Ese nawe uri mu kaga nyuma y'ikintu kibi cyane cyakubayeho? Ese byaba ari indwara y'agahinda gakabije?

Hari igihe mu buzima tugomba guhura n'ibintu biteye ubwoba kandi tutari twarigeze dutekereza, sibyo? Ni ibisanzwe kumva utangaye cyane kandi ufite ubwoba iyo ikintu nk'icyo kibaye. Ariko hari igihe uku guhungabana gushobora kumera nk'aho ari byinshi cyane. Ese waba warigeze guhura n'ibintu nk'ibyo? Reka tuvuge kuri ibi bisobanuro birambuye.

Indwara yo guhangayika cyane (ASD) ni iki?

Muri make, indwara yo guhangayika cyane ni ikibazo cyo mu mutwe cy’igihe gito kibaho mu kwezi kwa mbere nyuma yo guhura n’ikintu gikomeye cyane kandi giteye ishozi. Ushobora guhura n’ibi bikurikira:

• Guhangayika cyane: Si ubwoba gusa, ahubwo no kumva ufite ibiro byinshi kandi udafite amahoro.
• Ubwoba bukabije cyangwa kubura icyo ukora: Iyo wibutse ibyabaye, umutima wawe uratera cyane, ubira ibyuya, kandi ukumva ntacyo wakora.
• Ibintu bitunguranye cyangwa inzozi mbi: Kumva nk'aho ibyabaye byongeye kubaho koko, cyangwa kurota inzozi mbi kuri byo.
• Kumva utari kumwe n'umubiri wawe kandi udafite amarangamutima: Hari igihe ushobora kumva nta kintu na kimwe gifatika, nk'aho ari inzozi. Cyangwa ushobora kudashobora kumva amarangamutima nk'ibyishimo cyangwa agahinda.
• Kwirinda ahantu, ibintu, n'abantu bakwibutsa ibyabaye: Ushobora kudashaka kujya aho ibyabaye byabereye, kubiganiraho, cyangwa guhura n'abantu babifitemo uruhare.

Tekereza ufashwe n'umwuzure utunguranye, cyangwa ubonye impanuka ikomeye y'imodoka, cyangwa umuntu ugutoteza. Ibi ni ibintu twita "ibintu bibabaje." Dore ingero zimwe na zimwe:

• Ibiza bisanzwe nk'inkubi z'umuyaga, inkongi z'umuriro, n'imyuzure .
• Ihohoterwa rishingiye ku gitsina cyangwa ihohoterwa rishingiye ku mubiri .
• Gutuka mu magambo bikomeye.
• Kubona undi muntu akomeretse ku mubiri cyangwa akabona urupfu .
• Impanuka zikomeye, nk'impanuka zikomeye z'imodoka .
• Gukomereka gukomeye cyangwa indwara ikomeye itunguranye .
• Imiterere y'intambara .

Iyi ndwara (Acute Stress Disorder) ishobora kugaragara ku muntu uwo ari we wese, yaba umwana, umuntu ukiri muto cyangwa umuntu mukuru.

Ni irihe tandukaniro riri hagati ya (Indwara yo Guhangayika mu Buryo Bukomeye) na (PTSD)?

Ushobora kuba warumvise PTSD cyangwa indwara yo guhangayika nyuma y’ihungabana . Itandukaniro rikomeye hagati y’ibyo byombi ni igihe ibimenyetso bimara. Muri indwara yo guhangayika cyane , ibi bimenyetso bifitanye isano n’ihungabana bigaragara mu minsi itatu kugeza ku byumweru bine (ukwezi kumwe) nyuma y’impanuka. Ariko, ibi bimenyetso bimara igihe kirenze ibyumweru bine.Iyo bikomeje, bishobora kuba indwara yitwa PTSD. Muri make, ASD ni igisubizo kibaho ako kanya nyuma y'ihungabana. Ishobora kuvamo PTSD iyo idavuwe neza.

Ni irihe tandukaniro riri hagati ya (Indwara yo Guhindura Imikorere) na (Indwara yo Guhangayika mu Buryo Bukomeye)?

Indwara yo Guhindura Imiterere y'Imitekerereze (Adjustment Disorder) nayo ni indwara yo mu mutwe ibaho bitewe n'impinduka mu buzima cyangwa ikibazo cy'ihungabana. Ariko, itandukaniro riri hano ni uko muri Acute Stress Disorder, ikintu gitera Adjustment Disorder (urugero: gutakaza akazi, gusenyuka k'umubano) ntabwo gikomeye nk'ikintu gitera Adjustment Disorder (urugero: ihohoterwa rishingiye ku gitsina, ibiza bikomeye). Muri Adjustment Disorder, ibimenyetso by'amarangamutima n'imyitwarire bibaho akenshi biba bikomeye kuruta uko byari byitezwe.

Indwara yo guhangayika cyane ikunze kugaragara gute?

Abashakashatsi ntibazi neza uburyo bikunze kugaragara. Impamvu imwe ni uko hari abantu batajya kwa muganga kugeza igihe ibimenyetso bigeze ku rwego rwa PTSD. Dukurikije ubushakashatsi butandukanye, umubare w’abantu barwara indwara y’ihungabana rikomeye (ASD) nyuma y’impanuka ishobora kuva kuri 6% kugeza kuri 33% . Iri janisha naryo ritandukana bitewe n’imiterere y’ibyabaye. Urugero, abantu barokotse impanuka cyangwa ibiza bisanzwe ntibakunze kurwara ASD. Ariko, abantu bahuye n’ibikorwa by’urugomo (ibitero, kurasa) bafite ibyago byinshi byo kurwara ASD.

Ni ibihe bimenyetso by'indwara y'ihungabana rikomeye (Acute Stress Disorder)?

Ibimenyetso bya ASD ahanini ni ibyo mu mutwe no mu myitwarire. Bimwe muri byo ni ibi bikurikira:

• Kwibuka ibintu bibabaje kenshi, bitagenzurwa, nk'aho ibyo bintu bihora byisubiramo mu mutwe wawe .
• Inzozi mbi zikunze kurota, cyane cyane izijyanye n'ibyabaye.
• Gusubira inyuma ni ukumva ugarutse ku byabaye. Ni ukuvuga kumva umeze nk'aho uriho icyo gihe.
• Kumva umuvuduko mwinshi cyangwa ububabare mu mutwe cyangwa ku mubiri iyo ubonye, ​​wumva, cyangwa wumva ikintu kikwibutsa ibyabaye.
• Ingorane ihoraho yo kumva amarangamutima meza nko kwishima, ihumure, n'ibyiyumvo by'urukundo. Ushobora kumva gusa nta cyo umaze kandi udafite ibyishimo.
• Bisa nkaho ibidukikije byahindutse, nk'aho uri mu nzozi, kandi igihe kiri kugenda buhoro buhoro.
• Kwibagirwa ibice by'ingenzi by'igikorwa.
• Kugerageza kwirinda kwibuka, ibitekerezo, n'ibyiyumvo bibabaza bijyanye n'ibyabaye.
• Kugerageza kwirinda ibintu byo hanze (abantu, ahantu, ibintu) bikwibutsa ibyabaye.
• Indwara zo gusinzira. Kunanirwa gusinzira, kubyuka kenshi, kunanirwa gusinzira bitewe n'inzozi mbi.
• Kurakara cyangwa kurakara vuba. Kurakara no kurakara bitewe n'utuntu duto.
• Kuba maso cyane: Guhora uri maso ku kaga (kwihangana cyane). Kugira amakenga no gutinya ikintu cyose.
• Kugorwa no gushyira ibitekerezo ku murongo. Kugorwa no kurangiza imirimo, gusoma igitabo, cyangwa kwibuka ibintu.
• Gukabya gushyuha umutwe, ndetse no mu gihe habayeho urusaku cyangwa kugenda mu buryo butunguranye.

Tekereza, wabonye impanuka ikomeye ugenda mu muhanda. Nyuma y'ibyo, wumva utinya kuva aho impanuka yabereye, ukagira ubwoba iyo wumvise urusaku rw'imodoka, ntushobora gusinzira nijoro, kandi urota ikintu kimwe. Ibi ni byo bishobora kubaho muri ASD .

Ni izihe mpamvu zitera indwara y'ihungabana rikomeye (Acute Stress Disorder)?

Nubwo wahura n'ikibazo kimwe cy'ihungabana, si bose bakira kimwe. Hari abantu barwara ASD, abandi ntibakira. Ntibiramenyekana neza impamvu ibi bibaho. Inyigisho imwe ni igitekerezo cyo "gutera ubwoba." Icyaba ari uko umubiri wawe utangira kugira ubwoba ku bintu bimwe na bimwe (stimuli) bifitanye isano n'ikibazo cy'ihungabana. Urugero, tekereza ko wagize impanuka y'imodoka nijoro. Hari resitora y'ibiryo byihuse mu modoka yawe icyo gihe. Noneho, niba wumva impumuro y'ibiryo byihuse nyuma y'iryo joro, nubwo nta mpanuka nyayo yabaye, umubiri wawe ushobora kugira ubwoba nk'uko wabigenje mu gihe cy'impanuka. Ni ukuvuga ko ushobora gutangira kumva uhangayitse kandi ubyiye ibyuya. Hari abantu bamenyera ubu "bwoba." Ni ukuvuga ko bagabanya buhoro buhoro uburyo bwo gusubiza ibyo bintu bitera ubwoba. Ariko ibi niba bitagenze neza, bishobora gutera indwara y'ihungabana rikomeye ndetse wenda na PTSD.

Ni ibihe bintu bishobora gutera indwara y’ihungabana rikomeye (Acute Stress Disorder)?

Hari ibintu bimwe na bimwe bishobora gutera ASD. Ibyo ni ibi bikurikira:

• Kuba naragize ibibazo byo mu mutwe mbere (harimo n'ibyamubayeho mbere mu gihe cy'ihungabana).
• Guhangayika cyane ni uguhangayikishwa cyane n'ibintu no gutekereza nabi .
• Kugira uburyo bwo kwirinda guhangana n'ibibazo .
• Kutagira ubufasha mu mibereho myiza (Sisitemu yo gushyigikira). Ibyo bivuze ko nta muntu wo kuvugana na we cyangwa gusaba ubufasha igihe habayeho ikibazo.

Ni izihe ngorane ziterwa n'iyi ndwara?

Ingorane nyamukuru y’indwara yo guhangayika cyane ni uko ishobora kuvamo indwara yo guhangayika nyuma y’ihungabana (PTSD) . Iyo indwara yo guhangayika cyane idavuwe neza, PTSD ishobora kurwara cyane.

Indwara y'agahinda gakabije ipimwa gute?

Nta kizamini cyihariye gitangwa kugira ngo umenye indwara yo mu mutwe iterwa n’umuvuduko ukabije. Umuganga cyangwa umujyanama mu by’ubuzima bwo mu mutwe azayisuzuma akubwira ibimenyetso byawe n’amateka yawe y’ubuzima n’ubuzima bwo mu mutwe. Bazakoresha ibipimo biri mu gitabo cy’isuzuma n’ibarurishamibare ry’indwara zo mu mutwe (DSM-5) .

Ni ubuhe buryo bwo kuvura indwara y’umuvuduko ukabije (Acute Stress Disorder)?

(Indwara yo guhangayika cyane)Uburyo bw'ingenzi bwo kuvura PTSD ni ubuvuzi bwo mu mutwe , ari na bwo buryo bwo kuvura mu buryo bw'imitekerereze. Uburyo bwihariye bwo kuvura mu buryo bw'imyitwarire (CBT ) bwitwa Trauma-Focused CBT burakora neza cyane. Ubu buryo butangwa n'inzobere mu by'ubuzima bwo mu mutwe zabihuguriwe kandi zifite uruhushya, nka muganga w'indwara zo mu mutwe cyangwa inzobere mu by'imitekerereze. Butanga ubufasha, uburezi, n'ubuyobozi kuri wewe no ku muryango wawe, nibiba ngombwa. CBT ishingiye ku ihungabana ikubiyemo:

• Uzamenya uburyo umubiri wawe witwara iyo uhuye n'ihungabana n'imihangayiko.
• Uziga uburyo bwo guhangana n'ibimenyetso.
• Gusubiramo ibitekerezo bigufasha kumenya imiterere y'ibitekerezo ifite ibibazo no kubihindura.
• Uburyo bwo kuvura indwara yo kwihisha: Ibi bikubiyemo kwishyira mu mwanya w’ibintu utinya kandi ukirinda ahantu hatekanye. Abantu bafite indwara yo guhangayika cyane rimwe na rimwe birinda ibintu n’ahantu hafitanye isano n’ikibazo cy’ihungabana. Kubwibyo, ntibabona amahirwe yo kwiga uburyo bwo kugenzura ubwoba bwabo iyo bahuye n’ibyo bintu. Abavuzi bakoresha ubu buryo kugira ngo bashishikarize abantu bafite ASD guhangana buhoro buhoro n’ibintu bibatera guhangayika , hanyuma bakitoza kuguma muri ibyo bihe no guhangana nabyo.

Ubundi buryo bwo kuvura indwara y'agahinda gakabije (Acute Stress Disorder)

Nubwo nta bimenyetso byinshi bihari bishyigikira ikoreshwa ry'imiti mu ndwara y'imihangayiko ikabije, hari imiti imwe n'imwe ishobora gufasha kugabanya ibimenyetso bya PTSD. Urugero:

• (Indimi zigabanya ubukana bwa serotonin - SSRIs)
• (Ibikoresho bigabanya ubukana bwa serotonin na norepinephrine - SNRIs)

Ariko umuganga ni we wenyine ushobora gufata icyemezo cyo gutanga uyu muti cyangwa kutawutanga, n'icyo agomba gutanga.

Ese indwara y’ihungabana rikomeye ishobora kwirindwa?

Ntidushobora gukumira ikintu giteye ihungabana. Ariko, ubushakashatsi bwagaragaje ko ubukana bw'ibimenyetso bya Acute Stress Disorder bushobora gucungwa. Ibi bintu bishobora gufasha:

• Umutekano ku giti cyawe: Kumva ufite umutekano nyuma y’ikintu giteye ihungabana ni ingenzi cyane. Inkunga ituruka ku bakunzi, ndetse n’inzobere zahuguwe mu gufasha nyuma y’ikintu giteye ihungabana, ni ingirakamaro cyane.
• Ubuzima bw'umubiri: Ni ngombwa gukomeza gahunda nziza ya buri munsi nyuma y'ikintu gikomeretsa. Shyira imbere ibintu nk'indyo yuzuye, gusinzira neza, gukora imyitozo ngororamubiri no gutekereza cyane. Irinde kunywa inzoga cyangwa ibindi biyobyabwenge nk'ihumure ry'agateganyo.
• Inkunga y'amarangamutima: ituruka ku muryango n'inshuti nyuma y'ikintu giteye ishoziNi ngombwa kubona ubufasha mu by'amarangamutima. Niba ibyo bidashoboka, abaganga n'abajyanama bashobora gutanga ubwo bufasha.
• Komeza kuvugana n'itsinda ry'abaganga bawe: Ni ngombwa kubonana na muganga wawe cyangwa inzobere mu by'ubuzima bwo mu mutwe kugira ngo bagufashe kuvurwa nyuma y'impanuka.

Ni iki giteganyijwe ku ndwara y’ihungabana rikomeye (Acute Stress Disorder)?

Uko indwara y’ihungabana ry’umuvuduko w’ihungabana ry’ihungabana ihagaze biratandukanye bitewe n’umuntu ku giti cye. Iyo ibimenyetso bitavuwe, hari izindi ngorane zishobora kubaho. Urugero:

• Ubusinzi n'ibiyobyabwenge.
• Izindi ndwara zo mu mutwe nka PTSD, guhangayika, kwiheba , cyangwa indwara yo guhangayika .
• Ibitekerezo byo kwiyahura cyangwa kwigirira nabi wowe ubwawe/abandi.
• Ibibazo ku kazi no mu mibanire y'abantu ku giti cyabo.

Niba wowe cyangwa undi muntu uzi afite ibitekerezo byo kwiyahura, nyamuneka hamagara umurongo w’ubuzima bwo kwiyahura no kwibasirwa n’ibibazo kuri 988. Cyangwa ujye mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe ako kanya.

Niba mfite (Indwara yo Guhangayika mu Buryo Bukomeye), nitwara nte?

Uretse gushaka ubuvuzi bw'inzobere ku ndwara y'agahinda gakabije, ushobora kandi kungukirwa n'ibikorwa byiza nka:

• Gukora siporo kugira ngo ugabanye stress. Ibintu nko gutembera cyangwa gukora yoga.
• Shyiraho intego zifatika kandi ugerageze kuzigeraho. Tangira ukoresheje utuntu duto.
• Kumarana umwanya n'abantu wizeye no kubigisha ibyakubayeho n'uko wabafasha.
• Kumenya ahantu n'ibihe bituma wumva umerewe neza no kubyibandaho.
• Kwinjira mu itsinda rishinzwe gufasha abahungabanye ni uburyo bwiza bwo kumva ko utari wenyine.
• Kwihangana no gushyira imbere kwita ku buzima bwawe. Wibuke ko ibimenyetso bigenda birushaho kwiyongera buhoro buhoro, atari byose icyarimwe.

Ni ryari ngomba kubonana na muganga wanjye?

Ni ngombwa kandi cyane kujya kwa muganga wawe cyangwa inzobere mu by’ubuzima bwo mu mutwe buri gihe nyuma y’ikibazo cy’ihungabana. Ganira na we mu buryo bweruye ku byiyumvo byawe n’ingorane ufite.

Ni ryari nkwiye kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba ufite igitekerezo cyo kwiyahura cyangwa kwiyahura , iki ni ikibazo gikomeye cyane. Hamagara 1990 (ambulance) ako kanya, cyangwa ujye mu ishami rishinzwe ubutabazi bw’ibanze ry’ibitaro biri hafi yawe, cyangwa hamagara 988 kugira ngo uhuze n’umuyoboro w’ubuzima bwo kwiyahura n’ibibazo.

Amaherezo, ibuka (Ubutumwa bwo kujyana mu rugo)

Gushaka ubufasha bw'inzobere nyuma y'ikintu giteye ihungabana bishobora kugorana. Ariko, (Indwara yo Guhangayika mu buryo Bukabije - ASD)Sobanukirwa ko ari ingenzi cyane kubona ubuvuzi bw'indwara yawe. Uko igihe kigenda gihita, ubuvuzi bushobora kugufasha kumva umeze neza. Vugana na muganga wawe ku bijyanye n'uburyo bwo kuvura. Wibuke ko bahari kugira ngo bagufashe, bagushyigikire. Ntabwo uri wenyine. Ese wabona imbaraga zo kunyura muri iki kibazo!