito ndi maudindo ena kapena kusiya kucheza ndi anthu. Izi zitha kukhudza kwambiri moyo wanu.
Kodi n’chiyani chimayambitsa RSD?
Akatswiri sakumvetsabe bwino chomwe chimayambitsa izi, koma ena amakhulupirira kuti kapangidwe ka ubongo wanu kamagwirizana ndi izi.
Amygdala ndi prefrontal cortex ndi ziwalo za ubongo zomwe zimagwira ntchito yokana, kulephera, kuzindikira malingaliro, ndi mauthenga oipa. Zimapezeka kutsogolo kwa ubongo. Nthawi zambiri, tikamakalamba, ziwalozi zimakhala bwino pakulamulira ndi kukonza malingaliro.
Koma mwa anthu omwe ali ndi vuto linalake la maganizo kapena khalidwe, ubongo sungathe kulamulira bwino zizindikirozi. M'malo mwake, ubongo umatanthauzira malingaliro oipa ngati chinthu chopweteka kwambiri komanso cholemetsa kwambiri kuti chisathe kupirira. Izi ndi zomwe akatswiri amatcha " kusokonezeka kwa malingaliro ."
Kuwonjezera pa kapangidwe ka ubongo, akatswiri ena amakhulupirira kuti pakhoza kukhala chikoka cha majini, makamaka popeza ADHD, matenda omwe amagwirizana kwambiri ndi RSD, amapatsirana kuchokera ku mibadwomibadwo.
Kodi vutoli limapezedwa bwanji ndi kuchiritsidwa bwanji?
Popeza RSD si matenda ovomerezeka ndipo kafukufuku wokhudza matendawa ndi wochepa, dokotala wanu kapena mlangizi wanu sangadziwe zambiri za matendawa, kapena angasokoneze ndi matenda ena amisala.
Koma ngati mwapezeka kale ndi ADHD kapena matenda ena amisala, dokotala wanu akhoza kuzindikira khalidwe la kukana.
Palibe mankhwala enieni a RSD. Komabe, mankhwala ena ndi njira zina zochiritsira matenda a ADHD ndi matenda ena amisala zingathandize kuchepetsa mavuto amaganizo awa.
Chithandizo cha mankhwala
- Mankhwala oletsa kugwidwa ndi ma receptor a Alpha-2: Mankhwala monga `guanfacine (Intuniv)` ndi `clonidine (Kapvay)` amathandiza ubongo kulandira ndikugwiritsa ntchito zizindikiro zamaganizo.
- Mankhwala Olimbikitsa: Mankhwala monga amphetamine (Adderall) ndi methylphenidate (Ritalin) amalimbikitsa mankhwala otumiza mauthenga (ma neurotransmitters) omwe amanyamula mauthenga pakati pa maselo a ubongo. Izi zimathandiza ubongo kugwira bwino ntchito yotumiza mauthenga omwe umalandira.
- Mankhwala oletsa monoamine oxidase (MAOIs): Mankhwalawa nthawi zambiri amaperekedwa kwa anthu omwe ali ndi vuto la kuvutika maganizo. Apezekanso kuti amathandiza kuchepetsa kukhudzidwa ndi kukanidwa. Komabe, mankhwalawa sayenera kumwedwa pamodzi ndi mankhwala ena a ADHD kapena ndi zakudya zina (monga tchizi chakale, nyama). Kuchita zimenezi kungayambitse kuthamanga kwa magazi kwambiri.
Chofunika kwambiri: Ngati muli ndi zizindikiro izi, onetsetsani kuti mwalankhula ndi dokotala wanu. Musamwe mankhwala aliwonse popanda upangiri wa dokotala wanu.
Chithandizo
Kuwonjezera pa mankhwala, mankhwala monga Cognitive Behavioral Therapy (CBT) ndi talk therapy zingakhale zothandiza kwambiri. Mankhwalawa amakuthandizani kumvetsetsa momwe mumamvera mumtima mwanu.
Chithandizochi chimakuthandizaninso kukhala ndi zizolowezi zabwino, monga kumvetsera munthu winayo, kupempha kuti akufotokozereni bwino zinthu zikavuta, komanso kutenga nthawi yoganizira m'malo mochitapo kanthu nthawi yomweyo. Pakapita nthawi, mudzatha kupanga zida ndi njira zomwe mukufunikira kuti muzitha kuyendetsa bwino malingaliro anu pazochitika zosiyanasiyana.
Chidziwitso Chapadera: Ngati inu kapena munthu amene mumamudziwa akuganiza zodzivulaza, chonde pitani ku Dipatimenti Yoona Zadzidzidzi ya Chipatala (ETU) yapafupi nthawi yomweyo. Ndikofunikira kwambiri kufunafuna upangiri wa dokotala.
Uthenga Wopita Nawo Kunyumba
- Kukana Sensitive Dysphoria (RSD) ndi yankho lopweteka kwambiri komanso losapiririka la maganizo pamene munthu wakana.
- Ngakhale kuti iyi si matenda odziwika bwino, ndi yofala, makamaka pakati pa anthu omwe ali ndi ADHD.
- Amakhulupirira kuti kusintha kwa ntchito ya ubongo ndi majini kungakhale komwe kumayambitsa izi.
- Vutoli lingathe kuthetsedwa ndi mankhwala, makamaka, mankhwala monga cognitive behavioral therapy (CBT).
- Ngati inu kapena munthu amene mumamudziwa ali ndi zizindikiro izi, ndikofunikira kwambiri kufunafuna upangiri kwa dokotala wodziwa bwino ntchito yake m'malo movutika nokha.
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