Ziziphi iintlobo phakathi kwezi ngxaki zokukhathazeka?
I-post-traumatic disorder disorder (PTSD) yimeko eyenzeka emva kokuba umntu ehlangene nesiganeko esibuhlungu esibandakanya ukwesaba okukhulu kunye nosongelo lokulimala okanye ukufa. Imizekelo ibandakanya ukulwa nempi, ukuhlaselwa ngokwesini okanye iintlekele zemvelo.
Umntu kungenzeka ukuba akazange ahlangane nomcimbi. Ukunikela ubungqina obuthathaka, njengokuba ukufa komntu okanye ukuhlaselwa komntu, kunokuzisa iimpawu. I-PTSD iyakwenzeka kwakhona xa umntu evile ngeenkcukacha zomntu ovelele kwintlungu, kuquka ukufunda ngesifo esibuhlungu somhlobo okanye ilungu lentsapho okanye ukufumanisa ukuba umntu ofanelekileyo uye wafumanisa ukuba unesimo sokuphela.
Abantu abane-PTSD bahlala bexhamla kwiinkxalabo ezinxulumene nokuxhalaba , ukuxinezeleka kunye nokusetyenziswa kakubi kweziyobisi. Akuqhelekanga ukuba umntu onomdla we-PTSD afunyaniswe ngxaki yokuphazamiseka. Nangona kunjalo, nganye imeko inempawu zayo, iimpawu zokuxilonga kunye neendlela zokonyango. Ukwahlukana phakathi kokuphazamiseka kweengxaki kunye ne-PTSD kunokunqunywa ngokuqwalasela izinto ezininzi:
1 - Iimpawu
- Abantu abanesifo sokuphazamiseka kwamathuba empilo amaninzi empawu eziphathekayo ezixhatshazwayo, ezifana nokuthuthumela, ukuthuthumela, ukujuluka, ukuphefumula ubunzima kunye nentlungu yesifuba . Le mivakalelo ye-somatic ingaba nzima kangangokuba loo mntu unokukholelwa ukuba ulahlekelwa ngumlawuli, uhamba ngobuqaqawuli, okanye unenkinga enkulu yonyango ezifana nesifo senhliziyo. Kubantu abanengxaki yokuphazamiseka, ukuhlaselwa kwexhala kunokwenzeka kwakhona kwaye kaninzi ngaphandle kwesixwayiso, nto leyo eyenza umntu aphile ngoloyiko ngenxa yokulindela ukuhlaselwa kwabo ngokuzayo.
- Iimpawu ze-PTSD zinokuhlulwa zibe ziindidi ezintathu: ukuhlaziya kwakhona umcimbi, ukuziphatha okukhuselekileyo , kunye nokunyuka kokuvusa. Ukubona kwakhona iimpawu kufaka iingcamango ezingabonakaliyo, iindlobongela, kunye neengcingo zomcimbi wesiganeko. Ukuphepha ukuziphatha kubandakanya ukucaca okunye okubakhumbuza ngentshutshiso, kuquka iingcamango, indawo kunye neenkumbulo ezinxulumene noko kwenzekayo. Iimpawu zengqondo eziqhelekileyo ziquka ukuba zidibanise lula, ukungabikho koxinzelelo kunye nokunyanzeliswa rhoqo.
2 - Indima yeentloko zokuhlaselwa
- Ukuze ufumane ingxaki yokuphazamiseka kwengxaki , umntu kufuneka abe nokuhlaselwa ngokukhawuleza nangokukhawuleza. Ukuhlaselwa kweentlanzi kukuvakalelwa kakhulu ngaphandle kobungozi obukhoyo. Ukuhlaselwa kweengxabano kudla ngokuba namava, njengesizondlo, isisongulu, kunye nokuthuthumela.
- Umntu ophethe i-PTSD unokuva nokuvalelwa ngokomzimba kwesohlwayo, njengentliziyo yokubetha, ukuphefumula okufutshane kunye nokutshisa okutshisa. Nangona kunjalo, olu hlaselo lulethwa ngokubuyiselwa kwesiganeko esibuhlungu ngenxa yezinto ezifana namaphupha, iingcamango, kunye neengcingo. Izimpawu ezingenangqondo ezikhoyo kwi-PTSD, ezinjengokutshatyalaliswa emva kokuva isandi esikhulu, zingabangela ukuphazamiseka kokutya.
3 - Ukugwema ukuthintela
- Ukuhlaselwa kwesoyiko kunokusasazeka. Abantu abanesifo sokuphazamiseka badla ngokukrakra becinga nje ngokuhlasela kwabo okuzayo. Le nkxwaleko yokuhlaselwa kwangaphambili ingaba namandla kangangokuba umntu udala i- agoraphobia , ukwesaba ukuhlaselwa kwesoyiko apho kuya kuba nzima okanye kuhlazise ukubalekela. Umntu uya kuphesela indawo apho bakholelwa ukuhlaselwa kuya kuvela kwaye enze indawo ekhuselekileyo, apho banciphisa ukukhanya kwabo kwiindawo ezithile abavakalelwa kukuba abayi kuhlaselwa.
- Abantu abanePTSD babonisa iimpawu ezininzi zokuphepha . Bavame ukuphepha indawo, imisebenzi, iingcamango, iingxoxo, abantu kunye nezinye izinto ezibakhumbuza ngesiganeko esibuhlungu. Umntu unokufumana ukulahlekelwa kwememori kweso siganeko. Umntu onomdla we-PTSD unokude abe kude nabanye, enze umlinganiselo wemisebenzi, akufumanise nzima ukuveza uluhlu olupheleleyo lweemvakalelo kunye nokulahlekelwa ithemba ngekamva labo.
4 - unyango
Ngethamsanqa, kukho iindlela ezininzi zokonyango ngenxa yokuphazamiseka kwengxaki, kuquka amachiza kunye ne-psychotherapy. Ezi ndlela zonyango zingaphatha kakuhle i-PTSD. Kukho iindidi ezininzi zamachiza ezinokusetyenziswa ekunciphiseni iimpawu. I-serotonin reuptake inhibitors (i-SSRIs) ikhetoni ye-selective i-class of antidepressants echazwe ngokunciphisa ukuxhalaba, ubunzima bokuhlaselwa kwexhala, kunye nokuxhatshazwa. I-Benzodiazepines yinto enokuxhatshazwa ngamachiza anxamnye nokuxhalabisa okunqunywe ukuba yenzeke.
I- CBT yindlela eqhelekileyo ye- psychotherapy enokukunceda ukunciphisa iimpawu zesifo sokuphazamiseka kwesifo okanye i-PTSD. Ngokomzekelo, ukuchithwa kwemiqathango ngendlela efanelekileyo yinkqubo ye-CBT eyenza ukukhutshwa kancinci kweengcali kwiimeko ezinokukhathazeka. Umntu ufunda ukulawula ukwesaba kwakhe kule meko ngokusebenzisa iindlela zokuphucula. Ngokuqhubeka nokuqhelana ngokukhawuleza kunye nokuphumula ngenxa yonyango, inzululwazi ethile eyake idala ukuxhalabisa ekugqibeleni ayisayi kubangela ukwesaba okukhulu kunye nokwesaba kumntu.
Inkathazo yesibini kunye ne-PTSD inempawu ezinzulu ezinokunciphisa ngempumelelo ngonyango olufanelekileyo. Kubalulekile ukufumana unyango ekuqaleni kwayo nayiphi imeko ukunciphisa iimeko eziyingozi. Ngokomzekelo, ngokuphatha iimpawu ezixinzelelekileyo ze-PTSD, ukuphuhliswa kokuhlaselwa kwesoyiki kunokuthintelwa. Ukongezelela, amathuba okuba i-agoraphobic inganciphisa ngokufumana uncedo lweengxaki zokuphazamiseka kunye nokuhlaselwa kwangaphambili.
Imithombo:
Umbutho wezeMpilo waseMelika (1994). Incwadana yokuxilonga kunye neenkcukacha zeengxaki zeengqondo (4th ed.). Washington, DC: Umbhali.
I-Cougle, uJese R.; uFeldner, uMateyu T.; uKeough, Meghan E.; uWaykins, uKirsten A.; uFitch, uKristin E. (2010). Ukuhlaselwa kwe-Comorbid ephazamisayo phakathi kwabantu abaneengxaki zokuxinwa kwengqondo emva kwe-post-disumatic: Iintlangano kunye nembali yeembandezelo ezinobungozi, impawu kunye nokukhubazeka. Umbhalo weengxaki zokukhathazeka, 24 (2), 183-188.
Marshall-Berenz, EC; Vujanovic, AA; Zvolensky, MJ (2011). Iziphumo eziphambili kunye ezibandakanyekayo zomlando wokuhlaselwa kwe-panic kunye nokunyamezela ukuxinezeleka ngokubhekiselele kwi-PTSD yesibindi. Umbhalo weengxaki zokukhathazeka, 2 (2), 185-191.
Preston, John D., O'Neal, John H., Talaga, Mary C. (2010). I-Handbook ye-psychopharmacology yeklinikhi yabathinteli, 6th . I-Oakland, CA: I-New Harbinger Publications.
Silverman, uHarold M. (2010). Incwadi ye pilisi . 14. ENew York, NY: Iincwadi zeBantam.