Ingabe ubhekene nobunzima obuhlukahlukene bomzimba? Mhlawumbe ngokuzumayo awukwazi ukuhamba, izitho zakho ziyathuthumela, unesifo sokuwa, noma unenkinga yokukhuluma. Kodwa uma ubona odokotela abaningi, uhlolwa ngisho nokuskena, bonke bathi awuguli? Ingabe uzizwa ucindezelekile kakhulu ngenxa yalokhu? Akekho oqonda inkinga yakho, ingabe abanye bacabanga ukuthi uyaziphatha? Uma kunjalo, ungakhathazeki. Awuwedwa. Namuhla sikhuluma ngesimo abantu abaningi ababhekene nokuhlangenwe nakho okufanayo abangaba naso, kodwa kunzima ukusithola. Leso yi-Functional Neurological Disorder, noma i-FND ngamafuphi.
Kalula nje, iyini i-FND (Functional Neurological Disorder)?
Cabanga ngobuchopho bakho njengezinto zekhompyutha. Uhlelo lwezinzwa lufana nezintambo ezixhuma kuleyo khompyutha. Zombili lezi zisebenza kahle kakhulu. Lokho kusho ukuthi uma wenza i-CT scan noma i-MRI scan, akukho lutho olungalungile ngobuchopho bakho. Konke kuphilile.
Pho inkinga ikuphi?
Inkinga isesofthiweni esebenza kukhompyutha. Okusho ukuthi, kukhona iphutha elincane ohlelweni lwemiyalezo elithwala ulwazi phakathi kobuchopho nomzimba. Imiyalezo ebuchosheni ethunyelwa emzimbeni, kanye nemiyalezo etholwa ngumzimba ebuchosheni, ayishintshisani kahle. Njengoba nje uma isignali yocingo ilahlekile, ucingo luyaphuka futhi kuzwakale kuphambene. Ngenxa yalesi siphazamiso sesignali, umzimba wakho uqala ukukhombisa izimpawu.
Lezi izimpawu zangempela. Awuzicabangi. Kodwa ngenxa yokuthi umuntu wangaphandle akakwazi ukubona isizathu salokhu, angase acabange ukuthi umane uzenza sengathi uyazenzisa. Lokhu kungaba yinto ebuhlungu kakhulu kuwe.
Lokhu kwakubizwa ngokuthi i-Conversion Disorder. Kungani igama lashintsha?
Esikhathini esidlule, odokotela babecabanga ukuthi lokhu kuyinkinga yengqondo kuphela. Okusho ukuthi, babecabanga ukuthi izinto ezifana nokucindezeleka, ukudabuka, kanye nokuhlangenwe nakho okubuhlungu "ziguqulwa" zibe izimpawu zomzimba. Yingakho kwakubizwa ngokuthi "i-Conversion Disorder."
Kodwa ucwaningo olusha seluthole ukuthi kuyinkimbinkimbi kakhulu kunalokho. Ukuskena okukhethekile, njenge-functional MRI (fMRI), kubonisa izinguquko emsebenzini wobuchopho babantu abane-FND. Futhi, akuwona wonke umuntu one-FND oke waba nesigameko esibuhlungu noma ukulimala kobuchopho okubuhlungu. Ngakho-ke, igama elidala alisasetshenziswa.
Yiziphi izimpawu umuntu one-FND angase azibone?
Izimpawu ze-FND zivame ukuvela ngokuzumayo. Zingaphazamisa nemisebenzi yakho yansuku zonke. Ngezinye izikhathi, izimpawu zingase zibe zimbi kakhulu uma ucabanga ngazo, noma zingase ziphele uma ugxila kokunye.
Nazi ezinye zezimpawu ezivame kakhulu zalesi simo.
| Isigaba sezimpawu | Incazelo nezibonelo |
|---|---|
| Izimo ezifana nokuquleka (i-PNES) | Lokhu kungase kubonakale njengesifo sokuwa. Kungase kube nokudlikizela nokulahlekelwa ukwazi. Kodwa-ke, ukuhlolwa kobuchopho (i-Electroencephalogram - EEG) kubika okuvamile. Lokhu kubizwa ngokuthi (i-Psychogenic Non-Epileptic Seizures - PNES) . |
| Izinkinga ngokunyakaza komzimba | Ukuthuthumela, ukuthuthumela komzimba, ubunzima bokuhamba, kanye nokulahlekelwa ukulawula umzimba. Lezi zinto zizwakala sengathi zenzeka ngaphandle kwamandla akho. |
| Izinkinga ezihlobene nezinzwa ezinhlanu | Izinkinga ngokubona, ukuzwa, ukuhogela, ukunambitha, kanye nokuthinta. Isibonelo, kungase kube nokubona okungazelelwe okufiphele, ukubona kabili, ukuncipha kokuzwa, noma ukuba ndikindiki ezingxenyeni zomzimba. |
| Izinkinga ngokucabanga kanye nenkumbulo | Inkungu yobuchopho, ukukhohlwa ngokuzumayo ukuthi uzothini ngenkathi ukhuluma, ukukhohlwa amagama, ukukhohlwa ukuthi ubeke kuphi izinto ezibalulekile. Kungaba nzima futhi ukuhlala ugxile. |
| Isiyezi kanye nokulinganisela | Ukuzizwa sengathi untanta esikebheni, kunokuba uzizwe unesizungu. Ungase ulahlekelwe yibhalansi yakho ngenkathi umi. |
| Ubuhlungu | Ubuhlungu bomzimba, izinhlungu ezibukhali zokugwazwa, imizwa yokusha. Lobuhlungu bungaba njalo noma bube khona budlule. I-migraines nayo ingavela njalo. |
Ngaphezu kwalokho, ungabona futhi lezi zici:
- Ukuzizwa njalo ukhathele kakhulu futhi ungenawo amandla.
- Ubunzima bokukhuluma noma ukungingiza .
- Izimo ezinjengobuthakathaka bemisipha noma ukukhubazeka.
- Ubunzima bokugwinya okuthile.
Kungani i-FND ikhula? Yiziphi izici eziyithintayo?
Odokotela abasazi kahle ukuthi yini ebangela i-FND. Kodwa siyazi ukuthi ibangelwa inkinga ngendlela imiyalezo ethunyelwa ngayo phakathi kobuchopho nomzimba. Sisebenzisa isibonelo esifanayo sekhompyutha esixoxe ngaso ngaphambili, ihadiwe kanye nezintambo konke kulungile, kodwa kukhona "iphutha" elincane kusofthiwe.
Lesi sici sishintsha indlela ubuchopho obuthumela futhi buthola ngayo imiyalezo. Ngamanye amazwi, ubuchopho busebenzisa "uhlelo olungalungile." Ukwelashwa kuhilela ukususa lolu hlelo olungalungile kanye "nokuqeqesha kabusha" ubuchopho kanye nesistimu yezinzwa ukuze imiyalezo ikwazi ukugeleza kahle futhi.
Into ebalulekile ukuthi, akukho lutho emzimbeni wakho "oluphukile" noma "olonakele ngokungenakulungiseka." Inkinga nje umsebenzi.
Izimbangela zezimpawu ze-FND
Ezinye izehlakalo noma izimo zingabangela ukuthi izimpawu ze-FND zivele ngokuzumayo.
- Izimo ezahlukahlukene ezithelelanayo
- I-Migraines
- Izingozi zomzimba noma ukulimala
- Ukucindezeleka okukhulu noma izehlakalo ezibuhlungu
Ngezinye izikhathi, ngemva kwento ebangela lesi simo, ubuchopho bunganamathela kulolo phawu, njengokuqhekeka kwediski endaweni efanayo. Ochwepheshe bakholelwa ukuthi le ndlela ingaholela ku-FND.
Odokotela bayixilonga kanjani i-FND?
Ukuthola i-FND kuyinqubo eyinkimbinkimbi, njengoba izimpawu zifana nezezinye izimo eziningi zezinzwa, okwenza kube nzima ukuhlukanisa lezi zinto ezimbili.
Kungase kudingeke ukuthi ubonane nodokotela abaningi futhi uhlolwe kaningi. Lolu kungaba uhambo olukhathazayo nolukhungathekisayo. Abanye bangakutshela nokuthi ukugula kwakho “kusengqondweni yakho.” Kodwa udokotela wakho uzokuqinisekisa ukuthi izimpawu zakho zingokoqobo nokuthi wenza into efanele.
Ngokuvamile, ithimba elihlanganisa imikhakha eminingi, okuhlanganisa odokotela bezinzwa, odokotela bezifo zengqondo, kanye nabelaphi bomzimba, lisebenzisana ukuxilonga i-FND.
Ukuhlolwa kokuxilonga
Kuye ngezimpawu zakho, udokotela wakho angayala ukuhlolwa okufana nalokhu:
- Ukuhlolwa kwegazi
- Ukuskena kwe-CT
- Ukuhlolwa kwe-EEG
- I-Electromyogram (ukuhlolwa okulinganisa umsebenzi wemisipha)
- I-MRI Esebenzayo (fMRI)
- Ukuhlolwa okuphelele kwezinzwa
Zonke lezi zivivinyo zenziwa ukuze kukhishwe ezinye izimo zomzimba ezingase zibangele izimpawu zakho (isib. isifo sokuwa, i-multiple sclerosis). Uma yonke imiphumela yokuhlolwa ijwayelekile futhi izimpawu zakho zihambisana ne-FND, udokotela wakho angaqinisekisa ukutholakala kwe-FND.
Yiziphi izindlela zokwelapha i-FND?
Ngenxa yokuthi i-FND iyisimo esiyinkimbinkimbi, ayinakwelashwa ngomuthi owodwa. Yelashwa ngokuhlanganisa izindlela zokwelapha ezahlukahlukene. Umgomo oyinhloko ukubuyisela uhlelo lokuxhumana phakathi kobuchopho nomzimba.
| Indlela yokwelapha | Kwenzakalani? |
|---|---|
| Ukwelashwa Komzimba | Lokhu kubaluleke kakhulu kubantu abanezinkinga zokunyakaza (ubunzima bokuhamba, ukuthuthumela). Lokhu okwenzayo lapha ukuqeqesha kabusha ubuchopho ukuze bube nezindlela ezifanele zokunyakaza. Ngamanye amazwi, kufana nokususa uhlelo lwesofthiwe olungalungile bese ufaka olufanele. |
| Ukwelashwa Komsebenzi | Ukusiza ukwenza imisebenzi yansuku zonke (isib. ukugqoka, ukupheka) ngokuzimela futhi. |
| Ukwelashwa Kwenkulumo | Ukwelashwa kwezinkinga zokukhuluma noma zokugwinya. |
| Ukwelashwa Kokuziphatha Kokuqonda (i-CBT) | Kukusiza ukuthi uqonde ukuthi imicabango yakho, imizwa yakho, kanye nokuziphatha kwakho kuhlobene kanjani. Lokhu kungakusiza ukuthi ubone futhi uphathe amaphethini okucabanga akhulisa izimpawu. |
| Imithi | Akukho ukwelashwa okuqondile kwe-FND. Kodwa-ke, uma unezinye izimo, njengokucindezeleka, ukukhathazeka, noma ubuhlungu obungapheli, udokotela wakho angase akunike imithi yokwelapha. |
Ungaba nethemba ngenkathi uhlala ne-FND?
Kungenzeka impela. I-FND ayisona isifo esisongela impilo. Kodwa-ke, ingaba nomthelela omkhulu ezingeni lempilo yakho.
Ukululama akufani kuwo wonke umuntu. Abanye abantu balulama ngokushesha. Abanye bathatha isikhathi. Ngezinye izikhathi izimpawu zingase zithuthuke bese ziphinde zibuye. Lokho kuyingxenye yohambo. Akusho ukuthi wehlulekile.
Lokhu okulandelayo kubalulekile ukuze kube nemiphumela ephumelelayo:
- Ukuthola ukuxilongwa okunembile ngokushesha okukhulu.
- Ukwakha ubudlelwano obuhle nodokotela wakho kanye nethimba lokwelapha .
- Thola futhi uphathe izinto ezibangela ukucindezeleka.
- Qala ukwelashwa maduze .
Khumbula, udinga amandla ukuze udlule kulolu hambo. Kodwa iqiniso lokuthi usuhambe ibanga elide kangaka libonisa ukuthi unamandla kangakanani. Akudingeki uxazulule konke ngesikhathi esisodwa. Ngisho noma kuyisinyathelo esincane, kuyingxenye yohambo lokuphulukisa.
Umlayezo Wokuya Nawe Ekhaya
- I-FND iyinkinga yangempela ngendlela ubuchopho obuxhumana ngayo nomzimba. Akukhona "ekhanda lakho kuphela."
- Izimpawu zakho, okungukuthi, ukungakhululeki ngokomzimba okuzwayo, zingokoqobo ngokuphelele. Ukuthi nje imibiko yakho yokuhlolwa ijwayelekile akusho ukuthi awunaso lesi sifo.
- Kungathatha isikhathi ukuthola ukuxilongwa okunembile, kodwa ungayeki. Kubalulekile ukubona udokotela ofanele.
- Ukwelashwa kuhilela ukuqeqesha kabusha ubuchopho. Izinto ezifana nokwelashwa ngokomzimba kanye nokwelashwa kwengqondo zibaluleke kakhulu kulokhu.
- Ukuphulukiswa akwenzeki ngobusuku obubodwa, kuyinqubo. Kuzoba nezinsuku ezinhle nezimbi. Kodwa qhubeka unethemba.
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