Ingabe wesaba kakhulu ngisho nokungakhululeki okuncane ngokomzimba? Lokhu kubizwa ngokuthi i-Somatic Symptom Disorder!

Ingabe ngezinye izikhathi uzizwa sengathi ukhathazeka kakhulu ngezinkinga ezincane zomzimba, mhlawumbe ikhanda nje, umphimbo obuhlungu, noma ngisho nokukhathala okuncane? Mhlawumbe uya kudokotela uyohlolwa, kodwa usakuthola kunzima ukwamukela? Uma kunjalo, kungaba kubaluleke kakhulu ukuthi ufunde ngesimo sempilo yengqondo esizokhuluma ngaso namuhla, okungukuthi , i-Somatic Symptom Disorder (SSD) .

Kuyini ngempela i-Somatic Symptom Disorder?

Kalula nje, i-Somatic Symptom Disorder yisimo sempilo yengqondo lapho umuntu ematasa kakhulu ngezimpawu zakhe zomzimba futhi ecabanga, ezwa, futhi eziphethe ngezindlela ezingavamile ekuphenduleni lezo zimpawu. Lesi simo singaphazamisa ikhono lakhe lokusebenza nokujabulela impilo.

Cabanga ngalokhu. Unesisu esincane esibuhlungu. Umuntu ojwayelekile angahlola ukuthi ukudla kugayiwe yini noma ngabe kwakuyi -gastritis . Kodwa umuntu one-(SSD) angase esaba kakhulu lesi sifo esincane esibuhlungu esiswini , ecabanga ukuthi, “O, angazi ukuthi nginokuthile okungathi sína, mhlawumbe ngisho nomdlavuza?” Ngezinye izikhathi lezi zimpawu zingase zingabi nencazelo yezokwelapha, noma zingase zibe imizwa evamile yomzimba noma ukungakhululeki okuncane. Ngezinye izikhathi, noma ngabe kukhona isimo sezokwelapha, esikubonayo lapha ukuthi ukukhathazeka kukhulu kakhulu kunezimpawu.

Abantu abaningi abane-SSD abazi ukuthi banenkinga yempilo yengqondo engaphansi. Bakholelwa ukuthi banesifo esibi kakhulu somzimba. Lokhu kukhathazeka ngokweqile kubaholela ekuvakasheleni odokotela njalo futhi baze bahlolwe futhi baphathwe ngokungadingekile.

Uyini umehluko phakathi kwe-(Somatic Symptom Disorder) kanye ne-(Illness Anxiety Disorder)?

Manje ungase ucabange, “Ngakho-ke lokhu kufana nokwesaba ukugula njalo?” Kuhlukile kancane. (Isifo Sokukhathazeka Ngokugula) futhi kuyisimo sempilo yengqondo. Sibonakala ngokukhathazeka ngokweqile nokwesaba ukuthi othile unesifo noma uzoba naso. Kodwa-ke, ngokungafani ne-Somatic Symptom Disorder, abantu abane-Illness Anxiety Disorder ngokuvamile ababi nazo izimpawu zomzimba noma babhekana nezimbalwa kakhulu. Inkinga yabo eyinhloko ukwesaba ukugula.

Ngakho-ke iyini i-Conversion Disorder? Uyini umehluko phakathi kwayo ne-SSD?

Isifo Sokuguquka, esaziwa nangokuthi 'isifo sezimpawu zemizwa ezisebenzayo', yisimo lapho isimiso sezinzwa singenaso imbangela ethile yomzimba noma yemizwa. Lokhu kungathinta izinzwa zakho, ukunyakaza, nezinye izinto.

Abantu abane-Conversion Disorder nabo babhekana nokucindezeleka nokukhathazeka , kodwa ukukhathazeka ngokweqile kanye nokukhathazeka ngezimpawu zomzimba akuyona ingxenye yokutholakala kwe-Conversion Disorder. Kodwa-ke, ku-Somatic Symptom Disorder, ukukhathazeka ngokweqile ngezimpawu zomzimba kuyingxenye eyinhloko yokutholakala kwe-conversion. Uyawuqonda umehluko?

Ubani othinteka kakhulu yilesi simo (i-Somatic Symptom Disorder)?

Lesi simo, esibizwa ngokuthi i-Somatic Symptom Disorder, singathinta noma ubani, kusukela ezinganeni ezincane kuya kubantu abadala. Kodwa-ke, sivame ukuqala cishe eminyakeni engama-30.

Okunye ukuthi lesi simo kubikwa ukuthi sivame kakhulu ngokuphindwe kayishumi kwabesifazane .

Sivame kangakanani lesi simo?

Isifo Somatic Symptom Disorder siyisifo esivame kakhulu. Kulinganiselwa ukuthi phakathi kuka-5% no-7% wabantu abadala bangase babe nalesi simo.

Ziyini izimpawu ze-Somatic Symptom Disorder?

Kunezimpawu eziningana zomzimba umuntu one-(SSD) angase azibone. Lezi yizi:

• Ubuhlungu (lesi yisibonakaliso esivame ukubikwa. Kungaba yinoma yini kusukela ekhanda kuya ekuhluphekeni kwesisu kuya ekuhluphekeni komzimba)
• Ukukhathala noma ubuthakathaka
• Ubunzima bokuphefumula (odokotela babiza lokhu ngokuthi "ukuphelelwa umoya")

Lezi zimpawu zomzimba zingaba zincane noma zibe zimbi kakhulu. Isibonakaliso esisodwa noma ngaphezulu singase sivele ngesikhathi esisodwa. Kungase kube nesizathu sezokwelapha salokhu, noma kungase kungabikho imbangela ecacile.

Kodwa-ke, izici eziyinhloko ze-Somatic Symptom Disorder yindlela abantu abacabanga, abazizwa ngayo, futhi abaziphethe ngayo uma bephendula lezi zimpawu zomzimba. Abantu abane-SSD bangenza izinto ezinjengalezi:

• Ukuzizwa ukhathazekile kakhulu ngezimpawu zabo zomzimba.
• Ngisho noma kukhona uphawu oluncane olungokomzimba, kukhona ukwesaba, "Angazi ukuthi lokhu kuyisibonakaliso sesifo esibi."
• Baya kodokotela abahlukahlukene, bahlolwa kaningi, yize imiphumela yabatshela ukuthi abaguli, abazange babakholwe.
• Ukuzizwa sengathi odokotela abanaki ngokwanele izimpawu zabo.
• Ukushintsha kusuka kodokotela oyedwa kuya komunye, noma ukuthola ukwelashwa kodokotela abaningana ngesikhathi esisodwa.
• Ukuchitha isikhathi esiningi namandla ucabanga ngezinkinga zakho zempilo nokuthola izixazululo zazo.
• Ngokuvamile ubonisa ukuzwela okungavamile emiphumeleni emibi yemithi .
• Ukuqala ukuthembela kwabanye, ukucela usizo nokusekelwa ngokomzwelo, nokuthukuthela lapho izidingo zabo zingahlangatshezwa.
• Ubunzima bokwenza imisebenzi yansuku zonke ngenxa yemicabango, imizwa, kanye nokuziphatha ngezimpawu zabo zomzimba.

Cishe abantu abangu-30% kuya ku-60% abane-Somatic Symptom Disorder bangase babe nezimo ezihambisanayo njengokukhathazeka kanye/noma ukucindezeleka .

Yiziphi izimbangela ze-Somatic Symptom Disorder?

Abacwaningi basazama ukuthola ukuthi yini ngempela ebangela i-SSD, kodwa bakholelwa ukuthi inhlanganisela yezici zofuzo, ezemvelo, kanye nezengqondo ingase ibe nomthelela kuyo. Ezinye zalezi zifaka:

• Ukuxhashazwa ngokomzimba noma ngokocansi ngesikhathi useyingane.
• Ukuntuleka kokuqonda nokuthuthukisa imizwa nemizwa yakho ngesikhathi sobuntwana. Lokhu kungathonywa yizici ezifana nokunganakwa kwabazali kanye nokuntuleka kokusondelana ngokomzwelo.
• Ukukhathazeka ngokweqile nokunaka izinqubo ezenzeka emzimbeni womuntu kanye nezimpawu ezingaba khona.

Wazi kanjani ukuthi une-Somatic Symptom Disorder?

Uma uchaza izimpawu zakho, udokotela wakho uzoqala ngokukwenza ukuhlolwa ngokomzimba, mhlawumbe enze ukuhlolwa kwegazi kanye nokuhlolwa komchamo ukuze abone ukuthi zikhona yini ezinye izimo ezingase zibangele izimpawu zakho zomzimba. Bazobuza nangomlando wakho wezempilo.

Uma le miphumela yokuhlolwa iqinisekisa ukuthi awunaso isifo noma isimo esithile sezokwelapha, noma ukuthi isimo onaso asifani nobunzima bezimpawu zakho, udokotela wakho angakudlulisela kumeluleki wezempilo yengqondo , njengodokotela wengqondo noma wezifo zengqondo .

Udokotela wengqondo noma wezifo zengqondo usebenzisa izindlela ezithile zokuqinisekisa ukuthi une-Somatic Symptom Disorder.

Ukuze kutholakale ukuthi umuntu unalesi sifo, kumele abe nesibonakaliso esisodwa noma ngaphezulu esiphazamisa impilo yansuku zonke futhi sibangele ukucindezeleka okungenani izinyanga eziyisithupha . Kumele futhi abonise imicabango, imizwa, noma ukuziphatha okweqile ngenxa yalezo zimpawu. Kumele futhi ahlangabezane nenye yalezi zindlela ezilandelayo:

• Ukuba nemicabango eminingi emide mayelana nobukhulu bezimpawu zomzimba.
• Ukuba nokukhathazeka okuqhubekayo ngempilo noma izimpawu zomzimba.
• Ukugxila isikhathi esiningi namandla ezimpawini zomzimba nezinkinga zempilo.

Abantu abane-Somatic Symptom Disorder bangase bakuthole kunzima ukwamukela ukuthi ukukhathazeka kwabo kukhulu kakhulu.

Yiziphi izindlela zokwelapha lokhu?

Umgomo oyinhloko wokwelapha i-Somatic Symptom Disorder ukuphatha izimpawu zomzimba, kanye nezimpawu zengqondo, kusetshenziswa i-psychotherapy (okungukuthi, ukwelashwa ngokukhuluma) kanye nemithi ngezinye izikhathi yokukhathazeka nokucindezeleka okuyisisekelo.

Ukwelashwa Kokuziphatha Kokuqonda (`Ukwelashwa Kokuziphatha Kokuqonda – CBT` )Kuyindlela yokwelapha ingqondo esiza abantu ukuthi bafunde ukushintsha indlela abacabanga ngayo noma izindlela zabo zokuziphatha, ngaleyo ndlela bashintshe indlela abazizwa ngayo. Ngaphansi kokuqondiswa udokotela wengqondo noma wezifo zengqondo, i-CBT isiza abantu ukuthi babhekane nokukhathazeka nokucindezeleka futhi basabele kahle ezimweni ezahlukene.

Uma une-Somatic Symptom Disorder, i-CBT ingakusiza ngezinto ezifana nalezi:

• Hlola imizwa yakho nezinkolelo zakho mayelana nezimpawu zakho zomzimba kanye nempilo yakho iyonke.
• Thola izindlela zokunciphisa ukucindezeleka nokukhathazeka ngezimpawu zakho.
• Yeka ukugxila kakhulu ezimpawini zakho zomzimba.
• Thola ukuthi yini eyenza izimpawu zakho zomzimba zibe zimbi kakhulu.
• Ngisho noma unezinhlungu noma ezinye izimpawu, thola izindlela zokuhlala umatasa futhi unobungane.
• Yenza imisebenzi yakho yansuku zonke kahle.

Udokotela wakho angase futhi akunike imithi efana nemithi yokucindezeleka . Ngaphezu kokuthuthukisa imizwa, le mithi ibikwe ukuthi isiza ekunciphiseni izimpawu ezifana nobuhlungu, ukukhathala, ubuhlungu bamalunga, nezinkinga zokulala.

Into ebalulekile ukuthi kukhona ukwelashwa kwalesi simo. Ngokwelashwa okufanele, abantu abaningi bangalulama ezimpawini zabo.

Yiziphi izici eziyingozi zokuthuthukisa i-Somatic Symptom Disorder?

Ucwaningo luthole ukuthi kunezici ezithile eziyingozi ezingaba nomthelela ekuthuthukisweni kwe-Somatic Symptom Disorder. Ezinye zazo yilezi:

• Ukuba nomlando wokunaka kakhulu imizwa yomzimba.
• Ukuba nenkinga yokusebenzisa izidakamizwa.
• Ukuba nezinkinga zokusebenzisa utshwala (`Ukuphazamiseka Kokusebenzisa Utshwala`).
• Ukunganakwa ngiseyingane.
• Ukuba nomlando wokuhlukunyezwa ngokomzimba nangokocansi .
• Ukuba nendlela yokuphila ephithizelayo/uhlangabezana nezigameko ezibuhlungu.
• Ukuhlushwa yizifo ezingamahlalakhona ngesikhathi sobuntwana.
• Ukuba nezinye izimo zempilo yengqondo, ikakhulukazi ukukhathazeka noma ukucindezeleka .
• Ukuba nezinkinga ezithile zobuntu, njenge-Avoidant Personality Disorder, i-Paranoid Personality Disorder, kanye ne-Obsessive-Compulsive Personality Disorder (OCD).

Kubantu abathambekele kulesi simo (SSD), ukwelashwa kungabasiza bafunde ezinye izindlela zokubhekana nokucindezeleka nezinto ezenza izimpawu zabo zibe zimbi kakhulu (izimbangela). Lokhu kungasiza ekunciphiseni ubukhali bezimpawu zabo.

Iyini i-prognosis ye-Somatic Symptom Disorder?

Isifo Somatic Symptom Disorder sivame ukuba yisimo esingapheli (sesikhathi eside). Izimpawu zingase zivele ngezikhathi ezithile, ziqhubeke izinyanga kuya eminyakeni, bese ziphinde ziphele.

Kodwa uma ingelashwa, i-Somatic Symptom Disorder ingaholela ezimweni ezilandelayo:

• Ukulinganiselwa kwemisebenzi yansuku zonke.
• Ukulahlekelwa umsebenzi noma ukusebenza kabi komsebenzi.
• Ukukhubazeka kwengqondo.
• Ukwehla kwezinga lempilo.
• Izinkinga zokusebenzisa utshwala nezidakamizwa.

Kodwa izindaba ezinhle ukuthi ngokwelashwa, abantu abaningi bangathola ukuthuthuka okukhulu noma ukuphulukiswa okuphelele kwezimpawu zabo. Ngakho-ke ungalilahli ithemba.

Uma ngine-(Somatic Symptom Disorder), ngingazinakekela kanjani?

Uma utholakale une-Somatic Symptom Disorder, ukulandela lezi zinyathelo kuzokusiza nakanjani ekwelapheni kwakho:

• Yakha ubudlelwano obuhle nobambiswano nomhlinzeki wakho wezempilo oyinhloko, udokotela omvakashela njalo.
• Gcina udokotela ofanayo oyinhloko. Lokhu kungakusiza ugweme ukuhlolwa nokwelashwa okungadingekile.
• Bona udokotela wakho ukuze uxoxe ngezimpawu zakho zomzimba nokuthi ubhekana kanjani nazo.
• Bonana nochwepheshe wakho wezempilo yengqondo/udokotela wezifo zengqondo ukuze aphathe futhi aqaphe izimpawu zakho zengqondo, njengokukhathazeka ngokweqile nokwesaba.

Kufanele ngimbone nini udokotela wami mayelana ne-Somatic Symptom Disorder?

Kubaluleke kakhulu ukubona udokotela wakho wokunakekelwa okuyinhloko kanye/noma uchwepheshe wezempilo yengqondo/ wezifo zengqondo ngalezi zinkinga:

• Uma uzizwa ukhungathekile yizimpawu zakho zomzimba kangangokuthi awukwazi ngisho nokwenza imisebenzi yakho yansuku zonke .
• Uma unezimpawu zokukhathazeka noma ukucindezeleka (njengokuzizwa uphansi njalo, udabukile, ukungabi nasithakazelo kunoma yini, noma ukuba nenkinga yokulala).

Into ebaluleke kakhulu okufanele uyikhumbule ukuthi i-Somatic Symptom Disorder (SSD) iyisimo sempilo yengqondo. Njengazo zonke izimo zempilo yengqondo, ukufuna usizo ngokushesha nje lapho izimpawu ziqala ukubonakala kungasiza ekunciphiseni ukuphazamiseka empilweni yakho. Ochwepheshe bezempilo yengqondo bangakunikeza izinhlelo zokwelapha ukukusiza ukuthi uphathe imicabango yakho nokuziphatha kwakho.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, manje usunokuqonda okungcono ngalokho ebesikhuluma ngakho (i-Somatic Symptom Disorder). Khumbula, uma uhlala ukhathazeka ngezinkinga zakho zomzimba, futhi ingqondo yakho ingazamukeli ngisho nalapho odokotela bethi "akukho okungahambi kahle," ungamane nje ukukuchilize ngokuthi "ukwesaba ingqondo nje." Kungaba yi-(SSD).

Akulona iphutha lakho leli, lesi yisimo esingelapheka. Ukuthola usizo olufanele kuyinto ebaluleke kakhulu. Akudingeki ulwe nalokhu wedwa. Khuluma nodokotela noma udokotela wezifo zengqondo omethembayo. Bazokusiza. Ungaphinde uphile impilo ekhululekile nejabulisayo!