World Health Organisation yati CSBD Imaphatikizanso Zolaula

Zofunikira Zofufuza

Zofunikira (zofunikira):

• Mchitidwe wosalekeza wolephera kulamulira zilakolako zogonana zamphamvu, zobwerezabwereza kapena zilakolako zomwe zimabweretsa chizolowezi chogonana, chowonetsedwa mu chimodzi kapena zingapo mwa izi:
  • Kugonana mobwerezabwereza kwakhala chinthu chofunika kwambiri pamoyo wa munthu mpaka kunyalanyaza thanzi ndi chisamaliro chaumwini kapena zofuna zina, zochita ndi maudindo.
  • Munthuyo wayesetsa kambirimbiri kosatheka kuwongolera kapena kuchepetsa kwambiri machitidwe ogonana obwerezabwereza.
  • Munthuyo akupitirizabe kuchita chiwerewere mobwerezabwereza ngakhale zotsatirapo zake zimakhala zoipa (monga mikangano ya m’banja chifukwa cha khalidwe logonana, mavuto azachuma kapena malamulo, kusokoneza thanzi).
  • Munthuyo amapitirizabe kuchita zachiwerewere mobwerezabwereza ngakhale pamene munthuyo sakhutira kwenikweni ndi zimenezo.
• Mchitidwe wolephera kulamulira zilakolako zogonana zobwerezabwereza, zobwerezabwereza kapena zolakalaka komanso zotsatira zake zobwerezabwereza zogonana zimawonekera kwa nthawi yayitali (mwachitsanzo, miyezi 6 kapena kupitilira apo).
• Mchitidwe wolephera kulamulira zilakolako zogonana zobwerezabwereza kapena kubwerezabwereza zomwe zimachitika chifukwa chogonana mobwerezabwereza sizimaganiziridwa bwino ndi vuto lina lamalingaliro (mwachitsanzo, Manic Episode) kapena matenda ena ndipo sichifukwa cha zotsatira za chinthu kapena mankhwala.
• Mchitidwe wobwerezabwereza wa kugonana umabweretsa kupsinjika maganizo kapena kuwonongeka kwakukulu kwaumwini, banja, chikhalidwe, maphunziro, ntchito, kapena mbali zina zofunika za kachitidwe. Kupsinjika maganizo komwe kumakhudzana kwathunthu ndi kuweruza kwamakhalidwe komanso kusagwirizana ndi zilakolako zakugonana, zilakolako, kapena machitidwe sikukwanira kukwaniritsa izi.

Zowonjezera Zachipatala:

• Vuto Lokakamiza Logonana Litha kuwonetsedwa m'makhalidwe osiyanasiyana, kuphatikiza machitidwe ogonana ndi ena, kuseweretsa maliseche, kugwiritsa ntchito zolaula, kugonana pa intaneti (kugonana pa intaneti), kugonana patelefoni, ndi machitidwe ena obwerezabwereza ogonana.
• Anthu Omwe Ali ndi Vuto Lokakamiza Kugonana Nthawi zambiri amachita zachiwerewere potengera kupsinjika maganizo, nkhawa, kunyong'onyeka, kusungulumwa, kapena zinthu zina zoipa. Ngakhale sizodziwikiratu, kulingalira za ubale pakati pa malingaliro ndi khalidwe ndi khalidwe la kugonana kungakhale mbali yofunikira pakukonzekera chithandizo.
• Anthu omwe amaweruza zachipembedzo kapena zamakhalidwe pazakhalidwe lawo logonana kapena amaziwona mosavomerezeka, kapena omwe akuda nkhawa ndi zigamulo ndi kutsutsidwa kwa ena kapena zotulukapo zina zakhalidwe lawo logonana, atha kudzifotokoza kuti ndi 'okonda zogonana' kapena kufotokozera Kugonana mokakamiza kapena kugwiritsa ntchito mawu ofanana. Zikatero, ndikofunikira kufufuza mosamala ngati malingaliro otere angokhala chifukwa cha ziweruzo zamkati kapena zakunja kapena zotulukapo zomwe zingachitike kapena ngati pali umboni wosokonekera wowongolera zilakolako zakugonana, zilakolako, kapena machitidwe ndi zina zofunika zowunikira za Compulsive Sexual Behavior. Kusokonezeka kulipo.

Malire okhala ndi Normality (Threshold):

• Pali kusiyana kwakukulu mu chikhalidwe ndi kangati kaganizidwe ka anthu ogonana, zongoganiza, zikhumbo ndi machitidwe. Kuzindikira kumeneku kumakhala koyenera pokhapokha ngati munthuyo akukumana ndi zilakolako zamphamvu, zobwerezabwereza zogonana kapena zilakolako zomwe zimakhala zosakanizika kapena zosalamulirika, zomwe zimatsogolera ku khalidwe logonana mobwerezabwereza, ndipo machitidwe obwerezabwereza a kugonana amabweretsa kupsinjika maganizo kapena kuwonongeka kwakukulu kwaumwini, banja, chikhalidwe. , maphunziro, ntchito, kapena mbali zina zofunika kwambiri zogwirira ntchito. Anthu omwe ali ndi chidwi chochuluka chogonana ndi khalidwe (mwachitsanzo, chifukwa cha chilakolako chogonana kwambiri) omwe sasonyeza kusokonezeka pa khalidwe lawo logonana komanso kukhumudwa kwakukulu kapena kuwonongeka kwa ntchito sayenera kupezeka ndi Compulsive Sexual Behavior Disorder. Kuzindikirako sikuyeneranso kuperekedwa kufotokoza kuchuluka kwa chidwi chogonana ndi machitidwe (mwachitsanzo, kuseweretsa maliseche) zomwe zimachitika pakati pa achinyamata, ngakhale izi zikugwirizana ndi kupsinjika maganizo.
• Vuto Lokakamiza Kugonana Sikuyenera Kuzindikirika chifukwa cha kupsinjika komwe kumakhudzana ndi zigamulo zamakhalidwe komanso kusagwirizana ndi zilakolako zakugonana, zokhumba, kapena machitidwe omwe sangawoneke ngati ziwonetsero za psychopathology (mwachitsanzo, mayi yemwe amakhulupirira kuti sayenera kukhala ndi zikhumbo zogonana. Mnyamata wopembedza amene amakhulupirira kuti sayenera kuseweretsa maliseche; munthu wokhumudwa chifukwa chokopeka ndi amuna kapena akazi okhaokha). Mofananamo, Compulsive Sexual Behavior Disorder sichingadziwike kokha chifukwa cha kupsinjika maganizo komwe kumakhudzana ndi kusagwirizana kwenikweni kapena kuopsezedwa kwa chikhalidwe ndi zilakolako zogonana kapena machitidwe.
• Vuto Lokakamizika Kugonana siliyenera kuzindikirika potengera nthawi yochepa (mwachitsanzo, mpaka miyezi ingapo) ya zikhumbo zogonana, zilakolako, ndi machitidwe panthawi yosinthira kupita kuzinthu zomwe zimaphatikizapo kupezeka kwa malo ogonana omwe kulibe (mwachitsanzo, kusamukira ku mzinda watsopano, kusintha kwa ubale).

Makhalidwe a Maphunziro:

• Anthu ambiri omwe ali ndi vuto logonana ndi Compulsive Sexual Behavior Disorder amafotokoza mbiri yakuchita zogonana adakali unyamata kapena unyamata (mwachitsanzo, kuchita chiwerewere mowopsa, kuseweretsa maliseche kuti athetse vuto, kugwiritsa ntchito zolaula kwambiri).

Ulaliki Wachitukuko:

• Compulsive Sexual Behavior Disorder muuchikulire yakhala ikugwirizana ndi ziwopsezo zambiri zaubwana kuphatikiza kugwiriridwa, pomwe azimayi amafotokoza kuchuluka kwa nkhanza komanso kuzunzika kwakukulu.
• Achinyamata ndi achikulire omwe ali ndi vuto la Compulsive Sexual Behavior Disorder nthawi zambiri amakhala ndi ziwopsezo zazikulu zomwe zimachitika limodzi ndi Matenda a Mental, Behavioural, kapena Neurodevelopmental Disorders, kuphatikiza Kusokonezeka Chifukwa Chogwiritsa Ntchito Mankhwala.
• Kuwunika kupezeka kwa Compulsive Sexual Behavior Disorder kungakhale kovuta makamaka paunyamata chifukwa cha malingaliro osiyanasiyana okhudzana ndi kuyenera kwa khalidwe logonana panthawi ya moyo uno. Kuchulukirachulukira kwa machitidwe ogonana kapena zilakolako zosalamulirika zogonana zomwe zimagwirizanitsidwa ndi kusintha kwamphamvu kwa mahomoni panthawi yomwe akukulirakulira kungaganizidwe ngati zikuwonetsa zomwe achinyamata amakumana nazo. Mosiyana ndi zimenezi, kugonana pafupipafupi kapena koopsa pakati pa achinyamata kutha kuonedwa ngati kwachilendo chifukwa cha kuthekera kwa khalidwelo kusokoneza chitukuko cha chikhalidwe ndi maganizo.

Zokhudzana ndi Chikhalidwe:

• Kusiyana kwa chikhalidwe ndi chikhalidwe kutha kukhalapo pamachitidwe okakamiza ogonana. Miyambo ya zomwe zimaganiziridwa kuti ndi zoyenera kuchita pogonana, zochita zowonedwa ngati zosaloleka, ndi malingaliro okhudzana ndi maudindo okhudzana ndi kugonana zimakhudza kugonana. Izi zitha kukhudza machitidwe okhudza kuseweretsa maliseche, kugwiritsa ntchito zolaula, kukhala ndi zibwenzi zingapo nthawi imodzi, komanso kuchuluka kwa anthu omwe amagonana nawo moyo wawo wonse.
• Chikhalidwe chimapangitsa kuvutika komwe kumachitika chifukwa chogonana komanso ngati kugonana kumawonedwa ngati kosokoneza. Mwachitsanzo, m'zikhalidwe zomwe malingaliro aamuna amagwirizanitsidwa ndi kugonjetsa kugonana, ziwopsezo zapamwamba zogonana zitha kuonedwa ngati zokhazikika ndipo siziyenera kukhala maziko oyamba operekera matenda.

Zokhudzana ndi Kugonana ndi/kapena Zokhudzana ndi Jenda:

• Amuna amatha kupezeka ndi Compulsive Sexual Behavior Disorder.
• Azimayi omwe ali ndi vuto lokakamiza kugonana ndi amuna omwe ali ndi vuto logonana ndi amuna ndi akazi omwe amachitira nkhanza ubwana wawo kuposa amuna.

Malire okhala ndi zovuta zina ndi zikhalidwe (Differential Diagnosis):

• Malire okhala ndi Bipolar kapena Related Disorders: Kuwonjezeka kwa zilakolako zogonana, zokhumba kapena makhalidwe ndi kulephera kuzilamulira zingathe kuchitika pa Manic, Mixed, kapena Hypomanic Episodes. Kuzindikira kwa Compulsive Sexual Behavior Disorder kuyenera kuperekedwa pokhapokha ngati pali umboni wa kulephera kulamulira zikhumbo zogonana kwambiri, zobwerezabwereza, zokhumba kapena makhalidwe komanso kukhalapo kwa zofunikira zina zonse zowunikira kunja kwa Magawo a Mood.
• Malire okhala ndi Obsessive-Compulsive Disorder: Ngakhale kuti mawu oti 'kukakamiza' akuphatikizidwa m'dzina la chikhalidwechi, khalidwe la kugonana mu Compulsive Sexual Behavior Disorder sikuwoneka ngati kukakamiza kwenikweni. Kukakamizika mu Obsessive-Compulsive Disorder pafupifupi sikumakhala kosangalatsa mwachibadwa ndipo kumachitika kaŵirikaŵiri chifukwa cha malingaliro oloŵerera, osafunika, ndiponso odzetsa nkhawa, zomwe sizili choncho ndi khalidwe la kugonana mu Compulsive Sexual Behavior Disorder.***
• Malire ndi Personality Disorder: Anthu ena omwe ali ndi Personality Disorder amatha kuchita zogonana mobwerezabwereza ngati njira yodziletsa (mwachitsanzo, kupewa kapena kuchepetsa kupsinjika maganizo kapena kukhazikika maganizo awo). Ngakhale kuti matenda onsewa amatha kugawidwa palimodzi, ngati khalidwe la kugonana limawerengedwa kwathunthu ndi kusokonezeka maganizo kapena zinthu zina zazikulu za Personality Disorder, chidziwitso chowonjezera cha Compulsive Sexual Behavior Disorder sichiyenera.
• Malire okhala ndi Matenda a Paraphilic: Mbali yaikulu ya Compulsive Sexual Behavioral Disorder ndi njira yosalekeza ya kulephera kulamulira zilakolako zogonana zobwerezabwereza zomwe zimayambitsa khalidwe logonana mobwerezabwereza lomwe limabweretsa kupsinjika maganizo kapena kulephera kugwira ntchito. Komano, matenda a Paraphilic Disorders amadziŵika ndi zochitika zolimbikira komanso zamphamvu za chilakolako chogonana chomwe chimawonetsedwa ndi malingaliro ogonana, zongopeka, zokhumba, kapena makhalidwe ndipo zachititsa kuti azichitira anthu omwe msinkhu wawo kapena udindo wawo umawapangitsa kuti asalole kapena kulephera kuvomereza. kugwirizana ndi kupsinjika maganizo kapena chiopsezo chachikulu cha kuvulala kapena imfa. Ngati munthu yemwe ali ndi Matenda a Paraphilic Disorder amatha kuwongolera pang'onopang'ono machitidwe a machitidwe odzutsidwa, kuzindikira kowonjezereka kwa Compulsive Sexual Behavioral Disorder nthawi zambiri sikuvomerezeka. Ngati, komabe, zofunikira zowunikira za Compulsive Sexual Behavioral Disorder ndi Paraphilic Disorder zikwaniritsidwa, matenda onsewa atha kuperekedwa.
• Malire ndi zotsatira za psychoactive zinthu, kuphatikizapo mankhwala: Kugwiritsa ntchito mankhwala omwe amaperekedwa kapena zinthu zoletsedwa (mwachitsanzo, dopamine agonists monga pramipexole for Parkinson Disease kapena Restless Legs Syndrome kapena zinthu zosayenera monga methamphetamine) nthawi zina zingayambitse kulephera kulamulira zilakolako zakugonana, zilakolako kapena machitidwe chifukwa cha zotsatira zake zachindunji pakatikati. dongosolo lamanjenje, lomwe limafanana ndi kugwiritsa ntchito mankhwala kapena mankhwala. Compulsive Sexual Behavior Disorder sayenera kupezeka pazochitika zotere.
• Malire Okhala ndi Zovuta Chifukwa Chogwiritsa Ntchito Mankhwala: Zochitika zogonana mopupuluma kapena zoletsedwa zitha kuchitika panthawi yoledzera. Panthawi imodzimodziyo, zochitika zophatikizana za Compulsive Sexual Behavior Disorder ndi kugwiritsa ntchito mankhwala osokoneza bongo ndizofala, ndipo anthu ena omwe ali ndi vuto la Compulsive Sexual Behavior Disorder amagwiritsa ntchito zinthu ndi cholinga chogonana kapena kupititsa patsogolo chisangalalo. Kusiyanitsa Pakati pa Vuto Lokakamiza Kugonana ndi machitidwe obwerezabwereza a kugwiritsa ntchito mankhwala ndi khalidwe lokhudzana ndi kugonana kotero ndilo lingaliro lovuta lachipatala lotengera kuwunika kwa machitidwe, zochitika, ndi zolimbikitsa za makhalidwe oyenera. Kuzindikira kwa Compulsive Sexual Behavior Disorder kungaperekedwe limodzi ndi Chisokonezo Chifukwa cha Kugwiritsa Ntchito Mankhwala Ngati zofunikira zowunikira zovuta zonsezo zakwaniritsidwa.
• Malire okhala ndi Dementia ndi zikhalidwe zachipatala zomwe sizinagawidwe pansi pa Mental, Behavioral kapena Neurodevelopmental Disorders: Anthu ena omwe ali ndi Dementia, Matenda a Nervous System, kapena matenda ena omwe amakhudza dongosolo lamkati lamanjenje amatha kuwonetsa kulephera kuwongolera zilakolako zakugonana, zokhumba kapena machitidwe monga gawo lachizoloŵezi choletsa kuwongolera zidziwitso chifukwa cha neurocognitive. kuwonongeka. Kuzindikira kosiyana kwa Compulsive Sexual Behavior Disorder sikuyenera kuperekedwa muzochitika zotere.

LINK - Njira zodziwira matenda a ICD-11 za CSBD.

Kuti mumve zambiri pazandale zokhudzana ndi kugonana, werengani Malipiro a Ndale Zosokoneza Kugonana (2011)