Isinye esinamahloni (Paruresis)

-Delile

• Ziyini izimpawu zesinye esinamahloni?
• Ziyini izimbangela zesinye esinamahloni?
• Yiziphi izindlela zokwelapha isinye esinamahloni?
• Imithi enqunyiwe
• Imithi okufanele uyigweme
• Ukwesekwa kwezempilo yengqondo
• Yiziphi izinkinga zesinye esinamahloni?
• Uyini umbono wesinye esinamahloni?

Yini isinye esinamahloni?

Isinye esinamahloni, esaziwa nangokuthi i-paruresis, yisimo lapho umuntu esaba ukusebenzisa indlu yangasese lapho abanye beseduze. Ngenxa yalokho, baba nokukhathazeka okukhulu lapho kufanele basebenzise indlu yangasese ezindaweni zomphakathi.

Labo abane-bladder abanamahloni bangazama ukugwema ukuhamba, ukuzihlanganisa nabanye, ngisho nokusebenza ehhovisi. Bangase babe nobunzima bokuchama ngokufunwa kokuhlolwa kwezidakamizwa okungahleliwe esikoleni, emsebenzini, noma kwezemidlalo.

Abantu abalinganiselwa ezigidini ezingama-20 e-United States bathinteka yisinye esinamahloni. Kusukela ezinganeni kuya kwabadala, lesi simo singenzeka kunoma yisiphi isikhathi.

Isinye esinamahloni siyelapheka kakhulu.

Ziyini izimpawu zesinye esinamahloni?

Labo abane-bladder abanamahloni banokwesaba ukuchama endlini yangasese yomphakathi noma eduze kwabanye, ngisho nasekhaya. Bangase bazame "ukuzenzela" bona basebenzise indlu yangasese, kodwa bathole ukuthi abakwazi. Imvamisa, abantu abane-bladder abanamahloni bazozama ukushintsha indlela abaziphatha ngayo ukugwema ukusebenzisa indlu yangasese yomphakathi. Izibonelo zifaka:

• ukugwema izimo zenhlalo, ukuhamba, noma amathuba emisebenzi ngenxa yokwesaba ukuthi uzochama emphakathini
• ukuphuza uketshezi oluncane ukugwema ukuthi uchame kakhulu
• ukuzwa imizwa yokukhathazeka ngokucabanga noma lapho uzama ukusebenzisa indlu yangasese yomphakathi, njengokushaya kwenhliziyo okusheshayo, ukujuluka, ukuthuthumela, nokuquleka
• njalo ufuna izindlu zangasese ezingenalutho noma ezinendlu yangasese eyodwa kuphela
• ukuya ekhaya ngekhefu lesidlo sasemini noma amanye amakhefu ukuyochama bese ubuyela emsebenzini
• ukuzama ukusebenzisa indlu yangasese kaningi ekhaya ngakho ngeke kudingeke emphakathini

Uma uhlangabezana nalezi zimpawu njalo noma ushintshe kakhulu imikhuba yakho yezenhlalo ngenxa yesinye esinamahloni, kufanele ubone udokotela.

Ziyini izimbangela zesinye esinamahloni?

Odokotela bahlukanisa isinye esinamahloni njengesifo sokwesaba umphakathi. Ngenkathi ukukhathazeka futhi kwesinye isikhathi ukwesaba kungaba yimizwa ehambisana nesinye esinamahloni, odokotela imvamisa bangaxhumanisa izimbangela nezici ezithile. Lokhu kufaka phakathi:

• izici zemvelo, njengomlando wokugconwa, ukuhlukunyezwa, noma ukuphoxa abanye maqondana nokusebenzisa indlu yangasese
• ukuthambekela kofuzo ekukhathazekeni
• izici zomzimba, kufaka phakathi umlando wezimo zezokwelapha ezingathinta amandla okuchama

Yize odokotela bebheka isinye esinamahloni ukwesaba umphakathi, akusona isifo sengqondo. Kodwa-ke, kuyakhombisa isimo sempilo yengqondo esifanele ukuxhaswa nokwelashwa.

Yiziphi izindlela zokwelapha isinye esinamahloni?

Ukwelashwa kwesinye esinamahloni ngokuvamile kubandakanya inhlanganisela yokusekelwa kobuchwepheshe bezempilo yengqondo futhi kwesinye isikhathi nemithi. Udokotela wakho kufanele akuhlolisise ukuze aqinisekise ukuthi awunayo inkinga yezempilo eyisisekelo ethinta ikhono lakho lokuchama. Uma uthola ukuxilongwa kwesinye okunamahloni, kufanele welashwe ngohlelo oluhlukile lwezimpawu nezimbangela zakho ezihlukile.

Imithi enqunyiwe

Udokotela wakho angakunikeza imithi yesinye esinamahloni eselapha isinye noma okunye ukukhathazeka okuyisisekelo. Kodwa-ke, imithi ayiyona impendulo ngaso sonke isikhathi futhi ayikaze iboniswe ukuthi iyasebenza ikakhulukazi kulabo abane-bladder enamahloni.

Izibonelo zemithi enqunyelwe ukwelapha isinye esinamahloni zifaka:

• imishanguzo ekhulula ukukhathazeka, efana ne-benzodiazepines efana ne-alprazolam (Xanax) noma i-diazepam (Valium)
• imishanguzo, njenge-fluoxetine (Prozac), i-paroxetine (i-Paxil), noma i-sertraline (i-Zoloft)
• i-alpha-adrenergic blocker ephumuza imisipha yesinye ukwenza kube lula ukusebenzisa indlu yangasese, njenge-tamsulosin (Flomax)
• imithi esetshenziselwa ukunciphisa ukugcinwa komchamo, njenge-bethanechol (Urecholine)

Imithi okufanele uyigweme

Ngaphezu kokwelashwa ukunciphisa isinye esinamahloni, udokotela wakho angabuye abuyekeze imishanguzo yakho ukuthola ukuthi ngabe uthatha imithi yini engenza kube nzima kakhulu ukuchama. Izibonelo zalokhu zifaka:

Ama-anticholinergics, anjenge:

• i-atropine
• i-glycopyrrolate (iRobinul)

Imithi yeNoradrenergic ekhulisa inani le-norepinephrine emzimbeni, njenge:

• i-venlafaxine (i-Effexor XR)
• i-nortriptyline (Pamelor)
• i-bupropion (Wellbutrin)
• i-atomoxetine (iStrattera)

Odokotela banikeza eminingi yale mithi njengezidambisi zengqondo.

Ukwesekwa kwezempilo yengqondo

Ukwesekwa kwezempilo yengqondo ngesinye esinamahloni kungabandakanya ukwelashwa kokuziphatha kwengqondo, noma i-CBT. Lolu hlobo lwezokwelapha lubandakanya ukusebenza nomelaphi ukuthola izindlela isinye esinamahloni esishintshe ngayo imikhuba nemicabango yakho futhi sikudalule kancane ezimeni lapho unganciphisa khona ukwesaba kwakho. Le ndlela ingathatha noma yikuphi kusuka ezikhathini zokwelashwa eziyisithupha kuya kweziyishumi. Abantu abalinganiselwa kwabangu-85 kwabali-100 bangalawula isinye sabo esinamahloni nge-CBT. Ukubamba iqhaza emaqenjini okusekela ku-inthanethi noma ngaphakathi kungasiza futhi.

Yiziphi izinkinga zesinye esinamahloni?

Isinye esinamahloni singaba nezinkinga zomphakathi nezomzimba. Uma ubamba umchamo wakho isikhathi eside kakhulu, usengozini enkulu yokutheleleka ngomgudu womchamo kanye nokwenza buthakathaka imisipha yomgogodla esetshenziselwa ukuchama. Ungaba namatshe ezinso, amatshe endlala yamathe, namatshe enyongo ngenxa yokunciphisa ukudla kwakho oketshezi.

Ukukhathazeka okuhambisana nesinye esinamahloni kungaholela ekushintsheni okuphawulekayo kokuziphatha kwakho ukugwema ukuphumela obala. Lokhu kungathinta ubudlelwano bakho nabangani nomndeni futhi kuphazamise ikhono lakho lokusebenza.

Uyini umbono wesinye esinamahloni?

Isinye esinamahloni yisimo eselaphekayo. Uma unesinye esinamahloni, unganciphisa ukukhathazeka kwakho futhi uchame ngempumelelo esidlangalaleni. Kodwa-ke, ukwesekwa kwezempilo nokwengqondo okudingekayo ukukuletha kule nhloso kungathatha isikhathi, okungaba noma kuphi kusuka ezinyangeni kuye eminyakeni.