Ingabe ngezinye izikhathi ubona noma uzwa izinto ezingekho? Noma ingabe ukholelwa ngokuqinile ukuthi othile uceba okubi ngawe noma ukukulawula ngaphandle kwesisekelo? Ungamane nje ulahle lokhu njengephupho nje. Lokhu kungaba yisimo esidinga ukunakekelwa kwezokwelapha. Namuhla sikhuluma ngesimo esibizwa ngokuthi "i-Psychosis," esibangela lolu hlobo lokuhlangenwe nakho.
Kalula nje, kuyini i-Psychosis?
I-Psychosis yisimo lapho umuntu engakwazi khona ukuhlukanisa phakathi kwezwe langempela nalokho akucabangayo engqondweni yakhe. Okusho ukuthi, ulahlekelwa ukuxhumana neqiniso. Akusona isifo esisodwa, kodwa yiqoqo lezimpawu. Umuntu onalesi simo angase abhekane nezinto ezingezona ezangempela noma akholelwe ngokuqinile ezintweni ezingamanga ngokuphelele.
Kunezinhlobo ezimbili eziyinhloko zezimpawu. Ake siziqonde kahle.
| Uhlobo lwesibonakaliso | Incazelo elula |
|---|---|
| Ukuphupha izinto ezingekho | Yilapho izinzwa zethu ezinhlanu (amehlo, izindlebe, impumulo, ulimi, isikhumba) zibona khona into engekho. Isibonelo, ukuzwa umuntu ekhuluma lapho kungekho muntu khona (Auditory Hallucination), ukubona izithombe ezingekho (Visual Hallucination), noma ukuzwa okuthile kuhamba emzimbeni (Tactile Hallucination) kungokwalesi sigaba. |
| Ukukhohlisa | Lokhu kubhekisela ekukholelweni okuqinile kokuthile okungamanga ngokuphelele, yize kungekho bufakazi balokho, futhi okungamukelwa abanye. Isibonelo, ukukholelwa ukuthi othile ulawula kude imicabango noma izenzo zakho (Delusions of Control) kuyisimo esinjengalesi. |
Ziyini izimbangela ze-psychosis?
I-Psychosis ingabangelwa yizimbangela ezingaphezu kweyodwa, kodwa ibangelwa yizici eziningana. Ake sizihlukanise zibe izigaba eziningana.
Izimo zempilo yengqondo
I-Psychosis ingenzeka njengophawu oluyinhloko lwezifo eziningi zengqondo. Ezinye zezimo eziyinhloko zifaka:
- I-Schizophreniakanye nezimo zezokwelapha ezihlobene.
- Isifo se-Bipolar .
- Izinkinga zemizwa ezifana nokucindezeleka okukhulu .
- Isifo Sokukhohlisa (isimo esibangela ukukhohlisa kuphela).
- Isifo Sokuphazamiseka Kwengqondo Esibangelwa Yizidakamizwa/Imithi.
Ezinye izifo zomzimba
Ezinye izifo zomzimba zingathinta nokusebenza kobuchopho futhi zibangele izimpawu zesifo sengqondo.
- Isifo se-Alzheimer kanye nezinye izimo ze-dementia.
- Izifo ezithinta ubuchopho noma umgogodla, isibonelo, i-encephalitis noma i-meningitis.
- Izifo ezizenzakalelayo njenge- Lupus kanye ne-Multiple Sclerosis .
- Izifo ezihlobene nama-hormone, isibonelo, i-hyperthyroidism noma i-hypothyroidism.
- Izifo zesimiso sezinzwa ezifana nesifo sohlangothi .
- Ukuntuleka kwevithamini B1 kanye ne-B12.
- I-Postpartum Psychosis: Lesi yisimo sengqondo esibi kakhulu, esingazelelwe esingase senzeke ngemva kokubeletha. Sibi kakhulu kunokushintshashintsha kwemizwelo okuvamile okwenzeka ngemva kokubeletha.
Ezinye izimbangela kanye nezimbangela
- Ukusetshenziswa kotshwala nezidakamizwa: Ukusetshenziswa ngokweqile kwezidakamizwa ezifana nensangu nezinye izidakamizwa, ikakhulukazi ngesikhathi sobusha.
- Ukulimala okukhulu ekhanda.
- Okuhlangenwe nakho okubuhlungu, okwedlule noma okwamanje.
- Ukucindezeleka noma ukukhathazeka okungabekezeleleki.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kwesifo sengqondo kuncike embangela eyinhloko. Ngezinye izikhathi, ukwelapha isifo somzimba esiyisisekelo kuzosiza izimpawu zesifo sengqondo ziphele. Kodwa-ke, uma ufuna ukwelapha isimo sengqondo ngokwaso, kunezindlela eziningana eziyinhloko.
- Imithi: Imithi yokulwa nesifo sengqondo iyona esetshenziswa kakhulu kulokhu. Ngaphezu kwalokho, udokotela angase anikeze eminye imithi efana nemithi yokucindezeleka uma kudingeka.
- Ukwelulekwa kanye nokwelashwa kokuziphatha: Ukwelashwa okufana nokwelashwa kokuziphatha okucabangayo (i-CBT) kungasiza ekulawuleni lezi zimpawu futhi kunciphise ukucindezeleka ezikubangelayo.
- Ukulaliswa esibhedlela: Uma isiguli sisengozini yokuzilimaza sona noma abanye, kungadingeka silaliswe esibhedlela noma esikhungweni esikhethekile ukuze sithole ukwelashwa ukuze sivikeleke.
- Izinhlelo zokusekela: Uma isimo sibangelwa izinkinga ezifana nokusetshenziswa kwezidakamizwa, izinhlelo zokuvuselela zibaluleke kakhulu. Kukhona nezinhlelo ezisiza abantu ukuba baphinde baphile kahle emphakathini, bathole umsebenzi, futhi baphile kahle nemindeni yabo.
Ungamsiza kanjani othandekayo uma enalezi zimpawu?
Kuvamile ukuthi umuntu onesifo sengqondo angaqapheli ukuthi unenkinga (ebizwa nangokuthi i-anosognosia - ukuntuleka kokuqonda). Ngakho-ke, uma ubona ukuthi ilungu lomndeni noma umngane ubhekene nalezi zimpawu, nazi ezinye izindlela ongasiza ngazo.
Into ebaluleke kakhulu ukuthi, ungaphikisani nabo noma ubahlulele. Lokho ababhekana nakho kuzwakala kungokoqobo kubo. Ukuphikisana kuzobenza besabe kakhulu futhi bazihlukanise nawe.
- Lalela ngokucophelela: Buza, "Ufuna ukusiza kanjani?" Lalela imizwa yabo, ukwesaba kwabo. Benze bazizwe sengathi unabo.
- Bakhuthaze ukuba bafune iseluleko sezokwelapha: Sho into efana nokuthi, "Ingabe kufanele sikhulume nodokotela ngalokhu?" bese ubaqinisekisa ukuthi lesi simo singalawulwa ngokwelashwa.
- Hlala uzolile: Kubaluleke kakhulu ukuthi uhlale uzolile uma becasukile futhi besaba. Benze bazizwe bephephile. Uma izinga lomsindo liphezulu kakhulu, iya endaweni ethule.
- Thola usizo esimweni esiphuthumayo: Abantu abanesifo sengqondo basengozini enkulu yokuzibulala. Uma bekhuluma ngokuzilimaza bona noma abanye, noma beziphatha ngendlela ethukuthele kakhulu noma enobudlova, bayise esibhedlela esiseduze noMnyango Wezimo Eziphuthumayo (ETU) ngokushesha. Uma usola ukuthi uphuze izidakamizwa noma imithi ngokweqile, ungashayela iNational Poisons Information Centre eColombo National Hospital ukuze uthole iseluleko.
Ingabe i-Psychosis ne-Schizophrenia zizinto ezimbili ezihlukene?
Abantu abaningi bayawadida la magama amabili, kodwa kunomehluko ocacile.
- I-Psychosis: Lokhu kuyiqoqo lezimpawu. Kuwukuhlukana neqiniso. Lezi zimpawu zingabonakala ku-schizophrenia, kanye nakwezinye izimo eziningi ezifana ne-bipolar disorder, ukucindezeleka okukhulu, kanye nokutheleleka kobuchopho.
- I-Schizophrenia isifo sengqondo esithile. I-Psychosis ingenye nje yezimpawu eziyinhloko ze-schizophrenia. Cishe wonke umuntu one-schizophrenia ubhekana ne-psychosis.
Kalula nje, umkhuhlane ufana nophawu lwesifo. Lowo mkhuhlane ungabangelwa izifo ezahlukahlukene ezifana ne-dengue kanye ne-pneumonia. Ngokufanayo, i-Psychosis nayo iyisibonakaliso sesifo, kanti i-Schizophrenia yisifo esibangela lezo zimpawu.
Umlayezo Wokuya Nawe Ekhaya
- I-Psychosis akuyona isifo esisodwa, kodwa iqoqo lezimpawu ezibonisa ukungakwazi ukubona iqiniso.
- Izimpawu eziyinhloko ukubona nokuzwa izinto ezingekho (ukubhula) nokukholelwa ezintweni ezingamanga (ukukhohlisa).
- Lesi simo singabangelwa yizizathu ezahlukahlukene, njengokugula ngengqondo, ukugula ngokomzimba, ukusebenzisa izidakamizwa, noma ukulimala okukhulu.
- Lesi yisimo esingalawulwa kahle ngokwelashwa . Ngakho-ke, kubaluleke kakhulu ukungalokothi wesabe futhi ufune ukwelashwa kudokotela oqeqeshiwe.
- Uma othandekayo wakho enalezi zimpawu, mthumelele usizo lwezokwelapha ngothando nangesineke, ngaphandle kokwahlulela.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Hlobo luni lokugula kwengqondo okuyi-psychosis?
Lokhu akuyona inkinga yokucindezeleka okuvamile! 'I-Psychosis' yisimo sengqondo esibi kakhulu lapho ubuchopho bomuntu bulahlekelwa khona ngokuphelele yiqiniso! Lapho lesi sifo sivela, isiguli asikwazi ukuhlukanisa phakathi 'kweqiniso nokungamanga' bese siqala ukuhlala sodwa ezweni lokukhohlisa okudalwe yingqondo yaso.
💬 Yiziphi izimpawu eziyinhloko ezingabonisa ukuthi umuntu unesifo sengqondo?
Kunezimpawu ezimbili eziyinhloko: 1) 'Ukuqagela' - ukubona abantu lapho bengekho khona, ukuzwa amazwi (enikeza imiyalo) angakaze azwiwe omunye umuntu. 2) 'Ukuqagela' - ukukholelwa ngokuphelele ukuthi othile uzokubulala, ukuthi abantu abavela kwamanye amazwe bakhuluma nawe, ukuthi unamandla akhethekile! Ngaphezu kwalokho, ukukhuluma izinto ezingenamsebenzi nezihlobene (inkulumo engahlelekile) kuyisibonakaliso.
💬 Yiziphi izizathu eziyinhloko ezenza abantu bahlanye (psychosis) kanje? Ingabe lokhu kungelapheka?
Isizathu esiyinhloko salokhu ufuzo lwezifo zengqondo ezinzima njenge-'Schizophrenia' kanye ne-'Bipolar'. Kodwa ngaphandle kwalokho, lesi simo siyenzeka nakubantu abasebenzisa izidakamizwa (i-Ice/Meth, i-Lidocaine, i-Cannabis) ngokweqile futhi ngenxa yezimila zobuchopho. Lesi yisimo esingelapheka ngempela esingabuyiselwa empilweni evamile ngosizo lwemithi kadokotela wezifo zengqondo (ama-Antipsychotics) kanye nokwelulekwa!
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