Kumanikidza kubhejera

Kumanikidza kubhejera kuri kutadza kudzivisa zvishuwo zvekubheja. Izvi zvinogona kutungamira kumatambudziko akakura emari, kurasikirwa nebasa, mhosva kana kubiridzira, uye kukuvara kwehukama hwemhuri.

Kumanikidza kubhejera kazhinji kunotanga mukutanga kuyaruka muvarume, uye pakati pemakore makumi maviri nemakumi mana mumadzimai.

Vanhu vane kumanikidza kubhejera vane nguva yakaoma yekudzivisa kana kudzora chishuwo chekubheja. Uropi huri kuita kune uku kukwezva nenzira imwecheteyo yainoita kune munhu akapindwa muropa nedoro kana zvinodhaka. Kunyangwe ichigovana maficha ekunyanyisa kusagadzikana kusagadzikana, kumanikidza kubhejera ingangove imwe mamiriro.

Muvanhu vanokudziridza kumanikidza kubhejera, nguva nenguva kubhejera kunotungamira kune tsika yekubhejera. Mamiriro anoshungurudza anogona kuwedzera matambudziko ekubhejera.

Vanhu vane kumanikidza kubhejera vanowanzo nyara uye vanoedza kudzivirira kuzivisa vamwe vanhu nezve dambudziko ravo. IAmerican Psychiatric Association inotsanangura kubhejera kwehutachiona sekuve ne5 kana zvimwe zvezviratidzo zvinotevera:

• Kupara mhosva kuti uwane mari yekubheja.
• Kunzwa kusagadzikana kana kutsamwa kana uchiedza kudzora kana kurega kubhejera.
• Kubheja kutiza matambudziko kana kunzwa kusuwa kana kushushikana.
• Kubhejera yakawandisa mari yekuyedza kudzosera zvakapfuura kurasikirwa.
• Kurasikirwa nebasa, hukama, dzidzo, kana mukana webasa nekuda kwekubhejera.
• Kunyepa nezve iyo nguva kana mari yakashandiswa kubhejera.
• Kuita yakawanda isingabudirire kuyedza kudzora kana kurega kubhejera.
• Inoda kukwereta mari nekuda kwekubhejera kurasikirwa.
• Inoda kubhejera hombe mari kuti unzwe kufara.
• Kutora nguva yakawanda uchifunga nezve kubhejera, sekurangarira zviitiko zvakapfuura kana nzira dzekuwana imwe mari yekubheja nayo.

Kuongororwa kwepfungwa uye nhoroondo inogona kushandiswa kuongorora kubhejera kwehutachiona. Maturusi ekuongorora akadai seGamblers Anonymous 20 Mibvunzo www.gamblersanonymous.org/ga/content/20-questions inogona kubatsira pakuongorora.

Kurapa kwevanhu vane kumanikidza kubhejera kunotanga nekuziva dambudziko. Vanobhejera vanobhejera vanowanzo ramba kuti vane dambudziko kana vanoda kurapwa.

Vazhinji vanhu vane pathological kubhejera vanongorapwa apo vamwe vanhu vanovamanikidza.

Sarudzo dzekurapa dzinosanganisira:

• Kufungisisa maitiro ekurapa (CBT).
• Mapoka ekuzvibatsira-ekuzvibatsira, akadai seGamblers Anonymous. Gamblers Anonymous www.gamblersanonymous.org/ chirongwa chegumi nematanhatu chakafanana neAlcoholics Anonymous. Maitiro anoshandiswa kurapa mamwe marudzi ekupindwa muropa, sekushandisa zvinodhaka nekushandisa doro, zvinogona kubatsira pakurapa kubhejera.
• Zvidzidzo zvishoma zvakaitwa pamishonga yekurapa kumanikidza kubhejera. Mhedzisiro mhedzisiro inoratidza kuti antidepressants uye opioid vanopikisa (naltrexone) inogona kubatsira kubata zviratidzo zvekubhejera. Zvisinei, hazvisati zvanyatsojeka kuti vanhu vachapindura mishonga ipi.

Kufanana nedoro kana kupindwa muropa nezvinodhaka, kubhejera kwepatological chirwere chenguva refu icho chinowedzera kuwedzera pasina kurapwa. Kunyangwe nekurapwa, zvakajairika kutanga kubhejera zvakare (kudzokazve). Nekudaro, vanhu vane pathological kubhejera vanogona kuita zvakanyanya nemabatiro akanaka.

Zvinetso zvinogona kusanganisira:

• Doro nedambudziko rekushandisa zvinodhaka
• Kufunganya
• Kushungurudzika
• Matambudziko emari, eruzhinji, uye epamutemo (kusanganisira kubhuroka, kurambana, kurasikirwa nebasa, nguva mujeri)
• Kurwiswa kwemoyo (kubva kunetsekana uye kufara kwekubhejera)
• Kuedza kuzviuraya

Kuwana kurapwa kwakanaka kunogona kubatsira kudzivirira mazhinji eaya matambudziko.

Fonera wako mupi wezvehutano kana wepfungwa nyanzvi kana iwe uchitenda une zviratidzo zvekubhejera.

Kuratidzira kubhejera kunogona kuwedzera njodzi yekuvandudza kubhejera. Kugumira kuratidzwa kunogona kubatsira kune vanhu vari panjodzi. Kupindira pazviratidzo zvekutanga zvekubhejera kunogona kudzivirira kusagadzikana kutowedzera.

Kubhejera - kumanikidza; Kubhejera kubhejera; Kupindwa muropa nekubhejera

American Psychiatric Association webhusaiti. Zvinetso-zvisina hukama-zvine hukama. Mune: American Psychiatric Association. Kuongorora uye Statistical Manual yeMental Dambudziko. 5 ed. Arlington, VA: American Psychiatric Kuburitsa. 2013: 585-589.

Balodis IM, Potenza MN. Iyo biology uye kurapwa kwekubhejera kusagadzikana. Muna: Johnson BA, ed. Kupindwa muropa Nemishonga: Sayenzi uye Kudzidzira. 2nd ed. Philadelphia, PA: Elsevier; 2020: chits. 33.

Weissman AR, Gould CM, Sanders KM. Kushushikana-kudzora kusagadzikana. Mune: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Hospital Yakakwana Clinical Psychiatry. 2nd ed. Philadelphia, PA: Elsevier; 2016: chits. 23.