Unofungidzira here kuti uri kuona zviratidzo zvekutyisa chirwere ? Kuwana kana iwe usina chirwere chinotyisa chinotanga nekuongorora. Izvi zvinotevera zvinotsanangura kuti kutya kwepfungwa kunowanikwa sei.
The Assessment Process
Chiremba wako chete kana nyanzvi anoziva anogona kukuongorora iwe seine chirwere chepfungwa yehutano. Vashandi vanobata chirwere chinotyisa chinodzidziswa kuti vaone zvakajeka.
Kunyange zvazvo kuongororwa kwekutya kwepfungwa kunonyanya kukanganisa, zvichibva pakubvunzurudzwa kwechiremba, iye angave ane iwe zvakakwana zvishandiso zvekuongorora kana mibvunzo inokubvunza mibvunzo ine chokuita nezviratidzo zvako. Iyi kuongororwa ichapa chiremba wako kana chiremba pfungwa yekuwedzera uye nguva yezviratidzo zvako, pamwe nekupa rumwe ruzivo rwakakosha rwekuongorora zvirongwa.
Muhurukuro yemakiriniki, chiremba wako kana chiremba achakumbira mamwe mibvunzo yakadzika kuti iite zvakajeka. Somuenzaniso, unogona kubvunzwa mibvunzo pamusoro pezvakaitika kare mune zvechiremba, zviratidzo zvemazuva ano, uye hupenyu huchangobva kuchinja. Kuwana zvakawanda pamusoro pako kunobatsira chiremba wako kana chiremba mukuronga kunze kwekuda kweimwe mamiriro ezvehutano kana hwepfungwa mamiriro ezvinhu. Zvose zvinoshandiswa pakuongorora zvirongwa zvinowanzopedzwa mukati memumwechete kusvika zviviri.
Paunenge uchitarisa kuongorora kwako, chiremba wako kana chiremba achasarudza kana iwe unosangana nezviratidzo zvekutsvaga kwekutya chirwere.
Bhuku Rekuongorora uye Rokusimudzira reMental Disorders, 4th edition, text revision ( DSM-IV-TR ) ibhuku rino rine maitiro ekuongororwa kwehutano hwehutano hwose. Chiremba wako kana chiremba achataura nezve DSM-IV-TR paunenge uchitarisa zvirwere zvako.
Zviratidzo Zvokuziva
Maererano neDSM-IV-TR, kuti awane kuongororwa kwekutya chirwere, munhu anofanira kunge ari kurwisana nekutengesa panic .
Izvi zvinowanzoitika-zve-ye-bluu uye zvinosanganisira kusanganiswa kwepanyama, maonero, uye kugona kwezviratidzo. Kuvhunduka kunowanzosvika pakakwirira mukati maminitsi gumi vasati vasununguka zvishoma nezvishoma.
Sezvinorondedzerwa mu DSM-IV-TR, kutyisidzira kunotarisana nevana kana kupfuura kwezviratidzo zvinotevera:
- Mwoyo palpitations kana kukurumidza kutengesa mwoyo
- Kuwedzerwa kwekufukura
- Kutya kana kuzunungusa
- Kupfupika kwemhepo
- Kunzwa kwokucheka
- Chipfuva chepfu
- Nausea kana kurwadziwa mumimba
- Kunzwa tisinganzwisisiki, kusagadzikana, mutsvuku, kana kupera simba
- Derealization kana depersonalization
- Kutya kurasikirwa nekudzivirira kana kupenga
- Kutya kufa
- Manzwiro ekushaya simba kana kushungurudzika
- Chills kana moto unopisa
Zvakafanana uye Co-Zvinokonzera Matambudziko
Vanhu vane dambudziko rekushungurudzika kazhinji vanowanzova mungozi yakakura yekuwedzera humwe hutano hwoutano hwepfungwa. Semuenzaniso, zvave zvichifungidzirwa kuti vanenge makumi mashanu kubva kune makumi mashanu vevaya vanoonekwa kuti vane dambudziko rekushungurudzika vachaona chimwe chiitiko chekuora mwoyo kukuru mukati mehupenyu hwavo. Chiremba wako kana chiremba achakwanisa kuziva kana uri kutarisana nemamwe mamiriro ezvinhu ehutano hwepfungwa.
Kunze kwekuora mwoyo , vanotya zvirwere zvinotyisa zvinowanzovawo nehutano hwekusangana nekuzvidya mwoyo . Matambudziko anowanzobatana anosanganisira kusangana nehutano hwehutano hwevanhu ( SAD ), mushure mekunetseka mupfungwa (PTSD), kushungurudzika-kusagadzikana kwepfungwa ( OCD ), uye chirwere chinokonzera kuzvidya mwoyo ( GAD ).
Sezvo mamiriro aya aya ane zviratidzo zvakafanana nekutya chirwere, zvinokwanisika iwe uri kutarisana nechimwe chezvinetso izvi zvakasiyana. Chiremba wako kana chiremba achakwanisa kuziva kana iwe une chero ipi zvayo yemamiriro ezvinhu akafanana.
Pedyo nechetatu cheavo vakaonekwa vane panic disorder vachavawo nechiitiko chinonzi agoraphobia . Izvi zvinowanzoitika pakati pevanhu vane dambudziko rekutyisa, sezvo zvinosanganisira kutya kwekutya kutyisidzira mumamiriro ezvinhu kubva kwaizova kwakaoma kana kunyadzisa kutiza. Kutya uku kunowanzoita kuti munhu asazvidzivirira maitiro ayo munhu anodzivisa mimwe mamiriro ezvinhu.
Kazhinji, kudzivirira kunosanganisira nzvimbo dzakawanda, nzira dzakasiyana dzekutakura, uye nzvimbo dzakasununguka. Manzwiro ekutya anotarisana nechiitiko ichi anogona kunyanya kuoma zvokuti munhu angava pamba pamba ne agoraphobia .
Tevera uye Kurapa
Tichifunga kuti agoraphobia inowedzera mukati megore rokutanga munhu anotarisana nekushungurudzika kwezvinotyisa, zvinokosha kutanga kutanga kurapwa kare. Kana uchinge wagamuchira kufungidzirwa kwekutyisa chirwere pamwe kana kuti pasina agoraphobia, iwe unoda kutevera neurongwa hwehutano hwako.
Nzira dzakawanda dzinoshandiswa pakushandiswa kwepenic disorder dzinosanganisira mishonga yakagadzirwa , psychotherapy, maitiro ekuzvibatsira, kana kusanganiswa kwezvinhu izvi. Mishonga yekutyisa chirwere inogona kubatsira mukuderedza kusimba kwekutyisa kunetseka uye manzwiro ekuzvidya mwoyo, uye psychotherapy inogona kukubatsira pakuvaka unyanzvi hwekugadzirisa kuti utarisire mamiriro ako. Mabasa ekuzvitarisira, akadai sekuzvidzivirira , anogona kukubatsira kubata nemanzwiro ekudzvinyirira nekuzvidya mwoyo. Nokuwana rubatsiro, munhu ane dambudziko rekutambudzika anogona kudzidza kukunda mamiriro avo ezvinhu nekuvandudza hupenyu hwavo.
Kunobva:
American Psychiatric Association. (2000). Kuongorora uye Statistical Manual yeMental Disorders, 4th ed., Text revision. Washington, DC: Munyori.