Ukuphazamiseka kwempawu eSomatic

Ingxaki yesifo seSomatic (SSD) yenzeka xa umntu eziva exakeke kakhulu, exhalabisa kakhulu malunga neempawu zomzimba. Umntu uneengcinga ezinzulu, iimvakalelo kunye nokuziphatha okunxulumene neempawu, zokuba baziva bengenako ukwenza eminye yemisebenzi yobomi bemihla ngemihla. Banokukholelwa ukuba iingxaki eziqhelekileyo zonyango zibusongela ubomi. Olu xinzelelo alunakuphucuka ngaphandle kweziphumo zovavanyo eziqhelekileyo kunye nokuqinisekiswa ngumboneleli wezempilo.

Umntu one-SSD akazenzi iimpawu zakhe. Intlungu kunye nezinye iingxaki ziyinyani. Zingabangelwa yingxaki yonyango. Rhoqo, akukho sizathu sokoqobo sinokufunyanwa. Nangona kunjalo, kukusabela okugabadeleyo kunye nokuziphatha malunga neyona ngxaki iphambili.

I-SSD ihlala iqala ngaphambi kweminyaka engama-30. Yenzeka rhoqo kwabafazi kunamadoda. Akucaci ukuba kutheni abanye abantu bephuhlisa le meko. Izinto ezithile zinokubandakanyeka:

• Ukuba nembono ephosakeleyo
• Ukuba novakalelo ngakumbi ngokwasemzimbeni nangokweemvakalelo kwintlungu nakwezinye iimvakalelo
• Imbali yosapho okanye ukukhuliswa
• Imfuza

Abantu abanembali yokuxhatshazwa ngokwasemzimbeni okanye ngokwesondo banokubakho kwesi sifo. Kodwa ayinguye wonke umntu one-SSD onembali yokuxhatshazwa.

I-SSD iyafana nesifo sokuxhalaba (hypochondria). Yilapho abantu bexhalabile kakhulu malunga nokugula okanye ukuba nesifo esibi. Balindele ngokupheleleyo ukuba baya kugula kakhulu ngaxa lithile. Ngokungafaniyo ne-SSD, xa unesifo esinexhala lokugula, zimbalwa okanye akukho zimpawu zibonakalayo emzimbeni.

Iimpawu ezibonakalayo ezinokuthi zenzeke nge-SSD zinokubandakanya:

• Intlungu
• Ukudinwa okanye ubuthathaka
• Ukuqhawukelwa ngumphefumlo

Iimpawu zinokuba mnene ukuya kubukhali. Kukho enye okanye ezininzi iimpawu. Banokuza bahambe okanye batshintshe. Iimpawu zisenokubangelwa yimeko yonyango kodwa zisenokungabi nasizathu sicacileyo.

Indlela abantu abaziva kwaye baziphathe ngayo ekuphenduleni olu luvo lomzimba zezona mpawu ziphambili ze-SSD. Ezi mpendulo kufuneka ziqhubeke kangangeenyanga ezi-6 okanye nangaphezulu. Abantu abane-SSD banokuthi:

• Zive uxhalabile kakhulu malunga neempawu
• Yiva inkxalabo yokuba iimpawu ezinobulali luphawu lwesifo esibi
• Yiya kugqirha ufumane iimvavanyo ezininzi kunye neenkqubo, kodwa ungakholelwa kwiziphumo
• Yiva ukuba ugqirha akazithathi ngokwaneleyo iimpawu zabo okanye akakhange enze umsebenzi olungileyo wokunyanga ingxaki
• Chitha ixesha elininzi kunye namandla ujongene neenkxalabo zempilo
• Unengxaki ekusebenzeni ngenxa yeengcinga, iimvakalelo, kunye nokuziphatha malunga neempawu

Uya kuba novavanyo olupheleleyo lomzimba. Umboneleli wakho unokwenza uvavanyo oluthile ukufumana naziphi na izizathu ezibonakalayo. Iindidi zovavanyo ezenziweyo zixhomekeke kwiimpawu onazo.

Umboneleli wakho unokukuthumela kumboneleli wezempilo yengqondo. Umboneleli ngempilo yengqondo angenza olunye uvavanyo.

Injongo yonyango kukulawula iimpawu zakho kunye nokukunceda usebenze ebomini.

Ukuba nobudlelwane obuxhasayo nomboneleli wakho kubalulekile kunyango lwakho.

• Kuya kufuneka ube nomboneleli omnye kuphela. Oku kuya kukunceda uphephe ukuba neemvavanyo kunye neenkqubo ezingafunekiyo.
• Kuya kufuneka ubone umboneleli wakho rhoqo ukuphonononga iimpawu zakho kunye nendlela ohlangabezana ngayo.

Unokubona nomboneleli wezempilo yengqondo (ugqirha). Kubalulekile ukubona ugqirha onamava okunyanga i-SSD. Ukunyanga ngokuziphatha luhlobo lonyango oluthetha ngalo olunokunceda ukuphatha i-SSD. Ukusebenza nonyango kunokunceda ekunciphiseni iintlungu kunye nezinye iimpawu. Ngexesha lonyango, uya kufunda:

• Jonga iimvakalelo zakho kunye neenkolelo zakho malunga nempilo kunye neempawu zakho
• Fumana iindlela zokunciphisa uxinzelelo kunye noxinzelelo malunga neempawu
• Yeka ukugxila kakhulu kwiimpawu zakho zomzimba
• Qaphela into ebonakala ngathi yenza ukuba iintlungu okanye ezinye iimpawu zibe mandundu
• Funda ngendlela yokumelana nentlungu okanye ezinye iimpawu
• Hlala usebenza kwaye ujonge, nokuba useneentlungu okanye ezinye iimpawu
• Umsebenzi ongcono kubomi bakho bemihla ngemihla

Umgqirha wakho uya kunyanga uxinzelelo okanye ezinye izifo zempilo yengqondo onokuba unayo. Unokuthatha i-anti-depressants ukukunceda uxinzelelo kunye noxinzelelo.

Akufanele uxelelwe ukuba iimpawu zakho ziyacingelwa okanye zonke zisentloko yakho. Umboneleli wakho kufuneka asebenze kunye nawe ukulawula zombini iimpawu zomzimba kunye neemvakalelo.

Ukuba awunyangwa, unokuba:

• Ingxaki yokusebenza ebomini
• Iingxaki nosapho, abahlobo kunye nomsebenzi
• Impilo enkenenkene
• Umngcipheko okhulayo woxinzelelo kunye nokuzibulala
• Iingxaki zemali ngenxa yeendleko zokutyelelwa kweeofisi kunye neemvavanyo

I-SSD yimeko yexesha elide (engapheliyo). Ukusebenza kunye nababoneleli bakho kunye nokulandela isicwangciso sakho sonyango kubalulekile ukulawula esi sifo.

Kuya kufuneka unxibelelane nomboneleli wakho ukuba:

• Ndiziva ndikhathazekile malunga neempawu zomzimba ongenakukwazi ukusebenza
• Yiba neempawu zoxinzelelo okanye zokudakumba

Ukucebisa kunokunceda abantu abaqhelekileyo kwi-SSD bafunde ezinye iindlela zokujongana noxinzelelo. Oku kunokunceda ukunciphisa ubunzima beempawu.

Uphawu lweSomatic kunye nokuphazamiseka okunxulumene noko; Ukuphazamiseka kwe-Somatization; Ukuphazamiseka kweSomatiform; Isifo seBriquet; Isifo sokukhathazeka

Umbutho wezengqondo zaseMelika. Ukuphazamiseka kwempawu eSomatic. Unyango woNyango kunye neNgcaciso yeNcwadi yokuPhazamiseka kwengqondo. Umhla we-5. IArlington, VA: Ukupapashwa kwengqondo yaseMelika; Ngo-2013: 311-315.

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.