De de we yu gɛt bɔku bɔku wok fɔ du, bɔt i jɔs tan lɛk se yu nɔ ebul fɔ bigin. Ɔ sɔntɛm yu go si se yu de rɔn rawnd, yu nɔ ebul fɔ pe atɛnshɔn, ɛn ivin smɔl smɔl tin dɛn de ambɔg yu. Yu go de wɔnda se, "Wetin mek dis de apin to mi? A les?" If yu dɔn gɛt dɛn sem kayn tin ya, dis tɔpik we wi de tɔk bɔt tide go rili impɔtant to yu. Lɛ wi tɔk bɔt Executive Dysfunction.
Wetin na Ɛgzibit Disfɔkshɔn?
Fɔ tɔk am simpul wan, Executive Dysfunction nɔto sik. Na wan sayn we de sho se i gɛt di sik. Na prɔblɛm wit di we aw wi de biev we sɔm pan di tin dɛn we wi bren de du nɔ de wok fayn. Dis kin mek wi nɔ ebul fɔ kɔntrol di tin dɛn we wi de tink, di we aw wi de fil, ɛn di tin dɛn we wi de du.
Tink bɔt di CEO we de na ɔfis. Na in de kɔntrol di wan ol kɔmni, mek plan, sheb wok, ɛn sɔlv prɔblɛm dɛn. Wi bren tan lɛk dat. wan big kכntrol sistεm de lεk dis na di fכnt lכb na di bren. Wi kin kɔl dis ‘ɛgzibit fɛnshɔn’ ɔ Ɛgzibit Fɔnkshɔn. We dis sistɛm wik, Ɛgzibit Disfɔkshɔn kin apin.
Wetin na di ‘Executive Functions’ na wi bren?
If wi ɔndastand dɛn Ɛgzibit Fɔnkshɔn ya fayn fayn wan, i rili izi fɔ ɔndastand wetin na Ɛgzibit Disfɔkshɔn. Dɛn kin sheb dɛn wok ya mɔ to tri pat.
| Wok | Fɔ tɔk am simpul wan... |
|---|---|
| Mɛmori we De Wok | Dis tan lɛk di tɛmporari mɛmori (RAM) we de na wi bren. I de ɛp wi fɔ mɛmba di tin dɛn we wi nid we wi de du sɔntin. Fɔ ɛgzampul, we wi mɛmba wan fon nɔmba we pɔsin gi wi te wi dayl am. |
| Fɔ Flɛksibiliti fɔ Kɔgnitiv | Dis de tɔk bɔt di ebul we pɔsin kin ebul fɔ chenj frɔm wan tɔpik to ɔda tɔpik izi wan, frɔm wan wok to ɔda wan. Imajin aw dis abiliti valyu we yu gɛt fɔ ajɔst to sɔntin we de chenj wantɛm wantɛm. Pipul dɛn we gɛt bɔku pan dis abiliti kin rili ebul fɔ mek tin dɛn. |
| Impuls Kɔntrol (Inhibishɔn Kɔntrol) . | Dis na wi bren in ‘brek’ sistem. I de ɛp wi fɔ kɔntrol di tin dɛn we wi de tink bɔt, di tin dɛn we wi nɔ want, ɛn di tin dɛn we wi de du. I gɛt tu pat: Bihayvya Kɔntrol - nɔ fɔ du sɔntin we wi nɔ fɔ du (e.g. nɔ fɔ tɔk bad wɔd we wi vɛks) ɛn Intafɛreshɔn Kɔntrol - fɔ pe atɛnshɔn to di wok we wi de du, fɔ nɔ pe atɛnshɔn to di nɔys ɛn tin dɛn we wi nɔ want we de arawnd wi. |
Dɛn men wok ya de bays pan ay levul wok dɛn, lɛk fɔ plan , fɔ tink gud wan, ɛn fɔ sɔlv prɔblɛm . Ɔl dɛn tin ya impɔtant fɔ wi ɛvride layf.
Aw pɔrsin wae gɛt Executive Dysfunction kin fil?
Bikɔs dɛn Ɛgzibit Fɔnkshɔn ya gɛt fɔ du wit bɔku tin, di kɔndishɔn we dɛn kɔl Executive Dysfunction kin afɛkt yu bɔku difrɛn we dɛn. Yu kin dɔn gɛt wan ɔr mɔr pan dɛn sik ya.
| Ficha/Prɔblɛm | Wan smɔl ɛgzampul |
|---|---|
| I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu | Ivin di smɔl smɔl tin dɛn kin ambɔg yu. We yu de lisin to stori, na mitin, ɔ na klas, yu maynd de waka waka (de drim). |
| I nɔ izi fɔ bigin ɛn plan di wok | A nɔ ivin fil fɔ bigin wok bikɔs a nɔ ebul fɔ imajin aw i go tan we i dɔn. A nɔ ebul fɔ briŋ misɛf fɔ bigin wok we a tink se at ɛn boring. |
| Intarapshɔn ɛn fɔgɛt | We yu bizi, ɔda tin kin ambɔg yu ɛn fɔgɛt wetin yu bin de du. Imajin se yu go na frij fɔ drink wata wit yu ki dɛn na yu an, lɛf di ki insay di frij ɛn fɔgɛt am. |
| Impuls kɔntrol prɔblɛm dɛn | Pan ɔl we yu de tink bɔt fɔ it, yu kin it wan kek wantɛm wantɛm. Yu jɔs de tɔk ɛnitin we kam na yu maynd, ɛn yu nɔ de tink if i go mek di ɔda pɔsin fil bad. |
| I nɔ izi fɔ ɛksplen wetin pɔsin de tink | Ivin if yu ɔndastand wetin de na yu ed gud gud wan, i nɔ kin izi fɔ put am na wɔd ɛn ɛksplen am klia wan to ɔda pɔsin. |
Wetin go dɔn de mek dis apin?
Di masta sabi pipul dɛm stil nɔr rili shɔ wetin kin mek di ɛgzibit nɔr de wok fayn, bɔt dɛn dɔn si se i gɛt fɔ du wit sɔm kayn maynd ɛn nyurolɔjik kɔndishɔn dɛm.
Di kɔndishɔn dɛn we pɔsin kin gɛt na in maynd
- Atɛnshɔn Dɛfisit Haypa Aktiviti Disɔda (ADHD) .
- Pwɛl at
- Obsesiv-Kɔmpulsiv Disɔda (OCD) .
- Ɔtizm Spɛktrum Disɔda
- Drug ɛn rɔm adikshɔn Skizofrenia sik we dɛn kɔl skizofrenia
Bren damej ɛn sik dɛn
- Injuri na di ed (e.g. Kɔnkyushɔn, Traumatik Bren Injuri - TBI) .
- Strok
- Dimɛnshɔn ɛn Alzaima sik
- Bren kansa
- Damej we de kam bikɔs ɔksijɛn nɔ de na di bren (Cerebral hypoxia) .
- Infεkshכn dεm na di bren lεk mεningayt
- Mɔltipɛl Sklɛrosis (MS) .
Yu tink se tritmɛnt de fɔ dis?
Yɛs, na fɔ tru. Mɛmba se, wi nɔ de trit di sayn fɔ Executive Dysfunction ya, bɔt di ɔndalayn kɔz . So, if yu de gɛt dɛn sik ya, di bɛst tin fɔ du na fɔ go to yu dɔktɔ .
Di tritmɛnt we dɛn kin pik kin difrɛn difrɛn wan bay aw yu sik, yu wɛl bɔdi istri, ɛn wetin yu lɛk. Tu men tritmɛnt dɛn de we yu kin gɛt:
1. Mɛrɛsin: Yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu gɛt prɔblɛm lɛk ADHD ɛn mɛrɛsin fɔ mek yu gɛt pwɛl hat. Dɛn fɔ tek dɛn tin ya ɔnda dɔktɔ advays nɔmɔ .
2. Saykotɛrapi: Di tritmɛnt we dɛn kin yuz mɔ fɔ dis na Kɔgnitiv Biɛvhɔral Tɛrapi (CBT) . Dis kin ɛp yu fɔ kɔntrol dɛn prɔblɛm ya bay we yu de chenj di we aw yu de tink ɛn di we aw yu de biev.
Yu tink se Executive Dysfunction ɛn Procrastination na di sem tin?
Dis na sɔntin we bɔku pipul dɛn kin kɔnfyus. Dɛn tu tin ya rili difrɛn. Les na we wi kɔnshɛns fɔ put ɔf fɔ du sɔntin. Na tin we pɔsin kin disayd fɔ du.
Bɔt, Executive Dysfunction nɔto les ɔ nɔ gɛt intres. Na wan sik wae nɔr kin izi fɔ kɔntrol wae kin kam bikɔs di bren kin chenj. So, fɔ tɛl pɔsin lɛk dis se, "Nɔ les, go du sɔntin," nɔ go ɛp.
Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?
E tranga fɔ mek yu nɔr gɛt ɛgzibit disfɔkshɔn wae kin kam wit mɛntɛl hεlth kɔndishɔn. Bɔt tin dɛn de we wi kin du fɔ mek wi nɔ gɛt bɔku prɔblɛm wit wi bren:
- Wear sefty ikwipmɛnt: Wear ɛlmɛt we yu de rayd baysikul ɔ motoka. Wear sit bɛlt we yu de drayv motoka. Dɛn tin ya kin mek bɔku pipul dɛn nɔ wund na dɛn ed.
- Nɔ ignore infɛkshɔn: Luk fɔ tritmɛnt kwik kwik wan fɔ infɛkshɔn na yu yes ɔ yay. Dɛn infɛkshɔn ya kin denja if dɛn prɛd to di bren.
- It fayn it ɛn mek yu gɛt wɛl bɔdi: Dis kin mek yu nɔ gɛt sik dɛn lɛk strok.
- Protɛkt yusɛf frɔm pɔyzin gas dɛm: If yu gɛt pɔyzin gas dɛm lɛk kabon monoksayd kin mek yu bren pwɛl. If yu tink se yu dɔn gɛt pɔyzin, go to dɔktɔ wantɛm wantɛm. If nid de, yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays.
Liv wit Executive Dysfunction kin bi wan chalenj. To pɔsin we de na do, yu kin tan lɛk pɔsin we nɔ de wɔri bɔt sɔntin ɛn we les. Bɔt yu no dis strɛch gud gud wan. Nɔto yu wan de. Fɔ tɔk to yu dɔktɔ bɔt am na di fɔs ɛn impɔtant tin fɔ mɛn dis prɔblɛm. If dɛn gɛt di rayt sɔpɔt ɛn tritmɛnt, bɔku pipul dɛn dɔn ebul fɔ ridyus di impak we dɛn sik ya kin gɛt ɛn liv fayn layf.
Mɛsej we dɛn kin kɛr go na os
- Executive dysfunction nɔto les ɔ nɔ gɛt intres. Na rial tin we kin kam bikɔs di bren kin chenj.
- Dis kin bi sayn fɔ ɔda ɔndalayn kɔndishɔn, lɛk ADHD, pwɛl hat, ɔr bren we dɔn pwɛl.
- Dis kin afɛkt di abiliti dɛm lɛk fɔ plan, fɔ pe atɛnshɔn, fɔ kɔntrol aw yu de fil, ɛn fɔ sɔlv prɔblɛm.
- If yu de sɔfa wit dɛn prɔblɛm ya, di bɛst tin fɔ du naSi yu dɔktɔ ɛn tɔk bɔt am.
- εgzibit disfכnkshכn kin bi sכmtεm mεnεj bay we dεn trit di כndalayn kכz.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Propafenone (Propafenone / Rythmol) tablet na wan rili pawaful mɛrɛsin we dɛn kin yuz fɔ us sik?
Dis nɔto ɔdinari blɔd prɛshɔn pil! Na pawaful Klas 1C Antiarrhythmic drɔg we dɔktɔ dɛn kin yuz fɔ mek di at kam bak to ‘nɔmal ritm’ we di pɔsin in ɔpa chɛmba dɛn bit wantɛm wantɛm abnɔmal/fast we kin mek i day (Atrial Fibrillation / PSVT)!
💬 We di at de bit lɛk krayzi, aw yu go nɔmal di at ritm bay we yu gi dis mɛrɛsin (Propafenone)?
Di at de bit fast bikɔs ilɛktrik signal dɛn de rɔn insay di at we nɔ gɛt kɔntrol! fכ di fכs bit, di ‘Sכdiכm’ patikyula dεm nid fכ kam insay fכ chaj di at in ilektrikal sεl dεm. we dis pil go insay di at, כl di get dεm we de alaw sכdiכm fכ kam insay dεn de blכk/klos 100% (bכku bכku wan). biכs sכdiכm de kam insay sloslo (Prolongs conduction phase 0), i de tek lכng tεm fכ di ilektrikal sεl dεm fכ chaj. Dɔn di at nɔ kin ebul fɔ bit fast ɛn wantɛm wantɛm di at kin kam bak to in nɔmal ritm lɛk se i sɔprayz.
💬 Wetin na di ‘Blak Bɔks Wɔnin’ we pipul dɛn we de tek dis mɛrɛsin (Rythmol) fɔ no bɔt?
Dat na di big denja ɛn day! Dis na bikɔs i de mek wan ritm na di at, ɛn if yu dɔn gɛt ‘at atak’ bifo (MI/Structural heart disease), afta yu tek dis pil, wan ‘nyu deadly hat ritm (Proarrhythmic effect)’ kin apin ɛn di pɔsin kin day wantɛm wantɛm/go insay kadyak arest! Na dat mek dɔktɔ dɛn kin tek tɛm gi dis mɛrɛsin.
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