Ngaba i-OCD ngokuqhelekileyo ikhokelela ekubeni nzima ukulala?
I-OCD ingayichaphazela njani ubuthongo? Enye yeengxaki ezixhalabileyo, ukuphazamiseka okunyanzelekayo kunokuphazamisa kakhulu imisebenzi yemihla ngemihla. Ngaba kuphazamisa ubuthongo ngokukhokelela ekubuneni ukulala nokulala? Ziziphi iimpawu eziqhelekileyo zesimo sengqondo? Ingaba ingxaki yokunyanzela ingozi ingaphazamisa ukwazi kwakho ukulala ebusuku?
Fumana amaqiniso, iimpawu, kunye nokunyanga okuphumelelayo kwinkinga.
Iimpawu kunye neeMpawu zoMngcipheko we-Obsessive-Compulsive Disorder
Ingxaki yokunyamezela (OCD) ngenye yeengxaki zokuxhalabisa ezinokuphuhliswa kwangoko ebomini. Inokuchaphazela abantwana, ngokuphindaphindiweyo amakhwenkwe abuye afumanise ukuphazamiseka kwengxaki yokuxhatshazwa kwengxaki (ADHD) . Kufunyaniswa kwakhona kwi-adolescence kunye nokudala. Phakathi kwabantu abadala, ichaphazela amadoda nabasetyhini ngokulinganayo. Kwenzeka ngo-0.5-1% wabantu kunyaka owenziwe. I-OCD ibonakaliswe ngamacandelo amabini: ukugqithiswa kunye nokunyanzeliswa.
Ukuqwalaselwa kukucinga okuqhubekayo, imifanekiso, okanye iimpembelelo ezibonakala zingenakulungelekanga okanye ezingalunganga. Ezi ngcamango zidibene nexhala okanye uxinzelelo. Esinye isifungo esivamile sihambelana nokucoceka kunye nenkolelo yokuba izinto zihlaselwe ziintsholongwane. Abanye abantu abane-OCD banokuxhalabisa ukuba umsebenzi awuzange ugqitywe okanye wenze ngokungafanelekanga.
Njengomzekelo, kunokubakho uxhalaba malunga nokucima isitofu okanye ukuvalela umnyango, nangona ezi zikhuselekile ngokuqinisekileyo. Ezi zinto zivame ukunyanzeliswa okanye zikhutshwe ngokubandakanyeka kwenye ingcinga okanye isenzo, esibizwa ngokuba yinyanzeliso.
Izigqibo zichazwe njengezenzo eziphindaphindiweyo kunye nezenzo ngokuzikhethela ezenziwa njengempendulo ethile.
Ngokwenza ezi zinto zinyanzeliso, iingcamango ezingapheliyo zinganqunyanyiswa okwethutyana. Iziphoso zenziwa ngumbono oqikelelweyo kwaye oqhelekileyo. Abaninzi banemimiselo yokunyaniseka. Ukuze kunciphise uxhalabo malunga noyiko lweentsholongwane, ukucoca kunokwenzeka. Ukuqinisekisa ukuba umnyango uvalelwe, ungakhangela kathathu. Ukunyanzeliswa okuqhelekileyo kubandakanya:
- Ukuhlamba izandla
- Ukuhlola
- UkuLawula
- Ukubala
- Ukuthandaza
- Ukuphinda amagama
- Ukuthinta
Ezi nyanzelo zinikeza uncedo olusisiseko, kodwa kungekudala ukuxhalabisa kuqala ukuvuka kwakhona kwaye isenzo sokunyanzeliswa kufuneka siphindwe. Xa ezi zenzo zihlala ngaphezu kweyure nganye ngosuku kwaye ziphazamise indlela yokuphila eqhelekileyo, i-OCD ifunyanwe.
I-OCD ithinte njani ubuthongo kwaye ibangela ukulahla?
Unokugqiba ukuba iingcamango nezenzo ezinxulumene ne-OCD zingabangela ukuphazamiseka ukulala. Ukuba uzama ukulala ebusuku, kodwa uhlala ucinga ngezinto ofuna ukuzihlola, unakho ukuphazamiseka . Enyanisweni, ukujonga ukuziphatha kunokuphazamisa ukuba kubandakanya ukushiya indawo yakho yokulala ukuze uziqinisekise.
Okumangalisa kukuba kukho ubungqina obuncinane bokuthi le miphumo ibangela ukungaqhelekanga okunokufunyanwa ngophando lokulala olubizwa ngokuba yi- polysomnogram .
Olunye uphando lubonisa ukuba kunokulala ubuncinane okanye ukuphazamiseka kokulala, kodwa oku akuzange kuboniswe njalo. Akunakwenzeka kuphela ngenxa ye-OCD kodwa endaweni yoko inokubambisana nokudakumba , okuhlala rhoqo kunye nayo.
Uphando olungakumbi lufunekayo kwiimeko ezinokwenzeka phakathi kwe-OCD kunye nokuphazamiseka kokulala.
Amachiza asetyenziselwa kunyango lwe-OCD
Kwabo bantu abane-OCD, kukho iindlela ezahlukeneyo zokonyango. Oku kubaluleke ngakumbi ukuba imeko ichaphazela ubomi bemihla ngemihla.
Amachiza afana ne-tricyclic antidepressants (kuquka i-clomipramine) kunye ne-serotonin receptor inhibitors (SSRIs) esetyenziswa rhoqo.
Ezinye ze-SSRI ezisetyenziswa kakhulu zi:
- Fluoxetine
- Fluvoxamine
- Paroxetine
- Sertraline
Ukongezelela ekusebenziseni amayeza, ukusebenza kunye nengcali yeengqondo eqeqeshelwa ukungafuni nokunyanga kwengqondo kunokunceda. Kwiimeko ezinqabileyo kakhulu, utyando kunye nokufakelwa kwe-stimulator yengqondo enzulu kunokusetyenziswa ukunciphisa iimpawu.
ILizwi
Ukuba ukholelwa ukuba unokubandezeleka yi-OCD, ungaqala ngokuthetha nodokotela wakho oyinkathalo oyintloko onokubonisa ukuba uthunyelwe kwisifo sengqondo ukuze uncede uzive ungcono. Xa ubuthongo buphazamiseka, uvakalelo, ukucinga, kunye nomsebenzi kunokukhawuleza. Ngokukulungisa le meko, ekugqibeleni unokufumana konke okufunekayo ukuze ukwandise impilo yakho kunye nentlalo.
Imithombo:
I-Diagnostic and Statistical Manual of Disabilities (DSM-IV), i- American Psychiatric Press , i-4th edition, 1994.
Kryger, MH et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." Elsevier , edition 5, iphe. 1480-1481.