Pane mazuva ausingatombode kubuda pamubhedha? Kunyangwe chimwe chinhu chiri nyore sekubika chikafu kana kugeza chinonzwika segomo guru rekukwira... Zvinofinha kutaura nezvazvo, zvinofinha kufunga nezvazvo. Kana uchigara uchisangana nerudzi urwu rwechinhu, zvingasava kufinha kana kuneta chete. Ichi chirwere chatinofanira kutaura nezvacho. Izvi ndizvo zvatiri kutaura nezvazvo nhasi.
Chii chinonzi Psychomotor Impairment?
Kunyange zvazvo izwi iri ringaita serakaoma zvishoma, zvarinoreva zviri nyore kwazvo. "Psycho" zvinoreva "zvakabatana nepfungwa." "Motor" zvinoreva "zvakabatana nekufamba. " "Psychomotor" inotaura nezvehukama huripo pakati pepfungwa dzako (pfungwa) nekufamba kwemuviri wako (zviito) . "Kukanganisika" zvinoreva kushaya simba.
Zvichitaurwa zviri nyore, "Psychomotor Impairment" inguva apo pfungwa dzako, kutaura, uye mafambiro emuviri zvinononoka zvikuru. Zvinoita sekunge pfungwa dzako nemuviri wako zviri kushanda "zvishoma nezvishoma." Ichi chiratidzo chikuru chechirwere chinonzi "Major Depression Disorder (MDD)". Zvisinei, havasi vese vane depression vanowana chiratidzo ichi.
Tinonzwa sei uye tinoonekwa sei nevamwe mumamiriro ezvinhu aya?
Munhu ane chirwere ichi anogona kunzwa seasingakwanise kudzora pfungwa dzake nemuviri wake, achiita zvinhu zvishoma nezvishoma. Ngatinyatsoongororai zviratidzo izvi.
| Chikamu chakanganiswa | Zviratidzo zvinoratidza |
|---|---|
| Pamuviri |
|
| Mupfungwa |
|
| Zvinokanganisa sei hupenyu hwezuva nezuva |
|
Kana iwe kana mumwe munhu waunoziva ari kusangana nezviratidzo izvi, zvakakosha kuti uone nyanzvi yehutano hwepfungwa, senge chiremba kana chiremba wepfungwa .
Sei izvi zvichiitika kwatiri? Ndezvipi zvikonzero?
Sezvatakambotaura, chikonzero chikuru chechirwere ichi iMajor Depression Disorder (MDD) . MDD chirwere chepfungwa chinoratidzwa nekusuwa kwenguva refu uye kurasikirwa nechido muzviitiko zvaimbofadza.
Kunyange hazvo vaongorori vasati vava nechokwadi chekuti chii chinokonzera izvi, vanotenda kuti shanduko mumakemikari europi ndiyo inonyanya kukonzera izvi. Kunyanya, kusaenzana kwema neurotransmitters serotonin, norepinephrine, uye dopamine zvinopawo MDD. Zviitiko zvinoshungurudza muhupenyu, zvakaita sekurasikirwa nemudiwa, zvinogona kukonzera chirwere ichi.
Pane rumwe rutivi here pane izvi?
Ehe. Vamwe varwere vane MDD vanonzwa zvakasiyana neizvi, zvinonzi ``Psychomotor Agitation''. Apa ndipo panoita kuti vasakwanise kugara pasi uye varatidze kurovedza muviri zvakanyanya, zvakaita sekufamba-famba uye kuzunza maoko nemakumbo. Izvi zvinonyanya kuitika kuvana nevechidiki.
Kusashanda zvakanaka kwepfungwa kunogonawo kuitika sechiratidzo chezvimwe zvirwere.
- Muzviitiko zvekuora mwoyo zvebipolar disorder Schizophrenia
- Chirwere cheParkinson
- Mune mamwe kukuvara kweuropi
Ndezvipi zvinorapwa izvi?
Chinhu chinonyanya kukosha pakurapa izvi kurapa chirwere chiripo.- Izvi zvinoreva kuti kazhinji kacho kune MDD. Kune nzira dzakasiyana-siyana dzekurapa izvi.
- Kurapa kwepfungwa: Izvi zvinoreva kurapwa kuburikidza nekutaura.
- Mishonga yekuderedza kushushikana: Mishonga inopihwa yekuderedza kushushikana.
- Mamwe marapirwo: Ongororo dzakaratidza kuti mamwe marapirwo chaiwo anoshanda zvakanyanya kana MDD ikasangana ne'Psychomotor Impairment'.
- Kurapa neElectroconvulsive (ECT): Uku kurapwa kwakachengeteka uye kunoshanda kunoshandisa anesthesia uye kunopa zviratidzo zvidiki zvemagetsi kuuropi kuti kudzoreredza kugadzikana kweuropi.
- Kudzokororwa kwesimba remagetsi rinodzokororwa (rTMS): Izvi zvinoshandisa simba remagetsi kukurudzira zvikamu zveuropi zvinodzora manzwiro.
Iwe nachiremba wako munogona kushanda pamwe chete kusarudza chirongwa chekurapa chinokunakirai. Ungasawana zororo kubva pakurapwa kumwe chete, asi usarega. Zvakakosha kuti urambe uchitora chirongwa chako chekurapa.
Ndezvipi njodzi dziripo kana dzikasarapwa?
Kana chirwere ichi chikasarapwa, chinogona kukonzera matambudziko akakomba, akadai sekushaya chikafu chakakwana nekuda kwekusadya, uye kuzviregeredza . Muzviitiko zvakadaro, kugara muchipatara nekurapwa zvinogona kutodiwa.
Chinonyanya kukosha: MDD isina kurapwa uye Psychomotor Impairment zvinowedzera njodzi yekuzviuraya zvakanyanya. Kana iwe kana mumwe munhu waunoziva ari kufunga kuzviuraya, ndapota usazviite wega. Udza mumwe munhu waunovimba naye nekukasika. Enda kuchipatara chiri pedyo neEmergency Department (ETU). Yeuka, kune vanhu vazhinji vanogona kukubatsira.
Kukanganisika kwepfungwa (Psychomotor Impairment) kunzwa sekunge uri kushambira munyu wakakora. Kana kuti sekunge mumwe munhu akabatidza bhatani rekuti "slow-motion" mupfungwa dzako nemuviri. Kuronga nguva yekuonana nachiremba kunogona kuita sebasa rakaoma panguva dzakadai. Asi kukumbira rubatsiro ndiyo nhanho inonyanya kukosha. Kana uchinetseka kuzviita wega, kumbira rubatsiro kumunhu wemhuri kana shamwari. Kana ukangowana rubatsiro nekukurumidza, zvichava nyore kuti pfungwa dzako nezviito zvako zvidzokere munzira kwayo.
Mharidzo Yekuenda Nayo Kumba
- Kusashanda zvakanaka kwepfungwa hakusi kungofinhwa chete, asi kunogona kuva chiratidzo chikuru chechirwere chekushungurudzika kukuru (MDD).
- Chinoitika apa ndechekuti pfungwa dzako padzinononoka, mashandiro emuviri wako anodererawo.
- Kune mishonga inoshanda zvikuru pakurapa izvi, saka zvakakosha kuona chiremba wako nekukurumidza uye kutsvaga mazano.
- Kana zvichikuomera kukumbira rubatsiro, ndapota taura nehama yako kana shamwari yaunovimba nayo. Hamufanirwe kufamba rwendo urwu muri mega.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Flank Mass?
Uku hakusi kuzvimba kweganda kwakajairika! 'Flank Mass' kukura kusingawanzoitiki kunogona kunzwikwa munzvimbo ye costovertebral (nzvimbo iri pakati pembabvu dzako nemapfupa ehudyu). Sezvo nzvimbo iyi iri musha weitsvo, bundu iri rinogona kunge riri 'itsvo yakakura'!
💬 Ndezvipi zvikonzero zvikuru zvinoita kuti bundu/bundu (Flank Mass) rioneke munzvimbo yechipfuva (pakati pekunze)?
Pane zvikonzero zvitatu zvikuru uye zvine njodzi zvikuru zveizvi: 1) 'Renal Cell Carcinoma / Kidney Cancer' - Mugomarara iri, hapana zviratidzo pakutanga (bundu guru chete rinowanikwa pasi peganda). 2) Itsvo inozvimba kusvika pakuzara weti/matumbu uye itsvo inova dombo (Hydronephrosis/Abscess), saka itsvo pachayo inonzwa sebundu (Palpable kidney). 3) Chirwere chemajini umo ma cysts emvura anoumba muitsvo yese (Polycystic Kidney Disease).
💬 Kana ukanzwa bundu riri muchiuno chako (flank mass), unofanira kuona chiremba/kuenda kuchipatara nekukasika. Ndezvipi 'zviitiko zvinotyisidzira hupenyu/zvekukurumidzira'?
Kana ukawana bundu/bundu rakadaro, unofanira kuenda kuna chiremba (kuti unoongororwa neultrasound) nekukurumidza (rinogona kunge riri kenza)! Asi njodzi huru! Pamwe chete nebundu, kana, 1) uine 'hematuria isingarwadzi' (isina kurwadziwa) pamwe chete neweti yako, 2) une kurwadziwa kusingatsungiririki kweparutivi pamwe chete nefivha yakanyanya (fivha/kutonhora - itsvo iri kuora), 3) unodzikira uremu pasina chikonzero (kudzikira uremu), unofanira kuendeswa kuchipatara nekukasika!
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