Yintoni ukungahambelani kakuhle kunye nendlela yokuchonga

Umxholo

• Uqinisekisa njani
• Unyango lwenziwa njani

I-Dissociative Disorder, ekwabizwa ngokuba kukuphazamiseka kuguquko, kukuphazamiseka kwengqondo apho umntu enengxaki yokungalingani kwengqondo, notshintsho olwazini, inkumbulo, isazisi, imvakalelo, ukuqonda imeko yendalo esingqongileyo, ulawulo lweentshukumo kunye nokuziphatha.

Ke, umntu onale ngxaki unokufumana iintlobo ezahlukeneyo zeempawu kunye neempawu zemvelaphi yengqondo, ezibonakala zodwa okanye zidibene, ngaphandle kwesigulo esisemzimbeni esifanelekileyo. Ezona ziphambili zezi:

• I-amnesia yexeshana, nokuba kukwiziganeko ezithile okanye kwixesha elidlulileyo, elibizwa ngokuba yi-dissociative amnesia;
• Ukuphulukana okanye ukutshintsha kwamalungu omzimba, ebizwa ngokuba sisifo sokuhamba esasasazekayo;
• Ukuhamba kancinci kunye nengqondo okanye ukungakwazi ukuhamba, efana nokufa isiqaqa okanye imeko yekatati, ebizwa ngokuba kukungaziphathi kakuhle;
• Ukuphulukana nokuqonda ungubani okanye uphi;
• Ukuhamba okufana nokuxhuzula, ebizwa ngokuba kukuhluthwa okungafaniyo;
• Ukulinganisa okanye ukulahleka kwemvakalelo kwindawo enye okanye ezingaphezulu emzimbeni, ezinje ngomlomo, ulwimi, iingalo, izandla okanye imilenze, ebizwa ngokuba yi-dissociative anesthesia;
• Isimo sokudideka okugqithisileyol;
• Iimpawu ezininzi okanye ubuntu, Esisisifo sokungazibonakalisi. Kwezinye iinkcubeko okanye iinkolo, oko kunokubizwa njengelizwe. Ukuba ufuna ukwazi ngakumbi malunga nolu hlobo oluthile lokungahambelani, jonga ukungahambelani kwesazisi.

Kuqhelekile ukuba abantu abane-dissociative disorder babonakalise iinguqu kwindlela yokuziphatha, ezinje ngequbuliso esishushu okanye ukungalungelelani, yiyo loo nto esi sifo saziwa ngokuba yi-hysteria okanye i-hysterical reaction.

Ngokubanzi, ukungahambelani kakuhle kuhlala kubonakala okanye kubi kakhulu emva kweziganeko ezibi okanye zoxinzelelo, kwaye zihlala zibonakala ngesiquphe. Iziqendu zinokuvela amaxesha ngamaxesha okanye ziye rhoqo, kuxhomekeke kwimeko nganye. Kuqheleke kakhulu kubafazi kunamadoda.

Unyango lwe-dissociative disorder kufuneka ikhokelwe ngugqirha wezifo zengqondo kwaye inokubandakanya ukusetyenziswa kweziyobisi ezixhalabisayo okanye ezichasayo zokudambisa iimpawu, kunyango lwengqondo kubaluleke kakhulu.

Uqinisekisa njani

Ngexesha leengxaki zokungaziphathi kakuhle, kunokukholelwa ukuba sisifo ngokwasemzimbeni, ke kuyinto eqhelekileyo ukuba unxibelelwano lokuqala lwezi zigulana lukunye nogqirha kwigumbi likaxakeka.

Ugqirha uchonga ubukho beli syndrome xa efuna ngamandla kwiinguqu kuvavanyo lweklinikhi kunye neemviwo, kodwa akukho nto ivela emzimbeni okanye kwindalo echaza imeko.

Ukuqinisekiswa kokungahambelani kakuhle kwenziwa ngugqirha wezifo zengqondo, oya kuthi avavanye iimpawu ezivezwe kwingxaki kunye nobukho beengxabano zengqondo ezinokubangela okanye zisenze mandundu esi sifo. Lo gqirha kufuneka avavanye ubukho boxinzelelo, uxinzelelo, ukuqaqanjelwa sisisu, isifo sengqondo okanye ezinye iingxaki zengqondo eziba mandundu okanye ezididekileyo kukungaziphathi kakuhle. Ziqonde ukuba ziyintoni kunye nendlela yokuchonga ukuphazamiseka kwengqondo okuqhelekileyo.

Unyango lwenziwa njani

Olona hlobo lonyango kunyango lokungazibandakanyi kukunyanga kwengqondo, kunye nesayikholojisti, ukunceda isigulana siphuhlise iindlela zokujongana noxinzelelo. Iiseshoni zibanjwa de ugqirha wengqondo acinge ukuba isigulana siyakwazi ukulawula iimvakalelo kunye nobudlelwane ngokukhuselekileyo.

Ukulandelwa kugqirha wezifo zengqondo kuyacetyiswa, ngubani oza kuvavanya ukuqhubela phambili kwesi sifo kwaye anokuyalela amayeza okususa iimpawu, ezinje nge-anti-depressants, ezinje nge-Sertraline, antipsychotic, ezinje nge-Tiapride okanye i-anxiolytics, ezinje nge-Diazepam, ukuba kunyanzelekile.