Dambudziko-Kutambudzika Kushungurudzika Kwepfungwa (PTSD) Kubva kuHondo yeVietnam

Zvaunoda Kuziva NezvePTSD uye Hondo yeVietnam

Nzwisiso yedu yekushungurudzika kwepfungwa inokonzera kushungurudzika (PTSD) yakakura nekukwirira uye kuvhara kwemakore mashoma mashoma apfuura. Imwe inotaurwa nezvemashoko akadai se "kutyisidzika kweganda," kunyatsogadziriswa kweizvi kuongorora kwakave kwakanyatsojeka mumakumi emakore anotevera hondo yeVietnam.

Chii chatinoziva pamusoro pePTSD uye hondo yeVietnam kunosvika kwenguva refu? Ndezvipi zvingaita kuti veterans vanoenderera mberi kutsungirira chirwere ichi makore akawanda gare gare, uye zvingaita here kusiyana?

Kana PTSD yakanga isina kukwana, takadzidza zvakare kuti yakabatana zvakadini nemamiriro ezvinhu akadai sechirwere chepfungwa uye kunyange kurwadziwa, mamiriro ezvinhu akawanda eVietnam anotarisana nawo paanopinda mu "makore endarama" nhasi.

Kutevera musangano wehurumende muna 1983, chirongwa cheNational Vietnam Veterans Readjustment Study (NVVRS) chaitungamirirwa nehurumende yeUnited States kuti inzwisise zviri nani kukura kwePTSD kubva muHondo yeVietnam, pamwe nezvimwe zvinetso. Mumakore mashomanana adarika, dzimwe dzakawanda zvidzidzo zvakatarisa zvinokonzerwa nemamiriro ezvinhu munguva, uye zvakakosha zvakakosha.

Kuitika kwePTSD muVietnam Veterans

Zvakawanikwa kubva pakudzidza zvakasarudzwa ne congress muna 1983 zvaityisa. Panguva yekudzidza (pakati-kusvika kuma1980), pakati peVietnam veterans, vanenge 15 muzana yevarume uye 9 muzana yevakadzi vakawanikwa kuti vane PTSD iye zvino. Inenge 30 kubva muzana yevarume uye 27 muzana yevakadzi vaiva nePTSD pane imwe nguva muupenyu hwavo vachitevera Vietnam.

Izvi zvakawanikwa, zvakawanikwa anenge makore gumi mushure mekupera kweHondo yeVietnam, zvakawana kuti kune veterans vakawanda, yavo yePTSD yakanga isingagumi (kureva kuti, inoramba iripo uye yakagara kwenguva refu).

Kuti uongorore nguva yakareba yemigumisiro yePTSD isingaperi, vatsvakurudzi veHarvard School of Public Health, Columbia University, The American Legion, uye State University yeNew York (SUNY) Downstate Medical Centre yakatsvaga 1 377 Mauto eAmerica akanga ashumira kuSoutheast Asia muHondo yeVietnam makore 14 mushure mekubvunzurudzwa kweNVVRS muna 1984.

Kudzidza kwavo kwakawana kuti anenge makumi matatu emakore mushure mehondo yeVietnam, vazhinji veterans vakaramba vachiwana zvinetso nePTSD. Pahurukuro yekutanga, anenge 12 muzana aiva nePTSD. Makore gumi nemana gare gare, mitengo yePTSD yakanga yanyura zvishoma kusvika kuma11 muzana. Vaya vainge vaona huwandu hwakawanda hwekurwisana kwehondo vaikwanisa kuva nePTSD pamabvunzurudzo maviri.

Veterans vakaramba vachiine PTSD makore 14 mushure mekunge vvunzurudzo yavo yekutanga yakawanikwa ine matambudziko akawanda mupfungwa nemagariro evanhu. Vanotaura kugutsikana kwakaderera newanano yavo, hupenyu hwepabonde, uye hupenyu hwevanhu vose. Vakaratidzawo kuti vane matambudziko akawanda ekurera vana, huwandu hwekurambana huwandu, hutano hwakaderera, uye kunyunyuta kwehutano hwakanyanya, zvakadai sekuneta, aches, uye kutonhora. Veterans vane PTSD isingaperi vainyanyawo kusvuta.

Nzira Yenguva Yakareba yePTSD

Dzidzo dzinoramba dzichiwana kuti PTSD muVietnam hondo yevarwi veterans inoramba ichinetseka. Chidzidzo che2012 chichitarisa mapatya, chakawana kuti 10 muzana ye "veteran" veteran uye 4.45 muzana ye "vasiri vateereri" veterans vakaramba vachirarama nezviratidzo zvePTSD. Muzviitiko zvakawanda, PTSD yakarongerwa se "kutanga kwekupedzisira." Chimwe chekutsvaga chakawana nhamba idzi kuva 22 muzana yemitambo uye 15,7 muzana ye "vasiri vateereri" veVietnam veterans.

Zvakajeka kuti PTSD inoramba ichinetsa hupenyu hwevamwe veVietnam veterans vemazuva ano nhasi. Zvimwe zvidzidzo zvenguva pfupi zvakanyatsopinda mukati mekuguma kwePTSD uye inobatanidzwa mumamiriro mazhinji ehutano anotarisana nevasungwa ava nhasi.

Basa rePTSD mune zvimwe zviitiko

Mukuwedzera kune zviratidzo zvePTSD , veterans vari kusangana nemitemo yakawanda inogona kufamba pamwe chete. Zvimwe zvezvi zvinosanganisira:

Kukosha kwekuziva PTSD

Kunzwisisa kuti PTSD yakawanda sei iri muVietnam veterans, uye zvinetso zvechiitiko chacho, zvakajeka nei zvichikosha zvikuru kuti chiitiko chacho chizivikanwe. Zvidzidzo zvakawana mhando dzakawanda dzokurapa kuti dzive dzinobatsira, asi kuitira kuti vatsvake kurapwa, veterans vanofanira kuziva kuti izvo zvavanosangana nazvo ndechimwe chinhu chingavandudza nekurapa. Kana iwe usina chokwadi kana iwe ungave uine PTSD, tarisa zvinhu izvi zvinoda kuongororwa kwePTSD uye sarudza nguva yekutarisana nachiremba wako kuti ataure pamusoro pekunetseka kwako.

Kubatsirwa Kubatsira PTSD Isingaperi

Vanhu vanoratidzirwa zviitiko zvinotyisa zvakadai (kurwisana nehondo) zviri pachena kuti vari pangozi yePTSD, uye hazvirevi kuti kupfuurira kana kusingaperi kwePTSD kunogona kuva nemigumisiro yakaipisisa muupenyu hwomunhu hwezuva nezuva pamwe nehutano hwepanyama.

Asi kunyange muzviitiko zvePTSD zvisingaperi, kupora kunogona kuitika.

Pasinei nokuti une nyuchi inobatwa nePTSD kwemakore akawanda, kana kuti ichangobva kusimbiswa chirwere (iyo, sezvakataurwa, ichiri kugoneka muVietnam veterans) zvakakosha kutsvaga kurapwa.

Iko Kunetseka Nezvechirwere ChekuAmerica yeAmerica inopa hukama kuvanhu vanobata munzvimbo yako. Iwe unogona kuwanawo ruzivo rwakananga pamusoro pePTSD uye kurapa kwayo kune veterans kubva kuNational Centre yePTSD.

Kurapa kwePTSD kunowanzobatanidza kusanganiswa kwerapi. Tarisa huwandu hwehutano hwekurapa kwePTSD. Sezvakataurwa, pane zvakawanda zvakasiyana siyana kuitira kuti iwe uye chiremba wako uwane nzira dzinokubatsira iwe.

Physical Health uye PTSD

PTSD inokanganisa utano hwepanyama pamwe chete. Zvakakosha kucherechedza kuti chirongwa chipi nechipi chekurapa kwePTSD muVietnam veterans chinofanira kutora nhoroondo yekuti kwete kungofunga nezvepfungwa, asi chimiro chemuviri wehutano. Mamiriro ezvinhu epanyama anowanzoonekwa kune avo vanorarama nePTSD anosanganisira:

Secondary Traumatization

Vaya vane PTSD havararami muhutu, uye vashandi pamwe nevana vanobatwawo nehutano. Kudzvinyirira mune zvekudyidzana kwave kwakataurwa zvakanaka. Kunyange zvazvo chirwere ichi chawanikwa chichibata vose vanakomana nevanasikana veVietnam veterans nenzira dzakawanda-zvidzidzo zvekare zvakawana huwandu hwakawedzera uye kuvengana muvana-zvinofungidzirwa kuti vana veVietnam veterans vangave vane utano hwakanaka sezvinoita vamwe vavo vanhu vakawanda.

Pasi Pasi paPTSD muVietnam Hondo yeVeteran

Iye zvino zvatinoziva kuti PTSD inowanzojairika mumauto ehondo, isu tiri kudzidza kuti avo vaibatanidzwa muVietnam hondo vanowanzotarisana nekuratidza zviratidzo uye kuti zviratidzo izvi zvingatotanga nekupera kwehupenyu. Ndinofara kune ikozvino maitiro akawanda anoshanda ekurapa anowanikwa kubatsira avo vanoziva kuti, kune vanhu vazhinji, hondo haisati yadarika, asi kuporesa kuchiri kuitika zuva rega rega nekuda kwevakawanda vema heroes.

Sources:

Dennis, P., Dennis, N., Van Voorhees, E., Calhoun, P., Dennis, M., uye J. Beckham. Mhedziso Yechetsika Panguva yeHondo yeVietnam: Nzira yekuongorora kuPfungwa dzeMagariro eVashandi 'Kubatanidzwa muHondo dzeHondo dzeHondo. Kufunganya, Kushungurudzika, uye Kukunda . 2016 Sep 19. (Epub mberi kwekudhinda).

Goldberg, J., Magruder, K., Forsberg, C. et al. Kuwandisa kwePas-Traumatic Stress Disorder mukukwegura kweVietnam-Era Veterans: Veterans Administration Administration Cooperative Chidzidzo 569: Nzira uye Migumisiro yePas-Traumatic Stress Disorder muVietnam-Era Veteran Twins. American Journal of Geriatric Psychiatry . 2016. 24 (3): 181-91.

> Kulka, RA, Schlenger, WE, Fairbank, JA, Hough, RL, Jordan, BK, Marmar, CR, & Weiss, DS (1990). Trauma uye chizvarwa chehondo yeVietnam: Gwaro rezvakawanikwa kubva kuNational Vietnam Veterans Readjustment Study . New York: Brunner / Mazel.

Magruder, K., Goldberg, J., Forsberg, C. et al. Nenguva Yakare-kare Trajectories yePTSD muVietnam-Era Veterans: Nzira uye Migumisiro yePTSD mumapatya. Zvinyorwa zveTrauma uye Kushungurudzika . 2016. 29 (1): 5-16.

Murdock, M., Spoont, M., Kehle-Forbes, S., Harwood, E., Sayer, N., Clothier, B., na A. Bangerter. Kuramba Muchiremera Muchirwere Chepfungwa Pakati pevaimbova Vashandi veAV PTS Zvipo Zvokuremara uye Migumisiro Yenguva refu: Zviratidzo, Kushanda, uye Basa. Zvinyorwa zveTrauma uye Kushungurudzika . 2017 Jan 8. (Epub mberi kwekudhinda).

Yager, T., Gerszberg, N., naB. Dohrenwend. Secondary Traumatization muVietnam Veterans 'Mhuri. Zvinyorwa zveTrauma uye Kushungurudzika . 2016. 29 (4): 349-55.