Kodi Kupsinjika kwa Ubwana ndi Matenda Aakulu Kwakhudzana?

Zamkati

• Kuyang'anitsitsa ma ACE
• Zomwe kafukufukuyu wanena
• Yandikirani kunyumba
• Zolepheretsa pamiyeso ya ACE
• Kukumana ndi ACE m'malo azachipatala
• Chotsatira ndi chiyani?

Nkhaniyi idapangidwa mothandizana ndi omwe amatithandizira. Zomwe zili ndizolondola, zamankhwala molondola, komanso zimatsatira miyezo ndi ndondomeko za Healthline.

Tikudziwa kuti zokumana nazo zowopsa zimatha kuyambitsa mavuto azaumoyo ndi athanzi atakula. Mwachitsanzo, ngozi yagalimoto kapena kuwukira kwachiwawa kumatha kubweretsa kukhumudwa, kuda nkhawa, komanso kupsinjika pambuyo povulala (PTSD) kuphatikiza pakuvulala kwakuthupi.

Koma bwanji za kupsinjika kwa malingaliro muubwana?

Kafukufuku yemwe wachitika mzaka 10 zapitazi akuwunikira momwe zovuta zaubwana (ACEs) zingakhudzire matenda osiyanasiyana mtsogolo.

Kuyang'anitsitsa ma ACE

ACEs ndi zokumana nazo zoyipa zomwe zimachitika mzaka 18 zoyambirira za moyo. Zitha kuphatikizira zochitika zosiyanasiyana monga kulandira kapena kuchitira umboni nkhanza, kunyalanyazidwa, ndi zovuta zina zapakhomo.

Kafukufuku wa Kaiser wofalitsidwa mu 1998 adapeza kuti, kuchuluka kwa ma ACE m'moyo wa mwana kumachulukirachulukira, kuthekera kwa "zoopsa zingapo pazomwe zimayambitsa kufa kwa akulu," monga matenda amtima, khansa, mapapo matenda, ndi matenda a chiwindi.

Chithandizo china chofufuza zakuzunzidwa kwa omwe adapulumuka pamavuto aubwana adapeza kuti omwe ali ndi maphunziro apamwamba a ACE atha kukhala pachiwopsezo chachikulu cha matenda amthupi okha monga nyamakazi, komanso kupweteka mutu, kusowa tulo, kukhumudwa, ndi nkhawa, pakati pa ena. Palinso umboni kuti kukhudzana ndi "zoopsa za kupsyinjika kwa poizoni" kumatha kuyambitsa kusintha kwa chitetezo chamthupi.

Chiphunzitsochi ndikuti kupsinjika kwamaganizidwe kumathandizira kusintha kwakuthupi mthupi.

PTSD ndi chitsanzo chabwino cha izi. Zomwe zimayambitsa PTSD nthawi zambiri zimakhala zochitika zomwezo zomwe zimadziwika mufunso la ACE - kuzunza, kunyalanyaza, ngozi kapena masoka ena, nkhondo, ndi zina zambiri. Madera aubongo amasintha, momwe amapangidwira ndikugwira ntchito. Mbali zaubongo zomwe zakhudzidwa kwambiri ndi PTSD zimaphatikizapo amygdala, hippocampus, ndi ventromedial pre mbeleal cortex. Madera awa amakwanitsa kukumbukira, kutengeka, kupsinjika, ndi mantha. Zikalephera kugwira ntchito, izi zimawonjezera kupezeka kwazidzidzidzi ndi kusadziletsa, ndikuyika ubongo wanu tcheru kuti muwone zowopsa.

Kwa ana, kupsinjika kwakukumana ndi zoopsa kumayambitsa kusintha kofananako kwa komwe kumawoneka mu PTSD. Kupwetekedwa mtima kumatha kusinthira magwiridwe anthawi zonse amoyo wamwana.

Komanso, kutukuka kowonjezeka chifukwa chakuwonjezera mayankho pamavuto ndi zina.

Kuchokera pamakhalidwe, ana, achinyamata, komanso achikulire omwe adakumana ndi zipsinjo zakuthupi ndi zamaganizidwe atha kukhala ndi mwayi wogwiritsa ntchito njira zosayenera monga kusuta, kugwiritsa ntchito mankhwala osokoneza bongo, kudya mopitirira muyeso, ndi chiwerewere. Makhalidwe amenewa, kuphatikiza pakuyankha kwamphamvu kotupa, atha kuwaika pachiwopsezo chachikulu chotenga zikhalidwe zina.

Zomwe kafukufukuyu wanena

Kafukufuku waposachedwa kunja kwa kafukufuku wa CDC-Kaiser adasanthula zovuta zamtundu wina wa zowawa m'moyo wachinyamata, komanso zomwe zitha kubweretsa zotsatira zabwino kwa omwe akukumana ndi zoopsa. Ngakhale kafukufuku wambiri adalongosola zakusokonekera kwakuthupi ndi matenda osadwala, maphunziro ochulukirapo akuwunika kulumikizana pakati pamavuto am'malingaliro ngati chinthu cholosera zamatenda atha msinkhu.

Mwachitsanzo, kafukufuku wofalitsidwa mu nyuzipepala ya Clinical and Experimental Rheumatology mu 2010 adasanthula kuchuluka kwa ma fibromyalgia mwa omwe adapulumuka pa Holocaust, poyerekeza kuti ndi opambana bwanji omwe angakhale ndi vuto motsutsana ndi gulu la anzawo. Opulumuka Nazi, omwe amafotokozedwa phunziroli ngati anthu omwe amakhala ku Europe munthawi yaulamuliro wa Nazi, anali ndi mwayi wopitilira kawiri kukhala ndi fibromyalgia ngati anzawo.

Kodi ndi mikhalidwe iti yomwe ingayambitsidwe ndi zowawa zaubwana? Izi sizikumveka pompano. Zinthu zambiri - makamaka zovuta zamitsempha ndi autoimmune - zilibe chifukwa chimodzi chodziwikiratu, koma umboni wochulukirapo ukuwonetsa kuti ma ACE akuchita gawo lofunikira pakukula kwawo.

Pakadali pano, pali maulalo ena ndi PTSD ndi fibromyalgia. Zina zomwe zimalumikizidwa ndi ACEs zitha kuphatikizira matenda amtima, kupweteka mutu ndi mutu waching'alang'ala, khansa yam'mapapo, matenda osokoneza bongo am'mapapo (COPD), matenda a chiwindi, kukhumudwa, nkhawa, ngakhale kusokonezeka tulo.

Yandikirani kunyumba

Za ine, kafukufuku wamtunduwu ndiwopatsa chidwi kwambiri komanso ndimaumwini. Monga wopulumuka kuzunzidwa ndikunyalanyazidwa ndili mwana, ndili ndi mphambu ya ACE yokwera - 8 mwa zotheka 10. Ndimakhalanso ndi matenda osiyanasiyana, kuphatikizapo fibromyalgia, systemic nyamakazi, ndi mphumu, kungotchulapo ochepa , zomwe mwina sizingagwirizane ndi zowawa zomwe ndidakumana nazo ndikukula. Ndimakhalanso ndi PTSD chifukwa chakuzunzidwa, ndipo zonsezi zimatha kuphatikizira.

Ngakhale nditakula, ndipo patadutsa zaka zambiri nditasiya kucheza ndi omwe amandizunza (amayi anga), nthawi zambiri ndimavutika ndikudzitchinjiriza. Ndimakhala tcheru kwambiri ndi zomwe zandizungulira, kuwonetsetsa kuti ndikudziwa komwe angatulukire. Ndimalemba zazing'ono zomwe ena sangachite, monga ma tattoo kapena zipsera.

Ndiye pali zovuta zina. Zoyambitsa zimatha kusiyanasiyana, ndipo zomwe zingandipangitse nthawi imodzi sizingandipangitsenso mtsogolo, chifukwa zimatha kukhala zovuta kuziyembekezera. Gawo lomveka laubongo wanga limatenga kamphindi kuti liwunikenso momwe zinthu ziliri ndikuzindikira kuti palibe chiwopsezo chomwe chayandikira. Mbali zomwe zakhudzidwa ndi PTSD muubongo wanga zimatenga nthawi yayitali kuti zizindikire.

Pakadali pano, ndimakumbukira bwino zochitika zankhanza, mpaka kufika poti ndimatha kununkhiza zonunkhira kuchokera mchipinda chomwe amachitiridwapo kapena kumva kumenyedwa. Thupi langa lonse limakumbukira chilichonse chazomwe zidachitikazi pomwe ubongo wanga umandipangitsa kuti ndizikumbukire mobwerezabwereza. Kuukira kumatha kutenga masiku kapena maola kuti achire.

Poganizira kuyankha kwathunthu kwa thupi pazochitika zamaganizidwe, sizovuta kuti ndimvetse momwe kukhala moyo wopwetekedwa mtima kumakhudzira zambiri kuposa thanzi lanu lamisala.

Zolepheretsa pamiyeso ya ACE

Kudzudzula kumodzi kwa njira za ACE ndikuti kufunsa mafunso ndikopanikiza. Mwachitsanzo, m'chigawo chokhudza kuzunzidwa ndi kuchitiridwa zachipongwe, kuti ayankhe inde, wozunza ayenera kukhala wazaka zosaposa zisanu ndipo ayenera kuti adayesapo kapena kukhudzana. Nkhani pano ndikuti mitundu yambiri yazopezerera ana imachitika popanda malire awa.

Palinso mitundu yambiri yazovuta zomwe sizikuwerengedwa ndi mafunso a ACE, monga mitundu ya kuponderezana kwamachitidwe (mwachitsanzo, kusankhana mitundu), umphawi, komanso kukhala ndi matenda osatha kapena ofooketsa ali mwana.

Kupitilira apo, mayeso a ACE samaika zokumana nazo zoyipa zaubwana malinga ndi zabwino. Ngakhale kukumana ndi zoopsa, zawonetsa kuti kupezeka kwa maubwenzi othandizira anzawo ndi madera awo kumatha kukhala ndi gawo lokhalitsa pamatenda amisala ndi thupi.

Ndimadziona kuti ndine munthu wabwino, ngakhale ndinali mwana wovuta. Ndinakulira ndikudzipatula ndekha ndipo ndinalibe mudzi kunja kwa banja langa. Zomwe ndidali nazo, komabe, anali agogo aakazi omwe amasamala za ine. Katie Mae anamwalira ndili ndi zaka 11 kuchokera ku matenda a sclerosis. Mpaka pomwepo, komabe, anali munthu wanga.

Kale ndisanadwale matenda osiyanasiyana, Katie Mae anali munthu yekhayo m'banja langa amene ndimayembekezera kumuwona. Nditadwala, zinali ngati tonse timamvetsetsana pamlingo womwe wina aliyense samatha kumvetsetsa. Anandilimbikitsa kukula, kundipatsa malo otetezeka, ndikulimbikitsa chidwi cha moyo wanga wonse chomwe chikundithandizabe mpaka pano.

Ngakhale ndimakumana ndi zovuta, popanda agogo anga agogo sindikukayika kuti momwe ndimawonera ndikukumana ndi dziko lapansi zikhala zosiyana kwambiri - komanso zoyipa zambiri.

Kukumana ndi ACE m'malo azachipatala

Pomwe kafukufuku wambiri amafunikira kuti afotokozere bwino ubale womwe ulipo pakati pa ACEs ndi matenda osachiritsika, pali njira zomwe madotolo ndi anthu atha kutenga kuti athe kudziwa bwino za mbiri yaumoyo mokwanira.

Pongoyambira, opereka chithandizo chamankhwala amatha kuyamba kufunsa mafunso okhudzana ndi zowawa zam'mbuyomu zakuthupi - kapena, mwinanso, paulendo uliwonse.

"Palibe chidwi chokwanira chomwe chimaperekedwa mu-chipatala ku zochitika zaubwana komanso momwe zimakhudzira thanzi," atero a Cyrena Gawuga, PhD, omwe adalemba nawo kafukufuku wapa 2012 wonena za ubale womwe ulipo pakati pamavuto am'moyo wam'mbuyomu ndi ma syndromes opweteka.

“Masikelo oyambira ngati ACE kapena ngakhale kufunsa zitha kupanga kusiyana kwakukulu - osatchulapo mwayi wopewa ntchito yodziteteza chifukwa cha zovuta zomwe adakumana nazo komanso zizindikilo zake. ” A Gawuga ananenanso kuti pakufunikabe kafukufuku wina wofunikira kuti aphunzire momwe kuchuluka kwachuma ndi kuchuluka kwa anthu kumatha kubweretsanso magulu ena a ACE.

Komabe, izi zikutanthauzanso kuti opereka chithandizo amafunika kukhala opwetekedwa mtima kuti athandize bwino omwe amafotokoza zovuta zomwe adakumana nazo ali mwana.

Kwa anthu onga ine, izi zikutanthauza kukhala omasuka pazinthu zomwe tidakumana nazo tili ana komanso achinyamata, zomwe zingakhale zovuta.

Monga opulumuka, nthawi zambiri timachita manyazi ndi nkhanza zomwe takumanapo kapena ngakhale momwe timachitira ndi zoopsa. Ndimatseguka poyera za nkhanza zomwe ndimachita mdera lathu, koma ndiyenera kuvomereza kuti sindinafotokozere zambiri za omwe andithandizira kunja kwa mankhwala. Kulankhula za zokumana nazozi kungatsegule mwayi wamafunso enanso, ndipo omwe atha kukhala ovuta kuwayankha.

Mwachitsanzo, posachedwa kwa minyewa ndidafunsidwa ngati pakhoza kuwonongeka msana wanga kuchokera pazinthu zilizonse. Ndidayankha kuti inde, kenako ndikufotokozera. Kuyenera kufotokoza zomwe zidachitika kunanditengera kumalo ovuta kukhala ovuta kukhalako, makamaka ndikafuna kudzimva kuti ndili ndi mphamvu mchipinda cholemba.

Ndinawona kuti kulingalira kumatha kundithandiza kuthana ndi zovuta. Kusinkhasinkha makamaka ndikofunikira ndipo kwawonetsedwa ndikuthandizani kuwongolera momwe mukumvera. Mapulogalamu omwe ndimawakonda kwambiri ndi a Buddhify, Headspace, ndi Calm - iliyonse ili ndi mwayi waukulu kwa oyamba kumene kapena ogwiritsa ntchito. Buddhify amakhalanso ndi zowawa komanso matenda osachiritsika omwe ndimawona kuti ndiwothandiza kwambiri.

Chotsatira ndi chiyani?

Ngakhale pali mipata pazomwe amagwiritsa ntchito poyesa ma ACE, zikuyimira vuto lalikulu lathanzi. Nkhani yabwino ndiyakuti, kwakukulu, ma ACE amatha kutetezedwa.

ikulimbikitsa njira zosiyanasiyana zomwe zimaphatikizira mabungwe oletsa nkhanza m'boma ndi maboma, masukulu, ndi anthu kuti athandizire kuthana ndi nkhanza ndi kunyalanyazidwa ali mwana.

Monga momwe kumakhalira malo achitetezo ndi othandizira ana ndikofunikira popewa ma ACE, kuthana ndi zovuta zopezera chisamaliro chakuthupi ndi zamaganizidwe ndikofunikira kuthana nawo.

Kusintha kwakukulu komwe kuyenera kuchitika? Odwala ndi omwe amapereka ayenera kutenga zovuta kwambiri ali mwana kwambiri. Tikachita izi, tidzatha kumvetsetsa kulumikizana pakati pa matenda ndi zoopsa - ndipo mwina kupewa mavuto azaumoyo kwa ana athu mtsogolo.

A Kirsten Schultz ndi wolemba wochokera ku Wisconsin omwe amatsutsa zikhalidwe zogonana komanso jenda. Kudzera pantchito yake ngati matenda osachiritsika komanso womenyera anthu olumala, ali ndi mbiri yothetsa zopinga kwinaku akuyambitsa mavuto. Posachedwa adakhazikitsa Kugonana Kwachisawawa, komwe kumafotokoza poyera momwe matenda ndi chilema zimakhudzira ubale wathu ndi ife eni komanso ena, kuphatikiza - mudaganizira - zogonana! Mutha kuphunzira zambiri za Kirsten ndi Kugonana Kwachilendo ku wachita ndipo mumutsatire iye Twitter.