Pali masiku ena omwe mumakhala ndi ntchito yambiri yoti muchite, koma simungayambe. Kapena mwina mumadzipeza mukuthamanga, simungathe kuyang'ana kwambiri, komanso mukusokonezedwa ndi zinthu zazing'ono. Mwina mumadzifunsa kuti, "N'chifukwa chiyani izi zikundichitikira? Ndine waulesi?" Ngati mwakumanapo ndi zofanana, nkhaniyi yomwe tikukambirana lero idzakhala yofunika kwambiri kwa inu. Tiyeni tikambirane za Kulephera kwa Ogwira Ntchito.
Kodi Kulephera kwa Executive ndi chiyani?
Mwachidule, Executive Dysfunction si matenda. Ndi chizindikiro. Ndi vuto la khalidwe lomwe limachitika pamene ntchito zina mu ubongo wathu sizikugwira ntchito bwino. Izi zimasokoneza luso lathu lolamulira malingaliro athu, momwe timamvera, ndi zochita zathu.
Taganizirani za CEO mu ofesi. Iye ndiye amene amalamulira kampani yonse, amapanga mapulani, amagawa ntchito, komanso amathetsa mavuto. Ubongo wathu uli choncho. Pali njira yaikulu yowongolera ngati iyi mu gawo lakutsogolo la ubongo. Timatcha izi 'ntchito zoyang'anira' kapena Ntchito Zoyang'anira. Pamene dongosololi lafooka, vuto la Executive limachitika.
Kodi 'Ntchito Zapamwamba' za ubongo wathu ndi ziti?
Ngati timvetsetsa bwino ntchito za Executive, n'zosavuta kumvetsetsa tanthauzo la Executive Dysfunction. Ntchitozi zitha kugawidwa m'magawo atatu.
| Ntchito | Mwachidule... |
|---|---|
| Kukumbukira Kogwira Ntchito | Izi zili ngati kukumbukira kwakanthawi (RAM) muubongo wathu. Kumatithandiza kukumbukira zambiri zomwe timafunikira tikamachita zinazake. Mwachitsanzo, kukumbukira nambala ya foni yomwe wina watipatsa mpaka titayiyimba. |
| Kusinthasintha kwa Kuzindikira | Izi zikutanthauza luso losintha mosavuta kuchokera ku mutu wina kupita ku wina, kuchoka pa ntchito imodzi kupita ku ina. Tangoganizirani kufunika kwa luso limeneli pamene mukuyenera kuzolowera kusintha mwadzidzidzi. Anthu omwe ali ndi luso limeneli ndi opanga zinthu mwaluso kwambiri. |
| Kulamulira Kukakamiza (Kuletsa Kuletsa) | Iyi ndi njira ya ubongo wathu yoyendetsera zinthu. Imatithandiza kulamulira zilakolako zathu, maganizo osafunikira, ndi zochita zathu. Ili ndi magawo awiri: Kulamulira Khalidwe - kusachita chinthu chomwe sitiyenera kuchita (monga kusanena mawu oipa tikakwiya) ndi Kulamulira Kusokoneza - kusamala ntchito yomwe tikugwira, kunyalanyaza phokoso ndi malingaliro osafunikira omwe akutizungulira. |
Ntchito zazikuluzikuluzi zimachokera ku ntchito zapamwamba, monga kukonzekera , kulingalira, ndi kuthetsa mavuto . Zonsezi ndizofunikira kwambiri pa moyo wathu watsiku ndi tsiku.
Kodi munthu amene ali ndi vuto la Executive Dysfunction amamva bwanji?
Popeza kuti Executive Functions izi zimagwirizana ndi zinthu zambiri, vuto lotchedwa Executive Dysfunction lingakhudzeni m'njira zosiyanasiyana. Mwina mwakumanapo ndi chimodzi kapena zingapo mwa zizindikirozi.
| Mbali/Vuto | Chitsanzo chaching'ono |
|---|---|
| Kuvuta kuyang'ana kwambiri | Ngakhale zinthu zazing'ono kwambiri zingakusokonezeni. Mukamvetsera nkhani, pamsonkhano, kapena m'kalasi, maganizo anu amayendayenda (kulota masana). |
| Kuvuta kuyamba ndi kukonzekera ntchito | Sindikufuna kuyamba ntchito chifukwa sindingathe kuganiza momwe idzawonekere ikatha. Sindingathe kuyamba ntchito yomwe ndikuganiza kuti ndi yovuta komanso yosasangalatsa. |
| Kusokoneza ndi kuiwala | Ukakhala wotanganidwa, umasokonezedwa ndi chinthu china ndipo umaiwala zomwe unkachita. Tangoganizani mukupita ku firiji kukatenga madzi ndi makiyi anu m'manja mwanu, ndikusiya kiyi mkati mwa firiji ndikuyiwala. |
| Mavuto olamulira kugwedezeka kwa mpweya | Ngakhale mukuganiza zochepetsa thupi, mwadzidzidzi mumadya keke. Mumangonena chilichonse chomwe chikubwera m'maganizo mwanu, osaganizira ngati chingakhumudwitse maganizo a munthu winayo. |
| Kuvuta kufotokoza maganizo a munthu | Ngakhale mutamvetsa bwino zomwe zili m'mutu mwanu, n'zovuta kuzifotokoza momveka bwino kwa wina. |
Kodi n’chiyani chingayambitse izi?
Akatswiri sakudziwabe bwinobwino chomwe chimayambitsa kulephera kugwira ntchito bwino kwa akuluakulu, koma apeza kuti chikugwirizana ndi matenda ena amisala ndi mitsempha.
Matenda amisala
- Matenda Osagwira Ntchito Mokwanira (ADHD)
- Kuvutika maganizo
- Matenda Odzikuza ndi Okakamiza (OCD)
- Matenda a Autism Spectrum
- Kumwa mankhwala osokoneza bongo ndi mowa Schizophrenia
Kuwonongeka kwa ubongo ndi matenda
- Kuvulala mutu (monga Kugwedezeka kwa Mitsempha, Kuvulala kwa Ubongo Koopsa - TBIs)
- Stroke
- Matenda a Dementia ndi Alzheimer's
- Khansa ya muubongo
- Kuwonongeka komwe kumachitika chifukwa cha kusowa kwa mpweya muubongo (cerebral hypoxia)
- Matenda a muubongo monga meningitis
- Matenda a Multiple Sclerosis (MS)
Kodi pali mankhwala a izi?
Inde, ndithudi. Kumbukirani, sitikuchiza chizindikiro cha Executive Dysfunction pano, koma chifukwa chake . Chifukwa chake, ngati mukukumana ndi zizindikiro izi, chinthu chabwino kwambiri choti muchite ndikuwonana ndi dokotala wanu .
Njira zochiritsira zingasiyane malinga ndi matenda anu, mbiri yanu ya thanzi, ndi zomwe mumakonda. Pali njira ziwiri zazikulu zochiritsira:
1. Mankhwala: Dokotala wanu akhoza kukupatsani mankhwala olimbikitsa matenda monga ADHD ndi mankhwala ochepetsa nkhawa. Mankhwalawa ayenera kumwedwa pokhapokha ngati dokotala wakupatsani upangiri .
2. Chithandizo cha maganizo: Chithandizo chofala kwambiri cha izi ndi Cognitive Behavioral Therapy (CBT) . Izi zimakuthandizani kuthana ndi mavutowa mwa kusintha maganizo ndi machitidwe anu.
Kodi Kulephera Kugwira Ntchito ndi Kuchedwetsa Zinthu ndi chinthu chimodzi?
Ichi ndi chinthu chomwe anthu ambiri amasokoneza. Awiriwa ndi osiyana kwambiri. Ulesi ndi pamene timachedwa kuchita china chake. Ndi chisankho.
Komabe, Executive Dysfunction si ulesi kapena kusowa chidwi. Ndi vuto lovuta kulilamulira lomwe limabwera chifukwa cha kusintha kwa magwiridwe antchito a ubongo. Chifukwa chake, kuuza munthu motere, "Usakhale waulesi, pita ukachite china chake," sikungathandize.
Kodi vutoli lingapewedwe?
N'zovuta kupewa kulephera kugwira ntchito bwino kwa ubongo chifukwa cha matenda amisala. Koma pali zinthu zomwe tingachite kuti tichepetse chiopsezo cha kuwonongeka kwa ubongo:
- Valani zida zodzitetezera: Valani chisoti mukakwera njinga kapena njinga yamoto. Valani lamba wachitetezo mukayendetsa galimoto. Izi zitha kupewa kuvulala kwambiri m'mutu.
- Musanyalanyaze matenda: Fufuzani chithandizo mwamsanga cha matenda a m'makutu kapena m'maso. Matendawa akhoza kukhala oopsa ngati afalikira ku ubongo.
- Idyani zakudya zopatsa thanzi komanso kukhala ndi thupi labwino: Izi zingathandize kuchepetsa chiopsezo cha matenda monga sitiroko.
- Dzitetezeni ku mpweya woipa: Kukumana ndi mpweya woipa monga carbon monoxide kungayambitse kuwonongeka kwa ubongo. Ngati mukukayikira kuti mwakumana ndi chinthu choopsa, funsani upangiri wa dokotala nthawi yomweyo. Ngati kuli kofunikira, mutha kuyimbiranso National Poison Information Center ku Colombo National Hospital kuti mupeze upangiri.
Kukhala ndi Matenda Osakhazikika a Ogwira Ntchito Kungakhale kovuta. Kwa munthu wakunja, mungawoneke ngati munthu wosadandaula komanso waulesi. Koma mukudziwa bwino vutoli. Simuli nokha. Kulankhula ndi dokotala wanu za vutoli ndi gawo loyamba komanso lofunika kwambiri pothana ndi vutoli. Ndi chithandizo choyenera komanso chithandizo, anthu ambiri atha kuchepetsa mphamvu ya zizindikirozi ndikukhala ndi moyo wopambana.
Uthenga Wopita Nawo Kunyumba
- Kulephera kugwira ntchito bwino kwa ubongo si ulesi kapena kusowa chidwi. Ndi vuto lenileni lomwe limabwera chifukwa cha kusintha kwa ntchito ya ubongo.
- Izi zitha kukhala chizindikiro cha vuto lina loyambitsa, monga ADHD, kuvutika maganizo, kapena kuwonongeka kwa ubongo.
- Izi zimakhudza luso monga kukonzekera, kuyang'ana kwambiri, kulamulira malingaliro, komanso kuthetsa mavuto.
- Ngati mukukumana ndi mavuto awa, chinthu chabwino kwambiri kuchita ndiKaonaneni ndi dokotala wanu ndipo mukambirane za vutoli.
- Kulephera kugwira ntchito bwino kwa ogwira ntchito kungathetsedwe kwambiri pochiza chifukwa chake.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Mapiritsi a Propafenone (Propafenone / Rythmol) ndi mankhwala amphamvu kwambiri omwe amagwiritsidwa ntchito pa matenda ati?
Iyi si piritsi wamba la kuthamanga kwa magazi! Ndi mankhwala amphamvu a Class 1C Antiarrhythmic omwe madokotala amagwiritsa ntchito kubwezeretsa mtima ku 'kayendedwe kabwinobwino' pamene chipinda chapamwamba cha wodwala chikugunda mwadzidzidzi modabwitsa/mwachangu mokwanira kuti chikhale choika moyo pachiswe (Atrial Fibrillation / PSVT)!
💬 Mtima ukakhala kuti ukugunda kwambiri, kodi mumachita bwanji kuti mtima uyambe kugwira ntchito bwino popereka mankhwala awa (Propafenone)?
Mtima umagunda mofulumira chifukwa zizindikiro zamagetsi zikuyenda mkati mwa mtima popanda kulamulira! Pa kugunda koyamba, tinthu ta 'Sodium' tiyenera kulowa kuti tiwongolere maselo amagetsi a mtima. Piritsi ili likalowa mumtima, zipata zonse zomwe zimalola sodium kulowa zimatsekedwa/kutsekedwa 100% (kwamphamvu kwambiri). Chifukwa sodium imabwera pang'onopang'ono (Imawonjezera gawo la 0), zimatenga nthawi yayitali kuti maselo amagetsi awongolere. Kenako mtima sungagunde mofulumira mokwanira ndipo mwadzidzidzi mtima umabwerera ku kayimbidwe kake kabwinobwino ngati kuti modzidzimutsa.
💬 Kodi 'Chenjezo la Black Box' lomwe anthu omwe akumwa mankhwalawa (Rythmol) ayenera kudziwa ndi chiyani?
Imeneyo ndiye ngozi yaikulu komanso imfa! Izi zili choncho chifukwa imapanga rhythm mumtima, ndipo ngati mudadwalapo 'mtima' kale (MI/Structural heart disease), mutamwa piritsili, 'mtima watsopano woopsa (Proarrhythmic effect)' ukhoza kuchitika ndipo wodwalayo akhoza kufa mwadzidzidzi/kugwa m'mtima! Ichi ndichifukwa chake madokotala amalemba izi mosamala kwambiri.
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