Kodi mukukumana ndi mavuto osiyanasiyana akuthupi? Mwina mwadzidzidzi simungathe kuyenda, miyendo yanu imanjenjemera, mumakhala ndi khunyu, kapena mukuvutika kulankhula. Koma mukawona madokotala ambiri, mukuchita mayeso komanso ngakhale kusanthula, onse amanena kuti simukudwala? Kodi mukumva kupsinjika maganizo kwambiri chifukwa cha izi? Palibe amene akumvetsa vuto lanu, kodi ena amaganiza kuti mukuchita? Ngati ndi choncho, musadandaule. Simuli nokha. Lero tikulankhula za vuto lomwe anthu ambiri omwe akukumana ndi zofanana angakhale nalo, koma n'zovuta kulizindikira. Imeneyo ndi Functional Neurological Disorder, kapena FND mwachidule.
Mwachidule, kodi FND (Functional Neurological Disorder) ndi chiyani?
Ganizirani ubongo wanu ngati chipangizo cha kompyuta. Dongosolo la mitsempha lili ngati mawaya omwe amalumikizana ndi kompyutayo. Zonsezi zimagwira ntchito bwino kwambiri. Izi zikutanthauza kuti ngati muchita CT scan kapena MRI scan, palibe vuto lililonse ndi ubongo wanu. Chilichonse chimakhala bwino.
Ndiye vuto lili kuti?
Vuto lili mu pulogalamu yomwe ikuyenda pa kompyuta. Izi zikutanthauza kuti, pali vuto laling'ono mu dongosolo la mauthenga lomwe limanyamula chidziwitso pakati pa ubongo ndi thupi. Mauthenga omwe ubongo umatumiza ku thupi, ndi mauthenga omwe thupi limalandira kuchokera ku ubongo, sasinthidwa bwino. Monga momwe chizindikiro cha foni chimatayika, kuyimba kumasokonekera ndipo kumamveka molakwika. Chifukwa cha vuto la chizindikiro ichi, thupi lanu limayamba kuwonetsa zizindikiro.
Izi ndi zizindikiro zenizeni. Simukuziganizira. Koma chifukwa chakuti munthu wakunja sangaone chifukwa chake, angaganize kuti mukungonamizira. Izi zitha kukhala zopweteka kwambiri kwa inu.
Izi zinkatchedwa Conversion Disorder. N’chifukwa chiyani dzinalo linasintha?
Kale, madokotala ankaganiza kuti vutoli linali vuto la maganizo okha. Izi zikutanthauza kuti, ankaganiza kuti zinthu monga kupsinjika maganizo, chisoni, ndi zochitika zoopsa "zinasanduka" zizindikiro zakuthupi. Ndicho chifukwa chake kale linkatchedwa "Conversion Disorder."
Koma kafukufuku watsopano wapeza kuti ndi zovuta kwambiri kuposa pamenepo. Ma scan apadera, monga functional MRI (fMRI), akuwonetsa kusintha kwa ntchito ya ubongo wa anthu omwe ali ndi FND. Komanso, si aliyense amene ali ndi FND amene wakumanapo ndi vuto la kuvulala kapena kuvulala kwa ubongo. Chifukwa chake, dzina lakale siligwiritsidwanso ntchito.
Kodi ndi zizindikiro ziti zomwe munthu amene ali ndi FND angakumane nazo?
Zizindikiro za FND nthawi zambiri zimabwera mwadzidzidzi. Zingathenso kusokoneza zochita zanu za tsiku ndi tsiku. Nthawi zina, zizindikirozo zimatha kukulirakulira mukaziganizira, kapena zimatha kutha mukamaganizira zina.
Nazi zina mwa zizindikiro zodziwika bwino za vutoli.
| Gulu la zizindikiro | Kufotokozera ndi zitsanzo |
|---|---|
| Makhalidwe ofanana ndi a khunyu (PNES) | Izi zingawoneke ngati khunyu. Pakhoza kukhala kugwedezeka ndi kutayika kwa chidziwitso. Komabe, mayeso a ubongo (Electroencephalogram - EEG) amanena kuti ndi abwinobwino. Izi zimatchedwa (Psychogenic Non-Epileptic Seizures - PNES) . |
| Mavuto ndi kuyenda kwa thupi | Kunjenjemera, kugwedezeka kwa thupi, kuyenda movutikira, komanso kulephera kudziletsa. Zinthu izi zimamveka ngati zikuchitika kunja kwa mphamvu yanu. |
| Mavuto okhudzana ndi mphamvu zisanu | Mavuto okhudza kuona, kumva, kununkhiza, kulawa, ndi kukhudza. Mwachitsanzo, pakhoza kukhala kusawona bwino mwadzidzidzi, kuona kawiri, kusamva bwino, kapena dzanzi m'mbali zina za thupi. |
| Mavuto ndi kuganiza ndi kukumbukira | Ubongo umatha kuiwala mwadzidzidzi zomwe unkafuna kunena pamene ukulankhula, kuiwala mawu, kuiwala komwe unaika zinthu zofunika. Zingakhalenso zovuta kukhalabe maso. |
| Chizungulire ndi kulinganiza bwino | Kumva ngati ukuyandama m'boti, m'malo momva chizungulire. Mungataye mtima pamene mukuimirira. |
| Ululu | Kupweteka thupi, kupweteka kwambiri, kutentha thupi. Ululu uwu ukhoza kukhala wokhazikika kapena wobwera ndi kutuluka. Mutu waching'alang'ala ukhozanso kuchitika pafupipafupi. |
Kuphatikiza apo, mutha kuwonanso zinthu izi:
- Kumva kutopa kwambiri komanso kusowa mphamvu nthawi zonse .
- Kuvuta kulankhula kapena kuchita chibwibwi .
- Zinthu monga kufooka kwa minofu kapena kufooka kwa minofu.
- Kuvuta kumeza chinthu.
N’chifukwa chiyani FND imayamba? Kodi ndi zinthu ziti zomwe zimakhudza vutoli?
Madokotala sakudziwabe chomwe chimayambitsa FND. Koma tikudziwa kuti imayambitsidwa ndi vuto la momwe mauthenga amatumizidwa pakati pa ubongo ndi thupi. Pogwiritsa ntchito chitsanzo chomwecho cha kompyuta chomwe takambirana kale, zida ndi mawaya onse ndi abwino, koma pali "glitch" yaying'ono mu pulogalamuyo.
Vutoli limasintha momwe ubongo umatumizira ndi kulandira mauthenga. Mwa kuyankhula kwina, ubongo ukuchita "pulogalamu yolakwika." Chithandizo chimaphatikizapo kuchotsa pulogalamu yolakwika iyi ndi "kuphunzitsanso" ubongo ndi dongosolo la mitsempha kuti mauthenga azitha kuyenda bwino.
Chofunika ndichakuti, palibe chilichonse m'thupi lanu chomwe "chinasweka" kapena "chinawonongeka mosalekeza." Vuto ndi ntchito yake yokha.
Zomwe zimayambitsa zizindikiro za FND
Zochitika zina kapena zochitika zina zingayambitse zizindikiro za FND kuonekera mwadzidzidzi.
- Matenda osiyanasiyana opatsirana
- Mutu wopweteka kwambiri
- Ngozi kapena kuvulala kwakuthupi
- Kupsinjika kwakukulu kapena zochitika zoopsa
Nthawi zina, pambuyo pa choyambitsa chonga ichi, ubongo ukhoza "kukhazikika" pa chizindikiro chimenecho, monga momwe disc yophulika imazungulira pamalo omwewo. Akatswiri amakhulupirira kuti izi zitha kubweretsa FND.
Kodi madokotala amazindikira bwanji matenda a FND?
Kuzindikira matenda a FND ndi njira yovuta kwambiri, chifukwa zizindikiro zake zimafanana ndi za matenda ena ambiri amitsempha, zomwe zimapangitsa kuti zikhale zovuta kusiyanitsa matendawa.
Mungafunike kupita kwa madokotala ambiri ndikupita kukayezetsa matenda ambiri. Ulendo uwu ukhoza kukhala wotopetsa komanso wokhumudwitsa. Ena angakuuzeni kuti matenda anu "ali m'maganizo mwanu." Koma dokotala wanu adzakutsimikizirani kuti zizindikiro zanu ndi zenizeni ndipo mukuchita bwino.
Kawirikawiri, gulu la akatswiri osiyanasiyana, kuphatikizapo akatswiri a mitsempha, madokotala a matenda amisala, ndi akatswiri othandizira thupi, amagwira ntchito limodzi kuti azindikire matenda a FND.
Mayeso ozindikira matenda
Malinga ndi zizindikiro zanu, dokotala wanu akhoza kulamula mayeso monga awa:
- Kuyezetsa magazi
- Kujambula kwa CT
- Mayeso a EEG
- Electromyogram (mayeso oyesa ntchito ya minofu)
- MRI Yogwira Ntchito (fMRI)
- Kuyezetsa kwathunthu kwa mitsempha
Mayeso onsewa amachitika kuti athetse matenda ena omwe angayambitse zizindikiro zanu (monga khunyu, multiple sclerosis). Ngati zotsatira zonse za mayeso zili bwino ndipo zizindikiro zanu zikugwirizana ndi FND, dokotala wanu akhoza kutsimikizira kuti muli ndi FND.
Kodi mankhwala a FND ndi otani?
Popeza matenda a FND ndi ovuta, sangachiritsidwe ndi mankhwala amodzi. Amachiritsidwa pophatikiza mankhwala osiyanasiyana. Cholinga chachikulu ndikubwezeretsa njira yolumikizirana pakati pa ubongo ndi thupi.
| Njira yochizira | Zomwe zimachitika? |
|---|---|
| Kuchiza Thupi | Izi ndizofunikira kwambiri kwa anthu omwe ali ndi vuto loyenda (kuvutika kuyenda, kunjenjemera). Chimene mukuchita apa ndikuphunzitsanso ubongo kuti ukhale ndi machitidwe oyenera oyenda. Mwanjira ina, zili ngati kuchotsa pulogalamu yolakwika ndikuyika yoyenera. |
| Chithandizo cha Ntchito | Kuthandiza kuchita ntchito za tsiku ndi tsiku (monga kuvala, kuphika) paokha kachiwiri. |
| Chithandizo cha Kulankhula | Chithandizo cha mavuto olankhula kapena kumeza. |
| Chithandizo cha Maganizo (CBT) | Zimakuthandizani kumvetsetsa momwe malingaliro anu, momwe mumamvera, ndi machitidwe anu amagwirizanirana. Izi zingakuthandizeni kuzindikira ndikuwongolera malingaliro omwe amawonjezera zizindikiro. |
| Mankhwala | Palibe chithandizo chapadera cha matenda a FND. Komabe, ngati muli ndi matenda ena, monga kuvutika maganizo, nkhawa, kapena kupweteka kosatha, dokotala wanu angakulembereni mankhwala ochizira matendawo. |
Kodi mungakhale ndi chiyembekezo pamene mukukhala ndi FND?
N'zotheka ndithu. FND si matenda oopsa. Komabe, ikhoza kukhudza kwambiri moyo wanu.
Kuchira sikofanana kwa aliyense. Anthu ena amachira msanga. Ena amatenga nthawi. Nthawi zina zizindikiro zimatha kusintha kenako n’kubwereranso. Zimenezo ndi mbali ya ulendo. Sizitanthauza kuti mwalephera.
Zotsatirazi ndizofunikira kuti zotsatira ziyende bwino:
- Kupeza matenda olondola mwamsanga.
- Kumanga ubale wabwino ndi dokotala wanu komanso gulu la opereka chithandizo .
- Dziwani ndikuwongolera zinthu zomwe zimayambitsa kupsinjika maganizo.
- Yambani chithandizo posachedwa .
Kumbukirani, mukufunika mphamvu kuti mudutse ulendowu. Koma mfundo yakuti mwafika apa ikusonyeza momwe mulili olimba. Simuyenera kuthetsa chilichonse nthawi imodzi. Ngakhale chitakhala chaching'ono, ndi gawo la ulendo wochiritsa.
Uthenga Wopita Nawo Kunyumba
- FND ndi vuto lalikulu ndi momwe ubongo umalankhulirana ndi thupi. Sizili "m'mutu mwanu mokha."
- Zizindikiro zanu, kutanthauza kusasangalala komwe mumamva, ndi zenizeni 100%. Kungoti malipoti anu a mayeso ndi abwinobwino sizitanthauza kuti mulibe matendawa.
- Zingatenge nthawi kuti mupeze matenda oyenera, koma musataye mtima. Ndikofunikira kuonana ndi dokotala woyenera.
- Chithandizo chimaphatikizapo kuphunzitsanso ubongo. Zinthu monga physiotherapy ndi psychotherapy ndizofunikira kwambiri pa izi.
- Kuchira sikuchitika mwadzidzidzi, ndi njira yokhayo. Padzakhala masiku abwino ndi masiku oipa. Koma pitirizani kupita patsogolo ndi chiyembekezo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment