Matenda otembenuka

Matenda otembenuka ndimavuto amisala omwe amachititsa munthu kukhala wakhungu, wolumala, kapena zina zamanjenje (neurologic) zomwe sizingafotokozedwe ndikuwunika kwachipatala.

Zizindikiro zakusokonekera zimatha kuchitika chifukwa cha kusamvana kwamaganizidwe.

Zizindikiro nthawi zambiri zimayamba mwadzidzidzi zitakhala zovuta. Anthu ali pachiwopsezo cha matenda otembenuka ngati ali ndi:

• Matenda azachipatala
• Matenda a dissociative (kuthawa chowonadi chomwe sichinali dala)
• Vuto lamunthu (kulephera kusamalira momwe akumvera komanso machitidwe omwe amayembekezeredwa m'malo ena)

Anthu omwe ali ndi vuto lotembenuka sakupanga zizindikiro zawo kuti apeze malo ogona, mwachitsanzo (malingering). Sikuti amadzivulaza mwadala kapena kunama pazizindikiro zawo kuti angokhala wodwala. Ena othandizira zaumoyo amakhulupirira zabodza kuti vuto la kutembenuka si mkhalidwe weniweni ndipo amatha kuuza anthu kuti vutoli lili m'mutu mwawo. Koma izi ndi zenizeni. Zimayambitsa kupsinjika ndipo sizingazimitsidwe ndikufunidwa.

Zizindikiro zakuthupi zimaganiziridwa kuti ndizoyesera kuthetsa kusamvana komwe munthu akumva mkati. Mwachitsanzo, mayi amene amakhulupirira kuti nkosaloleka kukhala ndi ziwawa amatha kumva dzanzi m'manja mwake atakwiya kwambiri kotero kuti akufuna kumenya wina. M'malo modzilekerera yekha kuti akhale ndi malingaliro achiwawa okhudza kumenya wina, amakumana ndi chizindikiritso chakumaso m'manja mwake.

Zizindikiro za matenda otembenuka mtima zimaphatikizapo kutaya gawo limodzi kapena angapo amthupi, monga:

• Khungu
• Kulephera kuyankhula
• Kunjenjemera
• Kufa ziwalo

Zizindikiro zodziwika zavutoli ndi izi:

• Chizindikiro chofooketsa chomwe chimayamba mwadzidzidzi
• Mbiri ya vuto lamaganizidwe lomwe limakhala bwino chizindikirocho chitangowonekera
• Kusasamala komwe kumachitika nthawi zambiri ndi chizindikiritso choopsa

Wothandizirayo ayesedwe mwakuthupi ndipo atha kuyitanitsa mayeso azowunika. Izi ndizowonetsetsa kuti palibe zomwe zimayambitsa chizindikirocho.

Kulankhula ndi chithandizo chamankhwala opsinjika kumatha kuthandiza kuchepetsa zizindikilo.

Gawo la thupi lomwe lakhudzidwa kapena kulimbitsa thupi kumafunikira chithandizo chakuthupi kapena chantchito mpaka zizindikirizo zitatha. Mwachitsanzo, dzanja lopuwala liyenera kugwiritsidwa ntchito kuti minofu ikhale yolimba.

Zizindikiro nthawi zambiri zimatha masiku angapo mpaka milungu ndipo zimatha mwadzidzidzi. Kawirikawiri chizindikirocho pachokha sichimaopseza moyo, koma zovuta zimatha kukhala zofooketsa.

Onani omwe amakupatsirani kapena akatswiri azaumoyo ngati inu kapena munthu wina amene mumamudziwa ali ndi zizindikilo za matenda otembenuka mtima.

Kugwira ntchito kwamanjenje azizindikiro; Hysterical neurosis

Msonkhano wa American Psychiatric. Matenda a kutembenuka (magwiridwe antchito a matenda amitsempha). Diagnostic and Statistical Manual of Mental Disways: DSM-5. 5th ed. Arlington, VA: Kusindikiza kwama Psychiatric ku America; 2013: 318-321.

Cottencin O. Zovuta zakutembenuka: zamaganizidwe amisala ndi psychotherapeutic. Chipatala cha Neurophysiol. 2014; 44 (4): 405-410. PMID: 25306080 www.ncbi.nlm.nih.gov/pubmed/25306080. (Adasankhidwa)

Gerstenblith TA, Kontos N. Matenda azizindikiro za Somatic. Mu: Stern TA, Fava M, Wilens TE, Rosenbaum JF, olemba. Chipatala cha Massachusetts General Hospital Comprehensive Clinical Psychiatry. Wachiwiri ed. Philadelphia, PA: Elsevier; 2016: chap 24.