Ngaba iingxaki zakho zempilo yengqondo ziyawuchaphazela umzimba wakho? Masithethe ngeConversion Disorder!

Ngaba ngamanye amaxesha uziva ngathi ufumana zonke iintlobo zokungonwabi kunye nezifo ngaphandle kwesizathu esicacileyo? Khawuthelekelele, ngequbuliso ulahlekelwa kukulawula iingalo okanye imilenze yakho, ngequbuliso uqala ukungcangcazela, ngamanye amaxesha ulahlekelwa kukubona, okanye ungakwazi ukuthetha. Nokuba oogqirha benza uvavanyo olungakanani na, bathi, "Asinabo ubungqina bokuthi esi sisifo somzimba." Ngamaxesha anjalo, kufuneka sicinge nzulu malunga nale meko ibizwa ngokuba yi-`(Conversion Disorder).` Nangona oku kunxulumene nempilo yengqondo, iimpawu zomzimba ezibangelwayo azingobuxoki, zizinto zokwenyani.

Yintoni kanye kanye iConversion Disorder?

Ngamafutshane, `(Ingxaki Yokuguquka)` yimeko apho ukusebenza kwengqondo okanye inkqubo yemithambo-luvo kuphazamiseka ngenxa yempembelelo ethile kwimpilo yakho yengqondo, nto leyo ebangela iimpawu zomzimba. Okwenzekayo apha kukuba into efana noxinzelelo lwengqondo, ukwenzakala, njl.njl. "iguqulwa" ibe luphawu lomzimba. Into ebalulekileyo kukuba ezi mpawu ziyinyani. Oku akusiyo into oyenzayo okanye oyenzayo ukuze ufumane ingqalelo kwabanye. Kwakhona, oku akuyonto nje engqondweni yakho. Ezi mpawu azinakulawulwa ngokucinga nje.

Khumbula, "Ingxaki Yokuguquka Kwengqondo" sisifo sengqondo sokwenyani. Iintlungu zomzimba ezibangelwa yiyo ziyinyani.

Yintoni umahluko phakathi kweConversion Disorder kunye neSomatic Symptom Disorder?

Zombini ezi meko ziphantsi kodidi olufanayo kuhlelo lwe-American Psychiatric Association (DSM-5). Oku kuthetha ukuba kukho ukufana okuninzi phakathi kwezi zimbini, kwaye ngamanye amaxesha zinokudibana.

Kwi-Somatic Symptom Disorder, unempawu enye okanye ezingaphezulu ezibangela ukuphazamiseka okukhulu kunye nokungonwabi ebomini bakho. Ngenxa yoko, wena:

• Ndisoloko ndicinga ngezo mpawu.
• Ndihlala ndixhalabile kwaye ndiyoyika ezo mpawu.
• Bachitha ixesha elininzi kunye nomgudu omkhulu kwezo mpawu.

Nangona kunjalo, uphawu oluphambili lwe-`(Conversion Disorder)` kukuba ubonakalisa uphawu olunye okanye ezingaphezulu ezibonakala ngathi zinxulumene nengqondo. Ezi zinokuba ziphazamisa kakhulu kangangokuba awukwazi ukwenza imisebenzi yakho yesiqhelo. Nangona kunjalo, akukho sifo semithambo-luvo esinokufunyanwa esinokuchaza ezi mpawu.

Ngubani onokuthi achaphazeleke kakhulu yile meko?

Ingxaki yokuguquka komzimba inokwenzeka nakweyiphi na iminyaka, nokuba ngabantwana abancinci kakhulu. Nangona kunjalo, ezinye iimpawu zixhaphakile kumaqela athile eminyaka. Umzekelo, iimpawu ezifana nokuxhuzula zixhaphakile kubantu abaphakathi kweminyaka engama-20 nengama-29 ubudala, kwaye ezinye iimpawu ezinxulumene nokuhamba komzimba zixhaphakile kubantu abaphakathi kweminyaka engama-30 nengama-39 ubudala. Kukwafunyaniswe ukuba le meko ixhaphakile kubasetyhini .

Le ayisiyongxaki ixhaphakileyo. Iingcali zithi phakathi kwabantu abane ukuya kwabalishumi elinesibini kwikhulu lamawaka ngalinye bafunyanwa bene-"Conversion Disorder" minyaka le.

Ingxaki Yokuguquka Kwengqondo Ichaphazela Njani Umzimba Wam?

Kule meko, iimpawu zomzimba zenzeka ngenxa yotshintsho kwindlela esebenza ngayo ingqondo yakho. Iiskeni ezikhethekileyo, ezifana ne-MRI esebenzayo, zinokujonga umsebenzi wobuchopho wabantu abanale meko kwaye zibonise ukuba iindawo zobuchopho ezinxulumene nezo mpawu azisebenzi kakuhle okanye zitshintshile ngendlela engaqhelekanga. Oku akuyonto umntu anokuyenza ngathi yinkohliso.

Zithini iimpawu zeConversion Disorder?

Iimpawu zingahluka kakhulu kuxhomekeke ekubeni leliphi icala lobuchopho elichaphazelekileyo. Nazi ezinye zezona mpawu zixhaphakileyo:

• Ukuxhuzula Okungabangelwa Yingqondo (PNES): Ukuxhuzula kudla ngokubangelwa yingxaki yesakhiwo okanye ukusebenza kwengqondo. Nangona kunjalo, olu hlobo lokuxhuzula, olubizwa ngokuba yiPNES, lubangelwa yingxaki yempilo yengqondo.
• Ukuphazamiseka kweemvakalelo: Ukuphazamiseka kwizivamvo zokubona, zokuva, zokuvumba, zokungcamla, kunye nokuchukumisa kunokwenzeka. Umzekelo, ukubona imifanekiso emibini ngaxeshanye, umbono we-tunnel, ukulahlekelwa kukuva, ukurhawuzelela, kunye nokulahlekelwa kukuva xa into ichukumisa ulusu.
• Intlungu: Abantu abane-Conversion Disorder banokuba nentlungu engapheliyo. Ngamanye amaxesha isenokuhamba nezinye iimpawu, ngamanye amaxesha isenokuba yintlungu nje.
• Ukuqina kwemisipha okungaqhelekanga, ukushukuma, ukushukuma, kunye nokungcangcazela: Konke oku kubangelwa kukutshintsha kwendlela ingqondo yakho elawula ngayo izihlunu zakho.
• Iimeko ezinje ngobuthathaka bemisipha okanye ukukhubazeka.
• Ubunzima bokuginya (i-Dysphagia).
• Isiyezi.
• Ukuziva ubanda okanye uphelelwe ngamandla (iSyncope).
• Ukudinwa okungapheliyo okanye ukungabi namandla.

Kodwa into engaqhelekanga kukuba, nangona abanye abantu beneempawu ezinzima kangaka, ababonakali bexhalabile okanye besoyika. Bathi, 'Yintoni leyo?' Oogqirha bakubiza oku ngokuthi "ukungakhathali." Kodwa oku akuyonto wonke umntu anayo, kwaye akunakuthathwa njengophawu.

Zithini izizathu zeConversion Disorder?

Iingcali azikayazi ukuba yintoni ebangela oku. Nangona kunjalo, zifumanise ukuba kunxulunyaniswa neemeko ezithile kunye neemeko zonyango. Ezona meko zixhaphakileyo zezi:

• Ukuxhatshazwa ngokwesondo, ngokwasemzimbeni, okanye ngokwengqondo usengumntwana.
• Ukuba nezinye iingxaki zempilo yengqondo, ingakumbi ukudakumba okanye ixhala .
• Isiganeko sakutshanje soxinzelelo olukhulu okanye esibuhlungu.
• Isifo okanye isiganeko esisandula ukwenzeka sisizathu sokuqala kwe-Conversion Disorder.

Le meko ayisuleli. Oko kuthetha ukuba awunakuyifumana kwabanye abantu, kwaye awunakuyisasaza nakwabanye.

Ifunyanwa njani i-Conversion Disorder?

Ugqirha wakho uza kuyixilonga le meko ngokudibanisa izinto ezininzi, kuquka uvavanyo lomzimba nolwemithambo-luvo, uvavanyo lokuxilonga, kunye neeskeni. Ukuze kufunyaniswe ukuba une-"Conversion Disorder", zonke ezi zinto zine kufuneka zihlangatyezwe:

1. Kufuneka ube neempawu enye okanye ezingaphezulu ezinxulumene nengqondo elawula iintshukumo okanye iimvakalelo zakho.

2. Iimpawu zakho akufuneki zifane nezinye iimeko ezaziwayo ngugqirha.

3. Iimpawu zakho akufuneki zichazwe yimeko ethile yomzimba okanye ingxaki yengqondo.

4. Ezi mpawu okanye iingxaki kufuneka ziphazamise ubomi bakho bemihla ngemihla, ingakumbi umsebenzi kunye nobudlelwane nabantu.

Kuthetha ukuthini "ukungahambelani"?

Kwi-`(Conversion Disorder),` luphawu olubaluleke kakhulu ukuba iimpawu zakho "azihambelani" nemeko yezonyango eyaziwayo. Ugqirha wakho kuya kufuneka ajonge iindlela iimpawu zakho ezingahambelani ngayo nezinye izifo ezaziwayo. Oku akuthethi ukuba abakukholelwa, okanye ukuba iimpawu zakho ziyaxoka. Enyanisweni, ukufumana ukungangqinelani okunjalo koko kunceda ekuchongeni ngokuchanekileyo '(Conversion Disorder).' Oko kukuthi, banokuqinisekisa ukuba awunaso isifo sengqondo esinzulu ngakumbi esinokuba nzulu ngakumbi.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe esi sifo?

Ugqirha wakho uya kugqiba ukuba zeziphi iimvavanyo omawuzenze ngokusekelwe kwiimpawu zakho. Ezi vavanyo zilandelayo zihlala zicetyiswa:

• Uvavanyo lwegazi (olu vavanyo lunokujonga izinto ezifana neengxaki zenkqubo yomzimba yokuzikhusela, iityhefu, kunye neentsimbi ezithile).
• `(I-Computerized Tomography - CT) Scan`.
• I-Electroencephalogram (EEG) (uvavanyo olujonga iipatheni zombane zobuchopho).
• I-Electromyogram (EMG) (uvavanyo olujonga ukusebenza kwezihlunu kunye nemithambo-luvo).
• `Uvavanyo lwezakhono ezivuselelweyo` (uvavanyo olujonga indlela ingqondo esabela ngayo kwiimvakalelo).
• Iskeni seMagnetic Resonance Imaging (MRI).

Ingxaki yokuguquka kwesifo inyangwa njani? Ngaba inganyangeka?

Ngenxa yokuba i-Conversion Disorder yimeko yempilo yengqondo ebangela iimpawu zomzimba, unyango lugxila kakhulu kwicala lengqondo. I-Psychotherapy idla ngokuba linyathelo lokuqala, kwaye ikwayindlela esebenzayo. Iindlela ze-psychotherapy ezisetyenziswa kakhulu zezi:

• Unyango Lokuziphatha Olusebenzisa Ingqondo (CBT): Olu lolona hlobo lonyango lucetyiswayo nolusebenzayo. Lukunceda utshintshe iingcinga zakho, iimvakalelo zakho kunye neendlela zakho zokuziphatha.
• (Unyango lwe-hypnotherapy):Oku ngamanye amaxesha kusetyenziswa njengokhetho lwesibini, ingakumbi kwabo baneengxaki zokuthetha okanye iimpawu zokuva.
• Ingcebiso yeqela okanye yosapho: Ingcebiso yeqela ikuvumela ukuba wabelane ngamava nabanye abajongene neengxaki ezifanayo kwaye ufumane inkxaso kubo. Ingcebiso yosapho inceda abantu obathandayo ukuba baqonde imeko yakho kwaye ikukhokele ekuncedeni.

Ukongeza koku, kukho nezinye iindlela zonyango ezinokunceda:

• Unyango Lomzimba: Nangona "Ingxaki Yokuguquka Kwengqondo" iqala ngesizathu sengqondo, iziphumo zomzimba ziyinyani. Unyango lomzimba lunokukunceda ukuba uphile okanye ulungelelane nezo mpawu zomzimba.
• Amayeza: Ukuba unezinye iimeko, ezinje ngokudakumba okanye ixhala, kunye neConversion Disorder, amayeza ezo meko anokunceda ekunciphiseni iimpawu zeConversion Disorder. Amayeza okudakumba anokunceda, ingakumbi kwiimpawu ezibandakanya iintlungu.
• I-Biofeedback: Le yindlela yonyango eyahlukileyo. Kule ndlela, uzifundisa ukutshintsha indlela umzimba wakho osebenza ngayo. Usebenzisa izixhobo, ulinganisa umsebenzi womzimba wakho kwaye uqeqeshwa ukwenza utshintsho ngokusekelwe kwezo mpendulo.

Iingxaki okanye iziphumo ebezingalindelekanga ezinokubakho ngolu nyango, ingakumbi ngamayeza, ziyahluka ngokuxhomekeke kunyango. Ugqirha wakho ngumntu ofanelekileyo ukukuchazela oku.

Ndingazinyamekela njani/ndizilawula njani iimpawu?

`(Ingxaki Yokuguquka)` inokuba nzima ukuyixilonga nokuba ngugqirha onamava. Iimpawu ezihamba nale meko zifana kakhulu neempawu zezifo eziyingozi nezisongela ubomi ezifana ne`(Stroke)` ezichaphazela ingqondo. Ngoko ke, ungaze uzame ukuyixilonga ngokwakho le meko okanye uyinyange ngokwakho. Soloko ucela ingcebiso kugqirha.

Ukuba kuza kuthatha ixesha elingakanani ukuba ndizive ndingcono emva kokuqala unyango, njengoko le yimeko yempilo yengqondo, ixhomekeke kwizinto ezininzi. Ugqirha wakho ngumntu ofanelekileyo ukukunika umbono ngale nto.

Ndingayithintela ingxaki yokuguqulwa?

Ingxaki yokuguquka kwengqondo yimeko yempilo yengqondo eyenzeka ngequbuliso. Ngenxa yoko, akukho ndlela ithile yokuyithintela okanye yokunciphisa umngcipheko wokuyifumana.

Kuza kwenzeka ntoni ukuba ndine-Conversion Disorder?

Le meko inokuba nefuthe elikhulu ebomini bakho, kuxhomekeke kwiimpawu onazo. Abantu abaninzi abakwazi ukuhlala phantsi emsebenzini, ukwenza imisebenzi yemihla ngemihla, okanye ukwenza izinto ozithandayo ngenxa yeempawu ezinzima.

Abantu abaninzi bayasokola ngendlela abavakalelwa ngayo ngale meko nendlela abanye abaphatha ngayo. Bahlala beziva ngathi, "Akukho mntu undikholelwayo," "Wonke umntu ucinga ukuba ndiyaxoka kwaye ndiyadlala," kwaye banokuyeka nokufuna unyango, ingakumbi ukuba bafumana iimpendulo ezinjalo koogqirha.

Ingxaki yokuguquka kwengqondo inokuhlala iminyaka emininzi. Abanye abantu banesifo esibukhali esihlala ixesha elingaphantsi kweenyanga ezintandathu, ngelixa abanye benesifo esiqhubekayo esihlala ixesha elingaphezu kweenyanga ezintandathu. Ngamanye amaxesha yingxaki yexeshana, yexesha elifutshane, ingakumbi ebantwaneni. Nangona kunjalo, kubantu abaneempawu ezinzima, abangafuni unyango, okanye abangalulandeli kakuhle unyango, lunokuhlala iminyaka, kwanobomi bonke.

Iyintoni imbono yeConversion Disorder?

Le ayisiyongxaki okanye imeko eyingozi ngokuthe ngqo, kodwa inokuba nefuthe elikhulu kwimpilo yakho yengqondo iyonke kunye nokuphila kakuhle.

Amathuba okufumana iziphumo ezilungileyo ayancipha:

• Ukuba uyalibazisa ukufuna ingcebiso kagqirha.
• Ukuba bayala ukuvuma ukuba banale meko.
• Ukuba awunalo ulwalamano oluhle okanye unxibelelwano oluhle nogqirha wakho.
• Ukuba awuyilandeli ngokufanelekileyo isicwangciso sonyango esicetyiswe ngugqirha.

Isiphumo esingcono kukuphila ngokupheleleyo. Njengoko umntu ephucula impilo yakhe yengqondo kunye nempilo-ntle, ukuphazamiseka kwengqondo kunokuncipha okanye kupheliswe ngokupheleleyo.

Ndingazinyamekela njani?

Nangona kunokuba nzima ukuqonda indlela impilo yakho yengqondo enokubangela ngayo iimpawu zomzimba, kubalulekile ukukhumbula ukuba oku kuyinyaniso nakwezinye izifo ezininzi. Cinga ngako, uxinzelelo, ixhala, kunye noloyiko zingenza iimeko zibe mandundu njengezilonda, uxinzelelo lwegazi oluphezulu, kunye nesifo sentliziyo, akunjalo?

Ukuba une-`(Conversion Disorder)` eyona nto ingcono onokuyenza kukusebenzisana nogqirha wakho uze ulandele iingcebiso zonyango lwabo. Abantu abaninzi bakufumanisa kunzima ukwamkela olu xilongo. Ukuba uvakalelwa ngendlela efanayo, awuwedwa.

Ukuba kunzima ukwamkela esi sifo, thetha nogqirha wakho ngaso. Ukwakha ubudlelwane obuqinileyo nobuvulekileyo nogqirha wakho yenye yezona zinto zibalulekileyo onokuzenza ukunceda.

Kwakhona, yenza ezi zinto:

• Yiya kugqirha njengoko kucetyisiwe.
• Thatha inxaxheba kwiiseshoni zokunika iingcebiso (unyango lomzimba, ingcebiso yengqondo) kwaye unegalelo ngokukhutheleyo.
• Ukuba amayeza anikwe wena, wathathe kanye njengoko uyalelwe.

Inkqubela phambili yinkqubela phambili!

Ukuchacha kunye nokuphucula imeko yempilo yengqondo akulula. Kuqhelekile ukuba udlule kumaxesha obunzima bokuchacha. Ngamanye amaxesha iingxaki okanye iimpawu zakho zinokuba mandundu endaweni yokuba zibe ngcono. Oku kuqhelekile kakhulu. Oku akuthethi ukuba uyasilela okanye imeko yakho ayinathemba.

Ukuba unengxaki efana nale, thetha nogqirha wakho. Banokukunika iingcebiso zonyango malunga nendlela yakho yokuchacha. Banokucebisa namaqhinga anokukunceda woyise le miqobo namaxesha anzima.

Ndifanele ndifune nini unyango olungxamisekileyo?

Abantu abanengxaki yokuguquka kwengqondo banamathuba amaninzi okuba nezinye iingxaki zempilo yengqondo, ezinje ngokudakumba kunye nokuxhalaba. Bakwasengozini enkulu yokuzama ukuzibulala.

Ukuba uneengcinga zokuzilimaza, ukuzibulala, okanye ukulimaza abanye, kufuneka ufune uncedo lwezonyango ngokukhawuleza. Ukuba uneengcinga ezinjalo, eSri Lanka, ungatsalela umnxeba ku-1926 (uMnxeba woNcedo lwezeMpilo yeNgqondo yeSizwe) okanye uye kwigumbi likaxakeka lesibhedlele esikufutshane.

Ndingamnceda njani umntu endimthandayo one-Conversion Disorder?

Ukuba umntu osondeleyo kuwe uneConversion Disorder, inkxaso yakho inokwenza umahluko omkhulu ekuchacheni kwakhe nakwiziphumo zonyango lwakhe. Nazi ezinye "ezo umele uzenze" kunye "nezo ungamele uzenze" ekufuneka uzikhumbule:

Izinto zokwenza:

• Bamkele, ubaphulaphule: Ingxaki yokuguquka sisifo sokwenyani. Abantu abanaso badla ngokuvakalelwa kukuba abanye ababakholelwa. Olu luvo lunokubathintela ekufuneni uncedo. Ukuziva ngathi umntu uyakholelwa kuyeyona nto ibalulekileyo kubo ukuba bafune unyango.
• Buza ukuba unganceda njani: Abantu abaneConversion Disorder banokuziva bebodwa kwaye bebodwa. Ukwazi ukuba kukho umntu ozimisele ukunceda kunokwenza umahluko omkhulu. Ungabakhuthaza ukuba baqhubeke befuna unyango xa besokola.
• Funda ngakumbi ngemeko yabo, vuleleka ekuxhaseni: Ugqirha womntu omthandayo usenokufuna ukuthetha nawe ngale meko. Umntu omthandayo okanye ugqirha wakhe unokukubuza ukuba ungathanda na ukuya kwiseshoni yokunika iingcebiso. Zama ukuya, kuba oko ukufundayo kuya kukunceda uxhase umntu omthandayo.

Izinto ekungamele zenziwe:

• Musa ukubatyhola ngokuzenzisa: Ukubatyhola ngokuzenzisa iimpawu zesifo sokwenyani, esaziwayo esibizwa ngokuba yi-"Conversion Disorder" kunokubangela intlungu noxinzelelo olukhulu kumntu omthandayo.
• Musa ukuthi, "Kusengqondweni yakho kuphela": Iziphumo zempilo yengqondo azikho nje ngaphakathi entlokweni yomntu. Abaphandi kunye neengcali baye bangqina ukuba iingxaki zempilo yengqondo zichaphazela umzimba wonke womntu, kwaye ezinye zinokubangela iimpawu zomzimba eziqatha nezoyikisayo.
• Ungalibali ukuzinyamekela: Njengezinye iimeko ezininzi zonyango, abantu obathandayo abaneConversion Disorder nabo banokuba noxinzelelo. Ungalibali ukuzinyamekela impilo yakho. Ukuba awukwazi ukuzinyamekela, awuyi kukwazi ukunceda omnye umntu ngokufanelekileyo.

Okokugqibela, into ekufuneka iqwalaselwe.

Ingxaki yeSimpawu seMisebenzi yeNeurological, okanye eyaziwa kakhulu ngokuba yiConversion Disorder, yimeko apho ingxaki yempilo yengqondo ibangela iimpawu zomzimba. Le meko iyinyani, kwaye iimpawu azikho into umntu anokuyilawula. Ngelishwa, abantu abaninzi abanale meko bavakalelwa kukuba abanye - ingakumbi iingcali zonyango - abazikholelwa. Oku kunokubangela ukuba baphephe ukufuna unyango olunokubanceda, nto leyo edla ngokwenza iimpawu zabo zibe zimbi ngakumbi.

Ukuba une-`(Conversion Disorder)`, okanye ukuba ugqirha wakho ukrokrela ukuba unokuba nale meko, kuyinto eqhelekileyo ukuziva usoyika okanye ukhathazekile malunga nokuba ithetha ukuthini. Ukuba ukhathazekile ngale nto, okanye ukuba uyazibuza ukuba ugqirha wakho uyakukholelwa na, eyona nto ilungileyo onokuyenza kukuxelela ugqirha wakho. Indima kagqirha wakho kukungakugwebi. Indima yakhe kukufumanisa ukuba kwenzeka ntoni kuwe, kutheni kusenzeka, aze azame ukukunyanga. Ukuba ugqirha wakho uyazi ngeengxaki zakho kunye noloyiko lwakho, uya kukwazi ukukumamela aze akunike inkxaso, iingcebiso, okanye izisombululo zokukunceda ukhululeke.

Ingxaki Yokuguquka, Impilo Yengqondo, Iimpawu Zomzimba, Iimpawu Ze-Neurological, Unyango Lwengqondo, Uxinzelelo, Iingxaki Ze-Somatoform