Ingabe nawe uzizwa sengathi ingxenye yomzimba wakho akuyona eyakho? (Isifo Sokuzibona Komzimba Ophelele - BIID) Ake sixoxe ngalokhu!

Wake wazizwa sengathi ingxenye yomzimba wakho enempilo, mhlawumbe ngisho nengalo noma umlenze, akuyona eyakho, sengathi bekungafanele ukuba lapho? Kungaba yinto exakile kakhulu, futhi ebuhlungu, ongeke ngisho uyitshele muntu ngayo. Namuhla sizokhuluma ngesimo sengqondo esingavamile kodwa esibucayi kakhulu esibizwa ngokuthi i-Body Integrity Identity Disorder (BIID) .

Iyini ngempela i-BIID?

Kalula nje, i-Body Integrity Identity Disorder (BIID) , ngezinye izikhathi ebizwa ngokuthi i-Body Integrity Dysphoria , yisimo sempilo yengqondo lapho uzizwa khona ukuthi ingxenye enempilo yomzimba wakho, njengengalo, umlenze, umunwe, noma iso, akuyona eyakho ngempela. Into ebalulekile ukuthi wazi ukuthi ingxenye yomzimba wakho iphilile, ungayizwa, uyisebenzise, ​​​​futhi uyishukumise. Kodwa kukhona ukuphoqeleka okukhulu ngaphakathi kuwe okuthi, "Lokhu akusikho okwami, lokhu akukwazi ukuba lapha." Ufuna kakhulu ukuphila ngaphandle kwaleyo ngxenye yomzimba wakho.

Ngakho-ke, ungacela udokotela ukuthi asuse ingxenye enempilo yomzimba wakho (ukunqunywa kwezicubu). Noma, uma ungakwazi ukuthwala ingcindezi, ungazama ukuyisusa wena leyo ngxenye. Lokhu kuyingozi kakhulu futhi kungaba yingozi empilweni. Umphumela wokugcina we-BIID ukukhubazeka ngokomzimba.

Isifiso sokususa le ngxenye yomzimba wakho, noma ukukhubazeka ngokomzimba, singakwenza uzizwe sengathi "uphelele" - njengokungathi umzimba wakho wenyama usuvele uvumelana nobuntu bakho bangaphakathi. Kodwa, ngeshwa, ayikho indlela yokwazi ukuthi ukunqunywa kwesikhumba kuzokusiza yini ukufeza lo mgomo. Kunezindlela zokwelapha ezingezona ezokuhlinzwa zokuphatha lesi simo.

Yiziphi izingxenye zomzimba ezithintwa yi-BIID?

I-BIID ingathinta noma iyiphi ingxenye yomzimba wakho. Ngokuvamile, lezi yizitho zomzimba wakho ezizizwa sengathi azifaneleki, njengokungathi aziyona ingxenye yakho:

• Umlenze
• Isandla
• Umunwe
• Uzwane
• Amehlo (eyodwa noma womabili)
• Izindlebe (eyodwa noma zombili)
• Amazinyo

Ucwaningo olulodwa luthole ukuthi umlenze wesobunxele yiwona othinteke kakhulu ngale ndlela. Abanye babahlanganyeli kulolo cwaningo bathi umlenze wabo wesokudla wawuwusizo kubo, isibonelo, ngoba babedinga umlenze wabo wesokudla ukuze bashayele imoto, ngakho babefuna ukuwugcina. Ngakho bakhetha ukugcina umlenze wabo wesokudla. Cabanga ukuthi lo muzwa uyinkimbinkimbi kangakanani!

Ivame kangakanani i-BIID?

I-BIID empeleni iyisimo esingavamile kakhulu . Abantu abaningi abafuni ukwelashwa ngaso, noma bafihla izimpawu zabo kwabanye. Ngenxa yokuthi kuyinto enzima emphakathini ukuyiqonda, ingabangela izinto ezifana namahloni nokwesaba. Ngakho-ke kunzima ukusho ukuthi lesi simo sisakazeke kangakanani emhlabeni.

Ziyini izimpawu ze-BIID?

Umuntu one-BIID angabonisa izimpawu ezifana nalezi:

• Kukhona isifiso esinamandla sokukhubazeka ngokomzimba noma sokuphila ngaphandle kwesitho somzimba. Lokhu akusikho nje isifiso, kuzwakala njengomthwalo osindayo enhliziyweni.
• Kungaba nzima kakhulu futhi kube nzima ukuzwa ukuthi ingxenye enempilo yomzimba wakho ayikufaneli noma ayifaneleki.
• Ngenxa yokuthi bahlala becabanga ngalezi zifiso zomuntu siqu, bazihlukanisa nokuxhumana nabantu, ubudlelwano nabanye, ngisho nezinto abajabulela ukuzenza.
• Ngisho noma bengakhubazekile ngempela, bavame ukwenza sengathi bakhubazekile. Mhlawumbe basebenzisa isihlalo sabakhubazekile noma izinduku zokusibekela.
• Bayalingeka ukuba bazilimaze noma babhubhise ingxenye yomzimba wabo abanomuzwa wokuthi akuyona eyabo (ukuzilimaza).

Lezi zimpawu zingaba mnene kakhulu kwabanye (imizwa enamandla ngomzimba wakho nje), noma zibe nzima kakhulu kwabanye (kuze kube seqophelweni lokuzama ukuzilimaza). Ziyahlukahluka kuye ngomuntu nomuntu.

Umuntu one-BIID uzizwa kanjani?

Uma une-BIID, ungase ubhekane nalokhu okulandelayo:

• Umuzwa "wokuphelela ngokweqile" noma umuzwa wokuthi kukhona okuntulekayo/okukhathazayo ngesimo somzimba wakho wamanje. Okusho ukuthi, umuzwa wokuthi umzimba "ugcwele kakhulu" ngenxa yaleyo ngxenye ezwakala "ingadingeki".
• Bazizwa bekhathele kakhulu futhi bekhathele ngoba bazama ukufihla imizwa yabo yangempela kwabanye.
• Uhlala ucabanga ngomzimba wakho (imicabango ejulile).
• Uzizwa ucindezelekile kakhulu noma ukhathazekile ngokungakwazi ukukhombisa umzimba wakho wenyama emhlabeni njengoba uzibona.
• Ukucindezeleka kungabangelwa ukungakwazi ukuphila ngaphakathi komuntu wangempela ngaphandle kokushintsha ngokomzimba.

Iqala nini le mizwa?

Ngokuvamile, le mizwa iqala ebuntwaneni nasebusheni , ngokuvamile phakathi kweminyaka emi-5 neyi-10.

Yini ebangela i-BIID?

Uma ngikhuluma iqiniso, odokotela abakazi kahle ukuthi yini ebangela i-BIID. Kodwa ucwaningo lwamanje lubonisa ukuthi kungenzeka ukuthi kungenxa yokuphazamiseka kwesakhiwo ezingxenyeni zobuchopho ezilawula ukuqonda komzimba wethu. Ingxenye engaphezu kweyodwa yobuchopho ihilelekile ekuboneni kwethu umzimba wethu. Isibonelo:

• I-Somatosensory cortex kanye ne-parietal lobe.
• I-Insula (etholakala phakathi kwe-occipital kanye ne-frontal lobes).

Okwamanje kusolwa ukuthi ushintsho oluthile ekusebenzeni kwalezi zingxenye zobuchopho lungaba yimbangela yalesi simo.

Yiziphi izinkinga ezingaba khona ze-BIID?

I-BIID ingakwenza ufune ukuzilimaza ukuze ufeze imigomo yakho, njengokususa leyo ngxenye yomzimba "engafuneki". Ungase ungayiboni "njengokuzilimaza," kodwa ingaholela ezinkingeni ezinkulu, njenge:

• Ukopha okungalawuleki.
• Ukutheleleka.
• Ukulimala kwemizwa.
• Ubuhlungu obukhulu.
• Ubuhlungu obumangalisayo ngemva kokunqunywa kwesitho.

Ukuzama ukuzisika izingxenye zomzimba ngokwakho kuyingozi kakhulu. Kungaba yingozi ngisho nokuphila. Mhlawumbe isifiso osizwa ngaleso sikhathi sinamandla kangangokuthi lezi zingozi zingase zibonakale zingaphansi kwakho. Kodwa sicela uqonde, umonakalo lokhu okungawubangela ungaphezu kokucatshangwa.

Uma uzizwa sengathi ufuna ukuzilimaza, sicela ubone udokotela ngokushesha, noma ushayele inombolo yakho yezimo eziphuthumayo yendawo. ESri Lanka, kunezinhlangano ezifana neSumithrayo (0112692909, 011269666, 0112682535) ongazishayela ucingo bese wabelana ngemicabango yakho. Zizokusiza.

Uthola kanjani ukuthi une-BIID?

Udokotela wezifo zengqondo ngokuvamile nguyena oxilonga i-BIID. Uzokhuluma nawe ngendlela ozizwa ngayo ngomzimba wakho futhi enze ukuhlolwa ngokomzimba ukuqinisekisa ukuthi ingxenye yomzimba ofuna ukuyisusa iphilile.

Ngokuvamile, abantu abanalesi simo abatholakali, noma batholakala kuphela ngemva kokuzilimaza bese begcina besegumbini eliphuthumayo noma lapho befuna usizo kudokotela ohlinzayo ukuze asuse ingxenye enempilo yomzimba wabo.

Uma unemicabango eqhubekayo, ecindezelayo, nengalawuleki ngokushintsha umzimba wakho, sicela ubonane nodokotela. Bakhona ukukusiza ukuthi ulawule le micabango futhi uthole uhlelo lokwelapha olukusebenzelayo.

Ingabe isimo se-BIID siku-DSM-5?

I-BIID ayifakwanga ohlwini lwezifo ezihlukile ku- Diagnostic and Statistical Manual of Mental Illnesses (DSM-5-TR) yamanje ye-American Psychiatric Association. Kodwa-ke, i-DSM-5-TR ifaka i-BIID kanye nesimo esibizwa ngokuthi i-Body Dysmorphic Disorder .

Kodwa-ke, ku-International Health Organization's International Classification of Diseases (ICD-11) , uhlu olusetshenziswa odokotela ukuxilonga nokuhlukanisa izifo, lesi simo sibizwa ngokuthi 'i-Body Integrity Dysphoria' .

Yiziphi izindlela zokwelapha i-BIID?

Uma ngikhuluma iqiniso, ukwelapha i-BIID kuyinselele kancane.Akukho ukwelashwa okuqondile kwe-BIID. Odokotela bavame ukuzama ukuvimbela ukususwa kwezitho zomzimba ezinempilo nokukusiza ukuthi uyeke ukuziphatha okubi. Lokhu kungabandakanya inhlanganisela yezindlela zokwelapha. Lokhu kungafaka:

• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Lolu uhlobo lwe-psychotherapy olukusiza ukuthi ubone futhi ushintshe amaphethini akho okucabanga nokuziphatha.
• Imithi yokunciphisa ukucindezeleka nokukhathazeka: Le mithi ingasiza ekunciphiseni ukucindezeleka okuza ne-BIID.
• Ukugqoka i-prosthetic, ukusebenzisa isihlalo sabakhubazekile noma izinduku zokusibekela: Abanye abantu bangathola impumuzo yesikhashana ekubhekaneni "nokukhubazeka" ngale ndlela.
• Ukusebenzisa i-Virtual Reality (VR): Lobu buchwepheshe bukuvumela ukuthi ulingise ukuthi kungaba njani ukuphila ngaphandle kwengxenye yomzimba wakho.

Ezimweni eziningi, imithi kanye nokwelashwa kungasiza ekunciphiseni ezinye zezimpawu ze-BIID. Into ebalulekile ukuthi lezi zindlela zokwelapha ngeke ziqede ngokuphelele isifiso sokuphila ngaphandle kwengxenye yomzimba wakho. Kodwa zingakusiza ukunciphisa ukucindezeleka okuzwayo, zinciphise ukuvama kwale micabango, futhi zikusize uphile nalesi simo isikhathi eside.

Udokotela wakho angase futhi asikisele ukuthi uhlanganyele ezivivinyweni zomtholampilo noma ezifundweni zocwaningo ukuze ufunde kabanzi ngalesi simo futhi uthole izindlela ezintsha zokwelapha.

Ingabe ukunqunywa kwezicubu kuyayelapha i-BIID?

Lona umbuzo onzima kakhulu futhi obucayi ukuwuphendula. Ungase ucabange ukuthi ukunqunywa kwelungu kuzogcwalisa izifiso zakho futhi kwelaphe i-BIID. Ungase ungazisoli ngokususwa kwesitho esinempilo. Kodwa kungenza impilo yakho ibe nzima futhi icindezeleke kakhulu kunalokho okukhona kakade. Akukho siqinisekiso sokuthi ukususa isitho esinempilo kuzokulethela umuzwa wokuphelela. Yingakho ukususwa kwezitho zomzimba ngokuhlinzwa kwe-BIID kube yinkinga ephikisana kakhulu emphakathini wezokwelapha.

Ngokwezimiso zokuziphatha, odokotela abahlinzayo nodokotela abazisusi izingxenye zomzimba ezinempilo ngaphandle kwesidingo esicacile sezokwelapha. Lokhu kuphambene nesimiso sezokwelapha esithi "ungalimazi." Imiphumela nezingozi zokususwa kwengxenye yomzimba ngokuhlinzwa kungaba impilo yonke, kube yingozi, futhi kube yingozi.

Ukususa ingxenye yomzimba kungase kungazixazululi ngokuphelele izinselele zengqondo eziyisisekelo obhekene nazo. Kungase kubonakale sengathi yisisombululo kuphela kuwe njengamanje, kodwa ayikho indlela yokwazi ukuthi ukususa ingxenye yomzimba wakho kuzoba nemiphumela oyilindele.

Ukunqunywa kwezitho zomzimba kuhlala unomphela. Awukwazi ukuguqula ukuhlinzwa okunje uma unganelisekile ngemiphumela.

Yini okufanele ilindelwe umuntu one-BIID?

I-BIID iyisimo esinzima kakhulu ukusisingatha nsuku zonke. Ingakuhlukanisa nabathandekayo bakho nezinto ozijabulelayo. Ukunqunywa kwezicubu kuyimiphumela ehlala njalo futhi evame ukuba yingozi ye-BIID. Ungalokothi uzame ukususa izingxenye zomzimba wena.

Uma unemicabango ephikelelayo necindezelayo ekwenza ufune ukuzilimaza, bona udokotela. Nakuba izindlela zokwelapha zamanje zingase zingaziqedi ngokuphelele izifiso zakho, zingenza kube lula ukuphila nazo futhi zinciphise inani lemicabango ecindezelayo ephazamisa impilo yakho yansuku zonke.

Kufanele ngimbone nini udokotela?

Uma unemicabango ephazamisayo njalo yokunquma ingxenye enempilo yomzimba wakho, sicela ukhulume nodokotela. Uma usesimweni esiphuthumayo, noma wesaba ukuzilimaza, shayela izinsizakalo eziphuthumayo ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubona udokotela, ungabuza imibuzo efana nale:

• Hlobo luni lokwelashwa olungincomayo?
• Ingabe ikhona imiphumela emibi yokwelashwa?
• Ingabe ukunqunywa kwesikhumba kungenza ngizizwe ngingcono?
• Ngenzenjani uma ukwelulekwa kanye nezinye izindlela zokwelapha kungasebenzi?

Ingabe i-BIID iyisifo sengqondo?

Yebo, i-Body Integrity Dysphoria , noma i-Body Integrity Identity Disorder (BIID), iyisimo sempilo yengqondo . Ucwaningo lubonisa ukuthi imbangela yalesi simo ingase ihlobane nendlela ubuchopho bakho obakhula ngayo ngesikhathi sobuntwana. Yingakho izimpawu zivame ukuqala ebuntwaneni. Intuthuko engavamile ezingxenyeni ezithile zobuchopho ingathinta indlela obheka ngayo umzimba wakho, noma isithombe somzimba wakho.

Ukuphila ne-BIID kungaba yinto enzima futhi ehlukanisayo. Uma wake wazibeka engcupheni yokutshela abangani noma umndeni ngezifiso zakho, kungenzeka ukuthi uthole ukubukeka okumangazayo kanye nokusabela okungekuhle. Kungenzeka ukuthi baye bayilahla imicabango yakho njenge "ekhohlisayo" noma "ehlanyayo." Kodwa lokho akuwona neze iqiniso.

Imicabango nemizwa yakho ingokoqobo. Kunesizathu salokho. Ufuna nje ukwenza isithombe sakho, iqiniso lakho elingokoqobo, iqiniso elingokoqobo. Lokhu kungaba nzima kakhulu komunye umuntu, ngisho nodokotela, ukukuqonda ngaphandle kokuthi bebesesimweni sakho. Kodwa khumbula, awuwedwa, futhi usizo luyatholakala.

Ngamafuphi, izinto okudingeka uzikhumbule

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, lezi yizinto ezibaluleke kakhulu okudingeka uzikhumbule:

• I-BIID iyisimo sengqondo sangempela. Akuyona nje into oyicabangayo.
• Isici esiyinhloko salesi simo umuzwa wokuthi ingxenye yomzimba enempilo akuyona eyayo nokuthi idinga ukususwa.
• Ungazami ukususa izingxenye zomzimba ngokwakho nganoma yisiphi isizathu; kusongela impilo.
• Ukwelashwa kwezokwelapha, ikakhulukazi ukwelulekwa kwengqondo, kanye nemithi uma kudingeka, kungasiza ekuphatheni lesi simo futhi kunciphise ukucindezeleka okuzwayo.
• Awuwedwa. Ungesabi ukukhuluma ngalokhu futhi ucele usizo kudokotela omethembayo noma kumeluleki wezempilo yengqondo .

Uma uneminye imibuzo mayelana nalokhu, noma uma uneminye yale mizwa, sicela ufune iseluleko sezokwelapha.

I- BIID, ukuphazamiseka kobunikazi bobuqotho bomzimba, impilo yengqondo, ubuqotho bomzimba, ukususwa kwezingxenye zomzimba, ukucindezeleka, isithombe somzimba