Ese wumva ufite agahinda gakomeye iyo umuntu akwanze? Reka tuvuge kuri Rejection Sensitive Dysphoria (RSD)!

Twese twifuza kwangwa n'umuntu mu buzima bwacu, sibyo? Bishobora kuba mu rukundo, mu bucuti, cyangwa no ku kazi. Iyo ibyo bibaye, ni ibisanzwe kumva ubabaye, urakaye, cyangwa ubabaye. Ariko ubusanzwe dushobora kugenzura no gucunga ibyo byiyumvo mu gihe runaka hanyuma tugasubira mu buzima busanzwe.

Ariko tekereza, byagenda bite se niba kwangwa bigutera ububabare bwinshi mu byiyumvo ku buryo utabasha no kubyihanganira, ku buryo utabasha no gutekereza ku kugenzura ibyo byiyumvo? Ushobora kuba ufite icyo abaganga bita " rejection sensitive dysphoria" (RSD) . Ubushakashatsi bwagaragaje ko niba ufite Attention Deficit Hyperactivity Disorder (ADHD) , uba ufite amahirwe menshi yo kurwara RSD.

Iyi RSD ni iki mu by'ukuri?

RSD si indwara yemewe ku mugaragaro ifite urutonde rw'ibimenyetso. Ni ukuvuga ko idafatwa nk'indwara yihariye. Ariko, abaganga n'abahanga mu by'imitekerereze bakoresha iryo jambo kugira ngo basobanure uburyo bwo kwitwara mu marangamutima akabije iyo umuntu yanze, akenshi bifitanye isano n'indwara zemewe ku mugaragaro nka ADHD.

Ijambo "dysphoria" rikomoka mu rurimi rw'Ikigereki. Risobanura "ububabare bukomeye cyangwa kumererwa nabi." Abantu bahura na RSD birabagora cyane kwihanganira kwangwa. Mu by'ukuri, birabagora gusobanura ibyiyumvo mu magambo. Akenshi bakoresha amagambo nka "bidashobora kwihanganirwa" na "biteye ubwoba." Kubera iyo mpamvu, bamwe birinda gusabana n'abandi kubera gutinya kwangwa.

Ni iyihe sano iri hagati y'iyi ndwara na ADHD?

Ubushakashatsi buracyari butazwi neza ku bijyanye n'uwakira RSD n'uko bifitanye isano na ADHD, kuko kwangwa bigoye kubipima. Ariko abahanga bemeza ko abantu bafite ADHD bashobora kugaragaza ibimenyetso bya RSD bitewe n'impinduka zimwe na zimwe mu miterere y'ubwonko bwabo.

Umuntu ufite ADHD afite igice cy’ubwonko gitandukanye gato n’icy’imbere, kikaba ari cyo kigenzura ibintu nko kwita ku bandi, ururimi, ubuhanga bwo kubana n’abandi, kugenzura ibintu uko umuntu abyumva, guhitamo ibintu, no gukemura ibibazo. Kubera iyo mpamvu, ushobora kubura ibimenyetso bimwe na bimwe byo gusabana n’abandi, kugorwa no gukorana n’itsinda, cyangwa kudashobora kwita ku tuntu duto.

Kubera iyo mpamvu, iyo abandi bavuze ikintu ku myitwarire yawe, cyangwa bakavuga ikintu kidasobanutse neza, ushobora kugitekereza nabi nko kunenga, gushinyagurirwa, cyangwa kwangwa .

RSD ishobora kandi kuba ifitanye isano n'izindi ndwara zo mu mutwe n'indwara zo mu mutwe, ariko hakenewe ubushakashatsi bwinshi kugira ngo ibi bisobanuke neza.

Ni ibihe bintu bisanzwe biranga RSD?

Nubwo RSD atari indwara yemewe, abantu bayirwaye bashobora kugaragaza ibimenyetso bikurikira. Reka turebe niba ibi bisa n'ibisanzwe kuri wewe.

Hari igihe gutinya kwangwa cyangwa kwangwa n'abandi bishobora gutuma wirinda imirimo n'inshingano zimwe na zimwe cyangwa ukikura burundu mu mibanire n'abandi. Ibi bishobora kugira ingaruka zikomeye ku mibereho yawe.

Ni iki gitera RSD?

Impuguke ntizisobanukiwe neza impamvu ibi bitera, ariko bamwe bemeza ko imiterere y'ubwonko bwawe ifite aho ihuriye nabyo.

Amygdala na prefrontal cortex ni ibice by'ubwonko bikemura ukwangwa, gutsindwa, kumenya amarangamutima, n'ubutumwa bubi. Biba biri imbere y'ubwonko. Ubusanzwe, uko dusaza, ibi bice bigenda birushaho kuba byiza mu kugenzura no gutunganya amarangamutima.

Ariko ku bantu bafite ibibazo bimwe na bimwe byo mu mutwe cyangwa mu myitwarire, ubwonko ntibushobora kugenzura neza ibyo bimenyetso. Ahubwo, ubwonko bufata amarangamutima mabi nk'ikintu kibabaza cyane kandi kirenze ubushobozi bwo kwihanganira. Ibi nibyo abahanga bita " kunanirwa k'amarangamutima ."

Uretse imiterere y'ubwonko, impuguke zimwe na zimwe zemeza ko hashobora kuba hari ingaruka ku miterere y'umubiri, cyane cyane ko ADHD, indwara ifitanye isano rya hafi na RSD, ihererekanywa kuva ku gisekuru kugeza ku kindi.

Iyi ndwara ipimwa ikanavurwa ite?

Kubera ko RSD atari indwara yemewe kandi ubushakashatsi kuri yo bukaba ari buke, umuganga wawe cyangwa umujyanama wawe ashobora kuba atazi byinshi kuri yo, cyangwa akabyitiranya n'indi ndwara yo mu mutwe.

Ariko niba waramaze gufatwa na ADHD cyangwa indi ndwara yo mu mutwe, muganga wawe ashobora kumenya iyi myitwarire yo kwangwa.

Nta muti cyangwa uburyo bwihariye bwo kuvura RSD buhari. Ariko, imiti imwe n'imwe ikoreshwa mu kuvura ADHD n'izindi ndwara zo mu mutwe ishobora gufasha mu kugabanya ubu buryo bukomeye bwo kubabara mu marangamutima.

Kuvura imiti

• Agontine ya Alpha-2 receptor: Ibiyobyabwenge nka `guanfacine (Intuniv)` na `clonidine (Kapvay)` byongera ubushobozi bw'ubwonko bwo kwakira no gutunganya ibimenyetso by'amarangamutima.
• Imiti itera imbaraga: Ibiyobyabwenge nka amfetamine (Adderall) na methylphenidate (Ritalin) bitera imbaraga imikorere y’ibinyabutabire (neurotransmitters) bitwara ibimenyetso hagati y’uturemangingo tw’ubwonko. Ibi bifasha ubwonko gutunganya ubutumwa bwakira neza.
• Ibinini bya monoamine oxidase inhibitors (MAOIs): Ibi bikunze gutangwa ku ndwara yo kwiheba. Byagaragaye kandi ko bifasha kugabanya ubushobozi bwo kwangwa. Ariko, iyi miti ntigomba gufatwa hamwe n'indi miti ya ADHD cyangwa hamwe n'ibiribwa bimwe na bimwe (urugero, foromaje ishaje, inyama). Kubikora bishobora gutera umuvuduko w'amaraso ukabije.

Ubuvuzi

Uretse imiti, uburyo bwo kuvura nk'ubuvuzi bwo mu mutwe (CBT) n'uburyo bwo kuvura mu kiganiro bushobora gufasha cyane. Ubu buryo bwo kuvura bugufasha gusobanukirwa uko wiyumva mu marangamutima yawe.

Ubu buvuzi bugufasha kandi kugira ingeso nziza, nko gutega amatwi undi muntu, gusaba ibisobanuro mu gihe ibintu bitarasobanuka neza, no gufata umwanya wo gutekereza aho guhita ugira icyo ukora. Uko igihe kigenda gihita, uzabasha guteza imbere ibikoresho n'ubuhanga ukeneye kugira ngo ucunge amarangamutima yawe mu bihe bitandukanye byo mu mibanire.

Itangazo ryihariye: Niba wowe cyangwa undi muntu uzi afite igitekerezo cyo kwiyangiza, nyamuneka jya ku bitaro bikuru byita ku bibazo byihutirwa (ETU) bikwegereye vuba. Ni ngombwa cyane gushaka inama z'abaganga.