Kumvetsetsa Kuvuta Kwamavuto Atatha Kupsinjika

Zamkati

• Zizindikiro zake ndi ziti?
• Zizindikiro za PTSD
• Kukumbukira zomwe zidachitika zoopsa
• Kupewa zochitika zina
• Kusintha kwa zikhulupiriro ndi malingaliro anu okhudza inu eni ndi ena
• Kutengeka
• Zizindikiro za Somatic
• Zizindikiro za CPTSD
• Kupanda malamulo am'maganizo
• Kusintha kwa kuzindikira
• Kudziona wekha molakwika
• Zovuta ndi maubale
• Lingaliro lolakwika la wozunza
• Kutayika kwa matanthauzo
• Nchiyani chimayambitsa CPTSD?
• Kodi pali zoopsa zilizonse?
• Kodi amapezeka bwanji?
• Amachizidwa bwanji?
• Kuchiza matenda
• Kusuntha kwamaso ndikukonzanso (EMDR)
• Mankhwala
• Kodi ndingapeze kuti thandizo?
• Mawerengedwe owerengedwa
  
• Kukhala ndi CPTSD

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi vuto lovuta pambuyo povulala ndi liti?

Anthu ambiri amadziwa za post-traumatic stress disorder (PTSD), matenda omwe amadza chifukwa cha zoopsa, monga masoka achilengedwe kapena ngozi yagalimoto.

Komabe, matenda ofanana kwambiri otchedwa complex post-traumatic stress disorder (CPTSD) akudziwika kwambiri ndi madokotala m'zaka zaposachedwa. Zotsatira za CPTSD zimabwera chifukwa chakuvutitsidwa mobwerezabwereza kwa miyezi kapena zaka, osati chochitika chimodzi.

Zizindikiro zake ndi ziti?

Zizindikiro za CPTSD nthawi zambiri zimaphatikizapo za PTSD, kuphatikizapo zizindikilo zina.

Zizindikiro za PTSD

Kukumbukira zomwe zidachitika zoopsa

Izi zitha kuphatikizira kulota zoopsa kapena kuwonekeranso.

Kupewa zochitika zina

Mutha kupewa zochitika kapena zochitika, monga khamu lalikulu kapena kuyendetsa galimoto, zomwe zimakukumbutsani za zochitikazo. Izi zimaphatikizaponso kukhala otanganidwa kuti musaganize za mwambowu.

Kusintha kwa zikhulupiriro ndi malingaliro anu okhudza inu eni ndi ena

Izi zitha kuphatikizira kupewa ubale ndi anthu ena, kusakhulupirira ena, kapena kukhulupirira kuti dziko ndi loopsa.

Kutengeka

Hyperarousal amatanthauza kukhala tcheru nthawi zonse kapena jittery. Mwachitsanzo, mutha kukhala ndi nthawi yovuta kugona kapena kusumika chidwi. Muthanso kudabwitsidwa modabwitsa ndi phokoso lalikulu kapena mwadzidzidzi.

Zizindikiro za Somatic

Izi zimatanthawuza zizindikilo zakuthupi zomwe zilibe vuto lililonse lazachipatala. Mwachitsanzo, china chake chikakukumbutsani za zochitikazo, mumatha kuchita chizungulire kapena kuchita nseru.

Zizindikiro za CPTSD

Anthu omwe ali ndi CPTSD amakhala ndi zizindikiro za PTSD pamwambapa komanso zina zowonjezera, kuphatikizapo:

Kupanda malamulo am'maganizo

Izi zikutanthauza kukhala ndi malingaliro osalamulirika, monga mkwiyo wophulika kapena chisoni chopitilira.

Kusintha kwa kuzindikira

Izi zingaphatikizepo kuiwala chochitika chowawa kapena kumverera kopatukana ndi malingaliro anu kapena thupi, lomwe limatchedwanso kudzipatula.

Kudziona wekha molakwika

Mutha kudzimva kuti ndinu wolakwa kapena wamanyazi, mpaka kufika podzimva kuti ndinu wosiyana kwambiri ndi anthu ena.

Zovuta ndi maubale

Mutha kudzipeza mukupewa ubale ndi anthu ena chifukwa cha kusakhulupirira kapena kudzimva kuti simukudziwa momwe mungalumikizirane ndi ena. Mbali inayi, ena atha kufunafuna ubale ndi anthu omwe amawavulaza chifukwa zimamveka bwino.

Lingaliro lolakwika la wozunza

Izi zimaphatikizapo kukhala otanganidwa ndi ubale wapakati pa inu ndi omwe akukuzunzani. Zitha kuphatikizaponso kutanganidwa ndi kubwezera kapena kupatsa wovutayo mphamvu zonse pamoyo wanu.

Kutayika kwa matanthauzo

Machitidwe ofotokozera amatanthauza chipembedzo chanu kapena zomwe mumakhulupirira padziko lapansi. Mwachitsanzo, mutha kutaya chikhulupiriro pazikhulupiriro zina zomwe mudakhala nazo kale kapena mungakhale ndi chiyembekezo chachikulu kapena kutaya chiyembekezo chadzikoli.

Ndikofunika kuzindikira kuti zizindikiro za PTSD ndi CPTSD zimatha kusiyanasiyana pakati pa anthu, ngakhale mwa munthu m'modzi pakapita nthawi.Mwachitsanzo, mutha kupezeka kuti mukupewa kukhala pagulu kwakanthawi, kenako nkuyamba kufunafuna zoopsa miyezi kapena zaka pambuyo pake.

Ngati muli pafupi ndi munthu yemwe ali ndi CPTSD, ndikofunikanso kukumbukira kuti malingaliro ndi zikhulupiriro zawo sizingafanane nthawi zonse ndimomwe amamvera. Angadziwe kuti, mwanzeru, ayenera kupewa owazunza. Komabe, atha kukhalanso ndi chikondi kwa iwo.

Nchiyani chimayambitsa CPTSD?

Ochita kafukufuku akuyesetsabe kudziwa momwe kupsinjika kwamisala kumakhudzira ubongo ndikupangitsa mavuto ngati CPTSD. Komabe, kafukufuku wazinyama zomwe zimapwetekedwa zimatha kukhala ndi zotsatirapo pa amygdala, hippocampus, ndi preortal cortex. Maderawa amatenga gawo lalikulu pokumbukira momwe timagwirira ntchito komanso momwe timachitira tikakumana ndi zovuta.

Mtundu uliwonse wazovuta zazitali, kwa miyezi ingapo kapena zaka, zitha kubweretsa CPTSD. Komabe, zikuwoneka kuti zimawonekera pafupipafupi mwa anthu omwe amachitidwapo nkhanza ndi munthu yemwe amayenera kukhala wowasamalira kapena kuwateteza. Zitsanzo zake ndi zomwe zimapulumuka za kugwidwa kwa anthu kapena kuchitiridwa nkhanza zaubwana ndi wachibale.

Zitsanzo zina za zoopsa zazitali ndizo:

• kuzunzidwa kosalekeza kwakuthupi, kwamaganizidwe, kapena kwakugonana
• kukhala wandende wankhondo
• kukhala mdera lankhondo kwanthawi yayitali
• kunyalanyaza kupitilira kwaubwana

Kodi pali zoopsa zilizonse?

Ngakhale aliyense atha kukhala ndi CPTSD, anthu ena atha kukhala nayo kuposa ena. Kupatula pakukumana ndi zoopsa zomwe zidachitika m'mbuyomu, zoopsa zimaphatikizapo:

• matenda amisala, monga nkhawa kapena kukhumudwa, kapena mbiri yabanja
• mikhalidwe yakubadwa nayo, yomwe nthawi zambiri imadziwika kuti mtima
• momwe ubongo wanu umayendetsera mahomoni ndi ma neurochemicals, makamaka poyankha kupsinjika
• zochitika pamoyo wanu, monga kukhala opanda chithandizo champhamvu kapena kukhala pantchito yowopsa

Kodi amapezeka bwanji?

CPTSD akadali mkhalidwe watsopano, kotero madokotala ena samadziwa. Izi zitha kukupangitsani kukhala kovuta kuti mupeze matenda ovomerezeka, ndipo mutha kupezeka ndi PTSD m'malo mwa CPTSD. Palibe mayeso enieni oti mudziwe ngati muli ndi CPTSD, koma kusunga zolemba zanu zonse kumatha kuthandiza dokotala kuti adziwe bwinobwino. Yesetsani kuwerengera nthawi yomwe matenda anu adayamba komanso kusintha kulikonse pakapita nthawi.

Mukapeza dokotala, ayamba ndikufunsani za zizindikilo zanu, komanso zochitika zowopsa zilizonse m'mbuyomu. Kuti mupeze matenda oyamba, mwina simufunikira kufotokoza mwatsatanetsatane ngati zikukusowetsani mtendere.

Chotsatira, atha kufunsa za banja lililonse lomwe lidadwala matenda amisala kapena zoopsa zina. Onetsetsani kuwauza zamankhwala kapena zowonjezera zomwe mumamwa, komanso mankhwala aliwonse osangalatsa omwe mumagwiritsa ntchito. Yesetsani kukhala owona mtima momwe mungathere nawo kuti athe kukulangizani zabwino.

Ngati mwakhala mukukhala ndi zisonyezo zakusokonekera kwadzidzidzi kwa mwezi umodzi ndikusokoneza moyo wanu watsiku ndi tsiku, dokotala wanu atha kuyamba ndi matenda a PTSD. Kutengera ndi zoopsa zomwe zidachitikazo komanso ngati muli ndi zizindikiro zina, monga zovuta zaubwenzi zomwe zikuchitika kapena vuto kuwongolera momwe mukumvera, atha kukudziwani kuti muli ndi CPTSD.

Kumbukirani kuti mungafunikire kukawona madotolo angapo musanapeze munthu yemwe mumamasuka naye. Izi ndizachilendo, makamaka kwa anthu omwe ali ndi nkhawa pambuyo povulala.

Amachizidwa bwanji?

Pali njira zingapo zamankhwala zothandizira CPTSD zomwe zingathe kuchepetsa zizindikilo zanu ndikuthandizani kuti muzisamalire bwino.

Kuchiza matenda

Psychotherapy imakhudza kuyankhula ndi wothandizirayo payekha kapena pagulu. Zimaphatikizaponso kugwiritsa ntchito chidziwitso chazachipatala (CBT). Chithandizo chamtunduwu chimakuthandizani kuzindikira malingaliro olakwika ndikukupatsani zida zowasinthira ndi malingaliro athanzi, abwino.

Dokotala wanu angakulimbikitseninso njira zothandizirana, mtundu wa CBT womwe umakuthandizani kuthana ndi zovuta ndikupanga ubale wolimba ndi ena.

Kusuntha kwamaso ndikukonzanso (EMDR)

EMDR imagwiritsidwa ntchito kwambiri pochiza PTSD, ndipo itha kuthandizanso CPTSD. Mudzafunsidwa kuti muganizire mwachidule za nthawi yopweteketsa pamene mukuyendetsa maso anu mbali ndi mbali. Njira zina zimaphatikizapo kukhala ndi wina akugwira m'manja m'malo mosuntha maso anu. Popita nthawi, izi zitha kukuthandizani kuti musakhumudwitsidwe ndi kukumbukira komanso malingaliro anu.

Ngakhale pali mkangano wina pakati pa azachipatala pankhani yogwiritsa ntchito, American Psychological Association imalimbikitsa izi PTSD. Izi zikutanthauza kuti amalangiza koma zowonjezera zowonjezera zikufunikabe chifukwa cha umboni wosakwanira.

Mankhwala

Mankhwala omwe kale amagwiritsidwa ntchito kuthana ndi kukhumudwa amathanso kuthandizira zizindikilo za CPTSD. Amakonda kugwira ntchito bwino akaphatikizidwa ndi mtundu wina wa chithandizo, monga CBT. Mankhwala opatsirana pogwiritsa ntchito CPTSD atha kukhala:

• mankhwala (Zoloft)
• paroxetine (Paxil)
• fluoxetine (Prozac)

Ngakhale anthu ena amapindula chifukwa chogwiritsa ntchito mankhwalawa kwakanthawi, mungafunike kuwamwa kwakanthawi kochepa mukamaphunzira njira zatsopano zothanirana nawo.

Kodi ndingapeze kuti thandizo?

Kukhala ndi mkhalidwe wosadziwika monga CPTSD kumatha kudzipatula. Ngati mukumva ngati mukufuna thandizo lina, National Center for PTSD ili ndi zinthu zingapo, kuphatikiza pulogalamu ya PTSD yophunzitsira foni yanu. Ngakhale zambiri mwazinthuzi zimapangidwira anthu omwe ali ndi PTSD, mutha kuwapeza othandiza pazizindikiro zanu zambiri.

Bungwe lopanda phindu la Out of the Storm lilinso ndi zinthu zambiri zapaintaneti, kuphatikiza forum, mapepala azidziwitso, ndi malingaliro amabuku, makamaka a CPTSD.

Mawerengedwe owerengedwa

• "Thupi Limapitirizabe Kugoletsa" limawerengedwa kuti liyenera kuwerengedwa kwa aliyense amene akuchira.
• "Complex PTSD Workbook" ili ndi zolimbitsa thupi ndi zitsanzo zomwe zakonzedwa kuti zikuthandizeni kuti muzitha kuyang'anira thanzi lanu komanso thanzi lanu.
• "PTSD yovuta: Kuchokera Kupulumuka Mpaka Kukula" ndichothandiza kwambiri pothana ndi malingaliro amisala okhudzana ndi zoopsa. Kuphatikiza apo, wolemba ndi katswiri wama psychotherapist yemwe amakhala ndi CPTSD.

Kukhala ndi CPTSD

CPTSD ndi matenda oopsa amisala omwe amatha kutenga nthawi kuti achiritsidwe, ndipo kwa anthu ambiri, ndimakhalidwe amoyo wonse. Komabe, kuphatikiza kwa mankhwala ndi mankhwala kungakuthandizeni kusamalira zizindikiritso zanu ndikusintha moyo wanu.

Ngati kuyamba kulandira chithandizo kumamveka kovuta, lingalirani zolowa nawo gulu lothandizira - kaya mwa inu kapena pa intaneti, choyamba. Kugawana zomwe mwakumana nazo ndi anthu omwe ali mumikhalidwe yofananira nthawi zambiri ndichinthu choyamba kuti muchiritse.