Ese uri umuntu witekerezaho gusa kandi ugasuzugura abandi? Ese ibi byaba ari indwara yo kwikunda (NPD)?

Twese dufite abantu bitekerezaho cyane kandi batita ku byiyumvo by'abandi. Hari igihe bishobora kugorana cyane guhangana n'aba bantu. Batekereza ko bari hejuru y'isi kandi abandi bose bakaba bari munsi yabo. Ese koko iki kibazo gishobora kuba ari ikibazo cyo mu mutwe? Yego, cyitwa Narcissistic Personality Disorder, cyangwa `(Narcissistic Personality Disorder - NPD)`. Reka tubiganireho birambuye uyu munsi.

Indwara yo kwikunda (narcissistic personality disorder) ni iki?

Mu magambo make, indwara yo kwikunda ni indwara yo mu mutwe. Igira ingaruka ku buryo ubona wowe ubwawe n'imibanire yawe n'abandi. Umuntu urwaye indwara yo kwiyandarika aba yifuza cyane gushimisha abandi no kumva ko ari ingenzi. Iki cyifuzo gishobora kuba gikomeye ku buryo gishobora gutuma ugira imyitwarire mibi kuri wowe no ku bandi.

Izina "kwikunda" rikomoka ku muhigi w'imigani w'Umugereki witwa Narcissus. Nk'uko inkuru ibivuga, Narcissus yashimishijwe cyane n'ubwiza bwe ku buryo atashoboraga kureka kwitegereza ishusho ye mu kidendezi cy'amazi. Amaherezo, bivugwa ko yapfuye yitegereza ishusho ye.

Nubwo abantu benshi bahuza ijambo "Nazisme" n'isura, NPD ntabwo ireba gusa uko ugaragara. Ishobora no kurebana n'ibindi bintu ufite, nk'ubwenge bwawe , ubuhanga bwo kuvuga, ubushobozi bw'ubuhanzi, ubushobozi bwo gukina siporo, ubutunzi, ububasha, n'intsinzi .

Iyi ndwara ikunze kugaragara gute?

Impuguke ntizi neza uburyo indwara ya NPD ikunze kugaragara. Ubushakashatsi bwerekana ko hagati ya 0.5% na 5% by'abaturage b'Abanyamerika bashobora kuba bafite iyi ndwara. Bivugwa kandi ko hagati ya 50% na 75% by'abafite iyi ndwara ari abagabo .

Ariko, abantu benshi bahisha imyizerere yabo n'imyitwarire yabo yo kwikunda. Ibi rimwe na rimwe byitwa "kwikunda kwihisha." Kubwibyo, biragoye cyane kumenya neza umubare w'abantu bafite indwara ya NPD.

Ni ibihe bimenyetso by'indwara yo kwikunda cyane?

Ibimenyetso bya NPD byose bifitanye isano n'ibitekerezo byawe, amarangamutima yawe, n'ibikorwa byawe . Igitabo cy'Ihuriro ry'Abanyamerika ryita ku ndwara zo mu mutwe (American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, edition ya gatanu y'inyandiko (DSM-5-TR™) kigaragaza ibintu icyenda by'ingenzi bitera iyi ndwara. Ibimenyetso biri muri ibi bishobora kugaragara ku bandi nk'ibi bikurikira:

1. Kugira ubwibone no kwishyira hejuru:

• Bashyira hejuru ubushobozi bwabo, cyangwa bakishyiriraho intego zikomeye cyane ku buryo batazigera bazigeraho.
• Bakabya ndetse no mu bintu bito cyane bakoze, kandi bakabya ibyo bagezeho.

2. Guhora nrota kubona cyangwa kwifuza ibi bintu:

• Intsinzi
• Ingufu
• Ubuhanga
• Mwiza cyane
• Urukundo
• Kunyurwa n'ibyo wibwira.

3. Imyemerere y'uko umuntu aruta abandi:

• Ndatekereza ko ndi umuntu udasanzwe kandi wihariye.
• Bemera ko bagomba kwifatanya gusa n'abantu "bafite agaciro" nk'uko bari.

4. Guhora ukeneye gushimwa no gushimwa n'abandi:

• Kwiyubaha ni ikintu cyoroshye cyane.
• Bahora bishidikanyaho, bakishinja, kandi bumva nta cyo bamaze.
• Buri gihe mpangayikishijwe n'icyo abandi bantu bantekerezaho.
• Ukora ibintu bitandukanye kugira ngo abandi bagushimire. Urugero, aho kuvuga ikintu nk'iki ngo "Simbishoboye," ushobora kuvuga uti "Oya, uri umuhanga cyane."

5. Imyumvire y'uko ibintu byose bigomba kuba uko babyifuza kandi ko bikwiye gufatwa mu buryo bwihariye:

• Batekereza cyane ku gaciro kabo bwite.
• Biteze ko bahabwa uburyo budasanzwe bwo kubafasha.
• Bararakara iyo abandi batabateze amatwi cyangwa ngo babashimishe. Tekereza nko kugerageza kujya imbere y'umurongo witeze ko buri wese abashyira imbere.

6. Igishuko cyo gukoresha abandi ku nyungu zawe bwite:

• Baba bazi cyangwa batabizi, bakoresha abandi.
• Bakomeza kuba inshuti n'abahuza gusa n'abo babona ko ari beza ku bw'agaciro kabo n'icyubahiro cyabo.
• Bakoresha abandi nkana kugira ngo bagere ku ntego zabo bwite.

7. Kutagira impuhwe:

• Bavuga ibintu bibabaza abandi.
• Babona ibyiyumvo, ibyo abandi bakeneye n'ibyo bifuza nk'intege nke.
• Ubuntu n'ubwitonzi abandi bakwereka ntabwo ari kimwe. Tekereza, iyo inshuti yawe iri mu kibazo gikomeye, wirata imwe mu ntsinzi zawe aho kumva imibabaro yayo. Uko ni ko bimeze.

8. Gukunda ishyari kenshi:

• Numva mfite ishyari iyo abandi batsinze, cyane cyane iyo bandusha.
• Ndatekereza ko abandi bangirira ishyari.
• Basuzugura kandi bagapfobya impano n'intsinzi by'abandi.

9. Imyitwarire y'ubwibone, ubwibone:

• Bitwara nk'aho batita ku bandi kandi bagaragaza ivangura.
• Kwitwara nabi no mu buryo butubashye.
• Bavugana n'abandi mu buryo bwo kwiyoroshya no gushinyagurira.

Uretse ibi bintu icyenda by'ingenzi, abantu barwaye NPD bashobora kugaragaza izindi myitwarire itandukanye. Urugero:

• Ubwoba bwo kugaragaza intege nke, ukagerageza kubyirinda.
• Birinda abandi kuko bumva bafite intege nke.
• Kugerageza gukora byose neza (`(Perfectionismism)`) (bishobora kuba byiza cyangwa bitaba byiza, ufite ubwoba bwo gutsindwa).
• Kunengwa, kwangwa no gutsindwa ntabwo ari ibintu bihanganirwa. Ndetse n'ibintu bito cyane birafatwa ku mutima.
• Kwangwa cyangwa gutsindwa bishobora gutera kwiheba gukomeye.
• Iyo bumvise banenzwe cyangwa banze, bagaragaza uburakari bwinshi (`(umujinya)`) .
• Biyitirira kwicisha bugufi kugira ngo bahishe amarangamutima yabo kandi barinde ubukuru bwabo.
• Birinda ibintu bishobora gutuma bananirwa, kandi hari amahirwe menshi yo kubikora. Ibi bishobora kugabanya ibyo bageraho.

Igikuru ni uko kuba umuntu afite kimwe cyangwa bibiri muri ibi bimenyetso bitavuga ko afite indwara ya NPD. Umuganga w’umuhanga ni we wenyine ushobora gusuzuma indwara neza.

Ni izihe mpamvu zitera indwara ya NPD?

Kubera ko indwara ya NPD ari indwara yo mu mutwe, abahanga ntibashobora kuvuga impamvu nyayo ibaho. Nubwo hari impinduka zitagaragara zagaragaye mu miterere y'ubwonko bw'abantu bafite indwara ya NPD, ntibiramenyekana neza niba izo mpinduka zitera indwara ya NPD cyangwa niba NPD ari yo itera izo mpinduka.

Hari ibintu byinshi by'ingenzi byagaragaye muri iki gihe bigira uruhare mu iterambere rya NPD:

• Ingirabuzimafatizo: Abantu barwaye NPD bashobora kugira ababyeyi cyangwa bene wabo ba hafi bafite iyo ndwara. Ibi bivuze ko hashobora kubaho ingaruka z’ingirabuzimafatizo mu miryango.
• Kwitegereza no Kwigana: Kuva bakiri bato, abana bareba kandi bakigana ibintu babona, cyane cyane imyitwarire y'ababyeyi babo n'ababitaho, kandi iyo mico ishobora gukura ikaba indwara ya NPD.
• Ibintu bibi byabaye mu bwana: Gukomereka mu bwana, kwangwa, kwitabwaho no kubura ubufasha bishobora kugira uruhare mu iterambere ry’imico yo kwikunda.
• Uburyo bwo kurera: Gukabya, kurinda cyane, no kwivanga muri byose (helicopter parenting) bishobora gutuma abana bategereza kandi bagasaba ko abandi babafata kimwe uko bakura. Ibi bishobora kandi kubuza abana kwiga kugenzura no kugenzura amarangamutima yabo. Hanyuma, iyo batabonye icyo bashaka, birabagora kugenzura amarangamutima yabo.
• Umuco: Ubushakashatsi bwerekana ko umuco ukuramo ushobora kugira ingaruka ku byago byawe byo kwandura indwara ya NPD. Imico iha agaciro umwihariko n'ubwisanzure bw'umuntu ku giti cye isa nkaho ifite ibyago byinshi. Abantu bakurira mu mico iha agaciro ubufatanye n'ubumwe ntibakunze kurwara indwara ya NPD.

Ni izihe ngorane zishobora guterwa n'indwara ya NPD?

Ni ibisanzwe ko indwara ya NPD iba mu gihe kimwe n'izindi ndwara zo mu mutwe. Dore zimwe mu ngorane zikunze kugaragara:

• Indwara z'amarangamutima cyangwa indwara ya bipolar: Abantu barwaye NPD bashobora kugira imihangayiko no kwiheba. Indwara ya bipolar nayo ikunze kugaragara mu bantu barwaye NPD.
• Izindi ndwara z'imico:Ingero zirimo indwara y’imibanire y’abantu iterwa n’imipaka (BPD) n’indwara y’imibanire iterwa n’abantu badahuje igitsina (ASPD).
• Indwara yo kudakora neza k'umubiri (`(Indwara yo kudakora neza k'umubiri)`): Abantu barwaye indwara ya NPD nabo bashobora kugira iyi ndwara (izwi kandi ngo ``indwara yo kudakora neza k'umubiri``). Ibi bishobora guterwa n'ibyiyumvo bibi ku mubiri wabo n'uko bagaragara.
• Indwara zo gukoresha ibiyobyabwenge (SUDs): Iyo ukuri kutagenze uko bari babyiteze, abantu barwaye NPD bashobora kwishingikiriza ku nzoga cyangwa ibiyobyabwenge. Ibiyobyabwenge nka kokayine ni byo bikunze kugaragara cyane, kuko ari bo bantu barwaye NPD bakunze gushaka.
• Kwiyahura: Abantu barwaye indwara ya NPD bashobora kugira ihungabana rikomeye no kwiheba iyo bahuye n'ibibazo, gutsindwa no kwangwa. Ibi bishobora kuba ari ukwiyahura guteganyijwe kuruta "gusaba ubufasha" butunguranye. Kubwibyo, abantu barwaye indwara ya NPD baba bari mu kaga kenshi ko kwiyahura. Iki ni ikibazo gikomeye cyane.

Indwara yo kwikunda ifatwa ite?

Umuganga w’indwara zo mu mutwe, ubusanzwe inzobere mu by’imitekerereze cyangwa imitekerereze y’abantu, ni we usuzuma indwara ziterwa n’indwara zo mu mutwe. Bazakuganiriza kandi bakubaze ibibazo bijyanye n’ubuzima bwawe n’imibanire yawe n’abandi (cyane cyane umuryango, inshuti n’abo ukunda). Bashobora kandi kukubaza ibibazo kugira ngo bakureho izindi ndwara zishobora gutera ibimenyetso nk’ibyo.

Ugomba kuba wujuje nibura ibintu bitanu mu icyenda biri mu gitabo cy’Ishyirahamwe ry’Abanyamerika ryita ku ndwara zo mu mutwe (DSM-5-TR™) kugira ngo umenye indwara ya NPD. Kuri ubu nta bipimo byihariye byo muri laboratwari cyangwa ibizamini byo gufata amashusho bishobora gusuzuma NPD.

Ni ubuhe buryo bwo kuvura indwara ya NPD?

Uburyo bw'ingenzi bwo kuvura indwara ya NPD ni uburyo bumwe na bumwe bwo kuvura indwara zo mu mutwe.

Bumwe mu buryo bukunze gukoreshwa mu kuvura indwara ya NPD ni:

• Ubuvuzi bw'imyitwarire mu mibanire (DBT)
• Ubuvuzi bw'imyitwarire mu buryo bwo gutekereza (`(Ubuvuzi bw'imyitwarire mu buryo bwo gutekereza - CBT)`)
• Ubuvuzi bw'impinduka mu mikorere y'umubiri (`(Ubuvuzi bw'impinduka mu mikorere y'umubiri)`)
• Ubuvuzi bw'itsinda (`(Ubuvuzi bw'itsinda)`)
• Ubuvuzi bw'abashakanye cyangwa umuryango

Kubera ko hari uburyo bwinshi bwo kuvura, inzobere mu by’ubuzima bwo mu mutwe ni we muntu mwiza wo kukubwira byinshi kuri ubu buryo butandukanye. Ushobora kumubaza ikibazo icyo ari cyo cyose ufite ku bijyanye n’uburyo ubu buryo bukora n’uburyo bukubereye.

Umuti uvura indwara zitandura indwara

Kugeza ubu nta miti ivura indwara ya NPD ihari. Ariko, imiti ishobora gukoreshwa mu kuvura ibimenyetso by'izindi ndwara zishobora kuba zifitanye isano nayo, nko guhangayika no kwiheba. Imwe mu miti ishobora gufasha irimo:

• Imiti igabanya kwiheba
• Imiti igabanya ububabare (`(Imiti igabanya ububabare / anxiolytics)`)
• Imiti igabanya ubukana bw'indwara zo mu mutwe
• Imiti igabanya ububabare bw'igicuri - Nubwo iyi miti ivura cyane cyane igicuri, imwe mu miti, nka lamotrigine, ishobora gufasha gutuza ibyiyumvo.

Niba mfite indwara ya NPD, ni iki nkwiye kwitega?

Abantu barwaye NPD rimwe na rimwe bashobora kuba batabizi. Bamwe bashobora kuba batabizi imyaka myinshi cyangwa ibarirwa muri za mirongo. Akenshi, ikintu cyangwa ibintu bibabaza bituma ibimenyetso bitangira. Dore ingero zimwe na zimwe z'ibintu nk'ibi:

• Impinduka zikomeye: Ibintu nko kuzamuka mu ntera, gutakaza akazi, guhomba.
• Ibibazo by'umuntu ku giti cye: gusenyuka kw'imibanire, gutandukana.
• Izindi ngorane zo mu buzima: Indwara cyangwa impinduka zizanwa no gusaza, cyane cyane izigira ingaruka ku bushobozi bwo kubaho wigenga, cyangwa urupfu rw'uwo ukunda.
• Ingorane: Abantu barwaye indwara ya NPD bashobora gushaka ubufasha gusa iyo abakunzi babo babusabye cyangwa babukomeje.

Ni iki kizere cy’uko imiterere y’indwara ya NPD izamera?

Icyerekezo cya NPD, ni ukuvuga ubushobozi bwo gukira, giterwa n'ibintu byinshi. Muri byo harimo:

• Ibimenyetso byawe: Ibimenyetso bimwe na bimwe bya NPD bishobora gutuma udashaka ubufasha cyangwa kwivuza. Abantu badashaka kugaragara nk'aho bafite intege nke, cyane cyane abadashaka kugaragara nk'abanyantege nke, bashobora kutita ku buryo basuzumwa.
• Uburyo indwara ya NPD ikabije: Iyo ibaye ikomeye, ishobora kubangamira ubuzima bwawe cyane. Abantu barwaye indwara ya NPD ikabije bakunze kuba abanyamahane, bahora bahanganye, kandi ntibagira impuhwe nyinshi ku byiyumvo by'abandi n'ibyo bakeneye. Nanone kandi, ntibakunze gusaba ubufasha cyangwa ngo bashake ubuvuzi.
• Izindi ndwara ufite: Abantu barwaye indwara ya NPD bashobora kugira izindi ngorane niba bafite izindi ndwara. Urugero, guhangayika, kwiheba, izindi ndwara zo mu mutwe (cyane cyane indwara yo kudahuza n'abandi), hamwe n'indwara zo gukoresha ibiyobyabwenge bishobora gutuma indwara ya NPD irushaho kuba mbi.

Kubera ko hari ibintu byinshi bigira ingaruka kuri ibi, umuntu mwiza wo kubaza uko indwara yawe ihagaze ni inzobere mu by’ubuzima bwo mu mutwe. Bashobora kuguha amakuru arambuye ku byo witeze n’icyo wakora kugira ngo ufashe.

Ese indwara ya NPD ishobora kwirindwa cyangwa ibyago byo kuyirwara bikagabanuka?

Indwara ya NPD ibaho bitewe n'impamvu abahanga badasobanukiwe neza. Ishobora no kugaragara mu miryango. Kubera izi mpamvu zombi, wowe cyangwa umwana wawe ntimushobora kuyibuza.

Ariko, uburyo urera abana bawe, ni ukuvuga uburyo uhindura uburyo bwawe bwo kurera kugira ngo bujyane n'imimerere itandukanye.Hari uburyo bwo kugabanya ibyago by'umwana wawe byo kurwara ibi. Muganga w'abana w'umwana wawe ashobora kukwigisha ibi, cyangwa akakugira inama ku muganga w'imitekerereze y'abana.

Nitwara nte (niba mfite indwara ya NPD)?

Niba ufite indwara ya NPD, bishobora kugorana kwakira indwara. Bitewe n'ibimenyetso by'iyi ndwara, ushobora kumva ufite indwara kandi ukaba wifuza kuyirinda. Ariko, ni ngombwa kumva ko kuvurwa bishobora guteza imbere ubuzima bwawe n'imibanire yawe n'abandi . Bishobora kukorohereza kubaka no gukomeza umubano, no kugera ku ntsinzi ku giti cyawe cyangwa ku kazi.

Bimwe mu bintu by'ingenzi ushobora gukora ni ibi bikurikira:

• Reba umuhanga mu by'ubuzima bwo mu mutwe nk'uko byagusabye. Abantu barwaye indwara ya NPD bashobora kureka kuvurwa. Ibi bishobora guteza ibibazo byinshi mu gihe kirekire.
• Fata imiti yawe uko wabitegetswe. Ibi bizagufasha gucunga no kugenzura amarangamutima yawe n'ibimenyetso bya NPD.
• Irinde gukoresha ibiyobyabwenge cyangwa inzoga. Nubwo bishobora gutuma wumva umeze neza by'agateganyo, bishobora gutuma ibintu birushaho kuba bibi mu gihe kirekire. Iyo ufashe imiti, inzoga cyangwa ibindi biyobyabwenge bishobora guteza ingaruka mbi ku biyobyabwenge.

Ni ryari nkwiye kujya kwa muganga, cyangwa ni ryari nkwiye gushaka inama kwa muganga?

Ugomba kujya kwa muganga wawe uko byategetswe. Bazashyiraho gahunda yo kuvurwa no gukurikiranwa. Ugomba kujya kwa muganga wawe niba ubonye impinduka mu bimenyetso byawe cyangwa niba ubonye impinduka mu mikorere y'imiti yawe.

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

Niba ufite ibitekerezo byo kwiyahura, kwiyahura, cyangwa kugirira abandi nabi , ugomba kujya mu cyumba cy’ubutabazi bwihuse, ugahamagara 1990 (serivisi y’imbangukiragutabara yo muri Sri Lanka), cyangwa ubwire umuntu wizeye kandi ushake inama kwa muganga ako kanya. Ibi bitekerezo ni bikomeye cyane, bityo ntugerageze kubikemura wenyine.

Ese hari ubwoko butandukanye bw'ubwikunde?

DSM-5-TR™ (ivuguruwe rya vuba aha rya DSM-5) ntabwo isobanura ubwoko butandukanye bw'ubwikunde cyangwa NPD. Ariko, impuguke rimwe na rimwe zishyira mu byiciro ukwikunda hashingiwe ku miterere cyangwa imyitwarire.

Bimwe mu bintu bikoreshwa muri yo ni:

• Grandiose (kwitega gushimwa no kwemerwa) ugereranije n'abatishoboye (gukenera kwemerwa kugira ngo ukomeze kwihesha agaciro no gutinya kwangwa).
• Igaragara (`(Igaragara)`) ugereranije n'ihishe (`(Igaragara)`).
• Nta kibazo (`(Bibi)`) ugereranije n'ikibi (`(kibi)`) (abashaka kubabaza cyangwa gukoresha abandi).

Ibi si ibyiciro byemewe, ahubwoUmujyanama mu by'ubuzima bwo mu mutwe ashobora kugufasha gusobanukirwa ikibazo cyawe. Niba ubona ko ibi bimenyetso bikureba, ushobora no kubaza umuhanga muri byo.

Ese nshobora kwipimisha kugira ngo ndebe niba mfite imico yo kwikunda?

Abaganga bashobora gukoresha ibibazo bitandukanye byo gusuzuma indwara kugira ngo bagufashe gusuzuma indwara itera indwara idakira. Nubwo ushobora gushukwa no gukora ikizamini kuri interineti kugira ngo barebe niba ufite indwara, ugomba kwibuka ko atari indwara yemewe . Ugomba kubonana n'inzobere yabyigiye kandi ibifitiye ubushobozi kugira ngo umenye neza indwara yawe.

Nakora iki iyo ntekereje ko umuntu nkunda afite indwara ya NPD?

Abantu barwaye indwara ya NPD bashobora kutamenya ibimenyetso byabo. Akenshi, umuryango, inshuti n'abakunzi ni bo ba mbere bakeka ko hari umuntu urwaye indwara ya NPD. Niba ukeka ko umuntu ukunda afite indwara ya NPD, ugomba kuzirikana ibi bintu:

• Ntushobora guhindura umuntu urwaye indwara ya NPD. Ni we wenyine ushobora guhindura imyitwarire ye. Nubwo waba wumva ubabaye ko uwo ukunda adashaka guhinduka, ibuka ko atari wowe ubyitayeho. Ushobora kumushishikariza gushaka ubuvuzi, ariko agomba kuba yiteguye kubikora kugira ngo ibi bigende neza.
• Humura kandi ntukifate nk'umuntu ku giti cye. Abantu barwaye indwara ya NPD, cyane cyane iyo barakaye, bashobora kugerageza kugushotora maze bakakugiraho ingaruka. Ntukifate nk'umuntu ku giti cye, kandi ntukifate nk'uko babigenza.
• Shyiraho imipaka myiza. Abantu barwaye indwara ya NPD bakunze kugerageza kugera ku byo bashaka binyuze mu bandi, baba babigambiriye cyangwa batabizi. Niba uwo ukunda afite indwara ya NPD, gushyiraho imipaka myiza bishobora kuba ingenzi. Menya neza icyo wifuza gukora n'icyo utari cyo, kandi wuzuze iyo mipaka. Bishobora kugorana, ariko kwemera ibyo bagusaba ntacyo bizafasha (ndetse bishobora no gutuma ibintu birushaho kuba bibi).
• Irinde. Abantu barwaye indwara ya NPD bashobora kugerageza kubangamira imipaka yawe no kugutegeka "gutesha umutwe" (bivuze guhindura ikintu wowe cyangwa abo bavuze cyangwa bakoze kugira ngo bagutere kugaragara nk'abasazi). Niba wumva ukeneye guhumurizwa mu gihe kizaza ku byo wavuze cyangwa wakoze, andika. Bashobora kandi gutukana mu magambo cyangwa ku mubiri mu burakari bwabo. Itondere kurinda ubuzima bwawe n'imibereho myiza yawe.
• Tekereza no ku buzima bwawe bwo mu mutwe. Abafite umuntu ukunda urwaye indwara yo mu mutwe bagomba gutekereza kubonana n'umujyanama mu by'ubuzima bwo mu mutwe . Ibi bishobora kugufasha gukemura ibibazo byawe n'ibyiyumvo byawe bijyanye na NPD, ndetse no kwitegura neza guhangana n'ingaruka z'iyi ndwara ku muntu ukunda.
• Ntukirengagize ibimenyetso by'umuburo.Abantu barwaye indwara ya NPD bafite ibyago byinshi byo kwiyahura. Niba ukeka ko umuntu ukunda urwaye indwara ya NPD arimo kwitandukanya n'abandi cyangwa arimo gutekereza kwiyangiza, vugana na we mu buryo butaziguye. Niba ubona ko ari mu kaga gakomeye, hamagara 911 ako kanya, cyangwa ushake ubufasha bwa muganga ako kanya.

Amaherezo, ibintu byo kwibuka

Indwara yo kwikunda si inenge y’umuntu cyangwa inenge. Ni indwara yo mu mutwe. Niba ufite iyi ndwara, hari ibyo ushobora gukora kugira ngo wifashe kandi ukomeze imibanire yawe n’abandi mu buryo bwiza. Bishobora kugorana kubyemera no guhangana na byo, ariko bishobora kwangiza cyane imibanire yawe no guhungabanya ubuzima bwawe. Rero, ntubyirengagize cyangwa ngo uhunge ukuri.

Niba umuntu uzi afite indwara ya NPD, kubimenya bishobora kugufasha kwiyitaho no kugerageza kumufasha. Hari igihe, ikintu cyiza wakora ni ukwishyiriraho imipaka no kutamubangamira mu myitwarire ye bitari ngombwa. Wibuke ko udashobora guhatira umuntu urwaye indwara ya NPD guhinduka. Agomba kuba yiteguye kubikora.

Indwara yo kwikunda, indwara ziterwa n'indwara zo mu mutwe, ubuzima bwo mu mutwe, ibibazo by'imico, kwishyira hejuru, ubwibone, kutagira impuhwe, ubuvuzi bwo mu mutwe