Ingxaki yokuguquka

Ingxaki yokuguquka yimeko yengqondo apho umntu enobumfama, ukukhubazeka, okanye enye inkqubo ye-neva (neurologic) yeempawu ezingenakuchazwa kuvavanyo lonyango.

Iimpawu zokuphazamiseka kwenguquko zinokwenzeka ngenxa yongquzulwano lwengqondo.

Iimpawu zihlala ziqala ngequbuliso emva kwamava oxinzelelo. Abantu basemngciphekweni wokuphazamiseka xa beguqulwayo:

• Ukugula
• Ukuphazamiseka okungafaniyo (ukubaleka kwinyani engekhoyo ngenjongo)
• Ukuphazamiseka kubuntu (ukungakwazi ukulawula iimvakalelo kunye nokuziphatha okulindelweyo kwiimeko ezithile zentlalo)

Abantu abanengxaki yokuguquka abazenzi iimpawu zabo ukuze bafumane indawo yokuhlala, umzekelo (malingering). Kananjalo abazenzakalisi ngabom okanye baxoke malunga neempawu zabo ukuze babe sisigulana. Abanye ababonelela ngempilo bakholelwa ngobuxoki ukuba ingxaki yokuguqula ayisiyonto yokwenyani kwaye banokuxelela abantu ukuba ingxaki isentloko kubo. Kodwa le meko iyinyani. Kubangela uxinzelelo kwaye akunakuvulwa kwaye kucinywe ngokuthanda.

Iimpawu ezibonakalayo kucingelwa ukuba ngumzamo wokusombulula ukungavisisani umntu avakalelwa ngaphakathi kuye. Umzekelo, owasetyhini okholelwa ukuba ayamkelekanga ukuba neemvakalelo zobundlobongela unokuziva ngesiquphe ezingalweni zakhe emva kokuba nomsindo kangangokuba afune ukubetha umntu. Endaweni yokuzivumela ukuba neengcinga ezinobundlobongela ngokubetha umntu, ufumana uphawu lomzimba wokuba ndindisholo ezingalweni zakhe.

Iimpawu zengxaki yokuguqula zibandakanya ukuphulukana nomsebenzi omnye okanye nangaphezulu komzimba, njenge:

• Ubumfama
• Ukungakwazi ukuthetha
• Ubumdaka
• Ukukhubazeka

Iimpawu eziqhelekileyo zokuguquka kwengxaki zibandakanya:

• Uphawu oluyekisayo oluqala ngequbuliso
• Imbali yengxaki yengqondo eba ngcono emva kokuvela kwempawu
• Ukungabikho kwenkxalabo edla ngokwenzeka ngeempawu ezinzima

Umboneleli uya kwenza uvavanyo lomzimba kwaye anga-odola uvavanyo lokuqonda isifo. Oku kukuqinisekisa ukuba akukho zizathu zibangela uphawu.

Ukuthetha ngonyango kunye noqeqesho kulawulo loxinzelelo kunokunceda ukunciphisa iimpawu.

Icandelo lomzimba elichaphazelekayo okanye umsebenzi owenziwe ngokomzimba unokufuna unyango ngokwasemzimbeni okanye ngokomsebenzi de iimpawu zihambe. Umzekelo, kufuneka kusetyenziswe ingalo ekhubazekileyo ukugcina izihlunu zomelele.

Iimpawu zihlala zihlala iintsuku ukuya kwiiveki kwaye zinokuphela ngesiquphe. Ngokwesiqhelo uphawu ngokwalo alusongeli ubomi, kodwa iingxaki zinokubangela buthathaka.

Jonga umboneleli wakho okanye ingcali yezempilo yengqondo ukuba wena okanye umntu omaziyo uneempawu zengxaki yokuguquka.

Umsebenzi wokuphazamiseka kwemithambo-luvo; I-neurosis ye-hysterical

Umbutho wezengqondo zaseMelika. Ingxaki yokuguquka (ukusebenza kweempawu zesifo sengqondo). Unyango woNyango kunye neNgcaciso yeNcwadi yokuPhazamiseka kwengqondo: DSM-5. Umhla we-5. IArlington, VA: Ukupapashwa kwengqondo yaseMelika; Ngo-2013: 318-321.

I-Cottencin O. Ukuphazamiseka kuguquko: imeko yengqondo kunye nokunyanga kwengqondo. Iklinikhi yeNeurophysiol. Ngo-2014; 44 (4): 405-410. IINKCUKACHA: 25306080 www.ncbi.nlm.nih.gov/pubmed/25306080.

UGerstenblith TA, uKontos N. Ukuphazamiseka kwempawu yeSomatic. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ii-eds. Isibhedlele saseMassachusetts Jikelele esiBanzi seNyango yoNyango. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; 2016: isahluko 24.