Kodi mumaopa kwambiri ngakhale kupweteka pang'ono chabe kwa thupi? - Tiyeni tikambirane za Somatic Symptom Disorder

Tangoganizirani kuti mukupweteka pang'ono m'mimba, kapena mukungomva kuti simuli bwino. Kodi nthawi zambiri timachita chiyani? Mwina timapuma pang'ono, kapena timamwa paracetamol ndikudikira kuti itha. Koma kodi mukuganiza kuti chizindikiro chaching'onochi chingakhale chiyambi cha matenda aakulu, mwina khansa? Kodi mumamva kupsinjika kwakukulu ndi mantha mukaganizira za izi? Mukapita kwa dokotala wina ndikuuzidwa kuti "palibe cholakwika", simungakhulupirire ndikupita kwa madokotala ena angapo? Ngati ndi choncho, nkhani yomwe tikambirane lero ikhoza kukhala yofunika kwambiri kwa inu. Tiyeni tikambirane za matenda amisala otchedwa `Somatic Symptom Disorder` (SSD).

Mwachidule, kodi Somatic Symptom Disorder (SSD) ndi chiyani?

Izi zingawoneke ngati nkhani yovuta, koma ndikufotokozereni mwachidule. `Somatic Symptom Disorder` (SSD) ndi matenda amisala. Chomwe chimachitika apa ndichakuti munthu ali ndi chizindikiro chimodzi kapena zingapo zakuthupi. Koma nkhawa, nkhawa, ndi mantha omwe amakumana nawo chifukwa cha zizindikiro zimenezo ndi okwera kwambiri.

Chofunika kwambiri n’chakuti si matenda ongoganiziridwa. Izi zikutanthauza kuti wodwalayo sakunamizira. Akumva ululu, kutopa, kapena kusasangalala kwina. Vuto lili pa momwe munthuyo amachitira ndi kusasangalalako. Mwachitsanzo, dokotala angamuyese mayeso n’kunena kuti, “Izi ndi matenda wamba a gastritis, palibe chodetsa nkhawa nacho,” koma munthu amene ali ndi SSD angaganize kuti, “Ayi, dokotalayo sanathe kuzindikira vuto langa, ndili ndi vuto lalikulu kwambiri, mwina khansa ya m’matumbo.” Kuopa kwambiri kumeneku kungasokoneze tsiku lawo lonse, moyo wawo wonse.

Kodi palinso zinthu zina zomwe zimachitika m'maganizo ngati izi? Tiyeni tiphunzire kusiyana kwake.

Inde, nthawi zina vutoli lingasokonezedwe ndi matenda ena ofanana ndi amisala. Tiyeni tiwone kusiyana kwakukulu komwe kuli. Kuti mumvetse bwino izi, onani tebulo ili m'munsimu.

Kodi zizindikiro za vuto la SSD ndi ziti?

Pali magawo awiri omvetsetsa vutoli. Choyamba ndi momwe timamvera thupi, ndipo china ndi momwe timayankhira maganizo ndi khalidwe lathu.

1. Zizindikiro Zakuthupi

Izi zitha kukhala chilichonse, koma zofala kwambiri ndi izi:

• Ululu: Ichi ndiye chizindikiro chachikulu komanso chodziwika kwambiri. Chikhoza kukhala mtundu uliwonse wa ululu, monga mutu, kupweteka m'mimba, kupweteka msana, kapena kupweteka m'malo olumikizirana mafupa.
• Kutopa kapena kutopa kwambiri: Kumva kutopa nthawi zonse popanda chifukwa.
• Kuvuta kupuma: Kumva kulemera pachifuwa, kumva kutopa.

Zizindikiro zimenezi zitha kukhala chifukwa cha matenda (monga gastritis), kapena sizingakhale ndi chifukwa chomveka bwino.

2. Maganizo, malingaliro, ndi machitidwe opitirira muyeso

Ichi ndiye chofunikira cha momwe SSD ilili. Ngati wina akuwonetsa zinthu izi, muyenera kuda nkhawa:

• Mantha ndi nkhawa kwambiri: Kumva mantha ndi nkhawa nthawi zonse za zizindikiro za thupi. Maganizo obwerezabwereza monga, "Ndikudabwa ngati mutu waung'ono uwu ndi chotupa cha muubongo."
• Kuganiza moyipa kwambiri: Kuganiza kuti ngakhale chizindikiro chaching'ono ndi chizindikiro cha matenda aakulu kwambiri.
• Kusinthana kwa madokotala pafupipafupi: Kuchoka pa dokotala wina kupita pa wina, m'malo modalira dokotala mmodzi, kuli ngati "kugula dokotala." Nthawi zina, mungalandire chithandizo ndi madokotala angapo nthawi imodzi.
• Kusakhulupirira zotsatira za mayeso: Kaya mutenga mayeso angati ndipo mukuuzidwa kuti "palibe vuto," simukukhutirabe ndi zotsatira zake ndipo mukuganiza kuti, "Payenera kuti pakhala cholakwika pa mayesowo."
• Malingaliro olakwika okhudza dokotala: Maganizo monga akuti, "Dokotala wanga sandisamala, sakumvetsa matenda anga."
• Kuwononga nthawi ndi mphamvu: Kuwononga nthawi ndi mphamvu zambiri pofufuza, kuwerenga za mavuto anu azaumoyo pa intaneti, ndikuonana ndi madokotala.
• Kudalira ena: Kupempha ena nthawi zonse kuti akuthandizeni ndikukusamalirani. Kukwiya thandizo limenelo likapanda kulandiridwa.
• Kulephera kugwira ntchito tsiku ndi tsiku: Zizindikiro ndi malingaliro awa okhudza izi zimatha kusokoneza kwathunthu zochita za tsiku ndi tsiku, ntchito, ndi moyo wabanja.

N’chifukwa chiyani munthu ali ndi vutoli?

Palibe chifukwa chimodzi chokha chomwe chimayambitsa izi. Ofufuza amakhulupirira kuti kuphatikiza kwa majini, chilengedwe, ndi zinthu zamaganizo kumachita gawo. Zina mwa zinthu zazikulu zomwe zapezeka ndi izi:

• Zochitika zovuta paubwana: Makamaka nkhanza zakuthupi kapena zogonana ali mwana.
• Kunyalanyaza makolo: Kusowa chitsogozo choyenera, chikondi, ndi chisamaliro chozindikira ndikuwongolera malingaliro ali mwana.
• Mavuto amisala: Ali kale ndi vuto lina lamisala, monga kuvutika maganizo kapena nkhawa. Pafupifupi 30% - 60% ya anthu omwe ali ndi SSD akhoza kukhala ndi matenda onsewa kapena chimodzi mwa izi.
• Makhalidwe a umunthu: Anthu omwe ali ndi matenda enaake a umunthu ali pachiwopsezo chachikulu chotenga matendawa.
• Kugwiritsa ntchito mankhwala osokoneza bongo kapena mowa: Kumwa mankhwala osokoneza bongo kapena mowa mopitirira muyeso.
• Chenjerani: Chizolowezi choganizira kwambiri ngakhale kusintha pang'ono m'thupi la munthu.

Kodi dokotala amazindikira bwanji vutoli?

Mukapita kwa dokotala kukamuuza za zizindikiro zanu zakuthupi, chinthu choyamba chimene amachita ndi kufufuza ngati pali zifukwa zilizonse zakuthupi zomwe zimayambitsa zizindikirozo. Ngati pakufunika kutero, adzalamula kuti akafufuzidwe thupi, akapimidwe magazi, kapena "kujambula" kwina kulikonse.

Pambuyo pa mayeso awa,

1. Ngati palibe chifukwa chenicheni chomwe chingapezeke cha zizindikiro zanu,

2. Kapena, ngati dokotala akupeza kuti nkhawa ndi nkhawa zanu ndi zazikulu kuposa kuopsa kwa matendawo, ngakhale mutakhala ndi matenda enaake,

Iye angakutumizireni kwa katswiri wa matenda amisala, monga katswiri wa zamaganizo.

Katswiri wa zamaganizo adzatsimikizira vutoli poyang'ana njira zingapo. Kuti munthu apezeke ndi SSD, ayenera kukhala ndi chizindikiro chimodzi kapena zingapo zomwe zimasokoneza moyo watsiku ndi tsiku kwa miyezi yosachepera 6. Kuphatikiza apo, ayenera kukhala ndi chimodzi mwa zotsatirazi poyankha zizindikirozo:

• Kuganizira mopitirira muyeso komanso mosalekeza za kuopsa kwa zizindikiro za munthu.
• Kuda nkhawa nthawi zonse ndi thanzi kapena zizindikiro za matenda.
• Kuwononga nthawi ndi mphamvu zambiri kufufuza zizindikiro zawo ndi mavuto awo azaumoyo.

Kodi mankhwala ochizira izi ndi otani?

Nkhani yabwino ndi yakuti pali njira zochizira vutoli. Cholinga chachikulu cha chithandizo ndikuthandizira kuchepetsa zizindikiro zakuthupi komanso kuchiza mavuto amisala okhudzana ndi vutoli.

• Chithandizo cha maganizo: Iyi ndiyo njira yayikulu komanso yothandiza kwambiri yochiritsira. Panonso, njira yotchedwa `Cognitive Behavioral Therapy` (CBT) ndi yothandiza kwambiri.

CBT imangokuthandizani kuzindikira ndikusintha malingaliro olakwika (olakwika) omwe muli nawo okhudza zizindikiro zanu. Mwachitsanzo, m'malo moganiza kuti, "Ndili ndi mutu chifukwa ndili ndi chotupa muubongo," mutha kuchita kuganiza mwanzeru, monga, "Mwina ndi chifukwa chakuti sindinamwe madzi okwanira." Izi zikuthandizani:

- Chepetsani mantha ndi nkhawa zokhudzana ndi zizindikiro.

- Siyani kuganizira nthawi zonse za mavuto anu akuthupi.

- Pezani njira zokhalira ochezeka komanso ochita zinthu, ngakhale mukumva ululu.

- Chitani bwino ntchito zanu za tsiku ndi tsiku.