E noʻonoʻo i kou makuahine, kou makuakāne, a i ʻole kekahi mea kokoke loa iā ʻoe. Ke lilo koke nei kekahi mea i hana nui a hoihoi i nā mea āpau i ka hana ʻole a me ka hoihoi ʻole i ka hana ʻana i kekahi mea? ʻAʻole anei e hōʻike hou ana ko lākou helehelena i nā manaʻo like me ma mua, e like me ka ʻakaʻaka, ka hauʻoli, a i ʻole ke kaumaha? Hoʻokuʻu pinepine mākou i kēia me he "luhi." Eia nō naʻe, hiki ke lilo i hōʻailona o kahi maʻi olakino i kapa ʻia ʻo apathy.
He aha maoli ka apathy?
I ka ʻōlelo maʻalahi, kapa nā kauka i ka "apathy" he nalowale o ka hoihoi a me ka hoʻoikaika e hana i kekahi mea, me ka nānā ʻole i ke ʻano ma mua o ke kanaka. Hoʻokomo pū ia i nā mea e like me ka makemake ʻole e hoʻomaka i kekahi mea ma kāu iho, ʻaʻole hoihoi i kekahi mea, a me ka hōʻike ʻole ʻana i nā manaʻo.
ʻO ka mea nui, ʻaʻole kēia he palaualelo a i ʻole kekahi mea i manaʻo ʻia. ʻO ka apathy kahi mea hiki ʻole i ke kanaka ke kāohi, a ʻike pinepine ʻia ma ke ʻano he hōʻailona o kahi maʻi e pili ana i ka ʻōnaehana nerve.
I ke kamaʻilio maʻamau, hoʻohana mākou i ka huaʻōlelo apathy e pili ana i kahi mea i hoʻomaopopo ʻole i ka ʻeha a i ʻole nā manaʻo o haʻi. Akā i ka lāʻau lapaʻau, he mea ākea loa ia. He kūlana ia o ka nalowale ʻana o nā hoihoi a me nā manaʻo āpau ʻaʻole wale no nā poʻe ʻē aʻe, akā no ʻoe iho a no nā mea a kekahi i aloha ai. Manaʻo kekahi poʻe loea he hōʻiliʻili o nā hōʻailona, a i ʻole he `syndrome`.
He aha nā hōʻailona o ka apathy?
Inā kānalua ʻoe he mea hoʻowahāwahā paha kekahi kokoke iā ʻoe, e makaʻala i kēia mau hōʻailona. Hiki iā ʻoe ke ʻike pū i hoʻokahi a ʻoi aku paha o kēia mau mea.
| Hōʻailona | Wehewehena |
|---|---|
| Ka haʻalele ʻana mai ka hana, nā leʻaleʻa, a me nā pilina pilikanaka | Neʻe mālie ʻoe mai nā mea āu i hauʻoli ai, e like me ka hana, nā hana hale, a me ke kamaʻilio ʻana me nā hoaaloha. Eia nō naʻe, inā koi kekahi iā ʻoe e hui pū me lākou, ma ke kamaʻilio ʻana a i ʻole ma ke kamaʻilio ʻana, e ʻike ʻia paha ʻoe he hauʻoli i kēlā manawa. |
| ʻAʻole kuleana no nā ʻokoʻa ponoʻī | ʻAʻohe ona kaumaha, kuleana, a hopohopo paha no ka hana ʻole ʻana i nā mea āna i hauʻoli ai. ʻO kona ʻohana a me nā mea aloha ka poʻe e ʻike nui a e kanikau nei i kēia loli. |
| Ke hilinaʻi nei i nā poʻe ʻē aʻe no nā hana o kēlā me kēia lā | ʻAʻole kēia no ka mea ʻaʻole hiki iā ʻoe ke hana i ka hana ma ke kino a i ʻole ka noʻonoʻo. No ka mea, ʻaʻohe ou manaʻo e hana i nā hana maʻalahi e like me ka palaki ʻana i kou mau niho a i ʻole ka uku ʻana i nā bila. |
| Ka Hoʻopau ʻana i ka Manaʻo | Ua emi nui ka hiki ke hōʻike i nā manaʻo maikaʻi a me nā manaʻo maikaʻi ʻole, e like me ka hauʻoli, ke kaumaha, a me ka huhū, ma o nā helehelena a me nā ʻōlelo. Me he mea lā ua lilo nā manaʻo i mea palupalu a hiki i kahi e ʻike ʻole ai lākou i kekahi mea. |
Ua like anei ka Apathy me ke kaumaha?
He mea kēia e huikau ai ka poʻe he nui. ʻOiai ke ʻano like o ka hoʻowahāwahā me ke kaumaha, aia kahi ʻokoʻa maopopo ma waena o nā mea ʻelua.
- ʻO ke kaumaha nui e hōʻike ʻia e ke kaumaha mau, ka hopohopo, a me ka hoʻonāukiuki me ke ola.
- I ka hoʻokamani ʻole, ʻaʻohe mea kaumaha a hopohopo paha. He manaʻo wale nō o ka ʻole, nele i ka manaʻo a me ka hoihoi.
Akā pono ʻoe e hoʻomanaʻo i kēia, hiki i ke kanaka ke loaʻa i kēia mau kūlana ʻelua i ka manawa like.
He aha nā kumu nui o ka apathy?
Ua ʻike nā kānaka noiʻi ua hōʻino ʻia kekahi mau ʻāpana o ko kākou lolo no ka hoʻowahāwahā. ʻO ke kikoʻī, ua hōʻino ʻia nā ʻāpana o ka lolo e kāohi ana i ka ʻoluʻolu a me ka hoʻoikaika e hana i kekahi mea. ʻO kēia mau ʻāpana:
- Lobe mua (lobe mua)
- ʻO kahi ʻāpana e kōkua ai i ka noʻonoʻo a me ka kaohi neʻe ʻana (ʻO ka Dorsal anterior cingulate cortex)
- He ʻāpana koʻikoʻi no ka nohona pili kanaka (`Ventral striatum`)
Hoʻi pinepine ʻia kēia mau maʻi ma muli o kekahi mau maʻi.
Nā Kūlana Neurodegenerative
ʻO ka apathy kekahi hōʻailona koʻikoʻi o nā maʻi e hoʻonāwaliwali mālie i ka lolo i ka hala ʻana o ka manawa.
- ʻO ka maʻi o Alzheimer (AD): Ma kahi o 49% o nā maʻi o Alzheimer he apathy.
- ʻO ka maʻi o Parkinson (PD): Hiki ke loaʻa kēia ʻano ma kahi o 25% o ka poʻe i nā wā mua o ka maʻi o Parkinson, a hiki i ka 60% i ka wā e holomua ai ka maʻi.
- ʻO ka maʻi o Pick:He ʻano dementia nō hoʻi kēia. Hoʻopilikia ka apathy i kahi pakeneka kiʻekiʻe loa o kēia mau maʻi, mai 54% a 96%.
Nā maʻi a me nā kūlana ʻē aʻe o ka lolo
- Hahau
- ʻEha lolo traumatic
- Nā Tumors e kū mai ana ma kekahi mau ʻāpana o ka lolo
- Ka maʻi o Huntington
- Hiki ke hana ʻia ka apathy e kekahi mau maʻi ʻē aʻe, e like me ka vascular dementia.
Nā Kumu Noʻonoʻo
I kekahi manawa, i ka wā e kū ai i nā hanana koʻikoʻi (e like me nā pōʻino kūlohelohe, ke kaua), hiki ke loaʻa ka manaʻo ʻole ma ke ʻano he ala e pale ai i ka noʻonoʻo. Hiki i kēia ke lilo i ʻāpana o ka maʻi kaumaha post-traumatic (PTSD). Hiki ke ʻike ʻia me nā kūlana e like me ke kaumaha nui.
Aia kekahi lāʻau lapaʻau no ka apathy?
ʻAʻohe lāʻau lapaʻau kūikawā hoʻokahi no ka apathy. ʻO kēia no ka mea hiki ke kū mai ma ke ʻano he hōʻailona o kahi maʻi ʻē aʻe (e like me Alzheimer's), a kuhikuhi pinepine ʻia ka lāʻau lapaʻau i ka maʻi kumu.
Eia nō naʻe, ua hōʻike ʻia nā haʻawina e hiki i kekahi mau lāʻau lapaʻau ke kāohi i kēia ʻano i kekahi ʻano.
- Nā mea hoʻopale Cholinesterase: Hiki i nā lāʻau lapaʻau e like me 'donepezil' a me 'galantamine' ke kōkua i ka hōʻemi ʻana i ka apathy i nā poʻe maʻi Alzheimer.
- Nā mea hoʻonāukiuki (Psychostimulants): Ua hōʻike ʻia nā mea hoʻonāukiuki e like me ka methylphenidate (ka mea i loaʻa ma Ritalin) he mau hopena maikaʻi i ka apathy i ka poʻe me nā maʻi e like me Alzheimer's a me Parkinson's.
- Nā Lāʻau Hoʻēmi i ka Manaʻo: Hiki i nā lāʻau lapaʻau e mālama ai i ke kaumaha ke kōkua i kekahi poʻe, ʻoiai inā loaʻa iā lākou ke kaumaha. Eia nō naʻe, hiki i kekahi mau ʻano lāʻau hoʻēmi i ka manaʻo ʻole ke hoʻonui i ka ʻino.
Pono e hoʻohana wale ʻia a kuhikuhi ʻia kekahi o kēia mau lāʻau lapaʻau e ke kauka kūpono. E nānā pono kāu kauka i ke kūlana o kāu mea aloha a hoʻoholo i ka lāʻau kūpono loa.
Eia kekahi, ke hana ʻia nei nā noiʻi ʻana i nā lāʻau lapaʻau hou e like me ka `transcranial magnetic stimulation (TMS)`.
Pehea lā e hiki ai iā kākou ma ke ʻano he ʻohana ke kōkua?
Ma waho aʻe o ka mālama ʻana i kahi kanaka me ka hoʻowahāwahā, he mea nui loa nō hoʻi ke kākoʻo a me ka hoʻomaopopo ʻana o nā ʻohana.
- E hoʻomaopopo i ke kūlana: ʻO ka mea mua, e hoʻomaopopo ʻaʻole kēia kona hewa, ʻaʻole hoʻi he palaualelo, akā he hōʻailona hiki ʻole iā ia ke kaohi.
- E hana mua: ʻOiai ʻaʻole makemake ʻo ia e hoʻomaka i ka hana ma kāna iho, pono ʻoe e hana mua a kamaʻilio me ia me ke aloha a paipai iā ia e hana i nā mea āna e makemake ai (e laʻa, e hele wāwae i loko o ka māla, e nānā i kahi album kiʻi kahiko, e hoʻolohe i kahi mele).
- E mālama i kahi hana maʻamau: E mālama i ka lā o kāu keiki i ke ʻano like me ka hiki. E hāʻawi kēia iā lākou i kahi manaʻo o ke kauoha a me ka palekana.
- E noʻonoʻo pū iā ʻoe iho: ʻO ka mālama ʻana i kahi mea me ka apathy hiki ke hoʻoluhi i ka noʻonoʻo. E mālama pū i kou olakino noʻonoʻo ponoʻī. Inā pono, e hui pū me kahi hui kākoʻo a i ʻole e ʻimi i ka ʻōlelo aʻo a kahi psychologist.
Āhea wau e ʻike ai i ke kauka?
Inā ʻike ʻoe i kekahi o nā loli i ke ʻano o kāu mea aloha, e like me nā mea i ʻōlelo ʻia ma luna (e.g., ʻaʻole hōʻike i nā manaʻo, nalowale o ka hoihoi), he mea nui loa ia e paipai iā ia e ʻike koke i ke kauka. Hiki i ka apathy ke lilo i hōʻailona mua o kahi maʻi lolo koʻikoʻi.
ʻO ke kanaka me ka hoʻowahāwahā, e kānalua paha e ʻike i ke kauka no ka mea ʻaʻole lākou e ʻike i kekahi mea hewa i kā lākou ʻano. I kēlā manawa, e kamaʻilio me lākou me ke aloha a me ka hoʻomaopopo ʻana a haʻi iā lākou e hele pū ʻoe i ke kauka me lākou inā pono. He mea hoʻoikaika nui kēlā.
Leka Lawe-Home
- ʻAʻole ka palaualelo a i ʻole kekahi mea i manaʻo ʻia ka apathy. He hōʻailona lapaʻau ia hiki ʻole ke kāohi ʻia.
- Hoʻopili pinepine ʻia kēia me nā maʻi o ka ʻōnaehana nerve e like me Alzheimer's, Parkinson's, a me ka hahau.
- ʻElua mau kūlana like ʻole ka apathy a me ke kaumaha, akā i kekahi manawa hiki i nā mea ʻelua ke noho pū.
- Inā loaʻa i kāu mea aloha kēia mau hōʻailona, e ʻike pono i ke kauka no ka hōʻoia a me ka mālama ʻana.
- He mea nui loa ka hoʻomaopopo ʻana, ke aloha, a me ke kākoʻo ʻana o nā ʻohana no kekahi e kū nei i kēia kūlana.
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