Ingxaki yokukhubaza ingxaki yesifo sengqondo echaphazela ubunzima kunye nempahla yezinto ezizimeleyo, okubangelwa ukuqokelela izinto, ezinokuthi izikhala ezihlala kuzo, zingabonakali ukuba zisetyenziswe ngendlela ababejoliswe kuyo.
Ukhetho phakathi kwe "Obsessive Compulsive and Related Disorders" kwiNcwadana yokuHlola kunye neStatistical of Metal Distorders, I-Fifth Edition ( DSM-5 ), ukukhubazeka ngokungaqhelekanga; Kuqikelelwa ukuba ukukhubaza ingxaki kuchaphazela i-2% -6% yabemi.
Inkqubo yokuxilonga i-DSM-5 ibandakanya:
- Ukubunzima okuqhubekayo ukulahla okanye ukwahlukana nezinto ezinokubonakala ngabanye njengexabiso elincinci okanye i-utility
- Imfuno eqikelelweyo yokugcina izinto kunye noxinzelelo oluhambisana nokulahla
- Iimpawu zibangelwa ukuqokelela inani elininzi lezinto ezinobuncwane beendawo eziphilayo kunye nokunciphisa ukusetyenziswa kwazo
- Inkxalabo ebaluleke kakhulu okanye ukuphazamiseka kwindawo ebalulekileyo yokusebenza, kubandakanywa nokugcina indawo ekhuselekileyo yokuphila
- Iimpawu azikho ngenxa yesimo sempilo jikelele (oko kukuthi, ukukhubazeka kwengqondo)
- Iimpawu azilunge ngakumbi kwanezinye izifo zengqondo (oko kukuthi, ingxaki enkulu yokudandatheka, i-schizophrenia)
Iimpawu zokuphazamiseka kweengxaki zingabandakanya "ukuthengwa ngokweqile" apho abantu bafuna ukufumana izinto ezingenakudinga kunye negalelo kwi-clutter. Iqondo lokuqonda litshintsha kakhulu kubantu abanobunzima bokubambisa, ukusuka kulabo baqaphela iingcamango ezingenayo i-maladaptive kunye neziphathamandla ezibangela ukugcinwa kwengxaki, kulabo abanengqiqo embi, abangakwazi ukubona iinkcukacha zabo nokuziphatha njengengxaki, nangona indawo yokuhlala.
Ukuqala kwezibonakaliso zokugcina iimpawu ngokuqhelekileyo kwenzeka ngokususela kwiminyaka yobutsha kwaye kuba nzima ngakumbi njengabantu abadala. Ukukhubazeka komsebenzi wemihla ngemihla ngokunyuka ngokukhula kwaye kudla ngokugqithisekayo ngumcimbi obalulekileyo (umzekelo, ukufa komlingane, abantwana abasuka ekolishi).
Ngokuqhelekileyo, abo banikezela unyango okanye enye inkonzo ngenxa yokukhubaza ingxaki baneminyaka engama-50 ubudala okanye ngaphezulu.
Izinto ezibangela ukuqala nokugcinwa kwezifo ziyahluka. Kukho ubungqina bezinto eziphilayo eziguqukayo kwi-epidemiology ye-Hoarding Disorder. Ukunyamekela okuqhelekileyo ukunyaniseka okuqhelekileyo kuqhelekileyo phakathi kwalabo abaneNkathazo yokuHlala kunye nezihlobo zabo zokuqala. Imiba engqongileyo, kuquka ukukhathazeka kwezinto zobomi kunye neengxaki kunye nokutshintshwa kwezinto zokuphila, kunokuqala ukuqala okanye ukunyanzelisa ukuziphatha. Ukongezelela, ukuxhatshazwa kweengxaki kubonakala kunzima ngumonakalo okanye ukukhathazeka, okwenzeka malunga nama-75% abantu abane-diagnostic.
Ukuphazamiseka kwengxaki kunokukwazi ukuba nefuthe elibalulekileyo ebomini balabo abajamelana neengxaki kunye nabanye ebomini babo. Ulwaphulo lwamaqela, ukungabikho kwezentlalo, ukungakwazi ukulungisa ukutya okanye ukugcina ucoceko lwayo, ukucoceka kococeko kunye nezinye izingozi zezempilo kunye nezokhuseleko kunokukhathazeka. Ukusetyenziswa okuphezulu kwee-arhente zesevisi zentlalo, iingxaki ngezibonelelo kunye neziphathimandla zezindlu aziqhelekanga.
Ukuxilongwa ngokuthe ngqo kwendlela yokuziphatha kwengqondo kubonakaliswe ukuba kusebenza kwonyango lwe-Hoarding Disorder.
Olu unyango luquka ukunceda abantu ukuba batshintshe indlela abacinga ngayo nokwenza izigqibo malunga nezinto zabo. Inkqubo yokwenza unyango iquka ukuguqulwa kwengqondo ukuze kuphuculwe ingqiqo nokuqonda kwengxaki, intetho yodliwano-ndlebe kunye novavanyo olusebenzayo lokuziphatha, ukusekwa ngokubambisana kweenjongo phakathi kwengqondo kunye nomxhasi, unyango lokuqonda ukuchonga ukuphazamiseka kwengqondo kunye nokunceda ekuphuhliseni ukuguquguquka kwengqondo kunye nokulungelelaniswa kwengqondo. , ukuqeqeshwa kwezakhono zoququzelelo kunye nokulungiswa kwengxaki, ukunyanzeliswa kunye nokuthintela impendulo kumathuba okufumana, ukuvavanya ukuziphatha, kunye nokukhutshwa kwezinto zokucima ukukhokela umxhasi ngokusebenzisa inkqubo yokuchithwa ngokucwangcisa izinto ezikhoyo ngenkqu kusetyenziso nasekusebenziseni izakhono zokuthatha isinqumo esandula kutsho.
Akukho nonyango ye-Pharmacy evunyiweyo ye-FDA ye-Hoarding Disorder. Idatha encinci ibonisa ubuchule obunokuba yi-SSRIs kunye ne-SNRIs. Uphando lwamanje lwamayeza lucinga ukuhlola ukusetyenziswa kweengqondo zengqondo kunye nabaphuculisi bokuqonda ekunyangeni kwe-Hoarding Disorder.
Iingxelo:
Umbutho wezeMpilo waseMerika. I-Diagnostic and Statistical Manual of Disabilities Disorders, Uhlobo lwesihlanu . 5th. IWashington, DC: Umbutho wama-American Psychiatric; 2013: 251-4.
Steketee, Gail; Frost, Randy (2011). Izifundo: Ukunyanzeliswa ngokunyanisekileyo kunye neNtsimi yezinto . I-Oxford: I-Oxford University Press.
Tolin, David; Frost, Randy; Steketee, Gail (2007). Ngcwatywa kwiNcwane: Uncedo lokufumana, ukulondoloza nokukhusela . I-Oxford: I-Oxford University Press.