Uzizwa sengathi awukwazi ukulawula eminye yemisebenzi yomzimba wakho? Ake sixoxe nge-Functional Movement Disorder.

Ingabe ngezinye izikhathi uzizwa sengathi ingalo yakho, umlenze, noma enye ingxenye yomzimba wakho ihamba ngendlela ongayifuni? Kungaba ukudikiza, ukuthuthumela, noma ukusonta. Kuvamile ukuzizwa wesaba kakhulu futhi ukhathazekile uma ungakwazi ngempela ukulawula lezi zinto. Namuhla sizokhuluma ngesimo esisodwa esingabangela lezi zimpawu. Leso yisifo sokunyakaza esisebenzayo, noma `(Isifo Sokunyakaza Esisebenzayo - I-FMD)` .

Kuyini i-Functional Movement Disorder (FMD)? Masiyiqonde kalula!

Kalula nje, i-FMD iyisifo endleleni ubuchopho bakho obulawula ngayo ukunyakaza komzimba wakho. Ngokuqondile, kunenkinga ngendlela ubuchopho bakho obuthumela futhi buthola ngayo imiyalezo. Lokhu kubangela ukunyakaza okungazikhetheli (okubizwa ngokuthi ukunyakaza okungazikhetheli) ongakwazi ukukulawula. Izibonelo zifaka phakathi ukuthuthumela, ukugxumagxuma, ukudikiza, ukuqina kwemisipha, kanye nobunzima bokuhamba.

Into ebalulekile ukuthi lokhu kunyakaza okungajwayelekile akubangelwa ukulimala okungokomzimba ebuchosheni bakho, emgogodleni, noma ohlelweni lwezinzwa . Eqinisweni, ukuskena kobuchopho nokuhlolwa kwegazi kuvame ukukhombisa ukungabi nazinkinga. Kodwa-ke, lokho akusho ukuthi awunankinga, noma ukuthi lesi simo asisiso sangempela. Inkinga isendleleni ubuchopho bakho obucubungula ngayo izimpawu ezihlobene nokunyakaza .

Cabanga nje, kukhona ikhompyutha esebenza kahle futhi engenamaphutha. Kodwa ikhompyutha ayisebenzi kahle ngenxa yenkinga encane kusofthiwe. Izingxenye zomzimba zinhle, kodwa kunenkinga encane ohlelweni lokulawula.

Isifo sokusebenza kahle kwemizwa siyisigaba esincane sesigaba esikhulu se -Functional Neurological Disorders (FND) .

Ziyini izimpawu ze-FMD?

Uphawu oluyinhloko lwe-FMD ukunyakaza okungajwayelekile ozizwa ungakwazi ukukulawula. Ungase ube nohlobo olulodwa lokunyakaza, noma ungase ube nenhlanganisela yezinkinga eziningana zokunyakaza.

Nazi ezinye zezinyathelo ezivame kakhulu ze-FMD:

• Ukunyakaza okufana ne-Dystonia: Lokhu kwenzeka lapho imisipha ifinyela ngendlela engajwayelekile. Ungase ube nokunyakaza okuphindaphindiwe, ukusonta umzimba wakho. Lokhu kuvame ukuhambisana nobuhlungu. Isibonelo, ukugoba izibhakela zakho, ukugoba amaqakala akho ngaphakathi, noma ukunyakazisa imisipha yobuso bakho.
• Izinkinga Zokuhamba Nokulinganisela: Ukuhamba kubhekisela endleleni ohamba ngayo. Lokhu kungafaka phakathi izinkinga ezahlukahlukene zokuhamba. Isibonelo, abanye abantu bangase bahambe ngokuqapha okukhulu, "njengokuhamba eqhweni," abanye bangase bahudule imilenze yabo, kanti abanye bangase bagobe amadolo abo.
• Ukunyakaza okufana nokugxumagxuma noma okufana ne-myoclonus:Lokhu ukunyakaza kwemisipha okungajwayelekile nokufushane okungajwayelekile. Izibonelo zifaka phakathi ukugxumagxuma kwekhanda, intamo, umzimba, izingalo, noma imilenze.
• Ubuthakathaka bemisipha: Ungase ube nobuthakathaka bemisipha ebusweni bakho, engalweni, noma emlenzeni obungase bufike budlule ngokuhamba kwesikhathi. Lokhu kusho ukuthi ubuthakathaka bungase bufike budlule.
• Ukuthuthumela noma ukuthuthumela: Ukuthuthumela kuwumuzwa wokuthuthumela ongavela kunoma iyiphi ingxenye yomzimba, njengekhanda, izingalo, noma imilenze. Lolu uphawu oluvame kakhulu lwe-FMD.

Kukhona nezimpawu zokunyakaza ezingavamile ukubonakala:

• Ukunyakaza okufana ne-chorea: Lokhu kungakwenza uzizwe sengathi uyadansa, uyazulazula, noma umane uyazabalaza.
• Ukunyakaza okufana nokwe-Parkinsonism: Kulokhu, ukunyakaza kungabonakala kwenzeka kancane kancane.
• Ukunyakaza okufana nokushukuma: Lokhu ukunyakaza okusheshayo nokuphindaphindayo okubandakanya amaqembu amancane emisipha.

Kunezinye izimpawu ezivame ukwenzeka nge-FMD:

• Inkungu yobuchopho: Ukuzizwa udidekile futhi ungaqondi kahle.
• Ukukhathala: Ukuzizwa ukhathele ngaso sonke isikhathi.
• I-Migraines: Ikhanda elibuhlungu kakhulu.
• Ubuhlungu: Ubuhlungu ezingxenyeni ezahlukene zomzimba.
• Izinkinga zokulala: Ukungalali kahle noma izinkinga zokulala.

Lokhu kungase kungabangelwa ngqo yi-FMD, kodwa lezi zimpawu zivame ukubonakala ngalesi simo.

Kwabaningi, izimpawu ziqala ngokuzumayo . Lokhu kusho ukuthi izimpawu ziba zimbi ngokushesha. Kodwa-ke, kwabanye abantu, izimpawu zingase zingashintshi. Lokhu kusho ukuthi izimpawu zingashintsha kancane noma zishintshe ngokuhamba kwesikhathi.

Ziyini izimbangela ze-FMD?

Imbangela eyinhloko yokuphazamiseka kokunyakaza kokusebenza okwamanje kukholakala ukuthi ukungasebenzi kahle kwenethiwekhi yobuchopho elawula ukunyakaza . Ukuskena kobuchopho obusebenzayo kubonise ukuthi izindawo ezithile zobuchopho zisebenza ngokweqile noma azisebenzi kahle, kokubili lapho umuntu ephumule nalapho enza imisebenzi ethile.

Kukhona inethiwekhi eyodwa eyinhloko ebizwa ngokuthi inethiwekhi "yokuzilawula". Yilokhu okukunikeza umuzwa wokuthi ulawula ukunyakaza kwakho. Ucwaningo lubonisa ukuthi le nethiwekhi ingase ingasebenzi kahle kubantu abane-FMD. Yingakho uzizwa sengathi awunawo amandla okulawula ukunyakaza kwakho, yize kungase kubonakale sengathi kuyazenzela.

Ngaphezu kwalokho, amanethiwekhi obuchopho alawula imizwa, ukuqonda, kanye nokuqonda imizwa nawo angase ahileleke.

Yiziphi izimbangela ezingabangela izimpawu ze-FMD?

"Izinto ezibangela ukucindezeleka" ziyizehlakalo noma izimo ezicindezelayo ezibangela noma ezibhebhethekisa izimpawu ze-FMD. Lokhu kungaba:

• Ukulimala okuncane, ukugula, ukuhlinzwa, noma ukulimala ngokomzimba.
• Ukucindezeleka okukhulu empilweni, njengokulahlekelwa othandekayo, ingcindezi emsebenzini, noma ukucindezeleka okukhulu ngokomzwelo.
• Ushintsho olukhulu endaweni, izingxabano phakathi kwabantu, noma imithwalo yemfanelo ekhungathekisayo.

Lezi zici ezilandelayo zingenza izimpawu zibe nzima ukuzelapha futhi zibangele i-FMD ibe yisifo esingamahlalakhona:

• Ubuchopho bakho "buyafunda" indlela engavamile yokunyakaza. Yingakho ukunyakaza kungaqhubeka ngisho noma isisusa sesihambile.
• Ukwesaba ukuthutha. Lokhu kuholela ekugwemeni ukunyakaza, ukwanda kokucindezeleka, kanye nokukhubazeka okubi kakhulu.
• Ukuntuleka kokusekelwa ngumndeni noma abahlinzeki bezempilo. Lokhu kungaholela ekubeni nesizungu nokuphelelwa yithemba.
• Ukungazethembi ekuxilongweni kwakho, ukuhlolwa kwezokwelapha okuphindaphindiwe, noma ukuphishekela ezinye izifo esikhundleni sokuya ekwelashweni.
• Izinto ezifana namacala, izicelo zokukhubazeka, noma izicelo zesinxephezelo sabasebenzi zingabangela ukucindezeleka okwengeziwe futhi zikwenze ucabange ngokugula kaningi.

Izimpawu azibangelwa imbangela eyodwa, kodwa zibangelwa yinhlanganisela yezici . Lokhu kuqonda kuqondisa izindlela zokwelapha ezigxile emfundweni, ekuvuseleleni, ekusekelweni kwengqondo, kanye nasekushintsheni kwendlela yokuphila ukuze kuncishiswe izimpawu futhi kuthuthukiswe inhlalakahle yakho iyonke.

Yiziphi izici eziyingozi ze-FMD?

I-FMD ivame kakhulu kubantu abadala, abaneminyaka engaba ngu-40. Kodwa-ke, ingathinta noma ubani, kuhlanganise nezingane.

Ingozi yokuthola i-FMD iphakeme uma kukhona izici ezilandelayo:

• Ukuba ne-migraines, ubuhlungu obungapheli, noma isimiso sezinzwa esisebenza ngokweqile.
• Ukukhathazeka, ukucindezeleka, noma ukuke wabhekana nezigameko ezibuhlungu esikhathini esidlule.
• Ukubhekana nokucindezeleka okukhulu ngesikhathi sobuntwana, ukuba nobuntwana obubi, noma ukungatholi ukwesekwa ngokomzwelo.

Odokotela bayixilonga kanjani i-FMD?

Umhlinzeki wezempilo (udokotela) uzoqala ngokubuza ngezimpawu zakho kanye nomlando wezokwelapha. Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwezinzwa. Ngesikhathi sokuhlolwa kwezinzwa, bangahlola izinto ezifana nokusabela kwakho, ukuhlangana, amandla emisipha, ithoni yemisipha, ukuhamba, kanye nekhono lokunyakaza.

Indlela eyinhloko odokotela abaxilonga ngayo i-FMD iwukufuna izimpawu ezithile ezihlukile kwi-FMD futhi ezingabonakali kwezinye izifo zezinzwa, ngesikhathi sokuhlolwa ngokomzimba nangokwezinzwa . Lezi zimpawu zivumela odokotela ukuthi baqinisekise ukuxilongwa ngaphandle kwesidingo sokuhlolwa okubanzi.

Iphathwa kanjani i-FMD?

Ngenxa yokuthi i-FMD ayibangeli umonakalo wobuchopho unomphela, ubuchopho bakho bunekhono "lokufunda kabusha" ukunyakaza.Imigomo eyinhloko yokwelashwa ukunciphisa izimpawu, ukuthuthukisa ukusebenza kahle, nokubuyisela ikhwalithi yokuphila.

Udokotela wakho angase ancome izindlela zokwelapha ezilandelayo ze-FMD:

• Ukwelashwa ngokomzimba: Lokhu kugxile ekulawuleni ukunyakaza, ukuthuthukisa ibhalansi, kanye nokunciphisa ukunyakaza okungavamile.
• Ukwelashwa emsebenzini: Lokhu kusiza ngemisebenzi yansuku zonke efana nokugqoka, ukupheka, nokubhala.
• Ukwelashwa Ngenkulumo: Uma i-FMD ithinte inkulumo yakho, ukugwinya, noma ukucabanga kwakho, uchwepheshe wezokukhuluma angakusiza ukuthuthukisa lokhu.
• Ukucindezeleka kanye nokuphathwa ngokomzwelo: I-FMD akuyona isifo sengqondo. Kodwa-ke, ukucindezeleka kanye nokukhathazeka kungenza izimpawu zibe zimbi kakhulu noma kwenze kube nzima ukuzilawula. Ukukhuluma nodokotela wezokwelapha kungakusiza uqonde ukuthi imizwa yakho, imicabango, kanye nokuziphatha kwakho kuthinta kanjani izimpawu zakho. Ukwelashwa kungakusiza futhi ukubhekana nalezi zinto ngendlela enempilo.
• Imikhuba yansuku zonke: Ukuvivinya umzimba njalo , ukudla kahle, nokulala ngokwanele kusiza ubuchopho bakho ukuthi busebenze kahle.
• Ukuhlala umatasa: Qhubeka wenza izinto ozithandayo futhi uchithe isikhathi nabantu abakusekelayo.
• Imithi: Imithi ayilaphi ngqo i-FMD. Kodwa-ke, uma unezinye izimo, njengokucindezeleka, ukukhathazeka, kanye/noma ubuhlungu obungapheli, ukuthatha imithi yokuzilawula kungasiza ekuvimbeleni lezo zimpawu ukuthi zingaphazamisi ukwelashwa kwe-FMD.

Akubona bonke abelaphi abaziyo nge-FMD, ngakho-ke kungcono ukubona umelaphi onolwazi lokwelapha i-FMD.

Ubude bokwelashwa buyahlukahluka kuye ngomuntu nomuntu. Kuncike ohlotsheni lokunyakaza okungavamile kanye nezinye izinto ezihlukile kuwe. Ukwelashwa kungahlala kusukela emavikini ambalwa kuya ezinyangeni eziningana, noma ngisho neminyaka. Ithimba lakho lezokunakekelwa kwempilo lizokunikeza umbono omuhle ngalokhu. Kubaluleke kakhulu ukunamathela ohlelweni lwakho lokwelashwa kanye nenqubo yokululama ukuze uthole imiphumela emihle kakhulu.

Kuyini ukubikezela kokugula komuntu one-FMD?

Kuvamile ukuthi abantu abane-FMD babe "nezinsuku ezinhle" kanye "nezinsuku ezimbi," noma izikhathi lapho izimpawu zanda noma zincipha.

Izifundo ngemiphumela yesikhathi eside yabantu abane-FMD zibonisa imiphumela exubile:

• Abanye bayalulama ngokuphelele.
• Nakuba abanye bengase babone intuthuko enkulu, izimpawu zingase zivele ngezikhathi ezithile.
• Kwabanye abantu, izimpawu zingase ziqhubeke naphezu kwemizamo yabo emihle kakhulu.

Izinto ezingavimbela ukuphulukiswa yilezi:

• Ukudideka mayelana nokuxilongwa kwakho.
• Ukuphuza ukuxilongwa.
• Ukuntuleka kokusekelwa ngabathandekayo.
• Izithiyo zokufinyelela ekunakekelweni kwezempilo kanye nokwelashwa.
• Ukuntuleka kodokotela abanolwazi lokwelapha i-FMD.

Izici ezandisa amathuba okuphumelela kokwelashwa:

• Ukuba nempilo enhle yomzimba.
• Ukuphila impilo enhle emphakathini.
• Ukubona ukuthi ukwelashwa kuyasebenza.
• Ukusebenzisa amasu okulawula ukucindezeleka okuhle.

Ochwepheshe banethemba lokuthi ngokwazi kabanzi nge-FMD, ukuncipha kokucwaswa, kanye nokufinyelela okungcono kokwelashwa, imiphumela engcono izotholakala esikhathini esizayo.

Uma unesifo sokusebenza kahle kokunyakaza, noma uma udokotela wakho esola ukuthi unaso, kuvamile ukuzizwa udidekile futhi ukhathazekile ngokuthi sisho ukuthini. Uma unemizwa eyinkimbinkimbi mayelana nokuxilongwa kwakho, qiniseka ukuthi uyabelana ngayo nodokotela wakho. Umsebenzi kadokotela wakho ukukusiza, hhayi ukukwahlulela . Udokotela wakho uyaqonda ukukhathazeka kwakho nokwesaba kwakho. Angakusiza ukuthi ukhululeke ngokukulalela, ukukunikeza ukwesekwa, nezixazululo.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, manje usuqonda kahle lokho ebesikhuluma ngakho (i-Functional Movement Disorder - i-FMD). Into ebaluleke kakhulu yile:

• I-FMD iwushintsho endleleni ubuchopho obulawula ngayo ukunyakaza komzimba, futhi ayibangelwa ukulimala okungokwenyama ebuchosheni noma ezinzwa.
• Ngisho noma ukuhlolwa kwegazi nokuhlolwa kwegazi kuyinto evamile, lesi simo singokoqobo futhi udinga ukusinaka.
• Ngisho noma izimpawu zingase zibonakale zingenakulawuleka, ngokwelashwa okufanele kanye nokuvuselelwa, kungenzeka ukululama kanye nekhwalithi yokuphila ethuthukisiwe .
• Kubalulekile ukunaka imizwa yakho kanye nokucindezeleka, njengoba kungathinta izimpawu.
• Awuwedwa . Thola ukwesekwa kodokotela, abelaphi, kanye nabathandekayo bakho. Khuluma nodokotela wakho ngemibuzo yakho kanye nokwesaba kwakho.

Sithemba ukuthi lolu lwazi luzokusiza. Uma unezinye zalezi zimpawu, noma ungathanda ukwazi okwengeziwe, kungcono ukufuna iseluleko sezokwelapha.

Ukuphazamiseka kokunyakaza okusebenzayo, i-FMD, ukunyakaza okungalawuleki, izifo zezinzwa, ukwelashwa ngokomzimba, impilo yengqondo, ukusebenza kobuchopho