Kodi mumamva kudwala nthawi zonse ngakhale mulibe matenda aliwonse akuthupi? Tiyeni tikambirane za (Somatic Symptom Disorder) iyi!

Kodi munayamba mwamvapo kuti ngakhale mutapita kwa dokotala ndipo akukuuzani kuti mulibe matenda aakulu, mumamvabe kudwala kwambiri ndipo muli ndi zizindikiro motsatizana? Kapena mumamva kulemedwa kwakukulu komanso nkhawa ngakhale muli ndi matenda ang'onoang'ono? Kodi zinthuzi zimakulepheretsani kuchita ntchito zanu za tsiku ndi tsiku moyenera? Ngati ndi choncho, mutu womwe tikambirane lero udzakhala wofunika kwambiri kwa inu.

Kodi "Matenda a Somatic Symptom" ndi chiyani?

Mwachidule, `(Somatic Symptom Disorder - SSD)` ndi vuto la maganizo lomwe limakuvutitsani kwambiri ndikudandaula za chinachake, ngakhale sichili matenda akuthupi, kapena, chinthu chochepa. Chomwe chimachitika pamenepa ndichakuti nkhawa ndi mantha anu zimayambitsa zizindikiro zakuthupi, kapena kupangitsa zizindikiro zomwe zilipo kukhala zoipitsitsa. Izi zitha kusokoneza moyo wanu watsiku ndi tsiku ndikuchepetsa chisangalalo chanu cha moyo.

Chofunika ndichakuti, anthu awa sakuchita zinthu. Akumvadi ululu umenewo, kusasangalala kumeneko. Koma chifukwa chake chikugwirizana kwambiri ndi momwe maganizo amagwirira ntchito osati matenda aakulu m'thupi. Anthu awa amapita kwa madokotala nthawi zonse, amayesedwa, koma sapeza mtendere wamumtima.

Kodi kusiyana pakati pa `(Somatic Symptom Disorder)` ndi `(Illness Anxiety Disorder)` ndi kotani?

Tsopano mwina mukudabwa ngati izi ndi zofanana ndi `(Illness Anxiety Disorder)`. Awiriwa ndi osiyana pang'ono. Munthu amene ali ndi `(Illness Anxiety Disorder)` nthawi zambiri sakhala ndi zizindikiro zazikulu zakuthupi, koma nthawi zonse amaganiza kuti adwala matenda enaake aakulu, kapena amaopa kwambiri kuti ali kale ndi matenda, ndipo ndicho chimene amaganiza. Koma mu `(Somatic Symptom Disorder)`, zizindikiro zakuthupi zimamvekadi, ndipo ndicho chimene amada nkhawa kwambiri.

Kodi kusiyana pakati pa `(Conversion Disorder)` ndi `(Somatic Symptom Disorder)` ndi kotani?

N’chimodzimodzinso ndi `(Conversion Disorder - Functional Neurological Symptom Disorder)`. Pankhaniyi, chifukwa cha vuto pakugwira ntchito kwa mitsempha (koma osati chifukwa cha kuwonongeka kwa mitsempha), zizindikiro monga kulephera kuyenda, kulephera kulankhula, ndi kutayika kwa masomphenya zimachitika. Komabe, mu `(Conversion Disorder)`, nkhawa kwambiri ndi kuvutika maganizo chifukwa cha zizindikiro zakuthupi zomwe zimabuka si chinthu chachikulu. Komabe, mu `(Somatic Symptom Disorder)` , chinthu chachikulu ndi nkhawa kwambiri za zizindikiro zakuthupi ndi kupsinjika maganizo komwe kumachitika chifukwa cha izo.

Kodi vutoli limakhudza ndani? Kodi ndi lofala bwanji?

Matenda a "(Somatic Symptom Disorder)" amenewa angakhudze ana, achinyamata, ndi akuluakulu. Nthawi zambiri, zizindikiro za matendawa zimayamba kuonekera asanakwanitse zaka 30. Tiyenera kudziwa kuti akazi ali ndi mwayi wopeza matendawa nthawi khumi kuposa amuna.

Izi si zachilendo kwenikweni. Madokotala amati pakati pa 5% ndi 7% ya akuluakulu akhoza kukhala ndi vutoli.

Kodi zizindikiro ndi zizindikiro za `(Somatic Symptom Disorder)` ndi ziti?

Munthu amene ali ndi vutoli akhoza kukumana ndi zizindikiro zosiyanasiyana zakuthupi. Zizindikiro zodziwika bwino ndi izi:

• Kupweteka kwa thupi (ichi ndi chizindikiro chomwe chimafotokozedwa kwambiri). Kungakhale chilichonse kuyambira mutu, kupweteka m'mimba, mpaka kupweteka kwa mafupa.
• Kutopa, kumva ngati wopanda moyo.
• Kuvuta kupuma (nthawi zina kumatchedwa ``Dyspnea'', zomwe zikutanthauza kumva kutopa kapena kuvutika kupuma).

Zizindikirozi zitha kukhala zochepa, kapena zowopsa. Pakhoza kukhala chizindikiro chimodzi kapena zingapo. Pakhoza kukhala chifukwa chachipatala cha izi, kapena pakhoza kukhala palibe chifukwa chodziwikiratu.

Komabe, kuwonjezera pa zizindikiro zakuthupi izi, makhalidwe akuluakulu a "Somatic Symptom Disorder" ndi momwe anthuwa amaganizira, amachitira zinthu, komanso amamvera poyankha zizindikirozo. Izi ndi izi:

• Amachita mantha kwambiri komanso amada nkhawa ndi zizindikiro zawo zakuthupi.
• Ngakhale chizindikiro chaching'ono chimaonedwa kuti ndi chizindikiro cha matenda oopsa. Tangoganizirani, ngati mukumva kupweteka pang'ono m'mimba, mudzakhala ndi nkhawa kwa masiku ambiri, mukuganiza kuti, 'O, sindikudziwa ngati ndili ndi khansa.'
• Amapita kwa madokotala ndi kukalandira mayeso ndi mayeso, koma zotsatira zake zikabwera, sakhulupirira. Amaganiza kuti, "Dokotala sangathe kuzindikira matenda anga."
• Ndikuona ngati dokotalayo sakusamala kwenikweni za zizindikiro zanga.
• Kusintha kuchokera kwa dokotala wina kupita kwa wina, kapena kulandira mankhwala kuchokera kwa madokotala angapo nthawi imodzi (izi zimatchedwanso 'kugula kwa dokotala').
• Amathera nthawi yambiri ndi khama akuganizira za mavuto awo azaumoyo ndikupeza njira zothetsera mavutowo.
• Amawoneka kuti nthawi zonse amakhala okhudzidwa kwambiri ndi zotsatirapo za mankhwala. Nthawi zonse amati, 'Adokotala, nditamwa mankhwalawo, izi zandichitikira ine, izi zandichitikira ine.'
• Amayamba kudalira ena. Amapempha thandizo, chithandizo chamaganizo. Amakwiya ngati zosowa zawo sizikukwaniritsidwa.
• Maganizo, malingaliro, ndi machitidwe okhudza zizindikiro zawo zakuthupi zimapangitsa kuti zikhale zovuta kuchita ntchito za tsiku ndi tsiku moyenera.

Chofunika kwambiri n'chakuti, pakati pa 30% ndi 60% ya anthu omwe ali ndi Somatic Symptom Disorder angakhalenso ndi matenda amisala monga nkhawa ndi/kapena kuvutika maganizo.

Kodi zifukwa zake ndi ziti?

N’chifukwa chiyani izi zimachitika? Ofufuza amati pali zifukwa zingapo zomwe zingachitike. Izi zikuphatikizapo majini, zinthu zachilengedwe, ndi zinthu zamaganizo. Zina mwa zifukwa zazikulu zomwe zapezeka ndi izi:

• Nkhanza zakuthupi kapena zogonana ali mwana. Zinthu ngati zimenezi zingayambitse kuvutika maganizo.
• Kulephera kumvetsetsa ndikuwongolera bwino malingaliro a munthu ali mwana. Izi nthawi zina zimatha kuchitika chifukwa cha zinthu monga 'Kunyalanyaza Makolo' kapena 'Kusowa Kuyandikirana Kwa Maganizo', komwe ndi kusowa chikondi, chisamaliro, kapena ubwenzi wapamtima kuchokera kwa makolo.
• Kuda nkhawa kwambiri ndi kusintha kwa thupi lanu ndi zomwe mumamva ('njira za thupi'), nthawi zonse kumadzifunsa kuti, 'Kodi ndidzadwala?'

Kodi izi zimazindikirika bwanji?

Mukapita kwa dokotala, iye adzakuyesani kaye (`Kuyezetsa Thupi`), ndipo angakupatseninso mayeso a magazi, mayeso a mkodzo, ndi zina zotero (`Kuyezetsa kwa Laboratory`). Izi zimachitika kuti muwone ngati pali chifukwa china chakuthupi cha zizindikiro zomwe mukukumana nazo. Iye adzakufunsaninso za matenda anu akale (`Mbiri ya Zaumoyo`).

Pambuyo pa mayeso awa, ngati zatsimikizika kuti mulibe matenda aakulu akuthupi, kapena ngati palibe chifukwa chachipatala chomwe chingapezeke chifukwa cha kuopsa kwa zizindikiro zanu, dokotala wanu angakutumizireni kwa mlangizi wa zaumoyo wamaganizo , monga katswiri wa zamaganizo kapena katswiri wa zamaganizo .

Mlangizi wa zaumoyo wamaganizo adzadziwa ngati muli ndi vuto lotchedwa ``Somatic Symptom Disorder`` kutengera ndi mfundo zinazake. Kuti munthu adziwe izi, ayenera:

1. Muyenera kukhala ndi chizindikiro chimodzi kapena zingapo zomwe zimasokoneza moyo wanu watsiku ndi tsiku ndikukupangitsani kukhala ndi nkhawa kwa miyezi isanu ndi umodzi .

2. Komanso, payenera kukhala maganizo, malingaliro, kapena machitidwe ochulukirapo poyankha zizindikiro zimenezo. Izi zikutanthauza kuti, chimodzi mwa izi chiyenera kukhalapo:

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

Kwa anthu omwe ali ndi vuto la '(Somatic Symptom Disorder)' ili, nthawi zina zimakhala zovuta kuvomereza kuti nkhawa ndi mantha awo "ndizochuluka kwambiri."

Kodi pali mankhwala a izi?

Inde, ndithudi. Cholinga chachikulu cha chithandizo ndikuwongolera zizindikiro zakuthupi komanso kuchiza zizindikiro zamaganizo. Izi zimaphatikizapo kulankhula za mankhwala (psychotherapy) ndipo nthawi zina mankhwala a nkhawa ndi kuvutika maganizo komwe kumayambitsa .

Chithandizo cha Maganizo (CBT) ndi njira yodziwika bwino yochiritsira matenda amisala. Imathandiza anthu kusintha kaganizidwe kawo ndi makhalidwe awo, motero imasintha momwe akumvera. Motsogozedwa ndi katswiri wa zamaganizo kapena katswiri wa zamaganizo, CBT ingathandize anthu kuthana ndi nkhawa ndi kupsinjika maganizo komanso kuthana bwino ndi zochitika zosiyanasiyana.

Ngati muli ndi `(Somatic Symptom Disorder), `(CBT)` ingathandize pazinthu monga:

• Unikani momwe mukumvera komanso zomwe mumakhulupirira zokhudza zizindikiro zanu zakuthupi komanso thanzi lanu lonse.
• Pezani njira zochepetsera nkhawa ndi nkhawa zokhudzana ndi zizindikiro zanu.
• Siyani kuganizira kwambiri za zizindikiro zanu zakuthupi.
• Dziwani zinthu zomwe zimapangitsa kuti zizindikiro zanu zakuthupi zikhale zovuta kwambiri.
• Ngakhale mutakhala ndi ululu kapena zizindikiro zina, pezani njira zoti mukhale otanganidwa komanso ochezeka.
• Chitani bwino ntchito zanu za tsiku ndi tsiku.

Nthawi zina dokotala wanu angakupatseni mankhwala monga mankhwala ochepetsa nkhawa . Kuwonjezera pa kusintha maganizo, akuti mankhwalawa amathandiza kuchepetsa zizindikiro monga kupweteka, kutopa, kupweteka kwa mafupa, ndi kusowa tulo.

Kodi ndi zinthu ziti zomwe zimayambitsa vutoli?

Kafukufuku wapeza zinthu zingapo zomwe zimayambitsa vutoli. Zitsanzo zake ndi izi:

• Kusamala kwambiri za momwe thupi limamvera.
• Matenda Ogwiritsa Ntchito Mankhwala Osokoneza Bongo.
• Kusokonezeka kwa Kugwiritsa Ntchito Mowa.
• Kunyalanyaza paubwana.
• Kuchitiridwa nkhanza zakuthupi komanso zogonana.
• Moyo wachisokonezo/kuvutika maganizo.
• Kuvutika ndi matenda a nthawi yayitali ali mwana ('Matenda osatha ali mwana').
• Kukhala ndi matenda ena amisala, makamaka nkhawa kapena kuvutika maganizo.
• Kukhala ndi matenda enaake a umunthu, mwachitsanzo, Avoidant Personality Disorder, Paranoid Personality Disorder, ndi Obsessive-Compulsive Personality Disorder.

Chithandizo cha maganizo chingathandize anthu omwe ali ndi SSD kuphunzira njira zina zothetsera kupsinjika maganizo ndi zinthu zomwe zimayambitsa zizindikiro. Izi zingathandize kuchepetsa kuopsa kwa zizindikiro zawo.

Kodi chiyembekezo cha matendawa ndi chiyani?

Matenda a Somatic Symptom Disorder ndi vuto lomwe limatenga nthawi yayitali (losatha). Izi zikutanthauza kuti, likhoza kukhala vuto lomwe zizindikiro zimabwera ndikupita, ndi nthawi zomwe zimatha, kuyambira miyezi ingapo mpaka zaka.

Ngati sanalandire chithandizo, matenda a Somatic Symptom angayambitse zotsatirazi:

• Kuletsa zochita za tsiku ndi tsiku.
• Kulephera kupeza ntchito kapena kuchepa kwa luso pantchito.
• Kulemala kwa Maganizo.
• Kuchepa kwa moyo.
• Kumwa mowa ndi mankhwala osokoneza bongo.

Koma nkhani yabwino ndi yakuti ndi chithandizo, anthu ambiri amatha kuchira kapena kuchepetsa kwambiri zizindikiro zawo. Choncho ndikofunikira kukhala ndi chiyembekezo.

Kodi ndimadzisamalira bwanji?

Ngati mwapezeka ndi matenda a Somatic Symptom Disorder, kutsatira njira izi kudzakuthandizani ndi chithandizo chanu ndikuchira:

• Pangani ubale wabwino, wogwirizana, komanso wodalirika ndi dokotala wanu wamkulu, dokotala amene mumamuwona nthawi zonse.
• Khalani ndi dokotala yemweyo. Izi zingakuthandizeni kupewa mayeso ndi chithandizo chosafunikira.
• Pitani kwa dokotala nthawi zonse kuti muwone momwe mukupirira ndi zizindikiro zanu zakuthupi.
• Pitani kwa katswiri wanu wa zamaganizo (katswiri wa zamaganizo kapena mlangizi) nthawi zonse kuti muthane ndi zizindikiro za matenda anu amisala, monga nkhawa kwambiri ndi mantha.

Kodi ndiyenera kupita liti kwa dokotala pankhani imeneyi?

Ndikofunikira kwambiri kuonana ndi dokotala wanu wamkulu komanso/kapena katswiri wa zamaganizo ngati muli ndi izi:

• Ngati mukuda nkhawa kwambiri ndi zizindikiro zanu zakuthupi moti simungathe kuchita chilichonse chokhudza zizindikirozo, kapena kuti zimasokoneza zochita zanu za tsiku ndi tsiku.
• Ngati muli ndi zizindikiro za nkhawa kapena kuvutika maganizo (kumva chisoni nthawi zonse, kusakhala ndi chidwi ndi chilichonse, kuvutika kugona, kusatha kudya, ndi zina zotero).

Chofunika kwambiri kukumbukira ndichakuti Somatic Symptom Disorder (SSD) ndi matenda amisala. Monga matenda ena onse amisala, kufunafuna thandizo zizindikiro zikangoyamba kuonekera kungathandize kuchepetsa kusokonezeka kwa moyo wanu. Akatswiri azaumoyo wamaganizo angapereke mapulani a chithandizo kuti akuthandizeni kuwongolera malingaliro ndi machitidwe anu.

Ndiye, kodi tikuphunzira chiyani kuchokera m'nkhaniyi?

Mwachidule, "Matenda a Somatic Symptom" ndi vuto lomwe limapangitsa munthu kukhala ndi nkhawa kwambiri komanso nkhawa ndi zizindikiro zakuthupi, ngakhale kuti palibe matenda aakulu m'thupi lake. Si chinthu chomwe mumaganiza, koma ndi chinthu chomwe mumamvadi. Chifukwa chake ndi chogwirizana kwambiri ndi maganizo kuposa thupi.

• Ngati muli ndi zizindikiro ngati izi, zomwe zikutanthauza kuti pamodzi ndi zizindikiro zakuthupi, mukukumana ndi mantha aakulu ndi nkhawa, zomwe zikusokoneza zochita zanu za tsiku ndi tsiku, musachite manyazi kapena kuopa kupita kwa dokotala kapena mlangizi wa zaumoyo wamaganizo .
• Ndi chithandizo choyenera (makamaka psychotherapy monga CBT ndipo, ngati kuli kofunikira, mankhwala) ndi chithandizo, vutoli lingathe kuthetsedwa bwino.
• Simuli nokha, anthu ena akumanapo ndi izi. Chofunika kwambiri ndikupempha thandizo ndikupeza chithandizo. Pali njira zambiri zopezera mpumulo.

Matenda a Somatic symptoms, zizindikiro zakuthupi, thanzi la maganizo, nkhawa, kuvutika maganizo, CBT, psychotherapy