Xa iimpawu zakho ziqala ukwenza umehluko
Nangona iimpawu zengxaki yokunyamezela (OCD) zingaqalisa phantse nawuphi na ubudala, uphando lubonisa ukuba kukho ixesha elimibini xa iimpawu ze-OCD zibonakala zibonakala. Isihlandlo sokuqala senzeke malunga ne-10 ukuya kwe-12 ubudala, okanye ngaphambi nje kokuba ngumntwana, kwaye okwesibini kuphakathi kweminyaka eyi-18 no-23.
Abantu abahlakulela i-OCD ngaphambi kokuba baphuphe ubuntwaba baqatshelwe ukuba baqala u-OCD, ngelixa abo bahlakulela i-OCD kamva kuthiwa baqala ukuhlaziya i-OCD.
Okuthakazelisayo, kunokubakho ukungafani okwehlukeneyo kwiimpawu, iimpendulo zonyango , izifo ezigulayo, isakhiwo sengqondo, kunye neendlela zokucinga zabantu abane-OCD yokuqala.
Ukwahlukana kobulili
Enye yeyona ntlukwano enkulu phakathi kokuqala kokuqala nokuqala kwe-OCD yinkalo yabesilisa kubafazi. Izifundo ziye zafumanisa ukuba abafana banakho amathuba okuhlakulela i-OCD yokuqala kwintsapho kunabesifazane. Ukwahluka kobulili kubonakala kubonakala phakathi kwabantu abaphuhlisa i-OCD kamva ebomini, kunye nabesilisa kunye nabasetyhini ngokufanayo ukuba banokuphuhliswa kwengxaki.
Ubunzima beMpawu kunye neempendulo zonyango
Kuye kwaphawulwa ukuba iimpawu ze-OCD zangaphambili zibonakala, zinzima kakhulu. Olunye uphando lubonisa ukuba ngaphambili uhlakulele iimpawu ze-OCD, kunzima ngakumbi ukuba baphathe kunye nonyango lwezonyango nezonyango. Ngamanye amazwi, abo baqala i-OCD baqala ukufuna ukuzama amayeza amaninzi ngaphambi kokuba bafumane imiphumo kwiimpawu zabo kwaye banokufuna iimvavanyo ezininzi zengqondo ye- psychotherapy kunabantu abanokuthi i-OCD iqale kamva ebomini.
Nangona kunjalo, uphando olutshanje oluhlolisise abantwana abangaphezu kwama-300 kunye ne-OCD yokuqala (ngaphambi kweminyaka eyi-10 ubudala) kunye ne-OCD yokugqibela-ntloko (eyi-10 ubudala okanye ngaphezulu) yabona ukuba nangona kukho ukungafani kwimpawu phakathi kwezi ntlobo ezimbini OCD, akukho mmahluko kwimpendulo yabantwana kwonyango.
Ngamanye amagama, ubudala babantwana kulolu cwaningo aluzange luchaphazele impendulo yabo kwipilisi yokuziphatha kwengqondo eyafana neyobudala bayo, okanye ngaphandle kweyeza.
Kubonakala ngathi i-jury isaphuma xa ifika kwimpendulo yonyango kunye nobuhlungu besifo ekuqaleni kokuqala kokusasazeka ngokukhawuleza kokuphazamiseka kwengxaki. Uphando oluninzi lufunekayo ngesihloko.
Ukuphuhliswa kweMpawu
Olunye umehluko kukuba abantu abane-OCD abaqala ukuqala ukubonakala kweempawu, ngelixa abantu abaphuhlisa i-OCD kamva ebomini bahlala bephethe iimpawu eziza kubakho ngokukhawuleza njengoko zihlala zibophelelwe uhlobo oluthile lwenkohlakalo, njengobomi obunxinzelelo ezifana nokufa komntu othandekayo, ukulahlekelwa ngumsebenzi okanye ukungaphumeleli esikolweni.
Ukungafani nalo mgaqo yintsholongwane yezilwanyana ezixhomekeke kwiingxaki ze-nerptococcal (PANDAS), uhlobo oluzimeleyo lwe-OCD oluchaphazela abantwana kuphela kwaye iimpawu zibonakala ngokukhawuleza.
OCD kunye neCororbid Illnesses
Ukugula okunyamezelayo ngokuqhelekileyo kubakho rhoqo nezinye izifo, ezibizwa ngokuba zizifo ezibizo. Iintlobo zezifo ezihlaselekileyo ezenzeka nge-OCD zibonakala zichaphazelekayo xa iimpawu ze-OCD zaqala.
Ngokomzekelo, ngelixa abantu abane-OCD beqala ukuhlaselwa kwezifo eziphezulu kunye ne- Tourette's syndrome , i-OCD ihamba ngokukhawuleza ixhaphake ngokuqhelekileyo kunye nokuxinezeleka kunye nezinye iingxaki ezixhalabisayo ezifana nokukhathazeka okuxhalabisayo okanye ukuphazamiseka kwengxaki .
Ukwahlukana kobuchopho
Ubuchopho babantu abanokuqala ukuqala ngokusasazeka ngokukhawuleza kwe-OCD bungafani nakwabanye. Ucwaningo lwe-Brain imaging lubonisa ukuba abantu abane-OCD beqala ukunciphisa ubukhulu beengingqi ezithile zeengqondo ezingabonakali kubantu abo i-OCD iqale kamva ebomini.
Okuthakazelisayo kukuba kunjalo, uphando luye lubonisa ukuba abantu abane-OCD abanamaphesenti angamahlwempu kwiimpawu zengqondo (yokucinga) umsebenzi kunabantu abanokuqala kwi-OCD.
Akukacaci ukuba kutheni le nto yimeko kwaye ingaba le naliphi na impembelelo kunyango.
> Imithombo:
> Lomax CL, Oldfield VB, Salkovskis, PM. Ukuqhathaniswa kwezonyango kunye nokonyango phakathi kwabantu abadala kunye nokuqala kokuqala ukuphazamiseka kwengxaki. Uphando loPhando kunye noPhando. 2009 Feb; 47 (2): 99-104.
> Nakatani E, Krebs G, Micali N, Turner C, Heyman I, ii-Mataix-Cols D. Abantwana abanesifo esiphuthumayo ngokukhawuleza: iimpawu zeklinikhi kunye nemiphumo yonyango. Umbhalo we-Child Psychology and Psychiatry. NgoDisemba ka-2011; 52 (12): 1261-8.