Bula Marang-rang J J Sci Sci. 2019 Aug 30; 7 (16): 2664-2666.
E hatisitsoe Inthaneteng 2019 Aug 27. doi: 10.3889 / oamjms.2019.398
PMCID: PMC6876823
PMID: 31777629
Fachrul A. Nasution,* Elmeida Effendy, 'me Mustafa M. Amin
inahaneloang
LITLHAHISO:
Bothata ba lipapali tsa inthanete (IGD) bo kentsoe khatisong ea bohlano ea The Diagnostic and Statistical Manual of Mental Dis shida (DSM-5). Hona joale, linyeoe tse ngata li kopana ka lebaka la tšitiso ea papali ena ea marang-rang, ho kenyeletsoa le lihlopheng tse fapaneng tsa lilemo. Ho lemalla papali ea chelete Inthaneteng ke bokuli bo tloaelehileng 'me hangata bo tsamaisana le khatello ea maikutlo, lehloeo le matšoenyeho a sechaba.
TLHOKOMELISO:
Re fumane bothata ba ho tšoenyeha ho batho ba bapalang lipapali marang-rang ka tletlebo ea bona ea hore ha ba khone ho robala. Monna ea lilemo li 28, oa leloko la Javanese le mosebetsi e le sehahi o ile a tla le mosali oa hae sepetleleng sa bongaka sa mafu a kelello sa USU (Universitas Sumatera Utara). E boneng ke mokuli ka nako e ka etsang selemo.
QETELLO:
Ho tsoa nyeoeng e kaholimo, re tlaleha hore ts'oaetso ea lipapali tsa marang-rang e etsahala ka lihlopha tsohle tsa lilemo le maemo a sechaba.
Keywords: Tlaleho ea Case, Mathata a Papali ea Inthanete, Ho Kena, Tlatsetso ea Marang-rang, Matšoenyeho a Sechaba
Selelekela
Bothata ba papali ea marang-rang bo anngoe ke American Psychiatric Association (APA) e le koluoa ea nakoana ho ntlafatso ea bohlano ea Diagnostic and Statistical Manual of Mental Dis shida (DSM-5). Ho ntšetsa pele patlisiso mabapi le Phokotso ea Lipapali tsa Inthanete, APA e khothalelitse lipatlisiso tse ling ho tsoa litlalehong tse fapaneng tsa thuto ea nyeoe mabapi le mehato e robong ea Inthanete ea Lipapatso tsa Marang-rang ho etsa lipatlisiso mabapi le monyetla oa tlhahlobo le matla a hlokahalang. Lipapali tsa video tsa inthaneteng joale li nkuoa e le mesebetsi e ka amanngoang le boitšoaro bo mabifi, kahoo ho tsebahala ha Internet Gaming Disorder ho kenyellelitsoe ho DSM-5 le ICD 11; empa ho ntse ho na le ngangisano ka likarolo tse itseng tsa boteng bona, karolo e 'ngoe eo ho phehisanoang ka eona ke nako e sebelisoang ho bapala lipapali. Mathata a lipapali tsa inthanete a hlalosoa ke ho kenella khafetsa le ho pheta-pheta hoa lipapali tsa video, hangata ho lebisang ho ts'oenyehong e kholo ea letsatsi le letsatsi, mosebetsi le / kapa thuto mme o hlahisitsoe ke America Psychiatric Association (APA) e le lefu la kelello le hlokang kelello le hlokang thuto e eketsehileng (Diagnostic and Statistical) Buka ea Bofokoli ba Kelello (DSM-5) [1], [2], [3], [4], [5].
Ho latela DSM-5, Internet Gaming Disorder e bontšoa ke ts'ehetso ea bonyane matšoao a mantlha a mantlha (ho tloha ho a robong) ka nako e fetang likhoeli tse 12. Ka ho khetheha, litekanyetso tsa tlhahlobo ea Tlokotsi ea Lipapali tsa Inthanete, ho kenyelletsa le matšoao a latelang a robong a kliniki: (1) ho ameha haholo ka li-videogames (ke hore, "preoccupation"); (2) ho ba le matšoao a sa thabiseng ha o bapala videogames (ke hore, “ho tlohela”); (3) tlhoko ea ho sebelisa nako e eketsehileng e kenyelletsoang lipapaling tsa video (ke hore, “mamello”); (4) liteko tse sa atleheng tsa ho laola ho nka karolo lipapaling tsa videogames (ke hore, "lahleheloa ke taolo"); (5) ho lahleheloa ke thahasello mesebetsing ea boithabiso ea nakong e fetileng le boithabisong, ntle le, videogames (ke hore, "inehela mesebetsing e meng"); (6) tsoelapele ho sebelisa li-videogames leha o na le tsebo ea mathata a kelello (mohlala, "tsoelopele"); . kapa thuto kapa menyetla ea bohlokoa ea mosebetsi ka lebaka la ho nka karolo lipapaling tsa videogames (ke hore, "litlamorao tse mpe") [2]. Batho ba nang le boemo bona ba beha likotsi tsa bona tsa thuto kapa mosebetsi ka lebaka la nako eo ba e qetang [3]. Ba tla ba le le leng la matšoao a khafetsa, ke ho tlohela, ho tšoenyeha le matšoenyeho a ke keng a laoloa, 'me ho amana le matšoao a itseng, a joaloka khatello ea mesifa, ho teneha, bothata ba ho robala le ho tšoenyeha. E nka bonyane likhoeli tse tšeletseng. Setšoantšo sa bohlokoa sa bokuli bona ke ho ba le matšoenyeho a akaretsang le a phehellang, empa ha a felle feela kapa a hlahelletseng maemong a ikhethang a tikoloho. (matšoenyeho a phaphametseng). Patlisiso e bonts'a hore ha batho ba kenelletse ho bapala marang-rang, litsela tse ikhethang bokong ba bona li ts'oaroa ka tsela e ts'oanang le e matla joalo ka boko ba li-addcts tsa narcotic (amphetamines) tse anngoeng ke lintho tse itseng. Papali ena e khothatsa likarabo tsa methapo e amang maikutlo a thabo le maemo a feteletseng a bonts'a mokhoa o lemalloang [3], [4], [5], [6], [7], [8], [9], [10].
Tlaleho ea Tlaleho
Monna, A, ea lilemo li 28, morabe oa Javanese o ne a nyetse mme a e-na le bana ba babeli, morali ea lilemo li hlano le mora ea lilemo li le mong. Mong A o na le mathata bophelong ba hae ba letsatsi le letsatsi litšebelisanong tsa sechaba. Alloanamnese e tsoang ho mosali oa Mong A, Mong A eo hangata a bapalang lipapali tsa marang-rang, o sebelisa nako ea hae feela ho bapala lipapali tsa inthanete. E boetse e sitisa mesebetsi ea letsatsi le letsatsi e kang ho ja, ho hlapa le ho hlokomela lelapa; hangata o nahana feela ka mokhoa oa ho fihlella papali ea marang-rang. Mong A o na le bothata ba ho robala bosiu 'me ha a robala hantle libekeng tse' maloa tse fetileng. Mong A o ikutloa a se na thuso 'me o ikutloa a le molato ka lapeng, a thatafalloa ho tsepamisa mohopolo le ho etsa liqeto tse etsahalang hoo e ka bang letsatsi le leng le le leng leo a bang le lona. Mong A o boletse hore hoo e ka bang letsatsi le leng le le leng o bapala lipapali tsa inthanete, ho feta lihora tse 10 ka letsatsi, bakeng sa selemo se le seng. Ha e le lipapali tse bapaloang joalo ka DOTA-2, GTA-San Andreas, jj. Mong A o lekile ho emisa mesebetsi ea hae ea boipheliso empa a hloleha. Ho fihlela qetellong, mosali oa Mong A o lekile ho tlisa Mong A bakeng sa kalafo. Nalane ea tšebeliso ea joala kapa litlatsetso ea haptjoa. Mong A le eena ha ho mohla a kileng a ba le khatello ea maikutlo. Mong A ha ho mohla a kileng a nahana ka ho ipolaea.
Paleng ea mafu a kelello ea liphetho tsa tlhahlobo, ho fumanoe hore Mong A ha a khone ho robala bonyane selemo, mme o ne a le moroalo likhoeling tse tšeletseng tse fetileng. Sena se qalile ka Mong A ka lilemo tse ka bang peli tse bapalang lipapaling tsa marang-rang. Nako eohle ha Monghali A a sa sebetse, Mong A o ikutloa a le letsoalo, letsoalo, matšoenyeho, pherekano, ho jeoa ke letsoalo, matšoenyeho, ho tšoha le ho hlonama. Ho ne ho na le distractibility, dysphoric mood, ama loketseng, mme maikutlo a mang ke ho tšoenyeha. Phallo ea puo le khatello ea puo li tloaelehile; ha ho na bofutsana ba puo kapa logorrhea. Ka mokhoa o ts'oanang, ha ho na sefofane sa mehopolo, tangentiality, maemo a maemo, le ho lahleheloa ke litloaelano. Litšitiso le menahano ha e fumanoe. Likhopolo li ke ke tsa netefatsoa, empa ho na le menahano le menahano ea ho lemalla ho tseba ho tsoela pele ho fihlela papali ea marang-rang. Ho sebetsana ka katleho le maikutlo a bonolo. Ho hopola lintho ha nako e khuts'oanyane hoa qaqisoa, empa mehopolo ea nako e telele, e mahareng le e telele e ntle. Bokhoni ba ho bala, ho ngola le ho bona ke bo botle. Ho khona ho nahana ka mokhoa o hlakileng le o sa tsotelleng. Ha ho na retro kapa anterograde amnesia kapa paramecia. Toro ha se letho le ikhethang; Khopolo e tsoang ho bakuli e batla ho tsebahala le ho tsejoa ke batho ba bangata. Boemo ba boholo ba V le ho nahanisisa ka Boiketsetso.
Mokuli o ile a tsebisoa papali ea marang-rang ke motsoalle ea haufi sekolong se mahareng ho fihlela qetellong, a lemalla mme a sitoa ho baleha. Tlhahlobong e akaretsang ea 'mele, boemo bo akaretsang bo fumanoa maemong a tloaelehileng. Matšoao a utloisisang le a bohlokoa ka sebopeho sa khatello ea mali, pelo, mocheso, le sekhahla sa ho hema li ka har'a meeli e tloaelehileng. Ha ho na keketseho ea tšoelesa ea qoqotho e amehang. Phefumoloho ea veesicular, ha e na melumo e meng. Lipelo tsa kamehla tsa pelo ea 90 x / I, ha ho na lingoliso, lilomo le melumo e meng e meng. Ho ne ho na le peristaltic e tloaelehileng; organomegaly ha e fumanehe Mahlo a khutsitseng, empa ha ho na matšoao a lefu la mali kapa jaundice. Bokantle bo sebetsa hantle, ha ho na paresis kapa ho holofala: letlalo le sootho, turgor, le elasticity e ntle ea letlalo. Ha ho liteko tse ling hape tse etsoang ho mokuli, ke feela Glucose ad Random 126 mg / dl. Re etsa tlhahlobo ea Khatello ea Lipapatso tsa Inthanete, Scale ea GAF 50-41.
Puisano
Ha ho thehwa boitsibollo ba lefu le itseng maemong a kaholimo, litekanyetso ke sekhahla sa Foromo ea Liphatlalatso tsa Papali ea Inthanete ea Inthanete ea 9 e Fupere (IGDS9-SF) e thehiloe ho DSM-5. Moo tšebeliso e tsoetseng pele le e pheta-phetoang ea lipapali tsa marang-rang ho kenella lipapaling, hangata le libapali tse ling, e baka ho fokotseha hoa bohlokoa ha khatello ea kelello kapa likhatello joalo ka ha ho bonts'itsoe ke tse 6 ho tse 12 tsa mekhoa e robong e ka tlase ho likhoeli tse XNUMX [1].
Tabeng ena, kamora hore ho etsoe nalane e felletseng ea mafu a kelello, liteko tsa kelello le tlhahlobo ea maemo a kelello li tsejoa hore mokuli ea kaholimo o kopana le litekanyetso tsa tlhahlobo ea boits'oaro.
Haeba e khethollotsoe hape ho latela DSM-5 le ICD-11, bakuli ba kaholimo ba ka fumanoa e le bothata ba ho tšoenyeha bo felletseng ka lebaka la mathata a lipapali tsa marang-rang. Haeba e khethollotsoe hape ho latela DSM-5 le ICD-11, bakuli ba ka holimo ba ka fumanoa e le bothata ba ho tšoenyeha bo felletseng ka lebaka la mathata a lipapali tsa marang-rang. Ho tla fihlela joale, litlaleho tsa linyeoe li bone feela tšusumetso ea moferefere oa papali ea marang-rang le likamano tsa motho le bophelo ba boiketlo. Tlalehong ea linyeoe tse kaholimo, kamora nalane e phethahetseng, tlhahlobo ea lipotso tsa bongaka, tlhahlobo ea boemo ba kelello le tšebeliso ea marang-rang ea 9-Short Form Disorder Scale 9 e ile ea ferekanya batho ba neng ba bapala lipapaling tsa marang-rang ba tletleba ka hore ha ba khone ho robala. Moo maemong a fetileng lithuto li tlalehileng feela likamano le bophelo ba sechaba. Bothata ba papali ea inthanete ke ts'oaetso e ncha e hlokang lithuto le linyeoe tse ka etsang hore ts'ebeliso ea papali ea marang-rang e be tlokotsi ea kalafo [1], [4].
Ka kakaretso, ketsahalong ena, Internet Gaming Disorder e kenyellelitsoeng ho DSM-5 e boletsoeng esale e le teng nakoana e fetileng. Le e tona e tummeng haholo. Matšoao a robong a reriloeng a na le mabaka a mabeli a tlase, ho kenya letsoho ho matla lipapaling tse ipakile e le tse tloaelehileng mme litlamorao tsa papali e kotsi ha li fumanehe. Matšoao a mabeli a tloaelehileng a ho kenya letsoho ka matla, mamello le boiteko bo sa atleheng ho laola papali, ha li hlalosehe haholo bakeng sa Khathatso ea Lipapali ea Inthanete. Matšoao a ho khaotsa a hokahane le bofokoli bo fokolang le Marang-rang a Lipapatso tsa Marang-rang, joalo ka tlhahlobo le ts'ebetso e tsoelang pele. Ho bohlokoa ho etsa lipatlisiso tse ling tsa matšoao a ho bapala lipapali tsa inthanete a amanang hantle le matšoao a mang a ho senyeha kelellong. Leha ho na le bokhoni bo fapaneng ba bana ba malapa le ho nahanisisa ka palo ea batho ba boletsoeng ka thoko, bokhoni bo tlase ba sechaba le taolo ea bokhoni bo fokolang ba maikutlo bo boletseng matšoao a eketsehileng a Khathatso ea Papali ea Inthanete.
Mongolo o botlaaseng ba leqephe
Lithuso: Patlisiso ena ha ea fumana tšehetso ea chelete
Lithahasello tse tsitsitseng: Bangoli ba phatlalalitse hore ha ho na lithahasello tse hlolisang tse teng
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