I-Vestibular Therapy, Imithi, ne-CBT
Ukuzizwa kwengqondo okungapheli (CSD) kungenzeka kube namakhulu eminyaka kodwa kuye kwabonakala nje njenge-syndrome yomtholampilo.
Isisekelo esiyisisekelo se-CSD ukuthi inkinga yangokwenyama efana nokutheleleka indlebe kwangaphakathi kwonakalisa okwesikhashana isifo se-vestibular. Nakuba kubantu abaningi ubuchopho bukwazi ukulungisa lo monakalo futhi bafunde ukusebenza ngaphandle kwemicabango yokungalingani, kwabanye abantu ubuchopho abukaze bufunde ukuzivumelanisa.
I-CSD ihlotshaniswa kakhulu nokukhathazeka, kanye nezinhlobo zabantu zobuntu, futhi kuye kwachazwa ukuthi lokhu kungase kubonise ukuthi ubuchopho bubekwe eceleni ukuze kube yiziqhumane ezinsongweni, kufaka phakathi ukuwela phansi. Ngenxa yalokho, ngemuva kokulimala kokuqala kwinethiwekhi ye-vestibular, ubuchopho buhlale buqapha, buyisa izixwayiso ezizokwehla, ngisho noma ingozi yangempela idlulile. Kancane njengokungathi ukukhanya kwe-"injini yokuhlola" kuhlale kungakhathaliseki ukuthi imoto yakho imisiwe kangakanani izinyanga ngaphambili.
Izinketho zokwelapha
I-CSD ingabaphazamisa kakhulu empilweni yabantu, ngoba ukungalingani njalo kungenza abantu bangenzi imisebenzi yansuku zonke njengomsebenzi wabo. Ngenkathi kungekho ukuhlolwa okukhulu okulawulwa kwe-CSD okwenziwayo, izifundo ezincane zisekela ukusetshenziswa kwezinhlobo ezintathu zokwelashwa eziyinhloko. Lezi fomu zihlanganisa:
- ukwelashwa kwe-vestibular
- ukuphathwa kwengqondo yokuzicabangela
- i-serotonin i-reuptake inhibitors (ejwayele ukusetshenziselwa ukuphatha ukucindezeleka).
Ukwelashwa kwe-Vestibular
Ukwelashwa kwe-Vestibular uhlobo lokwelapha ngokomzimba (PT) olunikezelwe ekuthuthukiseni ibhalansi yomuntu. I-vestibular therapist eqeqeshwe kufanele iholele ukuvivinya umzimba. Umgomo ukuqeqesha ubuchopho ukuvumelanisa nokufakelwa okusha kwenzwa mayelana nokulingana.
Ukuzivocavoca okunokwenzeka kungabuka ukubukela umjikelezo owenziwe nge-twirled ne-striped ukuze ujwayele ukugqugquzela ukuzwakalisa, ukuhamba phansi emgodini ngenkathi ubheka izithombe ezindongeni, noma kancane kancane futhi uhlakulele ukubekezelelana ukuguqula ikhanda.
Eqinisweni, konke ukuzivocavoca kufanele kuqaliswe kancane kancane futhi kwandiswe kancane kancane ukuze kugweme ukuvusa umqondo onamandla wokuzivocavoca ukuthi ukwelashwa kumisiwe. Esikhundleni salokho, uhlelo lokuzivocavoca oluvamile, olubekezelayo futhi oluqhubekayo luvame ukuphumelela, nakuba izinzuzo ezigcwele zingase zingakapheli izinyanga ezingu-6.
Nakuba kungekho ukuhlolwa okuzinikezele okuqondene ne-CSD okwenziwayo, ukulinganisa kwamaphesenti angama-60 kuya ku-80 ukusebenza kahle ekunciphiseni ubukhulu bezimpawu zokugcina nokubuyisela ukusebenza kwansuku zonke kutholiwe.
Imithi
Azikho izifundo ezigxile ngqo ezigulini ezine-CSD, nakuba izilingo ezimbalwa ze-label evulekile zibuke iziguli ezinesizungu esingapheli, eziningi zazo okungenzeka zibe ne-CSD. Ngokubambisana, lezi zilingo zibonakala zikhomba inzuzo ethile ye-serotonin selective reuptake inhibitors (SSRIs) kanye ne-serotonergic-noradrenergic reuptake inhibitors (i-SNRIs). Imiphumela emibi evamile ye-SSRIs kanye ne-SNRI ihlanganisa ukuphazamiseka kokulala nokucabangela, okungaholela ekungabekezelelani. Izindaba ezinhle ukuthi ngaphezu kokwelapha isiyezi esingapheli, lezi zidakamizwa zitholakale nezinga eliphansi lokukhathazeka nokucindezeleka ezigulini ezithathayo (hamba).
I-Psychotherapy
Ucwaningo okungenani ezinhlanu luye lwaphenya izindlela zokwelapha eziphathelene nokuziphatha kwengqondo ezigulini ezine-CSD.
Umkhuba jikelele phakathi kwalezi zifundo kuholela enzuzweni enkulu ekunciphiseni isizungu. Isivivinyo esisodwa kuphela salandele iziguli ezingaphezu konyaka, futhi lokhu akuzange kubone izinzuzo eziqhubekayo ngaleso sikhathi. Kuleli qophelo, uphenyo olucacile oludingekayo ukwakha kulezi ziphumo zakuqala.
Abanye abantu bayamelana nomqondo wokuthi ukukhathazeka noma ubuntu bungaba nendima ekuziphatheni kwabo, bezwa ukuthi lokhu kusho ukuthi i-CSD "iyonke emakhanda abo." Ukucabanga okunjalo kungavimbela ukusetshenziswa kwanoma yimiphi imithi noma ukwelashwa ngokuvamile okuhlobene nezinkinga zengqondo ezifana nokucindezeleka .
Ngaphansi
Isifo esiphezulu sokuzizwa komzimba yisifo esisha esichazwe kabusha, nakuba izimpawu ezichazayo zombili zivamile futhi zivamile.
Uma kubonakala ukuthi, i-CSD ibonakala isabela kahle ekwelashweni kwe-vestibular, imithi, futhi mhlawumbe ukwelapha ukuziphatha okuqondayo. Ngokukhetha, lezi zindlela zingasetshenziswa ngenhlanganisela ukuze zenze izinzuzo ezingcono.
Imithombo:
AEJ Mahoney, S Edelman, PD Cremer. Ukwelashwa kokuziphatha okunokwengqondo kwengqondo engapheliyo isizungu: ukuzuza isikhathi eside nokubikezela kokukhubazeka.Am J Otolaryngol. 2013 Mar-Apr; 34 (2): 115-20
JA Honaker, JM Gilbert, JP Staab. Ukuzizwa kwengqondo engapheliyo nokuguquka kwengqondo: ingxoxo yokuthola okusemtholampilo nokuvuselelwa.Am J Audiol. 2010 Jun; 19 (1): 3-8. i-doi: 10.1044 / 1059-0889 (2009 / 09-0013). Epub 2009 Dec 22.