Ingabe othandekayo wakho uzenza sengathi unesifo angenaso ngempela? Ake sixoxe ngalesi simo esiyingozi (i-Factitious Disorder Imposed on Another - FDA)!

Wake wezwa ngabantu abanakekela ingane, umuntu osekhulile, noma umuntu okhubazekile ongaguli, azenze sengathi uyagula bese ebayisa kudokotela abanike imithi? Lokhu kunzima ngempela ukukucabanga, kodwa kuyenzeka ngezinye izikhathi. Namuhla sizokhuluma ngesimo sengqondo esiyinkimbinkimbi kakhulu nesiyingozi kangaka.

Iyini le FDA (Factitious Disorder Imposed on Another)?

Kalula nje, 'Isifo Sokungezwani Komqondo Esifakwe Komunye' (i-FDA) yisimo sempilo yengqondo lapho umuntu onalesi simo ezama khona ukukholisa abanye, ikakhulukazi odokotela, ukuthi othile onakekelayo (isibonelo, ingane engaphansi kweminyaka engu-6, umuntu okhubazekile, noma umuntu omdala oneminyaka engaphezu kwengu-65) uyagula kanti empeleni akanaso isifo.

Lokhu kwakubizwa ngokuthi 'i-Munchausen syndrome' nge-proxy. Lelo gama livela kumuntu womlando owayenehaba ngezindaba. Kodwa-ke, igama elithi 'I-Factitious Disorder Imposed on Another' manje selisetshenziswa ukuchaza ngokunembile lokhu kuziphatha.

Into ebaluleke kakhulu ukuthi lolu hlobo lokuzenzisa okungamanga luyingozi kakhulu. Ngoba kungaholela ekutheni umuntu ongenacala, okhathalelayo, ahlolwe ngokungadingekile, futhi ngezinye izikhathi ahlinzwe ngendlela eyingozi. Yilokhu okwenzekayo lapho amaqembu ezokwelapha ezama ukuthola ukuthi kwenzekani ngempela.

Lokhu kubhekwa njengokugula kwengqondo kanye nohlobo lokuhlukumeza . Kodwa-ke, kunezindlela zokuthola usizo kumuntu one-FDA kanye nesisulu esingenakusiza.

Lesi simo asivamile emphakathini. Futhi, azikho izibalo eziqondile zokuthi bangaki abantu abanaso. Ngoba amacala amaningi awatholakali.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Odokotela abakakazi kahle ukuthi yini ebangela lokhu. Kodwa-ke, ucwaningo luthole ukuthi izici ezilandelayo zingaba nomthelela kulokhu kuziphatha:

• Ukulimala okukhulu, ukuhlukunyezwa, noma ukunganakwa esikhathini esidlule: Mhlawumbe wabhekana nento efana nalena useyingane.
• Ukulahlekelwa ngumzali noma umnakekeli: Lesi simo singabangelwa ukungakwazi ukubhekana nokulahlekelwa okunjalo.
• Ukucindezeleka okukhulu: Lapho impilo izizwa ingaphezu kwamandla.
• Isidingo esinamandla sokunakwa abanye: Isifiso sokuba abanye bakhulume futhi bazazise bona kanye nokuzinikela kwabo.

Lezi ezinye zezizathu eziyinhloko eziveziwe.

Yiziphi izici zomuntu onalesi simo?

Uma unalesi simo se-FDA, ungase ukwazi ukwenza izinto ezifana nalezi:

• Utshela udokotela ukuthi umuntu omnakekelayo unezimpawu ezingekho ngempela.
• Ngezinye izikhathi, omunye umuntu uyalimala ngokomzimba ukuze abangele izimpawu (isibonelo, ngokugodla ukudla ukuze ayeke ukukhuluphala).
• Ukushintsha imiphumela yemibiko yokuhlolwa kwezokwelapha komunye umuntu (isibonelo, ngokuxuba okunye kusampula yomchamo).
• Ziphazamisa uhlelo lokwelashwa lomunye umuntu futhi zimvimbele ekubeni ngcono.

Yiziphi izimpawu ezibonakalayo zomuntu ophenduka isisulu?

Uma uyisisulu salesi simo se-FDA, ungase ubone izimpawu ezinjengalezi kumnakekeli wakho:

• Awusoze wamshiya yedwa , noma umshiye engasekho emehlweni akho.
• Angase abe nomlando wokulaliswa esibhedlela njalo, ukuhlolwa, kanye nezinqubo ezahlukene zezokwelapha .
• Imibiko yezokwelapha ingase ingahambisani futhi ingase iphikisane.
• Izimpawu zingase zingahambisani nesifo esisodwa, noma kungase kungenzeki ukuthola isiphetho esiqondile .
• Izimpawu zingase zibe khona ekhaya kuphela , futhi zingase zingabonakali phambi kukadokotela.
• Kungashiwo ukuthi izimpawu zaphela ngesikhathi usesibhedlela, kodwa zanda futhi lapho ufika ekhaya .
• Ngezinye izikhathi, amasampula egazi noma omchamo ahlolwe elebhu angase angahambisani nohlobo lwegazi lomuntu noma umchamo , noma angabonisa ubufakazi bokuthi ungcolisiwe.

Cabanga nje, kukhona ingane encane, unina uyiyisa njalo esibhedlela, eyitshela ngokugula okulandelanayo. Ngisho nangemva kokuba odokotela benze ukuhlolwa okulandelanayo, akukho kugula okungatholakala. Kodwa lapho ebuyela ekhaya, umama uphinde athi ingane isenkingeni. Mhlawumbe uma kungekho dokotela, umama uzenza sengathi uyagula ngokwenza okuthile enganeni. Lena ingozi ye-FDA.

Ingabe lokhu kuyifa? Yiziphi izici eziyingozi?

Imbangela ye-FDA yofuzo ayikatholakali, okusho ukuthi akusona isifo esizuzwa njengefa .

Kodwa-ke, lesi simo sivame kakhulu phakathi kwabesifazane abanakekela izingane . Sivame futhi kubantu abanezinkinga zobuntu .

Ezinye izimpawu ezivamile ezibonakala kubantu abatholakale benalesi simo zifaka:

• Unolwazi oluhle kakhulu ngokwelashwa kanye nolwazi lwezempilo.
• Unobungane kakhulu futhi uzwana kalula nabanye .
• Unomdlandla kakhulu futhi uzinikele njengomnakekeli.

Ngenxa yalezi zici, ngezinye izikhathi abanye abasoli lutho.

Odokotela bakuthola kanjani lokhu?

Eqinisweni, kunzima kakhulu ngodokotela ukuqaphela lesi simo se-FDA. Ngoba, into eyisisekelo ngalesi simo ukungathembeki nokukhohlisa.Udokotela uzoqala aqinisekise ukuthi umuntu omnakekelayo akanazo ezinye izifo ezingase zihlobane nezimpawu azizwayo. Kulapho-ke kuphela lapho ezobheka khona ukuthi unesifo se-FDA. Lokhu kungathatha isikhathi .

Udokotela uzoqala ngokubuza ngezimpawu zomuntu omthandayo, futhi uma kudingeka, enze ukuhlolwa ngokomzimba kanye nezinye izivivinyo. Bazokubuza ngomlando wabo wezokwelapha kanye nomlando wezokwelapha womndeni. Ngalesi sikhathi, udokotela uzonaka imininingwane efana nalokhu:

• Ingabe uya njalo ezikhungweni zezokwelapha ezahlukene ukuze uthole ukwelashwa?
• Ingabe umlando wezokwelapha uyaphikisana?
• Ingabe uzizwa ungabaza ukunikeza amarekhodi ezokwelapha kusengaphambili, noma ukuxoxa ngalokhu nabangani nomndeni?
• Odokotela abavunyelwe yini ukukhuluma nomuntu othola ukunakekelwa bodwa?

Uma usola into efana nale, udokotela uzokhuluma nawe ngalokhu kuziphatha futhi aqinisekise ukuthi wena nomuntu omnakekelayo niphephile.

Izindlela zokuxilonga ze-FDA ku-'DSM-5'

Ngokusho kwe-American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, uhlelo lwesihlanu (DSM-5), lezi zindlela ezilandelayo kumele zihlangatshezwe ukuze kutholakale ukuthi une-FDA:

• Ukuzenzisa ngamanga izimpawu zomzimba noma zengqondo, noma ukubangela ukulimala noma ukugula, ngenhloso yokukhohlisa abanye.
• Umuntu oyedwa uveza omunye umuntu (isisulu) kwabanye njengogulayo, obuthakathaka, noma olimele .
• Lokhu kuziphatha okukhohlisayo akwenziwa ngokulindela inzuzo enkulu, ebonakalayo .
• Lokhu kuziphatha akubangelwa esinye isimo sempilo yengqondo .

Yiziphi izindlela zokwelapha lokhu?

Umgomo wokuqala ekwelapheni i-FDA ukushintsha ukuziphatha okulimazayo nokunciphisa ukusetshenziswa kabi noma ukusetshenziswa ngokweqile kwezinsiza zezokwelapha . Okulandelayo, ithimba lakho lezokwelapha lizobheka izimbangela eziyisisekelo zokuziphatha kwakho.

Odokotela bazosebenzisana ukuqinisekisa ukuthi umuntu omnakekelayo akasengozini nokuthi akatholi ukuhlolwa noma ukwelashwa okungadingekile. Isisulu, okungukuthi, umuntu omnakekelayo, singadinga usizo ngalokhu:

• Ukumsusa ekunakekelweni kwakho bese umbeka ekunakekelweni komunye umuntu.
• Ukwelapha noma yikuphi ukulimala noma izifo okungenzeka ukuthi ube nazo.
• Ukukhuluma nomeluleki wezempilo yengqondo , uchwepheshe wezokwelapha, noma omunye uchwepheshe wezokwelapha ngezimo ezifana ne -Post-Traumatic Stress Disorder (PTSD), ukucindezeleka, kanye nokukhathazeka okungase kuvele ngenxa yalokhu kuhlukunyezwa.

Ukuze elaphe izimbangela eziyinhloko zokuziphatha kwakho, udokotela wakho angakudlulisela ku-Cognitive Behavioral Therapy (CBT).Ungathunyelwa ohlelweni lwezokwelapha kwengqondo olufana nalolu. Umgomo walolu hlobo lokwelapha ukuthola ukuthi imicabango nemizwa yakho ithinta kanjani ukuziphatha kwakho. Kukufundisa nokubaluleka kokwethembeka . Umeluleki wezempilo yengqondo angakusiza ukuthi ushintshe ukucabanga nokuziphatha kwakho.

Ngokuvamile, i-FDA iyisimo esinzima kakhulu ukwelapha, esidinga isikhathi eside sokwelashwa nokusekelwa . Izinsizakalo zomphakathi, abomthetho, izinsizakalo zokuvikela izingane, izinsizakalo zokuvikela abantu abadala, kanye nodokotela bonke kudingeka basebenzisane njengeqembu ukuze bayeke lokhu kuziphatha.

Ingabe lesi simo singavinjelwa? Yimiphi imiphumela emibi engaba khona?

Ayikho indlela eyaziwayo yokuvimbela lesi simo. Kodwa-ke, ukufuna ukwelashwa ngokushesha nje lapho izimpawu ziqala kungasiza ekunciphiseni umonakalo . Isibonelo, ukususa umuntu omnakekelayo kungasiza ekuvimbeleni ukulimala okungadingekile.

Isimo se-FDA singaba nemiphumela emibi kakhulu. Eminye yayo yile:

• Izinkinga zomthetho (lokhu kuhlukumeza kuyicala lobugebengu).
• Isisulu siqhubeka nokuxhashazwa .
• Lapho ingane ehlukunyeziwe ifinyelela ebudaleni, ingase ibe nesimo lapho izidalela khona izifo (`Isifo Sokungaziphathi Kahle`) .
• Kwezinye izimo ezinzima kakhulu, isisulu singase sife ngisho nokufa .

Le miphumela emibi ingavinjelwa ngokuqinisekisa ukuthi lesi simo sithola ukwelashwa okufanele ngokushesha okukhulu.

Kufanele ucele usizo nini? Kufanele ubuze bani?

Uma usola ukuthi othile oseduze nawe ubonisa lezi zenzo ze-FDA, shayela udokotela noma isisebenzi sezenhlalakahle ngokushesha . Uma ubona izimpawu zokuxhashazwa, zibike ku-Adult Protective Services noma ku-Child Protection Services efanele. Uma othile esengozini esheshayo, ungalokothi unqikaze ukushayela u-911 noma inombolo yakho ephuthumayo yendawo.

Ungabuza imibuzo efana nale ukuze uthole ulwazi ngomuntu osola ukuthi une-FDA:

• Uya kangaki kudokotela?
• Uya kudokotela ofanayo, noma ushintshashintsha phakathi kodokotela abaningana?
• Umuntu omkhathalelayo uzizwa kanjani ngemva kokuhlolwa okuningi kangaka?
• Ingabe umuntu omkhathalelayo unezimpawu ngisho noma ungekho eduze kwakho?
• Ingabe uzizwa ucindezelekile kakhulu njengomnakekeli?

Kodwa khumbula, ngoba isimo se-FDA singaholela ekuziphatheni okukhohlisayo, ungase ungatholi izimpendulo ezicacile zale mibuzo. Uma uzama ukuqoqa ulwazi, gwema ukubuza imibuzo emangalelayo . Sondela engxoxweni ngendlela emnene nebuza imibuzo.

Ngamafuphi, izinto okudingeka sizikhumbule

Isifo Esibangelwa Yiqiniso Esifakwe Komunye (i-FDA) siyinkinga enzima ukuyixilonga, ukuyilapha, futhi siyingozi kakhulu. Lokhu kuziphatha okukhohlisayo kungaholela ezinkingeni zokuphila konke.

Kodwa, lo mjikelezo wokuxhashazwa ungamiswa . Unganqikazi ukuba nengxoxo eqotho futhi, uma kudingeka, uxhumane nezinsiza ezingeni likazwelonke nelendawo. Wonke umuntu ohilelekile angathola usizo. Awuwedwa .

Sithemba ukuthi lolu lwazi luzokusiza. Uma uneminye imibuzo mayelana nalokhu, sicela ukhulume nodokotela omethembayo.

` Isifo Sokucabanga Esibekwe Komunye, i-FDA, i-Munchausen syndrome ngummeleli, impilo yengqondo, ukuhlukunyezwa kwezingane, ukugula okungelona iqiniso, ukuhlukunyezwa kokunakekelwa