Mudiwa wako ari kunyepedzera kuva nechirwere chaasina here? Ngatikurukurei nezvechirwere ichi chine njodzi (Factitious Disorder Imposed on Another - FDA)!

Wakambonzwa nezvevanhu vanochengeta mwana, munhu mukuru, kana munhu akaremara asingarware, vachiita sevanorwara vobva vaenda navo kuna chiremba vonovapa mishonga? Izvi zvakaoma kufungidzira, asi dzimwe nguva zvinoitika. Nhasi tichataura nezvepfungwa dzakaoma uye dzine njodzi.

Chii chinonzi FDA (Factitious Disorder Imposed on Another)?

Zvichitaurwa zviri nyore, `Factitious Disorder Imposed on Another' (FDA) chirwere chepfungwa umo munhu ane chirwere ichi anoedza kunyengetedza vamwe, kunyanya vanachiremba, kuti mumwe munhu ari mukutarisira kwake (semuenzaniso, mwana ari pasi pemakore matanhatu, munhu akaremara, kana munhu mukuru anopfuura makore makumi matanhatu nemashanu) ari kurwara asi iye asina chirwere chaicho.

Izvi zvaimbonzi `Munchausen syndrome neproxy`. Zita iroro rinobva kune munhu wenhoroondo aiwedzeredza nyaya. Zvisinei, izwi rekuti `Factitious Disorder Imposed on Another' rava kushandiswa kutsanangura maitiro aya nemazvo.

Chinhu chinonyanya kukosha ndechekuti rudzi urwu rwekunyepedzera rune njodzi zvikuru. Nekuti zvinogona kutungamira kune munhu asina mhosva, ane hanya kuti aedzwe mishonga zvisina kufanira, uye dzimwe nguva kuvhiyiwa zvine njodzi. Izvi ndizvo zvinoitika kana zvikwata zvekurapa zvichiedza kuona zviri kuitika chaizvo.

Izvi zvinoonekwa sechirwere chepfungwa uye senzira yekushungurudzwa . Zvisinei, kune nzira dzekuwana rubatsiro kune munhu ane chirwere cheFDA neanoshaya simba rekuzvidzivirira.

Dambudziko iri hariwanzoitika munharaunda. Uyewo, hapana nhamba dzakanyatsojeka dzekuti vangani vanhu vane chirwere ichi. Nekuti vanhu vazhinji vanobatwa nacho havaonekwe.

Sei izvi zvichiitika? Ndezvipi zvikonzero?

Vanachiremba havazivi kuti chii chinokonzera izvi, asi tsvakurudzo inoratidza kuti zvinhu zvinotevera zvinogona kukonzera maitiro aya:

• Kushungurudzika kwakanyanya, kushungurudzwa, kana kuregeredzwa munguva yakapfuura: Pamwe wakasangana nechinhu chakadai sechimwana.
• Kurasikirwa nemubereki kana muchengeti: Dambudziko iri rinogona kukonzerwa nekusakwanisa kurarama nekurasikirwa kwakadaro.
• Kushushikana kwakanyanya: Kana hupenyu huchinzwa sekunge hunonetsa zvakanyanya zvekuti haugone kutsungirira.
• Kuda kukuru kwekutariswa nevamwe: Chido chekuti vamwe vataure nezvavo uye vazvikoshese ivo pachavo nekuzvipira kwavo.

Izvi ndizvo zvimwe zvezvikonzero zvikuru zvakazivikanwa.

Ndezvipi zviratidzo zvemunhu ane chirwere ichi?

Kana uine mamiriro aya eFDA, unogona kukwanisa kuita zvinhu zvakaita se:

• Unoudza chiremba kuti munhu wauri kutarisira ane zviratidzo zvisipo zvechokwadi.
• Dzimwe nguva, mumwe munhu anokuvadzwa mumuviri kuitira kuti zviratidzo zvitange (semuenzaniso, nekunyima chikafu kuti munhu arege kuwedzera uremu).
• Kuchinja mhedzisiro yemishumo yekuongororwa kwechiremba kwemumwe munhu (semuenzaniso, nekusanganisa chimwe chinhu muchiyedzo cheweti).
• Zvinokanganisa hurongwa hwekurapwa kwemumwe munhu uye zvinomudzivirira kuti asanyanya kupora.

Ndezvipi zviratidzo zvinoonekwa zvekuti munhu anenge abatwa?

Kana uri munhu ane chirwere ichi cheFDA, unogona kuona zviratidzo zvakaita seizvi kune munhu anokutarisirwa:

• Haumbomusiye ari ega , kana kumusiya asingaonekwe newe.
• Anogona kunge aine nhoroondo yekupinzwa muchipatara nguva nenguva, kuongororwa, uye nzira dzakasiyana-siyana dzekurapa .
• Mishumo yezvekurapa inogona kusawirirana uye inogona kupesana.
• Zviratidzo zvingasaenderana nechirwere chimwe chete, kana kuti zvingasakwanisika kuwana chirwere chaicho .
• Zviratidzo zvinogona kungoonekwa kumba chete , uye zvingasaonekwa nachiremba.
• Zvinogona kutaurwa kuti zviratidzo zvakaderera pawakanga uri muchipatara, asi zvakawedzera zvakare pawakasvika kumba .
• Dzimwe nguva, sampuro dzeropa kana weti dzakaedzwa murabhoritari dzingasaenderana nerudzi rweropa kana weti yemunhu , kana kuti dzingaratidza humbowo hwekuti dzakakanganiswa.

Fungidzira, pane mwana mudiki, amai vake vanogara vachimuendesa kuchipatara, vachimuudza nezvechirwere chimwe nechimwe. Kunyangwe vanachiremba vapedza bvunzo imwe neimwe, hapana chirwere chinowanikwa. Asi paanodzokera kumba, amai vanotaura zvakare kuti mwana ari mudambudziko. Pamwe kana pasina chiremba, amai vanonyepedzera kurwara nekuita chimwe chinhu kumwana. Iyi ndiyo njodzi yeFDA.

Izvi zvinogara nhaka here? Ndezvipi zvinhu zvinokonzera njodzi?

Chikonzero cheFDIA muropa hachisati chawanikwa, zvichireva kuti hachisi chirwere chinogara nhaka .

Zvisinei, chirwere ichi chinowanzoonekwa pakati pevakadzi vanochengeta vana . Chinowanzoonekwawo pakati pevanhu vane matambudziko ehunhu .

Zvimwe zviratidzo zvinowanzoonekwa pakati pevanhu vane chirwere ichi zvinosanganisira:

• Une ruzivo rwakakura rwezvekurapa neruzivo rwehutano.
• Une hushamwari uye unonzwisisana nevamwe zviri nyore .
• Une chido chikuru uye wakazvipira semuchengeti.

Nekuda kwehunhu uhwu, dzimwe nguva vamwe havatombofungidziri chero chinhu.

Vanachiremba vanoongorora sei chirwere ichi?

Kutaura zvazviri, zvakaoma zvikuru kuti vanachiremba vazive chirwere ichi cheFDA. Nekuti, chinhu chikuru nezvechirwere ichi kusatendeseka uye kunyengera.Chiremba achatanga abvisa zvimwe zvirwere zvinogona kunge zvine chekuita nezviratidzo zviri kusangana nemunhu waunoda. Ndipo chete pavanozofunga kana uine chirwere cheFDA. Izvi zvinogona kutora nguva .

Chiremba achatanga abvunza nezvezviratidzo zvemudiwa wako uye, kana zvichidikanwa, oita bvunzo yemuviri pamwe nedzimwe bvunzo. Achakubvunza nezvenhoroondo yake yezvekurapa uye nhoroondo yemhuri yake yezvekurapa. Panguva ino, chiremba achanyatsoteerera zvinhu zvakaita se:

• Unogara uchienda kunzvimbo dzakasiyana-siyana dzekurapa kuti unorapwa here?
• Nhoroondo dzezvekurapa dzinopesana here?
• Unonzwa uchizeza here kupa zvinyorwa zvekurapa nguva isati yasvika, kana kukurukura izvi neshamwari nemhuri?
• Vanachiremba havabvumidzwe kutaura nemunhu ari kutarisirwa vari vega here?

Kana uchifungidzira kuti pane chimwe chinhu chakadai, chiremba achataura newe nezvemaitiro aya uye achave nechokwadi chekuti iwe nemunhu wauri kutarisira makachengeteka.

Maitiro ekuongorora chirwere cheFDA mu `DSM-5`

Sekureva kweAmerican Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, chinyorwa chechishanu (DSM-5), zvinodiwa zvinotevera zvinofanirwa kuzadzikiswa kuti munhu aonekwe aine FDAI:

• Kunyepedzera zviratidzo zvemuviri kana zvepfungwa, kana kukonzera kukuvara kana kurwara, nechinangwa chekunyengedza vamwe.
• Mumwe munhu anoratidza mumwe munhu (munhu akabatwa) kune vamwe seanorwara, asina simba, kana kuti akakuvara .
• Maitiro aya ekunyengera haaitwe nekutarisira purofiti yakakura, inoonekwa nekunze .
• Maitiro aya haakonzerwi nechimwe chirwere chepfungwa .

Ndezvipi zvinorapwa izvi?

Chinangwa chekutanga mukurapa chirwere cheFDIA ndechekuchinja maitiro anokuvadza uye kuderedza kushandiswa zvisina kunaka kana kushandiswa zvakanyanya kwezviwanikwa zvekurapa . Tevere, timu yako yezvekurapa ichatsvaga zvikonzero zvehunhu hwako.

Vanachiremba vachashanda pamwe chete kuti vave nechokwadi chekuti munhu wauri kutarisira haasi panjodzi uye kuti haasi kuwana bvunzo dzezvekurapa kana kurapwa zvisina kufanira. Munhu akabatwa, kureva munhu wauri kutarisira, angangodawo rubatsiro pa:

• Kumubvisa kubva pakuchengetwa kwako womuisa kutarisirwa nemumwe munhu.
• Kurapa chero kukuvara kana zvirwere zvaangave akatambura nazvo.
• Kutaura nemupi wezano wehutano hwepfungwa , nyanzvi yezvepfungwa, kana imwe nyanzvi yezvekurapa nezvezvirwere zvakaita sePost -Traumatic Stress Disorder (PTSD), Kushungurudzika, uye Kuzvidya Mwoyo zvinogona kukonzerwa nekushungurudzwa uku.

Kuti arape zvikonzero zvehunhu hwako, chiremba wako anogona kukutumira kuCognitive Behavioral Therapy (CBT).Unogona kutumirwa kuchirongwa chekurapa kwepfungwa chakadai se. Chinangwa chekurapa uku ndechekuona kuti pfungwa dzako nemanzwiro ako zvinokanganisa sei maitiro ako. Zvinokudzidzisawo kukosha kwekutendeseka . Mupi wezano wehutano hwepfungwa anogona kukubatsira kushandura mafungiro ako nemaitiro ako.

Kazhinji, chirwere cheFDA chinonetsa kurapa, chinoda nguva yakareba yekurapwa nerutsigiro . Mabasa eruzhinji, vezvemitemo, vekuchengetedza vana, vekuchengetedza vakuru, uye vanachiremba vese vanofanirwa kushanda pamwe chete sechikwata kuti vamise maitiro aya.

Mamiriro ezvinhu aya anogona kudzivirirwa here? Ndeipi migumisiro yakaipa inogona kuitika?

Hapana nzira inozivikanwa yekudzivirira chirwere ichi. Zvisinei, kutsvaga kurapwa kana zviratidzo zvatanga kunogona kubatsira kuderedza kukuvara kwacho . Semuenzaniso, kubvisa munhu wauri kutarisira kunogona kubatsira kudzivirira kukuvara kusingakoshi.

Mamiriro ezvinhu eFDA anogona kuva nemigumisiro yakaipa zvikuru. Mimwe yacho ndeiyi:

• Nyaya dzemutemo (kushungurudzwa uku imhosva).
• Munhu akabatwa anoramba achishungurudzwa .
• Kana mwana abatwa chibharo ava munhu mukuru, anogonawo kuva nemamiriro ezvinhu anozvikonzera zvirwere (`Factitious Disorder Imposed on Self`) .
• Mune zvimwe zviitiko zvakakomba, munhu wacho anogona kutofa .

Migumisiro iyi yakaipa inogona kudzivirirwa nekuona kuti chirwere ichi chinorapwa zvakanaka nekukurumidza.

Unofanira kukumbira rubatsiro riini? Unofanira kubvunza ani?

Kana uchifungidzira kuti mumwe munhu ari pedyo newe ari kuratidza maitiro aya eFDA, fonera chiremba kana mushandi wezvemagariro evanhu nekukasika . Kana ukaona zviratidzo zvekushungurudzwa, taura nezvazvo kuAdult Protective Services kana Child Protective Services yakakodzera. Kana mumwe munhu ari munjodzi huru, usazeza kufonera 911 kana nhamba yako yekukurumidzira yemuno.

Unogona kubvunza mibvunzo yakaita seiyi kuti uwane ruzivo nezvemunhu waunofungidzira kuti ane FDA:

• Unoenda kuna chiremba kangani?
• Munoenda kuna chiremba mumwe chete here, kana kuti munochinjana pakati pevanachiremba vakawanda?
• Munhu waunoda anonzwa sei mushure mekuongororwa kakawanda kudaro?
• Munhu waunotarisira ane zviratidzo zvekurwara here kunyangwe iwe usipo?
• Unonzwa kushushikana kwakanyanya semuchengeti wevana here?

Asi yeuka, nekuti mamiriro ezvinhu eFDA anogona kutungamira muhunhu hwekunyengera, ungasawana mhinduro dzakajeka kumibvunzo iyi. Paunenge uchiedza kuunganidza ruzivo, dzivisa kubvunza mibvunzo yekupomera . Taura hurukuro nenzira yakapfava uye inobvunza.

Muchidimbu, zvinhu zvatinofanira kurangarira

Dambudziko rechokwadi rinoiswa pane rimwe (FDA) idambudziko rakaoma kuongororwa, kurapa, uye rine njodzi huru. Hunhu uhwu hwekunyengera hunogona kutungamira kumatambudziko ehupenyu hwese.

Asi, kushungurudzwa uku kunogona kumiswa . Usazeza kutaura chokwadi uye, kana zvichidikanwa, taurirana nezviwanikwa padanho renyika neremunharaunda. Munhu wese anobatanidzwa anogona kuwana rubatsiro. Hausi wega .

Tinovimba kuti ruzivo urwu ruchakubatsira. Kana muine mimwe mibvunzo nezvenyaya iyi, ndapota taurai nachiremba anovimbwa naye.

` Dambudziko rechokwadi rakaiswa pane rimwe, FDA, Munchausen syndrome neproxy, hutano hwepfungwa, kushungurudzwa kwevana, kurwara kwenhema, kushungurudzwa kwekuchengeta