Kukho iintsuku apho unomsebenzi omninzi ekufuneka uwenze, kodwa kubonakala ngathi awukwazi ukuqala. Okanye mhlawumbi uzifumana ujikeleza, ungakwazi ukugxila, kwaye uphazanyiswa zizinto ezincinci. Usenokuba uzibuza, "Kutheni oku kusenzeka kum? Ndingumvila?" Ukuba ukhe waba namava afanayo, esi sihloko sithetha ngaso namhlanje siya kuba sibaluleke kakhulu kuwe. Masithethe nge-Executive Dysfunction.
Yintoni i-Executive Dysfunction?
Ngamafutshane, i-Executive Dysfunction ayisosifo. Luphawu. Yingxaki yokuziphatha eyenzeka xa eminye yemisebenzi engqondweni yethu ingasebenzi kakuhle. Oku kuphazamisana nokukwazi kwethu ukulawula iingcinga zethu, iimvakalelo kunye nezenzo.
Cinga nge-CEO eofisini. Nguye olawula yonke inkampani, enze izicwangciso, asasaze umsebenzi, aze asombulule iingxaki. Iingqondo zethu zinjalo. Kukho inkqubo enkulu yokulawula efana nale kwi-frontal lobe yengqondo. Oku sikubiza ngokuba yi-'executive functions' okanye i-Executive Functions. Xa le nkqubo iba buthathaka, kubakho ukungasebenzi kakuhle kwe-Executive.
Zithini 'iiMisebenzi yoLawulo' yengqondo yethu?
Ukuba siyiqonda kakuhle le Misebenzi yoLawulo, kulula kakhulu ukuqonda ukuba yintoni i-Executive Dysfunction. Le misebenzi inokwahlulwahlulwa ibe ngamacandelo amathathu.
| Umsebenzi | Kalula nje... |
|---|---|
| Inkumbulo Yokusebenza | Oku kufana nememori yexeshana (i-RAM) engqondweni yethu. Kusinceda sikhumbule ulwazi esiludingayo ngelixa senza into ethile. Umzekelo, ukukhumbula inombolo yefowuni umntu asinike yona de siyicofe. |
| Ukuguquguquka kwengqondo | Oku kubhekisa kubuchule bokutshintsha ngokulula ukusuka kwesinye isihloko ukuya kwesinye, ukusuka komnye umsebenzi ukuya komnye. Khawuthelekelele indlela obuxabiseke ngayo obu buchule xa kufuneka uzivumelanise nemeko etshintsha ngequbuliso. Abantu abanalo obu buchule banobuchule kakhulu. |
| Ulawulo lweMpembelelo (Ulawulo lokuThintela) | Le yinkqubo yengqondo yethu 'yokuqhobosha'. Isinceda silawule iminqweno yethu, iingcinga ezingafunwayo, kunye nezenzo. Ineenxalenye ezimbini: Ulawulo Lokuziphatha - ukungenzi into esingafanele siyenze (umz. ukungathethi ilizwi elibi xa sinomsindo) kunye noLawulo Lokuphazamisa - ukunikel' ingqalelo kumsebenzi okhoyo, singayinaki ingxolo kunye neengcinga ezingafunwayo ezisingqongileyo. |
Le misebenzi isisiseko isekelwe kwimisebenzi ekumgangatho ophezulu, efana nokucwangcisa , ukuqiqa, kunye nokusombulula iingxaki . Zonke ezi zinto zibalulekile kubomi bethu bemihla ngemihla.
Uziva njani umntu one-Executive Dysfunction?
Ngenxa yokuba le Misebenzi yoLawulo inxulumene nezinto ezininzi, imeko eyaziwa ngokuba yi-Executive Dysfunction inokukuchaphazela ngeendlela ezininzi ezahlukeneyo. Usenokuba ukhe wahlangabezana nenye okanye ngaphezulu kwezi mpawu.
| Uphawu/Ingxaki | Umzekelo omncinci |
|---|---|
| Ubunzima bokugxila | Nezona zinto zincinci zinokukuphazamisa. Xa umamele ibali, kwintlanganiso, okanye eklasini, ingqondo yakho iyazulazula (ukuphupha emini). |
| Ubunzima bokuqala nokucwangcisa umsebenzi | Andifuni nokuqala umsebenzi kuba andinakukwazi ukucinga ukuba uza kuba njani xa ugqityiwe. Andikwazi ukuqala umsebenzi endicinga ukuba unzima kwaye uyadinisa. |
| Ukuphazamiseka kunye nokulibala | Xa uxakekile, uphazanyiswa yinto ethile uze ulibale into obuyenza. Khawuthelekelele usiya efrijini uyokusela amanzi uphethe izitshixo zakho, ushiye isitshixo ngaphakathi efrijini uze usilibale. |
| Iingxaki zokulawula umfutho | Nangona ucinga ngokutya ukutya okuncinci, ngequbuliso utya iqhekeza lekhekhe. Uthetha nje nantoni na efika engqondweni yakho, ungacingi ukuba iza kumenzakalisa na omnye umntu. |
| Ubunzima bokuchaza iingcinga zomntu | Nokuba uyiqonda kakuhle into ekwingqondo yakho, kunzima ukuyichaza ngamazwi uze uyicacisele omnye umntu ngokucacileyo. |
Yintoni enokubangela oku?
Iingcali azikaqiniseki ngokupheleleyo ukuba yintoni ebangela ukungasebenzi kakuhle kwamalungu omzimba, kodwa zifumanise ukuba oku kunxulunyaniswa neemeko ezithile zengqondo nezemithambo-luvo.
Iimeko zempilo yengqondo
- Ingxaki Yokungakwazi Ukuqwalasela Izinto Ngokupheleleyo (ADHD)
- Uxinzelelo
- Isifo Sokuxhalaba Okugqithisileyo (OCD)
- Ingxaki ye-Autism Spectrum
- Ukuxhomekeka kwiziyobisi notywala I-Schizophrenia
Ukonakala kwengqondo nezifo
- Ukulimala entloko (umz. Ukungqubana kweengqondo, Ukulimala kobuchopho okubangela i-Traumatic Brain - iiTBI)
- Istroke
- Isifo sengqondo esixhalabisayo kunye nesifo sika-Alzheimer
- Umhlaza wobuchopho
- Umonakalo obangelwa kukungabikho komoya-mpilo engqondweni (i-cerebral hypoxia)
- Usulelo lobuchopho olufana ne-meningitis
- I-Multiple Sclerosis (MS)
Ngaba ikhona indlela yokunyanga oku?
Ewe, ngokuqinisekileyo. Khumbula, asinyangi iimpawu ze-Executive Dysfunction apha, kodwa sinyanga unobangela oyintloko . Ngoko ke, ukuba uhlangabezana nezi mpawu, eyona nto ingcono onokuyenza kukubona ugqirha wakho .
Iindlela zonyango zinokwahluka ngokuxhomekeke kwimeko yakho, imbali yempilo, kunye nezinto ozithandayo. Kukho iindlela ezimbini eziphambili zonyango:
1. Amayeza: Ugqirha wakho angakunika amayeza okuvuselela imeko efana ne-ADHD kunye namayeza okunciphisa uxinzelelo. La mayeza kufuneka athathwe kuphela phantsi kwengcebiso kagqirha .
2. Unyango lwezengqondo: Olona nyango luqhelekileyo loku yiCognitive Behavioral Therapy (CBT) . Oku kukunceda ulawule ezi ngxaki ngokutshintsha iindlela zakho zokucinga kunye nokuziphatha.
Ngaba ukungasebenzi kakuhle koLawulo kunye nokuLibazisa izinto ziyafana?
Le yinto abantu abaninzi abayididayo. Ezi zimbini zahluke ngokupheleleyo. Ubuvila buthetha xa sizibekela ecaleni ngabom ukwenza into ethile. Lukhetho.
Nangona kunjalo, i-Executive Dysfunction ayikobuvila okanye ukungabi namdla. Yimeko enzima ukuyilawula ebangelwa kukutshintsha kwendlela esebenza ngayo ingqondo. Ke ngoko, ukuxelela umntu onje, "Musa ukuba livila, hamba uye kwenza into ethile," akuyi kunceda.
Ngaba le meko ingathintelwa?
Kunzima ukuthintela ukungasebenzi kakuhle kwamalungu omzimba okubangelwa ziimeko zempilo yengqondo. Kodwa kukho izinto esinokuzenza ukunciphisa umngcipheko wokulimala kwengqondo:
- Nxiba izixhobo zokhuseleko: Nxiba isigcina-ntloko xa uqhuba ibhayisekile okanye ibhayisekile. Nxiba ibhanti yesihlalo xa uqhuba imoto. Ezi zinto zinokuthintela ukwenzakala entloko okuninzi.
- Musa ukungazinanzi iintsholongwane: Funa unyango olukhawulezileyo lwezifo zendlebe okanye zamehlo. Ezi zifo zinokuba yingozi ukuba zisasazeka engqondweni.
- Yitya ukutya okunesondlo kwaye ugcine ubunzima obusempilweni: Oku kunokunciphisa umngcipheko wezifo ezifana nesifo sohlangothi.
- Zikhusele kwiigesi ezinobungozi: Ukuvezwa kwiigesi ezinobungozi ezifana ne-carbon monoxide kunokubangela umonakalo engqondweni. Ukuba ukrokrela ukuba ukhe wachaphazeleka yinto enobungozi, funa ingcebiso kagqirha ngoko nangoko. Ukuba kuyimfuneko, ungatsalela umnxeba iZiko loLwazi ngeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Ukuphila ne-Executive Dysfunction kunokuba ngumceli mngeni. Kumntu wangaphandle, ungabonakala njengomntu ongenaxhala, olivila. Kodwa uyazi kakuhle le ngxaki. Awuwedwa. Ukuthetha nogqirha wakho ngayo linyathelo lokuqala nelibalulekileyo ekulawuleni le ngxaki. Ngenkxaso kunye nonyango olufanelekileyo, abantu abaninzi baye bakwazi ukunciphisa impembelelo yezi mpawu kwaye baphila ubomi obuphumelelayo.
Umyalezo Wokuya Ekhaya
- Ukungasebenzi kakuhle kwamalungu omzimba asikokuba bubuvila okanye ukungabi namdla. Yimeko yokwenyani ebangelwa kukutshintsha kwendlela esebenza ngayo ingqondo.
- Oku kungaba luphawu lwesinye isifo esifihlakeleyo, esifana ne-ADHD, ukudakumba, okanye umonakalo wobuchopho.
- Oku kuchaphazela izakhono ezinje ngokucwangcisa, ukugxila, ukulawula iimvakalelo, kunye nokusombulula iingxaki.
- Ukuba unengxaki kwezi ngxaki, eyona nto ingcono onokuyenza kukwenzaBona ugqirha wakho uze uthethe naye.
- Ukungasebenzi kakuhle kwamalungu omzimba kunokulawulwa kakhulu ngokunyanga unobangela oyintloko.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Iipilisi zePropafenone (Propafenone / Rythmol) ziyindlela enamandla kakhulu yonyango esetyenziselwa isifo esinjani?
Le ayisiyo pilisi eqhelekileyo yoxinzelelo lwegazi! Liyeza elinamandla leClass 1C Antiarrhythmic elisetyenziswa ngoogqirha ukubuyisela intliziyo 'kwisigqi esiqhelekileyo' xa amagumbi aphezulu esigulana ebetha ngequbuliso ngendlela engaqhelekanga/ngokukhawulezileyo kangangokuba libe yingozi ebomini (Atrial Fibrillation / PSVT)!
💬 Xa intliziyo ibetha kakhulu, ungayilungisa njani indlela intliziyo ebetha ngayo ngokunika eli yeza (iPropafenone)?
Intliziyo ibetha ngokukhawuleza kuba imiqondiso yombane isebenza ngaphakathi entliziyweni ngaphandle kolawulo! Kwisigqi sokuqala, amasuntswana 'eSodium' kufuneka angene ukuze atshaje iiseli zombane zentliziyo. Xa le pilisi ingena entliziyweni, onke amasango avumela i-sodium ukuba ingene ayavalwa/avalwa nge-100% (kakhulu kakhulu). Ngenxa yokuba i-sodium ingena kancinci (Iyandisa inqanaba lokuqhuba 0), kuthatha ixesha elide ukuba iiseli zombane zitshaje. Emva koko intliziyo ayikwazi ukubetha ngokukhawuleza ngokwaneleyo kwaye ngequbuliso intliziyo ibuyela kwisigqi sayo sesiqhelo ngokungathi ngequbuliso.
💬 Yintoni 'iSilumkiso seBlack Box' ekufuneka abantu abasebenzisa eli yeza (Rythmol) bazi?
Leyo yeyona ngozi inkulu nokufa! Oku kungenxa yokuba idala isigqi entliziyweni, kwaye ukuba ukhe waba 'nesifo sentliziyo' ngaphambili (isifo sentliziyo se-MI/Structural), emva kokusela le pilisi, 'isigqi sentliziyo esitsha esibulalayo (isiphumo se-Proarrhythmic)' sinokwenzeka kwaye isigulana sinokufa ngequbuliso/sibe nesifo sentliziyo! Yiyo loo nto oogqirha bekunika oku ngononophelo olukhulu.
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