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October 10, 2025
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Ukuhlupheka kwe-dissociative disorder kuyizimo zempilo yengqondo lapho uzizwa uhlukene nemibono yakho, imizwa, izinkumbulo, noma umuzwa wokuzibona. Cabanga ngakho njengengqondo yakho ethatha isikhashana ibuyele emuva ekubeni yiqiniso njengendlela yokubhekana noxinzelelo olukhulu noma ukulimala.
Lezi zimo zithinta indlela ingqondo yakho esebenza ngayo okuhlangenwe nakho kanye nezinkumbulo. Nakuba zingase zizwe zesabekisa, ukuhlupheka kwe-dissociative disorder kuyizimo zempilo yengqondo ezilawuleka ezivela njengendlela yokuzivimbela yengqondo yakho ezimweni ezinzima.
Ukuhlupheka kwe-dissociative disorder kwenzeka lapho ingqondo yakho idala ukwahlukaniswa phakathi kwezingxenye ezahlukene zokuhlangenwe nakho kwakho. Ingqondo yakho ngokuyisisekelo “iyaxhunywana” ukuze ikuvikele ebuhlungwini bokomzwelo noma ezimweni ezinzima.
Kunezinhlobo ezintathu eziyinhloko zokuhlupheka kwe-dissociative disorder. Ngamunye uthinta indlela ozibona ngayo nawe kanye nezwe elikuzungezile, kepha ngezindlela ezahlukene. Umgca ovamile ukuthi ingqondo yakho idala izikhala ekuqapheleni, ekukhumbula, noma ekuziboneni njengendlela yokubhekana nezimo.
Lezi zimo ngokuvamile zivela njengomphumela wokulimalala, ikakhulukazi lapho kwenzeka ekuqaleni kokuphila. Ingqondo yakho ifunda “ukuvala” okuhlangenwe nakho okuthile ukuze ikusize usinde ezimweni ezinzima, kepha le ndlela yokuzivimbela ingaqhubeka ngisho noma ukhulu.
Izinhlobo ezintathu eziyinhloko ngamunye zidala izinhlobo ezahlukene zokuhlangenwe nakho kokwahlukaniswa. Ukuqonda le mihlukana kungakusiza ubone ukuthi yini ongahlangenwe nakho futhi ufuna usizo olufanele.
I-Dissociative Identity Disorder (DID) ihilela ukuba nezimo noma ubukhona bomuntu ezimbili noma ngaphezulu. Ungase uhlangabezane nezikhala ekukhumbula, uzizwe njengengxenye “ezahlukene” zakho ezithatha ukulawula, noma ube nezindlela ezahlukene zokucabanga nokuziphatha okuzizwa kuhlukene nobukhona bakho obubalulekile.
I-Dissociative Amnesia ikwenza ukhohlwe ulwazi olukhulu lomuntu siqu, ngokuvamile oluhlobene nezehlakalo ezibuhlungu. Lokhu akuyona inkumbulo evamile - ungase ulahlekelwe ngokuphelele izinkumbulo zezikhathi ezithile, abantu, noma okuhlangenwe nakho okwakukhuthaza kakhulu.
I-Depersonalization/Derealization Disorder ikwenza uzizwe uhlukene nawe noma izindawo zakho. Ungase uzizwe njengokuthi uzibuka usuka ngaphandle komzimba wakho, noma njengokuthi izwe elikuzungezile libonakala lingelona iqiniso, njengomphupho, noma liyinkungu.
Izimpawu zingase zihluke kakhulu phakathi kwabantu, kepha zonke zihilela uhlobo oluthile lokuhlukana nokuhlangenwe nakho kwakho okuvamile. Ungase uqaphele le mizwa iza ihamba, noma ingase ibe yinto eqhubekayo.
Nawa zimpawu ezivamile ongahlangabezana nazo:
Lezi zimpawu ngokuvamile ziqaphela kakhulu ngezikhathi zoxinzelelo. Abantu abaningi bachaza ukuzizwa njengokuthi “abakho ngempela” noma njengokuthi baphila enkungwini eyenza konke kuzwakale kude futhi kungacaci.
Ukuhlupheka kwe-dissociative disorder cishe kuvela njengomphumela wokulimalala, ikakhulukazi lapho kwenzeka ngesikhathi sobuntwana. Ingqondo yakho ifunda “ukuxhunywana” njengendlela yokusinda ezimweni ezinzima noma ezibuhlungu.
Izimbangela ezivamile zihlanganisa okuhlangenwe nakho okubukeka kunzima kakhulu engqondweni yakho ukuze ukusebenze ngokujwayelekile:
Ingqondo yakho ithuthukisa ukuhlukana njengokuthi ikhono lokusinda ngesikhathi salezi zenzakalo. Nakuba lokhu kusiza ukubhekana ngaleso sikhathi, ingqondo yakho ingase iqhubeke isebenzisa le ndlela efanayo yokuzivimbela ngisho nasezimweni ezikhulu kamuva ekuphileni.
Akuyona yonke imindeni ehlangabezana nokulimala ethuthukisa ukuhlupheka kwe-dissociative disorder. Izici ezifana nobudala bakho lapho ukulimala kwenzeka khona, isikhathi eside esikude, ubuhlobo bakho nomuntu owabangela ukulimala, kanye nosizo olutholakalayo konke kuchaphazela indlela ingqondo yakho esabela ngayo.
Kufanele uthintane nosizo lochwepheshe uma ukuhlukana kukuphazamisa impilo yakho yansuku zonke noma kukubangela ukukhathazeka. Abantu abaningi baphila nalezi zimpawu iminyaka ngaphambi kokufuna ukwelashwa, kepha usizo olukhulu lungenza umehluko omkhulu.
Cabanga ngokukhuluma nodokotela uma uhlangabezana nanoma yiziphi lezi zimo:
Khumbula ukuthi ukufuna usizo kuyisibonakaliso samandla, hhayi ubuthakathaka. Ukuhlupheka kwe-dissociative disorder kuyizimo zempilo yangempela ezaphendula kahle ekwelapheni okufanele ochwepheshe bezempilo yengqondo abafanelekile.
Izici eziningi zingandisa amathuba akho okuthuthukisa ukuhlupheka kwe-dissociative disorder. Ukuqonda lezi zici zengozi kungasiza ekuchazeni ukuthi kungani abanye abantu bathuthukisa lezi zimo kanti abanye abazithuthukisi.
Izici eziyinhloko zengozi zihlanganisa okuhlangenwe nakho nezimo ezenza ukulimala kube lula noma kube nzima kakhulu:
Kubalulekile ukukhumbula ukuthi ukuba nezici zengozi akusho ukuthi uzokuthuthukisa ngokuqinisekile ukuhlupheka kwe-dissociative disorder. Abantu abaningi abanezi zici zengozi abazithuthukisi lezi zimo, kanti abanye abantu abanezi zici zengozi ezincane bayazithuthukisa.
Ngaphandle kokwelashwa okufanele, ukuhlupheka kwe-dissociative disorder kungase kuchaphazele kakhulu izindawo eziningi zokuphila kwakho. Lezi zingozi zithuthuka kancane kancane futhi zingase zibe nzima kakhulu ngokuhamba kwesikhathi uma zingalawulwa.
Izingozi ezivamile zichaphazela ubuhlobo bakho, umsebenzi, kanye nempilo yakho yonke:
Abanye abantu nabo bahlangabezana nezingozi ezingavamile kepha ezinzima. Lokhu kungase kuhlanganise ukudideka okuqondile kobukhona, izenzo eziyingozi ngesikhathi sezimo zokuhlukana, noma ukungabi nabantu okuthinta ukunakekelwa kwakho okuyisisekelo.
Izindaba ezinhle ukuthi ngokwelashwa okufanele, izinkinga eziningi zingavikeleka noma zithuthukiswe kakhulu. Ukungenelela okusheshayo ngokuvamile kuholela eziphumeleni ezingcono futhi kusiza ukuvimbela izingozi ekuthuthukiseni.
Ukuhlonishwa kokuhlupheka kwe-dissociative disorder kudinga ukuhlolwa okuphelele ochwepheshe bezempilo yengqondo abanolwazi ngokulimala nokuhlukana. Ayikho ivivi elilodwa elingakwazi ukuhlonishwa lezi zimo.
Udokotela wakho uzoqala ngokulawula izimbangela zezokwelapha zezimpawu zakho. Izimo ezithile zezokwelapha, imithi, noma ukusetshenziswa kwezidakamizwa kungabangela imizwa efanayo yokwahlukaniswa noma izinkinga zenkumbulo.
Inkqubo yokuhlola ngokuvamile ihlanganisa izinyathelo eziningana. Umhlinzeki wakho wezempilo yengqondo uzoqhuba izingxoxo eziningiliziwe mayelana nezimpawu zakho, umlando wakho siqu, nanoma yikuphi okuhlangenwe nakho okulimala. Bangase basebenzise imibuzo ekhethekile eyenzelwe ukuhlola izimpawu zokuhlukana.
Umhlinzeki wakho uzobuye ahlole ukuthi izimpawu zakho zikuphazamisa kangakanani impilo yakho yansuku zonke. Ukuze uthole ukuxilongwa, izimpawu kufanele zibangele ukukhathazeka okukhulu noma izinkinga ezindaweni ezibalulekile njengomsebenzi, ubuhlobo, noma ukunakekelwa kwakho.
Le nqubo ingathatha isikhathi, ikakhulukazi ngoba abantu abaningi abane-dissociative disorder bafunde ukufihla izimpawu zabo noma bangase bangakhumbuli okuhlangenwe nakho okuthile ngokucacile. Bekezela nawe kanye neqembu lakho lezempilo njengoba usebenzisana ukuqonda okuhlangenwe nakho kwakho.
Ukwelashwa kokuhlupheka kwe-dissociative disorder kugxile ekusikweni ukuhlanganisa okuhlangenwe nakho kwakho nokuthuthukisa izindlela zokubhekana nezimo ezinempilo. Umgomo awukona ukususa konke ukuhlukana, kepha ukunciphisa izimpawu eziphazamisa impilo yakho.
I-Psychotherapy iyindlela eyinhloko yokwelapha. Izinhlobo eziningi zokwelapha zibonise ukuphumelela ekuhluphekeni kwe-dissociative disorder:
Imithi ayilashwa ngokuqondile ukuhlupheka kwe-dissociative disorder, kepha ingasiza ekulawuleni izimpawu ezihlobene. Udokotela wakho angase anikeze imithi yokucindezeleka ngokucindezeleka noma ukukhathazeka, noma ezinye izidakamizwa ezingasiza ngezinkinga zokulala noma ukukhathazeka okukhulu.
Ukwelashwa ngokuvamile kude futhi kuya phambili kancane kancane. Uchwepheshe wakho uzoqala ngesivinini esizwakala siphephile kuwe, akhe ukwethemba nokuzinza ngaphambi kokubhekana nezinkumbulo noma okuhlangenwe nakho okunzima kakhulu.
Ukunakekela kwakho siqu kudlala indima ebalulekile ekubuyiselweni kwakho ekuhluphekeni kwe-dissociative disorder. Lezi zindlela zingakusiza uzizwe ukhulu futhi uxhumeke nesikhathi samanje.
Gxilisa ukwakha ukuzinza nokuvikeleka endleleni yakho yansuku zonke. Lokhu kungase kuhlanganise izikhathi zokulala eziqondile, izikhathi zokudla eziqondile, nemisebenzi yansuku zonke eqondile ekukusiza uzizwe ukhulu.
Izindlela zokubamba umhlaba zingase zibe usizo kakhulu lapho uzizwa uhlukene:
Khumbula ukuba nesineke futhi ube nomusa kuwe. Ukubuyiselwa kuthatha isikhathi, futhi kuyinto evamile ukuba nezinsuku ezinhle nezinsuku ezinzima. Gubha intuthuko encane futhi ungangabazi ukufuna usizo olwengeziwe uma ulikhulu.
Ukulungiselela i-aphoyintimenti yakho kungakusiza uthole okuningi esikhathini sakho nomhlinzeki wakho wezempilo. Njengoba izimpawu zokuhlukana zingase zithinte inkumbulo, ukubhala izinto phansi kusengaphambili kuyasiza kakhulu.
Ngaphambi kwe-aphoyintimenti yakho, thatha isikhathi sokucabanga ngokuhlangenwe nakho kwakho. Bhala izimpawu ezithile ozibonile, lapho zenzeka khona, nokuthi zikuthinta kanjani impilo yakho yansuku zonke. Faka noma yikuphi ukuphazamiseka okuqaphile okubonakala kwenza izimpawu zibe zimbi kakhulu.
Bula ulwazi olukhulu ukuze uhlanganyele nomhlinzeki wakho:
Cabanga ngokuletha umngane othembekile noma ilungu lomndeni e-aphoyintimenti yakho uma lokho kusiza. Bangakunikeza ukusekela futhi bakusize ukukhumbula ulwazi olukhulu oluxoxwe ngesikhathi sokuvakasha.
Kuyinto evamile ukuzizwa ukhulu ngokuxoxa ngalezi zenzakalo. Khumbula ukuthi ochwepheshe bezempilo yengqondo bayeqeqeshwe ukuphatha izihloko ezinzima ngokucophelela nangaphandle kokwahlulela.
Ukuhlupheka kwe-dissociative disorder kuyizimo zempilo yengqondo ezilawuleka ezivela njengendlela yengqondo yakho yokukuvikela ezimweni ezinzima. Nakuba zingase zizwe zesabekisa futhi zihlukene, awuwedwa, futhi ukubuyiselwa kungenzeka.
Into ebaluleke kakhulu okumele uyiqonde ukuthi ukuba nokuhlupheka kwe-dissociative disorder akusho ukuthi “ulimele” noma “uyisiwula”. Ingqondo yakho ithuthukise lezi zimpendulo ukuze ikusize usinde ezimweni ezinzima, futhi ngokusekelwa okufanele, ungafunda izindlela ezinempilo zokubhekana nezimo.
Ukwelashwa kuthatha isikhathi nesineke, kepha abantu abaningi abane-dissociative disorder bangathuthukisa kakhulu izimpawu zabo kanye nekhwalithi yokuphila. Ukusebenza nochwepheshe wezempilo yengqondo ofanelekile oqonda ukulimala nokuhlukana kuyisihluthulelo ekubuyiselweni kwakho.
Khumbula ukuthi ukufuna usizo kuyisinyathelo esiqotho sokuphulukisa. Ufanele ukusekelwa, ukuqonda, nethuba lokuphila impilo egcwele engenazo izimpawu ezinzima zokuhlukana.
Nakuba kungekho “ukwelapha” ngomqondo ojwayelekile, ukuhlupheka kwe-dissociative disorder kulawuleka kakhulu. Abantu abaningi bafunda ukuphatha izimpawu zabo ngokuphumelelayo futhi baphile impilo egcwele. Ukwelashwa kugxile ekuhlanganiseni nasekuthuthukiseni izindlela zokubhekana nezimo ezinempilo kunokususwa konke okuhlangenwe nakho okuhlukene. Ngokwelashwa okufanele nokusekelwa, izimpawu ngokuvamile zithuthuka kakhulu ngokuhamba kwesikhathi.
Cha, lezi zimo ezahlukene ngokuphelele. Ukuhlupheka kwe-dissociative disorder kuhilela ukwahlukaniswa kwemibono, imizwa, noma ubukhona, kuyilapho i-schizophrenia ihilela izimpawu ezifana nemibukiso kanye nokudideka. Abantu abane-dissociative disorder ngokuvamile abanawo izimpawu ze-psychotic ezibonakala kwi-schizophrenia. Ukuphazamiseka ngokuvamile kuvela ekuvezweni kwemidiya, kepha ochwepheshe bezempilo yengqondo bangakwazi ukwahlukanisa phakathi kwalezi zimo.
Yebo, ukuhlupheka kwe-dissociative disorder ngokuvamile kuqala ebuntwaneni, ikakhulukazi ngemuva kwezehlakalo ezibuhlungu. Abantwana ngokwemvelo banezingqikithi ezigeleza kakhulu phakathi kweqiniso nomcabango, okwenza babe sengozini kakhulu yokuthuthukisa izimpendulo zokuhlukana ekulimala. Ukuqaphela nokwelashwa okusheshayo kungathuthukisa kakhulu imiphumela kubantwana abanezi zimo.
Izinkinga zenkumbulo ezihlobene nokuhlupheka kwe-dissociative disorder zingathuthuka ngokwelashwa. Nakuba ezinye izinkumbulo ezibuhlungu zingase zihlale zinzima ukufinyelela, abantu abaningi bayabuya bafinyelele umsebenzi omuhle wokukhumbula njengoba bephulukana. Umgomo awukona ukubuyisela yonke inkumbulo elahlekile, kepha ukuthuthukisa ukuhlanganiswa kangcono nokunciphisa izikhala eziphazamisa impilo yansuku zonke.
Yebo, uxinzelelo luyisici esivamile sezimpawu zokuhlukana. Ngesikhathi sezimo ezinzima, ingqondo yakho ingase ibuye emuva ezindleleni zokubhekana nezimo ezijwayelekile, kuhlanganise nokuhlukana. Ukufunda amakhono okulawula uxinzelelo, ukugcina ukunakekelwa kwakho okuhle, nokuba nethimba lokusekela eliqinile kungasiza ekuqedeni umthelela woxinzelelo ezimpawu zakho. Ukusebenza nochwepheshe kungakusiza ubone ukuphazamiseka kwakho okuqondile futhi uthuthukise izimpendulo ezinempilo.
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