Chii chinonzi Dissociative Disorder uye Maitiro Ekuziva
Zvemukati
Dissociative Disorder, inozivikanwawo sekushanduka kusagadzikana, chirwere chepfungwa umo munhu anotambura nekusaenzana kwepfungwa, neshanduko mukuziva, ndangariro, kuzivikanwa, manzwiro, maonero enharaunda, kutonga kwekufamba uye maitiro.
Nekudaro, munhu ane chirwere ichi anogona kusangana nemhando dzakasiyana dzezviratidzo nezviratidzo zvepfungwa, izvo zvinoonekwa zviri zvega kana pamwe chete, pasina chirwere chemuviri chinopembedza nyaya yacho. Iwo makuru ndeaya:
- Kwenguva pfupi amnesia, kungave kubva kune chaiwo zviitiko kana kubva munguva yakapfuura, inonzi dissociative amnesia;
- Kurasikirwa kana shanduko yemitezo yemuviri kufamba, inonzi dissociative kufamba kusagadzikana;
- Kufamba zvishoma uye kufunga kana kusakwanisa kufamba, yakafanana nekufenda kana kukatatoni nyika, inonzi dissociative stupor;
- Kurasikirwa kwekuziva zvauri kana kuti uripi;
- Kufambisa kwakafanana nekubatwa kwepfari, inonzi dissociative seizure;
- Kuchera kana kurasikirwa kwekunzwa mune imwe kana kupfuura nzvimbo dzomuviri, senge muromo, rurimi, maoko, maoko kana makumbo, anonzi dissociative anesthesia;
- Nyika yekunyongana kwakanyanya mintl;
- Kuzivikanwa kwakawanda kana hunhu, inova dissociative chitupa chirwere. Mune dzimwe tsika kana zvitendero, inogona kunzi nyika yekutora. Kana iwe uchida kuziva zvakawanda nezve iyi chaiyo mhando ye dissociative kusagadzikana, tarisa Dissociative Identity Disorder.
Zvakajairika kuti vanhu vane dissociative kusagadzikana varatidze maitiro ekuchinja, senge kamwe kamwe kupisa kana kusagadzikana kuita, ndosaka chirwere ichi chichizivikanwawo sehysteria kana hysterical reaction.
Kazhinji, dissociative kusagadzikana kunowanzo kuratidzwa kana kuwedzerwa mushure mezviitiko zvinoshungurudza kana zvinonetsa, uye zvinowanzoonekwa nekukurumidza. Zvikamu zvinogona kuoneka nguva nenguva kana kuve zvinowanzoitika, zvinoenderana nenyaya imwe neimwe. Zvakajairikawo kuvakadzi kupfuura kuvarume.
Kurapa kwe dissociative kusagadzikana kunofanirwa kutungamirirwa nachiremba wepfungwa uye kunogona kusanganisira kushandiswa kweanodzvinyirira kana antidipressant zvinodhaka kudzikamisa zviratidzo, ne psychotherapy ichinyanya kukosha.
Maitiro ekusimbisa
Munguva yematambudziko e dissociative kusagadzikana, zvinogona kutenda kuti chirwere chemuviri, saka zvakajairika kuti iko kwekutanga kusangana kwevarwere ava nachiremba mune yekukurumidzira kamuri.
Chiremba anozivisa kuvepo kwechirwere ichi kana uchitsvaga zvakadzama shanduko mukiriniki yekuongorora uye bvunzo, asi hapana chemuviri kana chekutanga chinotsanangura mamiriro acho chinowanikwa.
Iko kusimbiswa kweiyo dissociative kusagadzikana kunoitwa nachiremba wepfungwa, uyo anoongorora zviratidzo zvinoratidzwa mumatambudziko uye kuvapo kwemakakatanwa epfungwa anogona kunge ari kukonzera kana kuwedzera chirwere. Chiremba uyu anofanirwa zvakare kuongorora kuvepo kwekushushikana, kushushikana, somatization, schizophrenia kana zvimwe zvinetso zvepfungwa zvinowedzera kana izvo zvakavhiringidzika nedissociative kusagadzikana. Nzwisisa zvavari uye kuti ungaziva sei zvinowanzoitika kusagadzikana kwepfungwa.
Kurapwa kunoitwa sei
Iyo huru fomu yekurapa kwe dissociative kusagadzikana kurapa kwepfungwa, neanoshanda nezvepfungwa, kubatsira murwere kugadzira nzira dzekugadzirisa kushushikana. Zvirongwa zvinoitwa kusvikira wezvepfungwa afunga kuti murwere anokwanisa kudzora manzwiro ake nehukama zvakachengeteka.
Kuteverwa nachiremba wepfungwa kunokurudzirwawo, ndiani anoongorora kufambira mberi kwechirwere ichi uye anogona kupa mishonga yekudzora zviratidzo, zvakaita seanodzvinyirira, senge Sertraline, antipsychotic, senge Tiapride kana anxiolytics, saDiazepam, kana zvichidikanwa.