Unogara uchirwara here kunyangwe usina chirwere chemuviri? Ngatitaure nezve (Somatic Symptom Disorder) iyi!

Wakambonzwa here kuti kunyangwe ukaenda kuna chiremba uye iye oti hauna chirwere chakakomba, uchiri kunzwa kurwara zvakanyanya uye uine zviratidzo chimwe nechimwe? Kana kuti unonzwa mutoro mukuru uye kuzvidya mwoyo kunyangwe uine chirwere chidiki here? Zvinhu izvi zvinokutadzisa kuita mabasa ako ezuva nezuva nemazvo here? Kana zvakadaro, musoro wenyaya watichataura nezvawo nhasi uchava wakakosha kwauri.

Chii chinonzi "Somatic Symptom Disorder"?

Zvichitaurwa zviri nyore, `(Somatic Symptom Disorder - SSD)` chirwere chepfungwa chaunotambura zvakanyanya uye uchinetseka nezvechimwe chinhu, kunyangwe chisiri chirwere chemuviri, kana kuti, nezvechimwe chinhu chidiki. Chinoitika apa ndechekuti kuzvidya mwoyo kwako nekutya zvinokonzera zviratidzo zvemuviri, kana kuti kuita kuti zviratidzo zviripo zviwedzere kuipa. Izvi zvinogona kukanganisa hupenyu hwako hwezuva nezuva uye kuderedza kunakidzwa kwako nehupenyu.

Chinhu chakakosha ndechekuti, vanhu ava havasi kuita zvinhu. Vari kunzwa kurwadziwa ikoko, kusagadzikana ikoko. Asi chikonzero chacho chakabatana zvikuru nekushanda kwepfungwa pane chirwere chakakomba mumuviri. Vanhu ava vanoenda kuna vanachiremba nguva dzose, vanoongororwa, asi havawani rugare rwepfungwa.

Ndeupi musiyano uripo pakati pe `(Somatic Symptom Disorder)` ne `(Illness Anxiety Disorder)`?

Zvino ungangove uchishamisika kana izvi zvakafanana ne `(Illness Anxiety Disorder)`. Izvi zviviri zvakasiyana zvishoma. Munhu ane `(Illness Anxiety Disorder)` kazhinji haana zviratidzo zvikuru zvemuviri, asi anogara achifunga kuti acharwara zvakanyanya, kana kuti anotya zvikuru kuti atove nechirwere, uye ndizvo zvaanofunga nezvazvo. Asi mu `(Somatic Symptom Disorder)`, zviratidzo zvemuviri zvinonzwika, uye ndizvo zvavanonyanya kunetseka nazvo.

Ndeupi musiyano uripo pakati pe `(Conversion Disorder)` ne `(Somatic Symptom Disorder)`?

Izvi ndizvo zvinoitikawo kune `(Conversion Disorder - Functional Neurological Symptom Disorder)`. Muizvi, nekuda kwedambudziko mukushanda kwetsinga dzemuviri (asi kwete nekuda kwekukuvara kwetsinga mumuviri), zviratidzo zvakaita sekutadza kufamba, kutadza kutaura, uye kurasikirwa nekuona zvinoitika. Zvisinei, mu`(Conversion Disorder)`, kunetseka zvakanyanya uye kunetseka nezvezviratidzo zvemuviri zvinomuka hazvisi chinhu chikuru. Zvisinei, mu`(Somatic Symptom Disorder)` , chinhu chikuru kunetseka zvakanyanya nezvezviratidzo zvemuviri uye kushushikana kunomuka nekuda kwazvo.

Chirwere ichi chinobata ani? Chinowanzoitika sei?

Chirwere ichi chinonzi "(Somatic Symptom Disorder)" chinogona kukanganisa vana, vechidiki, nevakuru. Kazhinji, zviratidzo zvechirwere ichi zvinotanga kuonekwa vasati vasvitsa makore makumi matatu. Zvinofanira kucherechedzwa kuti vakadzi vane mukana wekuona chirwere ichi kanenge kagumi kupfuura varume.

Izvi hazvisi zvisinganzwisisike. Vanachiremba vanoti pakati pe5% ne7% yevanhu vakuru vanogona kunge vaine chirwere ichi.

Ndezvipi zviratidzo zve `(Somatic Symptom Disorder)`?

Munhu ane chirwere ichi anogona kusangana nezviratidzo zvakasiyana-siyana zvemuviri. Zviratidzo zvinonyanya kuzivikanwa ndeizvi:

• Marwadzo emuviri (ichi ndicho chiratidzo chinowanzotaurwa nezvacho). Chinogona kuva chero chinhu kubva kumusoro, kurwadziwa kwemudumbu, kusvika kumarwadzo emajoini.
• Kuneta, kunzwa sekuti hauna hupenyu.
• Kuoma kufema (dzimwe nguva kunonzi "Dyspnea", zvinoreva kunzwa kudzipwa kana kunetseka kufema).

Zviratidzo izvi zvinogona kunge zvisina kunyanya kuipa, kana kuti zvakanyanya. Panogona kunge paine chimwe kana kupfuura. Panogona kunge paine chikonzero chekurapa cheizvi, kana kuti pangave pasina chikonzero chakajeka.

Zvisinei, pamusoro pezviratidzo izvi zvemuviri, hunhu hukuru hwe "Somatic Symptom Disorder" ndiwo mafungiro, maitiro, uye manzwiro evanhu ava mukupindura kwavari. Ndizvo:

• Vanotya zvakanyanya uye vanonetseka nezvezviratidzo zvavo zvemuviri.
• Kunyangwe chiratidzo chidiki chinofungidzirwa sechiratidzo chechirwere chinouraya. Fungidzira, kana ukanzwa kurwadziwa kudiki mudumbu, uchanetseka kwemazuva, uchifunga kuti, 'Aa, handizivi kana ndakatombova nekenza.'
• Vanoenda kuna vanachiremba vonoongororwa, asi kana mhedzisiro yadzoka, havazvitendi. Vanoti, "Chiremba haakwanise kuongorora chirwere changu."
• Ndinonzwa sekuti chiremba haana hanya nezviratidzo zvangu.
• Kuchinja kubva kuna chiremba mumwe kuenda kune mumwe, kana kuwana mishonga kubva kuna vanachiremba vakawanda panguva imwe chete (izvi zvinonziwo 'kutenga vanachiremba').
• Vanopedza nguva yakawanda nesimba vachifunga nezvematambudziko avo ehutano uye vachiwana mhinduro dzawo.
• Vanogara vachiita sevanonzwa zvakanyanya nezvemigumisiro yemishonga. Vanogara vachiti, 'Ah, chiremba, mushure mekutora mushonga iwoyo, izvi zvakaitika kwandiri, izvi zvakaitika kwandiri.'
• Vanotanga kuvimba nevamwe. Vanokumbira rubatsiro, rutsigiro rwemanzwiro. Vanotsamwa kana zvavanoda zvikasazadziswa.
• Pfungwa, manzwiro, uye maitiro pamusoro pezviratidzo zvavo zvemuviri zvinoita kuti zvisakwanise kuita mabasa ezuva nezuva nemazvo.

Zvakakosha kuti, pakati pe30% ne60% yevanhu vane Somatic Symptom Disorder vanogonawo kunge vaine matambudziko epfungwa akadai sekuzvidya mwoyo uye/kana kuora mwoyo.

Ndezvipi zvikonzero zveizvi?

Sei izvi zvichiitika? Vaongorori vanoti pane zvikonzero zvakawanda zvinogona kunge zvichiitika. Izvi zvinosanganisira majini, zvinhu zvakatipoteredza, uye zvinhu zvepfungwa. Zvimwe zvezvikonzero zvikuru zvakaonekwa ndeizvi:

• Kushungurudzwa panyama kana pabonde panguva yehudiki. Zvinhu zvakadai zvinogona kukonzera kushungurudzika mupfungwa.
• Kusakwanisa kunzwisisa uye kudzora manzwiro emunhu zvakanaka paudiki. Izvi zvinogona dzimwe nguva kukonzerwa nezvinhu zvakaita sekuti 'Parental Neglect' kana kuti 'Kusava Nehukama Hwepedyo Nemanzwiro', izvo zvinoreva kushaya rudo, kutarisirwa, kana kuva pedyo nemanzwiro kubva kuvabereki.
• Kunyanya kunetseka nezvekuchinja kwemuviri wako uye zvaunonzwa ('maitiro emuviri'), kugara uchizvibvunza kuti, 'Ndicharwara here?'

Izvi zvinoonekwa sei?

Paunoenda kuna chiremba, iye achatanga akuongorora (`Physical Exam`), uye anogonawo kuraira kuongororwa kweropa, kuongororwa weti, nezvimwewo (`Laboratory Tests`). Izvi zvinoitirwa kuona kana paine chimwe chikonzero chemuviri chezviratidzo zvauri kuona. Iye achakubvunzawo nezvezvirwere zvako zvekare (`Health History`).

Mushure mekuongororwa uku, kana zvikaonekwa kuti hauna chirwere chakakomba chemuviri, kana kuti pasina chikonzero chekurapa chinogona kuwanikwa chekukomba kwezviratidzo zvako, chiremba wako anogona kukutumira kuna chiremba wepfungwa , akadai sechiremba wepfungwa kana chiremba wepfungwa .

Chipangamazano wehutano hwepfungwa achaona kana uine chirwere chinonzi ``Somatic Symptom Disorder`` zvichienderana nezvinodiwa. Kuti munhu aongorore izvi, anofanira:

1. Unofanira kunge uine chiratidzo chimwe chete kana kupfuura chinokukanganisa muhupenyu hwako hwezuva nezuva uye chinokukonzera kushungurudzika kwemwedzi mitanhatu .

2. Uyewo, panofanira kunge paine pfungwa dzakawandisa, manzwiro, kana maitiro ekupindura zviratidzo izvozvo. Kureva kuti, chimwe chezvinotevera chinofanira kunge chiripo:

• Kufunga zvakanyanya uye kwenguva refu nezvekukomba kwezviratidzo zvemuviri.
• Kuva nepfungwa dzakanyanya pamusoro pehutano kana zviratidzo zvemuviri nguva dzose.
• Kushandisa nguva yakawanda nesimba pazviratidzo zvemuviri nematambudziko ehutano.

Kune vanhu vane chirwere ichi (Somatic Symptom Disorder)`, dzimwe nguva zvinogona kuoma kugamuchira kuti kunetseka kwavo nekutya kwavo "kwakawandisa."

Pane mushonga weizvi here?

Ehe, zvechokwadi. Chinangwa chikuru chekurapa ndechekudzora zviratidzo zvemuviri ukuwo uchirapa zviratidzo zvepfungwa. Izvi zvinosanganisira kutaura nezvekurapa (psychotherapy) uye dzimwe nguva mishonga yekurapa kunetseka nekuora mwoyo .

Kurapa Nepfungwa Nemaitiro (CBT) imhando yekurapa kwepfungwa kunonyanya kushandiswa. Inobatsira vanhu kushandura mafungiro avo nemaitiro avo, nokudaro ichichinja manzwiro avo. Vachitungamirirwa nachiremba wepfungwa kana wepfungwa, CBT inogona kubatsira vanhu kubata nekuzvidya mwoyo nekushushikana uye kubata nemamiriro ezvinhu akasiyana zvinobudirira.

Kana uine `(Somatic Symptom Disorder), `(CBT)` inogona kubatsira nezvinhu zvakaita se:

• Ongorora manzwiro ako uye zvaunotenda nezvezviratidzo zvemuviri wako uye hutano hwako hwese.
• Tsvaga nzira dzekuderedza kushushikana uye kuzvidya mwoyo nezvezviratidzo zvako.
• Rega kunyanya kufunga nezvezviratidzo zvako zvemuviri.
• Ziva kuti ndezvipi zvinhu zvinoita kuti zviratidzo zvemuviri wako zviwedzere kuipa.
• Kunyangwe kana uine kurwadziwa kana zvimwe zviratidzo, tsvaga nzira dzekugara wakasimba uye uchishamwaridzana nevamwe.
• Ita mabasa ako ezuva nezuva zviri nani.

Dzimwe nguva chiremba wako anogona kukupa mishonga yakadai semishonga inorwisa kuora mwoyo . Pamusoro pekuvandudza mafungiro, izvi zvinonzi zvinobatsira kuderedza zviratidzo zvakaita sekurwadziwa, kuneta, kurwadziwa kwemajoini, uye kushaya hope.

Ndezvipi zvinhu zvinokonzera njodzi yechirwere ichi?

Ongororo dzakaratidza zvinhu zvakawanda zvinokonzera njodzi zvinoparira kukura kwechirwere ichi. Mienzaniso inosanganisira:

• Kunyanya kutarisisa manzwiro emuviri.
• Dambudziko reKushandisa Zvinetso.
• Dambudziko rekushandisa doro.
• Kuregeredzwa panguva yehudiki.
• Kushungurudzwa panyama uye pabonde.
• Mararamiro asina kugadzikana/Kushungurudzika.
• Kutambura nezvirwere zvenguva refu panguva yehudiki (`Kurwara kwenguva refu panguva yehudiki`).
• Kuva nezvimwe zvirwere zvepfungwa, kunyanya kuzvidya mwoyo kana kuora mwoyo.
• Kuva nemamwe matambudziko ehunhu, semuenzaniso, Avoidant Personality Disorder, Paranoid Personality Disorder, uye Obsessive-Compulsive Personality Disorder.

Kurapa kwepfungwa kunogona kubatsira vanhu vane SSD kudzidza dzimwe nzira dzekugadzirisa kushushikana uye zvinokonzera zviratidzo zvinowedzera. Izvi zvinogona kubatsira kuderedza kusimba kwezviratidzo zvavo.

Chii chiri kufanotaura nezvechirwere ichi?

Dambudziko reSomatic Symptom Disorder rinogona kunge riri chirwere chenguva refu (chisingaperi). Kureva kuti, rinogona kunge riri dambudziko apo zviratidzo zvinouya zvichienda, nenguva dzekurerukirwa, zvinogara kubva pamwedzi mishoma kusvika kumakore.

Kana ikasarapwa, Somatic Symptom Disorder inogona kukonzera zvinotevera:

• Kuganhurirwa kwemabasa ezuva nezuva.
• Kusakwanisa kuwana basa kana kudzikira kwekushanda zvakanaka kubasa.
• Kuremara kwepfungwa.
• Kudzikira kwehupenyu.
• Kupindwa muropa nedoro nezvinodhaka.

Asi mashoko akanaka ndeekuti nekurapwa, vanhu vazhinji vanogona kuwana kurapwa kana kudzikira zvakanyanya kwezviratidzo zvavo. Saka zvakakosha kuti urambe uine tariro.

Ndinozvitarisira sei?

Kana wakamboonekwa uine Somatic Symptom Disorder, kutevera matanho aya kuchakubatsira nekurapwa kwako uye kupora:

• Vaka hukama hwakanaka, hwekushandira pamwe, uye hwekuvimbana nemupi wehutano wako mukuru, chiremba waunogara uchiona.
• Chengeta chiremba mumwe chete. Izvi zvinogona kukubatsira kudzivirira bvunzo nekurapwa zvisina kufanira.
• Enda kuna chiremba wako nguva nenguva kuti uone kuti uri kurarama sei nezviratidzo zvako zvemuviri.
• Endai kunyanzvi yenyu yehutano hwepfungwa (nyanzvi yezvepfungwa kana mupi wezano) nguva nenguva kuti mugadzirise uye muongorore zviratidzo zvehutano hwepfungwa dzenyu, zvakaita sekuzvidya mwoyo zvakanyanya uye kutya.

Ndinofanira kuona chiremba rini nezvenyaya iyi?

Zvakakosha kuona chiremba wako mukuru uye/kana nyanzvi yehutano hwepfungwa kana uine chimwe chezvizvi:

• Kana uchinetseka zvakanyanya nezvezviratidzo zvako zvemuviri zvekuti haugone kuita chero chinhu nezvazvo, kana kuti zvinokanganisa mabasa ako ezuva nezuva.
• Kana uine zviratidzo zvekushushikana kana kuora mwoyo (kunzwa kusuruvara nguva dzose, kusava nehanya nechimwe chinhu, kunetseka kurara, kutadza kudya, nezvimwewo).

Chinhu chakakosha kurangarira ndechekuti Somatic Symptom Disorder (SSD) chirwere chepfungwa. Kufanana nezvimwe zvirwere zvepfungwa, kutsvaga rubatsiro kana zviratidzo zvangoonekwa kunogona kubatsira kuderedza kukanganiswa kwehupenyu hwako. Nyanzvi dzehutano hwepfungwa dzinogona kukupa hurongwa hwekurapa kuti dzikubatsire kudzora mafungiro ako nemaitiro ako.

Saka, chii chatinowana kubva munyaya iyi?

Zvichitaurwa zviri nyore, "Somatic Symptom Disorder" chirwere chaunonyanya kunetseka nacho uye kunetseka nezvezviratidzo zvemuviri, kunyangwe pasina chirwere chikuru mumuviri wako. Ichi hachisi chinhu chaunofungidzira, asi chinhu chaunonyatsonzwa. Chikonzero cheizvi chakabatana nepfungwa kupfuura muviri.

• Kana uine zviratidzo zvakaita seizvi, zvichireva kuti pamwe chete nezviratidzo zvemuviri, uri kunzwa kutya kukuru uye kuzvidya mwoyo nezvazvo, izvo zviri kukanganisa mabasa ako ezuva nezuva, usanyara kana kutya kuona chiremba kana mupi wezano wehutano hwepfungwa .
• Kana kurapwa kwakakodzera (kunyanya kurapwa kwepfungwa kwakadai seCBT uye, kana zvichidikanwa, mishonga) uye rutsigiro, chirwere ichi chinogona kurapwa zvakanaka.
• Hausi wega, vamwe vanhu vakasanganawo nezvinhu izvi. Chinhu chakakosha kukumbira rubatsiro uye kutsvaga kurapwa. Kune nzira dzakawanda dzekuwana zororo.

Dambudziko rezviratidzo zvemuviri, zviratidzo zvemuviri, hutano hwepfungwa, kuzvidya mwoyo, kuora mwoyo, CBT, psychotherapy