Hoarding Dambudziko ndechirwere chepfungwa chinosanganisira kuoma nemafungiro ezvimwe zvinhu, zvichiita kuti kuunganidza zvinhu, izvo zvinogadzirisa nzvimbo, zvichiita kuti zvikwanise kushandiswa nenzira yavakarongerwa.
Zvimwe pakati pe "Obsessive Compulsive and Related Disorders" muDistrotic and Statistical Manual of Metal Disorders, Fifth Edition ( DSM-5 ), Hoarding disorder haisi isiri; inofungidzirwa kuti Hoarding Dambudziko rinokanganisa 2% - 6% yevanhu.
Zviratidzo zveDMM-5 zvinosanganisira:
- Kuramba uchinetseka kurasa kana kuparadzanisa nezvinhu izvo zvinogona kuonekwa nevamwe sezvo zvisingakoshi kukosha kana kushandiswa
- Akaonekwa kuti anoda kuchengetedza zvinhu nekushungurudzika zvinosanganiswa nekudzirasa
- Zviratidzo zvinokonzera kuunganidzwa kwenhamba yakawanda yezvinhu zvinobatanidza nzvimbo dzinogara uye kurambidza kushandiswa kwavo
- Chirwere chinokonzera kushungurudzika kana kuora mwoyo mune chimwe chinhu chinokosha chekushanda, kusanganisira kuchengetedza nzvimbo yakachengeteka yehupenyu
- Zviratidzo hazviiti nekuda kwechirwere chechirwere (kureva, kushaya njere)
- Zviratidzo hazvisi nani kune imwe mimwe dambudziko repfungwa (kureva,, kuora mwoyo kukuru, schizophrenia)
Hoarding Zvirwere zviratidzo zvinogona kusanganisira "kutengesa zvakanyanya" umo vanhu vanoedza kutsvaka kuwana zvinhu zvisingadi uye vanoita kuti zvive nyore. Unhu hwekunzwisisa hunosiyana zvikuru nevanhu vanorwisana nekutengesa, kubva kune avo vanoziva mafungiro emadadaptive nemitemo inobatsira pakugadzirisa dambudziko, kune avo vane njere dzisinganzwisisiki, vasingakwanisi kuona maitiro avo uye mafambiro sechinetso, pasinei nzvimbo inogara.
Kutanga kwezviratidzo zvinowanzoitika zvinoitika pakukura kwekuyaruka uye kunowedzera dambudziko sezvo vanhu vakura. Kukanganiswa kwebasa rezuva rega rega kunowedzera nezera uye rinowanzokurudzirwa nechiitiko chinokosha cheupenyu (semuenzaniso, rufu rwemumwe wako, vana vanoenda kure kukireji).
Kazhinji kazhinji, avo vanopa kurapa kana imwe sangano nekuda kweHoarding Disorder vane makore makumi mashanu kana kupfuura.
Zvimwe zvinokonzera kutanga nekuchengetedza kwechirwere zvakasiyana. Kune humwe humwe hutano hwezvakasiyana-siyana muhutachiona hweHoarding Disorder. Chimwe chimiro chekunyanyisa kunowanzoitika kune avo vane Hoarding Disorder uye yavo yekutanga-degree relative. Zvimwe zvinhu zvakasikwa, kusanganisira kushungurudza kana kuwedzera kwehupenyu zvinonetsa nekuchinja, zvinogona kutangira kutanga kana kuwedzera kwekuita maitiro. Uyezve, Hoarding Dambudziko rinowanzoomerwa nemanzwiro anonyadzisa kana chirwere chekuzvidya mwoyo, chinoitika munenge 75% yevanhu vane chirwere.
Kuvhara dambudziko kunogona kuva nechinonyanya kukosha muupenyu hwevaya vanorwisana nechirwere pamwe nevamwewo muupenyu hwavo. Kurwisana kwevanhu, kusagadzikana kwevanhu, kusakwanisa kugadzirira kudya kana kuchengetedza hutano hwavo, kusvibiswa kwehutsanana uye humwe hutano nekuchengetedzwa kwehutano kungave kunetseka. Kushandiswa kwepamusoro kwemasangano ehurumende yehupfumi, zvinetso nehurumende, uye zviremera zvekugara hazvishamisi.
Kunyora-zvakananga kugadzirisa maitiro ehutachiona kwakaratidzwa kuti inoshanda mukurapwa kweHoarding Disorder.
Kurapa uku kunosanganisira kubatsira vanhu kuti vachinje maonero avanofunga uye kuita zvisarudzo pamusoro pezvinhu zvavo. Basa rekurapa rinosanganisira psychoeducation yekuvandudza kunzwisisa nokunzwisisa kwehutano, kliniki yekukurukurirana uye kuongorora kwehutano hwehutsika, kubatanidzwa kwezvinangwa pakati pepfungwa yepfungwa uye mutengi, kuongororwa kwepfungwa kunzwisisa kukanganisa kwepfungwa nekubatsira mukusimudzirwa kwekunzwisisa kugadzirisa uye kugadzirisa kugadzirisa kugadziriswa , sangano rekudzidzira unyanzvi nekugadzirisa matambudziko, kuvharidzirwa nekudzivirira kupindurwa kune mikana yekuwana, miedzo yekuzvibata, uye kugadzirwa kwekutsvaga kutungamirira mutengi kuburikidza nekugadziriswa kwekutengesa kuburikidza nekugadzirisa kuburikidza nezvinhu zvaunenge uchishandisa nekuita unyanzvi hutsva hwekuita zvisarudzo.
Ikoko hakuna FDA-inogamuchirwa mishonga yemishonga yeHoarding Disorder. Nhamba isina kukwana inoratidza zvimwe zvingave zvakakosha zveSSSRIs uye SNRIs. Nhasi kutsvakurudza kwemishonga kunotsvaga kutsvaga kushandiswa kwemapfungwa ekusimudzira pfungwa uye kugadziriswa kwemagariro ekurapwa kweHoarding Disorder.
References:
American Psychiatric Association. Kuongorora uye Statistical Manual yeMental Disorders, Fifth Edition . 5thed. Washington, DC: American Psychiatric Association; 2013: 251-4.
Steketee, Gail; Frost, Randy (2011). Zvinyorwa: Kumanikidzika Kuteerera uye Zvinorehwa Nezvinhu . Oxford: Oxford University Press.
Tolin, David; Frost, Randy; Steketee, Gail (2007). Kuvigwa muHurumende: Rubatsiro rwekuwana, kuchengetedza, uye kukwezva . Oxford: Oxford University Press.