Uri kunetseka here kudzora hasha dzinongoerekana dzamuka? Ngatikurukurei nezve Intermittent Explosive Disorder (IED)!

Dzimwe nguva unotsamwira chimwe chinhu chidiki zvekuti hautombofungidzire here? Unoridza mhere, unokanda chimwe chinhu pasi, kana kutorova mumwe munhu here? Izvi zvinogona kunge zviri chimwe chinhu chakadzama kupfuura kungova "tsika yakaipa" kana "munhu anokurumidza kutsamwa." Nhasi tichataura nezverudzi urwu rwekutsamwa kwakangoerekana kwaitika, chirwere chepfungwa chinonzi `(Intermittent Explosive Disorder - IED)`.

Chii chinonzi "Intermittent Explosive Disorder - IED"?

Zvichitaurwa zviri nyore, Intermittent Explosive Disorder (IED) chirwere chepfungwa chinoratidzwa nemaitiro ekutsamwa asingadzoreki kana kutsamwa. Chinhu chakakosha ndechekuti vanhu ava vagamuchire hasha nenzira isingaenderane nemamiriro acho ezvinhu. Kunyangwe chimwe chinhu chidiki chakaoma zvikuru kwavari. Fungidzira, kana mumwe munhu akasvetuka pamberi pako mumutsara, uye iwe ukatsamwa zvekuti unobuda mumotokari yako wozviuraya nacho, hasha idzodzo hadzisi dzenguva dzose.

Asi chinoshamisa ndechekuti, kana vasina hasha, vanhu vane "IED" vanozvibata zvakanaka uye zvakanaka. Ichi chirwere chiri muboka re "Impulse control disorders", kureva zvirwere umo zvakaoma kudzora mafungiro anomuka mupfungwa.

Ongororo yakawana kuti vanhu vanosvika 80% vane IED vanogona kunge vaine imwe chirwere chepfungwa. Chinonyanya kuoneka pazvirwere izvi idambudziko rekuzvidya mwoyo, bipolar disorder, autism, uye kusagadzikana kwepfungwa.

Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya ekuti '(IED)'?

Chirwere ichi chinogona kubata vana vane makore matanhatu kana vakuru. Zvisinei, chinowanzoonekwa muvana vari pasi pemakore makumi mana . Zvinonziwo chinowanzoitika muvarume .

Vaongorori vanofungidzira kuti pakati pe1.4% ne7% yevanhu pasi rose vanogona kunge vaine chirwere cheIntermittent Explosive Disorder. Izvi zvinoreva kuti kunyange zvazvo chisingawanzoitiki, vanhu vakawanda vanotambura nechirwere ichi.

Ndezvipi zviratidzo zve `(Intermittent Explosive Disorder - IED)`?

Hunhu hukuru hwechirwere ichi ndechekuti hasha dzinongoerekana dzamuka nenzira isina kukodzera zvachose, isina chinangwa, uye isina kuenzana nemamiriro ezvinhu. Vanhu ava vanoziva kuti maitiro avo haana kunaka uye haana kukodzera, asi panguva iyoyo vanoomerwa nekudzora kuzvidzora.

Heino mhando yekutsamwa uku:

• Hachisi chinhu chinoitwa nemaune, asi chinhu chinongoerekana chaitika uye chisina kurongeka. Hachisi chinhu chakarongwa pachine nguva.
• Hasha idzi dzinotanga mukati memaminitsi mashoma echiitiko (kudenhwa).
• Hasha idzi hadziwanzogara kwenguva inopfuura maminetsi makumi matatu.
• Chiitiko ichi chinoita kuti munhu ari kutaurwa nezvake ashushikane zvikuru mupfungwa uye asuruvare.
• Maitiro aya anokonzera matambudziko kuchikoro, kubasa, uye kumba.

Hasha idzi dzinobuda sei?

Hasha idzi dzinogona kuzviratidza nenzira dzakawanda. Heano mienzaniso mishoma:

• Hasha: Maitiro akaita sekukunguruka pasi, kuchema, uye kushevedzera semwana mudiki.
• Kutyisidzira nemashoko: kupopota, kutyisidzira vamwe, kutuka.
• Kurwisa vanhu kana mhuka: kusundidzira, kurova, kurova, uye dzimwe nguva kutoshandisa chombo kukuvadza.
• Kukuvadzwa kwezvinhu: kukanda zvinhu chero zvodini, kukava, kupwanya fenicha, kugogodza magonhi.
• Mhirizhonga mudzimba: Kushungurudzwa kwenhengo dzemhuri.
• Hasha dzemumugwagwa: Fungidzira wakatsamwa zvekuti unoda kuuraya mumwe munhu nekuti achangobva kukupfuura mumigwagwa.

Zviitiko izvi zvehasha dzimwe nguva zvinogona kuva zvidiki, uye dzimwe nguva zvinogona kuva zvakakomba zvekuti mumwe munhu anogona kukuvara zvakanyanya, kana kutofa.

Ndezvipi zvinhu zvaunogona kunzwa usati watsamwa?

Usati watanga kuputika zvine simba seizvi, unogona kuona zvimwe zvezviratidzo izvi:

• Hasha, kunzwa kwehasha kusingagone kudzorwa mupfungwa.
• Kutsamwa.
• Ndinonzwa kumanikidzwa kukuru uye kushushikana mumoyo mangu.
• Zvakaita sekuti pfungwa dziri mumusoro mako dziri kumhanya nekukurumidza.
• Handikwanise kutaura nevamwe vanhu zvakanaka.
• Zvinoita sekuti muviri wangu wava nesimba rakawanda.
• Kudengenyeka.
• Kurova kwemoyo kunowedzera kamwe kamwe (kurova kwemoyo).
• Kusimba kwechipfuva.

Mushure mekunge hasha idzi dzasunungurwa, pane kunzwa kwekuzorodzwa kwenguva pfupi, asi ipapo kunzwa kwekusuruvara, kuzvidemba, uye kunyara kunomuka. Unoshamisika kuti, "Ndakaitei?"

Sei paine Intermittent Explosive Disorder (IED)?

Vatsvakurudzi vachiri kuedza kutsvaga kuti chii chinokonzera izvi, asi vanofunga kuti zvinokonzerwa nezvinhu zvitatu zvikuru:

1. Zvinhu zvinokonzerwa nemajini: Izvi zvinogona kuitika mumhuri. Izvi zvinoreva kuti kana mumwe munhu mumhuri yako aine chirwere ichi, iwe une mukana wekuwanawo chirwere ichi. Zvidzidzo zvakaratidza kuti pane simba remajini rinoita kuti munhu aite zvinhu zvisina musoro uye zvine hasha rive ne44% kusvika 72%.

2. Zvinhu zvehupenyu: Kuchinja kwemaumbirwo nemashandiro ehuropi hwedu kunogona kukonzera izvi. Semuenzaniso, MRI (Magnetic Resonance Imaging) scans yakawana kuti chikamu chehuropi chinonzi amygdala, chinotonga manzwiro edu, chinokanganiswa. Vakaonawo kuti huwandu hwe neurotransmitter serotonin (kemikari inotakura mameseji pakati petsinga uye inoshandawo sehomoni) hwakaderera pane zvakajairika kuvanhu vane IED.

3.Zvinhu Zvinokonzera Kushungurudzika: Kutukwa kana kushungurudzwa uri mwana, kana kuona kushungurudzwa mumba, zvinogona kubatsira pakukura kwechirwere ichi. Uyewo, chimwe kana zvimwe zviitiko zvinoshungurudza zvakaitika paudiki zvinogona kuva chikonzero.

Dambudziko reIntermittent Explosive Disorder (IED) rinoonekwa sei?

Kana uchifunga kuti iwe kana mumwe munhu waunoziva, kunyanya mwana wako, angave nezviratidzo izvi, zvakakosha kutanga waona chiremba ane hunyanzvi . Vangangokutumira kune nyanzvi yehutano hwepfungwa inyanzvi mukuongorora nekurapa zvirwere izvi. Anogona kunge ari chiremba wepfungwa, chiremba wepfungwa, kana mushandi wezvemagariro evanhu.

Vanoongorora IED vachishandisa zvinodiwa kubva kuAmerican Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM). Vachataura newe nokungwarira uye vachakubvunza mibvunzo yakadzama nezvezviratidzo zvako nemaitiro ako. Vachakubvunza mibvunzo nezvezvinhu zvakaita se:

• Nhoroondo yezveutano hwako neyemhuri yako, kunyanya maererano nematambudziko epfungwa.
• Nezvehukama hwako (Nhoroondo yehukama hwako).
• Ruzivo rwechikoro nenzvimbo yebasa.
• Nezve kugona kwako kudzora mafungiro ako.

Ungatokwanisa kuwana ruzivo nezvemaitiro ako nenhoroondo kubva kumhuri yako neshamwari dzepedyo.

Kuti unyatsoonekwa uine ``(IED)'', unofanira kuratidza kusakwanisa kudzora mafungiro ehasha, akadai se:

• Kana, zviitiko zvinoitika kakawanda, asi zvisingakuvadzi zvakanyanya: kureva, kutuka nemashoko (kupopota, kutyisidzira, kukakavadzana) kana kutuka zvinhu, mhuka, kana vanhu (asi pasina kukuvara kwakanyanya kana kukuvara kwezvinhu) zvichiitika kanenge kaviri pasvondo kwemwedzi mitatu .
• Kana, zviitiko zvisingawanzoitiki asi zvakakomba: Zviitiko zvitatu zvekukuvadzwa kwezvinhu uye/kana kurwiswa kwemhuka kana vanhu zvinoguma nekukuvara, mukati memwedzi gumi nemiviri (gore rimwe) .

Chinhu chinonyanya kukosha ndechekuti hasha dzacho hadzina kuenzana nemamiriro ezvinhu uye dzakakomba zvisingawanzoitiki. Uye izvi hazvisi zvinhu zvakarongwa kare. Zvinongoerekana zvaitika, nekuda kwehasha kana kungoita zvinhu zvisina kurongeka. Zvakare, chiremba achava nechokwadi chekuti zviratidzo izvi hazvikonzerwi nechirwere chepfungwa, chimwe chirwere chemuviri, kana kushandisa zvinodhaka.

Munhu wacho anofanira kunge aine makore matanhatu zvichikwira kuti aonekwe aine chirwere ichi, asi chinowanzoonekwa pakutanga pahudiki kana pazera rekuyaruka.

Ndeapi marapirwo e "Intermittent Explosive Disorder - IED"?

Kurapwa kwechirwere ichi kunonyanya kuitwa nekurapa kwepfungwa (talk therapy) uye dzimwe nguva mishonga. Chiremba wako ndiye achasarudza zvichienderana nezera rako, rudzi uye kuoma kwezviratidzo zvako.

Chinangwa chikuru chekurapa ndechekuderedza zviratidzo zvachose, kana kuti kuderedza kuoma kwechiratidzo chimwe chete kana zviviri. Kunyange zvazvo vamwe vanhu vangasakwanisa kupora zvizere, chinangwa ndechekuchengetedza munhu wacho nevamwe vakachengeteka uye kuderedza kuwanda, simba, uye kuwanda kwekuputika kwechirwere.

`(Kurapa Nepfungwa)` ye`(IED)`

Kurapa kwepfungwa ndiyo nzira huru uye inonyanya kukosha yekurapa izvi. Kunyanya , Kurapa Kwepfungwa Nemaitiro (CBT) kunoshandiswa zvinobudirira pachinangwa ichi.

>`(CBT)` inzira yekurapa yakarongeka, ine chinangwa. Muizvi, murapi anokubatsira kutarisa zvakadzama pfungwa dzako nemanzwiro ako. Unogona kunzwisisa kuti pfungwa dzako dzinokanganisa sei zviito zvako. `(CBT)`, unogona kubvisa pfungwa dzisina kunaka, dzinokuvadza uye maitiro akaipa mumusoro mako uye kudzidza kufunga nekuzvibata nenzira ine hutano panzvimbo pezvo. `(IED)` inogona kubatsira vanhu vane `(CBT)` kugadzirisa mamiriro ezvinhu akaoma muhupenyu hwezuva nezuva uye kudzora mafungiro anokonzera hasha.

Dzimwe nzira dzakashandiswa pakurapa IED muCBT ndedzinotevera:

• Kugadziriswazve kwepfungwa: Izvi zvinosanganisira kuziva nekushandura mafungiro asina kunaka nemafungiro asina kunaka auinawo nezvezviitiko zvinomutsa hasha kana zvinhu zvaunoona sekutyisidzira.
• Kudzidzira kuzorora: Kufema zvakadzama uye kuzorora kwetsandanyama zvishoma nezvishoma (nzira yaunosimbisa uye unozorodza tsandanyama mumuviri wako zvishoma nezvishoma uchifungidzira mamiriro ezvinhu anokonzera hasha) zvinogona kukubatsira kuderedza mhinduro yako kuhasha.
• Kudzidziswa kwehunyanzvi hwekugona kugadzirisa matambudziko: Kutamba nemurapi, mamiriro ezvinhu apo hasha dzinogona kumuka, uye kuita maitiro ane hutano, sekubva panzvimbo iyi.
• Kudzivirira kudzokera shure: Vanhu vane IED vanodzidziswa kuti zvakajairika kuti vadzokere muhunhu hwehasha, uye kuti hazvifanirwe kuonekwa sekukundikana, asi se'chikanganiso' chidiki kana 'kudzokera shure'.

Mishonga ye `(IED)`

Mimwe mishonga inogona kuwedzera "chikumbaridzo" chako, zvinoreva kuti unogona kusatsamwa zvakanyanya kunyange nezvinhu zvidiki.

Fluoxetine (Selective Serotonin Reuptake Inhibitor - SSRI) ndiyo mushonga unonyanya kudzidzwa pakurapa IED. Mimwe mishonga yakadzidzwa pakurapa IED inosanganisira Phenytoin, Lithium, Oxcarbazepine, uye Carbamazepine.

Vanachiremba vanogona kunyora mhando idzi dzemishonga yeIED:

• `(Mishonga yekuderedza kushushikana)`
• `(Mishonga yekurwisa pfungwa)` (mishonga yezvirwere zvepfungwa)
• `(Mishonga yekudzivirira pfari)` (mishonga inopihwa yezvirwere zvakaita sepfari)
• `(Mishonga yekuderedza kuzvidya mwoyo)` (Mishonga yekuderedza kuzvidya mwoyo)
• `(Zvinodzora mafungiro)` (mishonga inodzikamisa mafungiro)

Zvakakosha: Mishonga iyi inofanira kutorwa chete pasi pekutarisirwa kwachiremba, muchiyero chakatarwa, uye kwenguva yakatarwa. Kutora kana kurega mishonga paunoda kunogona kukonzera migumisiro yakaipa.

Ndezvipi zvinhu zvinokonzera njodzi yekubatwa neIntermittent Explosive Disorder (IED)?

Vatsvakurudzi vakaona zvinhu zvinoverengeka zvinokonzera njodzi iyi:

• Kuva jaya.
• Kushaya mabasa.
• Kuva asina kuroora kana kuroorwa (usina kuroora kana kuroorwa).
• Dzidzo yakaderera zvikuru.
• Kushungurudzwa panyama kana pabonde, kunyanya panguva yehudiki.
• Kuva nehama yepedyo ine chirwere cheIntermittent Explosive Disorder.

Kana muine kutya kana kusava nechokwadi kuti mwana wenyu angave nechirwere ichi, zvakanaka kutaura nachiremba nezvazvo.

Chii chinotarisirwa kumunhu ane Intermittent Explosive Disorder (IED)?

Ongororo dzinoratidza kuti vanhu vane IED vane hupenyu husina kugutsikana uye hupenyu hwavo hwakaderera. Izvi zvinogona kukanganisa hutano hwako, uye zvinogona kukonzera matambudziko makuru muhupenyu hwako, hupenyu hwemhuri, kubasa, uye hukama hwevanhu.

Mashoko akanaka ndeekuti IED inogona kurapwa zvinobudirira neCognitive Behavioral Therapy (CBT) uye, kana zvichidikanwa, mishonga. Zvisinei, zvakakosha kuyeuka kuti zvidzidzo zvinoratidza kuti IED inowanzova chirwere chenguva refu, chinogara makore 12-20, kana kutoti hupenyu hwese.

Uyezve, vanhu vane IED vanowanzosangana nemamiriro ezvinhu anotevera:

• `(Kuora Mwoyo)` (Kuora Mwoyo)
• `(Kunetseka)` (Kunetseka)`
• `(Dambudziko rekushandisa doro)` (Kupindwa muropa nedoro)
• `(Dambudziko rekushandisa zvinodhaka)` (Kupindwa muropa nemimwe mishonga)

Zvakakosha: Vanhu vane IED vari panjodzi yakakura yekuzvikuvadza (semuenzaniso, kuzvicheka, kuzvipisa) uye kuzviuraya. Saka, kana uchifunga kuti iwe kana mumwe munhu mumhuri yako angave aine Intermittent Explosive Disorder, zvakakosha kutsvaga rubatsiro rwechiremba nekukurumidza.

Ndingazvitarisira sei kana ndine Intermittent Explosive Disorder (IED)?

Kana wakamboonekwa uine chirwere cheIntermittent Explosive Disorder, pane zvimwe zvinhu zvakakosha zvaunogona kuita kuti uzvitarisire. Chinonyanya kukosha pane izvi kutsvaga kurapwa kwenyanzvi uye kwechiremba uye kuramba wakadaro. Mukurapwa, unogona kudzidza zvinhu zvakawanda zvinogona kukubatsira kudzivirira hasha kuti dzisaitike uye, kana dzikaitika, dzidzore:

• Maitiro ekuzorora: Zvinhu zvakaita sekurovedza muviri kufema zvakadzika uye kufungisisa.
• Kuchinja mafungiro ako (Kugadzirisa mafungiro ako): Kuziva nekushandura pfungwa dzinokonzera hasha.
• Unyanzvi hwekutaurirana: Kudzidza kutaura manzwiro ako nezvaunoda zvakajeka kune vamwe pasina hasha.
• Chinja nzvimbo yako, uye dzidza kubva munzvimbo dzinoshungurudza kana zvichibvira: Dzimwe nguva, kungobva panzvimbo kana munhu kwenguva yakati kunogona kuita mutsauko mukuru.

Chimwe chinhu chakakosha ndechekudzivisa zvachose kushandisa doro nezvimwe zvinodhaka. Izvi zvinogona kuderedza kugona kwako kudzora zvishuwo zvako uye kuwedzera njodzi yako yekuita zvechisimba.

Ndirini pandinofanira kuona chiremba nezve `(Intermittent Explosive Disorder - IED)`?

Kana iwe kana mwana wako makaonekwa kuti mune Intermittent Explosive Disorder, munofanira kusangana nechikwata chenyu chekurapa (chiremba, murapi) nguva nenguva kuti muone kana kurapwa kwenyu (psychotherapy uye/kana mishonga) kuri kushanda uye kana paine shanduko dzinofanira kuitwa.

Kana maitiro ako kana emwana wako ari kukonzera kukuvara kana njodzi kune vamwe (vamwe vanhu, mhuka), tsvaga rubatsiro rwechiremba nekukasika. Uyewo, kana mumwe munhu ane `(IED)` ari kufunga nezvekuzvikuvadza kana kuedza kuzviuraya, rubatsiro runodiwa nekukasika. Ndapota zivisa chiremba kana munhu waunovimba naye nekukasika, kana kuti tumira kune sevhisi yehutano hwepfungwa iri pedyo (semuenzaniso, chipatara chepfungwa chechipatara chehurumende).

Yeuka, Intermittent Explosive Disorder (IED) chirwere chepfungwa. Hachisi tsika yakaipa kana tsika yakaipa. Sezvineiwo nechirwere chepfungwa, kutsvaga rubatsiro kana wangoona zviratidzo kunogona kubatsira kuderedza kukanganiswa nematambudziko muhupenyu hwako. Nyanzvi dzehutano hwepfungwa dzinogona kukupa hurongwa hwekurapa hwakagadzirirwa iwe uye hunokubatsira kudzora mafungiro ako nemaitiro ako.

Mhuri nevadikanwi vevanhu vane IED vanowanzonzwa kushushikana, kuora mwoyo, uye kusurukirwa. Zvakakosha kutarisira hutano hwepfungwa dzako uye kutsvaga rubatsiro kana uine zviratidzo izvi. Kana uri muukama nemunhu ane IED, funga nezvekutora matanho ekuzvidzivirira iwe nevana vako.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, ngatipfupisei zvimwe zvezvinhu zvakakosha zvaunofanira kurangarira kubva pane zvatataura nezvazvo.

• Dambudziko rekuputika rinoitika panguva imwe chete (Intermittent Explosive Disorder - IED) chirwere chepfungwa chaicho. Hachisi "hasha dzakaipa" chete kana "hasha dzakaipa."
• Dambudziko iri rinogona kurapwa zvinobudirira nekurapa kwepfungwa uye, kana zvichidikanwa, mishonga.
• Zvakanaka kuwana rubatsiro nekurapwa nekukurumidza kuitira kuti matambudziko agadziriswe asati anyanya kuipa.
• Usanyara kukumbira rubatsiro mumamiriro ezvinhu akadai. Hausi wega.
• Kungofanana nemunhu ane IED, nhengo dzemhuri yake dzinoda rutsigiro nerubatsiro. Ivowo vanogona kutambura neizvi.

Kana muine mimwe mibvunzo nezvenyaya iyi, ndapota taurai nachiremba kana mupi wezano wehutano hwepfungwa ane hunyanzvi.

` Intermittent Explosive Disorder, IED, kudzora hasha, maitiro asina kurongeka, hutano hwepfungwa, CBT, kurapwa