Ngabe Ukuhlukumezeka Kwengane Nezifo Ezingamahlalakhona Kuxhumekile?

-Delile

• Ukubhekisisa ama-ACE
• Okushiwo ucwaningo
• Eduzane nasekhaya
• Imikhawulo yenqubo ye-ACE
• Ukubhekana ne-ACE esimweni somtholampilo
• Yini elandelayo?

Lo mbhalo wenziwe ngokubambisana nomxhasi wethu. Okuqukethwe kuhlose, kunembile ngokwezokwelapha, futhi kunamathela kumazinga nezinqubomgomo zokuhlela zeHealthline.

Siyazi ukuthi okuhlangenwe nakho okubuhlungu kungadala izingqinamba zempilo engokwengqondo nengokomzimba lapho usumdala. Isibonelo, ingozi yemoto noma ukuhlaselwa ngobudlova kungaholela ekucindezelekeni, ekukhathazekeni, nasekucindezelekeni ngemuva kwengozi (PTSD) ngaphezu kokulimala emzimbeni.

Kepha kuthiwani ngokuhlukumezeka ngokomzwelo ebuntwaneni?

Ucwaningo olwenziwe kule minyaka eyishumi edlule lukhanyisa ukuthi imicimbi emibi yezingane (ACEs) ingazithinta kanjani izifo ezahlukahlukene kamuva empilweni.

Ukubhekisisa ama-ACE

Ama-ACE yizinto ezimbi ezenzeka phakathi neminyaka yokuqala eyi-18 yokuphila. Zingabandakanya imicimbi eyahlukahlukene njengokuthola noma ukufakaza ukuhlukunyezwa, ukunganakwa, nezinhlobo ezahlukahlukene zokungasebenzi kahle ekhaya.

Ucwaningo lwe-Kaiser olushicilelwe ngo-1998 lwathola ukuthi, njengoba inani lama-ACEs empilweni yengane landa, kanjalo namathuba okuba “nezici eziningi eziyingozi zezimbangela eziningi zokufa kwabantu abadala,” njengesifo senhliziyo, umdlavuza, amaphaphu angapheli isifo, nesifo sesibindi.

Okunye ukunakekelwa okunakekela abasinde ekuhlukumezeni kwengane kutholakale ukuthi labo abanezibalo eziphakeme ze-ACE bangaba sengozini enkulu yezifo ezizimele njenge-rheumatoid arthritis, kanye nokuphathwa ikhanda njalo, ukuqwasha, ukudangala nokukhathazeka, phakathi kwabanye. Kukhona nobufakazi bokuthi ukuchayeka “ekucindezelekeni okunobuthi obuhlungu” kungadala ushintsho kumasosha omzimba.

Umbono uthi ukucindezeleka ngokweqile ngokomzwelo kuyisisekelo sezinguquko eziningi zomzimba emzimbeni.

I-PTSD iyisibonelo esihle sale mbono ngokusebenza. Izimbangela ezivamile ze-PTSD imvamisa iyimicimbi efanayo ebonwa kuhlu lwemibuzo lwe-ACE - ukuhlukunyezwa, ukunganakwa, izingozi noma ezinye izinhlekelele, impi, nokuningi. Izindawo zobuchopho ziyashintsha, zombili ngesakhiwo nokusebenza. Izingxenye zobuchopho ezithinteke kakhulu ku-PTSD zifaka i-amygdala, i-hippocampus, ne-ventromedial prefrontal cortex. Lezi zindawo zilawula izinkumbulo, imizwa, ukucindezeleka nokwesaba. Lapho zingasebenzi kahle, lokhu kwandisa ukwenzeka kokuphambuka kanye nokuzithiba, kubeka ubuchopho bakho ekuqapheleni okuphezulu ukubona ingozi.

Ezinganeni, ingcindezi yokuthola ukuhlukumezeka ibangela ushintsho olufana kakhulu nolwabonwa ku-PTSD. Ukuhlukumezeka kungashintsha uhlelo lokuphendula ukucindezeleka komzimba lube ngamagiya aphezulu impilo yonke yengane.

Ngokulandelayo, ukuvuvukala okwandayo kusuka kuzimpendulo eziphakeme zokucindezeleka nezinye izimo.

Ngokombono wokuziphatha, izingane, intsha, nabantu abadala abake bahlukumezeka ngokomzimba nangokwengqondo bangaba sethubeni lokusebenzisa izindlela ezingekho emthethweni zokubhema, ukusebenzisa kabi izidakamizwa, ukudla ngokweqile, kanye nobungqingili. Lokhu kuziphatha, ngaphezu kwempendulo ephakeme yokuvuvukala, kungababeka engcupheni enkulu yokuthuthukisa izimo ezithile.

Okushiwo ucwaningo

Ucwaningo lwakamuva ngaphandle kwesifundo se-CDC-Kaiser luhlolisise imiphumela yezinye izinhlobo zokuhlukumezeka empilweni yokuqala, nokuthi yini engaholela emiphumeleni engcono yalabo abadalulwe ukuhlukumezeka. Ngenkathi ucwaningo oluningi lugxile ekuhlukumezeni ngokomzimba nasezimeni zezempilo ezingalapheki, izifundo eziningi ziya ngokuhlola ukuxhumana phakathi kwengcindezi yengqondo njengesici sokubikezela ukugula okungamahlalakhona kamuva empilweni.

Isibonelo, ucwaningo olushicilelwe ephephabhukwini i-Clinical and Experimental Rheumatology ngo-2010 luhlolisise amazinga e-fibromyalgia kwabasindile ekuQothulweni Kwesizwe, ngokuqhathanisa ukuthi bangakanani abasindile abebengaba nesimo esimelene neqembu elilawulayo lontanga yabo. Abasinda ekuQothulweni Kwesizwe, okuchazwe kulolu cwaningo njengabantu ababehlala eYurophu ngesikhathi sokuphathwa amaNazi, babenamathuba aphindwe kabili okuba ne-fibromyalgia njengontanga yabo.

Yiziphi izimo ezingadalwa ukuhlukumezeka kwengane? Lokho akucaci kahle njengamanje. Izimo eziningi - ikakhulukazi ukuphazamiseka kwemizwa nokuzilimaza komzimba - azinasizathu esisodwa esaziwayo, kepha ubufakazi obuningi bukhomba kuma-ACE njengokudlala indima ebalulekile ekuthuthukisweni kwawo.

Okwamanje, kunezixhumanisi ezithile ezicacile ze-PTSD ne-fibromyalgia. Ezinye izimo ezixhunywe kuma-ACE zingafaka isifo senhliziyo, ikhanda elibuhlungu kanye ne-migraines, umdlavuza wamaphaphu, isifo esingapheliyo se-pulmonary disease (COPD), isifo sesibindi, ukudangala, ukukhathazeka, nokuphazamiseka kokulala.

Eduzane nasekhaya

Kimi, lolu hlobo locwaningo luthakazelisa ikakhulukazi futhi lunomuntu uqobo. Njengomuntu owasinda ekuhlukunyezweni nasekunganakwa ebuntwaneni, nginesilinganiso esiphakeme kakhulu se-ACE - 8 kokungaba khona okungu-10. Ngiphila nezimo ezinhlobonhlobo zezempilo, kubandakanya i-fibromyalgia, i-systemic arthritis yabantwana, ne-asthma, ukubala ezimbalwa , okungenzeka noma kungahlobene nokuhlukumezeka engakuthola ngisakhula. Ngiphila ne-PTSD ngenxa yokuhlukunyezwa, futhi kungahlanganisa konke.

Noma sengimdala, futhi eminyakeni eminingi nginqamulile ukuxhumana nomhlukumezi wami (umama wami), ngivame ukubhekana nobunzima bokungakhathali. Ngikuqaphele ngokweqile indawo engizungezile, ngihlala ngiqinisekisa ukuthi ngiyazi ukuthi kuphuma kuphi. Ngithatha imininingwane emincane okungenzeka abanye bangayithandi, njengamathambo noma izibazi.

Bese kuba khona ukubuyela emuva. Izimbangela zingahluka, futhi okungahle kungidale isikhathi esisodwa kungahle kungangicimi okulandelayo, ngakho-ke kungaba nzima ukukuqagela. Ingxenye enengqondo yobuchopho bami ithatha isikhashana ukuhlola isimo futhi iyabona ukuthi akukho songo esiseduze. Izingxenye ezithintekile ze-PTSD zobuchopho bami zithatha isikhathi eside ukuthola lokho.

Okwamanje, ngikhumbula kahle izimo zokuhlukunyezwa, kuze kube seqophelweni lokukwazi ngisho nokuhogela iphunga elivela egumbini lapho ukuhlukunyezwa kwenzeke khona noma ngizwe umthelela wokushaywa. Umzimba wami wonke ukhumbula konke mayelana nokuthi lezi zigcawu zadlala kanjani ngenkathi ubuchopho bami bungenza ngiziphinde kaninginingi. Ukuhlaselwa kungathatha izinsuku noma amahora ukubuyisa.

Ngokubheka leyo mpendulo yomzimba ophelele kumcimbi wengqondo, akunzima kimi ukuqonda ukuthi ukuphila ngokuhlukumezeka kungathinta kanjani okungaphezu kwempilo yakho yengqondo.

Imikhawulo yenqubo ye-ACE

Ukuhlaziywa okukodwa kwemigomo ye-ACE ukuthi uhlu lwemibuzo luncane kakhulu. Isibonelo, esigabeni esimayelana nokunukubezwa nokuhlukunyezwa ngokocansi, ukuze aphendule ngoyebo, umhlukumezi kudingeka ukuthi okungenani abe mdala kuwe ngeminyaka emihlanu futhi kufanele ngabe uzame noma wathinta umzimba. Inkinga lapha ukuthi izinhlobo eziningi zokuhlukumeza izingane ngokocansi zenzeka ngaphandle kwale mikhawulo.

Kunezinhlobo eziningi zokuhlangenwe nakho okungekuhle okwamanje okungabalwa uhlu lwemibuzo lwe-ACE, njengezinhlobo zokucindezelwa okuhlelekile (ngokwesibonelo, ukucwasa ngokobuhlanga), ubuphofu, nokuhlala nokugula okungalapheki noma okwehlisa amandla useyingane.

Ngaphandle kwalokho, ukuhlolwa kwe-ACE akubeki okuhlangenwe nakho okungalungile kobuntwana kumongo nalokho okuhle. Ngaphandle kokuchayeka ekuhlukumezeni, kukhombisile ukuthi ukufinyelela ebudlelwaneni bezenhlalo obusekelayo nemiphakathi kungaba nomthelela omuhle ohlala njalo empilweni yengqondo nengokwenyama.

Ngizibheka njengolungiswe kahle, yize ngikhula kanzima. Ngikhule ngihlukanisiwe futhi ngangingenawo umphakathi ngaphandle komndeni wami. Enganginakho, nokho, kwakungugogo omkhulu owayengikhathalela kabi. UKatie Mae wadlula emhlabeni lapho ngineminyaka engu-11 ngenxa yezinkinga ze-multiple sclerosis. Kuze kube yilelo phuzu, noma kunjalo, wayengumuntu wami.

Esikhathini eside ngaphambi kokuba ngigule ngezimo ezahlukahlukene zezempilo, uKatie Mae wayehlala kunguye kuphela umuntu emndenini wami engangilangazelela ukumbona. Lapho ngigula, kwakungathi sobabili sasiqondana ngezinga okungekho omunye umuntu owayengaliqonda. Ukhuthaze ukukhula kwami, wanginikeza indawo ephephile ngokuqhathaniswa, futhi wakhuthaza ukuthanda impilo yonke yokufunda okuqhubeka kungisiza nanamuhla.

Yize kunezinselelo engibhekana nazo, ngaphandle kukagogo wami omkhulu angingabazi ukuthi indlela engibona futhi engibona ngayo umhlaba ibizohluka kakhulu - futhi ibe nimbi kakhulu.

Ukubhekana ne-ACE esimweni somtholampilo

Ngenkathi kudingeka olunye ucwaningo ukuze kuchazwe ngokuphelele ubudlelwano obuphakathi kwama-ACEs nokugula okungamahlalakhona, kunezinyathelo ezingathathwa odokotela nabantu ngabanye ukuhlola kangcono umlando wezempilo ngendlela ephelele.

Okokuqala, abahlinzeki bezokunakekelwa kwempilo bangaqala ukubuza imibuzo mayelana nokuhlukumezeka okwedlule ngokomzimba nangokomzwelo phakathi nakho konke ukuvakashelwa kahle - noma, okungcono kakhulu, nganoma ikuphi ukuvakashelwa.

"Akunakekelwa ngokwanele emtholampilo emicimbini yobuntwana nokuthi iyithonya kanjani impilo," kusho uCyrena Gawuga, PhD, owabhala ngokuhlanganyela ucwaningo lwango-2012 ngobudlelwano phakathi kwengcindezi yempilo yokuqala kanye nama-syndromes ezinhlungu ezingapheli.

“Izikali eziyisisekelo njenge-ACE noma nje ebuza kungenza umehluko obucayi - ingasaphathwa eyokuthi kungenzeka umsebenzi wokuvimbela osuselwe kumlando wokuhlukumezeka kanye nezimpawu zawo. ” UGawuga uphinde wathi kusenecwaningo oluthe xaxa oludingekayo ukutadisha ukuthi isimo senhlalo yomnotho kanye nenani labantu lingakhuphula kanjani ezinye izigaba ze-ACE.

Kodwa-ke, lokhu kusho nokuthi abahlinzeki badinga ukwaziswa ngokuhlukumezeka ukuze basize kangcono labo abadalula okuhlangenwe nakho okubi ebuntwaneni.

Kubantu abanjengami, lokhu kusho ukungafihli lutho ngezinto esidlule kuzo njengezingane nentsha, okungaba yinselele.

Njengabasindile, sivame ukuzizwa sinamahloni ngokuhlukunyezwa esiye sabhekana nakho noma nangendlela esisabele ngayo ekuhlukunyezweni. Ngiphumele obala ngokuhlukunyezwa kwami ​​emphakathini wami, kodwa kufanele ngivume ukuthi angikudalulanga ngempela okuningi kwabahlinzeki bami bezokunakekelwa kwezempilo ngaphandle kokwelapha. Ukukhuluma ngalokhu okuhlangenwe nakho kungavula isikhala seminye imibuzo, futhi leyo kungaba nzima ukuyiphatha.

Isibonelo, ekhethweni lwakamuva le-neurology ngabuzwa ukuthi kungenzeka yini kube nomonakalo emgogodleni wami kusuka kunoma yimiphi imicimbi. Ngiphendule ngokweqiniso, ngibe senginaba ngalokho. Ukuchazeka okwenzekile kungiyise endaweni enemizwa ebinzima ukuba kuyo, ikakhulukazi lapho ngifuna ukuzizwa nginamandla egumbini lokubhalela.

Ngithole ukuthi imikhuba yokucabanga ingangisiza ngilawule imizwa enzima. Ukuzindla ikakhulukazi kuyasiza futhi kukhonjisiwe futhi kukusiza ukulawula kangcono imizwa. Izinhlelo zokusebenza engizithandayo kulokhu iBuddhify, Headspace, neCalm - ngayinye inezinketho ezinhle zabaqalayo noma abasebenzisi abaphambili. IBuddhify futhi inezici zobuhlungu nokugula okungamahlalakhona engikuthola kimi kuwusizo olukhulu.

Yini elandelayo?

Ngaphandle kwezikhala ezindleleni ezisetshenzisiwe ukukala ama-ACE, zimele udaba olubalulekile lwezempilo yomphakathi. Izindaba ezimnandi ukuthi, ubukhulu becala, ama-ACE avikeleka kakhulu.

incoma amasu ahlukahlukene afaka ama-ejensi ombuso nawendawo okuvikela udlame, izikole, nabantu ngabanye ukusiza ukubhekana nokuvimbela ukuhlukunyezwa nokunganakwa ebuntwaneni.

Njengoba nje ukwakha izindawo eziphephile nezesekayo zezingane kubalulekile ekuvikeleni ama-ACE, ukubhekana nezinkinga zokufinyelela kokunakekelwa kwezempilo ngokomzimba nangokwengqondo kubalulekile ekubhekaneni nazo.

Ushintsho olukhulu okudingeka lwenzeke? Iziguli nabahlinzeki kufanele bathathe ngokungathi sína okuhlangenwe nakho okuhlukumezayo ebuntwaneni. Uma sesikwenzile lokho, sizokwazi ukuqonda ukuxhumana phakathi kokugula nokuhlukumezeka kangcono - futhi mhlawumbe sivikele nezinkinga zezempilo zezingane zethu ngokuzayo.

UKirsten Schultz ungumbhali waseWisconsin ophonsela inselelo inkambiso yezocansi nobulili. Ngomsebenzi wakhe njengesishoshovu sokugula okungapheli nesishoshovu sokukhubazeka, unedumela lokudiliza imingcele ngenkathi enengqondo ngokudala inkinga eyakhayo. Muva nje usungule ucansi olungapheli, oluxoxa ngokukhululekile ukuthi ukugula nokukhubazeka kubuthinta kanjani ubudlelwano bethu nathi nabanye, kufaka phakathi - ubukuqagela - ucansi! Ungafunda kabanzi ngeKirsten nocansi olungapheli ku amaddinga bese umlandela Twitter.