Munchausen syndrome ngummeleli

I-Munchausen syndrome ngummeleli ukugula ngengqondo nohlobo lokuhlukunyezwa kwezingane. Umondli wengane, imvamisa umama, wenza izimpawu ezingezona noma enze izimpawu zangempela zenze kubonakale sengathi ingane iyagula.

Akekho oqinisekile ukuthi yini ebangela i-Munchausen syndrome ngummeleli. Kwesinye isikhathi, lo muntu wayehlukunyezwa esemncane noma enesifo seMunchausen (ukugula okuyikhohlisa).

Umnakekeli angenza izinto ezeqisayo kwizimpawu zomgunyathi zokugula enganeni. Isibonelo, umnakekeli anga:

• Faka igazi emchameni wengane noma esitokisini
• Vimba ukudla ukuze ingane ibukeke sengathi ayikwazi ukukhuluphala
• Fudumeza ama-thermometer ngakho kubukeka sengathi ingane inemfiva
• Yenza imiphumela yelabhu
• Nikeza ingane imishanguzo yokwenza ingane iphose noma iphathwe yisisu
• Ukutheleleka ngentambo efakwa emthanjeni (IV) ukugulisa ingane

Ziyini izimpawu kumnakekeli?

• Iningi labantu abanenkinga omama abanezingane ezincane. Ezinye izingane ezindala ezinakekela umzali osekhulile.
• Abanakekeli bavame ukusebenza kwezokunakekelwa kwempilo futhi bazi okuningi ngokunakekelwa kwezokwelapha. Bangakwazi ukuchaza izimpawu zengane ngemininingwane emikhulu yezokwelapha. Bathanda ukuzibandakanya kakhulu neqembu lokunakekelwa kwezempilo futhi bayathandwa ngabasebenzi ngokunakekelwa kwabo abakunikeza ingane.
• Laba banakekeli babandakanyeka kakhulu ezinganeni zabo. Babonakala bezinikele enganeni. Lokhu kwenza kube nzima kochwepheshe bezempilo ukuthi babone ukuxilongwa kwe-Munchausen syndrome ngummeleli.

Ziyini izimpawu enganeni?

• Ingane ibona abahlinzeki abaningi bokunakekelwa kwezempilo futhi ibisesibhedlela kakhulu.
• Ingane ivame ukuba nokuhlolwa okuningi, ukuhlinzwa, noma ezinye izinqubo.
• Ingane inezimpawu ezingajwayelekile ezingahambisani nanoma yisiphi isifo. Izimpawu azifani nemiphumela yokuhlolwa.
• Izimpawu zengane zibikwa ngumphathi. Abakaze babonwe ngabasebenzi bezempilo. Izimpawu sezihambile esibhedlela, kodwa qala futhi lapho ingane igoduka.
• Amasampula egazi awafani nohlobo lwegazi lengane.
• Izidakamizwa noma amakhemikhali atholakala emchameni wengane, egazini, noma esitokisini.

Ukuxilonga i-Munchausen syndrome nge-proxy, abahlinzeki kufanele babone izinkomba. Kufanele babuyekeze irekhodi lezokwelapha lengane ukuze babone ukuthi kwenzekeni ngengane ngokuhamba kwesikhathi. Imvamisa, i-Munchausen syndrome nge-proxy ayitholakali.

Ingane idinga ukuvikelwa. Bangadinga ukususwa ekunakekelweni okuqondile kwalowo okhathalela umsebenzi okukhulunywa ngaye.

Izingane zingadinga ukunakekelwa kwezokwelapha ukuphatha izinkinga ezivela ekulimaleni, ekungenweni yizifo, emithini, ekuhlinzweni, noma ezivivinyweni. Baphinde badinga ukunakekelwa kwengqondo ukubhekana nokudangala, ukukhathazeka, kanye nengcindezi yangemva kwenhlekelele engenzeka ngokuhlukunyezwa kwengane.

Ukwelashwa kuvame ukubandakanya ukwelashwa komuntu ngamunye kanye nomndeni. Ngoba lolu uhlobo lokuhlukumeza izingane, lesi sifo kufanele sibikwe kuziphathimandla.

Uma ucabanga ukuthi ingane iyahlukunyezwa, xhumana nomhlinzeki, amaphoyisa, noma izinsizakalo zokuvikela izingane.

Shayela u-911 nganoma iyiphi ingane esengozini ngokushesha ngenxa yokuhlukunyezwa noma ukunganakwa.

Ungashayela futhi le nombolo yocingo kazwelonke. Abeluleki bezinhlekelele batholakala ngo-24/7. Abahumushi bayatholakala ukusiza ngezilimi eziyi-170. Umeluleki ocingweni angakusiza ukuthola izinyathelo ezilandelayo. Zonke izingcingo azaziwa futhi ziyimfihlo. Shayela i-Childhelp Inombolo Kazwelonke Yokuhlukumeza Izingane Kwezwe 1-800-4-A-CHILD (1-800-422-4453).

Ukuqashelwa kwe-Munchausen syndrome ngummeleli ebudlelwaneni bomzali nomntwana kungavimbela ukuhlukunyezwa okuqhubekayo nokuhlolwa okungadingekile, okubizayo, futhi okungenzeka kube yingozi.

Ukuphazamiseka okuyiqiniso nge-proxy; Ukuhlukunyezwa kwengane - Munchausen

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UDubowitz H, uLane WG. Izingane ezihlukunyezwayo nezinganakiwe. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 16.

UShapiro R, uFarst K, uChervenak CL. Ukuhlukunyezwa kwezingane. Ku: Rakel RE, Rakel DP, ama-eds. Incwadi Yezokwelapha Yomndeni. Umhlaka 9. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 24.