Kodi simungapeze chifukwa cha matenda osiyanasiyana m'thupi? Tiyeni tiphunzire za Matenda a Somatic Symptom.

Kodi izi zinakuchitikiranipo? Lero muli ndi mutu, mawa muli ndi kupweteka kwa msana, tsiku lotsatira muli ndi kupweteka m'mimba... Mumapitiliza kubwera ndi kubwera ndi matenda aliwonse. Mumapita kwa madokotala ambiri pazinthu zonsezi, mumachita mayeso ambiri monga magazi, mkodzo, ma scan, ndi zina zotero. Koma palibe lipoti lililonse lomwe lingapeze chifukwa chachikulu ngati vuto lanu. Ngakhale dokotala atanena kuti, "Mulibe matenda oopsa," simungakhulupirire. Muli ndi mantha m'maganizo mwanu kuti "O, ndili ndi matenda oopsa." Mumathera nthawi yambiri mukuganizira ndikudandaula za matenda awa akuthupi. Kodi vutoli lakhala chopinga chachikulu pa moyo wanu wabanja, ntchito, ndi zochita zanu za tsiku ndi tsiku? Chifukwa chake, ndikofunikira kwambiri kuti mudziwe za matenda amisala omwe tikukamba lero, kutanthauza, `(Somatic Symptom Disorder)`.

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

Uwu ndi matenda ovuta amisala. Mwachidule, ndi pamene munthu amakhala ndi nkhawa kwambiri ndi chizindikiro china chakuthupi (monga kupweteka kapena kutopa) ndipo momwe amachitira zinthu zimasokoneza moyo watsiku ndi tsiku.

Chofunika kumvetsetsa apa ndichakuti zizindikirozi si zabodza. Izi zikutanthauza kuti simukuchitapo kanthu. Mukumvadi ululu umenewo, kusasangalala kumeneko. Koma vuto ndilakuti, momwe maganizo anu amayankhira zizindikiro zimenezo ndi okokomeza kwambiri.

Taganizirani izi motere. Munthu amakhala ndi kupweteka m'mimba mwachibadwa. Koma munthu amene ali ndi SSD amaganiza za kupwetekako, "O, sindikudziwa ngati ndili ndi khansa ya m'matumbo." Kenako amadandaula nazo tsiku lonse, amapita kwa madokotala, ndikupeza mayeso. Nthawi zina, sipangakhale chifukwa chomveka bwino cha matenda a zizindikiro izi zakuthupi. Kapena, ngakhale pali vuto linalake lachipatala, mantha, nkhawa, ndi zochita zomwe amachita pa izi zimakhala zazikulu kwambiri kuposa kuopsa kwa matendawa.

Kodi kusiyana pakati pa izi ndi zina zofanana ndi izi n'kotani?

Nthawi zina vutoli lingasokonezedwe ndi matenda ena amisala. Chifukwa chake, ndikofunikira kwambiri kudziwa kusiyana kumeneku. Tiyeni tiwone tebulo ili kuti timvetse izi mosavuta.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Matenda a Somatic Symptom Disorder angakhudze ana, achinyamata, ndi akuluakulu, ndipo angakhudze aliyense. Komabe, nthawi zambiri amayamba asanakwanitse zaka 30. Kafukufuku wapeza kuti matendawa amapezeka kwambiri mwa akazi nthawi khumi kuposa amuna. Akuti pakati pa 5% ndi 7% ya akuluakulu akhoza kukhala ndi vutoli.

Kodi zizindikiro za matenda a Somatic Symptom ndi ziti?

Zizindikiro za izi zitha kugawidwa m'magawo awiri. Choyamba ndi malingaliro akuthupi, ndipo china ndi momwe munthu amayankhira maganizo ake ndi khalidwe lake.

1. Zizindikiro zakuthupi

Izi zitha kukhala zosiyanasiyana kwambiri, kuyambira zazing'ono mpaka zazikulu.

• Ululu: Ichi ndi chizindikiro chomwe chimafotokozedwa kwambiri. Ululu ukhoza kuchitika kulikonse, monga mutu, msana, m'mimba, kapena malo olumikizirana mafupa.
• Kutopa ndi kufooka: Kumva kutopa kwambiri popanda chifukwa.
• Kuvuta kupuma: Kumva ngati simungathe kupuma (Dyspnea).

2. Mayankho ku zizindikiro zimenezo (maganizo, malingaliro, ndi makhalidwe)

Ichi ndi gawo lofunika kwambiri la vutoli: momwe munthu amachitira ndi zizindikiro zake zakuthupi.

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

Palibe chifukwa chimodzi chokha chomwe chimayambitsa izi. Ofufuza amakhulupirira kuti kuphatikiza kwa majini, chilengedwe, ndi zinthu zamaganizo kumachita gawo.

• Zochitika zoopsa paubwana: Zinthu monga nkhanza zakuthupi kapena zogonana paubwana zimatha kukhala ndi zotsatirapo zake.
• Kulephera kwa nzeru zamaganizo: Kusaphunzira kuzindikira ndikuwongolera bwino malingaliro a munthu (chisoni, chisangalalo, mkwiyo) ali mwana. Izi nthawi zina zimatha kuchitika chifukwa cha kunyalanyaza makolo kapena kusowa chikondi. Nthawi zina, mwana angaphunzire kuti njira yokhayo yopezera chidwi ndi kudwala.
• Nkhawa yochuluka komanso mantha okhudza thupi: Anthu ena amakhudzidwa kwambiri ndi kusintha kwa thupi lawo, ngakhale kupweteka pang'ono, kuyambira ali aang'ono. Matendawa amatha kuchitika kawirikawiri pakati pa anthu otere.

Kodi mungazindikire bwanji izi ngati matenda molondola?

Njira yodziwira izi ndi yosiyana pang'ono.

1. Mukapita koyamba kwa dokotala, adzakuyesani ndikuyitanitsa magazi, mkodzo, ndi mayeso ojambulira kuti awone ngati pali matenda ena aliwonse amthupi omwe angayambitse zizindikiro zanu.

2. Ngati mayeso amenewo sakupeza chifukwa chachikulu chakuthupi cha zizindikiro zanu, kapena ngati dokotala wanu akuganiza kuti nkhawa yanu ndi yaikulu kuposa kuopsa kwa matendawo, angakutumizireni kwa katswiri wa zamaganizo (monga dokotala wa matenda amisala).

Dokotala wa matenda amisala adzatsimikizira izi ngati matenda potengera mfundo zingapo. Munthu ayenera kukhala ndi chizindikiro chimodzi kapena zingapo zomwe zimasokoneza moyo watsiku ndi tsiku kwa miyezi yoposa 6. Kuphatikiza apo, chimodzi mwa izi chiyenera kuchitika poyankha zizindikirozo:

• Kuganizira mopitirira muyeso komanso kwa nthawi yayitali za kuopsa kwa zizindikiro.
• Kukhala ndi nkhawa yayikulu nthawi zonse yokhudza thanzi kapena zizindikiro.
• Kuwononga nthawi ndi mphamvu zambiri kudera nkhawa ndi zizindikiro zakuthupi ndi mavuto azaumoyo.

Kodi mankhwala ochizira izi ndi otani?

Cholinga chachikulu chochiza izi ndikuwongolera zizindikiro zakuthupi komanso kuchiza mavuto amisala. Njira ziwiri zazikulu zochiritsira zimagwiritsidwa ntchito pa izi.

1. Chithandizo cha maganizo

Iyi ndiyo njira yofunika kwambiri yochiritsira. Chithandizo cha Maganizo Okhudza Khalidwe (CBT) chimagwira ntchito bwino kwambiri pano.

CBT imagwira ntchito posintha momwe mumaganizira, zomwe zimakuthandizani kusintha momwe mumamvera komanso makhalidwe anu. Mutha kulandira chithandizochi motsogozedwa ndi dokotala wa matenda amisala kapena katswiri wa zamaganizo.

Momwe chithandizo cha CBT chingakuthandizireni:

• Mmene mumaganizira za matenda anu zimakuthandizani kuwunika zomwe mumakhulupirira.
• Amaphunzitsa njira zochepetsera nkhawa ndi nkhawa zokhudzana ndi zizindikiro.
• Zimathandiza kusiya kuganizira nthawi zonse za zizindikiro zakuthupi.
• Zimakuthandizani kuzindikira nthawi yomwe zizindikiro zanu zikuipiraipira.
• Amakuphunzitsani njira zokhalira ochezeka komanso otanganidwa, ngakhale mutakhala ndi ululu kapena zizindikiro zina.
• Zimakupatsirani mphamvu zoti muchite bwino ntchito zanu za tsiku ndi tsiku.

2. Mankhwala

Nthawi zina, dokotala wanu angakulembereni mankhwala. Mankhwala oletsa kuvutika maganizo ndi othandiza kwambiri. Kuwonjezera pa kusintha maganizo, mankhwala awa apezekanso kuti amathandiza kuchepetsa zizindikiro zakuthupi monga kupweteka, kutopa, ndi kusowa tulo.

Kodi chiyembekezo cha vutoli n'chiyani?

Matenda a Somatic Symptom nthawi zambiri ndi vuto la nthawi yayitali (losatha) . Izi zikutanthauza kuti zizindikiro zimatha kukhala kwa miyezi kapena zaka. Nthawi zina zimatha kuchepa kenako n’kuwonjezekanso.

Zinthu zomwe zingachitike ngati sizikuchiritsidwa:

• Kulephera kuchita ntchito za tsiku ndi tsiku.
• Kutaya ntchito kapena kuchepa kwa luso pantchito.
• Kukhala ndi vuto la maganizo.
• Kuchepa kwa moyo.
• Kumwa mowa ndi mankhwala osokoneza bongo.

Koma nkhani yabwino ndi yakuti ndi chithandizo choyenera, anthu ambiri amatha kuwongolera zizindikiro zawo ndikukhala ndi moyo wabwino.

Kodi muyenera kuchita chiyani?

Ngati muli ndi zizindikiro izi, pali njira zingapo zomwe mungachite kuti mudzithandize.

• Sankhani dokotala wodalirika: Sungani munthu yemweyo monga dokotala wanu wamkulu. Pangani ubale wabwino komanso wodalirika ndi iye. Izi zingakuthandizeni kupewa mayeso ndi chithandizo chosafunikira.
• Pitani kwa dokotala nthawi zonse: Pitani kwa dokotala nthawi zonse kuti mukambirane za zizindikiro zanu zakuthupi komanso momwe mukupirira nazo.
• Funsani thandizo kwa mlangizi wa zaumoyo wamaganizo :Pitani kwa dokotala wa matenda amisala kapena katswiri wa zamaganizo nthawi zonse kuti akuthandizeni kuthana ndi zizindikiro za m'maganizo, monga nkhawa kwambiri ndi mantha.

Ngati mukuchita manyazi kwambiri moti simungathe kuchita ntchito za tsiku ndi tsiku chifukwa choopa zizindikiro zanu zakuthupi, kapena ngati mukukumana ndi zizindikiro za nkhawa kapena kuvutika maganizo, onetsetsani kuti mwaonana ndi dokotala nthawi yomweyo.

Kumbukirani, Matenda a Somatic Symptom ndi matenda amisala. Monga matenda ena aliwonse amisala, kufunafuna thandizo kumayambiriro kwa zizindikiro kungathandize kuchepetsa kusokonezeka kwa moyo wanu.