IHardard: Ukuqonda nokunyanga

Umxholo

• Yintoni ukungahambi kakuhle?
• Yintoni ebangela ukungahambi kakuhle?
• Ngaba usemngciphekweni wokungahambi kakuhle?
• Zithini iimpawu zokuzikhusela?
• Ungayinyanga njani i-HD
• Uxilongo
• Unyango lokuziphatha kwengqondo (CBT)
• Amaqela akhokelwa ngoontanga
• Amayeza
• Inkxaso eluncedo
• Yintoni imbonakalo

Ushwankathelo

Ukufihla kwenzeka xa umntu esokola ukulahla izinto kwaye eqokelela izinto ezingeyomfuneko. Ixesha elingaphezulu, ukungakwazi ukulahla izinto kunokugqitha isantya sokuqokelela.

Ulwakhiwo oluqhubekayo lwezinto eziqokelelweyo zingakhokelela kwiindawo zokuhlala ezingakhuselekanga kunye nezingenampilo. Inokubangela ukungavisisani kubudlelwane bobuqu kunye nokunciphisa kakhulu umgangatho wobomi bemihla ngemihla.

Yintoni ukungahambi kakuhle?

Ukuphazamiseka kwengqondo (HD) yimeko enxulunyaniswa nokubambisa. I-HD inokuba mandundu ngokuhamba kwexesha. Ihlala ichaphazela abantu abadala, nangona ulutsha lusenokubonisa imikhwa emibi.

I-HD ihlelwa njengengxaki kuhlelo lwesihlanu lweDiagnostic kunye neNgcaciso yeNcwadi yeNgxaki yeNgqondo. Olu lonyulo lwenza i-HD ukuba ibe sisifo esizimeleyo esixilongayo. I-HD inokwenzeka ngaxeshanye nezinye iimeko zempilo yengqondo ngokunjalo.

Unyango lufuna ukuzikhuthaza kunye nomnqweno wokutshintsha indlela oziphethe ngayo. Ikwafuna ukubandakanyeka kogqirha. Inkxaso yosapho inokuba luncedo, ukuba nje iyakha kwaye ayimangaleli.

Yintoni ebangela ukungahambi kakuhle?

I-HD inokwenzeka ngenxa yezizathu ezininzi. Umntu angaqala ukuqokelela kuba ekholelwa ukuba into ayithathileyo, okanye ucinga ukuqokelela, inokuba yexabiso okanye eluncedo ngexesha elithile. Banokudibanisa into kunye nomntu okanye umsitho obalulekileyo abangafuni kuwulibala.

IiHoarders zihlala zihlala nezinto zazo eziqokelelweyo ngaphandle kweemfuno zazo. Umzekelo, banokuyeka ukusebenzisa ifriji yabo kuba indawo yabo yasekhitshini ivalekile ngezinto. Okanye banokukhetha ukuhlala nesixhobo esaphukileyo okanye ngaphandle kobushushu kunokuvumela umntu angene ekhayeni lakhe ukulungisa ingxaki.

Abantu abanokuba sesichengeni sokufumana izinto ezibandakanya abo:

• Uhlala wedwa
• wakhulela kwindawo engalungelelananga
• wayenobuntwana obunzima, obuhluthwayo

I-HD ikwanxulunyaniswa nezinye iimeko zempilo yengqondo. Ezinye zezi ziquka:

• ixhala
• Ingxaki yokungahambi kakuhle (ADHD)
• ukudakumba
• Isifo sengqondo esiyingozi
• ubume obungalunganga obuphambanisayo
• ukungaboni kakuhle okunyanzelekileyo kubuntu
• schizophrenia

Uphando lubonisa ukuba i-HD inokunxulunyaniswa nokusilela kokusebenza kwamandla okuphatha. Ukusilela kule ndawo kubandakanya, phakathi kwezinye iimpawu, ukungakwazi:

• Qwalasela
• yenza izigqibo
• Yahlula izinto

Ukusilela kokusebenza okulawulayo kuhlala kunxulunyaniswa ne-ADHD ebuntwaneni.

Ngaba usemngciphekweni wokungahambi kakuhle?

I-HD ayiqhelekanga. Phantse iipesenti ezi-2 ukuya kwezi-6 zabantu abane-HD. Ubuncinci i-1 kuma-50- mhlawumbi nokuba yi-1 kuma-20-abantu banotyekelo olubalulekileyo, okanye olunyanzelekileyo.

I-HD ichaphazela amadoda nabasetyhini ngokulinganayo. Akukho bungqina busekwe kuphando bokuba inkcubeko, ubuhlanga, okanye ubuhlanga budlala indima kuphuhliso lweemeko.

Ubudala yinto ebalulekileyo ye-HD. Abantu abadala abaneminyaka engama-55 nangaphezulu banamathuba aphindwe kathathu okuphuhlisa i-HD kunabantu abadala abancinci. Iminyaka yobudala yomntu ofuna uncedo lwe-HD ijikeleze ama-50.

Abafikisayo banokuba ne-HD. Kweli qela lobudala, ngokubanzi kuthambile kwaye iimpawu azixineki. Kungenxa yokuba ulutsha luthanda ukuhlala nabazali okanye abantu abahlala nabo abanokunceda ukulawula indlela abaziphethe ngayo.

I-HD ingaqala ukuphazamisa imisebenzi yemihla ngemihla malunga neminyaka engama-20, kodwa ayinakuba yingxaki enkulu kude kube yiminyaka engama-30 okanye kamva.

Zithini iimpawu zokuzikhusela?

I-HD yakha ngokuthe ngcembe ngokuhamba kwexesha, kwaye umntu usenokungazi ukuba babonisa iimpawu ze-HD. Ezi zimpawu kunye neempawu zibandakanya:

• ukungakwazi ukwahlukana nezinto, kubandakanya zombini izinto ezixabisekileyo nezinexabiso
• ukuba nobunzima obugqithisileyo ekhaya, eofisini, okanye kwenye indawo
• ukungakwazi ukufumana izinto ezibalulekileyo phakathi kokuxinana okugqithisileyo
• ukungakwazi ukuvumela izinto zihambe ngenxa yokoyika ukuba ziya kudingeka "ngenye imini"
• ukubamba inani eligqithisileyo lezinto kuba zizikhumbuzo zomntu okanye isiganeko sobomi
• ukugcina izinto zasimahla okanye ezinye izinto ezingeyomfuneko
• Ndiziva ndikhathazekile kodwa ndingenakuzinceda malunga nesixa sezinto kwindawo yabo
• ukugxeka ukungqubana okugqithisileyo kubungakanani bendawo yabo okanye ukungabikho kombutho
• Ukuphulukana namagumbi kukuxinana, okwenza ukuba bangakwazi ukusebenza ngeenjongo zabo
• ukunqanda ukubamba abantu kwisithuba ngenxa yeentloni okanye iintloni
• ukubeka ulungiso ekhaya ngenxa yokuxinana kwaye ungafuni ukuvumela umntu ukuba angene ekhayeni lakhe ukulungisa nantoni na eyonakeleyo
• ukuba ungquzulwano nabantu obathandayo ngenxa yokuxinana okugqithisileyo

Ungayinyanga njani i-HD

Ukuxilongwa kunye nokunyangwa kwe-HD kunokwenzeka. Nangona kunjalo, kunokuba nzima ukweyisela umntu one-HD ukuba ayiqonde imeko. Abantu ababathandayo okanye abantu bangaphandle banokuthi babone iimpawu kunye neempawu ze-HD kwakude kudala ngaphambi kokuba umntu onale meko avumelane nayo.

Unyango lwe-HD kufuneka lujolise emntwini hayi kuphela kwizithuba eziye zangqubana nezinto ezingamanyala. Umntu kufuneka kuqala avume kukhetho lonyango ukuze atshintshe indlela aziphethe ngayo.

Uxilongo

Umntu ofuna unyango lwe-HD kufuneka aqale abone ugqirha wakhe. Ugqirha unokuvavanya i-HD ngodliwanondlebe nomntu kunye nabantu ababathandayo. Banokundwendwela nendawo yomntu ukumisela ubuzaza kunye nomngcipheko wale meko.

Uvavanyo olunzulu lwezonyango lunokunceda ekuchongeni naziphi na ezinye iimeko zempilo yengqondo.

Unyango lokuziphatha kwengqondo (CBT)

Umntu ngamnye kunye neqela lokunyanga ngokuziphatha (CBT) kunokuba yeyona ndlela iphumeleleyo yokunyanga i-HD. Oku kufuneka kubhekiswe ngugqirha.

Uphando lubonakalisile ukuba olu hlobo lonyango lunokuba luncedo. Uphengululo loncwadi lubonakalise ukuba abasetyhini abancinci abaya kwiiseshoni ezininzi ze-CBT kwaye bafumana ukutyelelwa kwamakhaya aliqela baphumelele kakhulu ngolu hlobo lonyango.

I-CBT inokwenziwa kuseto lomntu okanye lweqela. Unyango lujolise ekubeni kutheni umntu enokuba nobunzima bokulahla izinto kwaye kutheni enqwenela ukuzisa izinto ezininzi kwisithuba. Injongo ye-CBT kukutshintsha indlela yokuziphatha kunye neenkqubo zokucinga ezinegalelo ekugcinweni.

Iiseshoni ze-CBT zinokubandakanya ukudala iindlela zokuchasana kunye nokuxoxa ngeendlela zokuthintela ukuzisa izinto ezintsha kwindawo.

Amaqela akhokelwa ngoontanga

Amaqela akhokelwa ngoontanga anokunceda ekunyangeni i-HD. La maqela anokuba nobuhlobo kwaye angoyiki mntu one-HD. Bahlala behlangana ngeveki kwaye kubandakanya ukungena rhoqo ukubonelela ngenkxaso kunye nokuvavanya inkqubela phambili.

Amayeza

Akukho machiza akhoyo anyanga i-HD. Abanye banokunceda ngeempawu. Ugqirha unokuyalela i-serotonin reuptake inhibitor ekhethiweyo okanye i-serotonin-norepinephrine reuptake inhibitor yokunceda kule meko.

La mayeza aqhelekileyo asetyenziselwa ukunyanga ezinye iimeko zempilo yengqondo. Nangona kunjalo, akucaci nokuba la mayeza aluncedo kwi-HD. Olunye uphando lubonakalisile ukuba amayeza e-ADHD anokuba luncedo kwi-HD.

Inkxaso eluncedo

Ukuxhasa umntu ochaphazelekayo yi-HD kunokuba ngumceli mngeni. I-HD inokubangela uxinzelelo phakathi komntu ochaphazelekayo kunye nabantu obathandayo. Kubalulekile ukuvumela umntu one-HD ukuba azikhuthaze ngokwakhe ukuba afumane uncedo.

Njengomntu wangaphandle, kuyalingwa ukukholelwa ukuba ukucoca iindawo ezixineneyo kuya kusombulula ingxaki. Kodwa i-hoarding iya kuqhubeka ngaphandle kwesikhokelo esifanelekileyo kunye nongenelelo.

Nazi ezinye zeendlela onokuxhasa ngazo umntu one-HD:

• Yeka ukuhlala okanye ukunceda umntu ngokuthanda izinto.
• Bakhuthaze ukuba bafune uncedo lobungcali.
• Inkxaso ngaphandle kokugxeka.
• Xoxa ngeendlela abanokwenza ngazo indawo yabo ikhuseleke.
• Cebisa ukuba unyango lunokubuchaphazela njani ubomi babo.

Yintoni imbonakalo

Ukuphazamiseka kwimo yokusebenza yimeko yokuchonga efuna uncedo lweengcali zonyango. Ngoncedo lobuchwephesha kunye nexesha, umntu unokukwazi ukuqhubekeka nokuziphatha kwakhe kunye nokunciphisa ukungcola okuyingozi kunye nokuphembelela kwindawo yabo.