Ingabe izinkolelo zakho ezingaguquki ziyiqiniso? Ake sixoxe nge-Delusional Disorder!

Wake waba nomuzwa wokuthi ezinye izinto ocabanga ukuthi zingase zingabi nengqondo kwabanye, kodwa kumelwe zibe yiqiniso kuwe? Mhlawumbe uzizwa sengathi othile ukuhlukumeza ngasese, noma ukuthi othile odumile uthandana nawe ngasese? Uma lezi kuyizinto ezingelona iqiniso ngempela, kodwa unokholo oluqinile nolungantengantengi kuzo, kungaba kubaluleke kakhulu ukuthi uqaphele lesi simo esikhuluma ngaso namuhla, esibizwa ngokuthi i-Delusional Disorder.

Kuyini i-Delusional Disorder?

Kalula nje, ukuphazamiseka kwengqondo kuwuhlobo lokugula kwengqondo. Odokotela bakubiza ngokuthi "i-Psychotic Disorder." Isici esiyinhloko salokhu ukuba khona kwenkolelo eyodwa noma ngaphezulu zamanga (ukukhohlisa). Manje ungase uzibuze ukuthi kuyini "ukukhohlisa". Ukukhohlisa kuyinkolelo yamanga eqinile engenakushintshwa nganoma iyiphi indlela. Le nkolelo ayilona iqiniso. Futhi, ayihlobene nesiko lomuntu noma indawo akhulele kuyo. Cishe wonke umuntu uyazi ukuthi le nkolelo ingamanga. Kodwa, kumuntu onale nkolelo, yiyona kuphela iqiniso. Abantu abanenkinga yokukhohlisa bavame ukubhekana nohlobo "lwemibono engeyona engavamile." Okusho ukuthi, izinto ezibonakala zingokoqobo, kodwa zingekho, noma eziqisiwe kakhulu. Isibonelo, izinto ezifana nokuthi othile ukukulandela, ukukukhohlisa, noma othile ukuthanda ekude. Lezi yizinto ezingenzeki ngempela, noma izinto ezingenkulu njengoba ucabanga. Lezi zibizwa ngokuthi "ukukhohlisa okungeyona engavamile" futhi zihlukile "ekudukeni okungavamile." "Ukukhohlisa okungavamile" yizinto ezingenakwenzeka nhlobo empilweni yethu. Isibonelo, ukukholelwa ukuthi othile untshontshe isitho emzimbeni wakho, kodwa abukho ubufakazi bokuthi kwenziwe ukuhlinzwa kuso. Ngokuvamile, abantu abanesifo sokucabanga, ngaphandle kwezinkolelo zabo ezingamanga, baphila kahle nabanye abantu futhi baphila ngendlela evamile. Abaziphathi ngendlela exakile. Lesi ngesinye sezici ezibahlukanisa nabanye abantu "abanezinkinga zengqondo." Kodwa-ke, ngezinye izikhathi, bangaba matasa kakhulu ngalezi zinkolelo kangangokuthi izimpilo zabo zingaba nesiphithiphithi.

Yiziphi izinhlobo zesifo sokucabanga okungalungile?

Kunezinhlobo eziningana zesifo sokukhohlisa. Zihlukaniswe ngokwesihloko esiyinhloko sokukhohlisa ezinaso. Ake sibone ukuthi ziyini:

• Uhlobo lwe-Erotomanic: Kulolu hlobo, umuntu ukholelwa ukuthi omunye umuntu, ngokuvamile obalulekile noma odumile, uyamthanda.Cabanga nje, ucabanga ukuthi umlingisi noma umculi odumile ezweni lakithi uyakuthanda ngasese, ukuthumelela izincwadi, futhi akunikeza izimpawu eziyimfihlo. Kodwa empeleni, akukhona lokho okwenzekayo. Ngezinye izikhathi, laba bantu bangase balingeke ngisho nokuxhumana nalowo muntu odumile futhi bamlandele.

• Uhlobo olukhulu: Laba bantu bazibheka njengabaphezulu. Bakholelwa ukuthi banamandla angavamile, ulwazi, namakhono, ukuthi babaluleke kakhulu, ukuthi bathole okuthile okukhulu, nokuthi yibona abenza lokho

• Uhlobo lomona: Kulolu hlobo, umuntu ukholelwa ngokuqinile ukuthi umlingani wakhe akathembekile noma unezinye izinto ngaphandle kobufakazi obucacile. Uhlala esola futhi ekufuna. Lokhu kuyinto evame ukuzwakala emphakathini wethu.

• Uhlobo lokushushisa: Lolu uhlobo oluvame kakhulu. Laba bantu bakholelwa ukuthi othile noma into ethile iyabahlukumeza, iyabahlupha, iyabalandela, noma izama ukubalimaza (noma umuntu oseduze nabo). Isibonelo, bangase bakholelwe, ngaphandle kobufakazi, ukuthi "abantu emndenini abantshontshe ukudla kwami ​​bayangihleka usulu, bazama ukufaka ubuthi ekudleni kwami, noma bayangihlola." Laba bantu bangase bavame ukufaka izikhalazo zomthetho.

• Uhlobo lwe-Somatic: Laba bantu bakholelwa ukuthi banenkinga ethile yomzimba noma ukugula. Isibonelo, bakholelwa ukuthi bane-parasite emzimbeni wabo, ukuthi banephunga elibi emzimbeni, noma ukuthi banesifo esibi, yize bengenaso ngempela.

• Uhlobo oluxubile: Kulokhu, umuntu ofanayo angaba nezinhlobo ezimbili noma ngaphezulu zokuncibilikisa ezingenhla.

Uyini umehluko phakathi kwesifo sengqondo esingaqondakali kanye ne-schizophrenia?

Kungenzeka ukuthi uke wezwa ngesifo sengqondo esibizwa ngokuthi i-schizophrenia. Futhi yisifo esibonisa "izimpawu zengqondo" noma izimpawu zokuphazamiseka kwengqondo. Ku-schizophrenia, izimpawu ezinjengalezi zingabonakala:

• Inkulumo noma ukuziphatha okudidekile.
• Izici ezimbi (isib. ukwehla kokubonakaliswa kobuso, ukuphelelwa yisithakazelo kunoma yini).

I-Delusional Disorder ihlukile kwi-schizophrenia ngezindlela ezilandelayo: Ku-delusional disorder , azikho ezinye izimpawu ezinkulu zengqondo ngaphandle kwe-delusional disorder. Futhi, uma kuqhathaniswa ne-schizophrenia, i-delusional disorder ayivamile kakhulu. Futhi, umthelela emisebenzini yansuku zonke awunzima njengase-schizophrenia.

Ubani onamathuba amaningi okuthola lesi simo?

I-Delusional Disorder ivame ukubonakala kubantu abaseminyakeni ephakathi kuya kwasebekhulile.Lokhu kuvame ukuqala cishe eminyakeni engama-40.

• Izinhlobo zokushushisa nezomona zivame kakhulu kwabesilisa.
• Uhlobo lwe -erotomanic luvame kakhulu kwabesifazane.

Futhi, abantu abahlukanisiwe emphakathini futhi abanesizungu banamathuba amaningi okuthola lesi simo. Isibonelo:

• Abantu abathuthele kwamanye amazwe futhi abashiywe bodwa ngenxa yezinkinga zolimi.
• Labo abangakwazi ukuzwa.
• Abantu abangaboni kahle.
• Abantu abangaphezu kweminyaka engama-65 ubudala.

I-Delusional Disorder empeleni ayivamile, ithinta cishe u-0.05% kuya ku-0.1% wabantu abadala.

Ziyini izimpawu zesifo sokucabanga okungalungile?

Isici esiyinhloko salokhu ukwenzeka kweziphambeko, esesixoxe ngazo kakade. Izimpawu ziyahlukahluka kuye ngohlobo lweziphambeko. Esinye isici esikhethekile salesi simo ukuthi umuntu akaqondi ukuthi ukuziphambeko kwakhe akulungile nokuthi kuyinkinga (ukungaziqondi). Ngisho noma abanye bemtshela, abakwazi ukwamukela ukuthi izinkolelo zakhe azinangqondo futhi azilungile. Ikakhulukazi uma umuntu eneziphambeko zokushushisa, umona, noma zobulili obufanayo, angabonisa intukuthelo nokuziphatha okunobudlova . Futhi, lezi ziphambeko zingambangela ukuba abhekane nezimo ezifana nokukhathazeka kanye/noma ukucindezeleka .

Izimpawu zokuqala

Ngezinye izikhathi, ngaphambi kokuba isimo sibe sibi kakhulu, ungase uqaphele izimpawu ezifana nalezi:

• Ukuzizwa sengathi abanye bayakusebenzisa.
• Ukucabanga njalo ngokwethembeka kwabangane.
• Ukubona usongo noma ububi, ngisho noma kuvela engxoxweni noma esigamekweni esivamile.
• Hlala ubambe intukuthelo enhliziyweni yakho.
• Ukusabela ngokushesha ngisho nasentweni encane kakhulu, ukulungiselela ukulwa.

Yiziphi izimbangela zokuphazamiseka kwengqondo?

Njengezinye izifo zengqondo, abacwaningi abakazi kahle ukuthi yini ebangela ukuphazamiseka kwengqondo. Kodwa-ke, babheka izici eziningana ezingaba nomthelela kukho:

• Izici zofuzo : Uma othile emndenini enesifo sokucabanga noma i-schizophrenia , kungenzeka ukuthi namanye amalungu alowo mndeni nawo azoba nalesi simo. Lokhu kusho ukuthi kungase kube nethonya lofuzo. Kukholakala ukuthi izingane zingazuza ukuthambekela kokuthola lesi sifo kubazali bazo.

• Izici zebhayoloji: Abacwaningi babheka ukuthi izinguquko kwezinye izingxenye zobuchopho bethu zingaba nendima yini. Ezinye zezinto zobuchophoUkungalingani kwamakhemikhali , abizwa ngokuthi ama-neurotransmitters , kutholakale ukuthi kuyimbangela yezimpawu ezikhohlisayo.

• Izici zemvelo nezengqondo: Kunobufakazi bokuthi ukucindezeleka okukhulu kungabangela ukuphazamiseka kokucabanga. Ukusetshenziswa kotshwala nezidakamizwa nakho kungabangela lokhu. Izinto ezifana nokuzwela ngokweqile, izindlela zokuzivikela, ukuzihlukanisa nabantu, umona , ukungathembani, ukusola, kanye nokuzethemba okuphansi nakho kungabangela lokhu. Ungaya ukuthola isizathu semizwa enjalo bese udala ukucabanga okucabangayo njengesixazululo.

Odokotela bakuthola kanjani lokhu? (Kutholakala kanjani ukuphazamiseka kwengqondo?)

Odokotela, ikakhulukazi odokotela bezifo zengqondo, baxilonga umuntu onesifo sokuphambuka uma enesinye noma ngaphezulu sokuphambuka inyanga noma ngaphezulu futhi angeke achazwe ngesinye isimo sezokwelapha. Futhi abakwazi ukuba nezimpawu ezivamile kwezinye izifo zengqondo, njenge-schizophrenia. Uma umuntu enezimpawu zokuphambuka, udokotela uzoqala enze umlando ophelele wezokwelapha kanye nokuhlolwa ngokomzimba. Nakuba kungekho zivivinyo ezithile zelebhu zokuxilonga isifo sokuphambuka, bangase bahlele ukuhlolwa okuhlukahlukene (njengokuhlolwa kwezithombe, ukuhlolwa komchamo, kanye nokuhlolwa kwegazi) ukuhlola ezinye izimo zezokwelapha, imithi, noma ukusetshenziswa kwezidakamizwa okungase kubangele izimpawu. Uma imbangela engokomzimba ingatholakali, kwenziwa ukudluliselwa kudokotela wezifo zengqondo noma wengqondo. Basebenzisa amasu okuxoxisana okukhethekile kanye nokuhlola ukuze bathole ukuthi umuntu une-"Psychotic Disorder." Babuza imibuzo mayelana nokuphambuka futhi benze ukuhlolwa kwempilo yengqondo. Ngezinye izikhathi bacela amalungu omndeni nabangane ukuthi bathole okwengeziwe mayelana nokuphambuka nokuthi izimpawu zaqala nini. Ngenxa yokuthi ukuphambuka kungabangelwa nezinye izifo zengqondo, odokotela bezifo zengqondo baqaphela kakhulu ukugwema ezinye izimpawu. I-Delusional Disorder ingadidaniswa nezimo ezilandelayo:

• Isifo sokuzikhukhumeza ngokweqile (OCD)
• I-Schizophrenia
• Isifo sokuhlanya/Isifo esikhulu sezinzwa
• Isifo se- Bipolar
• Izinkinga zobuntu, ikakhulukazi ukuphazamiseka kobuntu obungenamingcele kanye nokuphazamiseka kobuntu obungenathemba.

Yiziphi izindlela zokwelapha isifo sokucabanga okungalungile?

Ukwelashwa kwengqondo (ukwelashwa ngokukhuluma) kanye nemithi yizona zindlela eziyinhloko zokwelapha ukuphazamiseka kwengqondo. Kodwa-ke, imithi yodwa ayanele ukwelapha lesi simo. Ngokuvamile, abantu abanenkinga yokucabanga abafuni ukwelashwa bodwa ngoba abaqapheli ukuthi ukucabanga kwabo akulungile noma kuyinkinga. Bangase bafune usizo kwezinye izinkinga zempilo yengqondo, njengokucindezeleka noma ukukhathazeka. Abantu abanezimpawu ezinzima kanye nalabo abasengozini yokuzilimaza noma yokuzilimaza abanye kungadingeka bangeniswe esibhedlela kuze kube yilapho isimo sabo sizinzile.

Ukwelapha ngengqondo

I-Psychotherapy yigama elijwayelekile lezinhlobo ezahlukene zokwelapha ezisiza abantu ukuthi babone futhi bashintshe imizwa yabo ecindezelayo, imicabango, kanye nokuziphatha. Ngokusebenzisana nodokotela wezifo zengqondo noma isazi sokusebenza kwengqondo, isiguli nomndeni waso bathola ukwesekwa, imfundo, kanye nesiqondiso. Ngokwelashwa, abantu abanenkinga yokucabanga bangakwazi ukulawula izimpawu zabo, babone izimpawu zokuqala zokubuyela emuva, futhi benze izinhlelo zokugwema ukubuyela emuva. Kunezinhlobo eziningana ze-psychotherapy:

• Ukwelashwa kwengqondo komuntu ngamunye: Lokhu kusiza umuntu ukuthi abone futhi alungise imicabango yakhe engalungile, ephambene nemicabango yakhe engaphansi kokuqonda.
• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Lena indlela yokwelapha eqondiwe futhi ehlelekile. Uchwepheshe wezokwelapha usiza umuntu ukuthi abheke ngokujulile imicabango nemizwa yakhe. Bangamsiza ukuthi aqonde ukuthi imicabango yakhe ithinta kanjani izenzo zakhe. Nge-CBT, bangashintsha imicabango nokuziphatha okungekuhle futhi bathuthukise amaphethini nemikhuba yokucabanga enempilo.
• Ukwelapha okugxile emndenini: Lokhu kusiza abantu abanenkinga yokucabanga ngephutha kanye nemindeni yabo. Lokhu kwelapha kuhlanganisa imfundo mayelana nenkinga yokucabanga ngephutha, ukuthuthukisa amakhono okuxhumana, kanye nokuqeqeshwa kwamakhono okuxazulula izinkinga.

Imithi

Izinhlobo eziyinhloko zemithi esetshenziswa ukwelapha ukuphazamiseka kwengqondo yi- "Antipsychotics" (eyaziwa nangokuthi "neuroleptics"). Lezi zinhlobo zemithi zifaka:

• Ama-antipsychotic esizukulwane sokuqala (“avamile”): Le mithi ibilokhu isetshenziswa ekwelapheni izifo zengqondo kusukela maphakathi nawo-1950. Isebenza ngokuvimbela i-dopamine ebuchosheni.Ivimba ama-receptor e-neurotransmitter dopamine. Kukholelwa ukuthi i-dopamine ihilelekile ekubangeleni ukuncibilika.

• Ama-antipsychotic esizukulwane sesibili ("angavamile"): Lezi zinhlobo ezintsha zama-antipsychotic nazo ziyasebenza ekwelapheni izimpawu zesifo sokucabanga okungaqondakali. Zivimba ama-receptor kokubili ama-neurotransmitter dopamine kanye ne -serotonin ebuchosheni. Le mithi ngokuvamile inemiphumela emibi embalwa kunemithi yesizukulwane sokuqala.

Eminye imithi odokotela abayinikezayo yokwelapha ukuphazamiseka kwengqondo okubangelwa yimicabango ephazamisayo yi -anxiolytics (imithi enciphisa ukukhathazeka) kanye ne-antidepressants (imithi elapha ukucindezeleka). I-Anxiolytics iyasiza uma umuntu enenkinga enkulu yokukhathazeka kanye/noma yokulala. Imithi yokucindezeleka ingelapha ukucindezeleka okuvame ukwenzeka kubantu abanenkinga yokucabanga ephazamisayo.

Kuzokwenzekani ngemva kwalesi simo? (Isibikezelo)

Ukubikezela komuntu onesifo sokucabanga okungalungile kuncike ezintweni eziningana:

• Uhlobo lokuphazamiseka kokucabanga okungenangqondo.
• Ubunzima bokuncishiswa.
• Izinga lempilo yomuntu, okungukuthi, ikhono lakhe lokuthola usizo kanye nokuzimisela kwakhe ukuhambisana nokwelashwa.

I-Delusional Disorder ngokuvamile ayinawo umthelela omkhulu emisebenzini yomuntu yansuku zonke. Kodwa-ke, ubukhali bokukhohlisa bungakhula kancane kancane. Abantu abaningi bangaqhubeka nemisebenzi yabo, inqobo nje uma imisebenzi ehlobene nokukhohlisa kwabo ingahlobene nomsebenzi. Uma usebenza ngokwecebo lokwelashwa, isibikezelo salesi sifo singaba sihle.

Ngokumangalisayo, cishe abantu abangu-50% bayalulama ngokuphelele. Abangaphezu kuka-20% babika ukwehla kwezimpawu, kanti abangaphansi kuka-20% babika ushintsho oluncane noma olungekho nhlobo ezimpawini.

Kodwa, ngokudabukisayo, abantu abaningi abanalesi simo abalufuni usizo. Kunzima futhi ngabantu abanesifo sengqondo ukuvuma ukuthi abaphilile. Bangase bangafuni ukwelashwa ngenxa yamahloni noma ukwesaba. Ngaphandle kokwelashwa, ukuphazamiseka kwengqondo kungaba yisimo sokuphila konke.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Uma isifo sengqondo singalashwa, okulandelayo kungenzeka:

• Ukucindezeleka: Ngokuvamile kubangelwa ubunzima obubangelwa ukuncibilikiswa.
• Ukuzihlukanisa emphakathini.
• Izindaba zomthetho: Isibonelo, umuntu ohilelekile ekuphambukeni angaboshwa ngokulandela noma ukuhlukumeza.
• Ukuzilimaza wena noma abanye.Lokhu kuvame kakhulu ezinhlotsheni zoMhawu nezoMshushiso.

Ingabe ukuphazamiseka kwengqondo kungavinjelwa?

Ayikho indlela eyaziwayo yokuvimbela ukuphazamiseka kwengqondo, kodwa ukuxilongwa kusenesikhathi kanye nokwelashwa kunganciphisa ukuphazamiseka empilweni yomuntu, emndenini wakhe kanye nasebunganeni bakhe.

Ungamsiza kanjani umuntu onenkinga yokucabanga?

Uma othile omaziyo enesifo sokucabanga, ungamsekela futhi umkhuthaze ukuba afune usizo nokwelashwa. Abantu abanesifo sokucabanga bangathola ukucindezeleka okukhulu kanye nezimpawu lapho begxekwa njalo ngabanye. Ngakho-ke, esikhundleni sokukhuluma kabi, ukukhuluma ngendlela eyakhayo neqondayo kungaba usizo kakhulu futhi kuphumelele. Abangane nomndeni wabantu abanesifo sokucabanga bangase bazizwe becindezelekile, becindezelekile, bedabukile, futhi benesizungu. Kubalulekile ukunakekela impilo yakho yengqondo nokufuna usizo uma unalezi zimpawu.

Umlayezo Wokuya Nawe Ekhaya

I-Delusional Disorder, esikhulume ngayo namuhla, iyisimo sempilo yengqondo lapho uhlakulela khona izinkolelo eziqinile neziqhubekayo ngezinto ezingelona iqiniso. Lokhu akulula kunoma ubani, kodwa into ebalulekile okufanele uyiqonde ukuthi kukhona ukwelashwa kwayo .

• Uma ucabanga ukuthi wena noma othile omaziyo unalezi zimpawu, ungabi namahloni noma wesabe, funa iseluleko sezokwelapha.
• Ukuxilongwa kusenesikhathi kanye nokwelashwa okufanele kungathuthukisa izici eziningi zokuphila.
• Ukusekelwa nokuqonda komndeni nabangane kubaluleke kakhulu esikhathini esinjengalesi.

Njenganoma yisiphi isifo sengqondo, ukufuna usizo ngokushesha nje lapho ubona izimpawu kungasiza ekunciphiseni ukuphazamiseka empilweni yakho. Odokotela bezengqondo bangakunikeza izinhlelo zokwelapha ukuze bakusize ulawule imicabango yakho nokuziphatha kwakho. Awuwedwa, kukhona usizo. Ukuphazamiseka Kwengqondo, Ukugula Ngengqondo, Izinkolelo-ze, Impilo Yengqondo, Ukwelashwa, Izimpawu, I-Schizophrenia