Kodi Abulia ndi Chiyani?
Zamkati
- Chidule
- Zizindikiro za abulia
- Zomwe zimayambitsa abulia
- Kuzindikira abulia
- Kuchiza abulia
- Zinthu zogwirizana ndi abulia
- Maganizo ake ndi otani?
Chidule
Abulia ndi matenda omwe nthawi zambiri amapezeka pambuyo povulala kudera kapena malo amubongo. Zimakhudzana ndi zotupa zaubongo.
Ngakhale abulia imatha kukhalapo yokha, nthawi zambiri imapezeka limodzi ndi zovuta zina. Matendawa atha kukhala amanjenje kapena amisala mwachilengedwe.
Abulia ndiwomwe sazindikira kwenikweni ndipo amadziwika kuti ndi wopanda chidwi. Izi zitha kubweretsa kusowa kolimbikitsira, ndipo ambiri omwe ali ndi abulia amalimbana ndi zofuna, kufuna, kapena kuyendetsa.
Omwe ali ndi abulia sakhala ndi chilimbikitso chochepa ngakhale atakhala athanzi, ozindikira, komanso ozindikira. Wina yemwe ali ndi abulia amakhala ndi zokhumba, koma atha kuvutika kuti achite zofunikira kukwaniritsa zolinga zomwe akufuna.
Abulia ndi wamba koma nthawi zambiri amasokonezeka ndi zina zokhudzana ndi ubongo. Pali zotheka kulandira chithandizo, koma ndikofunikira kuti vutoli lipezedwe moyenera kuti alandire chithandizo.
Ngakhale kufunikira kwakupezeka, matendawa sanazindikiridwe kawirikawiri. Komabe, m'zaka zaposachedwa, zokambirana ndi kafukufuku wokhudzana ndi matenda a abulia zawonjezeka.
Zizindikiro za abulia
Munthu yemwe ali ndi chiberekero amakhala ndi zizindikilo zomwe zimaphatikizapo kusintha kwamalingaliro ndi machitidwe. Vutoli silimachitika chifukwa cha kuchepa kwa chidziwitso, chidwi, kapena kuchuluka kwa chilankhulo.
Zizindikiro zimatha kuphatikiza:
- kutaya zokolola, khama, ndi kuchitapo kanthu
- mphwayi yamalingaliro
- kusowa mapulani ndi zolinga
- kuchepa kapena kusalankhula kapena kuchitapo kanthu
- kusowa kwamayankho pamalingaliro azofunikira pamoyo
- malingaliro ocheperako zolinga
- kuchepa kwachisangalalo
- kusasamala
- kusokonezedwa mosavuta
Omwe ali ndi abulia amatha kufotokozera zolinga, zokonda, kapena mapulani omwe ali nawo. Komabe, nthawi zambiri amachita izi mopepuka komanso kwakanthawi kochepa, kuwonetsa zizindikilo zoyambirira zakusalabadira.
Nthawi zochepa za abulia ndizofala kuposa zovuta. Nthawi zambiri zimafala kwambiri kwa okalamba omwe ali ndi vuto la kusokonezeka kwa malingaliro, zovuta zamitsempha, ndi zina. Abulia nthawi zambiri amawoneka ngati chizindikiro mkati mwazovuta zamankhwala.
Kafufuzidwe kafukufuku amafunikira pokhudzana ndi kuzindikira ndi kuyang'anira abulia mwa okalamba. Izi ndizofunikira chifukwa zimawoneka limodzi ndi matenda ambiri komanso zovuta zokhudzana ndi ukalamba.
Zomwe zimayambitsa abulia
Abulia nthawi zambiri amayamba chifukwa chovulala muubongo. Kuvulala kumeneku kumawoneka makamaka ngati zilonda zaubongo.
Chilimbikitso chimayambitsidwa ndi zinthu zachilengedwe zomwe zimatulutsa ma neuron. Pamene mbali za ubongo zawonongeka, ma sign a neuron awa sagwira ntchito moyenera. Izi zimapangitsa kuti ubongo ulephera kulembetsa mphotho. Kuyankha kwamphwayi kumatsatira.
Malo omwe ubongo umakhudzidwa kwambiri ndi awa:
- koyambira ganglia
- lobes kutsogolo
- gyrus
- phokoso lokhazikika
- globus pallidus
Pali zomwe zikusonyeza kuti kukanika kumatha kuchitika m'malo akunja kwa chotupacho. Maderawa amalumikizidwa ndi, koma kunja kwa, ubongo wovuta.
Ngakhale zili choncho pali ma neurotransmitter opitilira umodzi omwe akukhudzidwa, kafukufuku wambiri aganizira za gawo la dopamine pamankhwala abulia.
Kafukufuku wina wazinyama adapeza kuti kuwonongeka kwa mabwalo a dopaminergic okhudzana ndi mphwayi. Ochita kafukufuku amaganiza kuti njirazi ndizomwe zimatipangitsa kuti titengeke ndikuchitapo kanthu.
Palinso zinthu zina zachuma, zachilengedwe, komanso zachilengedwe zomwe zingakhudze kuyendetsa. Zinthu izi zingayambitse mphwayi. Sakuyenera kusokonezedwa ndi kupezeka kwa abulia.
Kuzindikira abulia
Abulia atha kukhala wofala kwambiri kuposa momwe amaganizira, chifukwa nthawi zambiri samadziwika bwino, nthawi zambiri amasokonezeka ndi matenda ena kapena zovuta zina. Izi zitha kupangitsa kuti anthu asalandire chithandizo kwakanthawi.
Vutoli nthawi zambiri limasokonezedwa ndi:
- kukhumudwa
- aphasia
- matenda amisala
Ndikofunika pantchito yozindikira matenda kuti tithetse mikhalidwe yomwe imatha kubweretsa mphwayi ngati chizindikiro. Zotsatira zake, madokotala nthawi zambiri amayesa mayeso amisala ndi m'maganizo pomwe kusowa chidwi kumafunikira kusiyanitsa.
Pakafukufuku wina ku madotolo aku Britain pankhani yakusachita chidwi ndi okalamba, ochepera 50 peresenti amakhulupirira Abulia anali wosiyana ndi kukhumudwa.
Abulia alidi wodziwika ndi matenda am'mimba. Zachisoni kapena malingaliro olakwika sanatchulidwe chifukwa cha abulia.
Dokotala wanu atha kuyitanitsa fcMRI yopuma. Kuyesaku kumakhudza kupita ku MRI osapemphedwa kuti achite ntchito zina zomwe zili ndi mapu aubongo. Mitundu ina yamaganizidwe aubongo monga ma scans a CT amathanso kuthandizira kuzindikira zomwe zili ndi abulia.
Kuchiza abulia
Dokotala ayenera kuzindikira abulia koyambirira kuti athe kukuthandizani kuzindikira njira zabwino kwambiri zothandizira.
Njira zochiritsira pano zikuphatikiza bromocriptine, zomwe zatsimikiziridwa kuti ndizothandiza pochepetsa mphwayi.
Mankhwalawa nthawi zambiri amaperekedwa muyezo wochepa ndi kuwonjezeka kocheperako kwakanthawi. Muyenera kuyang'aniridwa ndi dokotala wanu mukamamwa bromocriptine, chifukwa cha zovuta zoyipa, kuphatikiza:
- Kusinza
- adatsitsa kuthamanga kwa magazi
- kuwonjezeka kwamakhalidwe okakamiza
M'maphunziro angapo, L-dopa adayesedwa ngati njira yothandizira. Kafukufukuyu adapeza kuti a L-dopa adakwanitsa kuthana ndi vuto lalikulu la abulia, koma zovuta zamankhwalawa sizinakhalitse.
Mankhwala a Dopamine amatha kukhala othandiza, koma chifukwa chosowa umboni, sagwiritsidwa ntchito kawirikawiri. Mankhwalawa amakhalanso ndi mndandanda wazovuta zomwe zimaphatikizaponso kutha kwamatsenga kwa anthu omwe adakumana ndi zovuta zam'mbuyomu.
Amphetamines awonetsedwa kuti amachulukitsa machitidwe ofuna chidwi mu makoswe. Kafukufuku waumunthu wogwiritsa ntchito mankhwalawa nthawi ya abulia akufunikiranso kufufuzidwa.
Zinthu zogwirizana ndi abulia
Abulia adawonedwa mogwirizana ndi:
- Huntington's
- Matenda a Alzheimer's
- matenda amisala
- Lewy kudwala thupi
- Matenda a Parkinson
- sitiroko
Maganizo ake ndi otani?
Abulia ndi vuto lomwe lingakhudze moyo wanu. Kukhazikitsa zovuta zomwe zingagwirizane ndi abulia ndikofunikira. Izi zithandizira dokotala wanu kuzindikira njira yabwino kwambiri yothandizira inu.
Ndikofunika kufunafuna chithandizo cha zamankhwala ngati inu kapena wokondedwa wanu akukumana ndi mphwayi kapena zizindikiro zina zomwe zatchulidwa pamwambapa. Ngati muli ndi nkhawa ndi abulia, onetsetsani kuti mumatchula dokotala wanu, monga ena sangadziwe matendawa.