Zvaunotenda zvakasimba ndezvechokwadi here? Ngatitaure nezveDelusional Disorder!

Wakambonzwa here kuti zvimwe zvinhu zvaunofunga kuti zvingasanyatsonzwisisika kune vamwe, asi zvinofanira kunge zviri zvechokwadi kwauri? Pamwe unonzwa sekuti mumwe munhu ari kukushungurudza muchivande, kana kuti mumwe munhu ane mukurumbira ari kukuda muchivande? Kana izvi zvisiri zvechokwadi, asi uine chivimbo chakasimba mazviri, zvingave zvakakosha kuti uzive nezvechirwere ichi chatiri kutaura nezvacho nhasi, chinonzi Delusional Disorder.

Chii chinonzi Delusional Disorder?

Zvichitaurwa zviri nyore, chirwere chepfungwa chinonzi "Psychotic Disorder." Chinhu chikuru cheizvi kuvapo kwechitendero chimwe chete kana kupfuura, chakasimba (delusions). Iye zvino ungave uchishamisika kuti "delusion" chii. Kunyengedzwa kutenda kwenhema kwakasimba kusingachinjiki chero nenzira ipi zvayo. Kutenda uku hakusi kwechokwadi. Uye, hakuna chekuita netsika yemunhu kana nharaunda yaakakurira. Vamwe vese vanoziva kuti kutenda uku ndekwenhema. Asi, kune munhu ane nhema iyi, ndiyo chete chokwadi. Vanhu vane delusional disorder vanowanzosangana nerudzi rwe "delusional delusional." Kureva kuti, zvinhu zvinoita sezviri zvechokwadi, asi zvisiri, kana kuti zvakanyanyisa. Semuenzaniso, zvinhu zvakaita sekuti mumwe munhu ari kukutevera, ari kukubiridzira, kana kuti mumwe munhu ari kukuda ari kure. Izvi zvinhu zvisiri kuitika chaizvo, kana zvinhu zvisiri zvikuru sezvaunofunga. Izvi zvinonzi "delusional delusional" uye zvakasiyana ne "delusional delusional." "Delusional delusional" zvinhu zvisingagoneke zvachose muhupenyu hwedu. Semuenzaniso, kutenda kuti mumwe munhu akaba nhengo yemuviri wako, asi hapana humbowo hwekuti pane kuvhiyiwa kwakaitwa pairi. Kazhinji, vanhu vane dambudziko rekufungidzira, kunze kwezvitendero zvavo zvenhema, vanogara zvakanaka nevamwe vanhu uye vanorarama zvakajairika. Havazvibati zvisina kujairika. Ichi chimwe chezvinhu zvinovasiyanisa nevamwe vanhu vane "Matambudziko epfungwa." Zvisinei, dzimwe nguva, vanogona kunyanya kufunga nezvepfungwa idzi zvekuti hupenyu hwavo hunogona kuvhiringidzika.

Ndeapi marudzi edambudziko repfungwa?

Kune mhando dzakasiyana-siyana dzedambudziko repfungwa. Dzakakamurwa zvichienderana nedingindira guru repfungwa dzadzo. Ngationei kuti ndedzipi:

• Rudzi rweErotomanic: Murudzi urwu, munhu anotenda kuti mumwe munhu, kazhinji munhu akakosha kana ane mukurumbira, anomuda.Fungidzira, uchifunga kuti mutambi kana muimbi ane mukurumbira munyika medu anokuda muchivande, anokutumira tsamba, uye anokupa zviratidzo zvakavanzika. Asi muchokwadi, handizvo zvinoitika. Dzimwe nguva, vanhu ava vanogona kutonzwa kuda kutaura nemunhu ane mukurumbira iyeye uye kumutevera.

• Rudzi rukuru: Vanhu ava vanozviona sevanhu vane pfungwa huru. Vanotenda kuti vane simba rinoshamisa, ruzivo, uye hunyanzvi, kuti vanokosha zvikuru, kuti vakawana chimwe chinhu chikuru, uye kuti ndivo avo

• Rudzi rwegodo: Murudzi urwu, munhu anotenda zvakasimba kuti mumwe wake haana kutendeka kana kuti ane zvimwe zvinhu, pasina humbowo hwakajeka. Vanogara vachifungidzira uye vachitsvaga. Ichi chinhu chinonzwika dzimwe nguva munharaunda medu.

• Rudzi rwekutambudza: Urwu ndirwo rudzi rwakajairika. Vanhu ava vanotenda kuti mumwe munhu kana chimwe chinhu chiri kuvashungurudza, kuvanetsa, kuvatevera, kana kuedza kuvakuvadza (kana mumwe munhu ari pedyo navo). Semuenzaniso, vanogona kutenda, pasina humbowo, kuti "vanhu vemumhuri vakaba chikafu changu vari kundiseka, vachiedza kuisa chepfu muchikafu changu, kana kuti vari kundisora." Vanhu ava vanogonawo kumhan'ara nyaya dzematare edzimhosva.

• Rudzi rweSomatic: Vanhu ava vanotenda kuti vane dambudziko remuviri kana chirwere. Semuenzaniso, vanotenda kuti vane tupukanana mukati memuviri wavo, kuti vane hwema husina kunaka mumuviri, kana kuti vane chirwere chakakomba, kunyangwe vasina chirwere chaicho.

• Mhando dzakasiyana-siyana: Muizvi, munhu mumwe chete anogona kunge aine mhando mbiri kana kupfuura dzemhando dzataurwa pamusoro apa dzekusanganiswa kwemvura.

Ndeupi musiyano uripo pakati pechirwere chepfungwa (delusional disorder) nechirwere chepfungwa (schizophrenia)?

Ungave wakambonzwa nezvechirwere chepfungwa chinonzi schizophrenia. Ichi chirwere chinoratidzawo "zviratidzo zvepfungwa" kana zviratidzo zvechirwere chepfungwa. Mu schizophrenia, zviratidzo zvakaita seizvi zvinogona kuonekwa:

• Kutaura kana maitiro asina kugadzikana.
• Hunhu husina kunaka (semuenzaniso, kudzikira kwechiso, kurasikirwa nehanya nechimwe chinhu).

Dambudziko reDelusional Disorder rinosiyana nechirwere cheschizophrenia nenzira dzinotevera: Mudambudziko redelusional , hapana zvimwe zviratidzo zvikuru zvepfungwa kunze kwekufungidzira. Zvakare, kana zvichienzaniswa neschizophrenia, dambudziko redelusional hariwanzoitiki. Uyewo, kukanganisa mabasa ezuva nezuva hakuna kuipa semudambudziko reschizophrenia.

Ndiani ane mukana mukuru wekuwana chirwere ichi?

Dambudziko reDelusional rinonyanya kuitika kuvanhu vezera repakati kusvika kune vakwegura.Izvi zvinowanzotanga pazera remakore makumi mana.

• Varume vanowanzo tambudzwa uye vane godo .
• Rudzi rwe erotomanic rwakajairika pakati pevakadzi.

Uyewo, vanhu vakasurukirwa uye vakasurukirwa vane mukana mukuru wekuva nechirwere ichi. Semuenzaniso:

• Vanhu vakatamira kune dzimwe nyika uye vakasiyiwa vari vega nekuda kwematambudziko emutauro.
• Avo vasingagoni kunzwa.
• Vanhu vane matambudziko ekuona .
• Vanhu vane makore anopfuura makumi matanhatu nemashanu ekuberekwa.

Dambudziko reDelusional hariwanzoitiki, richibata vanhu vakuru vanenge 0.05% kusvika 0.1%.

Ndezvipi zviratidzo zvechirwere chepfungwa chinonyengera?

Chinhu chikuru cheizvi kuitika kwezvinyengeri, zvatakambokurukura. Zviratidzo zvinosiyana zvichienderana nerudzi rwezvinyengeri. Chimwe chinhu chakakosha chechirwere ichi ndechekuti munhu haanzwisisi kuti zvinyengeri zvake hazvina kururama uye kuti idambudziko (kushaya ruzivo rwekuzvifunga). Kunyangwe vamwe vakamuudza, havagone kugamuchira kuti zvavanotenda hazvina musoro uye hazvina kururama. Kunyanya kana munhu aine zvinyengeri zvekutambudza, godo, kana zvekunyepedzera, anogona kuratidza hasha nemaitiro echisimba . Zvakare, zvinyengeri izvi zvinogona kukonzera kuti vasangane nemamiriro ezvinhu akadai sekuzvidya mwoyo uye/kana kuora mwoyo .

Zviratidzo zvepakutanga

Dzimwe nguva, usati wanyanya kuipa, unogona kuona zviratidzo zvakaita seizvi:

• Kunzwa sekunge vamwe vari kukushandisa.
• Nguva dzose ndichifunga nezvekuvimbika kweshamwari.
• Kuona kutyisidzira kana chikanganiso, kunyangwe kubva muhurukuro kana chiitiko chakajairika.
• Gara wakachengeta hasha mumoyo mako.
• Kukurumidza kuita chimwe chinhu chidiki, kugadzirira kurwa.

Ndezvipi zvikonzero zvekusagadzikana kwepfungwa?

Kufanana nezvimwe zvirwere zvepfungwa, vaongorori havasati vaziva kuti chii chinokonzera dambudziko rekufungidzira. Zvisinei, vari kutsvaga zvinhu zvakawanda zvinogona kukonzera dambudziko iri:

• Zvinhu zvine chekuita nemajini : Kana mumwe munhu mumhuri aine chirwere chepfungwa kana kuti schizophrenia , pane mukana wekuti vamwe vemumhuri iyoyo vazowanawo chirwere ichi. Izvi zvinoreva kuti panogona kunge paine simba remajini. Zvinotendwa kuti vana vanogona kugara nhaka yechirwere ichi kubva kuvabereki.

• Zvinhu zvehupenyu: Vaongorori vari kutsvaga kana shanduko dziri mune dzimwe nzvimbo dzehuropi hwedu dzingaite basa. Zvimwe zvehuropiKusawirirana mumakemikari , anonzi ma neurotransmitters , kwakawanikwa kuri chikonzero chezviratidzo zvinokanganisa pfungwa.

• Zvinhu zvezvakatipoteredza uye zvepfungwa: Pane humbowo hwekuti kushushikana kwakanyanya kunogona kukonzera kusagadzikana kwepfungwa. Kunwa doro nezvinodhaka zvinogonawo kukonzera izvi. Zvinhu zvakaita sekunzwa kusagadzikana, nzira dzekudzivirira udyire, kuzviparadzanisa nevamwe, godo , kusavimba, kufungidzira, uye kusazviremekedza zvinogonawo kukonzera izvi. Unogona kutsvaga chikonzero chemanzwiro akadaro wogadzira kufungidzira semhinduro.

Vanachiremba vanoongorora sei izvi? (Chirwere chepfungwa chinoonekwa sei?)

Vanachiremba, kunyanya vanachiremba vepfungwa, vanoongorora munhu ane dambudziko repfungwa kana aine rimwe kana kupfuura repfungwa kwemwedzi kana kupfuura uye risingakwanise kutsanangurwa nerimwe dambudziko rehutano. Havagoniwo kuva nezviratidzo zvinowanzoonekwa nezvimwe zvirwere zvepfungwa, zvakaita seschizophrenia. Kana munhu aine zviratidzo zvedambudziko repfungwa, chiremba anotanga aita nhoroondo yakazara yezvekurapa uye kuongororwa kwemuviri. Kunyangwe pasina bvunzo dzemurabhoritari dzekuongorora dambudziko repfungwa, vanogona kuraira bvunzo dzakasiyana-siyana (dzakadai sekuongororwa kwemifananidzo, bvunzo dzeweti, uye bvunzo dzeropa) kuti vaongorore zvimwe zvirwere, mishonga, kana kushandiswa kwezvinodhaka zvinogona kukonzera zviratidzo. Kana chikonzero chemuviri chikasawanikwa, kutumirwa kuna chiremba wepfungwa kana wepfungwa kunoitwa. Vanoshandisa nzira dzekubvunzurudza dzakakosha uye dzekuongorora kuti vaone kana munhu aine "Psychotic Disorder." Vanobvunza mibvunzo nezvedambudziko repfungwa uye vanoita ongororo yehutano hwepfungwa. Dzimwe nguva vanobvunza nhengo dzemhuri neshamwari kuti vawane rumwe ruzivo nezvedambudziko repfungwa uye kuti zviratidzo zvakatanga riini. Nekuti zvikanganiso zvinogonawo kukonzerwa nezvimwe zvirwere zvepfungwa, vanachiremba vepfungwa vanongwarira zvikuru kuti vabvise zvimwe zviratidzo. Dambudziko repfungwa rinogona kuvhiringidzwa nemamiriro anotevera:

• Dambudziko rekufunganya-kumanikidza (OCD)
• Schizophrenia
• Dambudziko guru repfungwa (delirium)
• Dambudziko reBipolar
• Matambudziko ehunhu, kunyanya kusagadzikana kwehunhu hweborderline uye kusagadzikana kwehunhu hweparanoid.

Ndeipi mishonga yekurapa chirwere chepfungwa chinonetsa pfungwa?

Kurapa kwepfungwa (kurapwa nekutaura) nemishonga ndiyo mishonga mikuru yekurapa chirwere chepfungwa. Zvisinei, mishonga chete haina kukwana kurapa chirwere ichi. Kazhinji, vanhu vane chirwere chepfungwa havatsvage kurapwa vega nekuti havazivi kuti pfungwa dzavo dzakaipa kana kuti idambudziko. Vanogona kutsvaga rubatsiro kune mamwe matambudziko ehutano hwepfungwa, akadai sekuora mwoyo kana kuzvidya mwoyo. Vanhu vane zviratidzo zvakakomba uye avo vari panjodzi yekuzvikuvadza kana kukuvadza vamwe vangada kuendeswa kuchipatara kusvika mamiriro avo agadzikana.

Kurapa kwepfungwa

Kurapa kwepfungwa izwi rekuti kurapa kwakasiyana-siyana kunobatsira vanhu kuziva nekuchinja manzwiro avo anoshungurudza, pfungwa dzavo, uye maitiro avo. Vachishanda nachiremba wepfungwa kana wepfungwa, murwere nemhuri yake vanowana rutsigiro, dzidzo, uye nhungamiro. Kuburikidza nekurapa, vanhu vane dambudziko repfungwa vanogona kudzora zviratidzo zvavo, kuziva zviratidzo zvekutanga zvekudzokera shure, uye kuronga kudzivirira kudzokera shure. Kune mhando dzakasiyana dzekurapa kwepfungwa:

• Kurapa kwepfungwa kwemunhu mumwe nemumwe: Izvi zvinobatsira munhu kuziva nekugadzirisa pfungwa dzake dzisina kururama, dzakakanganiswa.
• Kurapa kwemaitiro ekufunga (CBT): Iyi inzira yekurapa yakanangwa uye yakarongeka. Nyanzvi yekurapa inobatsira munhu kutarisa zvakadzama pfungwa nemanzwiro ake. Vanogona kumubatsira kunzwisisa kuti pfungwa dzake dzinokanganisa sei zviito zvake. Kuburikidza neCBT, vanogona kuchinja pfungwa nemaitiro asina kunaka uye kugadzira mafungiro nemaitiro ane hutano.
• Kurapa kwakatarisana nemhuri: Izvi zvinobatsira vanhu vane dambudziko repfungwa pamwe chete nemhuri dzavo. Kurapa uku kunosanganisira kudzidzisa nezvedambudziko repfungwa, kuvandudza hunyanzvi hwekutaurirana, uye kudzidziswa mukugadzirisa matambudziko.

Mishonga

Mhando huru dzemishonga dzinoshandiswa kurapa delusional disorder ndedzekuti ``Antipsychotics`` (inozivikanwawo se``neuroleptics``). Mhando idzi dzemishonga dzinosanganisira:

• Mishonga yekurwisa pfungwa yechizvarwa chekutanga ("yakajairika"): Mishonga iyi yave ichishandiswa kurapa zvirwere zvepfungwa kubvira pakati pemakore ekuma1950. Inoshanda nekuvharira dopamine muuropi.Inovhara mareceptor e neurotransmitter dopamine. Zvinotendwa kuti dopamine ine chekuita nekukonzera kusanganiswa kweropa.

• Mishonga yekurwisa pfungwa yechizvarwa chechipiri ("isingawanzoitiki"): Mhando itsva dzemishonga iyi inoshandawo pakurapa zviratidzo zvepfungwa dzisina kugadzikana. Inovhara mareceptor e neurotransmitters dopamine ne serotonin muuropi. Mishonga iyi inowanzova nemigumisiro mishoma pane mishonga yechizvarwa chekutanga.

Mimwe mishonga inopihwa navanachiremba yekurapa delusional disorder imishonga inoderedza kuzvidya mwoyo (anxiolytics) uye mishonga inoderedza kushungurudzika (antidepressants). Mishonga inoderedza kuzvidya mwoyo inobatsira kana munhu aine matambudziko akawandisa ekuzvidya mwoyo uye/kana kurara. Mishonga inoderedza kuora mwoyo inogona kurapa depression inowanzoonekwa nevanhu vane delusional disorder.

Chii chichaitika mushure memamiriro ezvinhu aya? (Kufungidzira)

Kufanotaura kwemunhu ane delusional disorder kunoenderana nezvinhu zvakawanda:

• Rudzi rwechirwere chepfungwa chinonyengera.
• Kuoma kwekudzikiswa kwemvura.
• Hunhu hwehupenyu hwemunhu, kureva kugona kwake kugamuchira rubatsiro uye kuda kwake kutevedzera marapirwo.

Dambudziko reDelusional Disorder harina simba guru pamabasa emunhu ezuva nezuva. Zvisinei, kuoma kwezvinokanganisa kunogona kuwedzera zvishoma nezvishoma. Vanhu vazhinji vanogona kuramba vachiita mabasa avo, chero bedzi mabasa ane chekuita nezvinokanganisa zvavo asina chekuita nebasa. Kana ukashanda zvichienderana nehurongwa hwekurapa, fungidziro yechirwere inogona kuva yakanaka.

Zvinoshamisa kuti vanhu vanosvika 50% vanopora zvachose. Vanhu vanopfuura 20% vanoti zviratidzo zvavo zvadzikira, uye vashoma pane 20% vanoti zviratidzo zvavo zvachinja zvishoma kana kuti hazvina kuchinja zvachose.

Asi, zvinosuwisa kuti vanhu vazhinji vane chirwere ichi havatsvage rubatsiro. Zvinonetsawo kuti vanhu vane chirwere chepfungwa vabvume kuti havasi kurwara. Vanogona kusatsvaga kurapwa nekuda kwekunyara kana kutya. Pasina kurapwa, dambudziko rekufungidzira rinogona kuva dambudziko rehupenyu hwese.

Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?

Kana chirwere chepfungwa chikasarapwa, zvinotevera zvinogona kuitika:

• Kuora mwoyo: Kazhinji kunokonzerwa nematambudziko anokonzerwa nekusanganiswa kwemvura.
• Kusasangana kwevanhu panzvimbo imwe.
• Nyaya dzemutemo: Semuenzaniso, munhu ari muchiitiko chekunyengedza vamwe anogona kusungwa nekuda kwekuteverera kana kushungurudza.
• Kuzvikuvadza kana kukuvadza vamwe.Izvi zvinonyanya kuitika mumhando dzegodo nedzekutambudza.

Dambudziko rekufungidzira rinogona kudzivirirwa here?

Hapana nzira inozivikanwa yekudzivirira dambudziko rekufungidzira, asi kuongororwa nekukurumidza uye kurapwa kunogona kuderedza kukanganiswa kwehupenyu hwemunhu, mhuri, uye hushamwari.

Nzira yekubatsira sei munhu ane dambudziko repfungwa?

Kana mumwe munhu waunoziva aine delusional disorder, unogona kumutsigira uye kumukurudzira kutsvaga rubatsiro nekurapwa. Vanhu vane delusional disorder vanogona kuwedzera kushushikana nezviratidzo pavanogara vachitsoropodzwa nevamwe. Saka, pachinzvimbo chekutaura zvakaipa, kutaura zvakanaka uye zvinonzwisisika kunogona kubatsira zvikuru uye kubudirira. Shamwari nemhuri yevanhu vane delusional disorder vanogonawo kunzwa kushushikana, kuora mwoyo, kusuruvara, uye kusurukirwa. Zvakakosha kutarisira hutano hwepfungwa dzako uye kutsvaga rubatsiro kana uine zviratidzo izvi.

Mharidzo Yekuenda Nayo Kumba

Dambudziko reDelusional, ratataura nezvaro nhasi, chirwere chepfungwa chaunowana kutenda kwakasimba uye kunogara kwenguva refu pamusoro pezvinhu zvisiri zvechokwadi. Izvi hazvisi nyore kune chero munhu, asi chinhu chakakosha kunzwisisa ndechekuti kune kurapwa kwacho .

• Kana uchifunga kuti iwe kana mumwe munhu waunoziva ane zviratidzo izvi, usanyara kana kutya, tsvaga rubatsiro rwechiremba.
• Kuongororwa kwechirwere nekukurumidza uye kurapwa kwakakodzera kunogona kuvandudza zvinhu zvakawanda muhupenyu.
• Rutsigiro nekunzwisisana kwemhuri neshamwari zvinokosha panguva yakaita seiyi.

Sezvineiwo nechirwere chepfungwa, kutsvaga rubatsiro kana wangoona zviratidzo kunogona kubatsira kuderedza kukanganiswa kwehupenyu hwako. Vanachiremba vepfungwa vanogona kukupa hurongwa hwekurapa kuti vakubatsire kudzora mafungiro ako nemaitiro ako. Hausi wega, kune rubatsiro. Dambudziko reDelusional, Kurwara Nepfungwa, Mashura, Hutano Hwepfungwa, Kurapa, Zviratidzo, Schizophrenia