Nei Vakadana Kunoongororwa Nezvepfungwa?

Vanhu vari muchipatara nekuda kwezvikonzero zvakawanda, zvinosanganisira kushungurudzika, kurohwa nemoyo, uye sitiroko. Pamwe, munhu anoda kurapwa kwakanyanya kwecancer kana kuvhiyiwa kusarudzwa kutsiva hudyu kana ibvi. Zvisinei nechikonzero chekurara muchipatara, hazvishamise kuti chiremba kana wekuvhiya akumbire kubvunza nezvepfungwa. Sei? Mamiriro ezvinhu mazhinji ekurapa uye / kana marapirwo anoshandiswa pamamiriro aya anosanganisirwa nezviratidzo zvehunhu, uye uyo anodzidzira basa kana chiremba anovhiya anowanzoda kuiswa kubva kunachiremba wepfungwa kuti abatsire kuziva chinokonzeresa shanduko yemaitiro uye kuona marapiro anoshanda. Ndeapi mamwe eaya maitiro ekuchinja uye nei achiitika? Heano mimwe mienzaniso.

Zvimwe zvehutano mamiriro, semuenzaniso, chirwere chemwoyo uye chirwere cheshuga, zvine hukama nezviratidzo zvekiriniki yekuora mwoyo. Kana murwere ari muchipatara achifungidzirwa kuti ari kushushikana zvakanyanya kana kuratidza nenzira ipi neipi yaari kufunga nezvokuzvikuvadza, timu yezvokurapa inowanzodaidza chiremba wepfungwa kuti aongorore mamiriro uye kuomarara kwezviratidzo zvekushushikana, ongorora njodzi dzega -harm, uye ita kurapa kurudziro. Varapi vepfungwa vanoita basa rakakosha mukutungamira kwevarwere nekuti kuvapo kwekushungurudzika kunowanzo shatisa mhedzisiro yechirwere chekutanga chekurapa, uye zvinopesana.

Chimwe chiitiko chakajairika chinosanganisira murwere ari muchipatara pane chekurapa kana chekuvhiya uyo anokudziridza kutanga kwekukurumidza kwekushushikana, kuvhiringidzika, kusagadzikana, kana kufungidzira (semuenzaniso, kunzwa manzwi kana kuona zvinhu kana vanhu vasipo). Kune akawanda zvikonzero zvinoita zveaya maitiro mune varwere vari muchipatara. Semuenzaniso, vamwe varwere vane pre-huripo hwepfungwa hurwere hunowedzera chiratidzo pamwe nekushushikana kwekugara muchipatara. Varwere vane bipolar kusagadzikana kana schizophrenia vanogona kukudziridza anoshanda zviratidzo zveaya matambudziko semhedzisiro yekushushikana uye kukanganisa mune kwavo maitiro. Kuchengetwa muchipatara, pamwe nekuchinja kwayo kunobva munzvimbo yaunoziva, kunogona zvakare kutungamira mukuchinja kwehunhu mune vanhu vane dementias sechirwere cheAlzheimer.

Chimwe chikonzero chakajairika nei varwere vari muchipatara vachiratidza kusagadzikana, kusagadzikana, uye / kana kufungidzira ndiko kusimudzira kwemamiriro anozivikanwa sedhirium. Delirium rudzi rweakakomba huropi chirwerequilibrium umo akawanda masisitimu ehuropi anobuda muchiyero. Dzimwe nguva, munhu anogona kunge aine "chinyararire" dhiriyamu uye achivhiringidzika. Varwere vakadai vanowanzo kufuratirwa kudzamara mumwe munhu ari muchikwata chekurapa aona kuti munhu akavhiringidzika kana kuve nematambudziko makuru ekurangarira. Dzimwe nguva, iyo uropi chirwerequilibrium inotungamira kune zvimwe zvinokanganisa zviratidzo sekushushikana kana kuona zvisizvo. Varwere ava vanogona kunge vasingadzoreki zvakanyanya uye vane njodzi kwavari nekune vamwe. Kunyangwe delirium ichizvizivisa pachayo kuburikidza nehunhu hwakavhiringidzwa nemurwere, izvo zvikonzero zvinowanzo sanganisira mamiriro ehutano kana kurapwa kwawo. Semuenzaniso, iyo yekuwedzera mhedzisiro yemishonga yakawandisa inogona kutungamira mukushushikana. Hutachiona husingaonekwe, senge chirwere chekuvhenekera kana pneumonia, chinogona kukonzera delirium. Kuvhiya, kunyanya pasi peanesthesia, dzimwe nguva inosundira uropi pamusoro pemupendero, zvichikonzera delirium. Chiremba wepfungwa anogona kubatsira vezvekurapa kana vekuvhiya kuti vaongorore delirium uye vozokurudzira kuongororwa kwezvakakonzerwa nezvikonzero zvekurapa. Nyanzvi yezvepfungwa inogona zvakare kubatsira nekutungamira kwehunhu hunokanganisa. Sezvambotaurwa, munhu ane dementia ane huropi hwakatokanganiswa uye ari panjodzi yekuumbika delirium. Kufungidzira kuti ndezvipi zviratidzo zvine chekuita necha dementia uye izvo zviratidzo zvinokonzerwa ne delirium zvinogona kunetsa.

Izvo zvakakosha kuti deliria ionekwe uye chikonzero chakatemwa. Dhiirium inoenderera mberi inosanganisirwa nemhedzisiro yakaipisisa yezvokurapa mune zvese zvipfupi- uye zvakareba-kwenguva, kureva, huropi hwakakomba hwurwere uye zvikonzero zvaro zvinokonzereswa nekosi yekudzika yekiriniki uye nenjodzi yakawedzera yekufa. Deliria anoonekwawo muzvikamu zvekupedzisira zvezvirwere zvakawanda.

Dzimwe nguva varapi vepfungwa vanobvunzwa muchipatara chakajairika nekuti murwere ari kuramba nzira dzekurapa kana dzekuvhiya idzo vanachiremba vanorapa vanotenda kuti dzakakosha. Chikwata chezvekurapa chinogona kunetsekana kuti murwere haasi kushandisa zvine musoro kutonga uye chingabvunza chiremba wepfungwa kuti abatsire kuona kana murwere achikwanisa kusarudza. Kunyangwe iyi sarudzo isingade chiremba wepfungwa, hazvisi zvakajairika kuti vanachiremba vezvepfungwa vakumbirwe kuti vaongorore mashandiro epfungwa emunhu uye kugona kuita sarudzo. Basa repfungwa yezvepfungwa mune ino mamiriro ndeye kupa maonero nezve kugona kwesarudzo kwekuita kwemurwere. Kana chiremba wepfungwa achitenda kuti munhu anokwanisa kusarudza nezvekurapa kana kuvhiya kurapwa kuri kupihwa, saka vekurapa kana vekuvhiya vanogona kushushikana, asi ivo vanofanirwa kukudza danho remurwere. Kana zvikaonekwa kuti murwere haanyatsonzwisisa mamiriro ezvinhu uye njodzi dzokusabvuma kurapwa, timu yekurapa kana yekuvhiya inogona kusarudza kutevedzera zviga zvakamisikidzwa zvekurapa zvinopesana nezvido zvemurwere kuitira kubatsira kuponesa iye. hupenyu. Izvo zvakakosha kuti uzive kuti, mune idzi kesi, varapi vepfungwa vanoongorora mamiriro epfungwa uye kugona kuita sarudzo. Havataure kuti varwere "havana basa" sezvo dzimwe nguva vachitenda zvisirizvo; kugona kuita kwakaomarara mutemo uye kwete chisarudzo chekurapa / chepfungwa.

Kune zvimwe zvikonzero zvakawanda nei vanachiremba kana vekuvhiya vangabvunza chiremba wepfungwa kuti vaongorore murwere ari muchipatara. Kazhinji hazvisi zvekurairwa kana "kurapa," zvakadaro. Asi, ndezvekubatsira timu yekurapa kuona kuti nei murwere ari kuratidza maitiro anoratidzira akakosha kusagadzikana kwehuropi uye kuti maitiro aya anofanirwa kugadziriswa sei.

Iyi ikholamu yakanyorwa-pamwe naEugene Rubin MD, PhD naCharles Zorumski MD.