Ukuthukuthela Okungapheliyo Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ukuthukuthela Okungapheliyo (IED) yisimo sengqondo lapho uhlangabezana khona nokuqhuma okungazelelwe, okukhulu kokuthukuthela okubonakala kungaphezu kwalokho okukubangele. Akuzona nje izikhathi zokulahlekelwa ukuthula kwakho - yizigameko zokuqhuma ezingabandakanya ukuhlaselwa ngezwi, ubudlova bomzimba, noma ukuziphatha okubhubhisayo okubukeka kungaphezu kokulawula kwakho.

Uma uke wazizwa sengathi ulaka luthatha umzimba wakho nengqondo ngezindlela ezikumangalisa ngisho nawe, awuwedwa. Lesi simo sithinta izigidi zabantu, futhi izindaba ezinhle ukuthi singaphathwa futhi singalawuleka ngokusekelwa okufanele nokuqonda.

Ziyini izimpawu zokuThukuthela Okungapheliyo?

Isimpumu esiyinhloko ukuphindaphinda ukuqhuma okuqhumayo okuvela ngokuzumayo futhi kubonakala kungenakulawuleka. Lezi zigameko ngokuvamile zihlala isikhathi esingaphansi kwemizuzu engama-30, kodwa zingakushiya uzizwa udiniwe, unecala, noma udidekile ngalokho okwenzekile.

Phakathi nesigameko sokuqhuma, ungase uhlangabezane nezinguquko eziningi zomzimba nezingqondo ezingase zizizwe zikhulu kakhulu. Nansi into evame ukwenzeka:

• Ulaka oluzumayo oluzizwa lukhulu kakhulu kunesimo esikufanele
• Izimpawu zomzimba ezifana nokubetha kwenhliziyo okusheshayo, ukushisa, noma ukuthuthumela
• Ukukhala, ukusongela, noma ukusebenzisa ulimi oluhlaselwayo
• Ukuphoqa, ukuqhekeka, noma ukushaya izinto
• Ubudlova bomzimba kubantu (ezimweni ezinzima kakhulu)
• Ukuqina kwesifuba noma ukuzizwa sengathi awukwazi ukuphefumula kahle
• Imicabango esheshayo noma ukuzizwa sengathi ingqondo yakho iyaphuma

Ngemva kokuphela kwesigameko, abantu abaningi bazizwa bekhululekile ngokushesha, belandelelwa yicala, ukuhlazeka, noma ukusola. Ungase uzithole ucele uxolo ngokuphindaphindiwe noma uzizwe ukhumulelwe ukuziphatha kwakho.

Okwenza i-IED ihluke ekuthukutheleni okuvamile ukuthi lezi zikhathi zokuthukuthela zenzeka okungenani kabili ngesonto izinyanga ezintathu, noma unezikhathi ezimbalwa kodwa ezinzima kakhulu ezihilela udlame lomzimba. Ubukhulu nokuvamile kwalokhu kuhlukile ezimpendulweni zomzwelo ezivamile.

Imiphi imikhakha ye-Intermittent Explosive Disorder?

I-IED ayinawo uhlobo olusemthethweni, kodwa ochwepheshe bezempilo yengqondo bayabona ukuthi izikhathi zokuthukuthela zingase zihluke kakhulu ebukhulu nendlela ezivela ngayo. Ukuqonda lezi zindlela kungakusiza ukuthi uqonde ukuthi yini oyibhekana nayo.

Abanye abantu banezikhathi eziningi kodwa ezingathí sina ezibandakanya ikakhulukazi udlame lwezwi, ukonakala kwempahla, noma ukuphakula izinto. Lezi zikhathi zenzeka njalo - ngokuvamile kabili ngesonto noma ngaphezulu - kodwa ngokuvamile azibandakanyi ukulimala komzimba kwabanye.

Abanye bahlangabezana nezikhathi ezimbalwa kodwa ezinzima kakhulu ezingabandakanya udlame lomzimba kubantu noma ukubhujiswa okukhulu kwempahla. Lezi zikhathi ezinzima zingase zenzeke izikhathi ezimbalwa ngonyaka, kodwa zingabangela umonakalo omkhulu ebuhlotsheni nasemiphumeleni ekuphileni kwakho.

Abantu abaningi bahlangabezana nokuhlanganiswa kokubili izindlela, beba nezikhathi ezincane zokuthukuthela njalo ngezikhathi ezithile ezikhulu. Into ebalulekile akuyona uhlobo oluthile lokuthukuthela, kodwa kunalokho iphethini yokulahlekelwa ukulawula ngezindlela ezizwa zingalingani futhi ezikucindezelayo.

Yini ebangela i-Intermittent Explosive Disorder?

Imbangela eqondile ye-IED ayiqondakali ngokuphelele, kodwa ucwaningo lubonisa ukuthi ithuthukiswa yihlanganisela yekhemikhali yengqondo, i-genetics, namava okuphila. Cabanga ngakho njengezinto eziningi ezihlangana ndawonye ukudala isiphepho esiphelele sokuthukuthela okukhulu.

Ikhemikhali yengqondo idlala indima ebalulekile endleleni ophatha futhi uphendule ngayo izimo ezibangela ukuthukuthela. Nazi izinto eziyinhloko ezifaka isandla ku-IED:

• Ukungahambelani kwe-serotonin, ikhemikhali yengqondo esiza ukulawula isimo sengqondo nokulawula izinzwa
• Ukwahluka kwizinda zebongo eziqondisa ubudlova nokulawula imizwelo
• Izici zezakhiwo - ukuba namalungu omndeni ane-anger disorders noma ezinye izimo zempilo yengqondo
• Ukulimala kwabantwana, ukuxhashazwa, noma ukubona ubudlova
• Ukulimala kwekhanda, ikakhulukazi ezindaweni zengqondo eziqondisa izinzwa
• Ukukhula ezindaweni lapho ulaka oluqhumayo lwalubonwa khona noma lwalujwayelekile
• Ukuqina okungapheli noma izinguquko ezinkulu zokuphila eziqeda amandla akho okumelana nazo

Izici zezindawo zokuphila zingadlala indima futhi ekuqaleni kwezinkinga. Izinto ezifana nokungqubuzana kobuhlobo, ukucindezeleka emsebenzini, ukucindezeleka kwezezimali, noma ukuzizwa unganakiwe zingabangela izigameko eziqhumayo kubantu abasenesikhathi eside bekhona i-IED.

Kubalulekile ukuqonda ukuthi ukuba ne-IED akusho ukuthi uyisithukutheli noma ukuthi ukhetha ukuba nodlame. Lokhu yisimo sezempilo esithinta indlela ingqondo yakho esebenzisa ngayo ulaka nokucindezeleka, futhi siphendula kahle ekwelapheni okufanele.

Nini kufanele ubheke udokotela nge-Intermittent Explosive Disorder?

Kufanele ucabangele ukukhuluma nodokotela uma ukuqhuma kwelakho kuholela ezinkingeni ebuhlotsheni bakho, emsebenzini, noma ekuphileni kwakho kwansuku zonke. Uma ufuna usizo ngokushesha, ngokushesha uzokwazi ukuqala ukuzizwa ulawula imizwelo yakho.

Nazi izimpawu ezicacile zokuthi sekuyisikhathi sokuthola usizo lochwepheshe:

• Izingqondo zakho eziqhuma zivela njalo futhi uzizwa ungakwazi ukuzilawula
• Ulimale izinto, ulimale umuntu, noma uthathwe yinkinga yomthetho ngenxa yokuthukuthela
• Amalungu omndeni, abangane, noma osebenza nabo bakukhombisile ukukhathazeka ngokukhukhumela kwakho
• Uzizwa unecala elikhulu, uthukuthele, noma uzisola ngemva kokukhukhumela
• Ukuthukuthela kwakho kuchaphazela umsebenzi wakho noma ubuhlobo bakho
• Uyaphepha izimo ngoba wesaba ukukhukhumela
• Usebenzisa utshwala noma izidakamizwa ukuze ubhekane nokuthukuthela noma ukuzola ngemva kokukhukhumela

Uma ucabanga ngokulimala kakhulu wena noma omunye umuntu, noma uma usuvele ubangelwe ukulimala okukhulu komzimba, funa usizo ngokushesha ngokubiza izinsizakalo eziphuthumayo noma uye endaweni ephuthumayo eseduze.

Khumbula, ukucela usizo kubonisa amandla, hhayi ubuthakathaka. Abantu abaningi abane-IED baphila impilo egcwele, enempilo uma sebethole ukwelashwa okulungile nokwesekwa.

Iyini imikhakha engozi ye-Intermittent Explosive Disorder?

Izici eziningi zingandisa amathuba akho okukhula kwe-IED, yize ukuba nemikhakha engozi akusho ukuthi uzokhula ngalesi simo. Ukuqonda lokhu kungakusiza ukuthi uqaphele izindlela bese ufuna usizo ngokushesha uma kudingeka.

Ubudala nobulili kudlala indima ekukhuleni kwe-IED. Le simo iqala ngokuvamile ekupheleni kobutshana noma ebusheni, kanti abantu abaningi bahlangabezana nezimpawu zabo zokuqala ngaphambi kweminyaka engu-14. Amadoda anethuba elincane lokukhula kwe-IED kunabesifazane, yize lesi simo sithinta abantu bazo zonke izinhlobo zobulili.

Umlando wakho siqu nomndeni wakho uthinta kakhulu amazinga akho engozi:

• Ukuba nabazali noma abafowabo abane-IED, ukucindezeleka, noma ezinye izimo zempilo yengqondo
• Ukuhlukunyezwa ngokomzimba noma ngokomzwelo ebuntwaneni
• Ukubona ubudlova besikhaya noma intukuthelo eqaqambile emndenini wakho
• Ukuba nezinye izimo zempilo yengqondo ezifana ne-ADHD, ukucindezeleka, noma ukukhathazeka
• Umlando weziphukuphuku ezikhanda, ikakhulukazi lezo ezihlasela i-frontal lobe
• Ukusebenzisa kabi izidakamizwa noma izinkinga zokulutha
• Ukukhula ezindaweni ezingaqondakali noma ezingaqondakali

Ezinye izimo zokuphila zingakhuphula ingozi yakho. Izindawo ezinengcindezi enkulu, izinhlupheko zezezimali, izinkinga zobuhlobo, noma ukuguqulwa okukhulu kokuphila konke kungase kube nomthelela ekukhuleni kwamathuba okuqhuma intukuthelo.

Ukuba nezici zengozi akusho ukuthi uqondisiwe ukuthuthukisa i-IED. Abantu abaningi abanazo izici eziningi zengozi abazange babe nale simo, kanti abanye abanazo izici ezimbalwa zengozi bayaba nayo. Okubalulekile ukuqaphela izindlela zakho nokuthola usizo uma uqaphela izinguquko ezinkulu ezimpendulweni zakho zentukuthelo.

Ziyini izinhlupheko ezingase zenzeke ngenxa ye-Intermittent Explosive Disorder?

Ngaphandle kokwelashwa okufanele, i-IED ingathinta kakhulu izindawo eziningi zokuphila kwakho, idale isizungu lapho izigameko zokuqhuma ziholela ekucindezelekeni okwengeziwe nezinkinga. Izindaba ezinhle ukuthi lezi zinhlupheko zingavikeleka futhi zivame ukulungiseka ngokunakekelwa okufanele.

Ukonakala kobuhlobo kuvame ukuba yiphutha elikhulu futhi elibuhlungu kakhulu. Izigameko zokuqhuma zingabhubhisa ukwethembana, zidale ukwesaba kubathandekayo, futhi ziholele ekuzihlukaniseni njengoba abantu besaba ukuba eduze kwakho ngesikhathi sezigameko ezingase zenzeke.

Nawa amahlupheko ayinhloko angase akhule ngokuhamba kwesikhathi:

• Ukuhlukana, ukuhlukaniswa, noma ukulahlekelwa ubuhlobo obubalulekile
• Ukulahlekelwa umsebenzi noma ubunzima bokuqhubeka nomsebenzi
• Izinkinga zomthetho ezihlanganisa amacala okudlwengula noma imiyalo yokuvimbela
• Ubunzima bezimali ezivela emalokweni empahla noma izindleko zomthetho
• Ukuthuthukiswa kokucindezeleka, ukukhathazeka, noma izinkinga zokusebenzisa izidakamizwa
• Ukulimala komzimba kuwe noma kwabanye ngesikhathi sezehlakalo
• Ukuzihlukanisa komphakathi nokulahlekelwa ubungane
• Ubunzima bokuhlala ubaphatha kahle abantwana noma ukuhlala unayo ingqalasizinda yabantwana

Ezimweni ezingavamile, izehlakalo ezinkulu zingabangela imiphumela emibi yomthetho, kuhlanganise amacala obugwala noma ukuboshwa. Abanye abantu baphuthuma nezimo zempilo yengqondo njengoba behluleka ukubhekana nobuhlungu nokuhlupheka okubangelwa ukuziphatha kwabo okuqhumayo.

Ukuhlupheka ngokomzwelo kulabo abangamalungu omndeni kungaba kukhulu, ngezinye izikhathi kubangela ukulwa kwabo siqu nezimo zempilo yengqondo. Abantwana ababona izehlakalo eziqhumayo bangathuthukisa ukukhathazeka, ukucindezeleka, noma izinkinga zabo siqu zokulawula intukuthelo.

Kodwa-ke, kubalulekile ukukhumbula ukuthi lezi zinkinga azikho njalo. Ngokwelashwa okufanele, abantu abaningi abane-IED bangavimbela lezi zinkinga noma baqede umonakalo osewenzeke.

Kungenzeka kanjani ukuvimbela i-Intermittent Explosive Disorder?

Nakuba ungakwazi ukuvimbela ngokuphelele i-IED, ikakhulukazi uma unezingozi zezinto zakwa-genetic, kunezinyathelo ezibalulekile ongazithatha ukuze unciphise ingozi yakho noma uvikele izehlakalo uma usuvele unalesi simo. Ukungenelela kwasekuqaleni neqhinga lokubhekana nezimo ezempilo kwenza umehluko omkhulu.

Ukuphatha ukucindezeleka ngokuphumelelayo ingenye yezindlela ezibaluleke kakhulu zokuvimbela. Njengoba ukucindezeleka kuvame ukubangela izehlakalo eziqhumayo, ukufunda ukubhekana nezinselele zokuphila ngokuthula kungasiza ukuvimbela lesi simo singathuthuki noma sibe sibi.

Nawa amasu okunqoba athile angasiza:

• Ukufunda amakhono okuphatha ukucindezeleka okunempilo njengokuphefumula okujulile noma ukuzindla
• Ukuzivocavoca njalo ukuze kusize ekulawuleni isimo sengqondo nokunciphisa ukucindezeleka
• Ukugcina amashejuli okulala ahlala njalo nokufumana ukuphumula okwanele
• Ukugwema utshwala neziyobisi, ezinganciphisa ukulawula izingqondo
• Ukukhahlela ubuhlobo obuqinile, obusekela imindeni nabangane
• Ukufuna ukwelashwa ngokushesha uma ubona izindlela zolaka ziqala ukukhula
• Ukufunda ukuqaphela izici zakho zomuntu siqu zolaka kanye nezibonakaliso zezexwayiso
• Ukuqeqesha amakhono okuxhumana ukuze ubonakalise ukukhungatheka ngendlela yokwakha

Uma unezingane futhi ukhathazekile ngezici ezingozi zomndeni, gxila ekudaleni indawo yasekhaya eqinile, esekelayo. Bonisa izindlela ezempilo zokuphatha ukukhungatheka nolaka, bese ufuna usizo lochwepheshe uma ubona izindlela zolaka ezinkulu kuwe noma ezinganeni zakho.

Kubantu abake bahlinzwa yi-IED, ukuvimbela kugxila ekuvimbeni izehlakalo ngokwelashwa okuqhubekayo, ukulandela imithi, kanye nokwelashwa okuqhubekayo. Umgomo ukubamba izibonakaliso zezexwayiso ngokushesha bese usebenzisa amasu okubhekana nawo ngaphambi kokuba kube khona izehlakalo ezivuthayo.

I-Intermittent Explosive Disorder ihlonishwa kanjani?

Ukuhlola i-IED kuhilela ukulingwa okubanzi nguchwepheshe wezempilo yengqondo ozoqala izimpawu zakho, umlando wezokwelapha, kanye nethonya lezehlakalo ezivuthayo ekuphileni kwakho. Ayikho izivivinyo ezimbili ze-IED, ngakho ukuxilongwa kuxhomeke ekulingweni lochwepheshe.

Udokotela wakho uzoqala ngokubuza imibuzo eningiliziwe mayelana nezehlakalo zakho ezivuthayo, kufaka phakathi ukuthi zenzeka kangakanani, yini ezibangela, nokuthi zithinta kanjani impilo yakho yansuku zonke. Bazofuna ukuqonda iphethini nobunzima bokuphahlazeka kwakho ngokuhamba kwesikhathi.

Inqubo yokuxilongwa ngokuvamile ihlanganisa izinto eziningi:

1. Ingxoxo eningiliziwe mayelana nezimpawu zakho kanye nomlando wakho siqu
2. Ukuhlolwa kwezokwelapha ukuqeda izimbangela zezinto eziphathekayo zokuhlasela
3. Ukuhlaziywa kwanoma yimiphi imithi noma izinto ezingase zithinte isimo sakho sengqondo
4. Ukulinganisa kwezinye izimo zempilo yengqondo ezingase zibangele izimpawu ezifanayo
5. Ingxoxo namalungu omndeni noma abangane abaseduze mayelana nezindlela zakho zokuziphatha
6. Imibuzo eqinisekisiwe mayelana nolaka nokucasuka

Ukuze uthola ukuxilongwa kwe-IED, kumele ube nezehlakalo eziningi zokucasuka okungenangqondo okuqeda ngokuphelele noma yikuphi ukuphazamiseka. Lezi zenzakalo kumele zibangele ukucindezeleka okukhulu noma ukukhubazeka ekuphileni kwakho futhi akukwazi ukuchazwa kangcono yisimo esinye sempilo yengqondo.

Udokotela wakho uzokwasebenzisa futhi ezinye izimo ezingabangela intukuthelo ephukileyo, njengokuphazamiseka kokuphazamiseka kokuphazamiseka kokuphazamiseka kokuphazamiseka, noma ukusetshenziswa kabi kwezidakamizwa. Ngezinye izikhathi ukuhlola ubuchopho noma ukuhlolwa kwegazi kungase kunconywe ukuqeda izimbangela zezokwelapha zokuhlasela.

Inqubo yokuxilonga ingathatha izikhathi eziningi njengoba udokotela wakho eqoqa ulwazi oluphelele. Bekezela nale nqubo - ukuxilongwa okuchane kukunzima ukuthola ukwelashwa okulungile.

Iyini ukwelashwa kwe-Intermittent Explosive Disorder?

Ukwelashwa kwe-IED kuvame ukuxuba imithi kanye ne-psychotherapy, futhi izindaba ezinhle ukuthi abantu abaningi babona ukuthuthuka okukhulu ngendlela efanele. Umgomo ukukusiza uthole ukulawula phezu kwezehlakalo eziqhumayo futhi uthuthukise izindlela ezinempilo zokuphatha intukuthelo nokucindezeleka.

I-Psychotherapy, ikakhulukazi i-cognitive behavioral therapy (CBT), ngokuvamile iyindlela yokuqala yokwelapha. Lolu hlobo lwe-therapy lukusiza ukuqonda izimbangela zokucasuka kwakho, uqaphele izimpawu zokuqala ngaphambi kokuba kube khona izehlakalo, futhi uthuthukise amasu okuphatha imizwa eqinile.

Izinhlobo eziningi ze-therapy zingasiza kakhulu:

• Ukwelashwa ngokuziphatha nangokucabanga ukuze kushintshwe izindlela zokucabanga eziholela ekufuthekeni okukhulu.
• Ukwelashwa kokuziphatha okuhlukile ukuthuthukisa ukulawula imizwelo nokubekezelela ubunzima.
• Izikole zokulawula intukuthelo ukuze kufundwe amasu athile okulawula ukuqhuma.
• Ukwelashwa komndeni ukulungisa ubuhlobo nokuthuthukisa ukuxhumana.
• Ukwelashwa kweqembu ukuhlangana nabanye ababhekene nezinselele ezifanayo.

Imithi nayo ingadlala indima ebalulekile ekwelapheni. I-antidepressants, ikakhulukazi i-SSRIs, ivame ukubhalwa ukuze isize ukulawula isimo sengqondo nokunciphisa ukuziphatha okuphazamisayo. Abazinza bemizwelo noma imithi yokulwa nokukhathazeka nayo ingasiza kuye ngezimpawu zakho ezithile.

Udokotela wakho angakuncoma imithi efana ne-fluoxetine, i-sertraline, noma ezinye i-antidepressants ezingasiza ekuqedeni izinhlangothi zokuqhuma. Abanye abantu bayazuza nakumazinza emodi efana ne-lithium noma i-anticonvulsants.

Ukwelashwa kuyahlukahluka kakhulu, futhi kungathatha isikhathi ukuthola ukuxuba okulungile kokwelashwa nemithi okusebenza kangcono kuwe. Abantu abaningi baqala ukubona ukuthuthuka phakathi kwamasonto ambalwa kuya ezinyangeni zokuqala ukwelashwa.

Indlela yokuphatha i-Intermittent Explosive Disorder ekhaya?

Ukuphatha i-IED ekhaya kuhilela ukuthuthukisa amasu asebenzayo ongawasebenzisa nsuku zonke ukuvimbela iziqephu nokubhekana nolaka ngezindlela eziphilile. Lezi zindlela zokunakekela ziyasebenza kangcono uma zihlanganiswe nokwelashwa kwabasebenzi bezempilo, hhayi njengendlela yokusika ukwelashwa kwabasebenzi bezempilo.

Ukufunda ukuqaphela izimpawu zakho zokuqala kubalulekile ekuvimbeleni iziqephu zokuqhuma. Abantu abaningi banesiginali somzimba noma sengqondo esenzeka ngaphambi kokulahlekelwa ukulawula, futhi ukuzibamba ngokushesha kunika isikhathi sokuzama amasu okulawula.

Nawa amasu okulawula ekhaya ongaqala ukuwasebenzisa namuhla:

• Zama ukuzivocavoca ukuphefumula okujulile noma ukuphumula kwemisipha okuqhubekayo uma uzizwa ulaka luyakhula
• Zisuse ezimweni ezikukhuthazayo uma kungenzeka - thatha isikhathi sokuphumula
• Gcina idayari ukuze uqaphele izinto ezikukhuthazayo ulaka kanye nezingqikithi zalo
• Hlanganyela ekuzivocavoca komzimba njalo ukuze unciphise ukucindezeleka nokuqina okuphelele
• Gcina isimiso sokulala esiqinile futhi ugweme ikhofi ebusuku
• Sebenzisa amasu okuqina njengokubala kuze kube yishumi noma ukugxila emizwa emihlanu yakho
• Zivocavoce ukuqaphela noma ukuzindla ukuthuthukisa ukuqonda kwemizwelo
• Yenza inethiwekhi yokusekela yabangane noma amalungu omndeni abathembakele

Ngawo lawo makhulu lapho uzizwa ulaka lukhula, zama iqhinga lelithi "STOP": Yima lokho okwenzayo, Thatha umoya ojulile, Qaphela imicabango nemizwa yakho, bese Uqhubeka ngempendulo ethulile. Le ndlela elula ingavimbela izigameko eziningi ezishaqisayo.

Kubalulekile futhi ukugwema utshwala neziyobisi zokuzilibazisa, njengoba lezi zinganciphisa ukuzibamba kwakho futhi zenze izigameko ezishaqisayo zibe lula. Gxila ekugcineni imikhuba impilo ezungezile ukudla, ukulala, nokuzivocavoca.

Khumbula ukuthi ukuphatha i-IED kuyikhono elithuthuka ngokuzivocavoca. Bekezela ngawe njengoba ufunda amasu amasha okuqondana, futhi ungangabazi ukufuna usizo lochwepheshe uma uyakudinga.

Kufanele ulungiselele kanjani ukubona udokotela wakho?

Ukulungiselela i-aphoyintimenti yakho kungakusiza ukuthi uthole okuningi ngesikhathi sakho nomhlinzeki wakho wezinsizakalo zezempilo futhi kuqinisekise ukuthi uthola ukunakekelwa okuhle kunakho konke. Ukufika ulungile kubonisa ukuzimisela kwakho kokuba ngcono, okungaqinisa ubuhlobo bakho bokuwelapha.

Qala ngokugcina irekhodi lemininingwane yezigameko zakho ezishaqisayo okungenani isonto ngaphambi kwe-aphoyintimenti yakho. Faka ulwazi mayelana nalokho okukhuthazile isigameko ngasinye, isikhathi eside esiphelile, okwenzeke ngesikhathi salo, nokuthi wazizwa kanjani ngemva kwalokho.

Nanku okufanele ukulethe nokulungiselela i-aphoyintimenti yakho:

• Uhlu lwawo wonke amaphilisi nezithasiselo ozithatha njengamanje
• Ulwazi mayelana nomlando wezempilo yengqondo yomndeni wakho
• Imininingwane mayelana nanoma yiziphi izipiliyoni ezibuhlungu noma izenzakalo ezibalulekile ekuphileni
• Umbhalo wezingxabano zakho ezivuthayo, kufaka phakathi izimbangela kanye nokuphindaphinda
• Imibuzo ofuna ukuyibuza mayelana nokuxilongwa kanye nezinketho zokwelashwa
• Ulwazi mayelana nendlela izimpawu zakho ezikuthinta ngayo umsebenzi wakho nobuhlobo bakho
• Noma yikuphi ukwelashwa kwengqondo okwengaphambili owutholile

Lungela ukuxoxa ngezindaba ezinzima ngokwethembeka, kufaka phakathi noma yimuphi umlando wobudlova, ukusetshenziswa kwezidakamizwa, noma izinkinga zomthetho ezihlobene nezingxabano zakho ezivuthayo. Udokotela wakho udinga ulwazi oluphelele ukuze anikeze izincomo zokwelashwa ezinhle kakhulu.

Cabanga ukuthi ulethe ilungu lomndeni omethembayo noma umngani obonile izingxabano zakho. Banganikeza umbono oqakathekile mayelana nezimpawu zakho kanye nethonya lazo ebuhlotsheni bakho.

Bhala phansi imibuzo yakho ngaphambili ukuze ungayikhohlwa ngesikhathi sokuqokwa. Buza ngezinketho zokwelashwa, lokho okufanele ukulindele ekwelapheni noma kwemithi, kanye nendlela yokusingatha izingxabano ezivuthayo ngenkathi uqala ukwelashwa.

Iyini into ebaluleke kakhulu mayelana ne-Intermittent Explosive Disorder?

Into ebaluleke kakhulu okumele uyiqonde mayelana ne-IED ukuthi iyisimo sezempilo esingelashwa, hhayi iphutha lobuntu noma ukwehluleka komuntu siqu. Ngokuxilongwa okulungile nokwelashwa, abantu abaningi abane-IED bangafunda ukuphatha izingxabano zabo ezivuthayo futhi baphile impilo egcwele, enempilo.

Ukuphulukiswa kwe-IED kunokwenzeka ngokuphelele, kodwa kudinga ukuzimisela ekwelapheni nokubekezela ngenqubo. Ungase ungaboni imiphumela ngokushesha, kodwa ngokwelashwa okuqhubekayo, imithi uma kudingeka, kanye nokuzijwayeza kwezindlela zokubhekana nezimo, ungabuye uthole ukulawula izimpendulo zakho zomzwelo.

Ungavumeli ihlazo noma ukuhlupheka kukuvimbele ekufuneni usizo. Abantu abaningi balwela intukuthelo ephawuleka kakhulu, futhi ochwepheshe bezempilo yengqondo bayeqeqeshwe ukusiza ngaphandle kokwahlulela. Uma uqala ukwelashwa ngokushesha, ngokushesha ungaqala ukulungisa ubuhlobo nokunciphisa izinkinga zesikhathi esizayo.

Khumbula ukuthi ukuphatha i-IED kuyinqubo eqhubekayo, hhayi ukulungisa okukodwa. Uzoqhubeka uphucula futhi uthuthukise amasu akho okuqeda izinkinga ekuphileni kwakho konke, futhi lokho kuyinto evamile ngokuphelele. Okubaluleke kakhulu ukuthatha isinyathelo sokuqala sokuthola usizo nokubophezela ekuhambeni kwakho kokutakula.

Imibuzo evame ukubuzwa mayelana ne-Intermittent Explosive Disorder

Ingabe abantwana bangaba ne-Intermittent Explosive Disorder?

Yebo, abantwana bangathuthukisa i-IED, futhi izimpawu zivame ukuqala ebuntwaneni obukhulu noma ekuqaleni kwesikhathi sokuqina. Noma kunjalo, ukuxilonga i-IED kubantwana kudinga ukuhlolwa ngokucophelela ngoba ezinye izenzo zokuphahlazeka zingaba yinto evamile ngesikhathi sokuthuthuka. Uma ingane yakho inezikhalazo ezivamile, ezinzima ezingabonakali njengokulingana nobudala bayo nesimo, kufanele ukuxoxe nodokotela wayo noma uchwepheshe wezingane.

Ingabe i-Intermittent Explosive Disorder ifana nezinkinga zokulawula intukuthelo?

Cha, i-IED inamandla kakhulu kunenkinga evamile yokulawula intukuthelo. Nakuba abantu abaningi belwela ukulawula intukuthelo yabo, i-IED ihilela izigameko zokuphahlazeka ezingalingani nezinqumo futhi zibangela ukukhathazeka okukhulu noma ukukhubazeka. Izinkinga zokulawula intukuthelo ngokuvamile azinawo ukulahlekelwa ngokuzumayo, okukhulu kokulawula okuqondisa i-IED.

Ingabe ngizodinga ukuthatha imithi impilo yami yonke?

Akumele kube njalo. Abanye abantu abane-IED bayazuza ekusebenziseni imithi isikhathi eside, kanti abanye bangakwazi ukuphatha isimo sabo ngokwelashwa kanye neqhinga lokubhekana nezimo kuphela. Udokotela wakho uzosebenza nawe ukuze unqume indlela engcono kakhulu ngokuya ngezimpawu zakho, impendulo yokwelashwa, kanye nezifiso zakho. Abantu abaningi bakwazi ukunciphisa noma ukuyeka ukusebenzisa imithi ngokuhamba kwesikhathi ngokubeka iliso okufanele.

Ingabe ukucindezeleka kwenza i-Intermittent Explosive Disorder ibe yimbi?

Yebo. Ukucindezeleka kuyinye yezizathu ezivame kakhulu zezehlakalo eziqhumayo kubantu abane-IED. Izinguquko ezinkulu ekuphileni, izinkinga zothando, ukucindezeleka emsebenzini, noma ubunzima bezimali konke kungandisa ukwanda nobukhulu bokuqhuma. Kungakho ukuphathwa kokucindezeleka kuyisigaba esibalulekile sokwelashwa nokuthi ukugcina amasu aphilile okubhekana nezimo kubalulekile ekuphatheni isikhathi eside.

Ngingakuchaza kanjani isimo sami emindenini nabangane?

Ukuba ovulekile ngokuxilongwa kwakho empeleni kungaqinisa ubuhlobo bakho futhi kusize abathandekayo bakho ukuqonda ukuziphatha kwakho kangcono. Chaza ukuthi i-IED iyisimo sezokwelapha esithinta indlela ubuchopho bakho obusebenza ngayo ulaka, kufana nendlela isifo sikashukela esithinta ngayo ushukela egazini. Xelela ukuthi uthola ukwelashwa bese ucela isineke nokwesekwa kwabo. Cabanga ukuhlanganisa nabo emihlanganweni yokwelashwa komndeni lapho kufanele, njengoba lokhu kungasiza wonke umuntu afunde amasu angcono okukhulumisana.