Kusagadzikana kwepfungwa kunopindirana (OCD) kunoita kuti munhu ave nepfungwa dzisingadiwi nedzimwe nguva dzinoita kuti atye zvinhu zvisinganzwisisiki. Idzi pfungwa dzinoita kuti munhu aite zvinhu zvakawanda zvakafanana, izvo zvinonziwo compulsions. Idzi pfungwa nekuita zvinhu zvakawanda zvakafanana zvinokanganisa mabasa emu zuva nezuva uye zvinoita kuti munhu azive kunetseka kwakanyanya. Pakupedzisira, munhu anonzwa achimanikidzwa kuita zvinhu zvakawanda kuti adzikamise kunetseka kwake. Kunyangwe kana munhu achiedza kurega kana kubvisa pfungwa dzisingafadzi kana zvido, dzinoenderera mberi dzichiuya. Izvi zvinoita kuti munhu aite zvinhu zvakafanana. Uyu ndiwo musiyano wakaipa weOCD. OCD kazhinji inotenderera pane zvinhu zvakati, zvakadai sekutya zvakanyanya kuzara nehutachiona. Kuti adzikamise kutya kuzara nehutachiona, munhu anogona kusuka maoko ake kakawanda kusvika anyanya kuoma uye akapwanya. Kana munhu ane OCD, anogona kunyara, kunyara uye kuora mwoyo nezve mamiriro acho. Asi kurapwa kunogona kubatsira.
Kusagadzikana kwemwoyo kunowanzo sanganisira zvese zvinofungwa zvakanyanya nezviito zvinoratidza kusagadzikana. Asi zvinokwanisikawo kuva nezviratidzo zvepfungwa chete kana zviratidzo zvekuita chete. Ungaziva kana kuti usingazivi kuti pfungwa dzako nemabasa ako anopfuura chikonzero. Asi anopedza nguva yakawanda, anoderedza mhando yehupenyu hwako, uye anokanganisa maitiro ako ezuva nezuva nemabasa ako. Pfungwa dzinonyanya kukosha dzeOCD ndedzepfungwa dzisingadiwi dzinoenderera mberi dzichidzoka kana kukurudzira kana mifananidzo inopindira uye inokonzera kunetseka kana kuzvidya mwoyo. Ungaedza kuvadzivisa kana kuvadzima nekushandisa zviito zvakavakirwa pachitendero. Pfungwa idzi dzinowanzo kupindira kana uri kuedza kufunga kana kuita zvimwe zvinhu. Pfungwa dzinowanzova nezvinhu, zvakadai se: Kutya kusvibiswa kana tsvina. Kusava nechokwadi uye kuva nekuoma kubata nekusaona. Kuva nechido chekuti zvinhu zvive zvakarongeka uye zvakaringana. Mafungiro ane utsinye kana anotyisa ekurasikirwa nekuzvidzora uye kukuvadza iwe kana vamwe. Mafungiro asingadiwi, kusanganisira chisimba, kana zvinhu zvepabonde kana zvechitendero. Mienzaniso yezviratidzo zvepfungwa inosanganisira: Kutya kusvibiswa nekubata zvinhu vamwe vanhu vakabata. Kusava nechokwadi kuti wakavhara gonhi kana kuti wakadzima chitofu. Kunetseka kwakanyanya kana zvinhu zvisiri zvakarongeka kana zvichiita nzira chaiyo. Mifananidzo yekutyaira mota yako mumapoka evanhu. Mafungiro ekushevedzera mashoko asina kunaka kana kusaita zvakakodzera pachena. Mifananidzo isina kunaka yepabonde. Kugara kure nemamiriro ezvinhu anogona kukonzera pfungwa, senge kukwazisana nemaoko. Zviito zvinoratidza kusagadzikana kweOCD ndezviito zvinodzokororwa zvaunonzwa wakamanikidzwa kuita. Aya mabasa anodzokororwa kana mabasa epfungwa anofanirwa kuderedza kunetseka kunobatanidzwa nepfungwa dzako kana kudzivirira chimwe chinhu chakaipa chisingaitiki. Asi kuita zviito zvinoratidza kusagadzikana hakuuyi kufara uye kungopa rubatsiro rwakaderera kubva pakunetseka. Ungagadzira mitemo kana tsika dzekutevera dzinoshanda kudzora kunetseka kwako kana uri kuita pfungwa dzinonyanya kukosha. Aya mabasa anopfuura chikonzero uye kazhinji haana hukama nenhamo yavanoda kugadzirisa. Sezvakaita pfungwa, zviito zvinowanzova nezvinhu, zvakadai se: Kuwachisa nekutsvaira. Kuongorora. Kuverenga. Kuronga. Kutevera tsika yakasimba. Kuda kuvimbiswa. Mienzaniso yezviratidzo zvekuita inosanganisira: Kuwachisa maoko kusvikira ganda rako rava rakasviba. Kuongorora magedhi zvakare zvakare kuve nechokwadi chekuti akavharwa. Kuongorora chitofu zvakare zvakare kuve nechokwadi chekuti chakadzimwa. Kuverenga mumapatani akati. Kudzokorora munyengetero, shoko kana chirevo zvakanyarara. Kuedza kutsiva pfungwa yakaipa nepfungwa yakanaka. Kuronga zvinhu zvako zvakabikwa kuti zvive neruvara rumwe chete. OCD kazhinji inotanga mumakore echidiki kana makore ekukura, asi inogona kutanga muhudiki. Zviratidzo zvinowanzo tanga nekufamba kwenguva uye zvinoenderana nekuti zvakakomba sei muhupenyu. Marudzi epfungwa nezviito zvaunazvo zvinogonawo kuchinja nekufamba kwenguva. Zviratidzo zvinowanzo kuwedzera kana uri pasi pekunetseka kukuru, kusanganisira nguva yekuchinja nekushanduka. OCD, inowanzo fungwa kuva chirwere chehupenyu hwese, inogona kuva nezviratidzo zvishoma kusvika pakati kana kuva yakakomba uye inopedza nguva zvokuti inokanganisa. Kune musiyano pakati pekuva munhu anokwana - munhu anoda mhedzisiro isina kukwana kana kuita - uye kuva neOCD. Mafungiro eOCD haasi kungonyanya kunetseka nezvenhamo chaiyo muhupenyu hwako kana kuda kuva nezvinhu zvakachena kana zvakarongeka nenzira yakati. Kana pfungwa dzako nezviito zvinokanganisa mhando yehupenyu hwako, ona chiremba wako kana nyanzvi yehutano hwepfungwa.
Kune musiyano uripo pakati pekuva munhu anoda zvinhu zvakakwana — munhu anoda mhinduro dzakakwana kana mabasa — uye kuva neOCD. Mafungiro eOCD haasi kungonyanya kunetseka nezvematambudziko chaiwo muhupenyu hwako kana kuda kuva nezvinhu zvakachena kana zvakarongeka nenzira yakati. Kana zvinhu zvaunofunga nezvazvo nguva dzose nezvinhu zvaunomanikidzwa kuita zvichideredza mhando yehupenyu hwako, ona chiremba wako kana nyanzvi yehutano hwepfungwa.
Chikonzero che obsessive-compulsive disorder hachizivisike zvizere. Zvinokurukurwa zvikuru zvinosanganisira: Biology. OCD inogona kunge iri nekuda kwekuchinja mumakemikari emuviri wako kana mabasa ehuropi. Genetics. OCD inogona kunge ine chikamu chemajini, asi majini chaiwo achiri kuwanikwa. Kudzidza. Kutya kwakanyanya uye maitiro ekumanikidza anogona kudzidzwa kubva pakuona vemhuri kana kudzidza kwenguva refu.
Zvinhu zvinogona kuwedzera njodzi yekukonzera chirwere che obsessive-compulsive disorder zvinosanganisira: Nhoroondo yemhuri. Kuva nemadzimai kana nhengo dzemhuri dzine chirwere ichi kunogona kuwedzera njodzi yako yekuwana OCD. Zviitiko zvinotyisa muhupenyu. Kana wakapfuura nezviitiko zvinotyisa kana zvinokanganisa, njodzi yako inogona kuwedzera. Kuita uku kunogona kukonzera pfungwa dzisingadiwi, tsika uye kuora mwoyo kunoonekwa muOCD. Zvimwe zvirwere zvepfungwa. OCD inogona kusangana nezvimwe zvirwere zvepfungwa, sekushushikana, kuora mwoyo, kushandisa zvinodhaka kana zvirwere zve tic.
Zvinetso zvinokonzerwa nehosha yekuzvikurumidza-kuita zvinosanganisira: Kupera kwenguva yakawanda uchitora chikamu mumabasa echiitiko. Zvinetso zvehutano, senge dermatitis yekubata kubva pakugeza maoko kazhinji. Kunetseka kuenda kubasa kana kuchikoro kana kutora chikamu mumabasa evanhu. Hukama hunonetsa. Hupenyu husina kunaka. Mafungiro ekuzviuraya nemabasa ane chekuita nekuzviuraya.
Hapana nzira yakavimbika yekudzivirira chirwere che obsessive-compulsive disorder. Zvisinei, kurapwa nokukurumidza kunogona kubatsira kudzivirira OCD kuti irege kuipa uye kukanganisa mabasa nezuva nezuva rako.
Diagnosing obsessive-compulsive disorder (OCD) often involves several steps. First, a psychologist will talk to you about your thoughts, feelings, behaviors, and how these affect your daily life. They might also talk to family members or close friends with your permission. This helps them understand if you have obsessions (repetitive thoughts) and compulsions (repetitive behaviors) that are causing problems.
Next, a physical exam might be done. This helps rule out other medical conditions that could be causing the symptoms. It can also check for any related health issues.
Sometimes, OCD can be tricky to diagnose because its symptoms can be similar to other mental health problems. These might include obsessive-compulsive personality disorder, anxiety disorders, depression, schizophrenia, or other conditions. It's even possible to have OCD alongside another mental health issue. That's why it's important to work closely with your doctor to get an accurate diagnosis and the right treatment plan.
Mayo Clinic's expert team provides compassionate care for people with OCD. They can help you understand your specific needs and work toward effective solutions.
'Kurapa chirwere che obsessive-compulsive disorder (OCD) kungasashande, asi kunogona kubatsira kudzora zviratidzo zvechirwere ichi kuitira kuti zvisakanganise hupenyu hwako hwezuva nezuva. Zvichienderana neukomba hweOCD yako, ungada kurapwa kwenguva refu, kurapwa kunoramba kuripo kana kurapwa kwakanyanya. Nzira mbiri huru dzekurapa OCD ndidzo psychotherapy nemishonga. Psychotherapy inozivikanwawo se "talk therapy". Kazhinji, kusanganiswa kwemishonga yese kunonyanya kushanda. Psychotherapy Cognitive behavioral therapy (CBT), rudzi rwe psychotherapy, inoshanda kune vanhu vazhinji vane OCD. Exposure and response prevention (ERP), chikamu cheCBT therapy, inosanganisira kukuratidza zvishoma nezvishoma chinhu chaunotyira kana chinhu chinokunetsa, sekusvibisa. Wobva wadzidza nzira dzisingakuiti kuti uite tsika dzako dzekumanikidza. ERP inoda kuedza nekushanda nesimba, asi unogona kufara nehupenyu hwakanaka kana wapedza kudzidza kudzora zvinokunetsa nezvinokumanikidza. Mishonga Mishonga yekurapa chirwere chepfungwa inogona kubatsira kudzora zvinokunetsa nezvinokumanikidza zveOCD. Kazhinji, mishonga inorwisa kuora mwoyo ndiyo inotanga kushandiswa. Mishonga inorwisa kuora mwoyo inobvumirwa neFood and Drug Administration (FDA) kurapa OCD inosanganisira: Fluoxetine (Prozac) kuvabereki nevana vane makore 7 nekupfuura. Fluvoxamine (Luvox) kuvabereki nevana vane makore 8 nekupfuura. Paroxetine (Paxil) kuvabereki chete. Sertraline (Zoloft) kuvabereki nevana vane makore 6 nekupfuura. Clomipramine (Anafranil) kuvabereki nevana vane makore 10 nekupfuura. Zvisinei, chiremba wako angakupa mishonga yakasiyana-siyana inorwisa kuora mwoyo nemishonga yekurapa chirwere chepfungwa. Mishonga: Zvinhu zvekufunga nezvazvo Paunotaura nachiremba wako nezvemishonga yeOCD, funga nezve: Kusarudza mushonga. Kazhinji, chinangwa ndechekudzora zviratidzo zvakanyanya nehuwandu hwakaderera hwemushonga. Dzimwe nguva OCD inoda huwandu hukuru hwemishonga kuti ive inoshanda pakudzora zviratidzo zvako. Hazvisi zvisingawanzo kuedza mishonga yakawanda usati wawana imwe inoshanda zvakanaka. Chiremba wako angakurudzira mishonga inopfuura imwe kuti adzore zviratidzo zvako zvakanyanya. Zvinogona kutora mavhiki kusvika kumwedzi kuti uvandudze mushure mekutanga mushonga wezviratidzo zvako. Zvinokonzerwa nemishonga. Mishonga yese yekurapa chirwere chepfungwa inogona kuva nezvinokonzerwa nemishonga. Taura nachiremba wako nezve zvinokonzerwa nemishonga uye nezve chero kuongororwa kwehutano kunodiwa paunenge uchitora mishonga yekurapa chirwere chepfungwa. Uye uudze chiremba wako kana uine zvinokonzerwa nemishonga zvinokunetsa. Ngozi yekuzviuraya. Kazhinji mishonga inorwisa kuora mwoyo yakachengeteka, asi FDA inoda kuti mishonga yese inorwisa kuora mwoyo iite zvekutonga zvakanyanya. Aya ndiwo mafungiro akanyanya kukomba emishonga. Muzviitiko zvimwe, vana, vechidiki nevakuru vane makore asingasviki 25 vanogona kuwedzera kufunga nezvekuzviuraya kana kuita saizvozvo pavanoshandisa mishonga inorwisa kuora mwoyo. Izvi zvinonyanya kuitika mumavhiki mashomanana ekutanga kana dose ichichinjwa. Kana ukafunga nezvekuzviuraya, taura nachiremba wako kana kuwana rubatsiro rwekukurumidzira pakarepo. Rangarira kuti mishonga inorwisa kuora mwoyo inonyanya kuderedza njodzi yekuzviuraya nekufamba kwenguva nekugadzirisa manzwiro ako. Kuwirirana nezvimwe zvinhu. Paunenge uchitora mushonga unorwisa kuora mwoyo, uudze chiremba wako nezve chero mishonga yakapihwa nachiremba, mishonga isina kunyorerwa, zvinomera kana zvimwe zvinowedzerwa zvaunotora. Mishonga inorwisa kuora mwoyo inogona kuita kuti mishonga yakawanda isashande uye iite zvinhu zvine ngozi kana yakasanganiswa nemishonga yakati kana zvinowedzerwa zvemuriwo. Kusiya mishonga inorwisa kuora mwoyo. Mishonga inorwisa kuora mwoyo haifungidzirwi kuva inokwevera, asi dzimwe nguva kuenderera mberi kwemuviri kunogona kuitika. Kusiya kurapwa kamwe kamwe kana kusapfuura mazai akawanda kunogona kukonzera zviratidzo zvekubvisa. Izvi dzimwe nguva zvinonzi discontinuation syndrome. Usarega kutora mushonga wako usati wataura nachiremba wako, kunyangwe kana uchifara. Ungave uine chirwere cheOCD zvakare. Shanda nachiremba wako kuti uderedze dose yako zvakachengeteka nekufamba kwenguva. Taura nachiremba wako nezvengozi nemabhenefiti ekushandisa mishonga chaiyo. Kurapa kwakasiyana Dzimwe nguva, psychotherapy nemishonga hazvigone kudzora zviratidzo zveOCD. Muzviitiko zvisingapindure kurapwa, mamwe maitiro anogona kupihwa: Zvirongwa zvakanyanya zvekunze nekugara. Zvirongwa zvizere zvekurapa zvinoshandisa mazano eERP therapy zvinogona kubatsira vanhu vane OCD vanotambura nekukwanisa kushanda nekuda kwekuti zviratidzo zvavo zvakanyanya sei. Izvi zvirongwa zvinowanzoita mavhiki akawanda. Deep brain stimulation (DBS). FDA yabvumira DBS kurapa OCD muvakuru vane makore 18 nekupfuura avo vasingapindure kurapwa kwetsika. DBS inosanganisira kuisa ma electrodes munzvimbo dzakati dziri mubongo rako. Aya ma electrodes anogadzira maimpulses emagetsi anogona kubatsira kudzora maimpulses asingawanzoitika. DBS haisipo kwese kwese, uye haishandiswi kazhinji. Transcranial magnetic stimulation (TMS). FDA yabvumira zvishandiso zvitatu zveTMS - BrainsWay, MagVenture neNeuroStar - kurapa OCD muvakuru. Izvi zvishandiso zvinoshandiswa kana kurapwa kwetsika kusina kushanda. TMS haidi kuvhiya. Inoshandisa magnetic fields kukurudzira masero enerve mubongo kuti iite zviratidzo zveOCD zvakanaka. Panguva yekushanda kweTMS, electromagnetic coil inochengetwa pamusoro pe scalp pedyo nepaburi rako. Coil inopa magnetic pulse inokurudzira masero enerve mubongo rako. Kana uri kufunga nezve DBS kana TMS, taura nachiremba wako kuti uve nechokwadi chekuti unonzwisisa zvakanaka nezvakaipa uye njodzi dzehutano. Rumwe ruzivo Obsessive-compulsive disorder (OCD) care at Mayo Clinic Cognitive behavioral therapy Deep brain stimulation Electroconvulsive therapy (ECT) Psychotherapy Transcranial magnetic stimulation Tarisa rumwe ruzivo rwakawanda Kumbira nguva yokuzviwonera Pane dambudziko neruzivo rwakasimbwa pazasi uye tumira fomu zvakare. Kubva kuMayo Clinic kuenda mubhokisi rako re email Nyorera mahara uye gara uchiziva nezve kufambira mberi kweongororo, mazano ehutano, nyaya dzehupenyu hwako, uye ruzivo rwekuita hutano. Dzvanya pano kuti uone email preview. Kero ye email 1 Chikanganiso Munda we email unoda Chikanganiso Isa kero ye email yakakodzera Dzidza zvakawanda nezvekushandisa data kweMayo Clinic. Kuti tikupe ruzivo rwakakodzera uye runobatsira, uye kunzwisisa kuti ndeipi ruzivo runobatsira, tinogona kusanganisa ruzivo rwe email yako neruzivo rwekushandisa webhusaiti nerumwe ruzivo rwatinazvo nezvako. Kana uri murwere weMayo Clinic, izvi zvinogona kusanganisira ruzivo rwakachengetedzwa rehutano. Kana tikasanganisa ruzivo urwu neruzivo rwako rwakachengetedzwa rehutano, tichaita kuti ruzivo urwo ruve ruzivo rwakachengetedzwa rehutano uye tichashandisa kana kuburitsa ruzivo urwo sezvakataurwa mune zvedu zvekutanga zvekuita zvakavanzika. Unogona kusarudza kusagamuchira email nguva dzose nekudzvanya pane unsubscription link iri mu email. Nyorera! Ndatenda nekunyora! Uchakurumidza kutanga kugamuchira ruzivo rwehutano rweMayo Clinic rwakakumbirwa mubhokisi rako re email. Zvirevo chimwe chinhu chakaipa nekunyorera kwako Ndokumbirawo, edza zvakare mushure memaminitsi mashoma Edza zvakare'
Kurarama nehosha yekuzviitisa zvinhu zvisingadiwi kunogona kunetsa. Mishonga inogona kuva nemigumisiro isingadiwi, uye unogona kunzwa kunyara kana kutsamwa nekukura kwehosha inoda kurapwa kwenguva refu. Heano mamwe maitiro ekubatsira kurarama neOCD: Dzidza nezve OCD. Kudzidza nezvehosha yako kunogona kukubatsira kutevedzera chirongwa chako chekurapa. Gara wakatarisa zvinangwa zvako. Chengeta zvinangwa zvako zvekudzoreredzwa mupfungwa, uye yeuka kuti kudzoreredzwa kubva kuOCD inzira iripo nguva dzose. Batanidza boka rekutsigira. Kusvika kune vamwe vanotarisana nematambudziko akafanana kunogona kukupa rutsigiro uye kukubatsira kurarama nematambudziko. Tsvaga nzira dzakakodzera. Tsvaga nzira dzakakodzera dzekubudisa simba rako, senge zvinofadza uye mabasa ekushambadzira. Ita zvemuviri nguva dzose, dyisa zvokudya zvine utano uye uwane hope dzakakwana. Dzidza kuzorora uye kudzora kushushikana. Kuwedzera pakurapwa kweprofesa, nzira dzekudzora kushushikana senge kufungisisa, kuona, kuzorora kwemisungo, kuveza, kufema kwakadzika, yoga kana tai chi zvinogona kuderedza kushushikana nekutya. Namata nemabasa ako emazuva ose. Edza kusarega mabasa ane musoro. Enda kubasa kana kuchikoro sezvaunowanzoita. Shandisa nguva nemhuri neshamwari. Usarega OCD ichikanganisa hupenyu hwako.
Unogona kutanga nekuona timu yako yekutarisira utano hwepamuviri. Nekuti chirwere che obsessive-compulsive disorder chinowanzoda kutarisirwa kwakasarudzika, ungada kuona nyanzvi yeutano hwepfungwa, senge psychiatrist kana psychologist. Zvaunogona kuita Kuti ugadzirire kuenda kwako kunorapwa, funga nezvezvido zvako nezvinangwa zve kurapwa. Gadzira runyorwa rwe: Zviratidzo zvese zvawaona, kusanganisira marudzi e obsessions ne compulsions zvawaive nazvo nezvinhu zvaunogona kunge uchibva nazvo kana kuti hauchaiti nekuda kwekutambudzika kwako. Ruzivo rwakakosha rwega, kusanganisira kushushikana kukuru, kuchinja kweupenyu munguva pfupi yapfuura nehama dzine zviratidzo zvakafanana. Mishonga yese, mavhitaminzi, mishonga yemiti kana zvimwe zvekushandisa, pamwe nedose. Mibvunzo yekubvunza chiremba wako kana therapist. Mibvunzo yekubvunza inogona kusanganisira: Unofunga here kuti ndine OCD? Unorapi sei OCD? Kurapwa kunogona kundibatsira sei? Kune mishonga inogona kubatsira here? Kurapwa kwe exposure and response prevention kuchatobatsira here? Kurapwa kuchatora nguva yakareba sei? Ndingazvibatsira sei? Kune mabhurocha kana mamwe mapepa andinogona kuwana here? Unogona kukurudzira mawebsite api? Usanetseka kubvunza mimwe mibvunzo panguva yekuenda kwako kunorapwa. Zvinotarisirwa kubva kuchiremba wako Chiremba wako anogona kukubvunza mimwe mibvunzo, yakadai se: Kune pfungwa dzinoenda mupfungwa dzako nguva dzose pasinei nokuedza kuvadzivisa here? Unofanira kuve nezvinhu zvakarongeka nenzira chaiyo here? Unofanira kusuka maoko ako, kuverenga zvinhu, kana kuongorora zvinhu nguva dzose here? Zviratidzo zvako zvakavamba rinhi? Zviratidzo zvave zvichinzi nguva dzose here kana kamwe kamwe? Chii, kana chiripo, chinoita kunge chinowedzera zviratidzo? Chii, kana chiripo, chinoita kunge chinoita kuti zviratidzo zviwedzere? Zviratidzo zvinokanganisa sei hupenyu hwako hwezuva nezuva? Unofuratira chero chinhu nekuda kwezviratidzo zvako here? Muzuva rakajairika, ungapedza nguva yakawanda sei uchifunga nezve obsessions uye uchitamba macompulsions? Vamwe vehama dzako vane chirwere chepfungwa here? Wakambonzwa here trauma kana kushushikana kukuru? Chiremba wako kana nyanzvi yeutano hwepfungwa achabvunza mibvunzo yakawanda zvichienderana nekupindura kwako, zviratidzo nezvido. Kugadzirira mibvunzo yakadai kuchakubatsira kuti utore mukana wakawanda wenguva yako yekuenda kunorapwa. Na Mayo Clinic Staff
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