Chidziwitso chamakhalidwe othandizira kupweteka kwakumbuyo

Chidziwitso chamakhalidwe (CBT) chitha kuthandiza anthu ambiri kuthana ndi ululu wosatha.

CBT ndi njira yothandizira pamaganizidwe. Nthawi zambiri zimakhudza misonkhano 10 mpaka 20 ndi wothandizira. Kuyang'ana kwambiri malingaliro anu kumapangitsa gawo lazidziwitso la CBT. Kuyang'ana zochita zanu ndi gawo lamakhalidwe.

Choyamba, wothandizira wanu amakuthandizani kuzindikira malingaliro ndi malingaliro olakwika omwe amachitika mukakhala ndi ululu wammbuyo. Kenako wothandizira wanu amakuphunzitsani momwe mungasinthire izi kukhala malingaliro othandiza ndi machitidwe athanzi. Kusintha malingaliro anu kuchokera pazoyipa kukhala zabwino kungakuthandizeni kuthana ndi ululu wanu.

Amakhulupirira kuti kusintha malingaliro anu okhudza zowawa kumatha kusintha momwe thupi lanu limayankhira ndi zowawa.

Simungathe kuletsa kupweteka kwakuthupi kuti kusachitike. Koma, mwakuchita, mutha kuwongolera momwe malingaliro anu amathetsera ululu. Chitsanzo ndikusintha malingaliro olakwika, monga "Sindingathe kuchita chilichonse," kukhala ndi malingaliro abwino, monga "Ndidachita izi kale ndipo nditha kuzichitanso."

Wothandizira kugwiritsa ntchito CBT akuthandizani kuphunzira:

• Dziwani malingaliro olakwika
• Siyani malingaliro olakwika
• Yesezani kugwiritsa ntchito malingaliro abwino
• Khalani ndi malingaliro abwino

Kuganiza moyenera kumaphatikizapo malingaliro abwino ndikukhazika mtima pansi ndi thupi lanu pogwiritsa ntchito njira monga yoga, kutikita minofu, kapena kujambula. Kuganiza moyenera kumakupangitsani kumva bwino, ndikumva bwino kumachepetsa ululu.

CBT ikhozanso kukuphunzitsani kuti mukhale achangu. Izi ndizofunikira chifukwa kuchita masewera olimbitsa thupi pafupipafupi, monga kuyenda ndi kusambira, kungathandize kuchepetsa komanso kupewa kupweteka kwakumbuyo kwakanthawi.

Kuti CBT ikuthandizireni kuchepetsa kupweteka, zolinga zanu zamankhwala ziyenera kukhala zenizeni ndipo chithandizo chanu chikuyenera kuchitidwa pang'onopang'ono. Mwachitsanzo, zolinga zanu zitha kukhala kuwona anzanu ambiri ndikuyamba kuchita masewera olimbitsa thupi. Ndizomveka kuwona mnzanu m'modzi kapena awiri poyamba ndikuyenda pang'ono, mwina atangotsika. Sizowoneka bwino kulumikizananso ndi anzanu onse nthawi imodzi ndikuyenda ma 3 mamailosi nthawi imodzi pakutuluka kwanu koyamba. Kuchita masewera olimbitsa thupi kungakuthandizeni kuthana ndi zovuta zopweteka.

Funsani omwe amakuthandizani azaumoyo kuti atchule mayina a othandizira ochepa kuti muwone omwe ali ndi inshuwaransi yanu.

Lumikizanani ndi 2 mpaka 3 mwa asing'anga ndi kuwafunsa pafoni. Afunseni za zomwe adakumana nazo pogwiritsa ntchito CBT kuti athane ndi kupweteka kwakumbuyo kosatha. Ngati simukukonda wothandizira woyamba yemwe mumalankhula naye kapena kumuwona, yesani wina.

Nonspecific kupweteka kwammbuyo - kuzindikira kwamachitidwe; Misana yammbuyo - yosasintha - chidziwitso chamakhalidwe; Lumbar ululu - wosakhazikika - chidziwitso chamakhalidwe; Ululu - wobwerera - wosazindikira - chidziwitso chamakhalidwe; Kupweteka kwakumbuyo kosazindikira - machitidwe osazindikira

• Msana

Cohen SP, Raja SN. Ululu. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier Saunders; 2020: chap 27.

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Narayan S, Dubin A. Njira zophatikizira pakusamalira ululu. Mu: Argoff CE, Dubin A, Pilitsis JG, olemba. Zinsinsi Zothandizira Kupweteka. Wolemba 4. Philadelphia, PA: Elsevier; 2018: chap 50.

Turk DC. Maganizo amisala yanthawi yayitali yopweteka. Mu: Benzon HT, Rathmell JP, Wu CL, Turk DC, Argoff CE, Hurley RW, olemba. Kuwongolera Kwabwino Kwa Zowawa. 5th ed. Philadelphia, PA: Elsevier Mosby; 2014: chaputala 12.

• Ululu Wammbuyo
• Kusamalira Mankhwala Osowa Mankhwala