Ukucindezeleka Okubalulekile

-Delile

• Yini ebangela ukucindezeleka okukhulu?
• Ubani osengozini yokuphazamiseka kwengqondo okunamandla?
• Ziyini izimpawu zesifo sokucindezeleka okukhulu?
• Izimpawu ze-Dissociative
• Ukubona kabusha umcimbi ohlukumezayo
• Ukugwema
• Ukukhathazeka noma ukuvuka okwengeziwe
• Usizi
• Sitholakala kanjani isifo sokucindezeleka okukhulu?
• Kuphathwa kanjani ukucindezeleka okukhulu?
• Uyini umbono wesikhathi eside?
• Ngingayivimbela iASD?

Yini inkinga yokuxineka okukhulu?

Emasontweni emva kwesigameko esibuhlungu, ungahle ube nenkinga yokukhathazeka ebizwa nge-acute stress disorder (ASD). I-ASD imane yenzeke kungakapheli inyanga eyodwa yesehlakalo esibuhlungu. Ihlala okungenani izinsuku ezintathu futhi ingaqhubeka kuze kube yinyanga eyodwa. Abantu abane-ASD banezimpawu ezifana nalezo ezibonakala ku-post-traumatic stress disorder (PTSD).

Yini ebangela ukucindezeleka okukhulu?

Ukuhlangenwe nakho, ukufakaza, noma ukubhekana nesigameko esisodwa noma eziningi ezihlukumezayo kungadala i-ASD. Imicimbi idala ukwesaba okukhulu, ukwethuka, noma ukungabi namandla. Izehlakalo ezihlukumezayo ezingadala i-ASD zifaka phakathi:

• ukufa
• usongo lokufa kuwe noma kwabanye
• usongo lokulimala kanzima wena noma abanye
• usongo ekuthembekeni komzimba noma kwabanye

Balinganiselwa ku-6 kuya ku-33% abantu abahlangabezana nesigameko esibuhlungu esithuthukisa i-ASD, ngokusho koMnyango Wezilwane Zase-U.S. Leli zinga liyahluka kuye ngesimo sesimo esibuhlungu.

Ubani osengozini yokuphazamiseka kwengqondo okunamandla?

Noma ngubani angaba ne-ASD ngemuva kwesigameko esibuhlungu. Ungaba nengozi eyengeziwe yokuthuthukisa i-ASD uma une:

• wazibonela, wabona, noma wabhekana nesehlakalo esibuhlungu esikhathini esedlule
• umlando we-ASD noma i-PTSD
• umlando wezinhlobo ezithile zezinkinga zengqondo
• umlando wezimpawu ze-dissociative ngesikhathi sezehlakalo ezihlukumezayo

Ziyini izimpawu zesifo sokucindezeleka okukhulu?

Izimpawu ze-ASD zifaka:

Izimpawu ze-Dissociative

Uzoba nezimpawu ezintathu noma ngaphezulu zezimpawu zokuhlukanisa uma une-ASD:

• ukuzizwa ndikindiki, nginqanyuliwe, noma ngingasabeli ngokomzwelo
• ukuqaphela okuncishisiwe kokuzungezile
• derealization, okwenzeka lapho imvelo yakho ibonakala ingajwayelekile noma ingenangqondo kuwe
• ukuzenza umuntu uqobo, okwenzeka lapho imicabango noma imizwa yakho ingabonakali ingokoqobo noma kungabonakali sengathi ingeyakho
• i-dissociative amnesia, eyenzeka lapho ungakwazi ukukhumbula into eyodwa noma ngaphezulu ebaluleke kakhulu yesehlakalo esibuhlungu

Ukubona kabusha umcimbi ohlukumezayo

Ngokuphikelela uzohlangabezana nesigameko esibuhlungu ngenye yezindlela ezilandelayo uma une-ASD:

• ukuba nezithombe eziphindaphindayo, imicabango, amaphupho amabi, ukukhohlisa, noma iziqephu ze-flashback zesehlakalo esibuhlungu
• uzizwe sengathi ukhulula umcimbi ohlukumezayo
• uzizwe ucindezelekile lapho okuthile kukukhumbuza ngesigameko esibuhlungu

Ukugwema

Ungakugwema ukugqugquzela okwenza ukuthi ukhumbule noma uphinde uzwe ngesehlakalo esibuhlungu, njenge:

• abantu
• izingxoxo
• izindawo
• izinto
• imisebenzi
• imicabango
• imizwa

Ukukhathazeka noma ukuvuka okwengeziwe

Izimpawu ze-ASD zingabandakanya ukukhathazeka nokwanda kokuvuka. Izimpawu zokukhathazeka nokuvuka okuthe xaxa zifaka:

• unenkinga yokulala
• ukucasuka
• ukuthola ubunzima bokugxila
• ukungakwazi ukuyeka ukunyakaza noma ukuhlala unganyakazi
• ukushuba njalo noma ukugada
• wethuka kalula noma ngezikhathi ezingafanele

Usizi

Izimpawu ze-ASD zingakucindezela noma ziphazamise izici ezibalulekile zempilo yakho, njengokuhleleka kwakho kwezenhlalo noma emsebenzini. Ungase ube nokungakwazi ukuqala noma ukuqedela imisebenzi edingekayo, noma ukungakwazi ukutshela abanye ngomcimbi ohlukumezayo.

Sitholakala kanjani isifo sokucindezeleka okukhulu?

Udokotela wakho oyinhloko noma umhlinzeki wezokunakekelwa kwezempilo kwengqondo uzoxilonga i-ASD ngokukubuza imibuzo ngomcimbi ohlukumezayo nezimpawu zakho. Kubalulekile futhi ukukhipha ezinye izimbangela ezinjengalezi:

• ukusetshenziswa kabi kwezidakamizwa
• imiphumela emibi yemithi
• Izinkinga zempilo
• ezinye izifo zengqondo

Kuphathwa kanjani ukucindezeleka okukhulu?

Udokotela wakho angasebenzisa eyodwa noma ngaphezulu yalezi zindlela ezilandelayo ukwelapha i-ASD:

• ukuhlolwa kwengqondo ukuthola izidingo zakho ezithile
• ukulaliswa esibhedlela uma usengozini yokuzibulala noma ukulimaza abanye
• usizo lokuthola indawo yokuhlala, ukudla, okokwembatha, nokuthola umndeni, uma kunesidingo
• imfundo yezengqondo ukukufundisa ngesifo sakho
• imithi yokudambisa izimpawu ze-ASD, njengemithi yokulwa nokukhathazeka, i-serotonin reuptake inhibitors (SSRIs) ekhethiwe, kanye nezidambisi
• ukwelashwa kokuziphatha kwengqondo (CBT), okungakhuphula isivinini sokutakula futhi kuvimbele i-ASD ekubeni iphendukele ku-PTSD
• izindlela zokwelashwa ezisuselwa ekuchayekeni
• i-hypnotherapy

Uyini umbono wesikhathi eside?

Abantu abaningi abane-ASD babuye batholwe benePTSD. Ukuxilongwa kwe-PTSD kwenziwa uma izimpawu zakho ziqhubeka isikhathi esingaphezu kwenyanga futhi zidale inani elikhulu lokucindezeleka nobunzima bokusebenza.

Ukwelashwa kunganciphisa amathuba akho okuba ne-PTSD. Cishe amaphesenti angama-50 amacala e-PTSD axazululwa ezinyangeni eziyisithupha, kanti amanye angaqhubeka iminyaka.

Ngingayivimbela iASD?

Ngoba ayikho indlela yokuqinisekisa ukuthi awusoze wahlangabezana nesimo esibuhlungu, ayikho indlela yokuvimbela i-ASD. Kodwa-ke, kunezinto ezingenziwa ukunciphisa amathuba akho okuthuthukisa i-ASD.

Ukuthola ukwelashwa kungakapheli amahora ambalwa uhlangabezane nesigameko esibuhlungu kunganciphisa amathuba okuthi uzoba ne-ASD. Abantu abasebenza emisebenzini enobungozi obukhulu bezehlakalo ezihlukumezayo, njengabasebenzi bezempi, bangahlomula ekuqeqesheni ngokulungiselela nasekwelulekeni ukunciphisa ingozi yabo yokuthola i-ASD noma i-PSTD uma kwenzeka isigameko esibuhlungu. Ukulungiselela ukuqeqeshwa nokwelulekwa kungabandakanya ukwenziwa okungamanga kwemicimbi ehlukumezayo nokwelulekwa ukuze kuqiniswe izindlela zokubhekana nazo.