Ngaba ujongene nobunzima obahlukeneyo bomzimba? Mhlawumbi ngequbuliso awukwazi ukuhamba, amalungu akho ayathuthumela, unesithuthwane, okanye unengxaki yokuthetha. Kodwa xa ubona oogqirha abaninzi, uvavanywa kwaye ude uskeniwe, bonke bathi awuguli? Ngaba uziva udandathekile kakhulu ngenxa yoku? Akukho mntu uyiqondayo ingxaki yakho, ngaba abanye bacinga ukuba uyasebenza? Ukuba kunjalo, ungakhathazeki. Awuwedwa. Namhlanje sithetha ngemeko abantu abaninzi abajongene namava afanayo abanokuba nayo, kodwa kunzima ukuyixilonga. Leyo yi-Functional Neurological Disorder, okanye i-FND ngamafutshane.
Ngamafutshane, yintoni i-FND (i-Functional Neurological Disorder)?
Cinga ngengqondo yakho njengesixhobo sekhompyutha. Inkqubo yemithambo-luvo ifana neengcingo eziqhagamshela kuloo khompyutha. Zombini ezi zinto zisebenza ngokugqibeleleyo. Oko kuthetha ukuba ukuba wenza i-CT scan okanye i-MRI scan, akukho nto ingalunganga ngengqondo yakho. Yonke into isempilweni.
Iphi ke ingxaki?
Ingxaki ikwisoftware esebenza kwikhompyutha. Oko kukuthi, kukho impazamo encinci kwinkqubo yemiyalezo ethwala ulwazi phakathi kwengqondo nomzimba. Imiyalezo ethunyelwa yingqondo emzimbeni, kunye nemiyalezo efunyanwa ngumzimba evela engqondweni, ayitshintshiswana kakuhle. Njengaxa isignali yefowuni ilahlekile, umnxeba uyaphuka kwaye isandi siphazamisekile. Ngenxa yesi siphazamiso sesignali, umzimba wakho uqala ukubonisa iimpawu.
Ezi ziimpawu zokwenyani. Awuzicingeli. Kodwa ngenxa yokuba umntu wangaphandle engakwazi ukubona isizathu soku, usenokucinga ukuba uyazenzisa. Oku kunokuba ngamava abuhlungu kakhulu kuwe.
Oku kwakubizwa ngokuba yiConversion Disorder. Kutheni igama latshintsha?
Ngaphambili, oogqirha babecinga ukuba le yingxaki yengqondo kuphela. Oko kukuthi, babecinga ukuba izinto ezinje ngoxinzelelo, usizi, kunye namava abuhlungu "ziguqulwa" zibe ziimpawu zomzimba. Yiyo loo nto yayibizwa ngokuba yi-"Conversion Disorder."
Kodwa uphando olutsha ngoku lufumanise ukuba luyinkimbinkimbi ngaphezu koko. Iiskeni ezikhethekileyo, ezifana ne-functional MRI (fMRI), zibonisa utshintsho kwimisebenzi yengqondo yabantu abane-FND. Kwakhona, ayinguye wonke umntu one-FND oye waba nesiganeko esibuhlungu okanye ukwenzakala kwengqondo okubuhlungu. Ke ngoko, igama elidala alisasetyenziswa.
Zeziphi iimpawu umntu one-FND anokuziva?
Iimpawu ze-FND zihlala zivela ngequbuliso. Zinokuphazamisana nemisebenzi yakho yemihla ngemihla. Ngamanye amaxesha, iimpawu zinokuba zimbi ngakumbi xa ucinga ngazo, okanye zisenokuphela xa ugxila kwenye into.
Nazi ezinye zeempawu eziqhelekileyo zale meko.
| Udidi lweempawu | Inkcazo kunye nemizekelo |
|---|---|
| Iimeko ezifana nokuxhuzula (i-PNES) | Ezi zinokubonakala ngathi yi-epilepsy. Kunokubakho ukuxhuzula kunye nokulahlekelwa zingqondo. Nangona kunjalo, uvavanyo lobuchopho (i-Electroencephalogram - i-EEG) luxela ukuba luqhelekile. Ezi zibizwa ngokuba yi- (Psychogenic Non-Epileptic Seizures - i-PNES) . |
| Iingxaki zokuhamba komzimba | Ukungcangcazela, ukungcangcazela komzimba, ubunzima bokuhamba, kunye nokungakwazi ukulawula umzimba. Ezi zinto zivakala ngathi zenzeka ngaphandle kwamandla akho. |
| Iingxaki ezinxulumene neemvakalelo ezintlanu | Iingxaki zokubona, ukuva, ukuvumba, ukungcamla, kunye nokuchukumisa. Umzekelo, kunokubakho umbono ofiphele ngequbuliso, umbono ophindwe kabini, ukuncipha kokuva, okanye ukuba ndindisholo kwiindawo ezithile zomzimba. |
| Iingxaki zokucinga kunye nenkumbulo | Inkungu yengqondo, ukulibala ngequbuliso into oza kuyithetha ngelixa uthetha, ukulibala amagama, ukulibala apho ubeke khona izinto ezibalulekileyo. Kunokuba nzima nokuhlala ugxile. |
| Ukudinwa kunye nokulinganisela | Ukuziva ngathi udada esikhepheni, endaweni yokuba uzive unesizungu. Usenokulahlekelwa yibhalansi yakho ngelixa umi. |
| Intlungu | Iintlungu zomzimba, iintlungu ezibukhali zokuhlaba, iimvakalelo zokutsha. Le ntlungu inokuba yinto engapheliyo okanye ifike ize idlule. I-Migraines nayo inokubakho rhoqo. |
Ukongeza, ungabona ezi mpawu:
- Ukuhlala uziva udiniwe kakhulu kwaye ungenawo amandla.
- Ubunzima bokuthetha okanye ukungathintitha .
- Iimeko ezinje ngobuthathaka bemisipha okanye ukukhubazeka.
- Ubunzima bokuginya into ethile.
Kutheni i-FND ikhula? Zithini izinto eziyichaphazelayo?
Oogqirha abakayazi kakuhle into ebangela i-FND. Kodwa siyazi ukuba ibangelwa yingxaki yendlela imiyalezo ethunyelwa ngayo phakathi kwengqondo nomzimba. Sisebenzisa umzekelo ofanayo wekhompyutha esixoxe ngawo ngaphambili, izixhobo kunye neentambo zonke zilungile, kodwa kukho "ingxaki" encinci kwisoftware.
Esi siphene sitshintsha indlela ingqondo ethumela nefumana ngayo imiyalezo. Ngamanye amazwi, ingqondo iqhuba "inkqubo engalunganga." Unyango lubandakanya ukususa le nkqubo ingalunganga kunye "nokuqeqesha kwakhona" ingqondo kunye nenkqubo yemithambo-luvo ukuze imiyalezo ikwazi ukuhamba kakuhle kwakhona.
Into ebalulekileyo kukuba, akukho nto emzimbeni wakho "ephukileyo" okanye "eyonakeleyo ngokungenakulungiseka." Ingxaki ngumsebenzi nje.
Izinto ezibangela iimpawu ze-FND
Ezinye iziganeko okanye iimeko zinokubangela ukuba iimpawu ze-FND zivele ngequbuliso.
- Iimeko ezahlukeneyo zosulelo
- Iintloko ezibuhlungu
- Iingozi okanye ukwenzakala emzimbeni
- Uxinzelelo olukhulu okanye iziganeko ezibuhlungu
Ngamanye amaxesha, emva kwento efana nale, ingqondo "inokunamathela" kuloo mpawu, njengokuqhekeka kwediski kwindawo enye. Iingcali zikholelwa ukuba le ndlela inokukhokelela kwi-FND.
Oogqirha bayixilonga njani i-FND?
Ukuchonga i-FND yinkqubo enzima kancinci, njengoko iimpawu zifana nezo zezinye iimeko ezininzi ze-neurological, okwenza kube nzima ukwahlula phakathi kwezi zifo zimbini.
Kusenokufuneka ubone oogqirha abaninzi kwaye wenze iimvavanyo ezininzi. Olu hambo lunokuba luhambo oludinisayo noludinayo. Abanye banokukuxelela nokuba ukugula kwakho "kusengqondweni yakho." Kodwa ugqirha wakho uya kukuqinisekisa ukuba iimpawu zakho ziyinyani kwaye wenza into elungileyo.
Ngokwesiqhelo, iqela elinamacandelo amaninzi, kuquka oogqirha bezifo zengqondo, oogqirha bengqondo, kunye neengcali zonyango lomzimba, lisebenzisana ukuxilonga i-FND.
Uvavanyo lokuxilonga
Ngokuxhomekeke kwiimpawu zakho, ugqirha wakho unokuyalela iimvavanyo ezifana nezi:
- Uvavanyo lwegazi
- Iskeni ye-CT
- Uvavanyo lwe-EEG
- I-Electromyogram (uvavanyo olulinganisa ukusebenza kwemisipha)
- I-MRI esebenzayo (fMRI)
- Uvavanyo olupheleleyo lwe-neurological
Zonke ezi mvavanyo zenziwa ukuze kuthintelwe ezinye iimeko zomzimba ezinokubangela iimpawu zakho (umz., isifo sokuwa, i-multiple sclerosis). Ukuba zonke iziphumo zovavanyo ziqhelekile kwaye iimpawu zakho zihambelana ne-FND, ugqirha wakho unokuqinisekisa ukuba une-FND.
Ziziphi iindlela zonyango ze-FND?
Ngenxa yokuba i-FND yimeko enzima, ayinakunyangwa ngamayeza elinye. Inyangwa ngokudibanisa unyango olwahlukeneyo. Injongo ephambili kukubuyisela inkqubo yokubonisana phakathi kwengqondo nomzimba.
| Indlela yonyango | Kwenzekani? |
|---|---|
| Ulungiso lwenyama | Oku kubaluleke kakhulu kubantu abaneengxaki zokuhamba (ubunzima bokuhamba, ukungcangcazela). Okwenzayo apha kukuqeqesha ingqondo kwakhona kwiindlela ezifanelekileyo zokuhamba. Ngamanye amazwi, kufana nokususa inkqubo yesoftware engalunganga uze ufake efanelekileyo. |
| Unyango Lomsebenzi | Ukunceda ukwenza imisebenzi yemihla ngemihla (umz., ukunxiba, ukupheka) ngokuzimela kwakhona. |
| Unyango lweNtetho | Unyango lobunzima bokuthetha okanye bokuginya. |
| Unyango lokuziphatha kwengqondo (i-CBT) | Ikunceda uqonde indlela iingcinga zakho, iimvakalelo zakho kunye nokuziphatha kwakho ezinxibelelene ngayo. Oku kunokukunceda uchonge kwaye ulawule iipatheni zokucinga eziyandisa iimpawu. |
| Amayeza | Akukho nyango lukhethekileyo lwe-FND. Nangona kunjalo, ukuba unezinye iimeko, ezinje ngokudakumba, ixhala, okanye iintlungu ezingapheliyo, ugqirha wakho unokukunika amayeza okunyanga. |
Ngaba unokuba nethemba ngelixa uhlala ne-FND?
Ngokuqinisekileyo kunokwenzeka. I-FND ayisosifo esisongela ubomi. Nangona kunjalo, inokuba nefuthe elikhulu kumgangatho wobomi bakho.
Ukuchacha akufani kuye wonke umntu. Abanye abantu bachacha ngokukhawuleza. Abanye bathatha ixesha. Ngamanye amaxesha iimpawu zinokuphucula zize ziphinde zibuye. Oko yinxalenye yohambo. Akuthethi ukuba usilele.
Ezi zilandelayo zibalulekile ukuze ufumane iziphumo eziphumelelayo:
- Ukufumana uxilongo oluchanekileyo ngokukhawuleza.
- Ukwakha ubudlelwane obuhle nogqirha wakho kunye neqela lonyango .
- Chonga kwaye ulawule izinto ezibangela uxinzelelo ezibangela iimpawu.
- Qala unyango kungekudala .
Khumbula, udinga amandla ukuze uhambe kolu hambo. Kodwa into yokuba ufikelele apha ibonisa ukuba unamandla kangakanani. Akunyanzelekanga ukuba usombulule yonke into ngaxeshanye. Nokuba linyathelo elincinci, liyinxalenye yohambo lokuphiliswa.
Umyalezo Wokuya Ekhaya
- I-FND yingxaki enkulu kwindlela ingqondo enxibelelana ngayo nomzimba. Ayisiyonto "engqondweni yakho kuphela."
- Iimpawu zakho, oko kukuthi, ukungakhululeki emzimbeni okuvayo, ziyinyani nge-100%. Ukuba iingxelo zovavanyo lwakho ziqhelekile akuthethi ukuba awunaso esi sifo.
- Kungathatha ixesha ukufumana uxilongo oluchanekileyo, kodwa ungayeki. Kubalulekile ukubona ugqirha ofanelekileyo.
- Unyango lubandakanya ukuqeqesha ingqondo kwakhona. Izinto ezifana nonyango lomzimba kunye nonyango lwengqondo zibaluleke kakhulu koku.
- Ukuphiliswa akwenzeki ngobusuku obunye, yinkqubo. Kuza kubakho iintsuku ezilungileyo nezimbi. Kodwa qhubeka unethemba.
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