Ingabe nawe "unesifo sokuwa" esinjengalesi? Kodwa akusikho yini isifo sokuwa? (Isifo Sokushaywa Yisisu Esibangelwa Yingqondo - PNES) Ake sixoxe ngalokhu!

Cabanga nje, ngokuzumayo uzizwa sengathi unesithuthwane, umzimba wakho uyathuthumela, futhi mhlawumbe ulahlekelwa ingqondo... njengoba nje unesifo sokuwa. Kodwa uyazi, lokhu akwenzeki njalo ngenxa yesithuthwane esibangelwa ushintsho oluthile emsebenzini kagesi ngaphakathi kobuchopho. Ngezinye izikhathi kungaba yinto ehlukile, kodwa futhi kungabukeka kanjalo. Namuhla sizokhuluma ngesimo esinjengaleso, odokotela abasibiza ngokuthi `(Psychogenic Nonepileptic Seizure - PNES)`, noma `(Functional Seizures - FS)`. Nakuba lokhu kungase kubonakale kuyinkimbinkimbi kancane, masikuqonde kalula.

Kuyini ngempela lokhu `(PNES)`?

Kalula nje, i-PNES uchungechunge lwezehlakalo ezifana kakhulu nezimpawu zesifo sokuwa, okungukuthi, uchungechunge lwezehlakalo ezifika zidlule "njengokungathi ziyagula." Kodwa into ebalulekile ukuthi lezi azibangelwa umsebenzi kagesi ongajwayelekile ebuchosheni . Isifo sokuwa sibangelwa ukuphazamiseka komsebenzi kagesi wobuchopho. Kodwa ku-PNES, akunjalo.

Pho kungani lezi zinto zenzeka? Empeleni zenzeka njengempendulo yezinto ezithile ohlelweni lwethu lwezinzwa, okungukuthi, ohlelweni lwethu lwezinzwa lomzimba . Yiziphi lezo zinto?

• Izizathu zomzimba: Mhlawumbe ukulimala, into efana nobuhlungu obungapheli.
• Amathonya emvelo: Izingcindezi ezinkulu zengqondo ezivela endaweni okuzungezile, okungukuthi, ukucindezeleka.
• Izehlakalo ezibuhlungu zesikhathi esidlule: Mhlawumbe kwakukhona isenzakalo ongeke usikhohlwe futhi esathinta kakhulu ingqondo yakho.

Into ebalulekile ukuthi uma unalesi simo, "ukufaneleka" okukhona kungokoqobo. Akuyona into oyenzayo ngamabomu noma ngokuzenzisa. Awunawo amandla okukulawula uma kwenzeka, kuyinto eyenzeka ngaphandle kwamandla akho. Kubaluleke kakhulu ukuqonda lokhu kuqala. Lesi simo singaba ukuphazamiseka okukhulu empilweni yakho, kodwa kungenzeka ukuthola usizo.

Ngezinye izikhathi odokotela babiza lesi simo ngokuthi `(Isifo Sezinzwa Esisebenzayo - FND)`. Isizathu salokhu ukuthi lezi zimpawu zingachazwa njengokuphazamiseka kokusebenza kohlelo lokuxhumana lobuchopho. Abanye bachaza lokhu njengento efana nenkinga `ngesofthiwe'' yekhompyutha, okungukuthi, ngezinhlelo. Lokhu kubizwa nangokuthi ``ukuhlaselwa kwe-psychogenic nonepileptic``, ``iziqephu`` noma ``izipelingi``.

Ziyini izimpawu ze-`(PNES)`?

Uphawu oluyinhloko lwalesi simo yilokho okubizwa ngokuthi "ukufaneleka." Kodwa lokhu kungahluka kumuntu nomuntu.

Abanye abantu bangase bazizwe beqhaqhazela futhi beqhaqhazela umzimba wonke, njengase-"Tonic-clonic seizures," okuyizinhlobo ezimbi kakhulu zesifo sokuwa. Abanye bangase bazizwe beqhaqhazela futhi bejikijeleka ezithweni. Ngezinye izikhathi, bangase babonakale belahlekelwa ingqondo isikhashana, njengase-"Absence seizures," noma bangase babonakale bewa phansi ngokuzumayo, njengase-"Drop attacks ." Umehluko ukuthi akukho kulokhu okubangelwa amagagasi kagesi angajwayelekile ebuchosheni.

Lezi ezinye zezimpawu ezivame kakhulu ze-PNES:

• Ukushintsha kwezindlela zokunyakaza komzimba: izitho ziyanyakaza futhi ziyasonta ngezindlela ezahlukene.
• Ukuthuthumela komzimba ngenkathi uqaphela: Ngezinye izikhathi, noma umzimba uthuthumela, usengakwazi ukuzwa izinto ezenzeka eduze kwakho ngezinga elithile.
• Ukuvala amehlo akho ungaphenduli.
• Ukudlikizela komzimba wonke okuhlala imizuzu engaphezu kweyi-10: "Ukudlikizela" kwabantu abanesifo sokuwa akuvamile ukuhlala isikhathi eside kangaka.
• Ukulahlekelwa ukwazi.
• Izitho zomzimba zihamba ngendlela engahlelekile.
• Ukunyakaza kwe-pelvic.
• Ikhanda liyanyakaza ngokushesha kusukela kolunye uhlangothi kuya kolunye.

Ngaphezu kwalokhu "kufaneleka", ungase ubhekane nezinye izimpawu ngenxa yezinkinga zempilo yengqondo eziyisisekelo. Isibonelo:

• Ukukhathazeka
• Ukucindezeleka
• Ukuhlaselwa uvalo
• Isifo sokucindezeleka ngemva kokucindezeleka (PTSD)

Yiziphi izimbangela ze-`(PNES)`?

Abacwaningi bakholelwa ukuthi izimpawu ze-FS zibangelwa inhlanganisela yezinto ezibangela ukucindezeleka ezahlukene ezithinta umzimba wakho, ingqondo, kanye nobudlelwano bomphakathi. Lokhu kubizwa nangokuthi imodeli ye-biopsychosocial. Lokhu kusho ukuthi kungabangelwa yithonya elivela kuzo zonke izindawo ezintathu: i-biological, i-psychological, kanye ne-social.

Ngaphezu kwalokho, lezi zinto zingaba nomthelela kulesi simo:

• Ubunzima bokuqonda nokuveza imizwa: Abanye abantu abakwazi ukuchaza kahle ukuthi bazizwa kanjani.
• Izinkinga zokucubungula izinzwa: Lokhu kusho ukuthi ubuchopho bunobunzima bokuguqula imiyalezo evela ezinzwa zethu, njengamehlo nezindlebe zethu, ibe yisenzo.
• Izimpendulo ezingalungile ekucindezelekeni ngokomzimba nangokwengqondo: Ukuthambekela kokucasuka kakhulu nokungakwazi ukuthwala ngisho nenkinga encane.

Kukhona futhi inkolelo yokuthi amathonya ezakhi zofuzo angadlala indima ekwenzekeni kwalesi simo ngezinga elithile.

Ngokuvamile, isimo sempilo yengqondo esingaphansi singaba imbangela yalokhu "kukhungatheka." Izimo ezivame kakhulu ezibonwayo yilezi:

• Izinkinga zokukhathazeka ezihambisana nokuhlaselwa uvalo
• Izinkinga zokucindezeleka
• Izinkinga zokuhlukana
• Ukuphazamiseka kwemizwa
• Ukuphazamiseka kobuntu
• Isifo sokucindezeleka ngemva kokucindezeleka (PTSD)
• Isifo se-Somatic symptom
• Izinkinga zokusebenzisa izidakamizwa

Izici eziyingozi zokuthuthukisa `(PNES)`

Ungase ube sengozini enkulu yokuthola lesi simo uma:

• Uma uke wahlukunyezwa ngokomzimba, ngokocansi, noma ngokomzwelo noma wanganakwa useyingane.
• Uma uke wabhekana nesenzakalo esinzima kakhulu noma esibuhlungu.
• Uma uhlushwa yisifo esingamahlalakhona njengobuhlungu obungamahlalakhona noma i-fibromyalgia.

I-PNES ivame ukuqala ebudaleni obusha, kodwa ingaqala kunoma yimuphi ubudala.

Izinkinga ezingaba khona ngenxa ye-`(PNES)`

Uma lokhu "kufaneleka" kwenzeka, ungase ulahlekelwe yiwo wonke umqondo noma ukuqwasha. Ngakho-ke, kunengozi enkulu yezingozi nokulimala. Kwezinye izimo, lokhu kungaba yingozi ngisho nokuphila. Cabanga ukuthi bekuzokwenzekani uma lokhu kwenzeka ngenkathi ushayela imoto noma usesikhundleni esiphakeme.

Nawe ungase uqale ukuhoxa kwabanye futhi ube ngowodwa emphakathini, ngenxa yokungazi, amahloni, noma ukwesaba. Lokhu kungakwenza uziqhelelanise nabantu obathandayo, abangane, nezinto owawuzijabulela.

Ukuba nesifo sokuwa esinjengalesi kungaba nomthelela omkhulu empilweni yakho yengqondo. Ukuba nesifo sokuwa (FS) kungandisa ingozi yakho yokuba nemicabango yokuzibulala. Uma unale micabango, sicela uthole usizo. Awuwedwa. Khuluma nomuntu omethembayo, noma ubone udokotela noma umeluleki ofanelekayo. Akudingeki ulinde uze ube senkingeni ukuze uthole usizo.

Odokotela bayixilonga kanjani i-PNES?

Kungaba nzima ukuxilonga i-PNES ngoba izimpawu zifana kakhulu nesifo sokuwa. Udokotela wakho angaxilonga ngokusebenzisa ividiyo (i-EEG - electroencephalogram) test ukuze aqophe ukuwa.

I-EEG ilinganisa futhi iqophe izimpawu zikagesi ebuchosheni bakho. Uma wenza i-EEG, uchwepheshe ubeka amapuleti amancane ensimbi (ama-electrode) esikhumbeni sekhanda lakho. Lawa ma-electrode axhunywe emshinini onikeza udokotela ulwazi mayelana nomsebenzi wobuchopho bakho.

Uma "ukufaneleka" onakho kungu-`(PNES)`, okusho ukuthi kuyinkinga ekusebenzeni kobuchopho bakho, ukuhlolwa kwe-`(EEG)` kuzobonisa ukuthi umsebenzi kagesi wobuchopho ujwayelekile ngisho nangesikhathi "sokufaneleka". Kodwa-ke, kumuntu onesifo sokuwa, i-`(EEG)` izobonisa umsebenzi kagesi ongavamile ngesikhathi "sokufaneleka".

Abantu abaningi abanalesi simo ekuqaleni baqale batholakale benesifo sokuwa. Futhi, akuvamile kakhulu, umuntu angaba nesifo sokuwa kanye nesifo "se-PNES".

Iphathwa kanjani i-`(PNES)`?

Ucwaningo lukhombisile ukuthi uhlobo lwe-psychotherapy olubizwa ngokuthi i-Cognitive Behavioral Therapy (CBT) luyindlela yokwelapha ephumelela kakhulu ye-PNES .

Udokotela wakho uzokusiza futhi ukuthi uphathe noma yiziphi izimo ezingaphansi (njengokucindezeleka) ezingase zibangele ukuquleka kwakho. Lokhu kungafaka phakathi ukuthatha umuthi wokucindezeleka, njengoba unqunywe udokotela wakho, ngaphezu kwe-CBT.

Okubaluleke kakhulu, imithi yokuvimbela ukuquleka ayisebenzi ekwelapheni lesi simo (i-PNES).

Okunye okwengeziwe mayelana nokwelashwa kwe-`(CBT)` kwe-`(PNES)`

Ukwelashwa Kokuziphatha Kokuqonda (i-CBT) uhlobo lokwelulekwa olukusiza ukuthi ufunde ngendlela ingqondo nomzimba wakho osabela ngayo ezicini ezahlukene. Kukusiza futhi ukuthi uqonde ukuthi imicabango yakho ithinta kanjani imizwa nokuziphatha kwakho. Umeluleki wezempilo yengqondo angakusiza ukuthi ubone futhi ushintshe imicabango yakho engaphilile, imizwa, kanye nokuziphatha, futhi akusize ubhekane ngempumelelo nemicimbi ecindezelayo.

Uma unomuzwa wokuthi i-CBT ayikufanele, udokotela wakho angase akuncomele i-"FIT" noma ezinye izindlela zokweluleka ukuze zikusize ubhekane nezinselele zakho zengqondo.

Ngesikhathi seseshini yakho yokwelulekwa, uzohlangana nomeluleki wakho njalo. Ndawonye, ​​​​nizofunda kabanzi ngokuthi imicabango yenu ithinta kanjani imizwa yenu kanye "nokufaneleka kwenu." Bese, ndawonye, ​​​​nizobeka imigomo futhi nisebenzele ukuyifinyelela. Lapho niphatha i-PNES, ningaba nemigomo efana nalokhu:

• Ukufunda okwengeziwe mayelana nokuxilongwa kwakho.
• Ukuthola izinto ezibangela ukucindezeleka esikhathini esidlule noma samanje nokuthola izindlela zokuziyeka.
• Ukuhlonza izimbangela ezivamile "zokulingana" nokuzilawula.
• Ukuthuthukisa amakhono okuphatha imizwa (isib. amasu okuphumula).
• Ukwakha kabusha ikhwalithi yempilo yakho (ubudlelwano, imfundo, umsebenzi, njll.).

Kulungile uma imigomo yakho ingafani ncamashi nalena. Imigomo yawo wonke umuntu ihlukile kuye ngezidingo zakhe.

Kwabantu abadala, udokotela wakho angase asikisele uhlelo olubizwa ngokuthi "ukwelashwa nge-Neurobehavioral." Lolu uhlobo lokwelapha olusebenzisa incwadi yokusebenzela, olufana nokuthatha ikilasi. Uya emihlanganweni yamasonto onke, equkethe cishe imizuzu engama-45 yokwelashwa. Unikezwa futhi "imisebenzi yokuzijwayeza" ukuze uyenze ekhaya. Lokhu kungafaka phakathi imisebenzi efana nokubhala phansi noma ukuya emcimbini wokuzijabulisa. Isonto ngalinye, ungakha phezu kwalokho okufundile futhi uqhubeke nalokhu uze ube nekhono elithile.

Kufanele ngimbone nini udokotela wami?

Ukwelulekwa kungaveza imizwa eminingi okungenzeka ukuthi ubuyigodla noma ungayicabangi nhlobo. Uma uzizwa sengathi imizwa yakho iya ngokuya iphuma ekulawuleni, noma uma uzizwa ungaphephile, khumbula ukuthi umeluleki wakho ukhona ukukusiza kulolu hambo. Kubaluleke kakhulu ukuxhumana nodokotela bakho ukuze nixoxe nganoma yimiphi imibuzo ongase ube nayo mayelana nokwelashwa kwakho noma ukukusiza.

Yini engingayilindela ngemva kokwelashwa kwe-`(PNES)`?

I-PNES yisimo esingaba nomthelela omkhulu empilweni yakho. Kodwa-ke, ngokuxilongwa nokwelashwa okufanele, izimpawu zingathuthuka.Abanye abantu babika ukuthi "ukuquleka" kwabo sekunyamalele ngokuphelele noma kunciphe kakhulu ngokulandela iseluleko sikadokotela wabo kanye nokuhlanganyela ngenkuthalo ekwelulekweni. Udokotela wakho angakunikeza ulwazi olungcono kakhulu ngalokho ongakulindela ngokusekelwe esimweni sakho.

Ukuthola ukuthi ukucindezeleka kubangela i-PNES yakho kungaba yinto ecindezelayo nakakhulu! Kodwa akudingeki kube njalo. Ithimba lakho lezokunakekelwa kwempilo likhona ukukusiza uqonde ukuxilongwa kwakho ngaphandle kokwahlulela. Ndawonye, ​​ningakha uhlelo lokunciphisa izimpawu zakho nokwelapha noma yiziphi izimo zempilo yengqondo ezingaphansi.

Odokotela bakho bazokukhuthaza ukuthi uzijwayeze amakhono owafundayo ngesikhathi sakho sokwelulekwa. Njenganoma yini empilweni, uma uzikhandla kakhulu, imiphumela yakho izoba ngcono. Kuthatha isikhathi ukuthuthukisa amakhono amasha, ngakho ungadikibali uma ungawatholi ngokushesha. Odokotela bakho bazokusekela kuzo zonke izinyathelo zendlela.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

I-PNES iyisimo sangempela, akuyona into oyenza ngamabomu. Nakuba kungaba nzima ukuyixilonga, ingaphathwa ngezinga elikhulu ngokuxilongwa nokwelashwa okufanele, ikakhulukazi nge-CBT. Uma unalezi zimpawu, ungabi namahloni noma wesabe ukufuna iseluleko sezokwelapha. Khumbula, awuwedwa, futhi usizo luyatholakala. Impilo yakho yengqondo ibaluleke njengempilo yakho yomzimba. Ngakho-ke nalokhu kunakekela.

'I-PNES, ukuquleka kokusebenza, ukuquleka okungenasifo sokuwa, ukuquleka kwengqondo, ukuquleka, ukucindezeleka, ukuquleka okungenasifo sokuwa, impilo yengqondo, ukuqina komzimba