Hoarding: Ukuqonda nokwelashwa

-Delile

• Kuyini ukungahambi kahle?
• Yini ebangela ukungahambi kahle?
• Ingabe usengozini yokuphazamiseka kokuphazamiseka?
• Ziyini izimpawu zokuzithokozisa?
• Ungayiphatha kanjani i-HD
• Ukuxilongwa
• Ukwelashwa kokuziphatha kwengqondo (CBT)
• Amaqembu aholwa ngontanga
• Imithi
• Ukusekelwa okuwusizo
• Uyini umbono

Ukubuka konke

Ukuqoqwa kwenzeka lapho othile elwela ukulahla izinto futhi eqoqa izinto ezingadingekile. Ngokuhamba kwesikhathi, ukungakwazi ukulahla izinto kungadlula ijubane lokuqoqa.

Ukwakhiwa okuqhubekayo kwezinto eziqoqiwe kungaholela ezindaweni zokuhlala ezingaphephile nezingenampilo. Kungadala nokungezwani ebudlelwaneni bomuntu futhi kwehlise kanzima izinga lempilo yansuku zonke.

Kuyini ukungahambi kahle?

I-hoarding disorder (HD) yisimo esihlotshaniswa nokuqoqoda. I-HD ingaba yimbi ngokuhamba kwesikhathi. Imvamisa kuthinta abantu abadala, noma intsha ingakhombisa ukuthambekela kokuzikhandla.

I-HD ihlukaniswa njengesiyaluyalu kuhlelo lwesihlanu lweDiagnostic and Statistical Manual of Mental Disorders. Leli gama lenza i-HD ihlonzwe ngokuzimela kwezempilo yengqondo. I-HD ingenzeka ngasikhathi sinye nezinye izimo zempilo yengqondo.

Ukwelashwa kudinga ukuzikhuthaza kanye nesifiso sokushintsha indlela umuntu aziphatha ngayo. Kudinga nokubandakanyeka kukadokotela. Ukwesekwa komndeni kungasiza, inqobo nje uma kungokwakha hhayi ukusola.

Yini ebangela ukungahambi kahle?

I-HD ingenzeka ngezizathu eziningana. Umuntu angaqala ukuqoqa ngoba ukholelwa ukuthi into ayiqoqile, noma acabanga ukuyiqoqa, ingaba wusizo noma ilusizo ngesikhathi esithile. Futhi bangaxhuma into nomuntu noma umcimbi obalulekile ongafuni ukuwukhohlwa.

Ama-hoarders avame ukuhlala nezinto zawo eziqoqiwe ngokunganaki kwezidingo zawo. Isibonelo, bangahle bayeke ukusebenzisa isiqandisi sabo ngoba indawo yabo yasekhishini isivinjiwe ngezinto. Noma bangakhetha ukuhlala nomshini ophukile noma ngaphandle kokushisa kunokuvumela othile angene endlini yakhe ukulungisa inkinga.

Abantu abangaba sengozini enkulu yokuqoqwa kubandakanya labo:

• hlala wedwa
• wakhulela endaweni engahlelekile kahle
• wayenobuntwana obunzima, obuncishwa

I-HD iphinde ihlotshaniswe nezinye izimo zempilo yengqondo. Ezinye zazo zifaka:

• ukukhathazeka
• ukunakekelwa kokulahleka kokugula (ADHD)
• ukudana
• ukuwohloka komqondo
• ukuphazamiseka okucindezelayo ngokweqile
• ukuphazamiseka kobuntu okuphoqelela ngokweqile
• schizophrenia

Ucwaningo lukhombisa ukuthi i-HD nayo ingahle ihlotshaniswe nokuntuleka kwamandla okuphatha aphezulu. Ukushoda kule ndawo kufaka phakathi, phakathi kwezinye izimpawu, ukwehluleka uku:

• Lalela
• yenza izinqumo
• hlukanisa izinto

Ukushoda kokusebenza okuphezulu kuvame ukuhlanganiswa ne-ADHD ebuntwaneni.

Ingabe usengozini yokuphazamiseka kokuphazamiseka?

I-HD ayijwayelekile. Cishe amaphesenti amabili kuya kwayisithupha abantu bane-HD. Okungenani u-1 kwabangu-50 - mhlawumbe ngisho noyedwa kwabangama-20 - abantu banokuthambekela okuphawulekayo, noma okuphoqelelayo, kokuthola okuthile.

I-HD ithinta abesilisa nabesifazane ngokulinganayo. Abukho ubufakazi obususelwa ocwaningweni bokuthi isiko, ubuhlanga, noma ubuzwe budlala indima ekutheni ngubani othuthukisa lesi simo.

Ubudala buyinto ebalulekile ye-HD. Abantu abadala abaneminyaka engama-55 nangaphezulu banamathuba aphindwe kathathu okuba ne-HD kunabantu abadala abasebasha. Isilinganiso seminyaka yomuntu ofuna usizo lwe-HD cishe singama-50.

Intsha nayo ingaba ne-HD. Kuleli qembu leminyaka yobudala, ngokuvamile kubemnene futhi izimpawu azikhathazi kangako. Lokhu kungenxa yokuthi abantu abasha bavame ukuhlala nabazali noma abantu abahlala nabo abangasiza ukuphatha isimilo sokuzikhandla.

I-HD ingaqala ukuphazamisa imisebenzi yansuku zonke ezungeze iminyaka engama-20, kepha kungenzeka ingabi yinkinga enkulu kuze kube yiminyaka engama-30 noma kamuva.

Ziyini izimpawu zokuzithokozisa?

I-HD yakha kancane kancane ngokuhamba kwesikhathi, futhi umuntu kungenzeka angazi ukuthi akhombisa izimpawu ze-HD. Lezi zimpawu nezimpawu zifaka:

• ukungakwazi ukuhlukana nezinto, kufaka phakathi izinto ezibalulekile nezingabalulekile
• ukuba nenqwaba yemfuhlumfuhlu ekhaya, ehhovisi, noma kwenye indawo
• ukungakwazi ukuthola izinto ezibalulekile phakathi kwemfuhlumfuhlu ngokweqile
• ukungakwazi ukuvumela izinto zihambe ngenxa yokwesaba ukuthi zizodingeka "ngolunye usuku"
• ukubamba inani eleqile lezinto ngoba ziyizikhumbuzo zomuntu noma umcimbi wempilo
• ukugcina izinto zamahhala noma ezinye izinto ezingadingekile
• bezizwa becindezelekile kepha bengenakuzisiza ngenani lezinto ezikhaleni zabo
• ukusola imfuhlumfuhlu ngokweqile ngosayizi wesikhala sazo noma ukungabi nenhlangano
• ukulahlekelwa amakamelo ngenxa yokuxinana, okwenza angakwazi ukusebenza ngezinhloso zawo
• ukugwema ukwamukela abantu esikhaleni ngenxa yehlazo noma amahloni
• ukuhlehlisa ukulungiswa kwekhaya ngenxa yobuxakaxhaka futhi ungafuni ukuvumela umuntu angene ekhaya lakhe azolungisa noma yini ephukile
• ukuxabana nabathandekayo ngenxa yokugcwala ngokweqile

Ungayiphatha kanjani i-HD

Ukuxilongwa nokwelashwa kwe-HD kungenzeka. Kodwa-ke, kungaba nzima ukuncenga umuntu one-HD ukuthi abone isimo. Abathandekayo noma abangaphandle bangazibona izimpawu nezimpawu ze-HD isikhathi eside ngaphambi kokuba umuntu onaleso simo avumelane naso.

Ukwelashwa kwe-HD kumele kugxile kumuntu hhayi kuphela ezikhaleni ezigcwele imfuhlumfuhlu. Umuntu kufanele aqale amukele izinketho zokwelashwa ukuze ashintshe indlela yakhe yokuziphatha.

Ukuxilongwa

Umuntu ofuna ukwelashwa kwe-HD kufanele aqale abone udokotela wakhe. Udokotela angahlola i-HD ngokuxoxisana nomuntu kanye nabathandekayo bakhe. Bangase futhi bavakashele isikhala salo muntu ukuthola ubunzima nobungozi besimo.

Ukuhlolwa okuphelele kwezokwelapha kungasiza futhi ukuxilonga noma yiziphi ezinye izimo zempilo yengqondo.

Ukwelashwa kokuziphatha kwengqondo (CBT)

Ukwelashwa kokuziphatha komuntu ngamunye neqembu (CBT) kungaba yindlela ephumelela kakhulu yokwelapha i-HD. Lokhu kufanele kuqondiswe ngudokotela.

Ucwaningo lukhombisile ukuthi lolu hlobo lwezokwelapha lungasiza. Ukubuyekezwa kwezincwadi kukhombisile ukuthi abesifazane abasebancane abaya ezifundweni eziningana ze-CBT futhi bavakashelwa emakhaya kaningana baba nempumelelo enkulu ngalo mkhakha wokwelashwa.

I-CBT ingenziwa ngokuhlelwa komuntu ngamunye noma kweqembu. Ukwelashwa kugxila ekutheni kungani omunye umuntu angaba nesikhathi esinzima sokulahla izinto nokuthi kungani efisa ukuletha izinto eziningi esikhaleni. Inhloso ye-CBT ukuguqula indlela yokuziphatha nezinqubo zokucabanga ezinomthelela ekuqoqeni.

Izikhathi ze-CBT zingabandakanya ukudala amasu okwehla kanye nokuxoxa ngezindlela zokuvimbela ukuletha izinto ezintsha esikhaleni.

Amaqembu aholwa ngontanga

Amaqembu aholwa ngontanga nawo angasiza ekwelapheni i-HD. Lawa maqembu angaba nobungane futhi angesabi umuntu one-HD. Imvamisa bahlangana masonto onke futhi babandakanya ukungena njalo ukunikela ukwesekwa nokuhlola inqubekela phambili.

Imithi

Ayikho imithi ekhona ekwelapheni i-HD. Abanye bangasiza ngezimpawu. Udokotela anganikeza i-serotonin reuptake inhibitor ekhethiwe noma i-serotonin-norepinephrine reuptake inhibitor ukuze isize ngalesi simo.

Le mithi ijwayele ukusetshenziselwa ukwelapha ezinye izimo zempilo yengqondo. Kodwa-ke, akucaci ukuthi le mithi ilusizo yini kwi-HD. Olunye ucwaningo luye lwabonisa ukuthi imishanguzo ye-ADHD nayo ingasiza kwi-HD.

Ukusekelwa okuwusizo

Ukusekela umuntu othintekayo yi-HD kungaba yinselele. I-HD ingadala ubunzima phakathi komuntu othintekayo nabathandekayo. Kubalulekile ukuvumela umuntu one-HD ukuthi azikhuthaze ukuze athole usizo.

Njengomuntu wangaphandle, kuyalingana ukukholelwa ukuthi ukukhuculula izikhala eziminyene kuzoxazulula inkinga. Kepha ukuqoqwa kungenzeka kuqhubeke ngaphandle kokuqondiswa okufanele nokungenelela.

Nazi ezinye izindlela ongasekela ngazo umuntu one-HD:

• Yeka ukuhlalisa noma ukusiza umuntu ngokuthambekela kokuzenzela.
• Bakhuthaze ukuthi bafune usizo lochwepheshe.
• Sekela ngaphandle kokugxeka.
• Xoxani ngezindlela abangenza ngazo isikhala sabo siphephe.
• Phakamisa ukuthi ukwelashwa kungakuthinta kanjani impilo yabo.

Uyini umbono

Ukuphazamiseka kwe-hoarding yisimo esingaxilongwa esidinga usizo lochwepheshe bezokwelapha. Ngosizo lobungcweti nesikhathi, umuntu angakwazi ukudlulela ekuziphatheni kwakhe kokuzenzela futhi anciphise imfuhlumfuhlu eyingozi neyenza kube nokungezwani esikhaleni sakhe.