Ukuphazamiseka koxinzelelo

Umxholo

• Yintoni ebangela ukuphazamiseka koxinzelelo?
• Ngubani osemngciphekweni wokuphazamiseka koxinzelelo?
• Zithini iimpawu zesifo esibi?
• Iimpawu zokuzahlula
• Ukuphinda ujonge isiganeko esibuhlungu
• Ukuphepha
• Ixhala okanye ukwanda kokuvuka
• Ukubandezeleka
• Ufumanisa njani ukuba uxinzelelo lwe-acute?
• Luphathwa njani uxinzelelo loxinzelelo?
• Ithini imbonakalo yexesha elide?
• Ndingaluthintela ASD?

Yintoni ingxaki yoxinzelelo olukhulu?

Kwiiveki ezisemva kwesiganeko esibuhlungu, ungaqala ukuba noxinzelelo loxinzelelo olubizwa ngokuba yi-acute stress disorder (ASD). I-ASD idla ngokwenzeka kwinyanga enye yesiganeko esibuhlungu. Ihlala ubuncinci iintsuku ezintathu kwaye inokuqhubeka ukuya kwinyanga enye. Abantu abane-ASD baneempawu ezifana nezo zibonwa emva koxinzelelo lwasemva koxinzelelo (PTSD).

Yintoni ebangela ukuphazamiseka koxinzelelo?

Amava, ubungqina, okanye ukujongana nesiganeko esinye okanye ezininzi ezibi kakhulu kunokubangela i-ASD. Iziganeko zidala uloyiko olukhulu, uloyiko, okanye ukungabikho koncedo. Iziganeko ezothusayo ezinokubangela i-ASD ibandakanya:

• ukufa
• isisongelo sokufa kuye okanye kwabanye
• isoyikiso sokwenzakala okukhulu kuwe okanye kwabanye abantu
• isoyikiso kwimfezeko yomzimba wakho okanye yabanye

Malunga neepesenti ezi-6 ukuya kwezingama-33 zabantu abafumana isiganeko esibuhlungu baphuhlisa i-ASD, ngokweSebe laseMelika leMicimbi yeVeterans. Eli nqanaba liyahluka ngokobume bemeko ebuhlungu.

Ngubani osemngciphekweni wokuphazamiseka koxinzelelo?

Nabani na angaluphuhla ASD emva kwesiganeko esibuhlungu. Unokuba nomngcipheko okhulayo we-ASD ukuba:

• abanamava, bangqina, okanye bajongana nesiganeko esibuhlungu kwixa elidlulileyo
• yimbali yeASD okanye iPTSD
• imbali yeentlobo ezithile zeengxaki zengqondo
• Imbali yeempawu zokuzahlula ngexesha leziganeko ezibi

Zithini iimpawu zesifo esibi?

Iimpawu ze-ASD zibandakanya:

Iimpawu zokuzahlula

Uya kuba nezintathu okanye nangaphezulu kwezi mpawu zingafaniyo xa unoluphazamiseko.

• Ndiziva ndindisholo, ndizibambile, okanye ndingaphenduli ngokweemvakalelo
• ulwazi oluncitshisiweyo lokungqongileyo
• derealization, eyenzeka xa imeko-bume yakho ibonakala ingaqhelekanga okanye ingeyonyani kuwe
• ukuzenza umntu, okwenzeka xa iingcinga zakho okanye iimvakalelo zakho zingabonakali ziyinyani okanye zingabonakali ngathi zezakho
• dissociative amnesia, eyenzeka xa ungakhumbuli into enye okanye ezingaphezulu ezibalulekileyo zesiganeko esibuhlungu

Ukuphinda ujonge isiganeko esibuhlungu

Uya kuphinda-phinda amava amabi ngendlela enye okanye ezingaphezulu kwezi zilandelayo ukuba unayo i-ASD:

• ukuba nemifanekiso ephindaphindayo, iingcinga, amaphupha amabi, ubuqhetseba, okanye iziqendu ezibuyela emva zesiganeko esibuhlungu
• uziva ngathi ukhumbula isiganeko esibuhlungu
• Ukuziva ukhathazekile xa kukho into ekukhumbuza ngesiganeko esibuhlungu

Ukuphepha

Ungasiphepha isikhuthazi esibangela ukuba usikhumbule okanye uphinde usive isiganeko esibuhlungu, esifana:

• abantu
• iincoko
• iindawo
• izinto
• imisebenzi
• iingcinga
• iimvakalelo

Ixhala okanye ukwanda kokuvuka

Iimpawu ze-ASD zinokubandakanya unxunguphalo kunye nokunyuka kokuvuka. Iimpawu zoxinzelelo kunye nokwanda kokuvuka kubandakanya:

• unengxaki yokulala
• ukuba nomsindo
• kubenzima ukugxila
• ukungakwazi ukuyeka ukushukuma okanye ukuhlala uzolile
• ukuhlala uxinezelekile okanye ugadwe
• bothuka ngokulula okanye ngamaxesha angafanelekanga

Ukubandezeleka

Iimpawu ze-ASD zinokubangela uxinzelelo okanye ukuphazamise izinto ezibalulekileyo ebomini bakho, ezinje ngokwasentlalweni okanye emsebenzini. Unokuba nako ukungakwazi ukuqala okanye ukugqiba imisebenzi eyimfuneko, okanye ukungakwazi ukuxelela abanye ngesiganeko esibuhlungu.

Ufumanisa njani ukuba uxinzelelo lwe-acute?

Ugqirha wakho ophambili okanye umboneleli wokhathalelo lwempilo yengqondo uza kuxilonga i-ASD ngokubuza imibuzo malunga nesiganeko esibuhlungu kunye neempawu zakho. Kwakhona kubalulekile ukulawula ezinye izizathu ezifana nalezi:

• iziyobisi
• iziphumo ebezingalindelekanga zamayeza
• iingxaki zempilo
• ezinye iingxaki zengqondo

Luphathwa njani uxinzelelo loxinzelelo?

Ugqirha wakho angasebenzisa enye okanye ngaphezulu kwezi ndlela zilandelayo ukunyanga iASD:

• ukuvavanywa kwengqondo ukufumanisa iimfuno zakho ezithile
• ukulaliswa esibhedlele ukuba usemngciphekweni wokuzibulala okanye wenzakalise abanye
• uncedo lokufumana indawo yokuhlala, ukutya, impahla kunye nokufumana usapho, ukuba kukho imfuneko
• imfundo yengqondo ukukufundisa ngengxaki yakho
• amayeza okudambisa iimpawu ze-ASD, ezinje ngamayeza okungaxhalabi, i-serotonin reuptake inhibitors (i-SSRIs) ekhethiweyo, kunye ne-anti-depressants
• unyango lokuziphatha kwengqondo (CBT), olunokuthi lwonyuse isantya sokubuyisela kunye nokuthintela i-ASD ekubeni ijike ibe yi-PTSD
• Unyango olusekwe kukuvezwa
• Unyango

Ithini imbonakalo yexesha elide?

Abantu abaninzi abanoluphazamiseko baye bafumane ukuba banePTSD. Ukuchongwa kwe-PTSD kwenziwa ukuba iimpawu zakho ziyaqhubeka ngaphezulu kwenyanga kwaye zibangele inani elikhulu loxinzelelo kunye nobunzima bokusebenza.

Unyango lunokunciphisa amathuba akho okuphuhlisa i-PTSD. Phantse iipesenti ezingama-50 zamatyala e-PTSD asonjululwa kwisithuba seenyanga ezintandathu, ngelixa amanye anokuqhubeka iminyaka.

Ndingaluthintela ASD?

Ngenxa yokuba akukho ndlela yokuqinisekisa ukuba awusoze uve kwimeko ebuhlungu, akukho ndlela yokuthintela i-ASD. Nangona kunjalo zikhona izinto ezinokwenziwa ukunciphisa amathuba ophuhliso lweASD.

Ukufumana unyango kwisithuba seeyure ezimbalwa zokufumana isehlo esibuhlungu kunganciphisa amathuba okuba ube ne-ASD. Abantu abasebenza kwimisebenzi ephethe umngcipheko omkhulu weziganeko ezibuhlungu, ezinje ngemikhosi yasemkhosini, banokuzuza kuqeqesho lokulungiselela kunye neengcebiso ukunciphisa umngcipheko wokuba ne-ASD okanye i-PSTD ukuba isiganeko esibuhlungu siyenzeka. Ukulungiselela uqeqesho kunye neengcebiso kunokubandakanya ukwenziwa okungeyonyani kweziganeko ezibi kunye neengcebiso ukomeleza iindlela zokulwa.