Ngaba Ukudandatheka Kwisifo?
Umbuzo oqhelekileyo njengoko senza intuthuko ekuqondeni kwethu ukudakumba kuku okulandelayo: Ngaba ukudandatheka kwesifo? Ukuze uphendule lo mbuzo, kunceda ukuqwalasela zombini iimpawu zokudakumba kunye neentsingiselo zeendlela ezahlukeneyo zokucingwa kwengqondo njengengxaki yengqondo, ukugula okanye izifo.
Iimpawu zoxinzelelo
Ngokutsho kweNcwadana yokuHlola kunye neSatistim of Disabilities-I-Fifth Edition (i- DSM-V ), uxinzelelo lufunyaniswa ukuba kukho impawu ezinhlanu okanye ngaphezulu kwezi zilandelayo (zishwankathelwe ngenjongo yeli nqaku) zibekho kwixesha elifanayo leveki ezimbini ukumela utshintsho oluvela kwimisebenzi yakho yangaphambili.
Okungenani ubuncinane bodwa iimpawu kufuneka zibe yintlungu okanye ukulahlekelwa ngumdla okanye ukuzonwabisa:
- Imoya ecindezelekileyo kakhulu kwimini, phantse yonke imihla
- Ngokukhawuleza kuncipha umdla okanye ukuzonwabisa kubo bonke, okanye phantse yonke into, imisebenzi emininzi yosuku, phantse yonke imihla
- Ukulahleka kwesisindo okanye ukufumana ubunzima (ngaphandle kokutya ngokuzithandela) okanye ukunciphisa okanye ukwandisa isondlo phantse yonke imihla
- Ukuqhawula okanye i-hypersomnia phantse yonke imihla
- Ukuphazamiseka kwengqondo okanye ukuzilahlwa phantse yonke imihla
- Ukukhathala okanye ukulahlekelwa kwamandla phantse yonke imihla
- Iimvakalelo zokungabi nalutho okanye isohlwayo elingalunganga okanye elingalunganga phantse yonke imihla
- Ubunono bokunciphisa ukucinga okanye ukugxila, okanye ukunyanzelisa phantse yonke imihla
- Iingcamango eziqhelekileyo zokufa okanye iinjongo zokuzibulala eziphindaphindiweyo
Ukongezelela, iimpawu kufuneka zenze uxinzelelo olubi okanye ukuphazamiseka kwimpilo yemihla ngemihla kwaye kungabandakanywa kwenye imeko yonyango okanye nemiphumo yokusetyenziswa kweziyobisi okanye ukusetyenziswa kakubi.
Ukuqwalasela uluhlu olukhankanywe apha ngasentla, luyakhathaza ukuba ucinge ngexinzelelo ngokuchanekileyo njengengxaki yengqondo. Enyanisweni, ukubonakalisa imizimba emininzi yokudakumba kubonisa ukuba kukhona okungakumbi kunokuba sasicinga. Okanye, okubaluleke ngakumbi, akukho nto ixabiso ekuboniseni ukuhlula phakathi kwengqondo nomzimba; kunoko, bobabini iinxalenye zeenkqubo ezinkulu ezichaphazela omnye nomnye.
Izifo Iinkcazo
Ukudandatheka kuye kwabizwa ngokubhekiselele kwimiba yengqondo, isifo sengqondo kunye nesifo sesistim. Nangona ngokuqinisekileyo kuhamba phakathi kwezi migaqo, nganye inenkcazo ekhethekileyo esinokuyicinga xa sizama ukuqonda ukuba yiyiphi ingxaki yokuxinezeleka.
- Ingxaki yengqondo ingathathwa njengesifo esiphazamisa ukusebenza kwakho kwengqondo (njengokuba ingxaki yomzimba ibe yinto ephazamisa ukusebenza kwakho okuqhelekileyo ngokomzimba). Imizekelo yokuphazamiseka kwengqondo yinkxwaleko, ukuphazamiseka kokukhathazeka, kunye neengxaki zokuxinzelela emva kokudandatheka.
- Ukugula kwengqondo kuya kuthathwa njengento efana nokugula okuchaphazela ingqondo. Imizekelo yesifo sengqondo iyafana neyasentla, nangona abanye banokuxhomekeka ekubhekeni kwesifo se-schizophrenia okanye ukuphazamiseka kwe-bipolar-ukugula kunye nempawu ezicacileyo kwaye zicingelwa ukuba zingaphathwa unyango lokuqala.
- Ngokwahlukileyo, isifo ngokuqhelekileyo sisithathwa njengengxaki yomzimba ovelisa iimpawu ngokubhekiselele kwindawo ethile emzimbeni. Imizekelo ingaquka isifo senhliziyo, isifo sikashukela, nomhlaza.
Kulula ukubona ngokusekelwe kwingxoxo ekhankanywe ngasentla ecinga ukuba ukuxinezeleka kuba sisifo se-systemic kunye nokuthandwa kwesifo senhliziyo, isifo sikashukela kunye nomhlaza kuya kufuna ukuguquka okukhulu kwimiba yempilo yesifo sengqondo kunye neengxaki zengqondo.
Nangona kunjalo, ngenxa yokuba akuyona indlela yendabuko yokucinga ngexinzelelo ayithethi ukuba ayikwazi ukuchaneka. Ngokuhamba kwexesha, ezininzi iimbono zethu zehlabathi ziguquka njengoko sithokozela ngemibono yethu yangaphambili. Oku kunokwenzeka nokuba yimeko yokudandatheka.
Ukuxinezeleka njengoSifo esiSistim
Enyanisweni, kukho ukunyuka okubonakalayo kubungqina obuxhasa uxhaso lokudakumba njengesifo sesistim. Okanye, ngakumbi ukuya kwinqanaba, ukuqwalasela ukuba inkcazo yesifo sengqondo kunye nomzimba ingaba ngaphezu kwexesha esasiyicinga-okokuba ukuhlukana phakathi kokugula kwengqondo kunye nomzimba kuphazamiseka.
Ingaba ngaba kukuba ukudandatheka, ukugula okungaphathwa ngongqondo we-psychotherapy, kunokuba nefuthe kumzimba wenyama, kwaye ukuba kunjalo, oko kuthetha ukuthini?
Eyona nto, ukudityaniswa kwezibhengezo njengesifo asibambe ngokupheleleyo ubunzima besifo. Nangona kunjalo, kukunyuka ekuqondeni njengengxaki yesifo kunye nomzimba.
Ubungqina bokuxhasa ukudakumba njengoko isifo sesistim seza ngendlela yeenguqu zezinto eziphilayo ezibonwa kwizigulane ezinexinzelelo. Umzekelo, ukuvuvukala, umyalelo we-neuroendocrine, umsebenzi weplatelet, umsebenzi we-system we-nervous system, kunye ne-homeostasis ye-skeletal bonke bangathonyelwa ukuxinezeleka.
Ngale ndlela, kunokwenzeka ukubona indlela ukudandatheka kunokuba neentlobano zesifo senhliziyo, umhlaza, isifo sikashukela-zezi zigulo ezinokuthelekiswa ngazo. Ukuba ukuxinezeleka kuxhomekeke kumphendulo yakho ye-immune, ingajonga njani loo nto?
Uhlalutyo lweemeta oluqhutywe kwiYunivesithi yaseGranada kwaye lupapashwe kwiNcwadi yeCliniki Psychiatry ihlolisise utshintsho kwizidumbu zokudakumba kwabantu esekelwe kwizifundo ezingama-29 ezazipapashwe ngaphambili. Kwafunyaniswa ukuba ukudakumba kubangele ukungalingani kwiseli yomzimba, ekubhekiselwe kuzo njengengcinezelo yokuxhamla.
Emva kwezi gulane ezinexinzelelo zonyango zanikwa unyango, amazinga abo e-malondialdehyde, i-biomarker ebonisa ukungonakaliswa kweseli kunye noxinzelelo lwe-oxidative, wehla waya kumazinga enempilo. Ukongeza, emva kokunyanga, kwaboniswa ukuba amazinga abo we-zinc kunye ne-uric acid abuyele kumanqanaba aqhelekileyo.
Uphando olumnandi lunokunceda ukuchaza isizathu sokuba izigulane ezinexinzelelo zihlala zikhalaza ngezibonakaliso zomzimba ezifana nokulala kakhulu okanye okuncinci, ukukhathala nokutya. Kucetyiswa ukuba oku kunokunceda ukucacisa ukuba kutheni izigulane ezinexinzelelo ziba neendlela zokuphila ezifutshane.
Siyazi kwakhona ukuba ezinye iimeko zonyango zingakhokelela kwimpawu ezixinezelekileyo, ezifana ne-hypothyroidism. Kulula ukubona indlela ukudandatheka kungekhona nje ingxaki yengqondo, kodwa kunokuba isifo esiyinkimbinkimbi kunye nezobomi kunye nentlalo kubangela ukudibanisa ingqondo nomzimba.
Olu hlobo lophando lubonisa ukuqhubela phambili kwindlela esicinga ngayo ukuxinezeleka, ngaphaya kokubuza isigulane nokuba ufumana uluhlu lweempawu. Cinga ukuba ufumana uvavanyo lwe-biomarker olubonisa ubunzima bakho!
Ukunyangwa koxinzelelo njengeSifo esiSikweni
Ukuba ukuxinezeleka kuthathwa ingqalelo kwimeko yesifo se-systemic, ukuthini oku kuthetha ngokwemigaqo yonyango? Ngaphandle kokuxhamla ngokucacileyo kwiyeza zonyango ezinjengeemithi ezichasayo, kubonisa ukuba utshintsho oluchaphazela iinkqubo zomzimba lunokunceda ekunciphiseni ukudandatheka. Nangona iipilisi ezigxilwe ngengqondo zibalulekile, ezo zijolise kwiinkqubo zomzimba nazo ziba ngundoqo.
Ukujamelana Nokuxinezeleka
Ukuba uhlala nexinzelelo, kubalulekile ukwazi indlela yokujamelana nayo ngokubhekiselele kwingqondo yakho nomzimba. Nangona uthetha unyango olunjenge-cognitive-behavioral therapy (CBT) ijolise izizathu ezingqondweni zokudakumba, kwaye amayeza anokujolisa ekungalingani kweekhemikhali emzimbeni, kukho ezinye iindlela ongayithatha.
Ngokubanzi, ukukhuthaza ukuhlaziywa okunempilo kweeseli zomzimba wakho, okanye ukuvuselelwa kwenkqubo, kuya kuba luncedo ukuba unobandezeleko. Ukusebenzisa umzimba rhoqo , ukuchitha ixesha ngaphandle (kwiseselanga), nokugcina ixesha eliqhelekileyo lokulala ubangele amanyathelo onokuyenza uthathe ukuthatha ukuphucula imeko yakho yomzimba malunga nokudandatheka.
Xa ucinga ukuxinezeleka ngokugula komzimba wonke, kuyacaca ukuba uyisondele kwii-angles ezininzi. Ngokuqinisekileyo, ukukwazi kwakho ukwenza utshintsho kuya kuxhomekeka kubuqili bokudakumba kwakho.
Yintoni Ebizweni?
Ngaba kubalulekile ukuba sibiza ukudakumba kwengxaki yesifo okanye isifo se-systemic? Ukudideka kunokusuka ekubizeni ngokuqinisekileyo isifo, kunye nemigca yesifo sikashukela, kuba siyazi ukuba awukwazi ukunyanga isifo sikashukela ngonyango lwentetho.
Ngakolunye uhlangothi, kucinga ukuxinezeleka njengokuba ingxaki yengqondo ayifaki ubunzima bokugula kwaye ayikwazi ukukhuthaza abantu ukuba bazame iindlela zokuphucula ezingabandakanyi ingqondo yabo.
ILizwi
Uninzi lwabantu abanexinzelelo alufunanga uncedo okanye alufumani. Basenokuvakalelwa kukuba ukuziphatha kakubi kwiindawo zabo ukuba bazive ngendlela abazenza ngayo. Ngale ndlela, ngokubhekisele kwingcinezelo njengesifo sesistim kunokunceda ukususa i-stigma kule ngxaki eyinkimbinkimbi.
Kungenxa yokuba ukudandatheka kungaphathwa ngonyango lwengqondo, akuthethi ukuba ukulungiswa komzimba kungakhathali. Funa uncedo lweempawu zakho zokudandatheka, njengokuba unokwenza okunye ukungaphumeleli komzimba wakho. Iziganeko ezinzima zokuxinezeleka, ngokukodwa, ziphathwa kakuhle ngophando lwezempilo yengqondo onokuceba icebo elidibanisa izinto ezinjengezonyango, unyango lwentetho kunye nokuguquka kwendlela yokuphila.
> Imithombo:
> Karlsson H. [Ukunyamezela njengesifo sesistim]. Duodecim . 2012; 128 (6): 622-626.
> Jiménez-Fernández S, Gurpegui M, Diaz-Atienza F, Perez Costillas L, Gerstenberg M, Correll C. Ukuxinezeleka koxinzelelo kunye ne-Antioxidant Parameters kwizigulane ezineenkxalabo ezixakekileyo zokuxhatshazwa ngokumalunga nokulawulwa kwempilo Ngaphambi nangemva kokunyanga kwe-Anti-depressant: Uhlalutyo. Umbhalo we-Clinical Psychiatry. 2016.
> Sotelo JL, Nemeroff CB. Ukuxinezeleka njengesifo sesistim. Uncedo lweMithi kwiNzululwazi. 2017; 1-2: 11-25.
> Ultentenborn AK, Rahmandad H, uRick J, Hosseinichimeh N. Ukunyanzeliswa njenge-systemic syndrome: ukubeka imephu yeengxelo zeengxaki zokukhathazeka okukhulu. Psychol Med . 2016; 46 (3): 551-562.