Ingabe Ingane Yakho Iziphatha Ngokuphazama? Ingabe Kungaba Ukuphazamiseka Kokulawula Ukuphazama? Ake Sixoxe! | Nirogi Lanka

Uzizwa sengathi ingane yakho ivame ukwenza izinto ngokuphamazela noma ibonakala ingenandaba nemizwa yabanye? Ingabe ngezinye izikhathi iqhuma ngentukuthelo enkulu ngenxa yezinkinga ezincane, noma izithole isenkingeni enkulu ngoba ayikwazi ukuyeka imikhuba ethile eyingozi? Njengomzali, kungokwemvelo ukuthi uzizwe ucindezelekile noma wesaba ngisho nalapho ubona lezi zenzo. Namuhla, eNirogi Lanka , silapha ukuze sixoxe ngalezi zindlela, ezaziwa ngokwezokwelapha ngokuthi yi -Impulse Control Disorders .

Ziyini Izinkinga Zokulawula Umfutho?

Kalula nje, i-Impulse Control Disorders ibhekisela eqenjini lezimo zengqondo nezokuziphatha lapho umuntu elwa nokumelana nezifiso noma imizwa engazelelwe, okuholela ezenzweni okunzima ukuzilawula. Lokhu kuziphatha kungabangela ukulimala kumuntu noma kwabanye. Kwezinye izimo, lezi zenzo zingase ziholele ngisho nasezinkingeni zomthetho.

Cabanga ngezimo ezinjengokungakwazi ukulawula ukuqhuma kwentukuthelo okungazelelwe okuholela ekumemezeni noma ekuphonseni izinto, noma isifiso esingenakuphikiswa, esinzima sokuthatha into engeyomunye umuntu. Lezi yizibonelo ezivamile.

Ezinye zezindlela zokuziphatha eziyinkinga zifaka:

• Ukuqhuma kwentukuthelo okukhulu okungazelelwe kanye nezenzo ezihambisana nakho.
• Ukuphikisana njalo nokulwa nabanye.
• Ukucekelwa phansi kwempahla noma impahla yabanye abantu.
• Ukwedelela abazali noma abantu abanegunya kanye nokungazinaki iziyalezo.
• Ukweba (kleptomania).
• Ukwephula imithetho emisiwe ngokuphindaphindiwe.

Izimpawu zalezi zinkinga zokulawula umfutho (i-ICD) zivame ukuqala ebuntwaneni futhi, uma zingelashwa, zingaqhubeka kahle kuze kube yilapho umuntu emdala.

Yiziphi izinhlobo eziyinhloko zezinkinga zokulawula umfutho wegazi?

Ngokusho kwe-American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5), kunezinhlobo eziningana eziyinhloko ze-Impulse Control Disorders. Ake sizihlole ndawonye.

1. Isifo Sokuphikisa Esiphikisayo (ODD)

Kulesi simo, ingane ibonisa indlela eqhubekayo (ehlala izinyanga eziningana) yokungalaleli abantu abanegunya (njengabazali noma othisha), ukuphikisana njalo, kanye nokuziphatha okuklanyelwe ukucasula ngamabomu. Nakuba kungase kubacasule abanye ngamabomu, kubalulekile ukuqonda ukuthi lokhu akukhona nje "ukuba nenkani," kodwa kuyinkinga eyinkimbinkimbi yengqondo.

2. Ukuphazamiseka Kokuziphatha

Lesi yisimo esibi kakhulu kune-ODD. Lapha, ingane noma umuntu osemusha ubonisa njalo ulaka kwabanye, unya ezilwaneni, ukungathembeki, ukweba, ukubaleka ekhaya, noma ukwephulwa okukhulu kwemithetho yesikole. Babonisa ukunganaki okukhulu izindinganiso zomphakathi kanye namalungelo abanye.

3. Isifo Sokuqhuma Esiqhubekayo

Lesi sifo sihilela ukuqhuma okungazelelwe, okuphindaphindiwe kwentukuthelo engalawuleki engalingani nesimo noma engacasulwanga nhlobo. Lokhu kungabonakala njengokumemeza, ukuhlukumeza ngamazwi, ukuphonsa izinto, noma ubudlova obungokomzimba. Ngokuvamile, kuba nomuzwa ojulile wokuzisola ngemva kwalokho, kodwa phakathi nalesi sigameko, umuntu uzizwa engakwazi nhlobo ukulawula ukuziphatha kwakhe.

4. I-Kleptomania

Lesi yisimo esihlukile lapho umuntu enesifiso esingenakuphikiswa sokweba izinto ezingadingeki noma ezingabalulekile. Bayazi kahle ukuthi ukweba akulungile futhi kuthwala ingozi yokubanjwa, kodwa isifiso sokwenza ngokuphazima kweso siyaba namandla. Ngaphambi kwesenzo, babhekana nokucindezeleka okukhulu; ngemva kwesenzo, bangase bazizwe bekhululekile okwesikhashana.

5. I-Pyromania

Lesi yisimo esingavamile kodwa esibi kakhulu esibonakala ngesifiso esingahlosiwe nesingenakulawuleka sokuqala umlilo.Ngisho noma beqonda ingozi ehilelekile, abakwazi ukumelana nesifiso. Njenge-kleptomania, lokhu kulandelwa ukucindezeleka okwandayo noma ukucindezeleka ngokomzwelo, kulandelwe umuzwa wokwaneliseka ngemva kokuba umlilo usushisiwe. Lezi zenzo ziqhutshwa yisifiso ngokwaso, hhayi yizisusa zangaphandle ezifana nokuziphindiselela noma inzuzo yezezimali.

Zivame kangakanani lezi Zinkinga Zokulawula Umfutho?

Amazinga okusabalala kwalesi sifo ayahlukahluka ngesifo ngasinye. Ngokusho kwedatha evela e-United States:

• Isifo Sokungaziphathi Kahle Esiphikisanayo (ODD): Cishe u-3.3% wezingane kanye nentsha.
• Ukuphazamiseka Kokuziphatha: Cishe u-4% wezingane kanye nentsha.
• Isifo Sokuqhuma Esiqhubekayo: Cishe u-2.7% wabantu bonke.
• I-Kleptomania: Cishe u-0.6% wabantu bonke.

I-Pyromania ayivamile kakhulu phakathi kwalezi. Ucwaningo olulodwa luphakamise ukuthi cishe ama-3% kuphela abantu ababoshelwe ukushisa abahlangabezana nezindinganiso ezigcwele ze-Pyromania. Lezi zimo zikhona naseSri Lanka, yize izibalo zendawo eziqondile okwamanje kunzima ukuzilinganisa.

Yiziphi izimpawu ze-Impulse Control Disorders?

Nakuba isifo ngasinye sinezimpawu ezithile, into evame ukufana ikhono eliphansi lokulawula ukuziphatha. Lokhu kuvame ukuholela ezingxabanweni zomuntu siqu noma emiphumeleni yezomthetho.

Abantu abane-ICD bavame ukuqaphela ukuthi ukuziphatha kwabo akufanele, kodwa bazizwa bengakwazi ukuyeka. Ngaphambi kwesenzo, bavame ukuchaza umuzwa okhulayo wokucindezeleka kwangaphakathi noma ukucindezeleka, okulandelwa umuzwa wesikhashana wokukhululeka noma ukukhululwa ngemva kokuba isenzo sokuphambuka sesiqediwe.

Ngamanye amazwi, abantu abane-ICD bavame "ukukhipha" intukuthelo yabo yangaphakathi, ukukhungatheka, noma ukungajabuli. Lokhu kuhlukile ekukhathazekeni noma ezinkingeni zemizwa, lapho ukucindezeleka kwangaphakathi kuvame "ukufakwa ngaphakathi" futhi kugcinwe ngaphakathi kubo.

Nokho, kubalulekile ukukhumbula: Kuvamile ukuthi izingane eziningi, ikakhulukazi ngesikhathi sobuntwana kanye nokuthomba, zihlale zidelela noma zivivinya imingcele njengoba zihamba emhlabeni wazo. Ngokuphambene nalokho, labo abane-Impulse Control Disorders babonisa amaphethini okuziphatha angapheli, anzima, futhi aphikelelayo. Lokhu kuziphatha kuphazamisa kakhulu ukusebenza kwazo kwansuku zonke, ukufunda, kanye nobudlelwano nomndeni nabangane.

Yini ebangela ukuphazamiseka kokulawula umfutho wegazi?

Abacwaningi basasebenza ukuze baqonde ngokugcwele izimbangela ezithile zalezi zinkinga eNirogi Lanka nasemhlabeni jikelele. Njengamanje, ubufakazi bubonisa ukuthi ziwumphumela wokuxhumana okuyinkimbinkimbi kwezinto eziningana.

• Izici Zezakhi Zofuzo : Ucwaningo luye lwabonisa ukuthi izingane ezine-Oppositional Defiant Disorder (ODD) zinamathuba amaningi okuba nabazali abanezinkinga zemizwa. Ngaphezu kwalokho, abazali bezingane ezine-Conduct Disorder bangabhekana nezinselele ezifana ne-Schizophrenia, i-Attention-Deficit/Hyperactivity Disorder (ADHD), i-Substance Use Disorder (SUD), noma i-Antisocial Personality Disorders (ASPDs). Lokhu kusikisela ukuxhumana okuqinile kwezakhi zofuzo.
• Izici Zemvelo: Ucwaningo lubonisa ukuthi izimo zemvelo zidlala indima ebalulekile. Izingane ezihlala emindenini engenayo imali ephansi, lezo ezikhuliswe ezindaweni zomphakathi ezinobudlova, izingane ezazingenalo ukunakekelwa kwabazali noma ukunakekelwa ngesikhathi sokukhula kwazo, lezo eziye zabhekana noma zabona ukuhlukunyezwa ngokomzimba noma ngokwengqondo, noma lezo ezivezwe emathonyeni amabi ontanga zisengozini enkulu yalezi zimo.
• Izici Zebhayoloji : Ucwaningo oluthile lubonisa ukuthi abantu abane-Impulse Control Disorders (ICDs) bangase babonise ukusebenza kobuchopho okungavamile noma ukungalingani emazingeni ama-hormone, njenge-cortisol.

Kuhlonzwa Kanjani Izinkinga Zokulawula Umfutho?

Lezi zimo zitholwa ochwepheshe bezempilo yengqondo, njengodokotela bezifo zengqondo noma odokotela bezengqondo. Basebenzisa izindlela zokwelashwa ezitholakala ku-DSM-5. Ngokuvamile, izimpawu kumele ziqhubeke okungenani izinyanga eziyi-6 kuya kweziyi-12, futhi kumele zibangele ukucindezeleka okukhulu noma ukukhubazeka empilweni yakho yansuku zonke.

Uma usola ukuthi wena noma ingane yakho ningase nibonise izimpawu ze-Impulse Control Disorder, kubalulekile ukubonisana nodokotela wezifo zengqondo noma isazi sokusebenza kwengqondo. Basebenzisa izingxoxo ezikhethekile zezokwelapha kanye nezindlela zokuhlola ukuze bahlonze ngokunembile lezi zimo zempilo yengqondo nezokuziphatha.

Ochwepheshe bavame ukuqoqa ulwazi kulabo abaseduze nawe—njengabazali, izingane zakini, abangane, noma othisha—ukuze bakhe isithombe esiphelele sendlela oziphatha ngayo.

Izinkinga Zokulawula Umfutho Ziphathwa Kanjani?

Okwamanje, azikho imithi ethile evunyelwe yi-FDA yokwelapha i-Impulse Control Disorders. Ngakho-ke, ukugxila okuyinhloko kokwelashwa kuyinhlanganisela yokungenelela kokwelapha kanye namasu okuphatha ukuziphatha kwabazali.

Amasu awusizo abazali abangasiza ngawo ekuphatheni ukuziphatha okuphazamisayo ahlanganisa:

• Ukunciphisa ukuqiniswa okuhle kokuziphatha okungafanele (isib., ukuvuma lapho ingane ithukuthele).
• Ukukhuthaza ukuziphatha okungebona abantu njengozwela nokukhathalela abanye.
• Ukusebenzisa izindlela zokujezisa ezingenabudlova.
• Ukuqinisekisa ukuthi isiyalo siyahambisana futhi siyabikezelwa, kunokuba siphendule noma singaguquguquki.

Izindlela zokwelapha ezithile zifaka:

• Ukuqeqeshwa Kwabazali Ukuphathwa (PMT) : Lokhu kuqeqesha abazali noma abanakekeli ngezindlela zokuthuthukisa ukuziphatha kwengane. Umgomo uwukusungula isiyalo esiqhubekayo ngenkathi kuqinisekiswa ukuziphatha okuhle.
• Ukwelashwa Okunezinhlelo Eziningi (i-MST) : Le ndlela isebenzisa amandla omndeni ukuxazulula izinkinga ngendlela eyakhayo. Uchwepheshe wezokwelapha onelayisensi usebenza nabazali ukuqinisa ukuziphatha okuhle, ukunciphisa izenzo ezimbi, nokuthuthukisa ukuzibophezela komndeni kanye namakhono okuxazulula izinkinga.
• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT) : I-CBT iyindlela yokwelapha ingqondo ehlelekile, egxile emigomweni. Isetshenziswa ezinganeni, ivame ukubhangqwa ne-PMT. Umeluleki usiza ingane ukuthi ihlaziye imicabango nemizwa yayo ukuze iqonde ukuthi izithonya kanjani izenzo zayo. Nge-CBT, izingane zingashintsha amaphethini okucabanga angemahle kanye nokuziphatha ngezindlela ezinempilo.

Iyini Isibikezelo Sezinkinga Zokulawula Umfutho?

Umbono we-Impulse Control Disorders uncike esimweni esithile kanye nobunzima baso. Lezi zivame ukuba yizimo ezingamahlalakhona ezingathinta kakhulu impilo yomuntu ngamunye kanye nabathandekayo bakhe.

Ucwaningo lubonisa ukuthi abantu abane-ICD bangase babe sengozini enkulu yalokhu okulandelayo:

• Ukusebenzisa kabi izidakamizwa.
• Ukucindezeleka.
• Izinselele zomsebenzi.
• Ubunzima bokulondoloza ubudlelwano.

Kodwa-ke, ukungenelela okunzulu kokwelapha kungaba yimpumelelo enkulu ekuphatheni lezi zindlela zokuziphatha eziyinselele.

Ingabe Izinkinga Zokulawula Umfutho Zingavinjelwa?

Nakuba lezi zimo zingase zingavinjelwa ngokuphelele, ukuhlonza kusenesikhathi kanye nokwelashwa kunganciphisa kakhulu umthwalo enganeni yakho nasemndenini wakho. Ngaphezu kwalokho, ukwesekwa kusenesikhathi kusiza ukuvimbela izinkinga ezihlobene nokukhubazeka kwezemfundo noma izinkinga zomthetho.

Ukuphatha ingane noma umuntu omdala osemusha obonisa ukuziphatha okunolaka noma okuphazamisayo kuyinselele. Nakuba ukungalaleli ngezikhathi ezithile kuyingxenye yentuthuko, ukuziphatha okuvamile okuphazamisa abanye kungaba uphawu lwe-Impulse Control Disorder.

Ukuqala ukwelashwa kusenesikhathi kubalulekile. Isinyathelo sokuqala ukubonisana nodokotela womndeni wakho, udokotela wezifo zengqondo, noma isazi sokusebenza kwengqondo ukuze nixoxe ngezinkinga zenu. Ungesabi ukubuza imibuzo; thina eNirogi Lanka silapha ukuzokusekela.

Isifinyezo kanye Nezinto Ezibalulekile Okufanele Uzicabangele

Lokho esikuxoxile mayelana 'ne-Impulse Control Disorders' (ICDs), ngamagama alula, kubhekisela emaphethini okuziphatha abonakala ngokungakwazi ukumelana nezifiso. Lezi akuzona nje izimo zengane 'eziphatha kabi'; ziyizimo zezokwelapha eziyinkimbinkimbi ezidinga ukungenelela kochwepheshe kwezokwelapha.

Okubaluleke kakhulu yilokhu: uma ukhathazekile kakhulu ngokuziphatha kwengane yakho, ungazinaki—funa usizo lochwepheshe ngokushesha. Ukuxilongwa kusenesikhathi kanye nokungenelela kuthuthukisa kakhulu imiphumela yesikhathi eside.

Sicela ukhumbule:

• Nakuba ezinye izinkinga zokuziphatha ezingapheli noma ezivame ukwenzeka ebuntwaneni zivame kakhulu, ama-ICD ahilela ukuziphatha okuvamile, okunzima, nokuphikelela.
• Lezi zimo zingathonywa yinhlanganisela yezici zofuzo, ezemvelo, kanye nezakhi zofuzo.
• Ukungenelela kokwelapha okusekelwe ebufakazini kanye nezinhlelo zokuqeqesha abazali ezikhethekile kuyindlela yokwelapha ephumelela kakhulu.
• Awuwedwa. Abazali abaningi babhekana nalezi zinselele, futhi kukhona ochwepheshe abazinikele eNirogi Lanka nangale kwalokho abakulungele ukukusekela.

Uma usola ukuthi ingane yakho inenkinga ngalezi zinkinga, sicela uxhumane nochwepheshe wezempilo. Ukungenelela kusenesikhathi kuletha ukuthula kwengqondo kwengane yakho kanye nomndeni wakho wonke. Uma kwenzeka uba sesimweni esiphuthumayo, sicela ushayele u-911 noma izinsizakalo eziphuthumayo zasendaweni.

Amathegi: Ukulawula Umfutho, Izinkinga Zokuziphatha, Impilo Yengqondo Yengane, I-ODD, Ukuphazamiseka Kokuziphatha, Iseluleko Sokukhulisa Abazali, Ukwelashwa Ngengqondo