Munchausen syndrome ngummeli

I-Munchausen syndrome ngummeli sisifo sengqondo kunye nohlobo lokuxhatshazwa kwabantwana. Umgcini womntwana, uhlala engumama, mhlawumbi wenza iimpawu ezingezizo okanye zibangela iimpawu zokwenyani zibukeke ngathi uyagula.

Akukho mntu uqinisekileyo ukuba yintoni ebangela Munchausen syndrome ngummeli. Ngamanye amaxesha, umntu wayexhatshazwa njengomntwana okanye une-Munchausen syndrome (isifo sokuzikhohlisa).

Umgcini unokwenza izinto ezigabadeleyo kwiimpawu ezingezizo zokugula emntwaneni. Umzekelo, umgcini unokuthi:

• Yongeza igazi kumchamo womntwana okanye esitulweni
• Bamba ukutya ukuze umntwana ajongeke angabinako ukutyeba
• Fudumeza iithemometha ukuze kubonakale ngathi umntwana unefiva
• Yenza iziphumo zebhabhu
• Nika umntwana iziyobisi zokwenza ukuba umntwana aphose okanye ahambise urhudo
• Yosulela umgca we-intravenous (IV) wokugulisa umntwana

Zithini iimpawu kumgcini?

• Uninzi lwabantu abanale ngxaki ngoomama abanabantwana abancinci. Abanye ngabantwana abadala abakhathalela umzali osele ekhulile.
• Abagcini ngokuhlala besebenza kukhathalelo lwempilo kwaye banolwazi oluninzi ngonyango. Banokuchaza iimpawu zomntwana ngokweenkcukacha ezinkulu zonyango. Bathanda ukubandakanyeka kakhulu kwiqela lokhathalelo lwempilo kwaye bayathandwa ngabasebenzi ngononophelo abalunika umntwana.
• Aba balondolozi babandakanyeka kakhulu nabantwana babo. Kubonakala ngathi bazinikele emntwaneni. Oku kwenza ukuba kube nzima kubasebenzi bezempilo ukuba babone isifo seMunchausen syndrome ngummeli.

Zithini iimpawu emntwaneni?

• Umntwana ubona ababoneleli abaninzi bezempilo kwaye usesibhedlele kakhulu.
• Umntwana uhlala eneemvavanyo ezininzi, utyando, okanye ezinye iinkqubo.
• Umntwana uneempawu ezingaqhelekanga ezingahambelani nasiphi na isifo. Iimpawu azihambelani neziphumo zovavanyo.
• Iimpawu zomntwana zixelwa ngumgcini. Abazange babonwe ziingcali zononophelo lwempilo. Iimpawu ziphelile esibhedlele, kodwa qalisa kwakhona xa umntwana egoduka.
• Iisampuli zegazi azihambelani nohlobo lwegazi lomntwana.
• Iziyobisi okanye iikhemikhali zifumaneka kumchamo womntwana, kwigazi, okanye esitulweni.

Ukuchonga i-Munchausen syndrome ngummeli, ababoneleli kufuneka babone imikhondo. Kuya kufuneka baphonononge irekhodi lonyango lomntwana ukuze babone okwenzekileyo ngomntwana ekuhambeni kwexesha. Rhoqo, iMunchausen syndrome ngummeli iye ingafunyanwa.

Umntwana ufuna ukukhuselwa. Banokufuna ukuba basuswe kwinkathalo ethe ngqo yomgcini obekiweyo.

Abantwana banokufuna ukhathalelo lonyango ukunyanga iingxaki zomonzakalo, usulelo, amayeza, utyando, okanye iimvavanyo. Bafuna ukunakekelwa kwengqondo ukujongana nokudakumba, unxunguphalo, kunye noxinzelelo lwasemva koxinzelelo olunokubakho ngenxa yokuphathwa gadalala kwabantwana.

Unyango luhlala lubandakanya unyango lomntu ngamnye kunye nosapho. Ngenxa yokuba olu luhlobo lokuxhatshazwa kwabantwana, isifo kufuneka sixelwe kwabasemagunyeni.

Ukuba ucinga ukuba umntwana uyaxhatshazwa, nxibelelana nomboneleli, amapolisa, okanye iinkonzo zokhuselo lomntwana.

Tsalela umnxeba kwi-911 ngaye nawuphi na umntwana osengozini kwangoko ngenxa yokuxhatshazwa okanye ukungahoywa.

Ungabiza lo mnxeba ungafowunelwa kazwelonke. Abacebisi ngeengxaki bafumaneka nge-24/7. Iitoliki ziyafumaneka ukunceda ngeelwimi ezili-170. Umcebisi emnxebeni unokukunceda ufumane amanyathelo alandelayo. Yonke iminxeba ayaziwa kwaye iyimfihlo. Tsalela umnxeba u-Childhelp kuZwelonke woNcedo lokuSetyenziswa gwenxa kwaBantwana 1-800-4-A-CHILD (1-800-422-4453).

Ukwamkelwa kwesifo seMunchausen yi-proxy kubudlelwane babantwana nomzali kunokuthintela ukuqhubeka koxhatshazo kunye nokungeyomfuneko, ukubiza, kunye nokuvavanywa kwezonyango okuyingozi.

Ukuphazamiseka okuyinyani ngummeli; Ukuphathwa gadalala kwabantwana-Munchausen

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I-Dubowitz H, iNdlela yeWG. Abantwana abaphethwe gadalala nabangahoywanga. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 16.

UShapiro R, uFarst K, uChervenak CL. Uhlukunyezo lwabantwana. Ku: Rakel RE, Rakel DP, ii-eds. Incwadi yesikhokelo samayeza osapho. Umhla we-9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 24.