Indwara y'ubwoko bwo kwirinda ni imyitwarire y'ubuzima bwose yo kwirinda ibikorwa by'imbaraga rusange no kumva ko utujuje ibisabwa, bisaba nibura 4 mu binshingiro 7 bya DSM-5 kugirango bigaragare. Isubiza ubuvuzi bwo mu mutwe, cyane cyane ubuvuzi bwa kognitifu-bwishongoreshwa, ntabwo ari imiti. Nta miti yemewe na FDA itera iyi ndwara. Akazi gakora ni ugushyira mu bikorwa bikomeza gushingiye ku bintu bitera kwirinda kwawe.
Ikindi kintu gikomeye: Ibintu by'ingenzi bikomeye
- Ntabwo ari impungenge zo mu muryango: hafi ya bibiri kuri bitatu by'abantu bafite AVPD ntibujuje ibisabwa byo kugira impungenge zo mu muryango.
- Igipimo gisaba nibura 4 mu binshingiro 7 bya DSM-5, byemejwe n'umuganga.
- Kora urutonde rwawe rw'iterabwoba kandi utangire ku rwego rwasuzumye 30 kugeza 40.
- Nta miti yemewe na FDA itera AVPD ubwayo.
- Zamura urwego niba urwego rwawe ruto rutagishishikaye mu cyumweru cyangwa 6.
Indwara y'ubwoko bwo kwirinda ntabwo ari isoni, kandi nta pille ibivura
Indwara y'ubwoko bwo kwirinda (AVPD) ni uko imyitwarire yo kwirinda mu muryango, kwiyumva ko utujuje ibisabwa, kandi kworoherwa cyane no kwemezwa nabi bifata kuva mu busore bukiri muto, bigira ingaruka ku kigereranyo cya 2.36% by'abaturage muri rusange kandi hafi ya 14.7% by'abigishijwe mu bitaro, nkuko StatPearls ibivuga. Ibyo ni ibipimo, ntabwo ari temperament, kandi nta miti ibivura.
Inzara eshatu zitera inzira nyayo. AVPD ntabwo ari introvert, ikaba aribyo byishimo aho kuba iterabwoba. Ntabwo bifitanye isano nimpungenge zo mu muryango: hafi ya bibiri kuri bitatu by'abantu bafite AVPD ntibujuje ibisabwa byo kugira impungenge zo mu muryango. Kandi ntabwo aribyo byanditswe. StatPearls ivuga ko nta miti yemewe na FDA itera AVPD kandi ko psychotropics muri rusange ntacyo yafasha ku ndwara ubwayo, nubwo ishobora gufasha impungenge cyangwa agahinda bifitanye isano. Ubuvuzi bwa kognitifu-bwishongoreshwa buraboneka nk'uburyo bwiza, ni nayo mpamvu igice cyose cy'uru rupapuro ari akazi ka behavioural. AVPD iri mu ndwara z'ubwoko bwa Cluster C.
Shyira hamwe ibimenyetso byawe mbere na mbere: urwego rwa diagnostic ni 4 muri 7
Ibinyuranye n'indwara y'ubwoko bwo kwirinda biragaragara mu gihe cyashize kandi bigoye kubara neza igihe. Ibinshingiro bya DSM-5 kubw'indwara y'ubwoko bwo kwirinda bisaba nibura bine mubikurikira. Shyira buri kimwe cyangwa oya nk'uko byakoreshejwe mu myaka mike ishize, hanyuma wongere hamwe.
- Kwihana imirimo isaba umubano munini w'abantu.
- Kutajya mu bantu keretse wizeye ko uzakwa.
- Kwihana mu nshuti z'abashakanye kugira ngo wirinde isoni cyangwa gusuzugurwa.
- Kugira impungenge zo kunengwa cyangwa kwanga mu muryango.
- Kwigira inyuma mu bibazo bishya by'abantu kuko wiyumva utujuje ibisabwa.
- Kwibona nk'umuntu utujuje ibisabwa, utari mwiza, cyangwa utari hasi.
- Kwihana ibikorwa bishya kuko bishobora gutera isoni.
Imyitwarire igomba kuba yarakomeje kuva mu busore kandi igashyira mu buzima bwawe, ntabwo ari igisubizo cy'akazi kamwe keza cyangwa kwirukanwa kumwe. Ubu bwoko ntacyo buvuze. Gusa umuganga wemewe ashobora kugira indwara y'ubwoko, kandi ibibazo bine cyangwa byinshi ni impamvu ikomeye yo kwandikisha ubwo buvuzi.
Abantu babiri kuri batatu bafite AVPD ntibafite impungenge zo mu muryango
Indwara y'ubwoko bwo kwirinda na mpungenge zo mu muryango ntabwo ari ikibazo cy'ubwoko. StatPearls ivuga ko hafi ya bibiri kuri bitatu by'abantu bafite AVPD ntibujuje ibisabwa byo kugira impungenge zo mu muryango, kandi ko AVPD yanduza imiryango n'imirimo cyane kurushaho. Ugereranyije wabikorewe mu 2019 wavumbuye ko ibintu by'ubwoko byihariye byateje 54% by'ubwoko mu AVPD kurenza 29% mu mpungenge zo mu muryango, hamwe na AVPD byerekana ko yiyongereyeho kwiyemera, kwibabaza, no kubeshya. Ibyo ni psychopathology itandukanye, ntabwo ari urusaku rw'inyuma.
Ibibazo bitatu bisanzwe bibisobanura:
- Uwemera ko kwemeza kwanga ko aribyo, cyangwa uzi ko bidakwiye?
- Kwihana ni ikintu cyihariye, cyangwa birimo akazi, ubwiyobobere, n'ibikorwa bishya?
- Imyitwarire yakomeje kuva mu busore bukiri muto?
Ibyo bibazo byombi bifitanye isano, rero gutanga igisubizo cy'ibyo byose ntibivuze ko wahisemo ingingo y'ibinyoma. Reba ubuyobozi bwacu kuri indwara yo kugira impungenge mu muryango niba ibyo bikwiyumva.
Kora urutonde rwawe rw'iterabwoba; urugero ntiruzakwira ku bintu byawe
Kora urutonde rw'iterabwoba ku ndwara y'ubwoko bwo kwirinda kubera ko urutonde rw'urugero rutwarwa n'iterabwoba ry'undi.
- Andika ibintu 8 kugeza 10 wihana ubu, bifatwa ku kwezi kwawe kw'ukuri, ntabwo ari igitabo.
- Shyira buri kimwe kuva kuri 0 kugeza 100 kugirango ugirire ubwoba, hanyuma uzishyire hasi hejuru.
- Tangira ku rwego rwagaragaje nibura 30 kugeza 40. Ntabwo ari igice cyo hejuru.
- Gukora kurugero rumwe inshuro ebyiri cyangwa eshatu mu cyumweru, uguma mu kintu kugeza ubwoba bugabanutseho hafi kimwe cya kabiri. Kuva hejuru y'ubwoba buteye impungenge byigisha kwirinda.
- Zamura urugero rumwe buri cyumweru kimwe cyangwa bibiri.
Uru rutonde rw'ukuri rushobora gutangirira ku gusuhuzanya n'uwashyira amafaranga n'uwishyura (30), kugerageza kugura ibintu bitarenze umuntu, gusubiza mu itsinda (55), gusaba umukoloni kwicara, kuganira mu nama (90).
Ikibazo: Ubuvuzi bwo kwishyira mu kaga bugaragaza ko bwafasheho, kandi abantu bagenda cyane kuko batangiranye na rurangiza kare cyane. Kurinda inzira hakoreshejwe ibikoresho by'ubwubatsi: nibura iminota 150 mu cyumweru cy'imikino ngororamubiri, gahunda yo gusinzira ukurikiza no mu mpera z'icyumweru, kandi iminota mike yo guhumeka neza mbere gato y'ikintu cyose.
Inshuti y'ubuzima nka August AI irashobora kugufasha kwinjiza ubwoba n'urwego wakoze, kugirango iterambere riboneke kuruta kwibuka.
Vuga umurongo usimbura uwariwo, kuko "kwemeza ibitekerezo" ntabwo ari igitekerezo
Kwemeza igitekerezo bisobanura kugira interuro idasanzwe yiteguye. Uyivuge urushe cyane:
- "Banzinutswe" bisobanura "Ndirimo kubona, si gusobonura. Ntaragira ikimenyetso.
- "Ndi nk' umuntu wantuje" bisobanura "Umugoti ntabwo ari kimwe n'ugomba kwemerwa."
- "Niba babonye ukuri kwa nyako bazagenda" bisobanura "Ubwoko bw'umuntu bumwe ntabwo ari igitekerezo kuri njye."
- "Nzasuzugurika" bisobanura "Nshobora kwikanga kandi nkaba nkomeza kuvugana."
Guhagarara ku ngingo eshatu: ikibazo, icyo wari utegereje, n'icyabayeho mu by'ukuri. Bizasuzume buri cyumweru, kuko ibimenyetso by'akarengane biba bifatwa iyo byanditswe.
Igihe iterabwoba rikoreshwa kandi ugacyuza urugero, gabanuka ku rwego rumwe kandi urukore aho kureka urutonde. Gusubira inyuma hagati mu nzira byitezwe kandi ntabwo aribyo bigaragaza ko uburyo bwananiwe. Icyumweru cyibitswe ni data. Inshuti y'ubuzima nka August AI irashobora kubika izo nkingi kandi igasubiza ibibazo by'ururimi rusanzwe hagati y'ibiganiro.
Igihe ubufasha bwawe bwihagaritse, ubuvuzi bushaka ubuvuzi bwa burundu, ntabwo ari ukwihuta
Ubuvuzi bw'indwara y'ubwoko bwo kwirinda ni ubuvuzi bwo mu mutwe mu mezi menshi, kandi ubu bufasha bwa kognitifu-bwishongoreshwa ni uburyo bwiza. Umuganga ashobora kandi gutanga ubuvuzi bwa schema, ubuvuzi bwa dialectical behavioural therapy bw'akazi, cyangwa ubuvuzi bwa metacognitive interpersonal therapy. Nta miti yemewe na FDA ihari kuri AVPD, rero imiti igamije ibibazo by'ubuzima bikomeye cyangwa impungenge, kandi icyo cyemezo kibereye umuganga wemewe.
Ongera umuntu wabigize umwuga, aho kugerageza gutera intambwe wenyine, niba urugero rwawe ruto rutagishishikaye nyuma y'ibyumweru bine kugeza ku icyenda by'ubushake bw'ukuri, niba kwihana byaguteye kuba udashobora akazi cyangwa ishuri mu byumweru, niba agahinda cyangwa ibyiringiro byiyongereye, cyangwa niba ufite ibitekerezo byo kwikunda. Ibisanzwe by'igipimo bisaba umuganga w'ibibazo by'ubuzima (PhD cyangwa PsyD) cyangwa psychiatre (MD cyangwa DO).
Niba ushaka ko ibyifuzwa bikoreshwa vuba, August's $39 online urgent care ikuhuza n'umuganga wemewe muri Leta Zunze Ubumwe z'Amerika wemeza niba ibyanditswe byujuje ibisabwa. Hagaragaza imipaka: isaha imwe yo gutwara ibintu ntishobora kugira indwara y'ubwoko cyangwa ubuvuzi. Ni inzira yo kumenya agahinda cyangwa impungenge no kubona refurans.
Icyo kwihana cyihutirwa, ntabwo ari urugero rukurikira
AVPD idafashijwe irahurizwa hamwe n' ibipimo byinshi byo kugira ibitekerezo byo kwiyahura n'imirimo yo kwiyahura, rero ubikore nk'ikiganza, ntabwo ari imbaraga zo kwiyumva.
Hama 911 cyangwa jya mu gikari cyihutirwa niba:
- Ufite ibitekerezo byo kwiyahura cyangwa kwikunda, cyangwa gahunda cyangwa ubushake. Hamagara cyangwa utange ubutumwa kuri 988 Suicide and Crisis Lifeline.
- Mu buryo butunguranye ntushobora gukora, kurya, cyangwa kwita ku bikorwa byawe hamwe no kwiyongera kw'ibyiringiro.
- Impuzamagato zifitanye n'uburibwe mu gatuza, guhumeka nabi, cyangwa kwigwa, bikenera impamvu y'ubuvuzi yo kwirinda aho kwemerwa ko ari impungenge.
Shyira ku rubuga mu cyumweru gikurikira niba:
- Kwihana byamaze kugutwara ibyumweru byo ku kazi cyangwa ishuri.
- Agahinda ni bishya cyangwa byiyongereye.
- Ubona ibimenyetso by'ikintu gikomeye nk'OCD, indwara yo kugabanya, cyangwa indwara yo kurya.
Vugana n'umuganga mbere y'uko utangira niba:
- Ufite amateka y'uburibwe cyangwa PTSD, kwikunda kare, indwara yo kurya, cyangwa amateka y'imbarutso. Akazi ko kwishyira mu kaga kagombye kwitonderwa muri ibyo bihe.
Ntabwo wiyumva uko urushushyu rwawe rumera? Uburyo bwo kubona August AI Symptom Checker buguha gusuzuma mu minota mike.
Ibibazo bikunze kubazwa
Urubyiruko rushobora kugira indwara y'ubwoko bwo kwirinda?
Ntabwo bisanzwe. Ibinshingiro bya DSM-5 kubw'indwara y'ubwoko bwo kwirinda bihabwa kuva ku myaka 18, nubwo umuganga ashobora kwandika ibintu by'ubwoko kare kandi akabivuza. Igitabo gikunze gutinda kugeza kuri 18 kuko abantu benshi bafite indwara bafite imyumvire mike kubijyanye n'uburyo kwirinda byiyongereye, kandi rero ntibabizana.
Indwara y'ubwoko bwo kwirinda ishobora kugenda neza nta buvuzi?
Rimwe na rimwe. Mu gihe cy'imyaka 10, hafi ya 50% by'abantu basanzwe bafite indwara ntibakibujuje ibisabwa. Ikibazo gikomeye kuruta izina: ubushakashatsi bugufi bugaragaza ko bigoye kuvura, rero kwirinda imyaka icumi ntibishobora kuba ingamba. Ubuvuzi bugabanya igihe kandi bugabanya ibyangiritse byakomeje.
Indwara y'ubwoko bwo kwirinda ni ya genetike?
Igice. Ubushakashatsi bwa bihembe bugereranya ko genetike ishobora kuba kugera kuri 64% y'uburyo bwo kurwara AVPD. Ibintu by'ibinyamukuru mu bana nko kwiyongera n'ubworoherane, hamwe n'uburyo bw'ubwoba, nabyo bifitanye isano. Ubworoherane busobanura akaga mu bantu benshi, ntabwo ari uruhare rwawe, kandi nta gikoresho gifite icyo gihindura niba akazi ko kwishyira mu kaga kazafasha.
Biteza igihe iki ubuvuzi ku ndwara ya AVPD mbere yuko bufasha?
Ntabwo byihuse. Tegereza amezi, rimwe na rimwe kurenza umwaka, nta gihe cya burundu. Inganda nto mu bibazo bimwe na bimwe ziboneka mbere y'impinduka mu buryo ubitekereza. Kwikanga ni akaga gakomeye, rero shyiraho igihe cy'urugero kandi wibuke impande n'umuganga wawe mu ntangiriro aho gutanga.
Ni ikihe gitandukaniro kiri hagati y'indwara yo kwirinda n'indwara ya schizoid?
Igitandukaniro ni kwifuza. Abafite indwara ya schizoid mu by'ukuri ntibashaka ubumwe kandi bakumva icyaha gito ku kuba batari kumwe. Abafite AVPD bashaka ubumwe kandi bagihunga, kuko kwishyira mu kaga ko kwanga bishobora kuba bidashobora kwihanganirwa. Imyitwarire irashobora kugaragara kimwe mu burere, ni nayo mpamvu abaganga babaza icyo ushaka, ntabwo ari icyo ukora.
Intambwe zawe eshatu zikurikira
Shyira hamwe ibimenyetso birindwi uyu munsi kandi wandike umubare. Shyira ahagaragara urutonde rwawe rw'ibintu 8 kugeza 10 kandi utangire iki cyumweru ku rwego rwasuzumye 30 kugeza 40. Hanyuma wandike isesengura n'umuganga wemewe aho gutegereza ko indwara y'ubwoko bwo kwirinda yivura yonyine.
Kwigira inama: Ingingo iyi n'inyunganizi zikoreshwa gusa kandi ntibasobanura ubuvuzi. Wemeze uhagarariye ubuzima bwawe kugirango usobanure kandi uvuge ku byemezo by'ubuvuzi. Niba ufite ikibazo cy'ubuzima cyihutirwa, hamagara 911 cyangwa jya mu gikari cyihutirwa cyegereye.
Meta description: Indwara y'ubwoko bwo kwirinda ntabwo ari isoni gusa: shyira hamwe ibimenyetso 7 bya DSM-5, kora urutonde rwawe rw'iterabwoba, kandi wige ryari ugomba kuzamura ku bwitabazi bwa rubanda.