Kumvetsetsa Kusokonezeka kwa Kupsinjika Kwapambuyo-Kusakhulupirika - Zizindikiro ndi Malangizo Obwezeretsa

Kunyengedwa ndi munthu wokondana naye kumakhumudwitsa kwambiri. Ngakhale kuti ndizochitika zopweteka kwambiri, mlingo wa kukhudzidwa umasiyana pakati pa munthu ndi munthu. Pamene kupwetekedwa mtima kwa kunyengedwa kukupangitsani kukhala kovuta kuti mugwire ntchito ndikukusiyani muli ndi nkhawa ndipo simungathe kupita patsogolo, mungakhale mukukumana ndi post-traumatic infidelity syndrome.

Ngakhale kuti matenda obwera chifukwa cha kusakhulupirika kwapang’onopang’ono kapena kusokonezeka kwa chisembwere sali m’gulu la matenda a m’maganizo omwe alembedwa mu Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR), ndi mawu omwe amagwiritsidwa ntchito kwambiri kumvetsetsa ndi kuzindikira PTSD kuti asanyengedwe.

Kodi PTSD yochokera ku chinyengo imawoneka bwanji? Kodi zimayambitsa chiyani? Kodi n'zotheka kuchira ku chinyengo? Tikufufuza mbali zosiyanasiyana za chisokonezo cha kusakhulupirika pokambirana ndi katswiri wa zamaganizo Jui Pimple (MA mu Psychology), katswiri wodziwa bwino za khalidwe la maganizo komanso katswiri wa Bach Remedy, yemwe ndi katswiri wa uphungu pa intaneti.

Kodi Post-Infidelity Stress Disorder Ndi Chiyani?

Malinga ndi kafukufuku , matenda ovutika maganizo pambuyo pa kusakhulupirika (PISD) ndi mtundu wa matenda ovutika maganizo omwe amayamba chifukwa cha kupsinjika maganizo kwakukulu komanso kosatha komwe kumachitika chifukwa cha kupezeka kwa kusakhulupirika kwa mnzanu. "Zitetezo zachibadwa zamaganizo za munthu zimatha kugonjetsedwa, zomwe zimapangitsa kuti munthu asathe kugwira ntchito bwino. Nkhawa yokhudzana ndi kuvulala pambuyo pa kusakhulupirika ndi yokhalitsa komanso yopitirira," akutero kafukufukuyu.

Mawu amenewa anapangidwa ndi katswiri wa zamaganizo Dennis C. Ortman, Ph.D., mu 2005 ndipo anafalitsidwa mu kafukufuku mu Journal of Psychosocial Nursing and Mental Health Services womwe umafotokoza zomwe zinachitikira mayi wina amene mwamuna wake anamunyenga ndi mnzake wapamtima. Ngakhale kuti analekana ndi mwamuna wake n’kufunsira chisudzulo, nkhaniyi inamuwononga kwambiri maganizo ake. Anali wokwiya, wopsinjika maganizo, wokhumudwa, komanso wolota maloto oipa.

Pakapita nthawi, zapezeka kuti kuvulala kumeneku chifukwa cha kusakhulupirika kwa okondedwa omwe sanakhulupiriridwe sikwachilendo. Ndipotu, malinga ndi kafukufuku wofalitsidwa mu 2021, anthu 30% mpaka 60% amakumana ndi zizindikiro zofanana ndi matenda a nkhawa omwe amabwera chifukwa cha kusakhulupirika. Chochitika ichi ndi chomwe chadziwika kuti ndi matenda a nkhawa omwe amabwera chifukwa cha kusakhulupirika.

Pofotokoza chifukwa chake zili choncho, Jui akuti, "Kupsinjika maganizo ndi nkhawa zomwe zimachokera ku zochitika zoopsa zimagwera pansi pa mawu ambiri a post-traumatic stress disorder (PTSD). Kawirikawiri, anthu amalumikiza PTSD ndi zochitika monga nkhondo, nkhanza, ngozi, kapena zochitika zina zofanana zomwe zimasintha moyo. Koma chochitika chilichonse chomwe chimapangitsa munthu kuopa chitetezo chake kapena kumva ngati dziko monga momwe akudziwira lasokonekera chingatchulidwe kuti ndi chochitika choopsa, ndipo kusakhulupirika kumagwirizana ndi zomwe zikuchitika.

“Mnzanu amene anachitiridwa chigololo akamavutika maganizo kwambiri chifukwa cha kuberedwa, amaonedwa kuti ndi matenda ochita kusakhulupirika pambuyo pa ngozi.”

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Chifukwa Chimene Kusakhulupirika Kumayambitsa PTSD

Tsopano popeza tazindikira kuti mutha kupeza PTSD kuti musanyengedwe, ndikofunikira kuthana ndi zifukwa zomwe zachititsa. Jui anati: “Mnzanu amene mumam’konda ndi munthu amene mumam’khulupirira kotheratu, ndipo ngakhale kuwayerekezera ali ndi munthu wina kungakhale kopweteka kwambiri.

Monga tanenera, pafupifupi 30% mpaka 60% ya anthu omwe adanyengedwa ndi anzawo a pamtima amakhala ndi zizindikiro za post-traumatic infidelity syndrome. Izi zikutanthauza kuti infidelity si nthawi zonse imayambitsa zizindikiro za PTSD. Ndiye nchifukwa chiyani anthu ena amakumana ndi nkhawa zambiri komanso kupsinjika maganizo pamene ena sakumana nazo? Malinga ndi kafukufuku amene watchulidwa pamwambapa , nazi zina mwa zinthu zomwe zimapangitsa munthu kukhala ndi vuto la post-traumatic infidelity syndrome:

• Anthu omwe ali ndi umunthu wodalira ndipo amatanthauzira kufunika kwawo ndi momwe amachitira nawo pa chibwenzi
• Amayi omwe ali ndi malingaliro odzimana komanso odalira
• Anthu amene anazunzidwapo kapena kuchitiridwa nkhanza paubwana wawo
• Anthu okhala ndi kudziyang'anira pansi

Kodi Amuna Ndi Akazi Amakumana ndi PTSD Mosiyana?

Momwemo zomwe zinachitikira pambuyo pa chigololo kupsinjika maganizo siziri zapadziko lonse, komanso momwe zimawonekera mwa munthu wokhudzidwayo. Ngakhale kupwetekedwa mtima kwa kusakhulupirika kungawonekere m'njira zosiyanasiyana mwa anthu osiyanasiyana (kusiyana kwakukulu, zizindikiro, ndi moyo wautali), mayankho amasiyananso malinga ndi jenda. Ndiye, kodi PTSD kuchokera kuchinyengo imawoneka bwanji mwa amuna ndi akazi? Jui akufotokoza kusiyana kwake motere:

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Tsiku lina masana a Okutobala, Diana, mphunzitsi wa sukulu ya kindergarten ku Dover, adamva chisoni pomwe amapita kunyumba kwake kuti apeze mnzake wanthawi yayitali akugonana ndi wakale wake yemwe adamusiya paguwa zaka 6 zapitazo. Patha miyezi inayi kuchokera pomwe adatulukira izi, koma Diana akuvutikabe kuti apirire.

Posachedwapa, adalumikizana ndi gulu la akatswiri a Bonobology kuti amuthandize. Mu imelo yake yofotokoza momwe akumvera atanyengedwa , anati, "Ndikumva ngati ndakhala mumsampha, ndikukumbukira zomwe zinachitika m'maganizo mwanga mobwerezabwereza. Ndimavutika kuyang'ana kwambiri pa chilichonse, tulo tanga sitikukhazikika. Zili ngati kuti moyo wanga unayima pang'onopang'ono masana amenewo, ndipo zomwe ndatsala nazo ndi zokumbukira zowawa kwambiri. Sindingakumbukirenso nthawi zabwino ndi Mark ndi chilichonse chomwe chachitika m'moyo wanga kuyambira pamenepo ndi chifunga."

Mukhoza kuona mmene kusakhulupirika kungakhudzire kwambiri mwamuna kapena mkazi amene waperekedwa. Ngati zinthu zili ngati mmene zinalili ndi Diana, n’kutheka kuti munakumanapo ndi vuto limeneli. Funso ndilakuti: Ndi liti pamene kupwetekedwa mtima kwa kusakhulupirika kumatchulidwa ngati mtundu wa PTSD? Pofuna kukuthandizani kupeza yankho, Jui akutchula zizindikiro zotsatirazi za post-traumatic infidelity syndrome:

1. Kuwonjezeka kwa nkhawa

Ngakhale kuti nkhawa, yomwe imadziwika ndi kuwonjezereka kwa tcheru, mantha, ndi zizindikiro za thupi monga kugunda kwa mtima mofulumira ndi kutuluka thukuta, ndi kuyankha kwachibadwa ku zovuta kapena zovuta kwambiri, zimakhala zodetsa nkhawa pamene munthu amakhalabe mumkhalidwe wotero wa mantha ndi kusakhazikika kosalekeza, ngakhale ngati palibe chiwopsezo chomwe chili pafupi.

"Kukhala ndi nkhawa kwambiri komanso kupitilirabe ndi chizindikiro chofala cha post-traumatic infidelity syndrome," akutero Jui, akuwonjezera kuti munthu wokhudzidwayo angakumane ndi izi:

• m'chikaiko chowakaikitsa
• Kudumpha
• Kumverera m'mphepete
• Dzenje m'mimba
• Kusintha kwa thupi monga kugunda kwa mtima, kuthamanga kwa magazi, thukuta la kanjedza

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2. Maloto owopsa ndi zongobwera kumene

Zikumbukiro zomvetsa chisoni za kupeza chibwenzi cha mnzanu kapena kusakhulupirika kwake zimatha kubwereranso mu mawonekedwe a maloto oipa komanso kukumbukira zinthu zakale. "Mtundu ndi kukula kwa kukumbukira zoopsa kumadalira kwambiri momwe chinyengocho chinaonekera. Ngati munthu wagwiradi mnzake akubera mwangozi, zithunzizo zingakhale zomveka bwino komanso zosokoneza," akutero Jui.

3. Maganizo obwerezabwereza

Zotsatira za kusakhulupirika kwa mwamuna kapena mkazi wolakwiridwa zingamvekenso m'maganizo ndi m'njira zomwe zimawapangitsa kuti aziganizirabe za chochitikacho patapita nthawi yayitali chitatha. "Kupatula kuganizira za momwe komanso chifukwa chake mnzawoyo wachita tchimo, munthu wokhudzidwayo angaganizirenso momwe adanyalanyaza kapena kuphonya zizindikiro za chinyengo. Izi zingayambitse kudzimva wolakwa komanso wamanyazi," akutero Jui.

4. Kukhala dzanzi m'maganizo

Ngakhale kuti zimene zimayembekezeredwa ku chigololo cha mnzawo kaŵirikaŵiri zimakhala kupsetsana mtima mokwiya kapena kusweka mtima, nthaŵi zina kubera kumakhala kopweteka kwambiri mpaka kufika pochita dzanzi m’maganizo. Jui akufotokoza kuti: “Sipangakhale kukhudzika konse kwamalingaliro kwa kupezedwa kwa chisembwere.

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5. Nkhani zokhulupirira

Monga momwe amanenera, ukangolumidwa, umachita manyazi kawiri. Kunyengedwa kumakusinthira m'njira zingapo, ndipo chimodzi mwa zinthu zachibadwa zomwe zimachitika ndi izi ndi kuvutika kukhulupirira anthu. "Nkhani zozama za kudalirana zomwe zimabwera chifukwa cha kunyozedwa zimatha kukhudza ubale wa munthu mtsogolo. Mofananamo, ngakhale atavomereza kupatsa mnzawo wonyenga mwayi wina ndikukhala limodzi, zimatha kulepheretsa kuti ubale ukhalenso bwino," akutero Jui.

Pokhapokha mutaphunzira kuzindikira zizindikiro zotere za vuto la kupsinjika maganizo pambuyo pa chigololo ndikuyang'ana pa machiritso, simungathe kumanga maubwenzi abwino, abwino. Kodi mungatani, pamene ngakhale zochitika zabwino kwambiri monga malemba pa foni ya mnzanu pa ola losayembekezereka kukutumizirani kuyendayenda mumsewu wowopsya ndi wowononga?

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Zotsatira za nthawi yayitali za kusakhulupirika kwa munthu amene akudwala matenda a PISD zili ngati kumangidwa chifukwa cha mlandu wa wina. Matenda a kusakhulupirika pambuyo pa zoopsa amakusiyani mumsampha munthawi yomwe mudadziwa za kusakhulupirika kwa mnzanu. Choipa kwambiri ndichakuti zotsatira zake sizingakhale zazikulu kwambiri kwa mnzanu wopandukayo.

Njira yobwerera kuchira ingakhale yovuta ndipo machiritso sakhala otsatana nthawi zonse. Koma ndi chithandizo choyenera ndi zothandizira, ndizotheka kuchiza ku zoopsa zachinyengo. Jui amagawana maupangiri angapo akatswiri omwe angakuthandizeni kuyang'anira momwe mungakhalire komanso kupita patsogolo, gawo limodzi panthawi. Poganizira momwe zingakhalire zovuta kuthana ndi vuto la kusakhulupirika kwapambuyo pa ngozi, tikugawa malangizowa m'magawo: zinthu zomwe mungachite kuti muthetse PTSD yoyambitsidwa ndi kusakhulupirika komanso chithandizo chamankhwala cha post-infidelity stress disorder.

Momwe mungasamalire PTSD yoyambitsidwa ndi kusakhulupirika

Ngati munanamizidwa ndi mnzanu wapamtima ndipo mungagwirizane ndi zizindikiro za vuto la post-infidelity stress disorder zomwe tazitchula pamwambapa, m'pofunika kuti muziika patsogolo umoyo wanu. Tikukulangizani mwamphamvu kuti mupeze thandizo la akatswiri ndikugwira ntchito motsogozedwa ndi akatswiri aluso kuti athe kuthana ndi zoyambitsa ndi zizindikiro zanu ndikupeza zida ndi luso lowongolera bwino. Koma timamvetsetsanso kuti kufunafuna thandizo kumatha kukhala kovutirapo nthawi zina, ndipo kumveketsa bwino zomwe machiritso a PTSD oyambitsidwa ndi kusakhulupirika angakulimbikitseni kuti mutengepo gawo loyamba lodzisamalira. Kuti izi zitheke, nazi njira zina zomwe mungasamalire post-traumatic infidelity syndrome:

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1. Yesetsani kukondedwa

Mwakumana ndi vuto lopweteka kwambiri komanso lopweteka mtima. Kuvomereza kuopsa kwa zomwe mwakumana nazo komanso momwe zimakhudzira thanzi lanu la maganizo ndi la maganizo ndikofunikira kwambiri kuti muchiritsidwe ndikudutsa m'magawo osiyanasiyana ochira kusakhulupirika . Jui akulangiza kuti, "Kudzitsimikizira nokha ndikupeza malingaliro enieni pa zenizeni za vutoli ndi njira zina zopezera kulandiridwa. Kuika patsogolo chisamaliro chanu ndi njira ina yomwe mungavomerezere vutoli." Iye akupereka malangizo a momwe mungadzisamalire:

• Muzilimbitsa thupi kwa mphindi 30 tsiku lililonse
• Idyani zakudya zopatsa thanzi panthawi zoikika
• Pezani ntchito yopumula yomwe imakupangitsani kukhala odekha komanso okhazikika
• Khalani olumikizana ndi okondedwa anu
• Khalani ndi zolinga zazing'ono zomwe mungathe kuzikwaniritsa ndipo yesetsani kuzikwaniritsa

2. Siyani kulakwa

Ubale uliwonse uli ndi mavuto ake, ndipo mwina wanu ulinso ndi mavuto. Komabe, mavuto amenewo sali chifukwa cha chisankho cha mnzanu kuti akuchitireni zachinyengo. Munthu wonyenga akakumana ndi vuto, anganene zinthu zodabwitsa kwambiri kuti atsimikizire zochita zake, kuphatikizapo kukuimbani mlandu. Kaya mnzanu wonyengayo anganene chiyani, izi sizili chifukwa cha inu.

Jui amavomereza, ndipo akuwonjezera kuti, “Uyenera kusiya liwongo kapena chikhulupiriro chakuti zochita zako mwinamwake zinakankhira mnzanuyo kuchita chisembwere.” Kumbukirani kuti kunyenga nthawi zonse ndiko kusankha - kusankha komwe mnzanu adapanga.

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3. Zindikirani mmene mukumvera

Kunyenga ndi chinthu choopsa ndipo sikophweka kuthana ndi ululu komanso kusasangalala koma kumabweretsa malingaliro amphamvu. Komabe, kusadzilola kumva zonse zomwe mukumva sikungakuthandizeni kuchira ndi kuchira. M'malo mwake, kuletsa malingaliro kungayambitse zotsatirapo zoipa. Ichi ndichifukwa chake, Jui akulangiza kuti, "Musakankhire kutali malingaliro anu ponena kuti simusamala kapena sizikukukhudzani. Lolani kuti mumve chilichonse chomwe mukumva, popanda kudziimba mlandu kapena manyazi."

4. Khalani ndi malire

Kunyengedwa ndi munthu amene mumamukonda kwambiri komanso amene mumamukhulupirira kwambiri kungakhudze kwambiri ubale wanu wamtsogolo. Mutha kuthetsa vutoli mwa kukhazikitsa malire abwino msanga. "Kunyengedwa kungathandize kusintha momwe mumaonera ubale wanu pamlingo winawake, koma kusinthako sikuyenera kukhala koipa kwenikweni. Ngati mugwiritsa ntchito izi ngati phunziro lophunzitsa anthu momwe munthu winayo akukuchitirani, kungakuthandizeni kukhala okonzeka bwino kukhazikitsa malire ," akutero Jui.

Chithandizo cha post-infidelity stress disorder

Pamene zizindikiro za post-traumatic infidelity syndrome zimakhala zovuta kwambiri ndikusokoneza luso lanu lokhala ndi moyo wabwino, mungafunike njira zina zothandizira kuti muchiritse. Izi zikuphatikizapo,

5. Kukonzanso kwachidziwitso

Kukonzanso maganizo ndi njira yosinthira malingaliro, zikhulupiriro, ndi makhalidwe okhwima komanso osamveka bwino ndi malingaliro anzeru komanso osinthika. Katswiri wanu wa zamaganizo adzayesa kumvetsetsa nkhani yanu ya kusakhulupirika ndipo pang'onopang'ono adzakupangitsani kuyang'ana kwambiri pazinthu zenizeni kuti asiye kumva ngati osalekerera komanso amphamvu, zomwe pamapeto pake zimakufikitsani poti simuyenera kuzithawa. Chifukwa chake, musanyalanyaze ubwino wa uphungu pakuchiritsa chifukwa cha kuzunzidwa.

6. Chisamaliro chodziwitsidwa ndi zoopsa

Chisamaliro chodziwitsidwa ndi zoopsa chimagogomezera kukonzanso kudzidalira kwa munthu ndi kudzidalira komanso kuthana ndi malingaliro aliwonse oyipa, osuliza omwe angakhale nawo pa iwo eni, maubale, kapena dziko. Wothandizira wanu angayang'anenso zomwe zidachitika kale komanso pambuyo pa kusakhulupirika kuti akuthandizeni kukhala ndi malingaliro a momwe zinthu ziliri ndikupeza njira yabwino yopitira patsogolo.

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7. Mankhwala

Ngati mukukumana ndi zizindikiro zoopsa za PISD monga kusowa tulo, kuvutika maganizo, kukwiya, kapena makhalidwe odziwononga , mungafunike mankhwala, pamodzi ndi chithandizo. Kutengera ndi zizindikiro zanu, mungapatsidwe:

• Anti-depressants
• Mankhwala oletsa nkhawa
• Mankhwala opatsirana

Pomaliza, tikufuna kunena kuti tikupepesa kuti mukukumana ndi izi. Kusakhulupirika kungakhale chochitika chokhumudwitsa koma simuyenera kukhala m'ndende ya zoopsa zake kwamuyaya. Mukuyenera kukhala wosangalala, waufulu, ndi wamtendere. Tengani sitepe yoyamba yakuchiritsa. Itha kukhala njira yayitali yobwerera kuchira koma tikukutsimikizirani, zikhala zopindulitsa pamapeto pake.

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