Inkinga yokuguquka

Isifo sokuguquka yisimo sengqondo lapho umuntu eba khona ukungaboni, ukukhubazeka, noma ezinye izimpawu zesistimu yezinzwa (i-neurologic) ezingenachazwa ngokuhlolwa kwezokwelapha.

Izimpawu zesifo sokuguquka kungenzeka ngenxa yengxabano yengqondo.

Izimpawu zivame ukuqala ngokungazelelwe ngemuva kokuhlangenwe nakho okucindezelayo. Abantu basengozini yokuguquguquka kokugula uma nabo:

• Ukugula okwelashwa
• Isifo se-dissociative (ukubalekela iqiniso elingeyona inhloso)
• Ukuphazamiseka kobuntu (ukungakwazi ukuphatha imizwa nokuziphatha okulindeleke ezimweni ezithile zomphakathi)

Abantu abanenkinga yokuguquka abazenzi izimpawu zabo ukuze bathole indawo yokuhlala, isibonelo (malingering). Futhi abazilimazi ngamabomu noma baqambe amanga ngezimpawu zabo ukuze nje babe yisiguli (i-factistic disorder). Abanye abahlinzeki bezempilo bakholelwa ngamanga ukuthi ukuguqulwa kwesifo akusona isimo sangempela futhi bangatshela abantu ukuthi inkinga isekhanda labo. Kepha lesi simo singokoqobo. Kubangela ukucindezeleka futhi akunakuvulwa kuvulwe ngentando.

Izimpawu zomzimba kucatshangwa ukuthi yimizamo yokuxazulula ingxabano umuntu azizwa ngayo ngaphakathi. Isibonelo, owesifazane okholelwa ukuthi akwamukelekile ukuba nemizwa yobudlova angavele azizwe endikindiki ezandleni zakhe ngemuva kokuthukuthela aze afune ukushaya umuntu. Esikhundleni sokuzivumela ukuthi abe nemicabango enobudlova ngokushaya umuntu, uhlangabezana nophawu lomzimba lokuba ndikindiki ezandleni zakhe.

Izimpawu zesifo sokuguqulwa zifaka ukulahleka komsebenzi owodwa noma ngaphezulu womzimba, njenge:

• Ubumpumputhe
• Ukungakwazi ukukhuluma
• Ubudikadika
• Ukukhubazeka

Izimpawu ezijwayelekile zokugula okuguqukayo zifaka:

• Uphawu olwenza buthaka oluqala kungazelelwe
• Umlando wenkinga yengqondo eba ngcono ngemuva kokuvela kwesifo
• Ukungakhathazeki okuvame ukwenzeka ngesifo esibi

Umhlinzeki uzokwenza ukuhlolwa ngokomzimba futhi anga-oda izivivinyo zokuxilonga. Lokhu kwenzelwa ukuthi kuqinisekiswe ukuthi azikho izimbangela zomzimba zalesi sifo.

Ukwelashwa kokukhuluma nokuqeqeshwa kokulawulwa kwengcindezi kungasiza ukunciphisa izimpawu.

Ingxenye yomzimba ethintekile noma ukusebenza komzimba kungadinga ukwelashwa ngokomzimba noma kokusebenza kuze kuphele izimpawu. Isibonelo, ingalo ekhubazekile kumele isetshenziselwe ukugcina izicubu zomzimba ziqinile.

Izimpawu zivame ukuhlala izinsuku kuye emasontweni futhi zingaphela ngokuzumayo. Imvamisa uphawu ngokwalo alusongeli impilo, kepha ubunzima bungaba buthakathaka.

Bona umhlinzeki wakho noma uchwepheshe wezempilo yengqondo uma wena noma umuntu omaziyo enezimpawu zesifo sokuguqulwa.

Umsebenzi wokuphazamiseka kwesifo sezinzwa; I-hysterical neurosis

I-American Psychiatric Association. Isifo sokuguquka (ukusebenza kwe-neurological symptom disorder). Incwajana Yokuhlola Nezibalo Yezinkinga Zengqondo: DSM-5. Umhlaka 5. I-Arlington, VA: Ukushicilelwa Kwe-Psychiatric yaseMelika; 2013: 318-321.

I-Cottencin O. Ukuphazamiseka kokuguqulwa: izici zengqondo nezengqondo. Umtholampilo weNeurophysiol. 2014; 44 (4): 405-410. I-PMID: 25306080 www.ncbi.nlm.nih.gov/pubmed/25306080.

UGerstenblith TA, uKontos N. Ukuphazamiseka kwezimpawu zeSomatic. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ama-eds. IMassachusetts General Hospital Comprehensive Clinical Psychiatry. Okwesibili. IPhiladelphia, PA: Elsevier; 2016: isahluko 24.