Ingabe uzama ukugula? Noma wenza njengakho? Lokhu kungaba 'i-Factitious Disorder Imposed on Self' (eyayaziwa ngokuthi 'i-Munchausen Syndrome')!

Wake wezwa ngomuntu ozenza sengathi uyagula noma ozenza sengathi uyagula? Ungase umangale ukuzwa lokhu. Kodwa, empeleni lokhu kuyinkinga yempilo yengqondo. Namuhla sizokhuluma ngesimo esinjalo.

Kuyini ngempela lokhu? `Ukuphazamiseka Kweqiniso Okuzibophezela Kuwe`?

Kalula nje, 'Isifo Sokucabanga Esizibophezele Kuwe' yisimo sengqondo lapho uzenza sengathi uyagula, noma uzenza sengathi unezimpawu, futhi ngezinye izikhathi uze uzame nokuzenza ugula . Lokhu kwakubizwa ngaphambilini ngokuthi `(Munchausen Syndrome)`.

Ngokuvamile, laba bantu babonisa izimpawu ezihlobene nezifo zomzimba. Cabanga ngobuhlungu besifuba, izinhlungu zesisu, noma umkhuhlane. Kodwa-ke, umuntu onalesi simo angase abe nezimpawu zengqondo, njengokubona izinto ezingekho noma ukuzwa amazwi.

Lesi isimo esiyingozi kancane, ngoba ngale ndlela yokuziphatha ungabangela "ukuzilimaza" .

Igama elithi 'Munchausen Syndrome' lavela kanjani?

Lesi simo sasibizwa ngokuthi i-'Munchausen Syndrome' ngaphambilini ngemuva kukaBaron Munchausen, isikhulu saseJalimane sekhulu le-18. Wayaziwa ngezindaba zakhe ezigqamile ngempilo yakhe kanye nokuhlangenwe nakho kwakhe. Ngakho-ke, kulokhu, izimpawu ziyagqamile, yingakho zibizwa kanjalo. Kodwa-ke, lelo gama alibonisi ngempela ukuthi lokhu kuyinkimbinkimbi kangakanani njengokugula kwengqondo. Yingakho odokotela namuhla besebenzisa igama elithi 'Factitious Disorder Imposed on Self'.

Sivame kangakanani lesi simo?

Isifo Sokuzikhohlisa Esibangelwa Yizinkolelo-mbono empeleni asivamile kangako. Kunzima ukusho ukuthi bangaki abantu abanaso. Ngenxa yokuthi abantu abaningi baya kodokotela abaningi abahlukene ukuze bathole ukwelashwa, akunakwenzeka ukuthola izibalo ezinembile.

Luhlobo luni lokuziphatha lokhu?

Kunezindlela eziningana zokuziphatha ezingabonakala kulesi simo:

• Ukwenza sengathi unezimpawu zomzimba (isib. ikhanda elibuhlungu, isisu esibuhlungu, ubuhlungu besifuba) ezingekho ngempela.
• Ukwenza sengathi unezimpawu zengqondo ezingekho ngempela (isib. ukubona izinto ezingekho, ukuzwa othile ekhuluma).
• Ukuzenza ugula noma ukubangela izimpawu zomzimba (isib., ukulimaza inxeba ngokungalivumeli ukuba liphile, lihlanze, noma lidle okuthile okunobuthi).

Yiziphi izici ozibonayo kulokhu?

Uma une-'Factitious Disorder Imposed on Self', ungase wenze izimpawu zokuzenzisa noma uzenze ihaba. Ungase:

• Ungaqamba amanga uthi unezimpawu ongenayo.
• Izimpawu ezintsha zingase zivele ngemva kokufika kwemiphumela yokuhlolwa noma ngemva kokuqala kokwelashwa.
• Izimpawu zingabonakala kuphela uma uwedwa .
• Ukuhlolwa kokuxilonga kungashintshwa (isib., ukwengeza okunye kusampula yomchamo).
• Bangase benze sengathi baphuza umuthi, bawufihle, noma bawushiye ngaphandle.
• Ungazilimaza njalo .

Ezinye izimpawu zingase zihlanganise:

• Imlando yezokwelapha ephikisanayo.
• Ukushintsha ubuwena bomuntu noma ukwethula ubuwena obungamanga.
• Ukuya ezibhedlela eziningi ezahlukene kanye nasezikhungweni zezokwelapha ukuze uthole ukwelashwa.
• Ukungathandi ukuvumela odokotela ukuthi babone imindeni yabo, noma ukukhuluma nodokotela abake babaphatha ngaphambilini.
• Ukuzimisela ukwenza izivivinyo noma ukwelashwa okubuhlungu.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Odokotela abakakazi kahle ukuthi yini ebangela i-Factitious Disorder. Kodwa-ke, ucwaningo lubonisa ukuthi kungenzeka ukuthi ibangelwa yizici zengqondo (izingxenye zobuntu bakho ezithinta imicabango nezenzo zakho) kanye nezici zebhayoloji (amakhemikhali ebuchosheni bakho kanye nokwakheka kwezakhi zofuzo).

Ucwaningo lubonisa ukuthi izici ezilandelayo zingase zithonye ukuthambekela kwakho kokukopela odokotela:

• Ukuzimisela komunye umuntu ukunakekela izidingo zakho zomzimba noma zengqondo.
• Ukufuna amandla noma ukuphakama ngaphezu kwabanye.
• Nciphisa ukukhathazeka kokushiywa.
• Dala ubuwena obusha bomuntu siqu.

Kodwa-ke, lesi simo singavela ngaphandle kwesizathu esicacile esibonakalayo .

Iyini isisusa salokhu kuziphatha?

Abantu abanalesi simo bavame ukwazi ukuthi bayaziphatha. Kodwa-ke, abalindeli izinzuzo ezisobala (isib., ukungasebenzi, ukuthola izinzuzo zokukhubazeka) ngokuzenzisa noma ukwenza ihaba ngalezi zinto. Lezi zinzuzo ngokuvamile azinangqondo, zingokomzwelo . Bangase bangazi ngisho nezinzuzo abazitholayo.

Ingabe lokhu kuyinto evela ezizukulwaneni ngezizukulwane?

Akukho ukuxhumana okwaziwayo phakathi kwe-'Factitious Disorder Imposed on Self' kanye nezakhi zofuzo. Ucwaningo olwengeziwe luyaqhubeka ukuthola imbangela.

Ubani osengozini enkulu yalesi simo?

Nakuba i-Factitious Disorder iyisimo esingavamile, ingozi yakho inganda uma uke wabhekana nalokhu okulandelayo:

• Ukuxhashazwa noma ukunganakwa ngiseyingane.
• Ukubhekana nokulimala okukhulu.
• Izifo ezivame ukukuthinta wena noma othandekayo wakho.
• Ukuba khona kwemisebenzi engajwayelekile emndenini.
• Njengoba ngichithe isikhathi esiningi endaweni enikeza izikhungo zezokwelapha.

Odokotela bakuthola kanjani lokhu?

`Isifo Esibangelwa Yiqiniso Esizibophezele Kuwe` kunzima kancane kodokotela ukusixilonga. Udokotela uqala ngokususa ezinye izimo zomzimba nezengqondo bese ebeka izindlela zokuxilonga. Kufanele kube nobufakazi obucacile bokuthi uyazenzisa noma uqamba izimpawu. Ukuxilongwa kuvame ukwenziwa ngemva kokuhlolwa nokwelashwa okuningana. Ukuxilongwa kwenziwa odokotela abahlukahlukene abasebenza ndawonye.

Ingabe kukhona ukuhlolwa okukhethekile kwalokhu?

Akukho ukuhlolwa okuqondile kokuxilonga `Isifo Esibangelwa Yiqiniso Esizibophezele Kuwe`. Ukuhlolwa kwegazi, ukuhlolwa komchamo, kanye `(Ukuhlolwa kwezithombe)` kungenziwa ukuze kukhishwe ezinye izimo.

Udokotela wakho uxilonga ngokukhipha izifo zomzimba noma ezinye izimo zengqondo kanye nokubheka isimo sakho sengqondo kanye nokuziphatha kwakho.

Kwezinye izimo, udokotela wakho angakudlulisela kudokotela wezifo zengqondo noma kudokotela wezifo zengqondo (ochwepheshe abaqeqeshwe ngokukhethekile ukuxilonga nokwelapha izimo zempilo yengqondo). Odokotela bezifo zengqondo nodokotela bezifo zengqondo benza ukuhlolwa besebenzisa umlando ophelele wezokwelapha, umlando ongokwenyama, ukuhlolwa kwelebhu kanye/noma izithombe, kanye namathuluzi okuhlola ngokwengqondo.

"Isiphithiphithi Seqiniso Esibekwe Kuwe" ku-"DSM-5"

Odokotela bakho bazosebenzisa i-Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) ukuze baqhathanise izimpawu zakho nezindlela zalesi simo. I-DSM-5 iyincwadi ejwayelekile yokuhlola izimo zempilo yengqondo e-United States.

Izindlela zokuxilonga 'ze-Factitious Disorder Imposed on Self' zifaka:

• Ukuzenzisa izimpawu zomzimba noma zengqondo, okubangela ukulimala noma ukugula.
• Ukubonakala kwabanye njengogulayo, obuthakathaka, noma olimele.
• Ukuziphatha okukhohlisayo ngaphandle kokulindela inzuzo yangaphandle .
• Lokhu kuziphatha akukwazi ukuchazwa kahle ngesinye isimo sempilo yengqondo.

Ukwelashwa kanjani? (Ukwelashwa)

Umgomo wokuqala wokwelashwa kwe-'Factitious Disorder Imposed on Self' ukushintsha ukuziphatha okulimazayo nokunciphisa ukusetshenziswa kabi noma ukusetshenziswa ngokweqile kwezinsiza zezokwelapha. Uma le migomo isifeziwe, ithimba lakho lezokwelapha lizogxila ezimbangela eziyisisekelo zokuziphatha kwakho.

Ukugxila okuyinhloko ukunciphisa ukulimala. Odokotela bangasebenzisana ukuqinisekisa ukuthi awuvivinywa noma ukwelashwa okungadingekile kwezokwelapha. Ukuhlolwa okuningi kwezokwelapha kanye nokwelashwa kungaba nemiphumela emibi eyingozi uma ungafuni. Odokotela bakho bazosebenzisana nawe eduze ukuvimbela ukulimala kuye ngezidingo zakho.

Ukwelashwa Kokuziphatha Kokuqonda (i-CBT), uhlobo lwe-psychotherapy olugxile emicabangweni yakho kanye nezindlela zokuziphatha, lungasiza ekwelapheni lesi simo. Ukwelashwa komndeni kungasiza futhi umndeni wakho ufunde kabanzi ngalesi simo. Ukwelashwa kweqembu kungasiza ekunciphiseni imizwa yokuba nesizungu noma yokulahlwa.

Ukwelashwa kungaba nzima ngoba abantu abaningi abane-'Factitious Disorder Imposed on Self' bayaphika ukuthi banalesi simo. Kodwa-ke, uma usukulungele, ungathola ukwelashwa.

Uzodinga ukwelashwa ngudokotela oyedwa noma inhlanganisela yodokotela ababili abanezipesheli ezahlukene (isibonelo, udokotela wezifo zengqondo nodokotela womndeni). Odokotela bakho bazogxila ekunciphiseni ukuzilimaza kanye nokufundisa ukuthi ungazinakekela kanjani futhi uvimbele izinkinga.

Kuzokwenzekani ngemva kokwelashwa? (Isibikezelo)

Ukululama kwakho kuncike ekuzimiseleni kwakho ukwamukela uhlelo lokwelashwa nokululandela. Uma wamukela ukuxilongwa kwakho futhi ulandela imiyalelo kadokotela wakho ngesikhathi sokwelashwa, cishe uzoba nomphumela omuhle . Uma wenqaba noma weqa ukwelashwa, umphumela ungaba mubi, futhi ukuziphatha kwakho kungaba yingozi kakhulu, kuze kube yingozi ngisho nokuphila.

Nakuba abanye abantu bebhekana nalesi simo kanye kuphela, abantu abaningi bangase babhekane naso ngokuphindaphindiwe kukho konke ukuphila kwabo, ngakho-ke ukwelashwa okuqhubekayo kuyadingeka.

Ingabe ikhona indlela yokuvimbela lokhu?

Ayikho indlela eyaziwayo yokuvimbela lesi simo, kodwa ukuqala ukwelashwa ngokushesha nje lapho izimpawu zivela kungasiza ekutholeni imiphumela emihle kakhulu.

Okubalulekile: `Isifo Sokungaziphathi Kahle` siyisimo esiyingozi, esisongela ngisho nokuphila. Uma uzilimaza njalo noma uphuza imithi yezimpawu ongenayo, ungaba nemiphumela emibi kakhulu ethinta indlela umzimba wakho osebenza ngayo. Ukuhlolwa okungadingekile noma ukwelashwa nakho kungalimaza kakhulu umzimba wakho kunokuba kuhle.

Ngaphezu kwalokho, abantu abaningi abatholakale benesifo 'sokuphazamiseka kwengqondo okubangelwa yizinto ezithile' basengozini yokuphazamiseka kokusebenzisa izidakamizwa kanye nokuzibulala.

Uma wena noma othandekayo wakho ecabanga ngokuzilimaza noma ukucabanga ngokuzibulala, funa usizo lwezokwelapha ngokushesha noma ushayele u-988 (uNombolo Wosizo Lokuzibulala Nokubhekana Nezinkinga). Uma wena noma othandekayo wakho nizizwa sengathi basengozini esheshayo, shayela u-911 noma inombolo yakho yesimo esiphuthumayo yendawo.

Umsiza kanjani umuntu onje?

Isifo Sokuzikhohlisa Esibangelwa Yizinto Ezithile Siyisifo esibucayi sempilo yengqondo. Kungaba nzima kumuntu onaso ukuqonda ukuthi silimaza kangakanani. Uma othandekayo wakho enalesi simo, kungase kubonakale kulula ukusho ukuthi uqamba amanga nini. Kodwa-ke, lokhu kungazwakala njengokuhlasela komuntu siqu kuye, futhi angasabela emazwini akho ngentukuthelo, ukugwema, noma ulaka.

Abanye odokotela batusa ukukhuluma ngqo nomuntu ngalezi zindlela zokuziphatha bese umbuza ukuthi uzizwa ecindezelekile, ekhathazekile, ekhathazekile, noma ecindezelekile. Abanye batusa ukuthatha indlela engadingi ukuxabana, ngaphandle kokunikeza isizathu, bese umthumela kudokotela wengqondo.

Uma ungaqiniseki ukuthi uzoqala kuphi, cela iseluleko kudokotela noma kumeluleki wezempilo yengqondo .Bangakufundisa wena, othandekayo wakho, kanye nomndeni wakho nabangani ngalesi simo. Uma nisebenza ndawonye, ​​​​ningasiza ekuqinisekiseni ukuthi othandekayo wakho ulandela uhlelo lwakhe lokwelashwa. Myise kudokotela wengqondo kanye/noma kuma-aphoyintimenti okwelashwa. Ukusekela othandekayo wakho (hhayi ukuvumela ukuziphatha kwakhe) kuyindlela engcono kakhulu yokusiza umuntu onesifo sokuphazamiseka kwengqondo esizibophezele.

Kufanele ngimbone nini udokotela?

Uma wena noma othandekayo wakho nibonisa ukuziphatha kwe-'Factitious Disorder Imposed on Self', bona udokotela. Ukwelapha lesi simo kusenesikhathi kungasiza ekunciphiseni ingozi yokulimala futhi kuthuthukise inhlalakahle yakho.

Yimiphi imibuzo okufanele uyibuze udokotela?

• Yikuphi ukwelashwa okungcono kakhulu kimi?
• Ingabe nginesinye isifo sengqondo esihlobene naso, njengokucindezeleka noma ukuphazamiseka kobuntu?
• Ungamncoma yini udokotela wezifo zengqondo noma uchwepheshe wezifo zengqondo?
• Kufanele ngikubone kangaki ukuze uthole ukwelashwa?
• Ngingakhuluma kanjani nabangani bami nomndeni wami ngalesi simo?

Uyini umehluko phakathi kwalokhu "nokuhlukumeza"?

Uma uhlanganyela ekuziphatheni `(Ukungalungi)`, wenza sengathi ufuna okuthile okusobala (isib., ukulahleka emsebenzini noma esikoleni, ukuthola ibhonasi). Umuntu `onokuphazamiseka kobuqiniso okuzibophezele kuye` akazuzi lutho ngamabomu. Esikhundleni salokho, lokhu kuziphatha kunganikeza inzuzo engokomzwelo engaphansi kokuqonda .

Uyini umehluko phakathi kokuzicabangela isifo nokucabanga ngesifo somunye umuntu (Munchausen Syndrome by Proxy)?

'Isifo Sokucabanga Esifakwe Kuwe' (esasikade siyi-'Munchausen Syndrome') kanye 'neSifo Sokucabanga Esifakwe Kuye Omunye' (esasikade siyi-'Munchausen Syndrome by Proxy') ziyizinhlobo ezimbili 'zeSifo Sokucabanga'.

• `Ukuphazamiseka Kwamaqiniso Okuzibophezela Kuwe` kusho ukwenza sengathi unesifo.
• `Isifo Esibangelwa Yiqiniso Esibekwe Komunye' yilapho uzenza sengathi othile onakekelayo (isib. ingane noma umuntu omdala) unezimpawu zesifo. Ungalimaza othile onakekelayo futhi umenze abonise izimpawu zesifo somzimba noma sengqondo angenaso ngempela. Lokhu kuwukuhlukumeza.

Umyalezo Wokugcina Wokuya Nasekhaya

Isifo Sokucabanga Esibangelwa Ukuzicabangela Siyisifo esibucayi sempilo yengqondo esibangela ukuzilimaza. Kungaba nzima ukusixilonga nokwelapha. Kodwa, uma usukulungele, kunezindlela zokwelapha ezingakusiza.

Ungazisa abathandekayo bakho ngesimo sakho, ukuze bakusize ubhekane necala. Futhi, kubaluleke kakhulu ukukhuluma iqiniso uma ubona odokotela bakho, ngoba bafuna ukwenza okungcono kakhulu kuwe futhi bakusize "ube nguwe wangempela."

Uma ucabanga ngokuzilimaza, bona udokotela ngokushesha. Uma wena noma othandekayo wakho usengozini esheshayo, shayela izinsizakalo eziphuthumayo ngokushesha. Khumbula, ukucela usizo akulona uphawu lobuthakathaka, kuwuphawu lwamandla.

` Isifo Sokucabanga Esibekwe Kuwe, I-Munchausen Syndrome, Impilo Yengqondo, Izimpawu Zokuzenzisa, Ukuzilimaza, Ukugula Kwengqondo, Ukwelashwa