Ese uzi indwara yo kudahuza n'abandi (ASPD)? Reka tuganire!

Ese wigeze ubona cyangwa wumva abantu bashuka abandi, bakagira abandi nabi, bakirengagiza amategeko, kandi ntibagire icyo bicuza ku byo bakoze? Ahari hari ikibazo cyo mu mutwe kiri inyuma y'ibi bintu. Iyo ni yo ndwara tugiye kuvugaho uyu munsi , indwara yo kudahuza abantu n'abandi (ASPD) . Nubwo iyi ari ingingo igoye, reka tuyivugeho mu buryo bworoshye kandi bw'ikinyabupfura, kuko ni ngombwa cyane kubimenya.

Indwara yo kudahuza n'abandi (ASPD) ni iki?

Mu magambo make, ASPD ni indwara yo mu mutwe igira ingaruka ku buryo umuntu atekereza n'uko akorana n'abandi. Umuntu ufite iyi ndwara ashobora:

• Barashuka abandi cyangwa bakababeshya.
• Bakoresha cyangwa bagakoresha abandi nabi ku nyungu zabo bwite .
• Ntibubahiriza amategeko cyangwa uburenganzira bw'abandi bantu.
• Nta kwicuza cyangwa kwicira urubanza ku byo bakora.

Abantu bafite ASPD bakunze kubonwa nk'abatubaha, bica amategeko, batitaye ku ngaruka z'ibikorwa byabo, kandi badashaka kwitwaza inshingano. Ibi bishobora kuba ibintu biteje akaga, kuko aba bantu bashobora kwigirira nabi ubwabo ndetse no kugirira nabi abandi, haba ku mubiri no mu byiyumvo.

ASPD ni imwe mu ndwara nyinshi ziterwa n'imico . Indwara ziterwa n'imico ni indwara zigira ingaruka ku buryo utekereza n'uko witwara.

Iyi ndwara ikunze kugaragara gute?

Bivugwa ko hagati ya 1% na 4% by'abantu bakuru muri Leta Zunze Ubumwe za Amerika barwaye iyi ndwara (ASPD). Indwara nk'izo zigaragara no muri Sri Lanka, ariko imibare nyayo iragoye kuyibona.

Ni ibihe bimenyetso by'umuntu ufite `(ASPD)`?

Umuntu ufite `(ASPD)` ashobora kugaragaza ibimenyetso bikurikira:

• Kwibasira abandi ku mubiri, kuba umwangavu, kwitwara nabi . Tekereza, utangiye kurakara mu buryo butunguranye ugatangira kurwana ku kintu icyo ari cyo cyose.
• Bakora nta kintu na kimwe batekerezaho, bafata ibyemezo bihubutse , nk'aho nta cyo bahangayikishijwe n'ejo hazaza.
• Barenga ku mategeko, ntibita ku mahame mbonezamubano . Bageragezwa gukora ibinyuranye n'amategeko kuva bakiri bato.
• Bararakara bakibwira ko bafite imbaraga kandi baruta abandi .
• Bakoresha amayeri yabo, imvugo zabo nziza, n'uburiganya bwabo kugira ngo bashuke abandi , kandi babeshya kugira ngo bigirire akamaro cyangwa bishimishe.
• Ntibafata inshingano ku bikorwa byabo bwite. Bahora bashinja abandi.
• Ntibagaragaza kwicuza, agahinda cyangwa impungenge ku myitwarire yabo. Bitwara nk'aho nta cyabaye.

Ibi bimenyetso ntibibaho kimwe kuri buri wese. Hari abantu bashobora kuba bafite ibimenyetso bimwe na bimwe .

Icy'ingenzi:Niba wowe cyangwa umuntu uzi afite ibitekerezo byo kwiyangiza cyangwa kugirira nabi abandi, nyamuneka shaka ubufasha. Shaka muganga. Muri Sri Lanka, ushobora kubona ubufasha buturutse mu muryango nka Sumithrayo (0112692909). Mu gihe cyihutirwa, hamagara serivisi y'imbangukiragutabara yo mu 1990.

Iyo ndwara `(ASPD)` itera ku kigero kingana iki?

Ubusanzwe ASPD itangira mbere y'imyaka 15. Ifatwa bwa mbere nk'indwara y'imyitwarire . Abana bafite ubumuga bw'imyitwarire bakora nabi kandi batumvira mu buryo bushobora kwangiza abandi. Bashobora kubeshya, kwiba, kwica amategeko, no gutoteza abandi bana.

Tekereza, igihe umwana wawe yari akiri muto, cyangwa umwana uzi, wigeze umubona ahora atoteza abandi bana, abeshya, yiba, cyangwa yitwara mu buryo butubahirije amategeko? Hari igihe bene izi myitwarire ziba ibimenyetso by' "Imyitwarire mibi ." By'umwihariko, kugira umuriro mu bwana no guhohotera inyamaswa ni ibintu bibiri biteje akaga kuri iyi ndwara ya "ASPD".

Hari igihe ababyeyi n'abaganga bashobora kubura ibimenyetso bya "Imyitwarire mibi" kuko ibi bimenyetso bishobora kwitiranywa n'izindi ndwara. Urugero:

• Indwara yo kudakora neza/guhangayika cyane (ADHD)
• Ihungabana
• Indwara yo kudashaka guhangana n'abandi (ODD)

Iyo "Indwara y'Imyitwarire" igaragaye hakiri kare kandi ubuvuzi bugatangira umuntu akiri muto, iyo myitwarire ishobora kudakomeza kugeza umuntu akuze. Ariko, iyo iyi myitwarire ikomeje, ifatwa nk'"(ASPD)" nyuma y'imyaka 18 .

Ubushakashatsi bwerekana ko ibimenyetso bya ASPD byiyongera cyane hagati y’imyaka 20 na 40, kandi bikunze kugabanuka gato nyuma y’imyaka 40 .

Ni izihe mpamvu zitera iyo ndwara `(ASPD)`?

Abaganga ntibazi neza icyatera ASPD, ariko ubushakashatsi bwerekana ko ishobora guterwa n'ibintu bitandukanye, kuva ku miterere y'uturemangingo twawe kugeza ku burere bwawe n'ibyo wanyuzemo.

Ikintu kimwe cy'ingenzi ni imiterere y'ubwonko . Birashoboka ko urugero rwa serotonin mu bwonko bwawe rudasaza. Serotonin ni ikinyabutabire kigenzura amarangamutima yawe n'amarangamutima yawe, nko kwishima. Izi mpinduka mu rugero rwa serotonin zishobora gutera imyitwarire ya ASPD.

Ese `(ASPD)` ni ikintu gikomoka ku ngirabuzimafatizo?

Yego, imiterere yawe ya genetiki.Ibi bishobora kongera ibyago byo kurwara ASPD. Ubushakashatsi burakomeje, ariko uturemangingo nyatwo dutera iyi ndwara ntituramenyekana. Ubushakashatsi bwagaragaje ko iyo umuntu wo mu muryango wawe afite ASPD mu maraso, uba uri mu kaga gakomeye ko kurwara iyi ndwara.

Ni ibihe bintu bishobora gutera `(ASPD)`?

ASPD ishobora kugira ingaruka ku muntu uwo ari we wese. Ariko ushobora kuba uri mu kaga gakomeye ko kurwara iyi ndwara kubera impamvu zikurikira:

• Gupimwa indwara y'imyitwarire mbere y'imyaka 15.
• Uri umugabo (iyi ndwara ikunze kugaragara ku bagabo).
• Gukomeretswa cyangwa guhohoterwa mu bwana .
• Kuba ufite ikibazo cyo gukoresha ibiyobyabwenge (SUD) cyangwa kuba ufite umuntu wo mu muryango ufite icyo kibazo.
• Kugira amateka y'indwara zo mu mutwe mu bavandimwe bawe b'amaraso .
• Urwego rw'uburezi ruri hasi ugereranije n'abandi.
• Kuba muri gereza .

Ni izihe ngorane zishobora guterwa na ASPD?

ASPD ni indwara iteje akaga, rimwe na rimwe ishyira ubuzima mu kaga ku muntu uyirwaye ndetse n'abamukikije. Ishobora gutera ingorane nka:

• Guhohoterwa cyangwa ubugome.
• Kutita ku bintu, kwirengagiza ibintu.
• Kwiyahura .
• Indwara yo gukoresha ibiyobyabwenge .
• Indwara yo gukoresha inzoga .
• Gufatwa no gufungwa.
• Izindi ngorane z'ubuzima.
• Izindi ndwara zo mu mutwe (urugero: kwiheba , guhangayika) .
• Kudashobora kuzuza inshingano ze bwite, iz'imibereho myiza, iz'akazi cyangwa iz'uburezi.

Ni gute wamenya `(ASPD)`?

Inzobere mu by’ubuzima bwo mu mutwe, nk’inzobere mu by’indwara zo mu mutwe cyangwa inzobere mu by’imitekerereze , ni zo zisuzuma indwara ya ASPD. Zikora isuzuma ry’imitekerereze . Ibi bikubiyemo gusuzuma ibitekerezo n’imyitwarire y’umuntu kugira ngo barebe niba afite ibimenyetso bya ASPD. Abaganga bakoresha igitabo cyitwa Diagnostic and Statistical Manual of Mental Illnesses, edition ya 5, Text Revision (DSM-5-TR) nk’ubuyobozi.

Abantu benshi barwaye ASPD ntibashaka kwisuzumisha ku giti cyabo. Ubusanzwe basaba isuzumabumenyi ry’indwara zo mu mutwe nyuma y’icyemezo cy’urukiko.

Ese hari ikizamini cyihariye cya `(ASPD)`?

Oya, nta gipimo cyo kwisuzuma, gupima amaraso, cyangwa gupima ASPD gihari. Ni byiza gushaka inama kwa muganga niba uhangayikishijwe n'ibimenyetso cyangwa imyitwarire yawe. Ushobora kubanza kubonana na muganga w'ibanze (PCP). Azagukorera amateka y'ubuzima bwawe, agukorere isuzuma ry'umubiri, hanyuma asuzume ibimenyetso byawe. Hanyuma bashobora kukwohereza kwa muganga w'indwara zo mu mutwe cyangwa imitekerereze y'abantu kugira ngo bagusuzume ASPD.

Izindi ndwara zishobora kwitiranywa na `(ASPD)` (Differential Diagnosis)

Hari indwara zimwe na zimwe zishobora kugira ibimenyetso bisa n'ibya ASPD, bityo muganga wawe azasuzuma ibi bikurikira mbere yo gusuzuma byemewe:

• Indwara y'imibanire y'abantu ishingiye ku mipaka (BPD) : Imitekerereze idahamye n'imyitwarire yo kwiyobora.
• Indwara yo kwikunda cyane (NPD) : Kwiha agaciro gakabije.
• Indwara yo gukoresha ibiyobyabwenge : Ubusinzi bw'ibiyobyabwenge cyangwa inzoga.

ASPD ivurwa ite?

Abaganga bashobora gutanga inama ku buryo bukurikira bwo kuvura ASPD:

• Imiti: Imiti ishobora gufasha mu kugenzura ibimenyetso nko gukaza umurego no guhinduka k'amarangamutima.
• Ubuvuzi bw'imitekerereze: Ubuvuzi bw'imyitwarire yo mu mutwe (CBT) ni ubwoko bw'ubujyanama bwibanda ku guhindura ibitekerezo byawe n'imyitwarire yawe. Ubu buvuzi bugufasha gusobanukirwa uburyo imyitwarire yawe igira ingaruka ku bandi. Ushobora kungukirwa n'ubuvuzi bw'umuntu ku giti cye, ubuvuzi bw'itsinda, cyangwa ubuvuzi bw'umuryango.

Muganga ashobora kandi kukugira inama yo guhuza imiti n'ubuvuzi bwo mu mutwe. Nanone, niba hari izindi ndwara zisanzwe, nko gukoresha ibiyobyabwenge nabi, na zo zizavurwa.

Mu by'ukuri, kuvura ASPD bishobora kugorana gato. Kuko umuntu ufite iyi ndwara ashobora kudashobora kwemera ko imyitwarire ye n'ibitekerezo bye ari bibi. Ni ibisanzwe kurakara no kwanga iyo umuntu aje kugufasha. Ariko icy'ingenzi ugomba gusobanukirwa ni uko niba witeguye kubyemera, ufite ubuvuzi. Ntabwo byoroshye, ariko hamwe n'ubuvuzi ushobora kwirinda wowe ubwawe n'abakukikije.

Ni iyihe miti itangwa kuri `(ASPD)`?

Nta muti wihariye wemejwe kuri ASPD. Ariko, imiti ishobora gufasha mu kurwanya ubukana, kwiheba, cyangwa ihindagurika ry'amarangamutima. Muganga wawe ashobora kukwandikira imiti nka:

• Imiti igabanya kwiheba: Iyi ishobora kugenzura urugero rwa serotonin mu bwonko. Urugero: Sertraline, Fluoxetine .
• Imiti igabanya ubukana bw'indwara zo mu mutwe: Ishobora kugenzura imyitwarire y'urugomo cyangwa ubukana. Urugero: Risperidone, Quetiapine .
• Ibituma umuntu adahungabana mu buryo yumva ameze:Ifasha kugenzura impinduka zikomeye mu byiyumvo cyangwa mu myitwarire. Ingero: `(Lithium)`, `(Carbamazepine)` .

Ni iki icyerekezo cya `(ASPD)`?

ASPD ni indwara umuntu abaho ubuzima bwe bwose . Ibimenyetso akenshi biba bibi cyane ahagana ku myaka 20, rimwe na rimwe bigahita bigabanuka gato umuntu ageze ku myaka 40. Ubushakashatsi burakomeje kugira ngo busobanukirwe impamvu ibimenyetso bihinduka uko umuntu agenda akura.

Iyo uhawe ubuvuzi, uko ubona ibintu birashobora kuba byiza. Ariko kugira ngo wirinde ingorane, ugomba gukomeza kuvurwa ubuzima bwawe bwose. Ni ngombwa kumva ko kuvura ASPD atari byoroshye. Bisaba imbaraga nyinshi n'imbaraga nyinshi kugira ngo uhindure ubuzima bwawe. Iyo uhagaritse ubuvuzi, ibimenyetso byawe bishobora kwiyongera , bikongera ibyago byo kwangirika kwawe no ku bandi.

Ese ASPD ishobora gukira burundu?

Oya, nta muti wa ASPD uhari . Ariko, iyi ndwara ishobora gukemurwa no kuvurwa ubuzima bwose. Ubuvuzi bukwiye bushobora kugufasha guhindura imyitwarire yawe no kugabanya ingaruka mbi uteza ku bagukikije. Kubungabunga umubano mwiza no kugira umuryango ushyigikirana ni ibintu bibiri by'ingenzi mu gucunga ASPD mu gihe kirekire.

Ese ASPD ishobora kwirindwa?

Nta buryo bwo kwirinda ASPD buhari. Ariko, iyo iyi ndwara imenyekanye kandi ikavurwa ikiri nto, ibyago byo kurwara ASPD mu bantu bakuru bishobora kugabanuka.

Ni ryari ukwiye kujya kwa muganga?

Niba wowe cyangwa undi muntu uzi afite kimwe muri ibi bimenyetso, shaka ubufasha bwa muganga ako kanya :

• Guhindagurika gukomeye kw'amarangamutima .
• Ibitekerezo cyangwa ibikorwa byo kwiyangiza .
• Ibitekerezo byo kwiyahura .
• Imyitwarire y'urugomo .

Muri Sri Lanka, kugira ngo ubone ubufasha bwihutirwa ku buzima bwo mu mutwe, ushobora guhamagara umurongo w’ubufasha ku buzima bwo mu mutwe w’igihugu 1926. Nanone, Sumitrayo (0112692909 / 0112682535) itanga ubufasha mu ibanga. Mu gihe cy’ubutabazi bwihutirwa, hamagara serivisi y’imbangukiragutabara 1990 cyangwa inomero y’ubutabazi ya polisi 119.

Ni ibihe bibazo ugomba kubaza muganga wawe?

Ushobora kubaza muganga wawe ibibazo nk'ibi:

• Ni ubuhe bwoko bw'ubuvuzi usaba?
• Ese hari ingaruka mbi zikomoka ku buvuzi?
• Ese ngomba gukomeza kuvurwa nubwo numva meze neza?
• Ni ubuhe bwoko bw'ubuvuzi bw'imitekerereze ya muntu usaba?
• Nkeneye kujya mu buvuzi bw'imitekerereze y'abantu igihe kingana iki?

Amaherezo, ibuka...

Abantu benshi batekereza ko ASPD ari indwara ituma banga kuba hafi y'abandi bantu kandi bagakunda kuba bonyine. Ariko ASPD mu by'ukuri ni indwara ikomeye yo mu mutwe.Abantu bafite iyi ndwara bashobora gukora batitaye ku ngaruka z'imyitwarire yabo cyangwa uko igira ingaruka ku bandi. Akenshi, bitewe n'imyitwarire itemewe n'amategeko, urukiko rutegeka gusuzuma no kuvura. Ibi bishobora kurokora ubuzima.

Igikuru ni ukumenya ko kuvurwa atari igihano. Ubifashijwemo n'abagukikije, hari uburyo bwo kuvura bushobora kugufasha kumva umeze neza. Ntutinye rero gusaba ubufasha.

Indwara yo kudahuza n'abandi, ASPD, ubuzima bwo mu mutwe, ibibazo by'imyitwarire, ibibazo by'imico, ibibazo by'imyitwarire, ubuvuzi