Mwachidule
Abulia, yemwe amadziwikanso kuti aboulia, ndi chikhalidwe chochepa. Kawirikawiri, abulia amatanthauza mtundu wosasamala umene umayamba chifukwa cha matenda, makamaka matenda omwe amakhudza ubongo. Anthu ena omwe ali ndi ablia amadziwa kuti kusintha kumakhala kovuta, koma makamaka kukuwoneka ndi kukwiyitsa abwenzi ndi okondedwa awo.
Munthu amene akukumana ndi Abulia angasonyeze zizindikiro zomwe zimachokera kuzinthu zowoneka mozama, ndipo mutism (osati kuyankhula) ndiyo mawonekedwe opambana kwambiri. Abulia kawirikawiri amagwirizanitsidwa ndi matenda a mitsempha kapena matenda a maganizo. Akuti pafupifupi 20-30% mwa opulumuka pa sitiroko amakhala osasamala kapena abulia.
Mukathetsa zotsatirapo mwadzidzidzi, monga stroke, zikhoza kuonekera pakapita nthawi kapena pambuyo pochira. Mukathetsa zotsatira za matenda opitirira, monga matenda a Alzheimer kapena matenda a Parkinson, izi zikhoza kuwonjezereka pakapita nthawi.
Zizindikiro
Pali zizindikiro zambiri za abulia.
Zizindikiro zapadera zingakhale ndi zotsatirazi:
- Kusayanjanitsika - kusowa chidwi kapena cholinga chothandizira zinthu kapena kulowa nawo ntchito. Osakondwera kwambiri kuti zinthu zichitike. Kuvuta kuyambitsa kapena kukwaniritsa mapulojekiti kapena ntchito zofunika.
- Kusakondwera mu zinthu zomwe zikuchitika kapena mukuchita nawo zochitika kapena zochitika.
- Kusiya
- Kupanda malingaliro kapena kusowa kwa malingaliro pa zokonda
- Kusagwirizana ndi anthu ena - kusowa chidwi kwa anthu ena, kusowa mgwirizano ndi ena, kulankhulana kochepa ndi ena, kupeŵa ena
- Wokhala chete kapena wosagwirizana
- Kuthamanga kwapang'onopang'ono
- Kusasamala
- Kusokonezeka maganizo
- Zovuta pakupanga zisankho kapena zolinga, kusaweruzika
- Kufunafuna chakudya kwa nthawi yaitali popanda kumeza
Zimayambitsa
Kuwonongeka kwa ubongo kapena matenda a dementia kungalepheretse kugwira bwino ntchito mu ubongo, zomwe zimabweretsa abulia. Kuwonongeka kwa maulendo a mitsempha ya lobes loyambirira ya ubongo lomwe limakhudza dongosolo la dopaminergic, likuganiza kuti ndilo chifukwa cha abulia. Dopaminergic dongosolo limafotokoza dongosolo la mankhwala omwe amapangidwa mu ubongo omwe amapereka malingaliro abwino a chimwemwe ndi kukhutira. Choncho, n'zotheka kuti ngati ndemanga yabwino imasokonezeka, palibe cholimbikitsani kuyesera kupeza zinthu zomwe zimapangitsa munthu kukhala wosangalala.
Anthu ambiri omwe amawona ndi kusonyeza zizindikiro za abulia adakumana ndi izi:
- Sitiroko
- Matenda a Huntington
- Schizophrenia
- Kuchokera kuvulala kwa ubongo- kuchokera ku zoopsa, khansa kapena matenda
- Matenda a Alzheimer
- Matenda ovutika maganizo
- Lewy thupi la maganizo
- Matenda a Parkinson
- Kuthamangitsidwa kwaumtima kwapakatikati
Kusiyana Kuchokera ku Kusokonezeka Maganizo
Pamene akugawana zina zomwe zimagwirizana, abulia ndi kuvutika maganizo sikuli zofanana. Abulia ali ndi matenda ovutika maganizo chifukwa anthu omwe amakhala ndi abambo samasonyeza zizindikiro zachisoni kapena maganizo oipa. Mmalo mwake, iwo amasonyeza kusadera nkhaŵa za chikhalidwe chawo kapena za dziko lozungulira iwo.
Kukhazikitsa kusiyana pakati pa zinthu ziwirizi ndi kupeza chidziwitso choyenera ndikofunikira chifukwa abulia sakhala ndi mankhwala opatsirana pogonana, pomwe anthu omwe akuvutika maganizo nthawi zambiri amayembekeza kuti azitha kusintha matenda omwe ali ndi vutoli.
Kudziwa
Mwinamwake mukudabwa ngati muli ndi aberi kapena kupsinjika maganizo kapena ngati mnzanu, mnzanu kapena mnzanuyo wakhudzidwa kapena akuvutika maganizo. Muyenera kuyamba mwachipatala kuti zizindikiro ndi zizindikiro zitha kuwerengedwa bwinobwino.
Kupezeka kwa abulia kungatenge nthawi. Abulia amapezeka mwa mbiri yakale ya zachipatala yomwe imamveketsa momwe akumvera ndi zochita za munthu yemwe angakhale ndi mbiri, komanso mbiri ya zochitika zomwe abwenzi ndi okondedwa ake amawona.
Dokotala wanu akhoza kufunsa mafunso ena ndikupanga zochitika zachipatala pa ulendo wa ofesi. Nthaŵi zina za abulia, kujambula zojambula ndi ubongo wa ubongo kapena ubongo wa MRI kungasonyeze zilonda za ubongo zomwe zimakhalapo monga stroke, chimodzi mwa zifukwa zazikulu za abulia.
Chithandizo
Pali mankhwala ena othandizira kuchipatala ndi kasamalidwe ka abulia. Mankhwala omwe ali ndi mphamvu pa thupi la dopaminergic system, lomwe limasokonezeka mu abulia, lawonetsa zotsatira zabwino zokhudzana ndi zizindikiro zowona za abulia.
Kukonzekera maganizo kumathandiza kuthetsa luso la kulingalira, lomwe lingasinthe abulia. Thandizo la thupi lingakuthandizeni pakuchita masewera olimbitsa thupi, mwinamwake kuwonjezereka kwa anthu omwe ali ndi vutoli. Kupereka uphungu ndi uphungu wa banja kungathandize kukambirana ndi kuthandizira kuthana ndi abulia.
> Zotsatira:
> Opanda chidwi pambuyo pa kupwetekedwa, Jorge RE, Starkstein SE, Robinson RG. Kodi J Psychiatry. 2010 Jun; 55 (6): 350-4
Kusinthidwa ndi Heidi Moawad MD