Ukuhlupheka Ngokweqile Okuphindaphindayo Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ukuhlupheka ngokweqile okuphindaphindayo (OCD) kuyisimo sengqondo lapho imicabango engathandeki, ehlala ingena engqondweni idala ukukhathazeka okukhulu okukushukumisela ukuba wenze imikhuba ephindaphindayo noma yengqondo. Le micabango nemikhuba ingase ibe nzima kakhulu futhi ingaphazamisa impilo yakho yansuku zonke, ubuhlobo, nomsebenzi.

Awuwedwa kule mpi. I-OCD ihlupha abantu abacishe babe ngu-2-3% emhlabeni jikelele, futhi kuyisimo sezempilo sangempela esiphendula kahle ekwelapheni. Ukuqonda ukuthi kwenzekani engqondweni yakho kungaba yisinyathelo sokuqala sokuzizwa ulawula kakhulu.

Ukuhlupheka Ngokweqile Okuphindaphindayo Yini?

I-OCD ihilela izinto ezimbili eziyinhloko: ukukhathazeka okweqile nokuphindaphinda. Ukukhathazeka okweqile kuyimicabango, izithombe, noma izifiso ezingathandeki, eziphindaphindayo ezibangela ukukhathazeka okukhulu. Lezi azilona nje ukukhathazeka kwansuku zonke kodwa kuyimicabango ehlala ingena engqondweni ezwakala iyinqaba kuwe.

Ukuphindaphinda kuyimikhuba ephindaphindayo noma izenzo zengqondo ozizwa uqhutyelwa ukuba uzifeze njengomphendulo ekukhathazekeni okweqile. Ungase uzwe sengathi lezi zenzo zizovikela into embi ukuba ingenzeki noma zinciphisa ukukhathazeka kwakho. Noma kunjalo, ukuthula okutholakala kuvame ukuba okwesikhashana, futhi leli qophelo livame ukuphindaphinda.

Abantu abaningi banezicabango ezihlala zingenela engqondweni noma bathanda izinto ezenziwe ngendlela ethile. Okwenza i-OCD ihluke yiyona nto yokukhathazeka okukhulu, ukwenzeka njalo, nokuthi le micabango nemikhuba iphazamisa impilo yakho kangakanani. Le micabango izwakala iyaphuthuma futhi iyadabukisa, hhayi nje izinto ozithandayo.

Ziyini izimpawu zokuhlupheka ngokweqile okuphindaphindayo?

Izimpawu ze-OCD ziwela ezinhlotsheni ezimbili, yize abantu abaningi behlangabezana kokubili nokukhathazeka okweqile nokuphindaphinda. Ake sibheke ukuthi lezi zingase zibe njani ekuphileni kwakho kwansuku zonke.

Ukukhathazeka okweqile okuvamile kufaka phakathi:

• Ukwesaba ukungcoliswa yizimbungulu, umthondo, noma amakhemikhali
• Imicabango yokuhlasela noma yobudlova engathandeki ekuqondeni kwakho noma kwabanye
• Ukukhathazeka okukhulu ngokulingana, ukuhleleka, noma izinto ezihambisana kahle
• Imicabango engavunyelwe yobulili noma yenkolo ephikisana nezimiso zakho
• Ukwesaba ukulahlekelwa noma ukukhipha okuthile okubalulekile
• Ukungaqiniseki mayelana nokuthi uqedele yini imisebenzi efana nokuvala amasango noma ukucima imishini

Izinto ezivamile ezibangela ukucindezeleka zihlanganisa:

• Ukugeza izandla ngokweqile, ukuhlanza, noma ukuhlanza
• Ukuphinda uhlole amasango, imishini, noma izikhiphi
• Ukubala, ukuthepha, noma ukuphinda amazwi ngokuthula
• Ukulungisa izinto ngendlela ethile kuze kube yilapho zizwa "zilungile"
• Ukufuna ukuqinisekiswa kwabanye ngokuphindaphindiwe
• Imikhuba yengqondo efana nokukhuleka noma ukubuyekeza izehlakalo engqondweni yakho

Ukukhathazeka okungavamile kodwa okubuhlungu ngokufanayo kungase kuhilele ukwesaba ukuqondana kwakho kobulili, ukukhathazeka ngokuhlambalaza, noma imicabango ehlala ikhona yokulimaza abathandekayo. Abanye abantu bahlangabezana nokuziphatha kwengqondo kuphela, njengokuphinda amagama noma "ukususa" imicabango emibi ngengqondo.

Khumbula, ukuba nale micabango akusho ukuthi ufuna ukuyenza noma ukuthi ibonisa ubuntu bakho beqiniso. I-OCD ngokuvamile ihlose lokho okubaluleke kakhulu kuwe, kungakho le micabango izwa ihlupha kakhulu.

Imiphi imikhakha ye-Obsessive-Compulsive Disorder?

Nakuba i-OCD iyisimo esisodwa, ingabonakala ngezindlela ezahlukene. Ochwepheshe bezempilo yengqondo ngezinye izikhathi bachaza i-OCD ngezindikimba zayo eziyinhloko, nakuba abantu abaningi bahlangabezana nezinhlobo eziningi.

I-Contamination OCD ihilela ukwesaba izimbungulu, ukugula, noma ukuba "umthondo." Ungase ugeze izandla ngokweqile, ugweme izindawo zomphakathi, noma uphonsa izinto okukholelwa ukuthi ziningcolile. Lolu hlobo lwabonakala kakhulu ngesikhathi se-COVID-19 pandemic, nakuba lwalukhona isikhathi eside ngaphambi kwalokho.

Ukubheka i-OCD kugxile ezimangalenga mayelana nokulondeka noma ukupheleliswa kwemisebenzi. Ungase uqhubeke uqikelela ukuthi amasango avaliwe, imishini iyacishiwe, noma ukuthi awenzanga amaphutha. Ukungabaza kuzwakala kunamandla kangangokuthi ngisho nangemva kokuhlola izikhathi eziningi, ukungabaza kuyaqhubeka.

I-OCD yokulingana nokulungisa izinto ihilela ukudinga izinto zilungiswe ngendlela ethile noma zizwe “zilungile”. Ungase uchithe amahora uhlela izinto noma uzwe ukungakhululeki okukhulu uma izinto zibonakala zingalingani noma zingalingani.

I-OCD yokulimaza ihilela imicabango engathandeki yokulimaza wena noma abanye, ngisho noma ungenalo isifiso lokwenza njalo. Le micabango iyakhathaza ngokukhethekile ngoba iphikisana nezimiso zakho nokuthi ungubani.

Abanye abantu bahlangabezana ne-Pure O (i-OCD engumcabango nje kuphela), lapho ukuphoqeleka kunengqondo kunokuba yizenzo ezibonakalayo. Ungase uqale ukubheka ngengqondo, ukubala, noma ukuzama “ukunciphisa” imicabango emibi ngeyona.

Yini ebangela i-Obsessive-Compulsive Disorder?

I-OCD ithuthukiswa yihlanganisela yezinto, futhi abacwaningi basafunda ngazo zonke izingxenye ezihilelekile. Ayikho imbangela eyodwa, futhi ukuba nezinto ezingozi akusho ukuthi uzophuthuma i-OCD.

Ukwahluka kwengqondo kudlala indima ebalulekile ku-OCD. Ucwaningo lubonisa ukuthi izikhungo ezithile zengqondo ezihilelekile ekwenzeni izinqumo, ukwakha imikhuba, nokubona amaphutha usebenza ngokuhlukile kubantu abane-OCD. Ngokukhethekile, izindawo ezifana ne-orbitofrontal cortex ne-anterior cingulate cortex zingase zibe namandla kunokujwayelekile.

I-Genetics inikeza ingozi ye-OCD, ngesimo esigijima emindenini kaningi kunokuba kube ngengozi. Uma ilungu lomndeni oseduze line-OCD, ingozi yakho iyanda, nakuba abantu abaningi abanesizukulwane somlando abaphuthumi lesimo. Izifundo zezintathu zibonisa ukuthi i-genetics ibalelwa cishe ku-45-65% yengozi ye-OCD.

Izimo zezindawo ezingqongile zingabangela i-OCD kubantu abasengozini. Imicimbi yokuphila ebangela ukucindezeleka, ukutheleleka, noma okuhlangenwe nakho okuhlukumezayo kungase kuqalise lesi simo. Abanye abantwana bathuthukisa izimpawu ezifana ne-OCD ngemuva kokutheleleka yi-strep, isimo esibizwa nge-PANDAS (Izigulo Zezinzwa Zokuziphatha Ezizimele Ezingabantwana Ezihlobene Nokutheleleka kwe-Streptococcal).

Izimfanelo zobuntu ezinjengokuphelela noma ukuba nomuzwa omkhulu wokungabaza kungase kuhlanganyele ekukhuleni kwe-OCD. Kodwa-ke, lezi zimfanelo zodwa azibangeli i-OCD, futhi abaningi abapheleleyo abayithuthukisi leli simo.

Nini kufanele ubheke udokotela nge-Obsessive-Compulsive Disorder?

Kufanele ucabange ukuya kudokotela uma imicabango ephikisanayo noma ukuziphatha okuphindaphindayo kuhlupha impilo yakho yansuku zonke. Lokhu kungase kusho ukuchitha isikhathi esingaphezu kwehora ngosuku ngemicabango noma ukuziphatha okuphindaphindayo, noma ukungakwazi ukusebenza kahle emsebenzini, esikoleni, noma ebuhlotsheni.

Funani usizo uma ugwema izindawo, abantu, noma imisebenzi ngenxa yemicabango yakho noma ukuziphatha okuphindaphindayo. Abantu abaningi abane-OCD kancane kancane bayakhawulela impilo yabo ukuze baphathe izimpawu zabo, okungase kube yimbangela yokungabi nandaba nokucindezeleka.

Ungalindi uma unemicabango yokulimaza, noma uma amasiko akho ebangela izinkinga zomzimba njengokulimala kwesikhumba ngokuhlanza okukhulu. Ukwelashwa kwasekuqaleni kuvame ukuletha imiphumela emihle futhi kungavimbela izimpawu ezingabi mandundu ngokuhamba kwesikhathi.

Uma amalungu omndeni noma abangane bakubonise ukukhathazeka ngokuziphatha kwakho, kungase kube yisikhathi esihle sokuthola usizo lochwepheshe. Ngezinye izikhathi abantu abaseduze nathi baphawula izindlela esizijwayele ukuhlala nazo.

Yiziphi izinto ezingase zikwenze ube sengozini ye-Obsessive-Compulsive Disorder?

Izinto eziningi zingase zikwenze ube sengozini yokuthuthukisa i-OCD, yize ukuba nezinto ezingase zikwenze ube sengozini akusho ukuthi uzoyithuthukisa ngokuqinisekile leli simo. Ukuqonda lezi zinto kungakusiza ukwazi nini kufanele ufunane usizo.

Izinto ezivame ukwenza ube sengozini zihlanganisa:

• Umlando womndeni we-OCD noma ezinye izifo zokukhathazeka
• Amazinga aphezulu engcindezi noma izinguquko ezinkulu ekuphileni
• Umlando wokuxhashazwa ngokomzimba, ngokobulili, noma ngokomzwelo
• Ezinye izimo zempilo yengqondo njengokucindezeleka noma ukukhathazeka
• Izimfanelo zobuntu eziphelele noma isidingo esikhulu sokulawula
• Ezinye izimo zezokwelapha ezihlasela ubuchopho

Ubudala bungaba yinto ebalulekile, ngoba i-OCD iqala ngokuvamile ebuntwaneni, ebusheni, noma ekuqaleni kobudala. Abantwana besilisa bathambekele ekuboniseni izimpawu ngaphambi kwabentokazi, ngokuvamile ngaphambi kweminyaka eyi-10, kuyilapho amantombazane evame ukukhula i-OCD phakathi nobusha.

Ukukhulelwa nokubeletha kungakhuthaza i-OCD kwabanye abesifazane, ikakhulukazi ukukhathazeka ngokulimaza ingane. Lokhu kuhlukile ekukhathazekeni okuvamile kwabazali abasha futhi kuhilela imicabango eyingozi, ephazamisayo, ezwakala ingafani nomuntu.

Ukuba nalezi zinto ezingozi akusho ukuthi i-OCD iyaphoqeleka. Abantu abaningi abanazo izinto eziningi ezingozi abayitholi le simo, kuyilapho abanye abanazo izinto ezimbalwa ezingozi ebonakalayo bayithola. Ukuhlangana phakathi kwezakhiwo, umsebenzi wobuchopho, kanye nemiphumela yempilo kuyinkimbinkimbi futhi kuyahlukahluka umuntu ngamunye.

Ziyini izinhlanganisela ezingaba khona ze-Obsessive-Compulsive Disorder?

Uma ingaphathwa, i-OCD ingathinta kakhulu izindawo eziningi zokuphila kwakho. Lezi zinhlanganisela zikhula kancane kancane futhi zingaba nzima, kodwa zingavikeleka ngokwelashwa okuqondile nokwesekwa.

Ukucindezeleka kuvame ukuvela kanye ne-OCD, kuthonya abantu abafika ku-70% abane le simo. Ukulwela njalo ngemicabango eyingozi nemikhuba edla isikhathi esiningi kungakushiya uzizwa unethemba futhi ukhulu. Lokhu akuyona iphutha lobuntu kodwa kuyisimo esijwayelekile sokuphila ne-OCD engaphathwa.

Ubuhlobo bungase buhlupheke njengoba izimpawu ze-OCD zithinta ukuxhumana komphakathi. Ungase ugweme imihlangano ngenxa yokwesaba ukungcola, uhilele amalungu omndeni emikhubeni yakho, noma ulwe nobulili ngenxa yemicabango eyingozi. Abangane nomndeni bangase bazizwe bexakekile noma badida ngokuziphatha kwakho.

Ukusebenza emsebenzini noma esikoleni kungaphunguka uma ukucindezeleka kanye nokuziphatha okungalawuleki kudla isikhathi esiningi namandla engqondo. Ungase ufike uthuthukile ngenxa yemikhuba yokuhlola, uhluleke ukuqonda ngenxa yemicabango eyingozi, noma ugweme imisebenzi ethile ebonisa izimpawu zakho.

Izinkinga zempilo yomzimba zingase zivele ngenxa yokuziphatha okungalawuleki. Ukugeza izandla ngokweqile kungalimaza isikhumba futhi kubangele ukutheleleka. Ukwenza imikhuba yokuhlola kungabangela ukulimala okuphindaphindayo. Abanye abantu baba nezinkinga zokudla, ukulala, noma ezinye imisebenzi yokuzihlangula eyisisekelo.

Ukuzihlukanisa nabantu ngokuvamile kwenzeka njengoba abantu abane-OCD kancane kancane beqeda imisebenzi yabo ukuze baqondane nezimpawu. Lokhu kungabangela ukuba bodwa, ukwehla kwekhwalithi yokuphila, kanye namathuba ambalwa okuhlangenwe nakho okuhle okuthuthukisa umoya ngokwemvelo.

Ezimweni ezingavamile, i-OCD eqinile ingabangela ukungakwazi ngokuphelele ukusebenza ngokuzimela. Abanye abantu baba abagxile ekhaya noma badinga ukunakekelwa okuqhubekayo. Noma kunjalo, leli banga lokulimala lingathintelwa ngokwelashwa okufanele.

Kungenzeka kanjani ukuvimbela i-Obsessive-Compulsive Disorder?

Nakuba ungakwazi ukuvimbela ngokuphelele i-OCD, ikakhulukazi uma unokuthile okufana nokwakho egazini, amasu athile anganciphisa ingozi yakho noma ulibambezele ukuqala kwezimpawu. Ukungenelela kwasekuqaleni lapho izimpawu ziqala ukuvela kungavimbela isimo ukuba singabi sibi kakhulu.

Ukuqondisa ukucindezeleka ngokuphumelelayo ekuphileni kwakho kungakusiza ukuvikela impilo yakho yengqondo. Lokhu kuhlanganisa ukuthuthukisa amasu okuqondisa okuhle, ukugcina ubuhlobo obuqinile, nokufuna ukwesekwa ngezikhathi ezinzima. Ukucindezeleka okuqhubekayo kungabangela i-OCD kubantu abanobuthakathaka.

Ukufunda ngempilo yengqondo nokuqaphela izimpawu zokuqala zokuxwayisa kungabangela ukwelashwa okusheshayo. Uma uqaphela imicabango eyingozi eqhubekayo noma uthuthukisa imikhuba yemikhosi, ukuyixazulula ngokushesha kuvame ukuletha imiphumela emihle kunokulinda kuze kube yilapho izimpawu ziqala ukuba sibi kakhulu.

Ukuqeda izinto ezingenza ukukhathazeka kube kubi, njengokusebenzisa i-caffeine ngokweqile noma izidakamizwa zokuzilibazisa, kungasiza ekuvikeleni impilo yakho yengqondo. Nakuba lezi zinto zingabikho yimbangela ye-OCD, zingakhuphula amazinga okukhathazeka futhi zibangele izimpawu kubantu abathintekayo.

Uma unemlando womndeni we-OCD noma ezinye izimo zempilo yengqondo, ukuhlala uxhumene nemithombo yezempilo yengqondo kungaba yigugu. Lokhu akusho ukuthi kufanele uphile ngokwesaba, kodwa kunalokho ukuba nolwazi futhi ulungele ukufuna usizo uma kudingeka.

I-Obsessive-Compulsive Disorder ihlonishwa kanjani?

Ukuhlolwa kwe-OCD kuhilela ukuhlolwa okubanzi ngumuntu ophethe impilo yengqondo, ngokuvamile udokotela wezengqondo, isazi sengqondo, noma umhlengikazi okhethekile. Ayikho i-blood test noma i-brain scan engabonisa i-OCD, ngakho inqubo ithembela ekukhulumeni ngezimpawu zakho namava.

Umhlinzeki wakho wezempilo uzokubuza imibuzo eningiliziwe ngemicabango yakho nokuziphatha kwakho, kufaka phakathi isikhathi sokuhlangenwe nakho izimpawu, isikhathi esichitha, nokuthi zithinta kanjani impilo yakho yansuku zonke. Uzothanda ukuqonda ubukhulu bezinto ozikhathazayo nezinto ozizenza.

Inqubo yokuhlola ihlanganisa ukuqeda ezinye izimo ezingabangela izimpawu ezifanayo. Ukukhathazeka, ukucindezeleka, ukuphazamiseka kwe-autism spectrum, noma ezinye izimo zezokwelapha ngezinye izikhathi kungadideka ne-OCD. Umhlinzeki wakho angase akusize ngembali yakho yezokwelapha kanye nemithi oyiphishekelayo.

Imibuzo eqinisekisiwe njengeYale-Brown Obsessive Compulsive Scale (Y-BOCS) iyasiza ekuqondeni ubukhulu bezimpawu nokulandelela ukuthuthuka ngokuhamba kwesikhathi. Lezi zinto zinikeza indlela ehlelekile yokuhlola isipiliyoni sakho nokulandelela intuthuko yokwelashwa.

Umhlinzeki wakho angase futhi ahlole izimo ezihlobene ezihlala zikhona ne-OCD, njengokucindezeleka, ukukhathazeka, noma ukuphazamiseka kwe-tic. Lokhu kuhlolwa okubanzi kusiza ekuthuthukiseni uhlelo lokwelapha oluphumelelayo esimweni sakho esithile.

Iyini ukwelashwa kwe-Obsessive-Compulsive Disorder?

Ukwelashwa okuphumelelayo kwe-OCD kukhona, futhi abantu abaningi bayabona ukuthuthuka okukhulu ngokunakekelwa okufanele. Ukwelashwa kuvame ukubandakanya ukwelashwa, imithi, noma kokubili, kuye ngezimpawu zakho nezifiso.

Ukuvezwa nokuvimbela impendulo (ERP) kubhekwa njengokwelashwa okuyisisekelo kwe-OCD. Lolu hlobo lokwelashwa olusebenzisa ukuziphatha kwengqondo kubandakanya ukuvezwa kancane kancane ezimweni ezibangela ukukhathazeka ngenkathi ufunda ukumelana nokwenza izinto ezingathandeki. Kuzwakala kuyesabekayo, kodwa kwenziwa kancane kancane ngokusekelwa kwesazi.

I-ERP isebenza ngokusiza ingqondo yakho ukuba ifunde ukuthi imiphumela ebesoyikwa yokungenzi izinto ezingathandeki ayenzeki. Ngokuhamba kwesikhathi, lokhu kunciphisa ukukhathazeka okuhlotshaniswa nemibono yokukhathazeka futhi kuphazamisa umjikelezo we-OCD. Abantu abaningi babona ukuthuthuka phakathi kwama-seshini angu-12-20 okwelashwa.

Imithi ingasiza kakhulu ekulawuleni izimpawu ze-OCD, ikakhulukazi abavimbi abakhethekile be-serotonin reuptake (SSRIs). Le miithi isebenza ngokuhlukile kwe-OCD kunokucindezeleka, ivame ukudinga imithamo ephakeme nesikhathi eside ukuze ibonise imiphumela. Izindlela ezivamile zihlanganisa i-fluoxetine, i-sertraline, ne-clomipramine.

Imiphumela yemithi ivame ukubonakala ngemuva kwamasonto angu-6-12 okusetshenziswa okuqhubekayo. Udokotela wakho uzoqala ngomthamo ophansi bese uyakwandisa ngokuya ngokuthi uyaphendula kanjani nanoma yiziphi izinhlangothi. Ukufumana imithi efanele nomthamo kungathatha isikhathi, ngakho-ke ukulinda kubalulekile.

Ngokuqondene ne-OCD eqinile engaphenduli ekwelapheni okuvamile, kunezindlela ezengeziwe ezikhona. Lokhu kungabandakanya izinhlelo zokwelashwa ezingaphandle, ukwelashwa okuhlala khona, noma ezimweni ezingavamile, izinqubo ezifana nokusheshisa ubuchopho. Noma kunjalo, abantu abaningi bayaphendula kahle ekwelapheni okokuqala.

Ukuhlanganisa ukwelashwa kanye neminye imithi kuvame ukuletha imiphumela emihle kakhulu, ikakhulukazi kulabo abane-OCD ephakathi nayo ebuhlungu. Iqembu lakho lokwelapha lizokusebenza nawe ukuze lenze uhlelo oluhambisana nezimpawu zakho, indlela yakho yokuphila, kanye nezifiso zakho.

Ungayiphatha kanjani i-Obsessive-Compulsive Disorder ekhaya?

Nakuba ukwelashwa okusebenza kubalulekile ku-OCD, kukhona amasu ambalwa angase asekele ukuphulukiswa kwakho futhi akusize uphathe izimpawu phakathi kwamasekhoni okwelashwa. Lezi zindlela zisebenza kangcono uma zisetshenziswa kanye nokukhathalelwa kwabasebenzi bezempilo, hhayi esikhundleni sawo.

Zama ukuqaphela nokuzindla ukuze uthuthukise ubuhlobo obuhlukile nemicabango yakho. Amasu afana nokuphefumula okuqaphile noma ukuskena umzimba angakusiza ubone imicabango eyingozi ngaphandle kokusabela ngokushesha ngezinto ezingezinhle. Izinhlelo zokusebenza ezifana neHeadspace noma iCalm zinikeza imisebenzi eholwa ngabanye ngokukhethekile ukukhathazeka.

Yenza amasiko ajwayelekile angagxili ezimpawu ze-OCD. Lokhu kungafaka isikhathi sokudla, amashejuli wokuzivocavoca, noma amasiko okuya ekuphumuleni alondoloza impilo yengqondo. Ukuhleleka kungakusiza ube nokuzinza ngenkathi usebenza ekuthuthukiseni ukuziphatha okuhlobene ne-OCD.

Yenza isisekelo sokusekela ngokuxhumana nabangane obathembayo, amalungu omndeni, noma amaqembu okusekela. I-International OCD Foundation inikeza amaqembu okusekela ku-inthanethi lapho ungaxhumana khona nabanye abaqonda isipiliyoni sakho. Ukwabelana ngezinkinga zakho kunganciphisa imizwa yokungabi bodwa.

Gcina idayari yezimpawu ukuze uqaphele izindlela eziku-obsessions nakwimicabango yakho. Qaphela ukuthi yini ebangela izimpawu, isikhathi eside kangakanani, nokuthi yini esiza noma eyenza zibe zimbi. Lolu lwazi lungaba lubalulekile eqenjini lakho lokwelapha futhi lukusize ubone intuthuko.

Khawukhawuleli ukuziphatha kokufuna ukuqinisekiswa, ngisho noma lokhu kuzwakala kungafanele. Ukubuza abanye ngokuphindaphindiwe ukuze baqinisekise ukuthi konke kulungile kuvame ukuqinisa izindlela ze-OCD. Esikhundleni salokho, zama ukubekezelela ukungabaza futhi uthembe ukulinganisa kwakho okuqala izimo.

Gcina impilo yakho yomzimba ngokuzivocavoca njalo, ukulala okwanele, nokudla okufanele. Lezi zinto eziyisisekelo ziyasekela impilo yakho engqondweni yonke futhi zingathuthukisa ikhono lakho lokubhekana nezimpawu ze-OCD. Ukuzivocavoca, ikakhulukazi, kungasiza ekuthuthukiseni ukukhathazeka nokwenza isimo sengqondo sibe ngcono.

Kufanele ulungiselele kanjani isikhathi sakho sokuya kudokotela?

Ukulungiselela isikhathi sakho sokuya kudokotela kungasiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho nomhlinzeki wakho wezinsizakalo zezempilo. Ukuqoqa ulwazi kusengaphambili kuvumela ingxoxo ephumelelayo ngezimpawu zakho nezinketho zokwelashwa.

Bhala phansi izinto ozikhathazeka ngazo kanye nezinto oziphoqelela ukuba uzenze, kufaka phakathi izibonelo zemicabango eyingozi kanye nokuziphatha okuzwakala sengathi uphoqelekile ukuba ukwenze. Faka imininingwane mayelana nokuthi uke wazizwa kanjani lezi zimpawu isikhathi esingakanani nokuthi zithatha isikhathi esingakanani nsuku zonke. Lolu lwazi oluqondile lusiza umhlinzeki wakho ukuthi aqonde okuhlangenwe nakho kwakho.

Landelela izimpawu zakho amasonto ambalwa ngaphambi kwesikhathi sakho sokuya kudokotela uma kungenzeka. Qaphela ukuthi izimpawu ziyaba zimbi noma zibe ngcono nini, yini ebonakala iyabaphakamisa, nokuthi zithinta kanjani imisebenzi yakho yansuku zonke. Lolu lwazi lwesakhiwo lungaba lubalulekile ekuxilongeni nasekulungiseni ukwelashwa.

Bala wonke amayeza owathatha, kufaka phakathi amayeza athengiswa ngaphandle komthetho, izithasiselo, kanye nezinongo zomuthi. Ezinye izinto zingase zihlangane namayeza e-OCD noma zithinte izimpawu, ngakho-ke ulwazi oluphelele lubalulekile ekwelapheni okuphephile.

Lungiselela imibuzo mayelana ne-OCD, izinketho zokwelashwa, nokuthi yini okulindelekile ngesikhathi sokuphulukana. Ungase ubuze ngezindlela ezahlukene zokwelashwa, imiphumela emibi yemithi, noma ukuthi ukwelashwa kuvame ukuthatha isikhathi esingakanani. Ukuba nemibuzo ebhaliwe phansi kuqinisekisa ukuthi awukhohlwa ukukhathazeka okubalulekile ngesikhathi sokuya kudokotela.

Cabanga ukuthi ulethe umngane noma ilungu lomndeni othembekile ukukunikeza ukwesekwa nokusiza ukukhumbula ulwazi oluxoxwe ngesikhathi sokuya kudokotela. Bangase futhi banikeze umbono obalulekile wokuthi izimpawu zakho zithinta kanjani impilo yakho yansuku zonke nobuhlobo bakho.

Iyini iphuzu eliyinhloko mayelana ne-Obsessive-Compulsive Disorder?

I-OCD iyisimo sezempilo esingaphatheka, hhayi ubuthakathaka bomuntu siqu noma iphutha lobuntu. Imicabango ehlala ikukhathaza kanye nokuziphatha okuphindaphindayo okubhekene nakho kuyizimpawu zesimo sengqondo esiphendula kahle ekwelapheni okufanele.

Ukuphulukela e-OCD kungenzeka ngokudideka okulungile kokwelapha, imithi, nokwesekwa. Abantu abaningi abangenela ukwelashwa bayabona ukuthuthuka okukhulu ezimpawu zabo nasempilweni yabo. Ikhona ukufumana abahlinzeki abaqeqeshwe kahle nokugcina ukuzibophezela enkambweni yokwelapha.

Awudingi ukubhekana ne-OCD wedwa. Usizo lochwepheshe, kanye neqhinga lokuzinakekela nokwesekwa kwabanye, kungakusiza ukubuyisela ukulawula impilo yakho. Ukuthatha isinyathelo sokuqala sokufuna usizo kuvame ukuba yingxenye enzima kakhulu, kodwa futhi iyona ebaluleke kakhulu.

Khumbula ukuthi intuthuko ekwelapheni kwe-OCD ayilona njalo oluqondile. Ungaba nezinsuku ezinhle nezinsuku ezinzima, futhi lokho kuyinto evamile. Okubalulekile ukuthi kuqhubeka ukuthuthuka nokuzibophezela kwakho ekusebenzeni neqembu lakho lokwelapha.

Imibuzo evame ukubuzwa mayelana ne-Obsessive-Compulsive Disorder

Ingabe i-OCD ingaphela yodwa ngaphandle kokwelashwa?

I-OCD ayivame ukuqeda ngokuphelele ngaphandle kokwelashwa kochwepheshe. Nakuba izimpawu zingase ziguquguquke ngokuhamba kwesikhathi, zibe ngcono noma zibe zimbi ngezikhathi ezahlukene, isimo esiyisisekelo sivame ukuqhubeka. Ukwelashwa kwasekuqaleni kuholela eziphumeleni ezinhle futhi kungavimbela izimpawu ezingaba zimbi noma zibe nzima ngokuhamba kwesikhathi.

Ingabe i-OCD ifana nokuphumelela noma ukuhleleka kakhulu?

Cha, i-OCD ingaphezu kokuphumelela noma ukuhleleka. Nakuba abantu abaphelele bakhetha amazinga abo aphezulu futhi bazizwa bekhuthele uma izinto zenziwe kahle, abantu abane-OCD bazizwa beqondiswa ukukhathazeka nokuhlupheka ukuze benze ukuziphatha abavame ukuqaphela njengokweqile. Umehluko oyinhloko iwukukhathazeka nokuhluleka kokusebenza kwansuku zonke.

Abantwana bangaba ne-OCD, futhi ibonakala kanjani ehlukile ku-OCD yabantu abadala?

Yebo, abantwana bangathuthukisa i-OCD, ngokuvamile bebonisa izimpawu phakathi kweminyaka engu-7-12. Kubantwana, izimpawu zingafaka ukukhathazeka okukhulu ngokulimalwa komalume, imibuzo ephindaphindwayo efuna ukuqinisekiswa, noma imikhuba yokulala ebanzi. Abantwana bangase bangayiqondi ukuthi imicabango yabo ayinengqondo, okwenza ukusekelwa komndeni nokusiza kwabachwepheshe kubaluleke kakhulu.

Ngingadingeka yini ukuthatha imithi ye-OCD impilo yonke yami?

Akuyona into eqinisekile. Abanye abantu baphatha i-OCD yabo ngempumelelo ngokuqeqeshwa kuphela, kanti abanye banzuza ekusebenziseni imithi isikhathi eside. Udokotela wakho uzosebenza nawe ukuze unqume indlela engcono kakhulu ngokuya ngezimpawu zakho, impendulo ekwelapheni, kanye nezifiso zakho siqu. Abantu abaningi ekugcineni banciphise noma bayeke imithi ngenkathi begcina amakhono afundwe ekwelapheni.

Ngingayazi kanjani ukuthi imicabango yami yi-OCD noma ngingafanele yini ngikhathazeke ngayo?

Imibono ye-OCD ngokuvamile iphindaphindwayo, iyingqungquthela, futhi ibangela ukukhathazeka okukhulu naphezu kwemizamo yakho yokuyidela noma ukuyicindezela. Zivame ukufaka izimo ezingavamile noma ziya ngokumelene nezimiso zakho. Ukukhathazeka okuvamile, nakuba ngezinye izikhathi kuhlala isikhathi eside, ngokuvamile kuqondene nezinto ezingokoqobo futhi akuqhubi ekwenzeni imikhuba ephindaphindwayo. Uma ungaqiniseki, ochwepheshe wezempilo yengqondo angakusiza ukwahlukanisa phakathi kokukhathazeka okuvamile kanye nezimpawu ze-OCD.