Cabanga ngokuzumayo uvula amehlo akho bese uzithola usendaweni ongayijwayele , mhlawumbe idolobha ongakaze uye kulo noma ogwini olukude. Uma ubheka nxazonke, uyaqaphela ukuthi awazi ukuthi ufike kanjani lapho noma ukuthi ungubani ngempela. Okukhathaza kakhulu ukuthi, kulabo abakuzungezile, ubonakala ungumuntu ojwayelekile ngokuphelele, yize kungenzeka ukuthi bakubiza ngegama ongalazi njengelakho.
Lesi simo, esibonakala singaphandle kwento ethokozisayo, empeleni siwukubonakaliswa kokudideka okuhlukile . Akulona uhambo oluhleliwe noma isifiso sokubalekela inqubo evamile, kodwa indlela yokuzivikela kwengqondo eyinkimbinkimbi lapho ingqondo, engakwazi ukuthwala ubuhlungu obengeziwe, inquma "ukuzihlukanisa" nobunikazi bomuntu ohilelekile ukuze isinde esimweni esibuhlungu.
Kuyini ngempela i-dissociative fugue?
Ibhuku le-DSM-5 elalibizwa ngokuthi i-psychogenic fugue, lichaza lokhu njengohlobo lokuzulazula okudidekile . Empeleni, kuyisimo lapho umuntu elahlekelwa khona ulwazi ngomlando wakhe siqu kanye nemininingwane ebalulekile yempilo yakhe. Okukuhlukanisa nokunye ukulahlekelwa yinkumbulo ukuthi kuvame ukuhambisana nokufuduka ngokomzimba okungalindelekile , yize kukhona nezimo lapho umuntu ezithola elahlekile ekamelweni lendlu yakhe ngaphandle kokwazi ukuthi ufike kanjani lapho.
Lesi simo sinezici ezintathu eziyisisekelo: okokuqala, ukubaleka ngokomzimba nangokwengqondo okuhlobene nokukhohlwa; okwesibili, ukuthi lapho ephuma esimweni sokubaleka, umuntu akakhumbuli lutho nhlobo ngalokho okwenzekile phakathi nesiqephu; kanti okwesithathu, ukuthi lapho ebaleka, umuntu ubonisa isimo esivamile, ngaphandle kokushintsha okucacile kwengqondo okubonakalayo.
Izinhlobo ze-amnesia kanye nezinhlobo ze-fugue
Ukulahlekelwa yinkumbulo kulezi zimo kuhlukahluka kakhulu. Singathola i-retrograde amnesia , okuwukungakwazi ukukhumbula izehlakalo zangaphambi kwesiqephu, yize i-anterograde amnesia ngezinye izikhathi nayo iyenzeka. Kuye ngokuthi ivela kanjani, singakhuluma ngezici ezahlukene:
- Ukukhohlwa okwenzeka endaweni ethile: Izinkumbulo zesikhathi esithile ziyasulwa, njengeminyaka yokuhlukunyezwa kwasebuntwaneni.
- Ukukhohlwa okukhethayo: Izingcezu ezithile zesenzakalo esibuhlungu kuphela ezikhohliwe.
- Ukukhohlwa okuvamile: Kuyisimo esibi kakhulu nesingavamile, lapho wonke umlando wokuphila kanye nobunikazi kulahleka khona.
- Ukukhohlwa okuhlelekile: Ulwazi mayelana nesigaba sonke luyalibaleka, njengomndeni wonke.
- Ukulahlekelwa yingqondo kuyaqhubeka: Umuntu ukhohlwa amaqiniso amasha njengoba esenzeka.
Ngaphakathi komqondo we-fugue uqobo, kunezinhlobo ezintathu eziyinhloko. I-fugue yakudala ihilela ukuya endaweni entsha, futhi ngezinye izikhathi, ukwamukela ubuwena obuhlukile ngokuphelele. Ngakolunye uhlangothi, ukukhohlwa ubuwena bomuntu siqu kwenzeka lapho umuntu ekhohlwa ukuthi ungubani kodwa angazami ukuzenza omunye umuntu; bamane bazi ukuthi abazi ukuthi bangobani. Okokugcina, kukhona ukubuyela emuva ezikhathini zangaphambili , lapho ingqondo ibuyela esigabeni esidlule sokuphila, isula iminyaka ephakathi kodwa igcine ubuwena buphelele.
Kungani kwenzeka? Izimbangela ezingemuva kwesikhala
Akekho okhetha ukungena esimweni sokungakhululeki ngokuzithandela. Ngokuvamile kuyimpendulo yokushaqeka okukhulu ngokomzwelo , njengezingozi zezimoto, ukuhlukunyezwa ngokocansi, impi, noma ukuhlukunyezwa. Kulezi zimo, ingqondo iyahlukana neqiniso ukuze ivikele umuntu ekuzibulaleni noma ebuhlungwini obungabekezeleleki. Imizwa yokwenqatshwa okujulile noma isifiso esingazi sokuqala impilo entsha ukuze ubalekele ukucindezeleka nayo idlala indima.
Akuzona zonke izinto ezingokwengqondo; kunezici zebhayoloji nezomzimba ezingabeka umuntu esimeni esibucayi. Izinguquko ziye zabonwa ohlelweni lwe-limbic kanye nokuxhumana kwalo ne-neocortex , ngaphezu kwethonya lezinhlelo ze-serotonergic kanye ne-noradrenergic. Ngokufanayo, ukusetshenziswa kabi kwezidakamizwa , ubuthi, noma ukulimala kobuchopho okubuhlungu kungaba yizimbangela kubantu abasengozini.
Izimpawu ezihambisanayo nezimpawu eziyisixwayiso
Ngaphezu kokulahlekelwa yinkumbulo nokuhamba ngendlela engachazeki, kuvamile ukuthi isiguli sizizwe sihlukanisiwe noma sizizwa sisodwa noma sizungezile. Abanye abantu babhekana nokubuyela emuva okufana nalokho okwenzeka ku-post-traumatic stress disorder (PTSD), bekhumbula ukuhlukumezeka njengokungathi kwenzeka manje. Abanye bangase babonakale bengenandaba ngendlela exakile noma, ngokuphambene nalokho, bangene esimweni sokudideka nokucindezeleka okukhulu.
Kubalulekile ukufuna usizo lwezokwelapha ngokushesha uma kukhona ukuphazamiseka okungazelelwe empilweni yansuku zonke noma uma umuntu enyamalala futhi ebuya engenankumbulo . Ingozi inkulu, ngoba lapho umuntu ebuya enkumbulo yakhe ngokuzumayo, angase anqotshwe yizinkumbulo ezibuhlungu, okwandisa amathuba okuziphatha okubi noma ukuzama ukuzibulala.
Indlela eya ekululameni: Ukwelashwa
Umgomo oyinhloko ukubuyisa ukulawula izimpawu nokuvimbela ukuphinda kuvele. Ukwelashwa kokuziphatha kwengqondo (i-CBT) kuyithuluzi eliphumelela kakhulu, njengoba kusiza ukucubungula ukulimala kokuqala nokuphatha ukucindezeleka. Kwezinye izimo, i-hypnosis noma izingxoxo eziqhutshwa izinto ezibangela i-hypnotic zisetshenziselwa ukuzama ukuvula okuqukethwe kwengqondo okuvalelekile .
Ukwelashwa akukwazi ukugxila esigulini kuphela; kubalulekile ukubandakanya umndeni nomlingani. Labo abaseduze nabo kudingeka baqonde ukuthi lokhu akuwona amanga noma umdlalo, kodwa kuyisifo esingathi sÃna. Ukuphathwa ngokomzwelo kanye nokuhlelwa kabusha kwengqondo , kanye nemithi yokukhathazeka noma yokucindezeleka uma kukhona okunye okuhambisana nakho, kuvumela umuntu ukuthi akhe kabusha ubuwena bakhe esisekelweni esiqinile.
Lesi simo, nakuba singavamile ngokusabalala okulinganiselwa ku-0,2%, simelela ukuphazamiseka okukhulu kwengqondo yomuntu. Ukuphathwa kwaso kudinga indlela ehlukahlukene ehlanganisa i-neurology kanye ne-psychology ukwelapha imbangela ebuhlungu kanye nemiphumela yezenhlalo nengokomzwelo yesikhala senkumbulo, ukuqinisekisa ukuthi isiguli asiphinde sizizwe sinesidingo sokubalekela ukuba khona kwaso.