Matenda a Somatic

Matenda azizindikiro a Somatic (SSD) amapezeka munthu akakhala ndi nkhawa kwambiri, kukokomeza kuda nkhawa zakuthupi. Munthuyo amakhala ndi malingaliro, malingaliro, ndi machitidwe okhudzana kwambiri ndi zizindikirazo, kotero kuti amamva kuti sangathe kuchita zina zatsiku ndi tsiku. Amatha kukhulupirira kuti mavuto azachipatala amakhala pachiwopsezo cha moyo. Kuda nkhawa kumeneku sikungakule bwino ngakhale mutakhala ndi zotsatira zoyeserera komanso kulimbikitsidwa ndi othandizira azaumoyo.

Munthu amene ali ndi SSD sakusonyeza zizindikiro zawo. Kupweteka ndi mavuto ena ndi enieni. Zitha kuchitika chifukwa cha zovuta zamankhwala. Nthawi zambiri, palibe chifukwa chakuthupi chomwe chimapezeka. Komabe, ndimomwe zimakhudzira zomwe zimapangitsa kuti vuto likhale vuto.

SSD nthawi zambiri imayamba asanakwanitse zaka 30. Imapezeka kwambiri mwa amayi kuposa amuna. Sizikudziwika chifukwa chake anthu ena amakhala ndi vutoli. Zinthu zina zitha kuphatikizidwa:

• Kukhala ndi malingaliro olakwika
• Kukhala omvera kwambiri kuthupi ndi kutengeka ndi zowawa ndi zina
• Mbiri ya banja kapena momwe adaleredwera
• Chibadwa

Anthu omwe ali ndi mbiri yokhudza nkhanza zakuthupi kapena zakugonana atha kukhala ndi vuto ili. Koma sikuti aliyense amene ali ndi SSD ali ndi mbiri yakuzunzidwa.

SSD ndi yofanana ndi matenda a nkhawa (hypochondria). Apa ndipamene anthu amadera nkhawa mopitirira muyeso za kudwala kapena kuyamba matenda akulu. Amayembekezera kuti adzadwala kwambiri nthawi ina. Mosiyana ndi SSD, ndimatenda omwe ali ndi nkhawa, pali zochepa kapena sizimakhala kwenikweni.

Zizindikiro zakuthupi zomwe zimatha kuchitika ndi SSD zitha kuphatikizira:

• Ululu
• Kutopa kapena kufooka
• Kupuma pang'ono

Zizindikiro zingakhale zofatsa mpaka zovuta. Pakhoza kukhala chizindikiro chimodzi kapena zingapo. Amatha kubwera ndikupita kapena kusintha. Zizindikiro zitha kukhala chifukwa chazachipatala koma sangakhale ndi chifukwa chomveka.

Momwe anthu amamverera komanso momwe amachitiramo poyankha kukhudzidwa kumeneku ndizizindikiro zazikulu za SSD. Izi zimayenera kupitilira miyezi 6 kapena kupitilira apo. Anthu omwe ali ndi SSD atha:

• Khalani ndi nkhawa kwambiri pazizindikiro
• Dziwani kuti zizindikiro zochepa ndi chizindikiro cha matenda akulu
• Pitani kwa dokotala kuti mukayesedwe kangapo ndi njira, koma osakhulupirira zotsatira zake
• Dziwani kuti adotolo saganizira kwambiri za matendawa kapena sanachite bwino kuthana ndi vutoli
• Gwiritsani ntchito nthawi yambiri ndi mphamvu kuthana ndi mavuto azaumoyo
• Khalani ndi vuto logwira ntchito chifukwa cha malingaliro, malingaliro, ndi machitidwe azizindikiro

Muyesedwa kwathunthu. Wopereka wanu atha kuyesa zina ndi zina kuti apeze zoyambitsa. Mitundu yamayeso yomwe yachitika imadalira zomwe muli nazo.

Wothandizira anu akhoza kukutumizirani kwa othandizira azaumoyo. Wothandizira zaumoyo atha kuyesa zina.

Cholinga cha chithandizo ndikuwongolera zizindikilo zanu ndikuthandizani kuti mugwire ntchito pamoyo wanu.

Kukhala ndiubwenzi wothandizirana ndi omwe akukuthandizani ndikofunikira pa chithandizo chanu.

• Muyenera kukhala ndi woyang'anira mmodzi yekha woyang'anira. Izi zikuthandizani kupewa mayesero osafunikira ndi njira zake.
• Muyenera kuwona omwe amakupatsirani pafupipafupi kuti muwunikenso zomwe mukudziwa komanso momwe mukupirira.

Muthanso kuwona othandizira azaumoyo. Ndikofunika kuwona wothandizira yemwe ali ndi chidziwitso chothandizira SSD. Chidziwitso chamakhalidwe amtundu ndi mtundu wamankhwala omwe angathandize kuthana ndi SSD. Kugwira ntchito ndi othandizira kungakuthandizeni kuchepetsa ululu wanu ndi zina. Mukalandira chithandizo, muphunzira:

• Onani momwe mumamvera ndi zikhulupiriro zanu zokhudzana ndi thanzi lanu komanso zizindikiritso zanu
• Pezani njira zochepetsera nkhawa komanso nkhawa zazizindikiro
• Lekani kuyang'ana kwambiri pazizindikiro zakuthupi
• Zindikirani zomwe zimawoneka ngati zikukulitsa ululu kapena zizindikilo zina
• Phunzirani momwe mungathanirane ndi ululu kapena zizindikilo zina
• Khalani okangalika komanso ochezeka, ngakhale mukumva kuwawa kapena zina
• Ntchito bwino m'moyo wanu watsiku ndi tsiku

Katswiri wanu azithandizanso kukhumudwa kapena matenda ena amisala omwe mungakhale nawo. Mutha kutenga antidepressants kuti muthane ndi nkhawa komanso kukhumudwa.

Simuyenera kuuzidwa kuti zizindikiro zanu ndizongoganiza kapena zili m'mutu mwanu. Wothandizira anu ayenera kugwira nanu kuthana ndi zizindikiritso zakuthupi ndi zamaganizidwe.

Ngati simunalandire chithandizo, mutha kukhala ndi:

• Mavuto ogwira ntchito m'moyo
• Mavuto ndi abale, abwenzi, komanso ntchito
• Kudwala
• Chiwopsezo chowonjezeka cha kukhumudwa komanso kudzipha
• Mavuto azachuma chifukwa chamtengo wokwera pamaofesi ndi mayeso

SSD ndimkhalidwe wanthawi yayitali (wosatha). Kugwira ntchito ndi omwe amakupatsani ndikutsatira dongosolo lanu lazachipatala ndikofunikira pakuwongolera vutoli.

Muyenera kulumikizana ndi omwe amakupatsani ngati mung:

• Khalani okhudzidwa kwambiri ndi zizindikilo zakuthupi zomwe simungagwire
• Khalani ndi zizindikilo za nkhawa kapena kukhumudwa

Uphungu ungathandize anthu omwe amakonda SSD kuphunzira njira zina zothanirana ndi kupsinjika. Izi zitha kuthandiza kuchepetsa kukula kwa zizindikilo.

Chizindikiro cha Somatic ndi zovuta zina; Matenda a Somatization; Matenda a Somatiform; Matenda a Briquet; Matenda akuda nkhawa

Msonkhano wa American Psychiatric. Matenda a Somatic. Kusanthula ndi Buku Lophatikiza la Mavuto Amisala. 5th ed. Arlington, VA: Kusindikiza kwama Psychiatric ku America; 2013: 311-315.

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.