Yintoni isiphumo secebo?

Imfundo yezeMpilo

Kuvakala ngathi kuyalandelwa, kodwa kuyinyani. Into ocinga ngayo ngamayeza ichaphazela indlela eya kukusebenzela ngayo. Ngamanye amagama, ukuba uyakholelwa ukuba amayeza kagqirha aya kuzenza lula iimpawu zakho-kwaye kungenjalo. Xa ukhathazeka ukuba isicwangciso sonyango siya kuba neziphumo ebezingalindelekanga ezimbi, okanye ungenzi nto ukunciphisa iintlungu, kunokuba sisiprofeto esizimeleyo. Ibizwa ngokuba sisiphumo sengcebo.

Yintoni isiphumo secebo?

Iimpendulo zikaNocebo zenzeka xa ulindelo lwakho olubi malunga nonyango lubangela ukuba ube neempawu ezimbi ekuthatheni amayeza. Umzekelo, ukuba umboneleli wakho wezempilo ukhankanya iintlungu zangasemva njengesigulo esinokubakho, unokufumana iintlungu zangasemva-nokuba uthatha ipilisi yeswekile. Okanye, ukuba ufunda inqaku malunga nokuba loo myalelo unokubangela njani ukuba i-migraine, unokufumana intloko emva kokuyithatha. Le mpendulo yaziwa ngokuba sisiphumo secebo.

Isiphumo se-Placebo vs.

Abantu abaninzi baqhelene nefuthe le-placebo. Kuyenzeka xa ufumana izibonelelo zonyango kuba uyakholelwa ukuba ziya kuba luncedo nokuba la mayeza ayangenwa. Umphumo we-nocebo yinto echaseneyo. Iimbono ezingalunganga zikhokelela kunyango olungasebenziyo, nokuba kunyango olunamandla.

I-Placebo ithetha, ndiya kukukholisa, ngesiLatini. UNocebo uthetha, ndiya konzakalisa. Zombini iipateni zokucinga zinokuba nefuthe elibonakalayo kwiziphumo zakho zempilo.

Isebenza njani isiphumo secebo

Njengoko sisazi kwimpendulo efundwe ngakumbi ye-placebo, amandla eengcebiso zomlomo kuphela anokubangela ukuba ingqondo ikholelwe ukuba umzimba uhlangabezana neziphumo ezihle (okanye kule meko, ezimbi) zempembelelo yeziyobisi. Oku kuthetha ukuba ukukhankanya nje loo miphumo emibi kunokukwenza ukholelwe ukuba ufumana ezo ngxaki, ngokwe UErin Nance, MD , ugqirha wamathambo waseNew York City. Nangona kunjalo, iingcali zibophelelwe yimvume yonyango ukuba baxoxe ngazo zonke iingozi ezinokubakho kunyango, oko kuthetha ukuba abaguli ngamanye amaxesha baya kuxelelwa into engalunganga ebangela ukuba bafumane iintlungu kunye nokungasebenzi kakuhle-kudala ingxaki ethile yokuziphatha.

Ezi ziphumo zenzeka kunyango lwe-inert kuba ulindelo lomntu kunye neemeko ezijikeleze unyango, okanye 'umsitho' wonyango, unokuba nefuthe elibi kubuchwephesha bethu, kwaye ubuchopho bethu buneziphumo ezibi kwimizimba yethu, ucacisa uHarrison Weed, MD, ugqirha wamayeza wangaphakathi e-Ohio State University Wexner Medical Centre.

Ukongeza, abaguli abafunda zonke iziphumo ebezingalindelekanga ezinokudweliswa kunyango kunokwenzeka ukuba baxele ukubandezeleka enye okanye nangaphezulu, njengoko kunjalo kwizigulana ezixhalabileyo ngokubanzi, okanye ezoyika isiphumo esithile. Nokuba abaguli baziva umboneleli wabo engabakhathaleli, engakhathali, okanye exakeke kakhulu ukuba angabazi, kunokwenzeka ukuba baxele iziphumo ezibi zonyango.

Ukusuka kwimbono ye-neurobiological, okwenzekayo ngaphakathi kwengqondo kuyafana nento eyenzekayo xa ucinga imeko ebonakalayo okanye ukwenza imisebenzi yomzimba. Ezo ndawo zobuchopho bakho ziyakhanya. Ngokwendlela esebenzayo, ukucinga ukuba kukho into eyenzekayo kwanele ukwenza ukuba ezo ndawo zobuchopho zinxulunyaniswe naloo ngcinga, okanye ixhala, okanye iintlungu, ezikhokelela kwiziphumo ebezingalindelekanga eziba yinyani, utshilo ugqirha jikelele uGiuseppe Aragona, MD.

Imizekelo yefuthe lecebo

Iimpendulo zikaNocebo zinokuvela kuvavanyo lweklinikhi, iimeko zeklinikhi zemihla ngemihla, kunye nakwimeko apho kungekho nyango imiselweyo okanye isetyenzisiweyo. Ukuqonda iindlela ezahlukeneyo eziveliswa sisiphumo se-nocebo kunokunceda abaguli bazilungiselele-kwaye nokwenza ukuba kungabikho amathuba okuba yenzeke.

Mhlawumbi eyona ndawo icacileyo abantu abalindele ukuba isiphumo se-nocebo sikulingo lwezonyango okanye lweziyobisi. Abantu kwizilingo zeklinikhi abafumana unyango lwe-inert bahlala bexela amaqondo aphezulu eempawu eziqhelekileyo, ezinje ngeentloko, isisu, isiyezi, ukudinwa, okanye ubuthathaka ngokubanzi kunabantu abalinganayo kwizilingo zonyango, utshilo uGqirha Weed. Umzekelo, isiguli kuvavanyo lophando sifumana i-placebo kunyango olutsha olunceda ukuphilisa i-distal radius fractures ngokukhawuleza, kwaye sixelelwe enye yeziphumo ebezingalindelekanga kukudinwa. Ukuba isigulana siqala ukudinwa kunokwenzeka ngenxa yesiphumo sobuchule, wongeza uGqirha Nance.

Abantu abathathayo iimimiselo uhlala ufumana isiphumo secebo. Mhlawumbi ngokuyinxenye ngenxa yokuba iziphumo ebezingalindelekanga zolu hlobo lwamayeza zigutyungelwe ngokubanzi ezindabeni, abantu banokuba nolindelo olubi. Umngcipheko wentlungu yezihlunu ekuthatheni i-statins ingaphantsi kwe-5%. Ukanti, Izifundo zamva nje zibonisa ukuba phantse i-30% yezigulana ziyekile unyango ngenxa yeentlungu zezihlunu-Nokuba babeyinxalenye yeqela lolawulo kwaye unyango lwabo lwaluyindawo ye-placebo.

UAlex Tauberg, MD, ude abone isiphumo secebo lokuziqhelanisa ne-chiropractic yakhe: Kwi-X-reyi, ubungqina botshintsho olwenzakalayo kungenzeka ukuba bukhona nakubani na ongaphezulu kweminyaka engama-30. Ngenxa yokuba isifo samathambo sixhaphake kakhulu, asikwazi I-osteoarthritis ebonwa kwiX-reyi ngunobangela weentlungu ezisezantsi. Ngapha koko, i-osteoarthritis ixhaphakile kubantu abangenazintlungu okanye ukungasebenzi kakuhle njengoko kunjalo kubantu abaneentlungu. Nangona kunjalo, xa sibonisa ezi ziphumo zeX-ray kwizigulana, ziyonyusa iintlungu kunye nenqanaba lokukhubazeka njengoko bakholelwa ukuba kukho into engalunganga eyakhiwe emzimbeni wabo, utshilo uGqirha Tauberg.

Iindlela ezi-5 zokuthintela isiphumo secebo

Akunyanzelekanga ukuba ube lixhoba lezinto ozilindeleyo ezingalunganga. Sebenzisa ezi zicwangciso ukukhusela impendulo yecebo.

1. Xoxa ngezinto ezintle. Ukwaziswa ngelixa ukholwa ukuba uyakufumana isiphumo esihle yeyona ndlela yokufumana isibonelelo sonyango lwakho, utshilo uGqirha Nance. Ukuba isigulana siyazi ukuba ukubetha emva kokusebenza kungaphantsi kwe-1%, emva koko ukuphinda ubuyekeze iziphumo njengoko i-99% yezigulana zinoluvo oluqhelekileyo ziya kunceda ukukhuthaza umbono oqinisekileyo. Nokuba umboneleli wakho akahambisi ulwazi ngale ndlela, kunokwenzeka ukuba uphinde uluqokelele ulwazi malunga nolindelo oluqinisekileyo.
2. Gxila kwizibonelelo. Phinda ujonge ukujonga kwakho kwizibonelelo zonyango okanye kunyango kunokuba neziphumo ebezingalindelekanga ezinokubakho. Sebenzisa amandla akho ukucinga ngezinto ezintle zeyeza kunokunciphisa umngcipheko wokuphendula ngocebo, utshilo uGqirha Aragona.
3. Yenza isicwangciso. Ababoneleli banokufundisa abaguli malunga neziphumo ebezingalindelekanga ezinokubakho kwaye baxhobise abaguli ngesicwangciso sokujongana neziphumo ebezingalindelekanga kunye nokwazisa umboneleli, ucacisa uGqirha Weed. Ukwazi ukuba unesicwangciso sokujongana nesiphumo esibi kunye nejelo lokunxibelelana nomboneleli wakho wezempilo kungalunciphisa uxinzelelo olubangela izehlo zecebo.
4. Bonisa ukhathalelo. Ababoneleli banokuphuhlisa iinkqubo kunye nezakhono zokubonisa ukhathalelo lwabo kwizigulana zabo, kubandakanya nokuchitha ixesha elaneleyo nabo. Xa kunokwenzeka, khetha ugqirha oziva ukuba ukukhathalele kunye nentlalo-ntle yakho kwaye ngubani onakho ukumamela izinto ezikuxhalabisayo.
5. Nyaniseka. Iingcali kufuneka zenze umthambo Imeko yolwazi enolwazi , ethathela ingqalelo iziphumo ebezingalindelekanga ezinokwenzeka, isigulana siyanyangwa, kunye noxilongo oluthile oluchaphazelekayo, ngokukaTed J. Kaptchuk, BA, unjingalwazi kwezamayeza eHarvard KwiSikolo sezoNyango.

Ukuba unenkxalabo ethile okanye uloyiko malunga nefuthe elinokubakho, thembeka kumboneleli wakho wezempilo okanye usokhemesti. Iingcali zokhathalelo lwempilo zinokuchaza ukuba kungenzeka njani . Ukwazi umngcipheko wakho kuncinci, kwaye kufuneka wenze ntoni xa ufumene amava, kunokunceda ekuthinteleni isiphumo secebo. Xa konke okunye kusilele, cinga iingcinga ezintle.