Kukhona ukuhlanganiswa okucacile phakathi kokuba ne-multiple sclerosis (MS) futhi ubhekene nesifo sokucindezeleka ngemuva kokucindezeleka (PTSD). Ukubhekana nesifo esisongela impilo noma isimo sezokwelapha esinzima njenge-MS yilona uhlobo lomcimbi ongenza umuntu abe engozini yokuthuthukisa i-PTSD.
Kungani Kuthathwa Ngama-MS Kungabangela I-PTSD
I-multiple sclerosis iyisifo esingapheli sesimiso sezinzwa.
Kukholelwa ukuthi yisifo esizimele, okusho ukuthi amasosha omzimba wakho ahlasele amaseli ebuchosheni bakho nasendlini yomgogodla. Kunezibonakaliso eziningi ze-MS ezivela emnene, kufaka phakathi ukuphazamiseka emilenzeni yakho, ekubeni nzima, njengokukhubazeka noma ukulahlekelwa okuphelele kombono. Izimpawu ze-MS, ukuqina kwazo, nokuqhubekela phambili kwazo ziyahlukahluka komuntu ngamunye.
Ukutholakala ukuthi une-MS kungabhekwa njengesenzakalo esibuhlungu. I- Manual Diagnostic and Statistical of Disorders Mental (DSM-5) ichaza umcimbi ohlukumezayo njengesimo lapho uke wazibonela khona, wafakaza, noma wabhekana nesenzakalo lapho kwakukhona khona usongo noma ukufa kwangempela noma ukulimala okukhulu. Lesi senzakalo kungenzeka futhi sasihileleka usongo empilweni yakho yomzimba noma impilo enhle yomunye umuntu. Ngaphandle kokungabaza, i-MS ihlangabezana nalezi zinqubo. Inomthelela omkhulu emzimbeni womuntu nokuphila kwakhe. Ngaphezu kwalokho, ngoba kungalindelekile, kokubili lapho kutholakala ukuthi nokuthi kuqhubekela phambili kanjani, ungase uqale ukuzwa umqondo wokungabi namandla nokungathembeki.
Njengoba kunikezwe lokhu, ukutholakala ukuthi une-MS kungakubeka engozini yokuthuthukiswa kwe-PTSD.
I-PTSD ne-MS
Ukuthuthukisa i-PTSD ngokulandela ukuxilongwa kwe-MS kuyinkinga enkulu. I-PTSD ingaphazamisa kakhulu izindawo eziningi zokuphila komuntu. Nokho, ukuthuthukisa i-PTSD ekuphenduleni i-MS kungabangela ukukhathazeka ngokukhethekile. Izimpawu ze-PTSD zingaphazamisa impilo yakho engokwenyama futhi zibeke ukucindezeleka okukhulu emzimbeni wakho, okwandisa ingozi yakho ngezinkinga zempilo esizayo.
I-PTSD ingase ibe negalelo ekuthuthukiseni ukuziphatha okungahambi kahle, njengokubhema noma ukusetshenziswa kwezidakamizwa, okungangandisa ingozi yezimpawu ze-MS. Ngaphezu kwalokho, amazinga aphezulu okucindezeleka angabangela ukuvela kwezimpawu ze-MS.
Isimo esingalindelekile nesingaqiniseki se-MS singase siholele kwezinye izimpawu ezihlobene nokukhathazeka ngaphandle kwe-PTSD. Isibonelo, ungase uhlakulele ukukhathazeka okukhulu ngekusasa le-MS elizobuyela emuva, okungenza izimpawu ze-PTSD zibi nakakhulu. Ungase futhi uhlakulele ukucindezeleka.
Ucwaningo lwe-MS ne-PTSD
Ucwaningo lwesithathu kuphela olwenziwe ngokusakazeka kwe-PTSD kwiziguli ezine-MS; Nokho, okwenzekile kubonisa ubuhlobo phakathi kwalaba ababili. Esinye isifundo esidala, iqembu labacwaningi babheka izimpawu ze-PTSD phakathi kweziguli ezingama-58 ze-MS, iningi ngokuphindaphindiwe-ukukhipha noma ukuphuma kwe-MS okuqhubekayo. Bathole ukuthi amaphesenti angu-16 ahlangabezana nezindlela ze-PTSD, isilinganiso esiphezulu kunaleyo esitholakala emphakathini jikelele. Abantu abane-PTSD nabo banamathuba amaningi okucindezeleka.
Esinye isifundo seziguli ezingu-232 ezine-MS sibonise ukuthi ngaphezu kwamaphesenti angu-5 atholakala ane-PTSD. Ukukhathazeka, ukucindezeleka, kanye nezinga lemfundo elihlelwe phambi kwePTSD. Leli phesenti liphakeme kunelokho elitholakala emphakathini jikelele, okungaba amaphesenti angaba ngu-3.6 abantu abadala.
Kwesinye isifundo, abantu abangu-126 abane-MS babuzwa imibuzo mayelana nezimpawu zabo ze-PTSD. Bathola ukuthi izinga lokukhubazeka okwenzeka ngenxa ye-MS kwakuyisandulela sokuthi izimpawu ze-PTSD zomuntu zinamandla kangakanani. Ngokubodwa, lezi zifundo zibonisa ukuthi i-MS ne-PTSD zihlobene nokuthi ngabe umuntu okhulisa i-PTSD noma cha noma ngabe uncike ekucindezeleni kwe-MS yomuntu.
Ucwaningo olusha lubonisa ukuhlinzekwa okukhethekile okungasiza
Ucwaningo olwenziwa ngo-2016 ngokusebenzisa ukunyakaza kwe-eye nokuhlehliswa kwe-eye (EMDR) kanye nokwelashwa okuphumuzayo kwiziguli ezine-MS ezitholwe ukuthi zinezithembiso ze-PTSD. Iningi leziguli ezifakwe kulesi sifundo zakwazi ukunqoba i-PTSD yazo ngezifo ezingu-10.
I-EMDR iboniswe ukuthi iphumelela kangcono kunokwelashwa okuphumula, kodwa kokubili kusiza ngokukhathazeka, ukucindezeleka, nokuqina kwe-PTSD.
Ukuthola Usizo PTSD Yakho
Ukuze ufunde kabanzi nge-MS nokuthi ungabhekana kanjani, ungavakashela iNational Multiple Sclerosis Society. Lewebhusayithi ineziphakamiso ezinhle kakhulu zokubhekana ne-MS, ngamasu amaningi ezihloko ezifana nokuzivocavoca, ukuphathwa kokucindezeleka, nokuthuthukisa ukudla kwakho, okungasiza kakhulu ezimpawu ze-PTSD. Uma uthola ukuthi une-MS futhi uqale ukuzwa izimpawu ze-PTSD, kubalulekile ukufuna usizo. Kunezinhlobo eziningi zokwelapha okuphumelelayo kwe-PTSD. Ekubhekaneni ne-PTSD yakho ngokusebenzisa ukwelashwa, ungabona ukuthi ezinye izindawo zokuphila kwakho, njengempilo yakho yempilo, zilawulwa kalula.
> Imithombo:
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> Ostacoli L, uCarletto S, uBorghi M, et al. Ukuqhathaniswa Neziqakatheke Eziphawulekayo Zokucindezeleka Kokucindezeleka Kwangemva Kwesisulu Esikhathini Esikhulu Sabantu Abagulayo abane-Multiple Sclerosis. I-Journal of Psychology Clinic kwizilungiselelo zezokwelapha . Juni 2013; 20 (2): 240-246.