Ukuphazamiseka okuqwalaselekileyo-okunyanzelekileyo: Uhlaziyo loPhando

Ukuhlala ekhaya kunye nokuhlamba izandla rhoqo kuyacetyiswa ukulwa nokusasazeka kwe-COVID-19. Ngaba ukwala ukuchukumisa into yomnye umntu kuchukumise ukunyanzelwa okanye inyathelo elifanelekileyo lokhuseleko ngoku? Ngeliphi inqanaba ukoyika ukosulelwa sisifo kuyeyona nto iphambili?

Iingcali zempilo zichonga ukungakhathali okunganyanzelekanga (i-OCD) xa inani loxinzelelo ligqithile kwaye lichaphazela amandla omntu okusebenza. Ubhubhane uzisa imiceli mngeni eyodwa ekuqwalaselweni nasekunyangeni i-OCD.

Uloyiko lokungcoliseka, olunokubonakala ngathi luyakhusela, ayizizo kuphela iimpawu zezigulana ezine-OCD ezinengxaki ngoku. Ukuqwalaselwa kunokubandakanya iingcinga ezingavumelekanga zesini okanye ubundlobongela, ukuzibandakanya ngokwenkolo, okanye isidingo solungelelwaniso.

Unyango olukhethiweyo lwe-OCD luhlobo lonyango lokuziphatha ngendlela yokuziphatha (i-CBT) ebizwa ngokuba kukuvezwa kunye nokuthintela ukuphendula (ERP) kunye namayeza. I-ERP iqulethe ukubonakaliswa kancinci kancinci xa kugcinwa umntu ekwenzeni ukunyanzelwa kwabo kunye nokulawula naziphi na iingcinga ezinxulumene namava.

Nazi izifundo ezintathu ezisandula kupapashwa ezijongisisa iimfuno ezikhoyo kunye nemikhombandlela yexesha elizayo kunyango lwe-OCD:

1. ERP ngexesha lobhubhane

Uphononongo lwakutsha nje lweklinikhi luxubushe ngemiceli mngeni yokunyanga abaguli abane-OCD nge-telehealth ngexesha le-COVID-19. Phantse isiqingatha sezigulana ezine-OCD sinoloyiko lokungcola, ke i-ERP ngokubanzi iya kubandakanya ukushiya indlu kwaye ungahlambi kakhulu. Iiklinikhi kufuneka zilinganise iindlela zokuziphatha zokuqhubeka nolu hlobo lomsebenzi wokubhengeza ngexesha lobhubhane ngokuchasene nomngcipheko wokuchazwa kwi-COVID-19.

Kukho imingcipheko eyahlukileyo kwizigulana ezineemeko zempilo ezingapheliyo ezichaphazela ukungakhuseleki kwazo, kodwa iiphilisi azikwazi ukunciphisa imisebenzi kangangokuba iseshoni ayisasebenzi. I-ERP lolona nyango lusebenzayo lwe-OCD kwaye ingaqhubeka ngokukhuselekileyo nge-telehealth.

Ukuboniswa kufuneka kuqhubeke ngokulandela isikhokelo seZiko loLawulo lweZifo (CDC) kwiindawo ezivulekileyo, ezinabantu abaninzi. Iiklinikhi zinokutshintsha ukugxila kwiimpawu ezingaphantsi kokubopha uloyiko longcoliseko.

2. Ukuxela kwangaphambili impendulo kwi-ERP

Isifundo esenziwe kwiYunivesithi yaseMichigan savavanya ukuba ingaba imisebenzi yobuchopho inxulumene nempendulo yonyango kwi-CBT esekwe kukuvezwa.

Izigulana ezingamashumi asibhozo anesixhenxe ezine-OCD zabelwa ngokungakhethiyo ukufumana iiveki ezili-12 ze-CBT okanye ungenelelo lolawulo olubizwa ngokuba lonyango loxinzelelo. Phambi konyango, abaphandi baqhuba ukusebenza kwengqondo ye-MRI (fMRI) ngelixa abaguli besenza uthotho lwemisebenzi. Baligqibile inani leempawu ezibukhali iYale-Brown Obsessive Compulsive Scale (Y-BOCS) kulo lonke unyango.

Izigulana ezineyona mpendulo ibalulekileyo kwi-CBT zibonise ukwenziwa ngakumbi kwiindawo ezininzi zobuchopho ngaphambi kokuqala unyango. Imimandla esebenzayo inxulunyaniswa nolawulo lwengqondo kunye nokulungiswa kwembuyekezo. Ezi datha zicebisa ukuba ukuskena kwengqondo kunokuchonga ii-biomarkers ukwenza unyango kwi-OCD.

3. Iziphumo zentsangu

Iphepha labaphandi beYunivesithi yaseWashington State lifumana ingqwalaselo enkulu ngenxa yokusetyenziswa kwentsangu yonyango. Kukho idatha encinci malunga nokusetyenziswa kwe-cannabis kwizigulana ezine-OCD, kwaye yintoni ekhoyo ebonisa ukuba i-cannabis inokuyonyusa imeko.

Izifundo ezingamashumi asibhozo anesixhenxe ezilinganisiweyo zinobunzima beempawu zabo kwi-Strainprint app yeenyanga ezingama-31. Emva kokutshaya i-cannabis, baxela ukusetyenziswa okuncitshisiweyo kokunyanzelwa ngeepesenti ezingama-60, iingcinga ezingafunekiyo ngama-49 epesenti, kunye noxinzelelo ngepesenti ye-52. Iintlobo ze-Cannabis ezinokuxinana okuphezulu kwe-cannabidiol (i-CBD) zinxulunyaniswa nokunciphisa okubonakalayo kokunyanzelwa.

Isifundo khange silandele uyilo lokulinga njengoko bekungekho qela lolawulo, kwaye abathathi-nxaxheba bazichonge njenge-OCD. Ukuphuculwa kokulinganiswa kweempawu kunciphile ngexesha, ukucebisa ngoncedo lwexesha elide.

Iingcinga zokugqibela

Sukuyishiya i-ERP, olona nyango lusebenzayo lwe-OCD, kuba inzima ngakumbi ngexesha lobhubhane. Kwixesha elizayo, ababoneleli ngonyango banokwazi ukusebenzisa i-fMRI ukuqikelela ukuba zeziphi izigulana ezinokuthi ziphendule kwi-ERP. I-Cannabis inokubonelela ngoncedo lwethutyana kwizigulana ze-OCD, kodwa izifundo ezizezinye ziyafuneka.