Sibutsetelo
U-Abulia, owaziwa nangokuthi u-aboulia, yisimo sesisusa esinciphise. Ngokuvamile, abulia ubhekisela kuhlobo lokunganakwa oluvela ngenxa yesifo, ikakhulukazi izifo ezithinta ubuchopho. Abanye abantu abane-abulia bayazi ushintsho ezingeni lezisusa, kodwa kubonakala ikakhulukazi futhi becasula abangane nabathandekayo.
Umuntu obhekana ne-abulia angabonisa izimpawu ezivela ekucashile kuya ekucindezeleni emazingeni obukhulu, kanti i-mutism (hhayi ukukhuluma) iyindlela ebi kakhulu. U-Abulia uvame ukuhlotshaniswa nezimo ze-neurologic noma ze-psychiatric. Kucatshangwa ukuthi cishe abangaba ngu-20-30% abasindile besifo sokushaya isifo abazwa ukunganaki noma abuyile.
Lapho ukuhlukumeza kubangelwa isenzakalo esingalindelekile, njengesifo sokushaya isisu, kungase kubonakale ngesikhathi noma ngemuva kokuphulukiswa kwesifo. Uma ukuphuluka ngenxa yezifo eziqhubekayo, njenge-Alzheimer's disease noma isifo sikaParkinson, kungase kube nzima ngokuhamba kwesikhathi.
Izimpawu
Kunezinhlobo zezimpawu ze-abulia.
Izimpawu ezijwayelekile zingabandakanya noma iyiphi inhlanganisela yalokhu okulandelayo:
- Ukunganakwa-ukungabi nesithakazelo noma ukugqugquzela ekutholeni izinto noma ngokujoyina imisebenzi. Akuneshiseko ngokuthola izinto. Kunzima ukuqala noma ukuqedela amaphrojekthi noma imisebenzi ebalulekile.
- Ungathandeki ezintweni ezenzekayo noma ekuhlanganyeleni emisebenzini noma kwimicimbi.
- Ukungahambi kahle
- Ukungabi nemibono noma ukuntuleka kwemibono mayelana nezintandokazi
- Ukungabikho komphakathi-ukungabi nesithakazelo kwabanye abantu, ukungabi nokuxhumana nabanye, ukuxhumana okulinganiselwe nabanye, ukugwema abanye
- Ukuthula okukhulu noma ukuthula
- Ukuhamba kancane komzimba
- Ukungabi nokuzenzekelayo
- Ibuzwe ngokomzwelo
- Kunzima ekwenzeni izinqumo noma izinhlelo, ukunganaki
- Ukufuna ukudla isikhathi eside ngaphandle kokugwinya
Izimbangela
Ukulimala kwengqondo noma ukuwohloka komqondo kungaphazamisa ukusebenza okuvamile ebuchosheni, okubangelwa abulia. Ukulimala kwezifunda zezinzwa ze-lobes yangaphambili yobuchopho obuthinta uhlelo lwe-dopaminergic, kucatshangwa ukuthi iyimbangela ye-abulia. Uhlelo lwe-dopaminergic luchaza uhlelo lwamakhemikhali akhiqizwa ebuchosheni obunikeza imizwa emihle yenjabulo nokwaneliseka. Ngakho-ke, kungenzeka ukuthi uma impendulo enhle iphazanyiswa, kunokunciphisa kancane ukuzama ukuthola izinto ezenza umuntu 'ajabule.'
Abantu abaningi abathola futhi babonise izimpawu zobubuhlungu baye babhekana nalezi zimo ezilandelayo:
- Isibungu
- Isifo sikaHuntington
- I-schizophrenia
- Ukulimala kokuchofoza ebuchosheni-kusuka ekudakaleni, umdlavuza noma ukutheleleka
- Isifo se-Alzheimer's
- I-dementia ye-Vascular
- Lewy ukugula komzimba
- Isifo sikaParkinson
- Ukuwohloka komqondo kwangaphambili
Umehluko Kusuka Ekucindezelekeni
Ngenkathi babelana ngezici ezifanayo, abulia nokucindezeleka akufani. U-Abulia akahlukumezi ngokomzimba ngoba abantu abahlala ne-abulia ngokuvamile ababonisi izimpawu zokudabuka noma imicabango engafanele. Esikhundleni salokho, babonisa ukuntuleka kokukhathazeka ngesimo sabo noma ngezwe elibazungezile.
Ukusungula umehluko phakathi kwezimo ezimbili nokuthola ukuxilongwa okunembile kubalulekile ngoba abulia akathuthuki imishanguzo yokucindezeleka, kuyilapho abantu abanesifo sokucindezeleka kufanele ngokuvamile balindele ukuzwa ngcono kwezimpawu ezinezinkinga zokucindezeleka.
Ukuxilongwa
Ungase uzibuze ukuthi ngabe u-abulia noma ukucindezeleka noma ngabe umngane wakho, usebenza naye noma othandekayo uye wakha noma ukucindezeleka. Kufanele uqale ngokufuna ukunakekelwa kwezokwelapha ukuze izimpawu nezibonakaliso zihlolwe ngokucophelela.
Ukuxilongwa kwe-abulia kungathatha isikhathi. U-Abulia utholakala emlandweni wezokwelapha ochaza imizwa nezenzo zomuntu ongase abuke, kanye nomlando wokubheka okwenziwe abangane nabathandekayo.
Udokotela wakho angase abuze imibuzo eminye futhi enze ukuhlolwa komtholampilo ngenkathi evakashela ihhovisi. Kwezinye izimo ze-abulia, ukucabanga ngeso lengqondo nge- Brain CT scan noma Brain MRI scan kungabonisa izilonda zengqondo ezinjenge-stroke, enye yezimbangela eziyinhloko ze-abulia.
Ukwelapha
Kunezinye izindlela zokwelashwa ezitholakalayo zokwelashwa nokuphathwa kwe-abulia. Imithi enomthelela ohlelweni lomzimba we-dopaminergic, eliphazanyiswa ku-abulia, libonise imiphumela emihle uma kuziwa emibhalweni yemigomo ye-abulia.
Ukuvuselelwa kwengqondo kungasiza ekuthuthukiseni amakhono okucabanga, okungase athuthukise abulia. Ukwelashwa ngokomzimba kungasiza ekuqaliseni umsebenzi wokuzivocavoca, mhlawumbe isisusa esithinta abantu abathintekayo ngalesi simo. Ukweluleka nokululekwa komndeni kungathuthukisa ukuxhumana nokusiza ekubhekaneni no-abulia.
> Imithombo:
> Ukungabi nandaba ngemva kokushaya, Jorge RE, Starkstein SE, uRobinson RG. Can J Psychiatry. 2010 Jun; 55 (6): 350-4
Ihlelwe nguHeidi Moawad MD