Ingabe izinkinga zakho zempilo yengqondo ziyawuthinta umzimba wakho? Ake sixoxe nge-Conversion Disorder!

Ingabe ngezinye izikhathi uzizwa sengathi ubhekene nazo zonke izinhlobo zokungakhululeki nokugula ngaphandle kwesizathu esicacile? Cabanga nje, ngokuzumayo ulahlekelwa ukulawula izingalo noma imilenze yakho, ngokuzumayo uqala ukuthuthumela, ngezinye izikhathi ulahlekelwa ukubona, noma ungakwazi ukukhuluma. Kungakhathaliseki ukuthi odokotela benza izivivinyo ezingaki, bathi, "Asinabo ubufakazi bokuthi lokhu kuyisifo somzimba." Ngezikhathi ezinjalo, sidinga ukucabanga ngokujulile ngalesi simo esibizwa ngokuthi `(Conversion Disorder).` Nakuba lokhu empeleni kuhlobene nempilo yengqondo, izimpawu zomzimba ezibangelayo azizona ezamanga, ziyizinto zangempela.

Kuyini ngempela ukuphazamiseka kokuguqulwa?

Kalula nje, `(Ukuphazamiseka Kokuguquka)` yisimo lapho ukusebenza kobuchopho noma uhlelo lwezinzwa kuphazamiseka ngenxa yethonya elithile empilweni yakho yengqondo, okuholela ezimpawini zomzimba. Okwenzekayo lapha ukuthi into efana nokucindezeleka kwengqondo, ukuhlukumezeka, njll. "iguqulwa" ibe uphawu olubonakalayo. Into ebalulekile ukuthi lezi zimpawu zingokoqobo. Lokhu akuyona into oyenzayo ukuze uthole ukunakwa kwabanye. Futhi, lokhu akuyona nje into esengqondweni yakho. Lezi zimpawu azikwazi ukulawulwa ngokucabanga nje.

Khumbula, "Isifo Sokuguquka Kwengqondo" siyisifo sengqondo sangempela. Ukuphazamiseka ngokomzimba okubangelwa yiso kungokoqobo.

Uyini umehluko phakathi kwe-Conversion Disorder kanye ne-Somatic Symptom Disorder?

Zombili lezi zimo ziwela esigabeni esifanayo ekuhlukanisweni kwezifo zengqondo kwe-American Psychiatric Association (DSM-5). Lokhu kusho ukuthi kunezinto eziningi ezifanayo phakathi kwalezi ezimbili, futhi ngezinye izikhathi zingaba khona kanye kanye.

Ku-Somatic Symptom Disorder, unesibonakaliso esisodwa noma ngaphezulu esibangela ukuphazamiseka okukhulu kanye nokungakhululeki empilweni yakho. Ngenxa yalokho, wena:

• Ngihlala ngicabanga ngalezo zimpawu.
• Ngihlala ngikhathazekile futhi ngiyesaba ngalezo zimpawu.
• Bachitha isikhathi esiningi kakhulu kanye nomzamo kulezo zimpawu.

Kodwa-ke, isici esiyinhloko `(Conversion Disorder)` ukuthi uba nesibonakaliso esisodwa noma ngaphezulu esibonakala sihlobene nobuchopho. Lokhu kungaphazamisa kakhulu kangangokuthi awukwazi ukwenza imisebenzi yakho evamile. Kodwa-ke, akukho sifo sezinzwa esingatholakala esingachaza lezi zimpawu.

Ubani okungenzeka kakhulu ukuthi athinteke yilesi simo?

Ukuphazamiseka Kokuguquka kungenzeka kunoma yimuphi ubudala, ngisho nasezinganeni ezincane kakhulu. Kodwa-ke, ezinye izimpawu zivame kakhulu emaqenjini athile eminyaka. Isibonelo, izimpawu ezifana nokuquleka zivame kakhulu kubantu abaneminyaka ephakathi kuka-20 no-29, kanti ezinye izimpawu ezihlobene nokunyakaza komzimba zivame kakhulu kubantu abaneminyaka ephakathi kuka-30 no-39. Kutholakale nokuthi lesi simo sivame kakhulu kwabesifazane .

Lesi akusona isimo esivamile kakhulu. Ochwepheshe bathi abantu abaphakathi kwabane kuya kwabayishumi nambili kwabayikhulu abayizinkulungwane batholakala benesifo "sokuguquka kokuguquguquka" minyaka yonke.

I-Conversion Disorder iwuthinta kanjani umzimba wami?

Kulesi simo, izimpawu zomzimba zenzeka ngenxa yezinguquko endleleni ubuchopho bakho obusebenza ngayo. Ukuskena okukhethekile, njenge-MRI esebenzayo, kungabheka ukusebenza kobuchopho babantu abanalesi simo futhi kubonise ukuthi izindawo zobuchopho ezihlotshaniswa nalezo zimpawu azisebenzi kahle noma zishintshe ngendlela engavamile. Lokhu akuyona into umuntu angayenzanga.

Ziyini izimpawu ze-Conversion Disorder?

Izimpawu zingahluka kakhulu kuye ngokuthi iyiphi ingxenye yobuchopho ethintekile. Nazi ezinye zezimpawu ezivame kakhulu:

• Ukuquleka Okungabangelwa Yisifo Sokuquleka Okubangelwa Yingqondo (i-PNES): Ukuquleka kuvame ukubangelwa inkinga ngesakhiwo noma ukusebenza kobuchopho. Kodwa-ke, lolu hlobo lokuquleka, olubizwa ngokuthi i-PNES, lubangelwa inkinga yempilo yengqondo.
• Ukuphazamiseka kwemizwa: Ukuphazamiseka kwezinzwa zokubona, ukuzwa, ukuhogela, ukunambitha, kanye nokuthinta kungenzeka. Isibonelo, ukubona izithombe ezimbili ngesikhathi esisodwa, umbono womhubhe, ukulahlekelwa ukuzwa, ukuthuthumela, kanye nokulahlekelwa umuzwa lapho okuthile kuthinta isikhumba.
• Ubuhlungu: Abantu abane-Conversion Disorder bangase babe nobuhlungu obungapheli. Ngezinye izikhathi kungase kuhambisane nezinye izimpawu, ngezinye izikhathi kungase kube ubuhlungu nje.
• Ukuqina kwemisipha okungavamile, ukudikiza, ukudikiza, nokuthuthumela: Konke lokhu kubangelwa ushintsho endleleni ubuchopho bakho obulawula ngayo imisipha yakho.
• Izimo ezinjengobuthakathaka bemisipha noma ukukhubazeka.
• Ubunzima bokugwinya (i-Dysphagia).
• Isiyezi.
• Ukuzizwa ubanda noma uqulekile (i-Syncope).
• Ukukhathala okungapheli noma ukuntuleka kwamandla.

Kodwa into exakile ukuthi, yize abanye abantu benezimpawu ezinzima kangaka, kubonakala sengathi abakhathazeki kakhulu noma abasabi ngazo. Bathi, 'Kuyini lokho?' Odokotela bakubiza lokhu ngokuthi "ukunganaki okuhle." Kodwa lokhu akuyona into wonke umuntu anayo, futhi akunakubhekwa njengophawu.

Yiziphi izimbangela ze-Conversion Disorder?

Ochwepheshe abakakazi kahle ukuthi yini ebangela lokhu. Kodwa-ke, bathole ukuthi kuhlotshaniswa nezimo ezithile kanye nezimo zezokwelapha. Izimo ezivame kakhulu yilezi:

• Ukuxhashazwa ngokocansi, ngokomzimba, noma ngokwengqondo ngesikhathi useyingane.
• Ukuba nezinye izimo zempilo yengqondo, ikakhulukazi ukucindezeleka noma ukukhathazeka .
• Isenzakalo esibuhlungu kakhulu noma esibuhlungu kakhulu samuva nje.
• Ukugula noma isenzakalo esingokomzimba samuva nje kuyimbangela yokuqala kwe-Conversion Disorder.

Lesi simo asithelelani. Lokho kusho ukuthi awukwazi ukusithola kwabanye abantu, futhi awukwazi ukusidlulisela kwabanye.

Isifo Sokuguquka Kwengqondo Sitholakala Kanjani?

Udokotela wakho uzoxilonga lesi simo ngokuhlanganisa izici eziningana, okuhlanganisa ukuhlolwa ngokomzimba nangokwezinzwa, ukuhlolwa kokuxilonga, kanye nokuskena. Ukuze kutholakale ukuthi une-"Conversion Disorder", zonke lezi zici ezine kumele zihlangatshezwe:

1. Kumelwe ube nophawu olulodwa noma ngaphezulu oluhlobene nobuchopho obulawula ukunyakaza noma imizwa yakho.

2. Izimpawu zakho akufanele zifane ncamashi nezinye izimo eziqashelwa ngokwezokwelapha.

3. Izimpawu zakho akumelwe zichazwe yinoma yisiphi esinye isimo somzimba noma inkinga yengqondo.

4. Lezi zimpawu noma izinkinga kumele ziphazamise impilo yakho yansuku zonke, ikakhulukazi emsebenzini nasebudlelwaneni nabantu.

Kusho ukuthini ukuthi "ukungavumelani"?

Ku-`(Conversion Disorder),` kuyisici esibaluleke kakhulu ukuthi izimpawu zakho "azihambisani" nesimo sezokwelapha esiqashelwayo. Udokotela wakho kuzodingeka afune izindlela izimpawu zakho ezingahambisani ngazo nezinye izifo ezaziwayo. Lokhu akusho ukuthi abakukholwa, noma ukuthi izimpawu zakho ziyaqamba amanga. Eqinisweni, ukuthola ukungalingani okunjalo yikho okusiza ekuxilongeni ngokunembile `(Conversion Disorder).` Okusho ukuthi, bangaqinisekisa ukuthi awunaso isifo sobuchopho esibi kakhulu esingaba sibi kakhulu.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale lesi simo?

Udokotela wakho uzonquma ukuthi yiziphi izivivinyo okufanele uzenze ngokusekelwe ezimpawini zakho. Izivivinyo ezilandelayo zivame ukunconywa:

• Ukuhlolwa kwegazi (lokhu kungahlola izinto ezifana nezinkinga zesimiso somzimba sokuzivikela, ubuthi, kanye nezinsimbi ezithile).
• `(I-Computerized Tomography - CT) Scan`.
• I-Electroencephalogram (EEG) (ukuhlolwa okubheka amaphethini kagesi obuchopho).
• I-Electromyogram (EMG) (ukuhlolwa okuhlola ukusebenza kwemisipha kanye nezinzwa).
• `Ukuhlolwa kwamandla okuvukile` (ukuhlolwa okubheka indlela ubuchopho obusabela ngayo emizweni).
• Ukuskena kwe-Magnetic Resonance Imaging (MRI).

Isifo Sokuguquka Kwengqondo Singelashwa Kanjani? Ingabe Singelapheka?

Ngenxa yokuthi i-Conversion Disorder iyisimo sempilo yengqondo esibangela izimpawu zomzimba, ukwelashwa kugxila kakhulu ohlangothini lwengqondo. Ukwelashwa kwengqondo ngokuvamile kuyisinyathelo sokuqala, futhi kuyindlela ephumelela kakhulu. Izindlela zokwelashwa kwengqondo ezisetshenziswa kakhulu yilezi:

• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Lolu uhlobo lokwelapha olunconywa kakhulu nolusebenza kahle kakhulu. Lukusiza ukuthi ushintshe imicabango yakho, imizwa yakho, kanye nezindlela zakho zokuziphatha.
• (Ukwelashwa nge-hypnotherapy):Lokhu ngezinye izikhathi kusetshenziswa njengendlela yesibili, ikakhulukazi kulabo abanezinkinga zokukhuluma noma izimpawu zokuzwa.
• Ukwelulekwa kweqembu noma komndeni: Ukwelulekwa kweqembu kukuvumela ukuthi wabelane ngolwazi nabanye ababhekene nezinkinga ezifanayo futhi uthole ukwesekwa kubo. Ukwelulekwa komndeni kusiza abathandekayo bakho baqonde isimo sakho futhi kukuqondise ekubasizeni.

Ngaphezu kwalokhu, kunezinye izindlela zokwelapha ezingasiza:

• Ukwelashwa Komzimba: Nakuba "Isifo Sokuguquka" siqala ngembangela yengqondo, imiphumela engokomzimba ingokoqobo. Ukwelashwa ngokomzimba kungakusiza ukuthi ululame noma uzivumelanise nalezo zimpawu zomzimba.
• Imithi: Uma unezinye izimo, njengokucindezeleka noma ukukhathazeka, kanye ne-Conversion Disorder, imithi yalezo zimo ingasiza futhi ekunciphiseni izimpawu ze-Conversion Disorder. Imithi yokucindezeleka ingasiza, ikakhulukazi ngezimpawu ezihilela ubuhlungu.
• I-Biofeedback: Lena indlela yokwelapha ehlukile. Kulokhu, uzifundisa ukushintsha indlela umzimba wakho osebenza ngayo. Usebenzisa imishini, ulinganisa umsebenzi womzimba wakho futhi uqeqeshwa ukwenza izinguquko ngokusekelwe kulezo zimpendulo.

Izinkinga noma imiphumela emibi engase ivele ngalezi zindlela zokwelapha, ikakhulukazi ngemithi, iyahlukahluka kuye ngokwelashwa. Udokotela wakho ungumuntu ongcono kakhulu ukukuchazela lokhu.

Ngingazinakekela kanjani/ngiphatha kanjani izimpawu?

`(Isifo Sokuguquka)` kungaba nzima ukusithola ngisho nakudokotela onolwazi. Izimpawu ezihambisana nalesi simo zifana kakhulu nezimpawu zezifo eziyingozi nezisongela ukuphila ezifana `(Isifo Sohlangothi)` ezithinta ubuchopho. Ngakho-ke, ungalokothi uzame ukuzithola lesi simo wena noma ukuzelapha. Hlala ufuna iseluleko sezokwelapha.

Ukuthi kuzongithatha isikhathi esingakanani ukuzizwa ngingcono ngemva kokuqala ukwelashwa, njengoba lesi kuyisimo sempilo yengqondo, kuncike ezintweni eziningi. Udokotela wakho ungumuntu ongcono kakhulu ukukunikeza umbono ngalokhu.

Ngingakwazi yini ukuvimbela ukuphazamiseka kokuguqulwa?

Isifo Sokuguquka Kwengqondo yisimo sempilo yengqondo esenzeka ngokungalindelekile. Ngakho-ke, ayikho indlela ethile yokusivimbela noma yokunciphisa ingozi yokusithola.

Kwenzekani uma nginesifo sokuguqulwa kwesimo?

Lesi simo singaba nomthelela omkhulu empilweni yakho, kuye ngezimpawu onazo. Abantu abaningi abakwazi ukuhlala phansi emsebenzini, ukwenza imisebenzi yansuku zonke, noma ukwenza izinto zokuzilibazisa ngenxa yezimpawu ezinzima.

Abantu abaningi banenkinga ngendlela abazizwa ngayo ngalesi simo nendlela abanye ababaphatha ngayo. Bavame ukuzwa imizwa efana nokuthi, "Akekho ongikholwayo," "Wonke umuntu ucabanga ukuthi ngiqamba amanga futhi ngiyadlala," futhi bangase bayeke ngisho nokufuna ukwelashwa, ikakhulukazi uma bethola ukusabela okunjalo kodokotela.

Isifo Sokuguquka Kwesimo Sengqondo singahlala iminyaka eminingi. Abanye abantu banesifo esibi esihlala isikhathi esingaphansi kwezinyanga eziyisithupha, kanti abanye banesifo esiqhubekayo esihlala isikhathi esingaphezu kwezinyanga eziyisithupha. Ngezinye izikhathi kuyinkinga yesikhashana, yesikhashana, ikakhulukazi ezinganeni. Kodwa-ke, kubantu abanezimpawu ezinzima, abangafuni ukwelashwa, noma abangalandeli ukwelashwa kahle, kungahlala iminyaka, ngisho nokuphila konke.

Iyini inhloso ye-Conversion Disorder?

Lesi akusona isimo esisongela impilo noma esiyingozi ngqo, kodwa singaba nomthelela omkhulu empilweni yakho yengqondo kanye nenhlalakahle yakho iyonke.

Amathuba okuthola umphumela omuhle ayancipha:

• Uma uphuza ukufuna iseluleko sezokwelapha.
• Uma benqaba ukuvuma ukuthi banalesi simo.
• Uma ungenabo ubudlelwano obuhle noma ukuxhumana okuhle nodokotela wakho.
• Uma ungalandeli uhlelo lokwelashwa olunconywe udokotela ngendlela efanele.

Umphumela omuhle kakhulu ukululama ngokuphelele. Njengoba umuntu ethuthukisa impilo yakhe yengqondo kanye nenhlalakahle, ukuphazamiseka kobuchopho kungancishiswa noma kuqedwe ngokuphelele.

Ngingazinakekela kanjani?

Nakuba kungase kube nzima ukuqonda ukuthi impilo yakho yengqondo ingabangela kanjani izimpawu zomzimba, kubalulekile ukukhumbula ukuthi lokhu kuyiqiniso nakwezinye izifo eziningi. Cabanga ngakho, ukucindezeleka, ukukhathazeka, nokwesaba kungenza izimo ezinje ngezilonda, umfutho wegazi ophakeme, nesifo senhliziyo zibe zimbi kakhulu, akunjalo?

Uma une-`(Conversion Disorder)` into engcono kakhulu ongayenza ukusebenzisana nodokotela wakho bese ulandela izincomo zabo zokwelapha. Abantu abaningi bakuthola kunzima ukwamukela lokhu kuxilongwa. Uma uzizwa ngendlela efanayo, awuwedwa.

Uma kunzima ukwamukela lesi sifo, khuluma nodokotela wakho ngaso. Ukwakha ubuhlobo obuqinile nobuvulekile nodokotela wakho kungenye yezinto ezibaluleke kakhulu ongayenza ukuze usize.

Futhi, yenza lezi zinto:

• Yiya kudokotela njengoba kunconyiwe.
• Bamba iqhaza emihlanganweni yokwelulekwa (ukwelashwa ngokomzimba, ukwelulekwa kwengqondo) futhi unikele ngenkuthalo.
• Uma imithi inikezwe udokotela, yithathe njengoba nje uyalelwe.

Intuthuko intuthuko!

Ukululama kanye nokuthuthuka ezimweni zempilo yengqondo akuvamile ukuba umugqa oqondile. Kuvamile ukudlula ezikhathini zokululama okunzima. Ngezinye izikhathi izinkinga noma izimpawu zakho zingase zibe zimbi kakhulu kunokuba zibe ngcono. Lokhu kuvamile kakhulu. Lokhu akusho ukuthi uyisehluleki noma ukuthi isimo sakho asinathemba.

Uma ubhekene nobunzima obunjalo, khuluma nodokotela wakho. Bangakunikeza iseluleko sezokwelapha endleleni yakho yokululama. Bangaphakamisa namasu angakusiza unqobe lezi zithiyo nezikhathi ezinzima.

Kufanele ngifune nini ukwelashwa okuphuthumayo?

Abantu abanenkinga yokuguquka kwesimo sengqondo banamathuba amaningi okuba nezinye izinkinga zempilo yengqondo, njengokucindezeleka nokukhathazeka, futhi basengozini enkulu yokuzama ukuzibulala.

Uma unemicabango yokuzilimaza, ukuzibulala, noma ukulimaza abanye, kufanele ufune usizo lwezokwelapha oluphuthumayo ngokushesha. Uma unemicabango enjalo, eSri Lanka, ungashayela u-1926 (iNational Mental Health Helpline) noma uye egumbini lezimo eziphuthumayo esibhedlela esiseduze.

Ngingamsiza kanjani umuntu omthandayo one-Conversion Disorder?

Uma umuntu oseduze nawe enesifo sokuguquka kwesimo, ukwesekwa kwakho kungenza umehluko omkhulu ekululameni kwakhe kanye nemiphumela yokwelashwa kwakhe. Nazi ezinye "okufanele ukwenze" kanye "nokungafanele ukwenze" okufanele uzikhumbule:

Izinto okufanele zenziwe:

• Bamukele, ubalalele: I-Conversion Disorder iyisimo sangempela sezokwelapha. Abantu abanaso bangase bazizwe sengathi abanye ababakholwa. Lo muzwa ungabenza bangabaze ukufuna usizo. Ukuzizwa sengathi othile uyabakholelwa kungaba yisikhuthazo esikhulu kubo sokufuna ukwelashwa.
• Buza ukuthi ungasiza kanjani: Abantu abane-Conversion Disorder bangazizwa benesizungu kakhulu futhi bebodwa. Ukwazi ukuthi othile uzimisele ukusiza kungenza umehluko omkhulu. Ungabakhuthaza futhi ukuthi baqhubeke nokufuna ukwelashwa lapho bebhekene nobunzima.
• Funda kabanzi ngesimo sabo, vulekela ukubasekela: Udokotela womuntu omthandayo angase afune ukukhuluma nawe ngalesi simo. Othandekayo wakho noma udokotela wakhe angase akubuze ukuthi ungathanda yini ukuya esimisweni sokwelulekwa. Zama ukuya, ngoba lokho okufundayo kuzokusiza ukusekela othandekayo wakho.

Izinto okungafanele zenziwe:

• Ungabasoli ngokuthi bazenzisa: Ukubasola ngokuthi bazenzisa izimpawu zesimo sangempela esiqashelwayo esibizwa ngokuthi "i-Conversion Disorder" kungabangela othandekayo wakho ubuhlungu obukhulu kanye nokucindezeleka.
• Ungasho ukuthi, "Kusengqondweni yakho nje kuphela": Imiphumela yempilo yengqondo ayigcini nje ngokuba khona ekhanda lomuntu. Abacwaningi nochwepheshe bafakazele ukuthi izinkinga zempilo yengqondo zithinta umzimba wonke womuntu, kanti ezinye zingabangela izimpawu zomzimba ezimbi nezisabekayo.
• Ungakhohlwa ukuzinakekela: Njengezinye izimo eziningi zezokwelapha, abathandekayo babantu abane-Conversion Disorder nabo bangabhekana nokucindezeleka. Ungakhohlwa ukunakekela impilo yakho kanye nenhlalakahle yakho. Uma ungakwazi ukuzinakekela, ngeke ukwazi ukusiza omunye umuntu ngendlela efanele.

Okokugcina, into okufanele icatshangelwe.

I-Functional Neurological Symptom Disorder, noma eyaziwa kakhulu ngokuthi i-Conversion Disorder, yisimo lapho inkinga yempilo yengqondo ibangela izimpawu zomzimba. Lesi simo singokoqobo, futhi izimpawu akuyona into umuntu angayilawula. Ngeshwa, abantu abaningi abanalesi simo banomuzwa wokuthi abanye - ikakhulukazi ochwepheshe bezokwelapha - abakholwa yizo. Lokhu kungabaholela ekugwemeni ukufuna ukwelashwa okungabasiza, okuvame ukwenza izimpawu zabo zibe zimbi kakhulu.

Uma une-`(Conversion Disorder)`, noma uma udokotela wakho esola ukuthi ungaba nalesi simo, kuvamile ukuzizwa wesaba noma ukhathazekile ngokuthi kusho ukuthini. Uma ukhathazekile ngalokhu, noma uma uzibuza ukuthi udokotela wakho uyakukholwa yini, into engcono kakhulu ongayenza ukutshela udokotela wakho. Umsebenzi kadokotela wakho awukona ukukwahlulela. Umsebenzi wabo ukuthola ukuthi kwenzekani kuwe, ukuthi kungani kwenzeka, bese uzama ukukwelapha. Uma udokotela wakho eqaphela ukukhathazeka kwakho nokwesaba kwakho, uzokwazi ukukulalela futhi akunikeze ukwesekwa, iseluleko, noma izixazululo zokusiza ukhululeke.

Isifo Sokuguquka, Impilo Yengqondo, Izimpawu Zomzimba, Izimpawu Zezinzwa, Ukwelashwa Ngengqondo, Ukucindezeleka, Izinkinga Ze-Somatoform