Ingabe kuyisifo futhi ukucabanga ngesifo esingekho? Ake sixoxe ngezinkinga ze-Factitious

Wake wazibuza ukuthi kungani umuntu engenza sengathi uyagula kanti akaguli? Mhlawumbe kungenxa yokuthola ukunakwa kwabanye, noma ukubalekela uhlobo oluthile lokucindezeleka. Akulula njengoba kubonakala. Namuhla sizokhuluma ngesimo sengqondo esibizwa ngokuthi i-Factitious Disorders , esiyinkimbinkimbi kancane, kodwa kubaluleke kakhulu ukuqaphela.

Yiziphi lezi zinto ezibizwa ngokuthi yi-Factitious Disorders?

Kalula nje, izinkinga ezibangelwa amaqiniso ziyiqembu lezimo zempilo yengqondo. Okwenzekayo lapha ukuthi umuntu azenze sengathi uyagula, noma enze sengathi uyagula komunye umuntu, noma enze sengathi unezimpawu ngamabomu, konke lokhu ukuze athole usizo lwezokwelapha. Khumbula, lezi zinto zenziwa ngezizathu zomuntu siqu nezengqondo. Lokhu kungase kube ngenxa yesidingo esikhulu sokunakwa , ukungakwazi ukubhekana nokucindezeleka, noma isifiso sokukhohlisa abasebenzi bezempilo.

Lokhu kungaba yisimo esiyingozi kakhulu . Ngoba, uma wenza izimpawu ezinjengalezi, ungazilimaza, uhlolwe ngokungadingekile, welashwe, ngisho nokuhlinzwa. Ungalimaza nalabo abakukhathalelayo ngale ndlela. Uma wena noma othile omaziyo enemicabango yokuzilimaza yena noma abanye, qiniseka ukuthi ubona udokotela noma umeluleki wezempilo yengqondo .

Yiziphi izinhlobo eziyinhloko zezinkinga ze-Factitious?

Kunezinhlobo ezimbili eziyinhloko zalesi simo. Ake sibone ukuthi ziyini.

1. Isiphithiphithi esibangelwa yizinto ezingelona iqiniso esizibangelayo

Lokhu kwakwaziwa ngaphambilini ngokuthi i-Munchausen syndrome . Lokhu kuhilela ukwenza sengathi unezimpawu zengqondo noma zomzimba ezingamthinti ngempela umuntu. Isibonelo, umuntu angase athi unesifo sengqondo esifana ne -schizophrenia , athi uzwa othile ekhuluma naye. Noma angase enze sengathi unezimpawu zomzimba ezinjengobuhlungu besisu noma ubuhlungu besifuba.

Cabanga ukuthi abanye abantu bazohamba ibanga elingakanani esimweni esinjengalesi, bethatha imithi yokunciphisa umkhuhlane, bevimba ngamabomu amanxeba ukuthi angapholi, konke lokhu ukuze bakholise odokotela ukuthi bagula ngempela.

2. Isiphithiphithi esibangelwa yiqiniso esibekwe komunye

Lolu uhlobo olunye. Okwenzekayo lapha ukuthi othile onakekelayo (isibonelo, umama obika ngamanga ukuthi ingane yakhe inezimpawu) ubika ukuthi unezimpawu. Ezimweni eziningi, lokhu kwenziwa ngokulimaza omunye umuntu ngamabomu bese emthumela ekwelashweni. Lokhu kuxilongwa akunikezwa umuntu olimele, kodwa kumuntu olimele . Lesi simo sibhekwa njengohlobo lokuhlukumeza . Lokhu kuyadabukisa kakhulu, akunjalo?

Yiziphi izimpawu nezimpawu zalesi simo?

Uma une-Factitious Disorder, ungenza izinto ezifana nalezi:

• Ukuqamba amanga ngezimpawu noma ukuzenza sengathi uzenza sengathi uzibona.
• Bazilimaza bona noma abanye ukuze babangele izimpawu.
• Ukushintsha ngamabomu imiphumela yokuhlolwa kokuxilonga (isibonelo, ngokuxuba okunye kusampula yomchamo) noma ukubangela inxeba ukuba liwohloke kunokuba liphole.
• Uzwela kanye nokunakekelwa okukhethekile kuyadingeka kakhulu.

Ngezinye izikhathi, ngisho nodokotela bangabika izimpawu ezingachazeki nezididayo. Ezimweni ezinjalo, kungase kusolwe ukuthi kukhona isifo esibangelwa amaqiniso. Isibonelo:

• Izimpawu zingase zishintshe noma zibe zimbi kakhulu kungazelelwe, kungaba ngemva kokwelashwa noma ngemva kokubuya ekhaya esibhedlela.
• Izimpawu zivele ngokuzumayo bese ziyanyamalala futhi. Kwenzeka ngendlela engalindelekile.
• Izimpawu zibonakala kuphela uma bebodwa.
• Ngemva kokuba udokotela ethi, "Awunaso isifo," kuvela izimpawu ezintsha.

Ezinye izimpawu zingaba:

• Baya ezibhedlela ezahlukene, emitholampilo, nakodokotela, ngezinye izikhathi ngisho nasezindaweni ezingaphandle kwedolobha labo.
• Uma itshelwa ngezikhathi ezahlukene noma kodokotela abahlukene, umlando wezokwelapha uyaphikisana.
• Uma uya kudokotela omusha, ushintsha amagama.
• Banolwazi olumangalisayo ngezibhedlela, amagama ezokwelapha, kanye nemininingwane esezincwadini mayelana nezifo.
• Bazimisele kakhulu futhi balangazelela ukuhlolwa noma ukuhlinzwa okubuhlungu kwezokwelapha.
• Ukwenqaba ukuhlolwa kwengqondo, noma ukwenqaba ukuba uchwepheshe wezokwelapha ahlangane noma akhulume nomndeni, abangane, noma odokotela bangaphambilini.

Kungani lesi simo senzeka? Yiziphi izizathu?

Eqinisweni, odokotela abakakazi kahle ukuthi yini ebangela i-Factitious Disorder. Kodwa-ke, ucwaningo lubonisa ukuthi kungenzeka ukuthi ibangelwa izici zengqondo (okungukuthi, izingxenye zobuntu bakho ezithonya imicabango nezenzo zakho) kanye nezici zebhayoloji (okungukuthi, i-chemistry yobuchopho bakho kanye nokwakheka kwezakhi zofuzo).

Ucwaningo luqhubeka lusikisela ukuthi izici ezilandelayo zingase zithonye isilingo sokukhohlisa odokotela ngale ndlela:

• Isifiso sokuba izidingo zakho zomzimba noma zengqondo zaneliswe ngomunye umuntu.
• Ukufuna amandla nokuphakama ngaphezu kwabanye.
• Nciphisa ukukhathazeka okubangelwa ukwesaba ukushiywa.
• Dala ubuwena obusha bomuntu siqu.

Kodwa-ke, kubalulekile ukukhumbula ukuthi lesi sifo esibangelwa yizinto ezibonakalayo singavela ngaphandle kwesizathu esibonakalayo.

Yiziphi izici eziyingozi zokuthuthukisa izifo ze-Factitious?

Lesi simo asivamile ngempela.Noma kunjalo, ungase ube sengozini enkulu yokuthola lesi simo uma uke wabhekana nanoma yikuphi kwalokhu okulandelayo:

• Ukuxhashazwa noma ukunganakwa ngiseyingane.
• Okuhlangenwe nakho okubuhlungu kakhulu (Ukuhlukumezeka).
• Wena noma othile oseduze nawe unezifo ezivame ukugula.
• Kukhona ukungahambi kahle nezinkinga emndenini.
• Njengoba ngichithe isikhathi eside esikhungweni sezempilo (ngenxa yokugula, ukuqeqeshelwa umsebenzi, umsebenzi wokuzithandela, njll.).

Odokotela bakuthola kanjani lesi simo?

Eqinisweni, kunzima kakhulu ukuthola isifo esibangelwa yizinto ezithile ngenxa yalezi zindlela zokuziphatha ezikhohlisayo.

Udokotela uzoxilonga lesi simo ngemva kokukuhlola kabanzi. Izinto ezilandelayo zizokusiza:

• Ukuthola umlando ophelele wezokwelapha.
• Ukwenza ukuhlolwa okuphelele komzimba.
• Ukuhlolwa kwelebhu.
• Ukuhlolwa kwezithombe (isib. i-X-ray, i-Scan).

Kwezinye izimo, udokotela wakho angakuthumela ukuze uyohlolwa ngudokotela wezifo zengqondo noma isazi sokusebenza kwengqondo, njengoba odokotela bezifo zengqondo kanye nodokotela bezifo zengqondo kungabantu abaqeqeshwe ngokukhethekile ukuxilonga nokwelapha izimo zempilo yengqondo.

Yiziphi izindlela zokwelapha lokhu? (Ukwelashwa)

Umgomo wokuqala ekwelapheni izifo ezibangelwa yizinto ezithile ukushintsha ukuziphatha okulimazayo nokunciphisa ukusetshenziswa kabi noma ukusetshenziswa ngokweqile kwezinsiza zezokwelapha. Uma le migomo isifeziwe, ithimba lakho lezokwelapha lizogxila ekuboneni izimbangela eziyisisekelo zokuziphatha kwakho futhi likusize uthole izixazululo ezihlangabezana nezidingo zakho.

Ukugxila okuyinhloko ekuphatheni lesi simo ukunciphisa ukulimala . Odokotela bangasebenzisana ukuqinisekisa ukuthi awuvivinywa noma ukwelashwa okungadingekile kwezokwelapha. Ukuhlolwa okuningi kwezokwelapha kanye nokwelashwa kungaba nemiphumela emibi (isibonelo, ukukunikeza ama-antibiotic ongawadingi kungabangela imiphumela emibi noma umonakalo ezithweni zakho zomzimba).

Ngezinye izikhathi, odokotela bangase bazame ukukuvimbela ukuthi ungazilimazi (isibonelo, ukuze banciphise ingozi yokuthelelana, bangase banciphise ukufinyelela kwakho ezintweni ezifana nama-cannula afakwa emithanjeni yakho yegazi).

Futhi, udokotela angelapha izisusa zengqondo eziyisisekelo ezibangela lezi zenzo ezikhohlisayo. Uhlelo lokwelapha lwawo wonke umuntu luhlukile, okusho ukuthi luhlukile .

Ukwelashwa okuyinhloko kwe-Factitious Disorder ukwelashwa kwengqondo ( uhlobo lokwelulekwa). Lapha, uzogxila kakhulu ekushintsheni imicabango yakho kanye nokuziphatha kwakho. Lokhu kubizwa ngokuthi ukwelashwa kokuziphatha kwengqondo (i-CBT).Le ndlela iyasiza kakhulu. Futhi, ungafunda izindlela zokubhekana nezimo ezinempilo. Ngokwelashwa komndeni, ungafundisa abathandekayo bakho ukuthi bangasabeli ezindleleni ezithile zokuziphatha noma bangabe besabakhuthaza.

Okwamanje azikho imithi ethile yokwelapha lesi simo. Kodwa-ke, imithi ingadingeka kwezinye izimo ezingase zenzeke ngalesi simo, njengokucindezeleka noma ukukhathazeka .

Iyini inhloso yalesi simo? (Isibikezelo)

Umbono wabo bonke abane-Factitious Disorder uhlukile. Kwezinye izimo, lesi simo singahlala iminyaka noma amashumi eminyaka. Kwabanye, izimpawu ziqala ukubonakala futhi zithuthuke phakathi nezinyanga ezimbalwa. Ucwaningo luthole ukuthi lesi simo singaphela ngokuzumayo, ikakhulukazi ngemva kokuba abathandekayo noma odokotela bethole ukuthi kwenzekani ngempela.

Kodwa, ngokudabukisayo, abantu abaningi abane-Factitious Disorder bayakugwema ukufuna ukwelashwa ngakho noma abalandeli uhlelo lokwelashwa.

Kukhona ingozi yezinkinga ezisongela impilo , ngakho-ke isikhathi sokuphila komuntu singathinteka ngokuzumayo.

Labo abahlukunyeziwe bangahlushwa yizimo zempilo yengqondo zesikhathi eside, kodwa kukhona ukwelashwa. Uma uhlukunyeziwe, khumbula ukuthi awuwedwa.

Ingabe lesi simo singavinjelwa?

Okwamanje ayikho indlela eyaziwayo yokuvimbela i-Factitious Disorder. Kodwa-ke, ukwelashwa kusenesikhathi kungasiza ekuvimbeleni izinkinga . Izinkinga ezinjalo zifaka:

• Izinkinga zokusebenzisa izidakamizwa.
• Ukuhlukumeza omunye umuntu.
• Ukunqunywa kwezicubu (ukususwa kwezitho zangaphakathi, izitho zomzimba, njll. okungadingekile).
• Ukulimala noma imiphumela emibi ebangelwa ukuhlolwa noma ukwelashwa okungadingekile kwezokwelapha.
• Ukuzama ukwenza sengathi unesifo kungalimaza umzimba.
• Ukuzibulala.

Uma uzizwa sengathi ufuna ukuzilimaza noma ukuzilimaza omunye umuntu, noma uma unemicabango yokuzibulala, sicela ubone udokotela noma ushayele u-1926 (Usizo Lwezempilo Yengqondo). Uma unomuzwa wokuthi wena noma othile oseduze nawe usengozini esheshayo, shayela u-119 (inombolo ephuthumayo yamaphoyisa) noma inombolo yakho yezinsizakalo eziphuthumayo zasendaweni.

Ngenzenjani uma umuntu oseduze nami enalesi simo?

I-Factitious Disorder iyisimo sempilo yengqondo esiyinselele kakhulu ukusixilonga nokwelapha. Abantu abaningi abatholakale benalesi simo bangase benqabe noma bangayinaki i-diagnosis esemthethweni evela kudokotela wabo ngoba akuyona i-diagnosis ababeyilindele.

Ungasiza othandekayo wakho ngokulalela lokho akushoyo. Gwema ukunganaki noma ukululaza ukuziphatha kwakhe okukhohlisayo. Kunalokho, mkhuthaze ngobumnene ukuba afune usizo kumeluleki wezempilo yengqondo . Uma ungaqiniseki ukuthi ungamsiza kanjani othandekayo wakho, cela iseluleko kumeluleki wezempilo yengqondo .

Kufanele ngimbone nini udokotela?

Uma uzizwa udinga ukuzilimaza noma ukuzilimaza abanye ukuze uthole ukwelashwa, bona udokotela.

Ngokuvamile, abantu abane-Factitious Disorder abazi ukuthi ukuziphatha kwabo kubathinta kanjani bona nalabo ababazungezile. Ngakho-ke, uma othandekayo ebonisa izimpawu ze-Factitious Disorder, lowo othandekayo kungaba nguyena okufanele afune usizo. Uma wena noma othile omthandayo ezwa sengathi usengozini ngokushesha, shayela izinsizakalo eziphuthumayo ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela imibuzo efana nale:

• Hlobo luni lokwelashwa olunconywayo?
• Kufanele ngikhulume kangaki nomeluleki wezempilo yengqondo ?
• Ingabe abathandekayo bami bangaba nengxenye ekwelashweni?

Okokugcina, into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

Izinkinga eziphathelene nomqondo ziyisimo esiyinkimbinkimbi . Zingavela ngemva kwezehlakalo ezibuhlungu, njengokuhlukunyezwa noma ukunganakwa, futhi zingavela kanye nezinye izimo zempilo yengqondo. Kodwa-ke, lokhu akunjalo kuwo wonke umuntu.

Umuntu onalesi sifo angase azi ukuthi wenzani, kodwa angase angazi ukuthi kungani enza lokhu, noma ukuthi ukuziphatha kwakhe kuthinta kanjani yena nabanye . Ngokuvamile, umuntu okulesi simo udinga umuntu ozomlalela. Ngenhlanhla, kunezindlela zokwelapha ezitholakalayo zokusiza wena noma umuntu omthandayo ukuba ngcono futhi uvimbele ukulimala okungadingekile. Ngakho-ke, ungesabi ukucela usizo.

Izinkinga Eziphathelene Namaqiniso, Izinkinga Eziphathelene Namaqiniso, Impilo Yengqondo, I-Munchausen Syndrome, Izimpawu Zokuzenzisa, Ukwelashwa Kwengqondo