I-Auditory Hallucinations: Izimbangela, Izimpawu, Ukuxilongwa, kanye Nokwelashwa
Isingeniso:
Imibono yokuzwa isho imisindo yokuzwa noma amazwi angekho ngempela. Lesi sibonakaliso singacindezela kakhulu futhi singase senzeke ezimweni eziningi, kusukela ekuphazamisekeni kwengqondo kuya ezifweni zezinzwa. Ukuqonda izimbangela ezingase zenzeke zokuzwa izinto ezingekho emthethweni kubalulekile kulabo abahlangabezana nakho futhi kungasiza ekufuneni ukwelashwa okufanele. Kulesi sihloko, sizohlola izimbangela, izimpawu ezihambisanayo, ukuxilongwa, kanye nokwelashwa okutholakalayo kokuzwa izinto ezingekho, kanye nokuhlinzeka ngemininingwane yokuthi ungalufuna nini usizo lwezokwelapha.
Yini Ebangela I-Auditory Hallucinations?
Ukuzwa izinto ezingekho esimweni kungase kubangele izimbangela ezihlukahlukene, kokubili ngokomzimba nangokwengqondo. Lezi zimbangela zingasukela ezimweni zesikhashana, ezihlehliswayo kuye empilweni yengqondo yesikhathi eside noma ukuphazamiseka kwemizwa. Okulandelayo yizimbangela ezivamile nezingajwayelekile kakhulu zokubona izinto ezingekho ezizwakalayo:
1. Izifo Zengqondo
- I-Schizophrenia: Esinye sezimbangela ezivame kakhulu zokubona izinto ezingekho, i-schizophrenia yisimo esingelapheki sempilo yengqondo esingaholela ekuzweni amazwi noma imisindo abanye abangayizwa.
- Ukucindezeleka okukhulu: Kwezinye izimo, ukucindezeleka okukhulu kungaholela ekuboneni izinto ezingekho, ikakhulukazi uma ukucindezeleka kuhambisana nezici zengqondo.
- I-Bipolar Disorder: Abantu abane-bipolar disorder bangase babe nemibono yokuzwa ngesikhathi sokuhlanya noma iziqephu zokucindezeleka, ikakhulukazi phakathi nokuguquguquka okukhulu kwemizwelo.
2. Ukuphazamiseka Kwemizwa
- Isifo sikaParkinson: Ukubona izinto ezingekho kungase kube uphawu lwesifo sikaParkinson, ikakhulukazi ezigabeni zakamuva zesifo, njengoba sithinta ukusebenza kobuchopho.
- Isifo i-Alzheimer's: I-Alzheimer kanye nezinye izinhlobo zokuwohloka komqondo ngezinye izikhathi zingabangela ukubona izinto ezingekho, ngokuvamile ezigabeni ezimaphakathi noma zakamuva zokuwohloka komqondo.
- Isithuthwane: Izinhlobo ezithile zokuquleka, ikakhulukazi lezo ezisuka ku-lobes yesikhashana, zingabangela imibono yokuzwa.
3. Ukusetshenziswa Kwezidakamizwa kanye Nokuhoxiswa
- Ukusetshenziswa kwezidakamizwa: Izidakamizwa ezinjengotshwala, insangu, i-cocaine, nezidakamizwa ze-hallucinogenic zingabangela imibono engaqondakali, kungaba ngesikhathi sokudakwa noma ukuyeka.
- Imiphumela emibi yemithi: Eminye imithi, ikakhulukazi leyo ethinta ubuchopho noma isimiso sezinzwa, ingaholela ekuboneni izinto ezingekho esimweni njengomphumela omubi.
4. Izimo Zezokwelapha
- Ukungalali: Ukuntuleka kokulala noma ukukhathala okukhulu kungabangela ukubona izinto ezingekho kwesikhashana, ngokuvamile okuwumphumela wokushintsha ukusebenza kobuchopho.
- Imfiva: Kwezinye izimo, umkhuhlane ophezulu, ikakhulukazi ezinganeni noma kubantu asebekhulile, ungabangela ukungaboni kahle kokuzwa.
- Ukulimala kwengqondo noma ukutheleleka: Amagciwane athinta ubuchopho, njenge-encephalitis noma i-meningitis, angaholela ekuboneni izinto ezingekho.
Izimpawu Ezihambisanayo Zokubona Ukuzwa
Ukuzwa izinto ezingekho emthethweni kuvame ukwenzeka kanye nezinye izimpawu, kuye ngesimo esikhona. Lezi zimpawu zingabandakanya:
- Ukukhohlisa: Izinkolelo ezingamanga ezingasekelwe eqinisweni, zivame ukuba khona ezimweni ezifana ne-schizophrenia.
- Ukucabanga okungahlelekile: Ubunzima bokuhlela imicabango noma ukukhuluma ngokuhambisana, okuvamile ezinkingeni zempilo yengqondo njenge-schizophrenia.
- I-Paranoia: Ukuzizwa sengathi abanye babukele noma bakha itulo ngokumelene nomuntu ngamunye, okuvame ukuhambisana nokubona izinto ezingekho esimweni sokuphazamiseka kwengqondo.
- Ukulahlekelwa inkumbulo: Ubunzima bokukhumbula ulwazi, ikakhulukazi ezimeni ezifana nesifo i-Alzheimer's.
- Izinguquko ekuziphatheni: Ukuziphatha okungajwayelekile, okufana nokuyaluza, ukuhoxa, noma ukudideka, kuvame ukuhambisana nokubona izinto ezingekho ezithinta ukuphazamiseka kwemizwa.
Kufanele Ufune Nini Ukunakekelwa Kwezokwelapha
Uma wena noma othile omaziyo ebona izinto ezingekho, kubalulekile ukufuna usizo lwezokwelapha. Ukuxilongwa kusenesikhathi nokungenelela kungasiza ekunqumeni imbangela futhi kuvimbele ukubhebhetheka kwezimpawu. Funa usizo uma:
- Ama-hallucinations avamile, aphikelela, noma ayanda.
- Zihlotshaniswa nezinye izimpawu ezifana nokudideka, ukuduka, noma ukulahlekelwa inkumbulo.
- Umuntu ubhekene nokucindezeleka, ukwesaba, noma ukuyaluza ngenxa yokubona izinto ezingekho.
- Ama-hallucinations avela ngemva kokusetshenziswa kwezidakamizwa, ukulimala ekhanda, noma umkhuhlane ophezulu.
Ukuxilongwa kwe-Auditory Hallucinations
Ukuhlonza imbangela yokuzwa izinto ezingekho emthethweni ngokuvamile kuhilela ukuhlolwa okuphelele kwezokwelapha. Umhlinzeki wezempilo angasebenzisa izindlela ezimbalwa:
- Umlando wezokwelapha: Ukuqoqa ulwazi ngomlando wempilo yesiguli, impilo yengqondo, nanoma yikuphi ukusetshenziswa kwezidakamizwa kubalulekile ekuhlonzeni imbangela yokubona izinto ezingekho.
- Ukuhlolwa komzimba: Ukuhlolwa komzimba kusiza ukukhipha izimo zezokwelapha ezingase zidale izimpawu.
- Ukuhlolwa kwezinzwa: Lokhu kungasiza ekutholeni izimpawu zokuphazamiseka kwezinzwa ezingase zidale ukubona izinto ezingekho.
- Ukuhlola ukuhlolwa: Ukuthwebula ubuchopho (okufana ne-MRI noma i-CT scan) kungenziwa ukuze kuhlolwe noma yiziphi izinkinga zesakhiwo, izimila, noma umonakalo ongase uthinte ubuchopho.
- Ukuhlolwa kwengqondo: Ukuhlolwa kwengqondo kubalulekile ekuxilongeni izimo zempilo yengqondo ezingase zidale ukubona izinto ezingekho, njenge-schizophrenia noma ukucindezeleka okukhulu.
Izinketho Zokwelapha Ze-Auditory Hallucinations
Ukwelashwa kokubona izinto ezingekho esimweni sokuzwa kuncike kumbangela ewumsuka. Ezinye izinketho zingabandakanya:
1. Imithi
- Ama-Antipsychotics: Isetshenziselwa ukwelapha izimo ezifana ne-schizophrenia kanye ne-bipolar disorder, imithi ye-antipsychotic ingasiza ukunciphisa noma ukuqeda ukubona izinto ezingekho.
- Ama-Antidepressants: Uma ama-hallucinations ehlobene nokucindezeleka, imithi efana ne-serotonin reuptake inhibitors (SSRIs) ekhethiwe ingase inqunywe.
- Imithi yokulwa nokukhathazeka: Ezimweni lapho ukukhathazeka kunomthelela ekuboneni izinto ezingekho, i-benzodiazepines noma ezinye izidakamizwa ezilwa nokukhathazeka zingasiza.
2. Ukwelapha
- I-Cognitive-behavioral therapy (CBT): I-CBT ingasiza abantu ukuthi babhekane futhi balawule ukucindezeleka okubangelwa ukubona izinto ezingekho, ikakhulukazi ezinkingeni zengqondo.
- Ukwelashwa okusekelayo: Umelaphi angasiza abantu ukuthi basebenze ngomthelela wemizwa wamazwi okuzwa futhi banikeze amasu okubhekana nakho.
3. Izinguquko Zendlela Yokuphila
- Ukulawula ingcindezi: Ukufunda ukuphatha ukucindezeleka ngokusebenzisa amasu okuphumula noma ukucabangela kunganciphisa imvamisa yokubona izinto ezingekho, ikakhulukazi uma kuhlobene nokukhathazeka noma ukwesaba.
- Ukuhlanzeka kokulala: Ukuqinisekisa isimiso sokulala esivamile nokuphumula ngokwanele kungavimbela imibono engekho ebangelwa ukuntula ubuthongo.
Izinganekwane Namaqiniso Mayelana Nemibono Yokulalela
Inganekwane 1: "Imibono yokuzwa ihlale iwuphawu lwe-schizophrenia."
Iqiniso: Nakuba i-schizophrenia iyimbangela evamile, ukucabangela kokuzwa kungase kwenzeke ngenxa yezinye izimo ezifana nokucindezeleka, ukulimala kwengqondo, noma ukusetshenziswa kwezidakamizwa.
Inganekwane yesi-2: "Abantu abazwa imizwa yokuzwa bahlezi beyingozi."
Iqiniso: Akubona bonke abantu abahlangabezana nemibono yokuzwa abayingozi. Ngokwelashwa okufanele nokusekelwa, abantu abaningi abanalolu phawu bangakwazi ukulawula isimo sabo futhi baphile ukuphila okwanelisayo.
Izinkinga ze-Auditory Hallucinations
Uma kuyekwa kungelashwa, ukuqagela kokuzwa kungaholela ekucindezelekeni okukhulu, ukudideka, nokungasebenzi kahle. Ezimweni ezimbi kakhulu, kungabangela ukuwohloka kobudlelwane bomphakathi noma kuphumele ekuzilimazeni noma emicabangweni yokuzibulala. Ukungenelela kusenesikhathi kanye nokwelashwa kubalulekile ukuze kuncishiswe izingozi nezinkinga ezihambisana nokubona izinto ezingekho ezizwakalayo.
Imibuzo evame ukubuzwa (FAQs)
1. Ingabe ukubona izinto ezingekho esikuzwayo kuhlotshaniswa nezimo zempilo yengqondo?
Hhayi njalo. Nakuba ukuqagela kokuzwa kuvame ukuhlotshaniswa nezimo zempilo yengqondo njenge-schizophrenia, kungase futhi kubangele ukuphazamiseka kwemizwa, ukusetshenziswa kwezidakamizwa, noma izimo zezokwelapha.
2. Ingabe imizwa yokuzwa ingelashwa?
Yebo, ama-hallucinations angezwakali angelashwa. Ukwelashwa kuncike kumsuka wembangela futhi kungase kuhlanganise imithi, ukwelashwa, noma izinguquko zendlela yokuphila ukuze ulawule ingcindezi nokukhathazeka.
3. Ngingamsiza kanjani umuntu ozwa izinto ezingekho?
Basekele, balalele ngaphandle kokwahlulela, futhi ubakhuthaze ukuba bafune iseluleko sezokwelapha. Qinisekisa ukuthi bayakuqonda ukuthi ukwelashwa kuyatholakala nokuthi ababodwa ekubhekaneni nezimpawu.
4. Ingabe ukuswela ubuthongo kungabangela ukubona izinto ezingekho?
Yebo, ukuswela ubuthongo obukhulu kungaholela ekuboneni izinto ezingekho. Ukuqinisekisa inhlanzeko efanele yokulala nokuphumula kungasiza ekuvimbeleni lolu hlobo lokubona izinto ezingekho.
5. Yini okufanele ngiyenze uma ngizwa amazwi ekhanda lami?
Uma uzwa amazwi, kubalulekile ukukhuluma nomhlinzeki wezempilo ukuze uthole imbangela. Ukuxilongwa kusenesikhathi kanye nokwelashwa kubalulekile ekulawuleni izimpawu ngempumelelo.
Isiphetho
Ukubona izinto ezingekho kungase kube uphawu lwezimo ezihlukahlukene, kusukela ekuphazamisekeni kwengqondo kuya kwezimo zezokwelapha kanye nokusetshenziswa kwezidakamizwa. Kubalulekile ukufuna usizo lochwepheshe ukuze uqonde imbangela ewumsuka futhi uthole ukwelashwa okufanele. Ngokunakekelwa okufanele, abantu abaningi abazwa imizwa engaqondakali bangakwazi ukulawula izimpawu zabo futhi bathuthukise izinga lempilo yabo.
Isibhedlela Esingcono Kakhulu Esiseduze Nami eChennai