Inkinga Yangempela Nezixazululo Zempela
Izifo zengqondo zivame ukungaqondi kahle. Leli gama lisetshenziswa lapho inkinga yengqondo, njengokucindezeleka, ukukhathazeka noma enye ukuphazanyiswa, ibonakala njengezimpawu zomzimba ezingabonakali.
Ukuthola ukuxilongwa kwesifo se-psychosomatic, akumele kube khona enye incazelo yezokwelapha zezimpawu. Lokhu akuyona into engavamile. Eqinisweni, ucwaningo olulodwa luye lwasikisela ukuthi eziningi ezingamaphesenti angu-5 ezikhalazo esimweni sokunakekelwa okuyinhloko yizo ezingenakuchazwa ngesimo sezokwelapha esaziwa, i-toxin noma imithi.
Nakuba akuzona zonke lezi zimo zengqondo, akuyona into engavamile ngezinkinga zokucindezeleka, imizwa, noma ezinye iziphazamiso zengqondo ukuze zivele ezindleleni ezibonakala zingavamile.
Ngenkathi izikhalazo ze-psychosomatic zigcwele kakhulu, ezinye zezifo ezichazwe kangcono zihlanganisa:
Isifo seSomatization Disorder
Ukuze umuntu ahlaziye ngokucophelela ukugula kwesifo somuntu, umuntu udinga izimpawu ezine zobuhlungu, izimpawu ezimbili zamathumbu (njengesifo sohudo noma ukuqothulwa), inkinga eyodwa yocansi, kanye nenkinga eyodwa yezinzwa. Lezi zikhalo zingase zibe mkhulu, kepha zingase zifike futhi zihambe. Lezi zimpawu ngokuvamile zihambisana nezimpawu zokukhathazeka noma isifo sengqondo. Ngaphezu kwalokho, njengoba iziguli ezinalezi zinkinga zivame ukuya kudokotela abaningi bezama ukuthola ukuxilongwa ngaphandle kwesifo se-somatization, bangase babe nezinkinga zemiphumela eminingi yemithi ehlukene.
Uma izimpawu eziyinhloko azikwazi ukuthi zibhekene nesimo sezokwelapha esaziwayo noma imiphumela eqondile yezinto ezithile, noma uma izikhalazo ezingokwenyama zikhudlwana kunalokho okulindeleke ngokusekelwe ekuhloleni ngokomzimba, emlandweni nasezifundweni zebhu, isiguli sihlangana izinqubo eziningi zokuthola ukuxilongwa kwesifo se-somatization.
Isimiso se-DSM-IV esisele ukuthi izimpawu akumele "zikhiqizwe ngamabomu noma zifakwe ngokuzithandela." Lokhu kubalulekile ukuphawula - ngokuthola ukuxilongwa kwesifo sokungena komuntu, udokotela kufanele akholelwe ukuthi isiguli asifaki izimpawu nganoma iyiphi indlela.
Isiyaluyalu Sokuguquka
Isiyaluyalu sokuguqulwa futhi asikwenziwanga ngokuzithandela noma senziwe ngendlela efanele.
Futhi, izimpawu akufanele zihambisane nanoma yikuphi ukuxilongwa okuyaziwayo. Ekuguquleni ukuphazamiseka, izimpawu zithinta kakhulu isimo se-neurological. Isibonelo, izimpawu zokuguquka kwesifo ngokuvamile zithinta umsebenzi wokuzithandela wezimoto noma umsebenzi wezinzwa. Lezi zingaba cishe nganoma yikuphi ukulahlekelwa kwezinzwa ezingenakwenzeka. Izimo zokuhamba okungavamile, izinguquko zombono, izinguquko ezithinta izinzwa, ubuhlungu, nokuhlukunyezwa konke kuye kwachazwa. Okunye ukugqugquzela ukucindezeleka kuvame ukuqala izimpawu; Nokho, lokhu kucindezeleka kungenzeka eminyakeni ngaphambi kokuba izimpawu ziqale.
Hypochondriasis
Ngenkathi i-hypochondria iye yahlukaniswa phakathi kwezifo ze-psychosomatic, mhlawumbe kungcono kubhekwa njenge-phobia. I-Hypochondriasis ihilela umuntu okholwayo ukuthi ugula kakhulu, naphezu kokuba ahlolwe ngokwanele futhi bonke ubufakazi bezokwelapha obukhomba ngokuphambene nalokho. Njengengcindezi ye-psychosomatic ekhulunywe ngenhla, abantu abane-hypochondria bavame ukuba nomlando wokuba odokotela abaningi, futhi bangase bangaqinisekiswa kungakhathaliseki ukuthi bangaki odokotela ababatshela ukuthi akukho lutho olungalungile kubo.
Lokho Okushiwo Ngempela Kusho Ukuthini?
Ibinzana elidala elithi "konke okwenziwe ekhanda lakho" lihlanganisa okuningi okwenza ukuxilongwa kwesifo se-psychosomatic sibe inkinga.
Eqinisweni, izikhalo eziningi zezinzwa "zonke zikhona ekhanda lakho." Isifo se-Alzheimer, isifo sika- Parkinson, isifo sokuwa nesifo nezinye izinkinga eziningi zezinzwa zibangelwa izinkinga ngendlela i-neurons yobuchopho exhumana ngayo. Kuyafana nokucindezeleka, ukukhathazeka kwemizwelo, ukukhathazeka nokuningi. Empeleni, zonke lezi zinkinga zifana nokuthi zibangelwa ukukhubazeka kobuchopho. Iqiniso lokuthi izifo zengqondo ziphethe uhlobo olulodwa lwesifo futhi izazi zezinzwa zilawula enye enye ngenxa yezizathu zomlando, hhayi ngoba izifo zihluke ngokuphelele.
Kodwa leli gama elithi "konke ekhanda lakho" akuyona nje into engacacile yokuthi ingabi nzuzo, ibuye iphinde ibe nenhle.
Njengoba isiko lethu lakhula, izinguquko zezinto eziphilayo ezibangelwa ukucindezeleka nokukhathazeka ngandlela-thile zazamukelekile futhi zazincipha kakhulu kunezinguquko eziphilayo ezibangelwa isifo sikaParkinson. Awukho futhi ngaphakathi kokulawula kwesisulu. Ukwamukela okungaphezulu komunye akuyona nje into engalungile kodwa kubangela abantu ukuba balwe nokuthola ukuthi banezifo zengqondo, ngisho noma lokho kutholakala kungabasiza ukuthi bathole ukwelashwa abayidingayo.
Abaningi bayakuphikisa ukuthi kungenzeka ukuthi izimpawu zabo zivela emqondweni ngenxa yokuthi "bazizwa bengokoqobo." Mhlawumbe lokho abakushoyo ukuthi izimpawu azikho ngaphansi kokulawula kwazo. Lokhu kuyiqiniso ngempela. Kubalulekile ukuqaphela ukuthi izimpawu zokugula kwengqondo akuyona into engqondweni. Izimpawu azitholakali.
Kubalulekile ukuqaphela ukuthi ukugula kwengqondo kungenzi ukuthi umuntu "ahlase." Ngenkathi abanye abantu abanenkinga ye-psychosomatic futhi banezinye izimo zengqondo, abaningi abakwenzi. Izimpawu zivele zibangelwa ukuphazamiseka kwengqondo okungase kube okufana nokucindezeleka okukhulu noma ukukhathazeka. Ngaphezu kwalokho, odokotela abaningi bakholelwa ukuthi ukuphazanyiswa kwengqondo kubangelwa imizwa engakwazi ukuboniswa ngezinye izindlela. Ngamazwi e-Freudian, le mizwa ingase ingabi nalutho, ngakho awukwazi ngisho nokuyiqonda.
Ngesinye isikhathi ngikuthola kuyasiza ukuqhathanisa isimo sezimpawu ze-psychosomatic kuya kwesenzo esivamile sokuhlwitha. Akekho ocabanga kabili uma othile ehlushwa lapho behlazekile. Lesi yisibonelo esicacile somzwelo obangela uphawu lomzimba olungaphandle kokulawula komuntu. Isifo sengqondo se-psychosomatic sifana, kodwa esikhundleni sokuxubha ngenxa yokwenza amahloni noma ukuthuthumela ngenxa yokukhathazeka, ubuchopho bungabonisa ukucindezeleka ngokubangela umzimba ukuba wenze ngendlela engavamile. Njengoba kungalungile ukuphatha ukuxubana okuvamile nemithi ehloselwe ukwelapha izifo ezinzima kakhulu zokuphefumula, njenge- carcinoid syndrome , bekungeke kungafanelekile ukuphatha ukuzamazama ngenxa yokugula kwengqondo njengokhathazeka ngemithi ehloselwe isifo sikaParkinson.
I-Silver Lining
Nakuba kungase kungabi nomuzwa ngaleso sikhathi, ngezindlela eziningi, ukutholakala ukuthi unesifo se-psychosomatic yizindaba ezinhle. Odokotela abahlinzeka ngalolu cwaningo kufanele babheke izifo ezingathí sina, ezisongela impilo ezingabangela izimpawu zakho. Ukuxilongwa kwesifo sengqondo kungakwenqabela ukuba ungabizwa imishanguzo eminingi emzamweni ongenalutho ukuphatha ukugula kwakho, ngaleyo ndlela ikulondoloze emiphumeleni ehlukahlukene. Ngaphezu kwalokho, iziguli eziningi ezinezifo ze-psychosomatic zithola izimpawu zabo ziphuthuma lapho inkinga ebalulekile ibonakala.
Njengoba ngiye ngathinteka, zonke izifo zengqondo ziyaziwa ngokuthi ukuxilongwa kokungabikho, okusho ukuthi kuyadingeka ukwenza umsebenzi ophelele wezifo ezingathí sina ngaphambi kokuba kutholakale ukuxilongwa. Kubalulekile ukuthi odokotela bahlale bevulekile mayelana neziguli ezixilongwa ngukugula kwengqondo ukuze banganaki ukugula okungathí sina. Kubaluleke kakhulu ukuthi iziguli zihlale zivulekile ngokucatshungulwa kokugula kwengqondo ukuze bakwazi ukuthola usizo abadinga uma lokhu kuhlolisiswa kulungile. Kungumqondo omuhle ukuthola umbono wesibili nangokwesithathu, kodwa umuntu kudingeka aqaphele ngokuhlolwa okungadingekile nokungahlosiwe noma ukwelashwa. Ukuthola umbono kumuntu wezifo zengqondo noma kwengqondo kwengqondo kungasiza ukuphendula eminye imibuzo yakho. Uma kungekho okunye okunye, abantu abaningi abanezifo ezingasebenzi ngokweqile benomphumela wokukhathazeka ngokomzwelo, futhi umqeqeshi wezempilo yengqondo angasiza.
Imithombo:
I-Braunwald E, Fauci ES, et al. Izimiso zikaHarrison zeMithi yangaphakathi. 16th ed. 2005.
I-American Psychiatric Association. "Incwadi Yokuhlola Nezibalo Zezinkinga Zengqondo, 4th ed., Ukubuyekezwa kombhalo" 2000 Washington, DC: Umbhali.