Sɔntɛm yu dɔn yɛri di wɔd lobotomy na fim ɔ buk. We yu yɛri am, i kin stil kam na yu maynd as sɔntin we de mek yu fred smɔl ɛn we strenj, nɔto so? Wetin na in rili? Wetin mek dɛn bin de du dis trade? Yu tink se dɛn stil de du am tide? Tide, wi go tɔk bɔt di ansa to ɔl dɛn kwɛstyɔn ya na yu maynd insay wan we we rili simpul ɛn we gɛt padi biznɛs wit yu.
Wetin rili na lobotomy?
Fɔ tɔk am simpul wan, lobotomy na ɔpreshɔn na di bren. Bɔt nɔto di ay-tek ɔpreshɔn fɔ bren we wi de du tide. Na bin wan we we dɛn bin de yuz bɔku bɔku wan insay di 1940 ɛn 1950 dɛm, dat na 70-80 ia bifo.
wi bren de sheb to difrεn pat dεm, כ ‘lobes’. Ɛni pat de du difrɛn wok. dis lobotomy bin de tכk bכt di fכnt lכb na di bren. Di ɔpreshɔn na fɔ kɔt wan ol na di skel ɛn kɔt di nɛv kɔnekshɔn bitwin di frɔntal lob ɛn wan pat na di bren we dɛn kɔl thalamus.
Naw yu go de tink se, "O mi Gɔd, wetin mek dɛn go du dat?" Fɔ ɔndastand wetin mek, wi nid fɔ go bak bifo tɛm. Da tɛm de, no tritmɛnt nɔ bin de we go ɛp pɔsin fɔ gɛt siriɔs maynd sik lɛk aw wi de du tide. Di ɔspitul dɛn we de mɛn pipul dɛn we gɛt maynd prɔblɛm, ɔ aw dɛn bin de kɔl dɛn da tɛm de, bin ful-ɔp wit pipul dɛn we gɛt siriɔs prɔblɛm wit dɛn maynd. Dɛn bin jɔs gi dɛn sɔm tritmɛnt dɛn we nɔ bɔku, lɛk ilɛktrɔkɔnvulsiv tɛrapi (ECT). So, di lobotomy ɔpreshɔn kam insay di say we di aksidɛnt apin as ‘las risɔt’ fɔ gi rilif to dɛn kayn pasɛnt ya we nɔ ebul fɔ ɛp dɛnsɛf.
Fɔ us kayn kɔndishɔn dɛn bin de du dis ɔpreshɔn trade?
Da tɛm de, dɔktɔ dɛn bin de yuz dis ɔpreshɔn pan pasɛnt dɛn we bin dɔn sɔfa wit maynd sik fɔ lɔng tɛm ɛn we nɔ bin de du ɔda tritmɛnt dɛn. Sɔm pan di men tin dɛn we kin apin to pɔsin na:
- Ripit tin wae yu de tink ɛn du tin wae yu nɔr want ( Obsessive-Compulsive Disorder - OCD ) .
- Bɔrku pwɛl hat sik Skizofrenia sik we dɛn kɔl skizofrenia
- Saykosis we pɔsin kin gɛt
- Nyurosis we nɔ de mɛn
- Antisosial Pɔsin (Saykopatik Pɔsin) .
Da tɛm de, dɔktɔ dɛn bin biliv se di pɔsin in vaylɛnt ɛn ɔda kayn we aw i de biev, na bikɔs ɔf di tin dɛn we nɔmal, we dɛn nɔ ebul fɔ kɔntrol na di frɔnt pat na in bren. So, dɛn bin biliv se if dɛn kɔt dɛn kɔnekshɔn dɛn de, di pɔsin go gɛt kol at ɛn obe , i go ebul fɔ go na os ɛn liv wit in famili.
Infakt, sɔm stɔdi dɛn dɔn sho se pas 40% pan di sik pipul dɛn bin kɔmɔt na os afta dɛn dɔn du di ɔpreshɔn. Pan ɔl we dis na bin wan opareshɔn we bin rili fɔs ɛn we bin denja tide, i bin tan lɛk se na nyu op fɔ pipul dɛn da tɛm de.
Di dak istri bɔt lobotomy
Na wan Pɔtyugis sayɛnsman we nem Ɛgas Mɔniz bin bigin fɔ du dis ɔpreshɔn. Dɛn bin ivin gi am di Nɔbɔl Prayz fɔ Mɛdisin insay 1949 fɔ dis tin we i fɛn. Wan Amɛrikin dɔktɔ we nem Walta Friman bin tek dis we fɔ du tin mɔ. I introdyus wan we we dɛn kɔl ‘transorbital’. Insay de, dɛn bin put wan shap inschrumɛnt we insɛf mek (we fiba ays pik) tru di ay sɔkɛt, ɔp di yay, insay di bren ɛn kɔt di nɛv fayv dɛn. I bin tink se dis na wan we we rili kwik ɛn simpul, ɛn i bin du bɔku bɔku ɔpreshɔn dɛn, ivin pikin dɛn.
Bɔt nɔto ɔltin bin go fayn. Dɛn ɔpreshɔn dɛn ya bin gɛt siriɔs sayd ɛfɛkt dɛn . Sɔm pasɛnt dɛn abit chenj kpatakpata. Dɛn bin bigin fɔ bi pɔsin we nɔ bisin bɔt ɔda pipul dɛn, ɛn dɛn nɔ bin bisin bɔt ɛnitin. Ɔda wan dɛn fɔgɛt aw fɔ biev na sosayti ɛn bigin fɔ biev di rayt we. Bikɔs ɔf dis, bɔku dɔktɔ dɛn bin de agens am, bikɔs dɛn bin biliv tranga wan se fɔ chenj pɔsin in abit tru ɔpreshɔn nɔ fayn.
We dɛn bin fɛn mɛrɛsin dɛn we rili wok fɔ mɛn pipul dɛn we gɛt maynd sik, lɛk klopromazin, insay di 1950 dɛm, di nid fɔ mek dɛn du lobotomy nɔ bin de igen smɔl smɔl. Bay di 1960 dɛm, i bin lɛf smɔl fɔ lɛ dɛn lɛf di ol we aw dɛn bin de du lobotomy.
Wetin na di siriɔs sayd ɛfɛkt dɛn we dis ɔpreshɔn kin gɛt?
Ɔpreshɔn na di bren kin gɛt prɔblɛm ɔltɛm. Bikɔs di bren na ɔgan we rili sɛnsitiv, bɔku tɛm di damej we i gɛt nɔ kin chenj. di tebul dεn dכn sho sכm pan di men sayd ifekt dεm we kin apin afta di ol lobotomy.
| Sayd Ifɛkt we i kin gɛt | Simpul ɛksplen |
|---|---|
| Ɛmoraji na di bren | Blɔd we de kɔmɔt na di bren afta dɛn dɔn du di ɔpreshɔn. |
| Bren infεkshכn εn absεs dεm | Jɛm dɛn we de kam insay di bren tru ɔpreshɔn ɛn mek yu gɛt abses. |
| Epilepsy we pɔsin kin gɛt | Seizures bikɔs ɔf di bren damej frɔm ɔpreshɔn. |
| Di we aw pipul dɛn nɔ bisin bɔt ɔda pipul dɛn | Fɔ fil se yu nɔ bisin bɔt ɛnitin, yu nɔ gladi, ɔ yu at pwɛl. |
| Di bad bad tin dɛn we pɔsin in sɛns de du | I nɔ kin ebul fɔ tink, disayd, ɛn mɛmba igen. |
| Sɔshial bihayvya we nɔ fayn | Inability fɔ kɔntrol impuls ɛn antisocial bihayvya. |
| Day | Na lɛk 2% pan di pasɛnt dɛn day bikɔs ɔf di kɔmplikeshɔn dɛn we dɛn bin gɛt frɔm di ɔpreshɔn. |
So, yu tink se dɛn stil de du lobotomies tide?
Di ansa we shɔt ɛn klia pas ɔl to dis kwɛstyɔn na, "Nɔ." Dat min se, dɛn nɔ de du da ol, primitiv, random lobotomy de ɛnisay na di wɔl tide.
Bɔt dat nɔ min se di ɔpreshɔn we dɛn kin du na in bren fɔ pɔsin we gɛt maynd sik dɔn stɔp kpatakpata. Dɛn kɔl dɛn ɔpreshɔn ya ‘ saykosɔjɛri ’ ɔ, fɔ tɔk mɔ, stiriɔtaktik nyurosɔjɛri . dis na komplit difrεnt εn bכku mכr advans mεtכd dεm pas di ol lobotomy.
Aw dɛn kin du ɔpreshɔn tide
Naw, dɔktɔ dɛn kin du (CT) skan, (MRI) skan, (EEG) .Yuz ay-tek mεtכd dεm lεk , fכ pinpoint di εksakεt lכkεshכn fכ di prכblεm na di bren dכn to di milimita. Dɔn, tru wan rili smɔl say we dɛn kɔt, we dɛn de yuz inschrumɛnt dɛn lɛk maykroskɔp ɛn gama naif, na di smɔl say nɔmɔ we gɛt prɔblɛm dɛn kin trit we dɛn nɔ kin pwɛl ɔda pat dɛn na di bren.
Dɛn kin du dis kayn ɔpreshɔn pan wan rili smɔl grup we nɔ dɔn wɛl frɔm ɔl di ɔda tritmɛnt dɛn, lɛk mɛrɛsin ɛn saykotɛrapi, fɔ lɔng tɛm. Na nyurosɔjɔn dɛn we sabi du am fayn fayn wan de du am. Di tin dɛn we dɛn kin gɛt na ya kin wok fayn mɔ, ɛn di damej we kin apin to di bren nɔ kin bɔku.
Tide, dɛn kin yuz dɛn advans ɔspitul tɛknik ya bak fɔ trit bad bad pen, epilepsy, muvmɛnt prɔblɛm lɛk Pakinsin sik, ɛn sɔm bad bad maynd sik lɛk OCD ɛn pwɛl hat. Naw dɛn de yuz wan ɔda we we dɛn kɔl Deep Brain Stimulation (DBS) fayn fayn wan fɔ dɛn sik ya.
Mɛsej we dɛn kin kɛr go na os
- Di ol ‘lobotomy’ na bin wan primitiv bren ɔpreshɔn we dɛn bin de du trade, we nɔr ɔda tritmɛnt nɔ bin de fɔ siriɔs mental sik.
- I bin gɛt siriɔs sayd ɛfɛkt dɛn, ɛn tide dɛn nɔ de du di ɔpreshɔn ɛnisay na di wɔl.
- Tide, saykosɔjmɛnt fɔ mental sik dɔn rili advans. Dɛn kin du am wit smɔl damej pan di bren, dɛn kin yuz tɛknɔlɔji lɛk MRI skan, ɛn dɛn kin du am wit big prɛsishɔn, ɛn dɛn kin yuz am fɔ di wan dɛn nɔmɔ we nɔ ebul fɔ du ɔl di ɔda tritmɛnt dɛn.
- If yu ɔr pɔrsin wae yu sabi gɛt mɛntɛl sik ɔr disɔda, di bɛst ɛn fɔs tin fɔ du na fɔ go to yu dɔktɔ ɛn tɔk bɔt am. Tide, bɔku tritmɛnt dɛn de we nɔ bad ɛn we go wok fayn.
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