Injani impilo yakho yengqondo? - Ake sifunde ngokuhlolwa kwesimo sengqondo!

Wake wezwa 'ngokuhlolwa kwesimo sengqondo'? Udokotela wakho kungenzeka ukuthi ukuthumelele olunye. Lolu vivinyo olubaluleke kakhulu. Ake sibheke ukuthi luyini nokuthi lwenziwa kanjani, ngendlela elula.

Kalula nje, kuyini lokhu kuhlolwa kwesimo sengqondo?

Cabanga ngakho njengodokotela ohlola umzimba wakho ukuthola isifo ('ukuhlolwa ngokomzimba'), lokhu kuyafana, kodwa lokhu kubheka impilo nokusebenza kwengqondo yakho . Okusho ukuthi, odokotela bahlola ukuthi ufunda kahle kangakanani izinto futhi uqonda indawo okuzungezile ('amandla engqondo'). Kulokhu, udokotela uyakubuka, akubuze imibuzo. Ngale ndlela, bahlola izinto ezilandelayo ngawe:

• Ukubukeka kanye nesimo sengqondo esijwayelekile.
• Ukuziphatha kanye nokunyakaza.
• Indlela yokubona izinto (Imibono).
• Isimo sengqondo kanye nethonya.
• Imisebenzi yobuhlakani ('Ukuqonda') njengokunaka, inkumbulo, ikhono lokucabanga, kanye nekhono lokwenza izinqumo.

Nakuba lokhu kungase kubonakale sengathi "ukuhlolwa ngokomzimba" okwenziwa odokotela bezifo zengqondo, noma yimuphi udokotela angenza lokhu kuhlolwa. Lokhu "Ukuhlolwa Kwesimo Sengqondo" kuwusizo olukhulu ekuxilongeni nasekuqapheni izimo ezahlukene zempilo yengqondo (njenge-"Schizophrenia" noma izinkinga zokukhathazeka) kanye nezifo zezinzwa (njenge-"Alzheimer's disease" noma "Parkinson's disease").

Lolu vivinyo lwenziwa nini?

Ngokuvamile, uma uya kudokotela, noma ukuze uthole ukwelashwa okulandelayo, odokotela cishe bazokwenza lokhu "Ukuhlolwa Kwesimo Sengqondo." Imiphumela izobasiza baqonde ukuthi yiziphi ezinye izivivinyo ozidingayo nokuthi yiziphi izinhlobo zokwelapha ezifanele.

Kodwa into eyodwa okufanele uyikhumbule ukuthi lokhu 'Ukuhlolwa Kwesimo Sengqondo' 'kuyi-subjective assessment' engahlukahluka kumuntu nomuntu . Lokho kusho ukuthi, ngisho nakumuntu ofanayo, odokotela abahlukene bangafinyelela eziphethweni ezihlukene. Futhi, ubuchwepheshe bukadokotela nabo buyakuthinta lokhu.

Odokotela bazama ukucabangela izici eziningana lapho benza lokhu kuhlolwa, njengoba lezi zinto zingathinta ukusebenza kokuhlolwa kwakho:

• Isiko lakho.
• Ulimi lwakho lwendabuko.
• Izinga lakho lemfundo kanye nekhono lakho lokufunda.
• Ezinye izimo ezicindezelayo njengokungalali, indlala, ubuhlungu.

Futhi, odokotela abagcini nje ngokusekela ukuxilongwa emiphumeleni yalolu 'Hlolo Lwesimo Sengqondo' . Baphinde bacabangele nezinye izici eziningi. Isibonelo:

• Imininingwane yesimo sakho sezokwelapha samanje.
• Umlando wakho wezempilo yengqondo wangaphambilini.
• Umlando wakho wezokwelapha odlule.
• Umlando wokusetshenziswa kwezidakamizwa.
• Isizinda senhlalo.
• Ukuhlolwa komzimba.
• Ukuhlolwa kwe-neurological.
• Imiphumela yokuhlolwa efana nokuhlolwa kwegazi.

Kuhlanganisani lokhu kuhlolwa?

Odokotela basebenzisa kokubili ukubuka kanye nemibuzo "ekuhlolweni kwesimo sengqondo." Ngale nqubo, bahlola izici ezahlukene zekhono lakho lengqondo. Lezi zingahlukaniswa ngezigaba eziningana eziyinhloko.

Ukuqaphelwa nguDokotela

Kunezinto udokotela wakho angazihlola ngokushesha ngokukubheka. Lezi zifaka:

• Ukubukeka: Udokotela uzoqaphela izinto ezifana nokuhlanzeka kwakho, ukuthi ukubukeka kwakho kuhambisana neminyaka yakho enqunyiwe, nokuthi ngabe kukhona yini amanxeba noma izibazi ezibonakalayo.
• Ukuziphatha: Babheka izinto ezifana nokuthi ucindezeleke kangakanani, ukuthi ubambisana kangakanani, ukuthi uzizwa ungakhululekile yini, njll. Babheka nokuthi kungani usesibhedlela nokuthi uziphatha ngendlela elindelekile yini esimweni esinjengalesi.
• Umsebenzi/ukunyakaza kwemisipha: Ezinye izimo zengqondo, zokukhula kwemizwa, kanye nezezinzwa zingabangela ukunyakaza okungajwayelekile. Isibonelo, ukusebenza ngokweqile, ukuthuthumela, ukushukuma, ukuqina, kanye ne-Parkinsonism.
• Inkulumo: Kuyo yonke inkathi yokuhlolwa, udokotela uzobona ukuthi ukhuluma kangakanani nokuthi uwahlanganisa kanjani amagama akho. Bazobheka nesivinini, isigqi, ivolumu, kanye nethoni yezwi lakho. Bangase futhi bahlole ukuthi unazo yini izinkinga zokukhuluma, njengokungakhulumi kahle kwamagama (dysarthria).
• Ukuthinta: Udokotela uzobona izimpawu zakho ezingasho lutho. Bangase basebenzise amagama anjengokuthi injabulo, ukudabuka, ukucasuka, ukucindezeleka, ukukhathazeka, noma ukujabula. Bazobheka nokuthi imizwa yakho iyahambisana yini nesimo sakho sengqondo esishiwoyo.
• Inqubo yokucabanga: Udokotela uzobona ukuthi imicabango yakho ihlelwe kanjani. Bachaza inqubo evamile yokucabanga njengeqondile nenenjongo. Uma inqubo yakho yokucabanga ingajwayelekile, ukucabanga kwakho kungase kubhajwe esimweni esithile . Ungase ungaboni isithombe sonke. Noma ungase ubhekane nalokho abanye abakubiza ngokuthi "ukuhamba kwemibono."

Imibuzo okufanele uyibuze

Odokotela babuza imibuzo eqondile ukuze bahlole izici ezithile zekhono lakho lengqondo. Ngale mibuzo, bangahlola:

• Isimo Sengqondo: Udokotela ubuza ukuthi uzizwa kanjani bese ebhala impendulo yakho.
• Lokho okucabangayo: Lokho okucabangayo (isibonelo, lokho okucabangayo ngento ethileUdokotela uzokuhlola ngokukulalela nokukubuza imibuzo eqondile. Ikakhulukazi, bazohlola imicabango yokuzibulala, imicabango yokubulala abanye, kanye nokukhohlisa.
• Indlela obona ngayo umhlaba okuzungezile: Udokotela uzobuza ngezinto ozizwayo (ozizwayo, ozizwayo, ozibonayo, ozizwayo, othintayo) endaweni okuyo. Babuza lokhu ikakhulukazi ukuze babone ukuthi unemibono engalungile yini.
• Ukuqonda: Lokhu kubhekisela endleleni oziqonda ngayo kanye nendlela osebenza ngayo ezweni elikuzungezile . Udokotela uhlola lokhu ngokukulalela nokubuza imibuzo. Bazochaza ukuqonda kwakho njengokuhle, okulinganayo, okulinganiselwe, noma okubi. Bazochaza nokuthi kuya kuba kubi noma kungcono kunangaphambili.
• Ukwahlulela: Lokhu kubhekisela ekhonweni lakho lokwenza izinqumo ezinhle. Odokotela bahlola lokhu ngokukubuza ukuthi wenza kanjani ezimweni ezithile. Kusekelwe nasemlandweni wakho - isibonelo, ukuthi uthatha imithi yakho ngesikhathi.

Ukuhlola ukuqonda kwakho

Ingxenye ebalulekile yokuhlolwa kwesimo sengqondo ukuhlolwa kwamakhono okuqonda (`ukuqonda`). Lesi sigaba 'sokuqonda' sihlukaniswe ngezigaba eziningana:

• Ukuqaphela: Leli izinga lokuqaphela onalo. Isibonelo, ungase uphapheme futhi usabela, usesimweni sokungazi lutho (`ukulala`), noma usesimweni 'sokuquleka'.
• Ukuqondiswa: Lokhu kubhekisela ekuqondeni kwakho isimo nendawo okuyo. Udokotela angase akubuze ukuthi uyalazi yini igama lakho, ukuthi ukuphi (kufaka phakathi idolobha, isifundazwe), kanye nosuku.
• Ukunaka nokugxila: Odokotela bazobona ukuthi uyinaka kangakanani imibuzo abakubuza yona. Bangase bakucele nokuthi wenze imisebenzi yokuhlola ngqo ukugxilisa ingqondo kwakho. Isibonelo, bangase bakucele ukuthi ushaye izandla njalo uma uzwa uhlamvu oluthile ohlwini lwezinhlamvu ezingahleliwe.
• Inkumbulo: Udokotela angase ahlole izinhlobo ezahlukene zenkumbulo. Lokhu kufaka phakathi inkumbulo esheshayo, inkumbulo yakamuva, kanye nenkumbulo yesikhathi eside. Isibonelo, bangase bakucele ukuthi uphinde okuthile abakushoyo. Bangase bakubuze nezinto ezifana nokuthi wafunda siphi isikole samabanga aphezulu nokuthi wazalelwaphi.
• Ukucabanga okungacacile: Lokhu kuhlola ikhono lakho lokuqonda izincazelo kanye nemibono. Isibonelo, udokotela angakucela ukuthi uchaze ukuthi yiziphi izinto ezimbili ezifanayo, noma isisho esivamile.

Ithini imiphumela yalolu vivinyo?

Ngemva kokuhlolwa, udokotela uzobuyekeza amanothi akho ngalokho abakubonile nokuthi uphendule kanjani imibuzo yabo. Ngemuva kwalokho, behlanganisa konke lokhu okubonile kanye nezimpendulo, bangahlola ukuthi ngabe kubonisa inkinga ethile.

Cabanga nje, uma unenkinga yokuqeda ngisho nemisebenzi emibili yengqondo noma yokuziphatha, kungabonisa ukuxilongwa okufana nokuthi 'Ukukhubazeka Okuncane Kokuqonda' noma '(Ukuphazamiseka Kwengqondo)'.

Uma uthi ubhekene nokubona izinto ezingekho, kungasho isifo sengqondo njengesigameko sokuhlanya se-bipolar disorder, isimo esifana ne-schizophrenia, noma isimo sezinzwa esifana nesifo sikaParkinson.

Lezi zivivinyo zisiza nodokotela ukuqapha ukuthuthukiswa kwezimo zezinzwa.

Odokotela bavame ukufaka lawa manothi kurekhodi lakho lezokwelapha.

Yini okufanele uyenze ngokulandelayo uma imiphumela ingajwayelekile?

Uma imiphumela yalokhu ``Ukuhlolwa Kwesimo Sengqondo`` ingajwayelekile, udokotela wakho angase abuze imibuzo eyengeziwe ukuze afunde kabanzi ngomlando wakho wezokwelapha kanye nempilo yengqondo. Isibonelo, uma ungazange ulale kahle izinsuku ezintathu, kungase kuchaze ukuthi kungani unobunzima bokugxilisa ingqondo nokugcina imicabango yakho ihlelekile.

Udokotela wakho angase futhi acele ukuhlolwa kwelabhorethri ukuze abone ukuthi kukhona yini isimo somzimba esibangela izimpawu zakho. Lokhu kuhlolwa kungafaka:

• Ukuhlolwa kwe-glucose egazini: Amazinga kashukela egazini aphezulu (hyperglycemia) noma aphansi (hypoglycemia) angathinta ikhono lakho lengqondo.
• Ukuhlolwa kwegazi nge-urea nitrogen (BUN): I-uremia ingabangela ukukhathala nokudideka kwengqondo.
• Ukuhlolwa Komchamo: Ukutheleleka komgudu womchamo (i-UTI) kungabangela izinguquko zengqondo nezokuziphatha.
• Ukuhlolwa kwama-hormone e-thyroid: I-Hyperthyroidism ingabangela ukukhathazeka, kanti i-hypothyroidism ingabangela ukucindezeleka.

Kwezinye izimo, bangase bahlele nezinye izivivinyo, njenge:

• Ukuhlolwa kwezithombe okufana `(i-PET scan)` noma `(i-Brain MRI)`.
• Ukuhlolwa kwe-Electroencephalogram (EEG).
• Ukuhlaziywa koketshezi lwe-cerebrospinal.

Udokotela wakho uzochaza imiphumela yokuhlolwa kwakho, bese wena naye nizonquma ndawonye ukuthi yini okufanele niyenze ngokulandelayo.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Lokhu kuhlolwa kwesimo sengqondo kuyithuluzi elibaluleke kakhulu elisetshenziswa odokotela ukuhlola ikhono lakho lengqondo, okungukuthi, ukuhlakanipha kwakho, imizwa yakho, ukuziphatha kwakho, kanye nendlela obona ngayo izinto. Lokhu kuhlolwa kungakukhombisa noma yiziphi izimo zengqondo noma zezinzwa ongase ube nazo.Kodwa-ke, cishe uzodinga ukuhlolwa okwengeziwe ukuqinisekisa ukuxilongwa. Uma unemibuzo mayelana nemiphumela 'yokuhlolwa kwesimo sengqondo', ungangabazi ukubuza. Udokotela wakho ukhona ukuzokusiza.

Ukuhlolwa Kwesimo Sengqondo , Impilo Yengqondo, Amandla Okuqonda, Isimo Sengqondo, Ukuziphatha, Isifo Sezinzwa