Intermittent explosive disorder (IED) ndi vuto la khalidwe lomwe limadziwika ndi kukwiya kwambiri, nthawi zambiri kosalamulirika kosagwirizana ndi zomwe zikuchitika.

Chiwawa chopupuluma sichimakonzeratu ndipo chimatanthauzidwa ndi machitidwe osagwirizana ndi kuputa kulikonse, kwenikweni kapena kuganiza.

Anthu ena amafotokoza za kusintha kwamphamvu musanayambe kuphulika (mwachitsanzo, kukangana, kusintha kwa malingaliro).

Kuphulika kwapang'onopang'ono kumapezeka mu Diagnostic and Statistical Manual of Mental Disorders (DSM-5) pansi pa gulu la 'disruptive impulse control and conduct disorder'.

Payokha, sichidziwika mosavuta ndipo nthawi zambiri imakhala ndi vuto la kusokonezeka maganizo, makamaka bipolar disorder ndi borderline personality disorder.

Anthu omwe ali ndi matenda a IED amafotokoza kuti kuphulika kwawo ndi kwachidule (kumatenga nthawi yosachepera ola limodzi), ndi zizindikiro zosiyanasiyana za thupi (kutuluka thukuta, kuchita chibwibwi, kulimba m'chifuwa, spasms, palpitations) zomwe zimafotokozedwa ndi gawo limodzi mwa magawo atatu a zitsanzo.

Zochita zaukali zinanenedwa kuti kaŵirikaŵiri zimatsagana ndi kumva mpumulo ndipo, nthaŵi zina, zosangalatsa, koma kaŵirikaŵiri zotsatiridwa ndi chisoni.

Ndi vuto lomwe limayambitsa psyche yaikulu nsautso ndipo zingayambitse: kupsyinjika, mavuto a chikhalidwe ndi banja, mavuto a zachuma ndi zovuta ndi lamulo.

Mkwiyo waukali umakhudza kwambiri moyo wa wodwalayo komanso kusokoneza chikhalidwe cha anthu, ntchito, ndalama ndi malamulo.

Khalidwe lotereli likhoza kuyambitsa mavuto aakulu kusukulu ndi kuntchito komanso ku milandu yapachiweniweni chifukwa cha ndewu ndi mikangano.

Odwala oterowo nthawi zambiri amakhala ndi vuto la kukhumudwa, mantha ndi mantha, kusokonezeka kwa kudya, kumwa mowa mwauchidakwa, kusokonezeka kwa umunthu monga kusokonezeka kwa umunthu wamunthu kapena malire ndi zovuta zina zapadera.

Intermittent explosive disorder (IED) nthawi zambiri imayamba adakali aang'ono, ndipo nthawi zambiri mwa amuna kuposa akazi.

Mu 80% ya milandu imakhalapo kwa nthawi yayitali.

Zotsatira zake ndi pafupifupi 5% -7%.

IED imapezeka pamene wodwala ali ndi magawo atatu kapena kuposerapo a mkwiyo pachaka.

Kusiyana pakati pa kukakamiza ndi kukakamiza

Kukhala wokakamizika ndi pamene munthu ali ndi chilakolako chosaletseka chofuna kuchita chinachake.

Kuchita zinthu mopupuluma ndi pamene munthu amachita zinthu mwachibadwa.

Kusiyana kwakukulu pakati pa mitundu iwiriyi ya khalidwe ndi yakuti pamene kukhala wokakamizika kumaphatikizapo kuganiza za chochitacho, mu khalidwe lopupuluma, munthuyo amangochita popanda kuganiza.

Malingaliro onsewa amathandizidwa mu psychology yosadziwika bwino pazovuta zamalingaliro.

Mu psychology yachilendo, chidwi chimaperekedwanso ku zovuta zopumira.

Khalidwe lopupuluma limapereka chisangalalo kwa munthu chifukwa limachepetsa mikangano.

Anthu amene akudwala matenda opupuluma saganizira za mchitidwewo koma amangochitapo kanthu pa nthawi imene iwo afika.

Malinga ndi akatswiri a zamaganizo, kusokonezeka maganizo nthawi zambiri kumagwirizanitsidwa ndi zotsatira zoipa monga kuchita zinthu zosaloledwa.

Kutchova njuga, khalidwe loipa la kugonana ndi kugwiritsa ntchito mankhwala osokoneza bongo ndi zina mwa zitsanzozi.

Kulephera kukana nkhanza, kleptomania, pyromania, trichotillomania (kukoka tsitsi) ndizovuta zina zopupuluma.

Izi zikusonyeza kuti kuchita zinthu mopupuluma ndi zinthu ziwiri zosiyana.

Makhalidwe osonyeza kusaugwira mtima

• nkhanza zapakamwa (mwano, ndewu ndi ziwopsezo)
• nkhanza kwa nyama kapena anthu (kuvulala kapena kuvulala, kuwononga zinthu ndi katundu)

Zizindikiro za kuphulika kwapakatikati ndi zotsatira zake

Zizindikiro zomwe zimayembekezera kapena kutsagana ndi zochitika zaukali ndizo

• kukwiya
• chisangalalo chamatsenga
• mphamvu zazikulu ndi mphamvu
• kufulumizitsa maganizo
• kunjenjemera ndi kunjenjemera
• palpitations ndi kuthamanga kwa mutu ndi chifuwa
• kumva kwa mauko.

Mkanganowo umasungunuka ukangotha.

Chithandizo cha IED

Chithandizo cha IED chimasankhidwa payekha payekha.

Nthawi zambiri pamafunika chithandizo chamankhwala komanso achirengedwe kuti asinthe machitidwe ndikuwongolera kwambiri zilakolako zaukali.

Thandizo lachidziwitso lachidziwitso (CBT) lapezeka kuti ndi lothandiza pothandiza wodwalayo kufufuza kuwongolera maganizo kwa kuphulika kwaphulika, pogwiritsa ntchito kupumula ndi kuwongolera njira zamaganizo kuti asinthe momwe wodwalayo akuyankhira zinthu zokhumudwitsa.

Nkhani yolembedwa ndi Dr Letizia Ciabattoni

Werengani Ndiponso:

Zadzidzidzi Ukhale Ndi Moyo Wochulukirapo…Live: Tsitsani Pulogalamu Yatsopano Yaulere Ya Nyuzipepala Yanu Ya iOS Ndi Android

Trichotillomania, Kapena Chizolowezi Chokakamiza Kutulutsa Tsitsi Ndi Tsitsi

Kusokonezeka kwa Impulse Control: Kleptomania

Kusokonezeka kwa Impulse Control: Ludopathy, Kapena Kutchova Njuga

Source:

https://www.ncbi.nlm.nih.gov/pubmed/12096933

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3105561/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3637919/

https://convegnonazionaledisabilita.it/relazioni/2018/NOLLI%20MARIELLA%20EMILIA%20-%20Trattamento%20funzionale%20dell_aggressivita%cc%80.pdf

https://www.lumsa.it/sites/default/files/UTENTI/u474/lezione%20psicopatologia%2014.pdf

Impulsività e compulsività: psicopatologia emente, Luigi Janiri, F. Angeli, 2006

McElroy SL, riconoscimento e trattamento del DSM-IV disturbo esplosivo intermittente, mu J Clin Psychiatry, 60 Suppl 15, 1999, pp. 12-6, PMID 10418808

McElroy SL, Soutullo CA, Beckman DA, Taylor P, Keck PE, DSM-IV disturbo Esplosivo Intermittente: mu rapporto di 27 casi, in J Clin Psychiatry, vol. 59, n. 4, aprile 1998, masamba 203-10; mafunso 211, DOI:10.4088/JCP.v59n0411, PMID 9590677

Tamam, L., Eroğlu, M., Paltacı, Ö. (2011). Disturbo esplovo intermittente. Approcci attuale in Psichiatria, 3 (3). 387-425