Pali masiku ena pamene zimamveka ngati zinthu sizikuyenda bwino, sichoncho? Ngakhale chinthu chaching'ono chingakupangitseni kumva ngati mukuvutika maganizo, mwadzidzidzi mumadzimva kukwiya, kapena mumadzimva chisoni kwambiri. Kodi nthawi zina mumadzimva kuti mulibe mphamvu chifukwa simungathe kulamulira malingaliro amenewa? Kodi mumamva ngati malingaliro anu ndi amphamvu kuposa inu? Lero tikulankhula za vutoli lomwe limakhudza anthu ambiri, koma silimanenedwa kwenikweni.
Kodi Kusokonezeka Maganizo ndi Chiyani?
Mwachidule, Kusokonezeka Maganizo ndi vuto loletsa malingaliro anu ndi momwe mumayankhira. Munthawi ngati izi, anthu omwe ali pafupi nanu angaone ngati momwe mukumvera ndi "zoposa" zomwe mukuchita.
Tangoganizani kuti malingaliro anu ali ndi mphamvu yolamulira kuchuluka kwa mawu. Nthawi zambiri, timalamulira malingaliro athu powakweza kapena kuwatsitsa. Tikakhala ndi chisoni, timalira pang'ono kuti tidzichepetse, ndipo tikakwiya, timalamulira. Koma pankhaniyi, mphamvu yolamulira kuchuluka kwa mawu muubongo wanu sikugwira ntchito bwino. Chifukwa chake malingaliro amamveka "mokweza kwambiri," zomwe zikutanthauza kuti amamveka kwambiri, ndipo ndichifukwa chake ndi ovuta kwambiri kuwalamulira.
Kumbukirani, ichi ndi chizindikiro cha matenda amisala, osati kufooka kwa umunthu. Monga momwe ana amaphunzirira kulamulira malingaliro awo akamakula, izi zimagwirizananso ndi momwe ubongo wathu umagwirira ntchito.
Kodi mkhalidwewu ukuoneka bwanji kuchokera kunja?
Izi zimaonekera bwino m'makhalidwe ndi malankhulidwe a munthu amene ali ndi vuto la maganizo. Mwina inunso mwakumanapo ndi zinthu zofanana ndi zimenezi.
| Khalidwe | Kufotokozera kosavuta |
|---|---|
| Kulephera kusintha maganizo nthawi iliyonse yomwe mukufuna | Chisoni kapena nkhawa zikabwera, umamva kuti wakodwa pamalo amodzi, osatha kutulukamo. |
| Kukhumudwa mosavuta ndi zinthu zazing'ono | Kunyalanyaza ngakhale vuto laling'ono kwambiri n'kukwiya msanga. |
| Kusintha kwadzidzidzi kwa maganizo | Mwadzidzidzi kusintha kuchoka pa chisangalalo kupita pa chisoni, kapena kukwiya mwadzidzidzi. |
| Khalidwe losakhazikika | Kuchita zinthu mopupuluma popanda kuganizira zotsatira zake (monga kugwiritsa ntchito ndalama zonse nthawi imodzi, kupanga zisankho mwachangu). |
| Kukwiya msanga | Kukwiya mosalamulirika komanso pafupipafupi. |
| Zopinga pakukwaniritsa zolinga | Kulephera kugwira ntchito bwino kapena kukwaniritsa cholinga chifukwa cha mphamvu ya malingaliro. |
Zizindikirozi zikakula kwambiri, zimatha kuphatikizapo kukuwa, kuponya zinthu pansi, ndi ndewu zachiwawa ndi ena. Izi zitha kukhudza kwambiri ubwenzi, ubale wa m'banja, ndi ntchito.
Kodi zifukwa zazikulu za Kusokonezeka Maganizo ndi ziti?
Palibe chifukwa chimodzi chokha cha vutoli. Nthawi zambiri limawoneka ngati chizindikiro cha vuto lina loyambitsa. Pali magulu atatu akuluakulu a zifukwa.
1. Matenda amisala: Izi zitha kuonedwa ngati chizindikiro chachikulu cha matenda ena amisala.
2. Kusiyanitsa kwa ubongo: Ubongo wa anthu ena umakula kapena kugwira ntchito mosiyana ndi momwe amayembekezera. Anthuwa angakhalenso ndi vuto loletsa malingaliro awo.
3. Kuwonongeka kwa ubongo: Vutoli lingachitikenso chifukwa cha kuwonongeka kwa ziwalo zina za ubongo chifukwa cha ngozi, matenda, kapena chifukwa china.
| Zinthu zomwe zimakhudza kusokonezeka kwa malingaliro | |
|---|---|
| Matenda a Maganizo | |
| - Matenda a Bipolar - Kuvutika Maganizo (Matenda Ovutika Maganizo) - Matenda a Nkhawa - Matenda a umunthu (makamaka Borderline Personality Disorder) | - Matenda a post-traumatic stress disorder (PTSD) - Matenda Odzikakamiza Kwambiri (OCD) - Mavuto a khalidwe ndi kulamulira maganizo (Kusokonezeka kwa khalidwe) |
| Matenda a Neurodivergent | |
| - Matenda Osowa Chidwi/Osagwira Ntchito Mokwanira (ADHD) - Matenda a Autism Spectrum | |
| Kuwonongeka/Kusokonezeka kwa Ubongo | |
| - Kuvulala mutu (Kugwedezeka kwa ubongo, Kuvulala kwa ubongo koopsa) - Stroke - Zotupa za muubongo - Khunyu | - Matenda a ubongo (Encephalitis, Meningitis) - Kugwiritsa ntchito mowa ndi mankhwala osokoneza bongo - Matenda a ubongo (Alzheimer's, Dementia) |
Kodi mankhwala ochizira izi ndi otani?
Nkhani yabwino ndi yakuti vutoli lingathe kuthetsedwa. Koma si chinthu chomwe mungathe kuchizindikira ndi kuchichiza nokha. Chithandizo cha dokotala wanu n'chofunika kwambiri kuti mudziwe vuto lomwe likuyambitsa vutoli.
Pali njira zingapo zazikulu zochizira:
- Chithandizo cha maganizo: Ichi ndiye chithandizo chachikulu. Mwa kulankhula ndi mlangizi wa zaumoyo wamaganizo , mutha kuphunzira momwe malingaliro anu amakhalira komanso momwe mungawathetsere. Izi zingakuthandizeni kuphunzira maluso atsopano othana ndi mavuto.
- Mankhwala: Kutengera ndi vuto lomwe limayambitsa vutoli (monga matenda a bipolar, kuvutika maganizo), mankhwala omwe dokotala wanu wakupatsani angakuthandizeni kuchepetsa nkhawa zanu.
- Chisamaliro Chothandizira: Ngati vutoli layamba chifukwa cha vuto la thupi (monga kuvulala mutu), zizindikirozi zidzachepanso pamene vutolo likuchiritsidwa.
Kodi muyenera kufunsa upangiri wa dokotala liti?
Ngati vuto ili loletsa malingaliro likukhudza moyo wanu watsiku ndi tsiku, mabwenzi, ntchito, kapena banja lanu, ndikofunikira kwambiri kulankhula ndi dokotala za izi. Makamaka ngati zizindikirozi mwadzidzidzi zikuwonekera zomwe sizinalipo kale, zitha kukhala chizindikiro cha matenda aakulu. Choncho musazengereze kufunafuna upangiri wa dokotala.
Ngati mwana wanu ali ndi zizindikiro izi ...
Ana aang'ono amaphunzira kulamulira maganizo awo pang'onopang'ono. Ndi gawo la kukula kwawo. Koma ngati mukuganiza kuti mwana wanu akuvutika kulamulira maganizo ake chifukwa cha msinkhu wake, lankhulani ndi dokotala wa ana za izi. Iye angakuthandizeni kudziwa ngati ndi zachilendo kapena ngati pali china chake chomwe muyenera kusamala nacho.
Chochita pakakhala ngozi?
Izi ndizofunikira kwambiri: Pamene kusokonezeka maganizo kukukulirakulira, maganizo odzivulaza kapena kudzipha angayambe.
Ngati inu kapena munthu amene mumamudziwa akuganiza zodzivulaza, kudzipha, kapena kuvulaza ena, ndi vuto ladzidzidzi. Chonde pitani ku Dipatimenti Yoona za Zadzidzidzi ya Chipatala (ETU) yapafupi nthawi yomweyo. Adzakhala okonzeka kukupatsani chithandizo chamankhwala ndi chamaganizo chomwe mukufuna. Musakhale nokha nthawi ngati zimenezi. Pemphani thandizo kwa munthu amene mumamudalira.
Uthenga Wopita Nawo Kunyumba
- Kusokonezeka maganizo si kufooka kwanu, koma ndi chizindikiro cha matenda enaake.
- Chomwe chimachitika mu mkhalidwe uwu ndi chakuti 'kuchuluka' kwa malingaliro anu kumamveka kochulukira ndipo kumakhala kovuta kulamulira.
- Pakhoza kukhala zifukwa zingapo za izi, kotero ndikofunikira kuonana ndi dokotala kuti mudziwe chifukwa chenicheni m'malo mopanga zisankho nokha.
- Vutoli lingathe kuthetsedwa bwino ndi chithandizo, ndipo ngati pakufunika, mankhwala.
- Ngati inu kapena wina akuganiza zodzivulaza, ndi vuto ladzidzidzi. Pitani ku dipatimenti yapafupi yadzidzidzi yachipatala (ETU) nthawi yomweyo. Simuli nokha, pezani thandizo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Mapiritsi a Riociguat (Adempas) ndi mankhwala apadera kwambiri omwe amaperekedwa pa matenda ati?
Iyi si mankhwala wamba! Iyi ndi mankhwala 'okhawo komanso amphamvu kwambiri' osagwiritsa ntchito opaleshoni yopulumutsa mtima (sGC Stimulator) padziko lonse lapansi, omwe amaperekedwa kwa anthu omwe ali ndi 'Pulmonary Arterial Hypertension (PAH)' ndi 'CTEPH - Chronic Thromboembolic Pulmonary Hypertension', omwe amachititsa kuti kuthamanga kwa magazi m'mapapo kukwere kwambiri chifukwa cha 'magazi kuundana'!
💬 Mukatsala pang'ono kufa chifukwa cha mtsempha wamagazi wotsekeka m'mapapo mwanu, mumamwa bwanji mapiritsi awa (Riociguat) kuti muwonjezere mitsempha yakupha?
Matupi athu ali ndi mpweya wotchedwa 'Nitric Oxide (NO)' kuti umasulire mitsempha yamagazi. Chomwe chimachita ndikuyatsa enzyme yotchedwa 'sGC' (yomwe imapanga cGMP ndikumasula mitsempha yamagazi). Odwala a PAH alibe mpweyawu bwino. Piritsi ili likalowa m'thupi, limapita molunjika ku makina a 'sGC' (kaya mpweyawo ulipo kapena ayi) ndikudina batani ndikuyatsa makinawo! Kenako, mitsempha yonse m'mapapo yomwe idatsekedwa ndikutsekedwa ndi magazi oundana imakula (Vasodilation), ndipo katundu pamtima umachepetsedwa nthawi yomweyo.
💬 Kodi ndi zoopsa ziti zomwe anthu omwe akumwa mankhwalawa (Adempas) sayenera kuchita? (Machenjezo a Black Box)?
Lamulo lalikulu komanso lokhalo! Ngati mukumwa mapiritsi awa, ngati mukumwa mapiritsi a Viagra (Sildenafil / Cialis) kapena nitrate kuti mulimbikitse kugonana, musamwe mankhwalawa pamodzi ndi mapiritsi amenewo! Ngati mumwa pamodzi, mitsempha yonse yamagazi idzatambasuka kwambiri, kuthamanga kwa magazi kudzatsika kufika pa zero (Fatal Hypotension) ndipo mutha kukhala ndi chikomokere ndikufa! Komanso, ndizoletsedwa kwambiri kwa amayi 'oyembekezera', mwana adzapunduka ndipo adzafa ndithu!
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