Kutheni le nto bebefuna uthethathethwano lwengqondo?

Abantu balaliswa esibhedlele ngenxa yezizathu ezininzi, kubandakanya umothuko, isifo sentliziyo, kunye nokubetha. Mhlawumbi, umntu ufuna unyango olunzulu lomhlaza okanye utyando olukhethiweyo ukubuyisela isinqe okanye idolo. Nokuba siyintoni na isizathu sokulaliswa esibhedlele, akuqhelekanga ukuba ugqirha wezonyango okanye wotyando acele ukubonisana nabagula ngengqondo. Ngoba? Uninzi lweemeko zonyango kunye / okanye unyango olusetyenziselwa ezi meko lunxulunyaniswa neempawu zokuziphatha, kwaye ugqirha okanye ugqirha uhlala efuna igalelo kugqirha wezifo zengqondo ukunceda ukumisela unobangela wotshintsho kwindlela yokuziphatha kunye nokuchonga unyango olusebenzayo. Zeziphi ezinye zeenguqu zokuziphatha kwaye kutheni zisenzeka? Nantsi eminye imizekelo.

Ezinye zeemeko zonyango, umzekelo, isifo sentliziyo kunye neswekile, zinxulunyaniswa neempawu zoxinzelelo lweklinikhi. Ukuba isigulana esisibhedlele sicingelwa ukuba sidandathekile kakhulu okanye sibonisa nangayiphi na indlela ukuba sicinga ngokuzenzakalisa, iqela lezonyango lihlala lifowunela ugqirha wezifo zengqondo ukuba avavanye ubunjani kunye nobukhali beempawu zoxinzelelo, kuvavanye umngcipheko wokuzibona -harm, kwaye wenze izindululo zonyango. Oogqirha bengqondo badlala indima ebalulekileyo kulawulo lwezi zigulana kuba ubukho boxinzelelo buhlala busenza mandundu isiphumo sesifo sokuqala, kwaye ngokulandelayo.

Enye imeko eqhelekileyo ibandakanya isigulana esibhedlele kwinkonzo yezonyango okanye yotyando eqala ngesiquphe sokuphazamiseka, ukudideka, ukuphazamiseka, okanye ukubona izinto ezingekhoyo (umzekelo, ukuva amazwi okanye ukubona izinto okanye abantu abakhoyo). Zininzi izizathu ezinokubangela ezi ndlela zokuziphatha kwizigulana ezibhedlele. Umzekelo, ezinye izigulana zinezifo zengqondo esele zikhona ezibonakalisa ngakumbi uxinzelelo lokulaliswa esibhedlele. Izigulana ezine-bipolar disorder okanye i-schizophrenia zinokukhulisa iimpawu ezisebenzayo zezi ngxaki ngenxa yoxinzelelo kunye nokuphazamiseka kwindlela yabo yesiqhelo. Ukulaliswa esibhedlele, kunye notshintsho olusiphumo salo kwimeko yesiqhelo, kunokukhokelela kutshintsho lokuziphatha oluphawuliweyo kubantu abanesifo sengqondo esixhalabisayo njenge-Alzheimer's disease.

Esinye isizathu esivakalayo sokuba abaguli esibhedlele babonakalise ukuphazamiseka, ukudideka, kunye / okanye nemibono kukuphuhliswa kwemeko eyaziwa ngokuba yi-delirium. I-Delirium luhlobo lwesifo sengqondo esibuhlungu apho iinkqubo ezininzi zobuchopho ziphuma khona. Ngamanye amaxesha, umntu unokufumana "ukuthula" kwaye adideke kakhulu. Ezi zigulana zihlala zihoywa de umntu okwikomiti yonyango aqonde ukuba umntu uphazamisekile okanye uneengxaki ezinkulu kwimemori. Ngamanye amaxesha, isifo se -quququibibrium sikhokelela kwiimpawu eziphazamisayo ngakumbi njengokuphazamiseka okanye ukubona izinto ezingekhoyo. Ezi zigulana zinokungalawuleki kakhulu kwaye ziyingozi kubo nakwabanye. Nangona i-delirium ibhengeza indlela yokuziphatha egwenxa kwesigulana, izizathu zibandakanya imeko yezonyango okanye unyango lwayo. Umzekelo, iziphumo ezongezelelekileyo zamayeza amaninzi zinokukhokelela kwi-delirium. Usulelo olungafunyanwanga, njengosulelo lomchamo okanye inyumoniya, kunokubangela i-delirium. Utyando, ngakumbi phantsi kwe-anesthesia ngokubanzi, ngamanye amaxesha lutyhala ubuchopho ngaphaya komphetho, kukhokelela kwisifo se-delirium. Ugqirha wezifo zengqondo unokunceda iqela lezonyango okanye lotyando ukuba lenze isigulo se-delirium kwaye emva koko akhuthaze ukuvavanywa kwesizathu (s) sezonyango. Isazi sengqondo sinokunceda kulawulo lokuziphatha okuphazamisayo. Njengoko sele kukhankanyiwe, umntu onesifo sengqondo esixhalabisayo unengqondo esele ichaphazelekile kwaye usengozini enkulu yokuphuhlisa i-delirium. Ukufumanisa ukuba zeziphi iimpawu ezinxulumene nesifo sengqondo esixhalabisayo kwaye zeziphi iimpawu ezibangelwa ludumbo olunokuba ngumceli mngeni.

Kubalulekile ukuba i-deliria ifunyaniswe kwaye kunqunywe unobangela. I-delirium eqhubekayo inxulunyaniswa neziphumo ezibi kakhulu kwezonyango kwixesha elifutshane nelide, okt isifo sengqondo esibuhlungu kunye nezizathu ezingunobangela ezinokunxulunyaniswa nokuhla kwekhosi kunye nengozi eyandayo yokufa. UDeliria ukwabonwa kwizigaba zokuphela kwenani lezifo.

Ngamanye amaxesha oogqirha bezigulo zengqondo baye bangene kwisibhedlele esiqhelekileyo kuba isigulana siyala ukungenelela kwezonyango okanye kotyando abacinga ukuba kubalulekile oko. Iqela lezonyango linokuba nexhala lokuba isigulana asisebenzisi gwebo lifanelekileyo kwaye linokucela ugqirha wezifo zengqondo ukuba ancede abone ukuba ingaba isigulana sinakho na ukuthatha isigqibo. Nangona esi sigqibo singadingi kugqirha wezifo zengqondo, akuqhelekanga ukuba oogqirha bengqondo bacelwe ukuba baphonononge ukusebenza kwengqondo yomntu kunye namandla okwenza izigqibo. Indima yengqondo kule meko kukunika uluvo malunga nokwenza izigqibo kwesigulana. Ukuba ugqirha wezifo zengqondo ukholelwa ekubeni umntu lowo unakho ukwenza isigqibo malunga nonyango okanye unyango olwenziwayo, iqela lezonyango okanye lotyando linokudideka, kodwa kufuneka basihloniphe isigqibo somguli. Ukuba kugqityiwe ukuba isigulana asibuqondi ngokwenyani imeko yale meko kunye nemingcipheko yokungalwamkeli unyango, iqela lezonyango okanye lotyando linokuthatha isigqibo sokulandela iiprothokholi ezimiselweyo zokubonelela ngonyango ngokuchasene neminqweno yesigulana ukuze sincede ukusindisa ubomi. Kubalulekile ukuba uqaphele ukuba, kwezi meko, oogqirha bengqondo bavavanya imeko yengqondo kunye namandla okwenza isigqibo. Abazichazi izigulana “njengabantu abangenalwazi” njengoko ngamanye amaxesha kukholelwa ngempazamo; Ubuchule sisigqibo esintsonkothileyo kwezomthetho hayi ezonyango / zengqondo.

Zininzi ezinye izizathu zokuba oogqirha okanye ogqirha banokucela ugqirha wezifo zengqondo ukuba avavanye isigulana esibhedlele. Ngokwesiqhelo ayisiyo ingcebiso okanye "unyango," nangona kunjalo. Endaweni yoko, kukunceda iqela lonyango ukuba libone ukuba kutheni isigulana sibonisa isimilo esivelisa ukungasebenzi kakuhle kwengqondo kunye nendlela ekufanele ukuba kujongwane ngayo nokuziphatha.

Le kholamu yabhalwa ngokudibeneyo ngu-Eugene Rubin MD, PhD kunye noCharles Zorumski MD.