Ngubadlule isikhathi sokuklika kumaphakiswane, ucele imithwalo yezimpilo, noma ugweme udokotela? Uhlolo lokuzibhekameza luqondene nokubuka umzimba, nokufisa imithwalo, nokuxubuza ubukudlwangu. Ithuluzi lokuzibhekameza, hhayi isigamulelo somungshi.
Ayikho okubhalisa—imiphumela yakho iyavela kabini.
DSM-5 illness anxiety disorder domains (body-symptom hypervigilance, reassurance-seeking/avoidance, catastrophizing health information) · Original 21 items, not the copyrighted Short Health Anxiety Inventory (SHAI, Salkovskis et al. 2002) — we do not administer that instrument.
Cha. Ithuluzi lokuzibhekameza elilungile, hhayi isigamulelo somungshi. Alukwazi ukutshela ukuthi unesokhela sompilo ngemuva komungshi—kuphela umuntu ongumbongi onelayisensi okungakwenza lokho. Okuthi alukwazi ukukunikeza ifoto elula kulozinene lokuthi ukunetheka nempilo sibonakala njani, eyingoba inzalamane elungile uma ucabanga ukuthi lokhu kunetheka kufanele ukubhekwa kadeep.
Yebo. Okuqaphelisayo ngomzimba wakho nokuthatha izimpawu ngokukhulu kunomuntu ohle, hhayi into embi. Ukunetheka nempilo ibonakala kalusheni kumuntu okubukele umkhuba, okuzuza emithulalio ekuseni kuze isiphela umuntu othize okukona, okugweme imiphakamani noma okugwebe umuntu olungu imiphakamani ngoba usabe lokho abakuthola.
Hhayi. Lolu hlolo alukusiza ukuhlola okuthulu noma okusimbi ngezimpawu zomuntu—ibheka umkhuba wokunetheteka, hhayi okuthi kukhona noma okusimbi. Uma kukhona izimpawu zomuntu esincintisela, udokotela wakho usefulwazi walokho.
Kuklika kumahhala ngesikhathi, amahora angukhilo, kodwa iyinto ethi yakela kusuke umuntu ogwele, lapho nokuthi izimpawu zawo zivele kamuva. Iyinto ekubaluleke ukumbonisa lapho kuklika kungenamithwalo, lapho kuklika kungenamithwalo omuntu ngezinne, noma lapho iyinto ethuke 'kuklika kumaphakiswane ngamazwi' eya ezimpawueni okongalungile.
Ukuthatha okuhlolwa kwethu akumele kubhekwe njengokuhlolwa okugcwele nokunemba kwamandla akho. Imiphumela iyenhloso yokuthola ulwazi kanye nokuzibuyisela kuphela.
Ngubadlule isikhathi sokuklika kumaphakiswane, ucele imithwalo yezimpilo, noma ugweme udokotela? Uhlolo lokuzibhekameza luqondene nokubuka umzimba, nokufisa imithwalo, nokuxubuza ubukudlwangu. Ithuluzi lokuzibhekameza, hhayi isigamulelo somungshi.
Lolu hlolo lubheka ukunetheka nempilo ngezinne ezivamile. Ukubuka Umzimba Okusindiswe kuqondene nokuthi ubuka umzimba wakho kangakanani ezimpawueni ezintsha, futhi ukuthi into oyakusazeyo ivame ukulinda intshisekelo yakho sekuyishiyako. Ukufuna Imithwalo Nokungenisa kuqondene namacala amabili ayabala: kuklika izimpawu kumaphakiswane, ukucela abantu esemdeni imithwalo, noma ukubika idokotela ukuze kutshele okuhle, noma okulandelayo, ukugwema imiphakamani kanye nokushubela ngoba usabe lokho abakuthola. Ukuxubuza Isexwayiso Sompilo kuqondene nokuthi ngezinye izikhathi impawu encane noma isexwayiso sompilo sithathwe njengophawu lokuthi kukhona into enobandluluko, okwakushiye okwenze ezindleleni ze-DSM-5 nomuntu onethekile kusokhela. Ndawonye, abathathu abaningi basebenza ndawonye bangakwazi ukuzikhombisa ngekusisindiswe.
Okuqaphelisayo ngomzimba wakho nokuthatha izimpawu ngokukhulu kunomuntu ohle kunokuqaphelisisa lokho. Okukhala umuntu ubeze ukunetheka nempilo, noma kutsho umuntu ongumbongi kulombono we-DSM-5 wobuntu abanethekile, yindlela ehlukene, okuphathelene: izimpawu zibukwa ngokukhulu, imithwalo emiphumele ekuseni kuze isiphela umuntu othize lokho, futhi izimpawu encane zithathwe njengophawu lokuthi kukhona unto enobandluluko ezingaqaphalisiwe izimpendo zivume. Ukunetheka nempilo ngezinye izikhathi kuhlongwa njengokuphilela, kodwa ubukudlwangu okusidutse kuyilo, futhi ngothize angakhohlela usuku lonke, ubaka obushisayo noma ukugwema ukubika udokotela ngezinye izikhathi ngenxa yosabe. Iyinto ekubaluleke nokubuka uma inkhuba izibonakale ndlingane, uma imithwalo ayikaze isule, noma uma kuyinto ekusindisa inhlolo yomphilo, kumbe okulungile noma okungalungile.
Lolu hlolo yithuluzi lokuzibhekameza, hhayi ukuxilongwa, futhi akusikhundlela sokundlela ngochwepheshe onelayisensi noma ukubika ngochwepheshe wezempilo. Libhekiswe kumfihlakwazi we-DSM-5 wobuntu abanethekile wempilo, okuhlanganiswe lapha ngolwimi olunqoba intwala, hhayi esiwaphakamiseleni, futhi aluzameli ukukutshela. Uma imiphumela yakho ibonakalo ikhona inzuzo enkulu yokuthi lokhu kusisindise, umuntu ongumbongi ogcwele ukunetheka nompilo noma wobuntu abanethekile wempilo iyinzalamane elungile, futhi udokotela wakho wokunakekela okuyisisekelo angasiza nokuwela umcwaningi womuntu akahle. Izindlela zesikhathi sokwenza kube nzima (CBT) ezazenzele ukunetheka nompilo, ezisuka ekuwehliseni intsha nokubuka umzimba, zinobufakazi obuhle bokuwehlisela umkhuba ngamalanga angukhilo.
Bona ukuthi ubuka umzimba wakho kangakanani ezimpawueni, kuqathaniswa nalokho okubonakale kubo bonke.
Yazi ukuthi ufuna yini imithwalo—kumaphakiswane, udokotela ngokuthi, noma ukugwema.
Qonda incazelo yakho yokuxubuza—ngalokho omabili noma isexwayiso esinabandluluko sithathwa ngokuthi ibonakale kunome enobandluluko.
Akukela umehluko phakathi komuntu onake impilo nokumkhuba owundlezelela usuku longe.
Ziphakamisele ngolwimi olusha kulozinene—okumukeleka ngochwepheshe noma odokotela wakho.
I scan my body for unusual sensations even when nothing seems wrong.
Imibuzo 21, 5 imizuzu. Ayazisulisela—ayikho okwenjenje omuntu.
Okuboniswe kabini yobu wakho. Mahhala, okusetshenziswayo, okugcinile nxa ubhalise.
Epremiyamu ivula imphumela ephelele—umsebenzi, amandla, umhlela othuthuka.