Ingxaki Yenene NgeZisombululo Zinyani
Izifo zengqondo zisoloko ziqondwa kakuhle. Eli gama lisetyenziselwa xa iingxaki zengqondo, ezifana nokudakumba, ukuxhalabisa okanye enye ingxaki, zibonakaliswa njengempawu ezibonakala zingenakulinganiswa.
Ukwenza ukuxilongwa kwesifo se-psychosomatic, akumele kubekho enye inkcazo yezokwelapha kwiimpawu. Oku akuqhelekanga. Enyanisweni, uphando olunye luye lwaphakamisa ukuba amaninzi ama-5 ekhulwini lwezikhalazo kwiindawo zokunyamekela eziphambili yilezo ezingenakuchazwa yimeko yezokwelapha, i-toxin okanye amayeza.
Ngelixa zonke ezi ziimeko ziyi-psychosomatic, ngokuqinisekileyo akuqhelekanga iingxaki zokuxinezeleka, imizwa okanye ezinye iziphazamiso zengqondo ukuba zivele kwiindlela ezibonakala zingavamile.
Nangona iindidi zezikhalazo zengqondo zibanzi kakhulu, ezinye zeengxaki ezichazwe ngcono zibandakanya:
Ingxaki yoSomatization
Ukwenza i-diagnosis ye-disatization disorder, umntu ufuna iimpawu zentlungu ezine, iimpawu ezimbini zesisu (njengesifo sohudo okanye ukuzithemba), enye ingxaki yesini, kunye neengxaki ezithile zesini. Ezi zikhalazo zingabonakalisa, kodwa nazo ziya kuza kwaye zihambe. Ezi zimpawu zihlala zihamba kunye nezibonakaliso zokuxhalaba okanye ukukhathazeka kwemizwelo. Ukongezelela, njengoko izigulane ezinezi ngxaki zihlala ziya kubagqirha abaninzi bezama ukufumana ukuxilongwa ngaphandle kwesifo se-somatization, banokubandezeleka yimiphumo emibi yemichiza eyahlukileyo.
Ukuba iimpawu ezisemgangathweni azikwazi ukuba zithathwa kwiimeko eziqhelekileyo zonyango okanye imiphumo echanekileyo yezinto ezithile, okanye ukuba izikhalazo ezibonakalayo zikhulu kunokuba zikulindelwe ngokusekelwe ekuhloleni ngokomzimba, imbali kunye nezifundo zebhu, isiguli siyahlangana ezininzi iinkqubo zokuxilongwa kwezifo zengqondo.
I-DSM-IV i-criterion eseleyo kukuba impawu akufanele "ziveliswe ngamabomu okanye zifakwe ngumbono." Oku kubalulekile ukuphawula - ngokwenza ukuxilongwa kwesifo se-somatization, ugqirha kufuneka akholelwe ukuba isigulane asiyifaki impawu nangayiphi na indlela.
Ingxaki yokuguqula
Ingxaki yokuguqula nayo ayivelwanga ngamabomu okanye ifanelwe.
Kwakhona, iimpawu akufanele zilungele nayiphi na enye into eyaziwayo. Ekuguquleni ukuphazamiseka, iimpawu zibonisa ngokugqithiseleyo imeko ye-neurological. Ngokomzekelo, iimpawu zokuguquka kweengxaki zithintela imoto yokuzithandela okanye umsebenzi ovelayo. Ezi zinokuthi ziba malunga nantoni na iphosakelo engqondweni. Amaxesha okuhamba okungavumelekanga, utshintsho lomboniso, utshintsho lwezinto ezivelayo, intlungu, kunye nokuthinjelwa konke kuchazwe. Ezinye ezikhuthaza ukuxinezeleka zihlala zihamba phambi kweempawu; Nangona kunjalo, lo xinzelelo unokwenzeka ngaphambi kweminyaka ngaphambi kokuba iimpawu ziqale.
Hypochondriasis
Nangona i-hypochondria sele ikwahlula phakathi kwezifo zengqondo, mhlawumbi kungcono ukuba ithathwe njengengqondo. I-Hypochondriasis ibandakanya umntu okholwayo ukuba ugula kakhulu, nangona sele ehlolwe ngokwaneleyo kwaye bonke ubungqina bonyango bebhekiselele. Njengengxaki yokucatshulwa kwengqondo engxoxwa ngasentla, abantu abane-hypochondria bahlala benembali yokuba babe noogqirha abaninzi, kwaye abanako ukuqinisekiswa kungakhathaliseki ukuba bangaphi oogqirha ababatsho ukuba akukho nto imilenze ephosakeleyo kubo.
Ziyintoni Eyona Ntsingiselo Ngokuchanekileyo?
Ibinzana elidala "yonke into entloko yakho" lihlanganisa ezininzi zezinto ezenza ukuxilongwa kwesifo se-psychosomatic so yingxaki.
Enyanisweni, izikhalazo ezininzi ze-neurological "zonke zisentloko yakho." Isifo se-Alzheimer, isifo sika-Parkinson, isifo sokuxhamla kunye nezinye iingxaki zeengxaki zeengxaki zonke zibangelwa iingxaki ngendlela i-neurons yengqondo exoxisana ngayo. Kuyafana kunjalo nokudandatheka, ukukhathazeka kwemizwelo, ukuxhalaba kunye nokunye. Ngokwenene, zonke ezi ngxaki zifana nokuba zibangelwa yi-brain disysction. Inyaniso yokuba izifo zengqondo zilawula uhlobo oluthile lwesifo kunye neurologists zilawula enye iimeko ezininzi zembali, kungekhona ngenxa yokuba izifo zihluke ngokuthe ngqo.
Kodwa igama elithi "konke ekhanda lakho" alikho nje into engacacanga ngokungabi nantoni na, ikwahlukana.
Njengenkcubeko yethu iphuhlisiwe, utshintsho lwezinto eziphilayo ezibangelwa ukudakumba nokukhathazeka ngandlela-thile ziba yinto engamkelekanga kwaye ingakumbi kunokuba utshintsho lwezinto eziphilayo ezibangelwa isifo sika-Parkinson. Akunjalo nakulo lawulo lwexhoba. Ukwamkelwa komnye kunokuba kungalunganga kodwa kubangela ukuba abantu baxhathise ukufumana ingxaki yokugula ngengqondo, nangona ukuba ukuxilongwa kunokubanceda bafumane unyango abayidingayo.
Abaninzi banqanda ukuba kungenzeka ukuba iimpawu zabo zizifo zengqondo ngenxa yokuba "bazive benene." Mhlawumbi oko bathethayo kukuba iimpawu azikho phantsi kolawulo lwazo. Oku kuyinyaniso. Kubalulekile ukuqaphela ukuba iimpawu zesifo se-psychosomatic asicingi. Iimpawu azifaki.
Kwakhona kubalulekile ukuba uqaphele ukuba ukuba ne-psychosomatic disorder ayifuni "umntu". Nangona abanye abantu abaneengxaki ze-psychosomatic banezinye iimeko zeengqondo, abaninzi abanalo. Iimpawu zivele zibangelwa ukuphazamiseka kwengqondo ezinokuba zixhaphake kakhulu okanye zixhalabile. Ngaphezu koko, oogqirha abaninzi bakholelwa ukuba ukuphazamiseka kwengqondo kubangelwa iimvakalelo ezingenakuchazwa ngezinye iindlela. Ngamazwi aseFrewudian, le mizwa ingabi yayazi, ngokokuba ungaziqondi.
Ngamanye amaxesha ndifumanisa kukunceda ukuthelekisa le nzekayo yeempawu ze-psychosomatic ukuya kwisenzo esiqhelekileyo sokuxhamla. Akukho mntu ucinga kabini xa umntu ehlambalaza xa behlazekile. Lo ngumzekelo ocacileyo weemvakalelo ezibangela uphawu olubonakalayo olungaphandle kolawulo lomntu. Ingxaki yesifo sengqondo iyafana, kodwa kunokuba ihlazeke ngenxa yokukhathazeka, ingqondo ingabonakalisa uxinzelelo ngokubangela ukuba umzimba usebenze ngendlela eqhelekileyo. Kanye njengoko kungenakulungele ukuphathwa ngokugqithisa okuqhelekileyo kunye neyeza elithetha ukunyanga izifo ezinzima, ezifana ne- carcinoid syndrome , bekuya kungafanelekanga ukuphatha intshukumo ngenxa yokugula kwengqondo njengokhathazeka ngamachiza okwenzelwe isifo sika-Parkinson.
I-Silver Lining
Nangona kungenakuvakalelwa ngathi ngelo xesha, ngeendlela ezininzi, ukufumanisa ukuba unesifo sengqondo se-psychosomatic iindaba ezilungileyo. Oogqirha ababonelela ngolu hlobo lokuxilonga kufuneka babeke ukulawula izifo ezingathandekiyo, ezisongela ubomi ezingabangela iimpawu zakho. Ukuxilongwa kwesifo se-psychosomatic kunokukunqanda ukuba unikwe amachiza amaninzi kwimigudu engenakuqhelana nokunyanga ukugula kwakho, ngaloo ndlela ukukusindisa kwimiphumo eyahlukileyo. Ngaphezu koko, ezininzi izigulane ezinezifo ze-psychosomatic zifumana iimpawu zabo ziphucula xa ingxaki ephantsi iqondwa.
Njengoko ndichukumisile, zonke iingxaki zengqondo ziyaziwa ngokuba yi-diagnostic of excluding, oku kuthetha ukuba kubalulekile ukwenza umsebenzi ogqityiweyo ngenxa yezifo ezibi kakhulu ngaphambi kokuxilongwa. Kubalulekile ukuba oogqirha bahlale bevulekile ngokuphathelele izigulane ezixilongwa ngengxaki yengqondo ukuze bangayigxina isigulo esibi. Kubalulekile ukuba izigulane zihlale zivulekile ngokuphathelele ukuxilongwa kwesifo sengqondo ukuze bakwazi ukufumana uncedo oluyidingayo ukuba oko kuchanekileyo kuchanekile. Ingcinga efanelekileyo yokufumana umbono wesibini nowesithathu, kodwa omnye kufuneka aqikelele malunga nokuvavanya okungadingekile kunye nokunyanga. Ukufumana uluvo kwi-psychiatrist okanye kwi-psychologist kunokunceda ukuphendula eminye imibuzo yakho. Ukuba akukho nto ininzi, abantu abaninzi abaneengxaki zeengxaki ze-neurological abanesizathu sengqondo ngenxa yoko, kwaye iingcali zempilo yengqondo zinokukunceda.
Imithombo:
Braunwald E, Fauci ES, et al. Iinqununu zeHarrison zeMithi yoPhakathi. 16th. 2005.
Umbutho wezeMpilo waseMerika. "Incwadana yokuHlola kunye neSatistim of Disabilities of the Mind, 4th,." 2000 Washington, DC: Umbhali.