Ngaba nawe "unesifo sokuwa" esinje? Kodwa asikuko na oko ukuxhuzula? (Isifo sengqondo esibangelwa kukuxhuzula - PNES) Masithethe ngale nto!

Khawuthelekelele, ngequbuliso uziva ngathi unesithuthwane, umzimba wakho uyangcangcazela, mhlawumbi ulahlekelwa zingqondo... kanye njengokuba unesifo sokuwa. Kodwa uyazi, oku akusoloko kusenzeka ngenxa yesithuthwane esibangelwa lutshintsho oluthile kumsebenzi wombane ngaphakathi kwengqondo. Ngamanye amaxesha kunokuba yinto eyahlukileyo, kodwa kunokubonakala njalo. Namhlanje siza kuthetha ngemeko enjalo, oogqirha abayibiza ngokuba yi-`(Psychogenic Nonepileptic Seizure - PNES)`, okanye `(Functional Seizures - FS)`. Nangona oku kunokubonakala kunzima kancinci, masikuqonde ngokulula.

Yintoni kanye kanye le `(PNES)`?

Ngamafutshane, i-PNES luchungechunge lweziganeko ezifana kakhulu neempawu zesifo sokuwa, oko kukuthi, uthotho lweziganeko ezifika zidlule ngokungathi "ziphazamisekile." Kodwa into ebalulekileyo kukuba ezi azibangelwa ngumsebenzi ongaqhelekanga wombane engqondweni . Isifo sokuwa sibangelwa kukuphazamiseka komsebenzi wombane wengqondo. Kodwa kwi-PNES, akunjalo.

Kutheni ke ezi zinto zenzeka? Zivela ngenxa yezinto ezithile kwinkqubo yethu yemithambo-luvo, oko kukuthi, inkqubo yeemvakalelo yomzimba wethu . Zithini ezo zinto?

• Izizathu zomzimba: Mhlawumbi ukwenzakala, into efana nentlungu engapheliyo.
• Iimpembelelo zokusingqongileyo: Uxinzelelo olukhulu lwengqondo oluvela kwindawo okuyo, oko kukuthi, uxinzelelo.
• Iziganeko ezibuhlungu zexesha elidlulileyo: Mhlawumbi bekukho isiganeko ongenakusilibala nesasichaphazele kakhulu ingqondo yakho.

Into ebalulekileyo kukuba ukuba unale meko, "ukufaneleka" okunayo kuyinyani. Asikuko into oyenzayo ngabom okanye uzenza ngathi uyayenza. Awunalawulo kuyo xa isenzeka, yinto eyenzeka ngaphandle kolawulo lwakho. Kubaluleke kakhulu ukuyiqonda le nto kuqala. Le meko inokuba yingxaki enkulu ebomini bakho, kodwa kunokwenzeka ukuba ufumane uncedo.

Ngamanye amaxesha oogqirha bayibiza le meko ngokuthi `(Ingxaki Yengqondo Esebenzayo - FND)`. Isizathu soku kukuba ezi mpawu zinokuchazwa njengokuphazamiseka kokusebenza kwenkqubo yonxibelelwano lobuchopho. Abanye bachaza oku njengento efana `ne-software'' yekhompyutha, oko kukuthi, neenkqubo. Oku kukwabizwa ngokuba ``ukuhlaselwa kwengqondo okungenayo i-pileptic``, ``iziqendu`` okanye ``i-spells``.

Zithini iimpawu ze-`(PNES)`?

Uphawu oluphambili lwale meko yinto ebizwa ngokuba "kukufaneleka." Kodwa oku kunokwahluka kumntu nomntu.

Abanye abantu banokufumana ukuxhuzula nokungcangcazela komzimba wonke, njengakwi-"Tonic-clonic seizures," ezizezona ntlobo zinzima ze-epilepsy. Abanye banokufumana ukuxhuzula nokujijeka kwamalungu omzimba. Ngamanye amaxesha, banokubonakala ngathi balahlekelwa zingqondo okwethutyana, njengakwi-"Absence seizures," okanye banokubonakala ngathi bawa ngequbuliso emhlabeni, njengakwi-"Drop attacks. " Umahluko kukuba akukho nanye kwezi zinto ebangelwa ngamaza ombane angaqhelekanga engqondweni.

Nazi ezinye zezona mpawu ziqhelekileyo ze-PNES:

• Ukutshintsha kweendlela zomzimba ezishukumayo: amalungu ashukumayo najikajikayo ngeendlela ezahlukeneyo.
• Ukungcangcazela komzimba xa usazi: Ngamanye amaxesha, nangona umzimba ungcangcazela, usenokuziva izinto ezenzekayo kufutshane nawe ukuya kuthi ga kwinqanaba elithile.
• Ukuvala amehlo akho ungaphenduli.
• Ukuxhuzula komzimba wonke okuhlala imizuzu engaphezu kwe-10: Ukuxhuzula "komzimba" akuhlali ixesha elide kangaka.
• Ukulahlekelwa yingqondo.
• Imilenze nemilenze zihamba ngendlela engahambelaniyo.
• Iintshukumo ze-pelvic.
• Intloko ishukuma ngokukhawuleza ukusuka kwelinye icala ukuya kwelinye.

Ukongeza koku "kulingana", unokufumana ezinye iimpawu ngenxa yeengxaki zempilo yengqondo ezifihlakeleyo. Umzekelo:

• Ixhala
• Uxinzelelo
• Uhlaselo loloyiko
• Ingxaki yoxinzelelo emva kwengozi (PTSD)

Zithini izizathu ze-`(PNES)`?

Abaphandi bakholelwa ukuba iimpawu ze-FS zibangelwa kukudibana kwezinto ezahlukeneyo ezibangela uxinzelelo emzimbeni wakho, engqondweni, nakubudlelwane bakho bezentlalo. Oku kukwabizwa ngokuba yimodeli ye-biopsychosocial. Oku kuthetha ukuba kunokubangelwa ziimpembelelo ezivela kuzo zontathu iindawo: zebhayoloji, ezengqondo, nezentlalo.

Ukongeza, ezi zinto zinokubangela le meko:

• Ubunzima bokuqonda nokuveza iimvakalelo: Abanye abantu abakwazi ukuchaza ngokucacileyo indlela abavakalelwa ngayo.
• Iingxaki zokucubungula i-sensorimotor: Oku kuthetha ukuba ingqondo inobunzima bokuguqula imiyalezo evela kwiimvakalelo zethu, njengamehlo neendlebe zethu, ibe yimisebenzi.
• Iimpendulo ezingalunganga kuxinzelelo lomzimba nolwengqondo: Ukuthambekela ekucaphukeni kakhulu nokungakwazi ukunyamezela ingxaki encinci.

Kukwakho nenkolelo yokuba iimpembelelo zemfuza zinokudlala indima ekwenzekeni kwale meko ukuya kuthi ga kwinqanaba elithile.

Amaxesha amaninzi, imeko yengqondo engaphantsi inokuba yimbangela yezi "ngxaki." Ezona meko zixhaphakileyo zezi:

• Iingxaki zokuxhalaba ezibangelwa kukuhlaselwa luloyiko
• Iingxaki zokudakumba
• Iingxaki zokungadibani
• Iingxaki zeemvakalelo
• Iingxaki zobuntu
• Ingxaki yoxinzelelo emva kwengozi (PTSD)
• Isifo seSomatic symptoms
• Iingxaki zokusetyenziswa kweziyobisi

Izinto ezibangela umngcipheko wokuphuhlisa `(PNES)`

Usenokuba sengozini enkulu yokuhlaselwa yile meko ukuba:

• Ukuba ukhe waxhatshazwa okanye watyeshelwa usengumntwana, ngokwasemzimbeni, ngokwesondo, okanye ngokweemvakalelo.
• Ukuba ukhe wadibana nesiganeko esinzima kakhulu okanye esibuhlungu.
• Ukuba unesifo esinganyangekiyo esifana neentlungu ezingapheliyo okanye i-fibromyalgia.

I-PNES idla ngokuqala xa umntu eselula, kodwa inokuqala nakweyiphi na iminyaka.

Iingxaki ezinokubakho ngenxa ye-`(PNES)`

Xa oku "kufanelana" kwenzeka, ungalahlekelwa kukwazi okanye ingqondo. Ngenxa yoko, kukho umngcipheko omkhulu weengozi kunye nokwenzakala. Kwezinye iimeko, oku kunokuba yingozi ebomini. Khawucinge ngento enokwenzeka ukuba oku kwenzeke ngelixa uqhuba imoto okanye ukwindawo ephakamileyo.

Nawe usenokuqala ukuzikhwebula kwabanye uze ube likheswa, ngenxa yokungazi, iintloni, okanye uloyiko. Oku kunokubangela ukuba uzihlukanise nabantu obathandayo, abahlobo bakho, nezinto obukade uzonwabela.

Ukuba nesifo sokuwa esifana nesi kunokuba nefuthe elikhulu kwimpilo yakho yengqondo. Ukuba nesifo sokuwa (FS) kunokunyusa umngcipheko wokuba neengcinga zokuzibulala. Ukuba unezi ngcinga, nceda ufumane uncedo. Awuwedwa. Thetha nomntu omthembayo, okanye ubone ugqirha okanye umcebisi ofanelekileyo. Akunyanzelekanga ukuba ulinde de ube sengxakini ukuze ufumane uncedo.

Oogqirha bayixilonga njani i-PNES?

Kunokuba nzima ukuxilonga i-PNES kuba iimpawu zifana kakhulu ne-epilepsy. Ugqirha wakho angayixilonga ngokusebenzisa uvavanyo lwevidiyo (EEG - electroencephalogram) ukuze abhale phantsi i-epilepsy.

I-EEG ilinganisa kwaye irekhode imiqondiso yombane engqondweni yakho. Xa usenza i-EEG, ingcali ibeka iipleyiti zesinyithi ezincinci (ii-electrode) eluswini lwentloko yakho. Ezi electrode ziqhagamshelwe kumatshini onika ugqirha ulwazi malunga nomsebenzi wakho wobuchopho.

Ukuba "ukulingana" okukhoyo yi-`(PNES)`, oko kuthetha ukuba yingxaki ekusebenzeni kwengqondo yakho, uvavanyo lwe-`(EEG)` luya kubonisa ukuba umsebenzi wombane wengqondo uqhelekile kwanangexesha "lokulingana". Nangona kunjalo, kumntu onesifo sokuwa, i-`(EEG)` iya kubonisa umsebenzi wombane ongaqhelekanga ngexesha "lokulingana".

Abantu abaninzi abanale meko ekuqaleni baqala bafumaniseke benesifo sokuwa. Kwakhona, kunqabile kakhulu ukuba umntu abe nesifo sokuwa kunye nesifo sokuwa.

Iphathwa njani `(PNES)`?

Uphando lubonise ukuba uhlobo lwe-psychotherapy olubizwa ngokuba yi-Cognitive Behavioral Therapy (CBT) lolona nyango lusebenzayo kwi-PNES .

Ugqirha wakho uza kukunceda ulawule naziphi na iimeko ezingaphantsi (ezifana nokudakumba) ezinokubangela ukuba ufe. Oku kungabandakanya ukuthatha amayeza okuthomalalisa uxinezeleko, njengoko ugqirha wakho emyalele, ukongeza kwi-CBT.

Okubaluleke kakhulu, amayeza okuthintela ukuxhuzula awasebenzi ekunyangeni le meko (i-PNES).

Okungakumbi malunga nonyango lwe-`(CBT)` lwe-`(PNES)`

Unyango Lokuziphatha Olusebenzisa Ingqondo (i-CBT) luhlobo loncedo olukunceda ufunde ngendlela ingqondo nomzimba wakho osabela ngayo kwizinto ezahlukeneyo ezibangela iingxaki. Lukwakunceda uqonde indlela iingcinga zakho ezichaphazela ngayo iimvakalelo zakho kunye nokuziphatha kwakho. Umcebisi wezempilo yengqondo unokukunceda uchonge kwaye utshintshe iingcinga zakho ezingalunganga, iimvakalelo kunye nokuziphatha, kwaye akuncede ujongane ngempumelelo neziganeko ezixinzelelekileyo.

Ukuba uvakalelwa kukuba i-CBT ayikulungelanga, ugqirha wakho unokucebisa "i-FIT" okanye ezinye iindlela zokunika iingcebiso ukukunceda ulawule imingeni yakho yengqondo.

Ngexesha leseshoni yakho yokunika iingcebiso, uza kudibana nomcebisi wakho rhoqo. Kunye, uza kufunda okungakumbi malunga nendlela iingcinga zakho ezichaphazela ngayo iimvakalelo zakho kunye "nokufaneleka kwakho." Emva koko, kunye, niya kuzibekela iinjongo kwaye nisebenzele ukuzifezekisa. Xa nilawula i-PNES, ninokuba neenjongo ezifana nezi:

• Ukufunda okungakumbi malunga nokuxilongwa kwakho.
• Ukuchonga izinto ezibangela uxinezeleko kwixesha elidlulileyo okanye langoku kunye nokufumana iindlela zokuziyeka.
• Ukuchonga izinto ezibangela ukuba umntu afaneleke kwaye azilawule.
• Ukuphuhlisa izakhono zokulawula iimvakalelo (umz. iindlela zokuphumla).
• Ukwakha kwakhona umgangatho wobomi bakho (ubudlelwane, imfundo, umsebenzi, njl.njl.).

Kulungile ukuba iinjongo zakho azifani ncam nale. Iinjongo zomntu ngamnye zahlukile ngokweemfuno zakhe.

Kwabantu abadala, ugqirha wakho angacebisa inkqubo ebizwa ngokuba yi-"Neurobehavioral therapy." Olu luhlobo lonyango olusebenzisa incwadi yokusebenzela, efana nokuthatha iklasi. Uya kwiintlanganiso zeveki nganye, ezithatha malunga nemizuzu engama-45 yonyango. Ukwanikwa "imisebenzi yokuziqhelanisa" onokuyenza ekhaya. Oku kungabandakanya imisebenzi efana nokubhala ijenali okanye ukuya kwisiganeko soluntu. Iveki nganye, ungakha phezu koko ukufundileyo kwaye uqhubeke noku ude ube nobuchule obuthile.

Ndifanele ndimbone nini ugqirha wam?

Ingcebiso ingazisa iimvakalelo ezininzi onokuba ubuzibambile okanye ungazicingi kwaphela. Ukuba uziva ngathi iimvakalelo zakho ziya zisiba nzima, okanye ukuba uziva ungakhuselekanga, khumbula ukuba umcebisi wakho ukhona ukukunceda kolu hambo. Kubaluleke kakhulu ukuqhagamshelana noogqirha bakho ukuze baxoxe ngayo nayiphi na imibuzo onokuba nayo malunga nonyango lwakho okanye ukukunceda.

Yintoni endinokuyilindela emva konyango lwe-`(PNES)`?

I-PNES yimeko enokuba nefuthe elikhulu ebomini bakho. Nangona kunjalo, xa uxilongwa kwaye unyangwa ngokufanelekileyo, iimpawu zingaphucuka.Abanye abantu baxela ukuba "ukudinwa" kwabo kuphelile ngokupheleleyo okanye kunciphe kakhulu ngokulandela icebiso likagqirha wabo kunye nokuthatha inxaxheba ngokukhutheleyo kwingcebiso. Ugqirha wakho angakunika ulwazi olungcono malunga nokuba ungalindela ntoni ngokwemeko yakho.

Ukufumanisa ukuba uxinzelelo lubangela i-PNES yakho kunokuba luxinzelelo nangakumbi! Kodwa akufuneki kube njalo. Iqela lakho lezonyango likhona ukukunceda uqonde ukuxilongwa kwakho ngaphandle kokugweba. Kunye, ninokwenza isicwangciso sokunciphisa iimpawu zakho kunye nokunyanga naziphi na iimeko zempilo yengqondo ezingabonakaliyo.

Oogqirha bakho baya kukukhuthaza ukuba uziqhelise izakhono ozifundayo ngexesha leeseshoni zakho zokunika iingcebiso. Njengayo nayiphi na into ebomini, okukhona usenza umgudu ongakumbi, kokukhona iziphumo zakho ziya kuba ngcono. Kuthatha ixesha ukuphuhlisa izakhono ezintsha, ngoko ke ungatyhafi ukuba awuzifumani kwangoko. Oogqirha bakho baya kukuxhasa kuyo yonke inyathelo.

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

I-PNES yimeko yokwenyani, ayisiyonto oyenza ngabom. Nangona kunokuba nzima ukuyixilonga, inokulawulwa kakhulu ngokuxilongwa nonyango olufanelekileyo, ngakumbi nge-CBT. Ukuba unale mpawu, ungabi neentloni okanye woyike ukufuna ingcebiso kagqirha. Khumbula, awuwedwa, kwaye uncedo luyafumaneka. Impilo yakho yengqondo ibaluleke njengempilo yakho yomzimba. Ngoko ke yinyamekele loo nto.

"I-PNES, ukuxhuzula okusebenzayo, ukuxhuzula okungenasifo sesibindi, ukuxhuzula okubangelwa yingqondo, ukuxhuzula, uxinzelelo, ukuxhuzula okungenasifo sesibindi, impilo yengqondo, ukuqina komzimba