Intermittent Explosive Disorder

Zvemukati

• Ndezvipi zviratidzo?
• Inoonekwa sei?
• Chii chinokonzera uye ndiani ari panjodzi?
• Inorapwa sei?
• Kurapa
• Mishonga
• Dzimwe nzira dzokurapa
• Ndezvipi zvinetso?
• Kudzivirira kuzviuraya
  
• Ona nyanzvi yehutano

Chii chinonzi kuputika kusagadzikana?

Kupindirana kwekuputika kusagadzikana (IED) mamiriro anosanganisira kubuda kamwe kamwe kwehasha, hasha, kana mhirizhonga. Aya maitiro anowanzo kuve asina musoro kana kunze kweichienderana nemamiriro ezvinhu.

Nepo vanhu vazhinji vachipenga nehasha kamwechete mune imwe nguva, IED inosanganisira kazhinji, inowanzoitika. Vanhu vane IED vanogona kukanda hasha, kuparadza midziyo, kana kurwisa vamwe neshoko kana nemuviri.

Verenga pamusoro kuti udzidze zvimwe zviratidzo zveIED.

Ndezvipi zviratidzo?

Iwo epulsive, ane hasha episodes anoratidzira IED anogona kutora mafomu mazhinji. Humwe hunhu hunogona kuve zviratidzo zveIED hunosanganisira:

• kupopota nekupopota
• kukakavara kukuru
• hasha hasha uye kupenga
• kutyisidzira
• hasha dzemumugwagwa
• kuboora madziro kana kupwanya mahwendefa
• kukuvadza pfuma
• mhirizhonga, sekurova mbama kana kusundidzira
• kurwa kana kupopota
• mhirizhonga mudzimba
• kurwisa

Aya mashiripiti kana kurwiswa kunowanzoitika pasina zvishoma kune yambiro. Ivo vanogara-mapfupi, kashoma kuti vagare kwenguva yakareba kupfuura hafu yeawa. Zvinogona kuoneka pamwe chete nezviratidzo zvemuviri, zvakadai se:

• kuwedzerwa simba (adrenaline rush)
• kutemwa nemusoro kana kumanikidzwa nemusoro
• kurova kwemoyo
• kuomesa pachipfuva
• mhasuru mhasuru
• kurira
• kudengenyeka

Kunzwa kwekushatirwa, hasha, uye kurasikirwa kwekudzora zvinowanzo kutaurwa pamberi kana panguva yechiitiko. Vanhu vane IED vanogona kusangana nemifungo yekumhanyisa kana pfungwa yekuzvisimbisa kwepamoyo. Pakarepo mushure, vangangonzwa kuneta kana kurerukirwa. Vanhu vane IED vanowanzo taura kunzwa kwekuzvidemba kana mhosva mushure mechiitiko.

Kune vamwe vanhu vane IED, izvi zvikamu zvinoitika nguva zhinji. Kune vamwe, zvinoitika mushure memavhiki- kana mwedzi-yakareba yakatambanudzwa yemaitiro ekuratidzira. Kupopota kwemazwi kunogona kuitika pakati pezviito zvechisimba.

Inoonekwa sei?

Iyo itsva vhezheni yeDiagnostic uye Statistical Manual (DSM-5) inosanganisira yakagadziriswa maitiro ekuongorora eIED. Maitiro matsva anosiyanisa pakati pe:

• zvinowanzoitika zvikamu zvekutuka kwemazwi pasina kukuvadza vanhu kana chivakwa
• zvisingaite kazhinji zviito zvekuparadza kana zvechisimba zvinokonzeresa kukuvadza vanhu kana nhumbi

Chirwere chinoratidzirwa nekusagadzikana uye hunhu hunhu hwakaonekwa mune ese edhisheni yeDSM. Zvisinei, yakatanga kunzi IED muchikamu chechitatu. Isati yasvika yechitatu edition, yaitendwa kuti isingawanzo. Iine mhedzisiro yekuongorora nzira uye kufambira mberi mukutsvaga kweIED, izvozvi zvinotendwa kuti zvakajairika.

Muna 2005, yakawanikwa kuti 6.3 muzana yevanhu 1,300 vanotsvaga kuchengetwa kwehutano hwepfungwa yakasangana nematanho eDMM-5 IED pane imwe nguva muhupenyu hwavo. Mukuwedzera, 3.1 muzana yakasangana nemitemo yekuongororwa kwemazuva ano.

Munhu 9,282-munhu kubva muna 2006 akawana kuti 7.3 muzana yakasangana neiyo DSM-5 nzira yeIED pane imwe nguva muhupenyu hwavo, nepo 3.9 muzana yakasangana nezvinodiwa mumwedzi gumi nembiri yapfuura.

Chii chinokonzera uye ndiani ari panjodzi?

Zvishoma zvinozivikanwa nezve izvo zvinokonzeresa IED. Icho chikonzero chingangove musanganiswa wemajini uye ezvakatipoteredza zvinhu. Majini anosanganisira majini akapfuudzwa kubva kumubereki kuenda kumwana. Zvakatipoteredza zvinhu zvinosanganisira hunhu hunoratidzwa nemunhu semwana.

Brain chemistry inogona zvakare kutora chinzvimbo. Zvidzidzo zvinoratidza kuti kudzokorora kusagadzikana uye hunhu hunhu hwakabatana neakaderera serotonin mazinga muuropi.

Iwe unogona kunge uri panjodzi yekuwedzera yekuvandudza IED kana iwe:

• varume
• vari pasi pemakore makumi mana
• akakurira mumhuri inotuka kana kurova
• akasangana nezviitiko zvakawanda zvinoshungurudza achiri mudiki
• kuva nechimwe chirwere chepfungwa chinokonzeresa kukurumidza kana kunetsa maitiro, akadai se:
  • kucherechedza-kushomeka kwehutano kusagadzikana (ADHD)
  • kusagadzikana kwehunhu kusagadzikana
  • muganhu hunhu kusagadzikana

Inorapwa sei?

Kune akatiwandei marapirwo eIED. Kazhinji yenguva, kurapwa kunopfuura kumwe kunoshandiswa.

Kurapa

Kuona chipangamazano, chiremba wezvepfungwa, kana Therapist ari ega kana muboka mamiriro zvinogona kubatsira munhu kubata zviratidzo zveIED.

Kufungisisa kwehunhu hwekurapa (CBT) rudzi rwekurapa iyo inosanganisira kuzivisa maitiro anokuvadza uye kushandisa hunyanzvi hwekugadzirisa, maitiro ekuzorora, uye kudzokedzana nedzidzo kuti utarisane nemhirizhonga.

Chidzidzo che2008 chakawana kuti mavhiki gumi nemaviri emunhu kana boka reCBT rakaderedza zviratidzo zveIED zvinosanganisira hukasha, kudzora hasha, uye kuvengana. Izvi zvaive zvechokwadi panguva yekurapwa uye mushure memwedzi mitatu.

Mishonga

Iko hakuna chaiyo mishonga yeIED, asi mimwe mishonga inogona kubatsira kudzikisira kusagadzikana maitiro kana hutsinye. Izvi zvinosanganisira:

• antidepressants, kunyanya inosarudza serotonin reuptake inhibitors (SSRIs)
• mafungiro ekudzikamisa, kusanganisira lithiamu, valproic acid, uye carbamazepine
• antipsychotic zvinodhaka
• antanxiety zvinodhaka

Kutsvagisa nezvemishonga yeIED ishoma. Ongororo ya2009 yakawana kuti iyo SSRI fluoxetine, inonyanya kuzivikanwa nezita rayo rezita Prozac, yakadzora maitiro ekukurumidza-ane hukasha pakati pevanhu vane IED.

Zvinogona kutora kusvika kumwedzi mitatu yekurapa kuti uwane zvizere maSSRIs, uye zviratidzo zvinowanzozooneka kana mushonga wamiswa. Mukuwedzera, havasi vese vanopindura kumushonga.

Dzimwe nzira dzokurapa

Zvishoma zvidzidzo zvakaongorora kushanda kweimwe nzira yekurapa uye shanduko yemararamiro yeIED. Zvakadaro, kune akati wandei ekupindira ayo angangodaro asina kukanganisa kwakashata. Zvimwe zvacho zvinosanganisira:

• kutora chikafu chakaringana
• kurara zvakakwana
• kugara wakasimba
• kudzivisa doro, zvinodhaka, uye fodya
• kuderedza uye kugadzirisa masosi ekunetseka
• kupa nguva yezviitiko zvekuzorora, sekuteerera kumimhanzi
• kudzidzira kufungisisa kana mamwe maitiro ekufunga
• kuyedza dzimwe nzira dzokurapa, senge acupressure, acupuncture, kana kukwiza muviri

Ndezvipi zvinetso?

IED inogona kukanganisa hukama hwako hwepedyo uye zviitiko zvezuva nezuva. Kugara uchipokana uye kuita zvehasha kunogona kuita kuti zviome kuchengetedza hukama hwakatsiga uye hunotsigira. Zvikamu zveIED zvinogona kukonzera kukuvara kwakanyanya mukati memhuri.

Iwe unogona zvakare kusangana nemhedzisiro mushure mekuzvibata zvine hukasha kubasa, chikoro, kana munzira. Kurasikirwa nebasa, kudzingwa kuchikoro, tsaona dzemotokari, uye zvemari uye mhedzisiro mhedzisiro zvese zvinogona kuitika.

Vanhu vane IED vari panjodzi yekuwedzera yekuve nedzimwe hutano hwepfungwa uye hwepanyama. Zvimwe zvacho zvinosanganisira:

• kuora mwoyo
• kushushikana
• ADHD
• doro kana kushandisa zvinodhaka
• mimwe miitiro ine njodzi kana yekumhanyisa, senge dambudziko rekubhejera kana bonde risina njodzi
• kusagadzikana kwekudya
• kusingaperi kwemusoro
• BP
• chirwere cheshuga
• chirwere chemoyo
• sitiroko
• kurwadziwa kusingaperi
• maronda
• kuzvikuvadza nekuzviuraya

Kudzivirira kuzviuraya

1. Kana iwe uchifunga kuti mumwe munhu ari pangozi yekuzvikuvadza kana kukuvadza mumwe munhu:
2. • Fonera 911 kana yako yemuno emergency emergency.
3. • Gara nemunhu kusvikira rubatsiro rwasvika.
4. • Bvisa pfuti, mapanga, mishonga, kana zvimwe zvinhu zvinogona kukuvadza.
5. • Teerera, asi usatonga, kukakavara, kutyisidzira, kana kupopota.
6. Kana iwe kana mumwe munhu waunoziva achifunga kuzviuraya, tsvaga rubatsiro kubva padambudziko kana nhare yekudzivirira kuzviuraya. Edza iyo National Suicide Kudzivirira Lifeline pa800-273-8255.

Ona nyanzvi yehutano

Vanhu vazhinji vane IED havatsvage kurapwa. Asi zvinenge zvisingaite kudzivirira zvikamu zveIED pasina rubatsiro rwehunyanzvi.

Kana iwe uchifungidzira kuti une IED, ita musangano nachiremba kana imwe nyanzvi yehutano hwepfungwa. Kana iwe uchinzwa kuti ungazvikuvadza iwe kana mumwe munhu, fona 911 nekukasira.

Kana iwe uri muhukama nemumwe munhu waunofungidzira kuti ane IED, unogona kukumbira mudiwa wako kutsvaga rubatsiro. Nekudaro, hapana vimbiso yekuti vachadaro. IED haifanire kushandiswa sekupembedza hunhu hwechisimba kana hwechisimba kwauri.

Ita kuti uzvidzivirire iwe nevana vako pekutanga. Dzidza maitiro ekugadzirira emergency uye uwane rubatsiro nekufonera Iyo National Domestic Violence Hotline pa800-799-SAFE (800-799-7233) kana kushanyira webhusaiti yavo.