Overview
Abulia, uyo anozivikanwawo kuti aboulia, inzvimbo yekukurudzirwa kuderera. Muzhinji, abulia anoreva rudzi rwekusafarira runovapo nekuda kwezvirwere, kunyanya zvirwere zvinokanganisa uropi. Vamwe vanhu vane abulia vanoziva kuchinja kwehutano hwekukurudzira, asi zvinonyanya kuoneka uye kugumbura shamwari neshamwari.
Munhu anotarisana abulia angaratidza zviratidzo zvinowanikwa kubva pane zvisiri nyore kusvika kune zvinodzvinyirira mumatambudziko ekuderera, uye mutism (kwete kutaura) ndiyo inonyanya kuumbwa. Abulia inowanzobatanidzwa neurologic kana mamiriro epfungwa. Inofungidzirwa kuti vanenge 20-30% vevakashungurudzika vane chirwere vanoshaya hanya kana kubvisa.
Kana kubhekwa kunokonzerwa nechiitiko chisina kuitika, chakadai sitiroko, inogona kuonekwa panguva kana shure kwekurohwa chirwere. Kana kubvisa kubva kune chirwere chinopfuurira, chakadai sechirwere cheAlzheimer kana chirwere chePalinson, chinogona kukura kupfuura nguva.
Zviratidzo
Kune huwandu hwezviratidzo zvebubulia.
Zviratidzo zvinogona kunge zvinosanganisira kusanganisa kweizvi:
- Kusanzwisisa-kusava nehanya kana kuti kukurudzira pakuita zvinhu kutanga kana kubatana mabasa. Kwete kushingaira pakuita zvinhu kuitika. Matambudziko ekutanga kana kupedza mapurojekiti kana mabasa anokosha.
- Usakanganiswa mune zvinhu zviri kuitika kana mukubatanidzwa mumabasa kana zviitiko.
- Passivity
- Kusava nemafungiro kana kusava nekutaura kwemaonero pamusoro pezvaunoda
- Asocial- kusava nehanya kune vamwe vanhu, kusawirirana kwevamwe, kusagona kukurukurirana nevamwe, kudzivisa vamwe
- Kunze kwakanyarara kana kutendeseka
- Kunyanya kunonoka kufamba
- Kusava nekuzvipira
- Emotionally remote
- Dambudziko pakuita zvisarudzo kana zvirongwa, kusagadzikana
- Kucheka zvokudya kwenguva yakareba pasina kumedza
Zvinokonzera
Kuparara kwebongo kana kuti dementia kunogona kukanganisa kushanda kwakanaka muuropi, zvichiita kuti abulia. Kukuvadza kumakwikwi emagetsi emakona ekutanga europi anokonzera dopaminergic system, inofungidzirwa kuti ndiyo inokonzera abulia. Dopaminergic system inotsanangura nzira yemakemikari anobudiswa muuropi iyo inopa maonero akanaka emufaro uye kugutsikana. Nokudaro, zvinogoneka kuti kana purogiramu yakanaka ichivhiringidzika, pane zvishoma zvingaita kuti uedze kuwana zvinhu zvinoita kuti munhu 'afare.'
Vanhu vazhinji vanoona uye vanoratidza zviratidzo zvebubulia vakaona imwe yezviitiko zvinotevera:
- Stroke
- Chirwere cheHuntington
- Schizophrenia
- Yakagadzirirwa kukuvadza kweuropi- kubva pamatambudziko, kenza kana utachiona
- Chirwere cheAlzheimer
- Vascular dementia
- Lewy muviri wekuora mwoyo
- Chirwere chePalinson
- Frontotemporal dementia
Kusiyana Kubva Kuora Mwoyo
Pavanenge vachigovana zvimwe zvinhu zvakafanana, abulia uye kuora mwoyo hakuna kufanana. Abulia ane hutano hwakasiyana kubva pakuora mwoyo pakuti vanhu vanorarama nehurlia havaiti zviratidzo zvekushungurudzika kana pfungwa dzisina kunaka. Pane kudaro, vanoratidza kusava nehanya nehupenyu hwavo kana nezvepasi rakavapoteredza.
Kugadzira musiyano pakati pemamiriro maviri aya nekuwana kuongororwa kwakajeka kunokosha nokuti abulia havandudzi nemishonga yekurwisa zvinodhaka, nepo vanhu vane kuora mwoyo vanofanira kazhinji kutarisira kuve nekuvandudzika kwezviratidzo nevanorwara.
Kuziva
Iwe unogona kunge uchishamisika kana iwe uri mubhedha kana kuora mwoyo kana kuti shamwari yako, waunoshanda naye kana waunoda ane shulia kana kuora mwoyo. Iwe unofanira kutanga nekutsvaga kurapwa kuitira kuti zviratidzo nezviratidzo zvigone kunyatsoongororwa.
Kuongororwa kwebhulia kunogona kutora nguva. Abulia anoongororwa kuburikidza nenhoroondo yezvokurapa iyo inotaura manzwiro nezviito zvemunhu angave ane abulia, uyewo nhoroondo yekucherechedza kunoitwa neshamwari nevanodiwa.
Chiremba wako angabvunza mibvunzo yakawanda uye oita kuchipatara panguva yekushanya kwehofisi. Mune zvimwe zviitiko zvebubulia, kufungidzira kufungidzira ne Brain CT scan kana Brain MRI scan kunogona kuratidza maitiro europi ehupakati akadai sitiroko, chimwe chezvinhu zvinokonzera abulia.
Kurapa
Kune mamwe marapirwo ezvokurapa anowanikwa pakurapa nekugadzirisa abulia. Mishonga inobatsira pamuviri weDopaminergic system, iyo inokanganiswa mubulia, yakaratidza migumisiro yakajeka kana iri pamusoro pezviratidzo zvinangwa zvebubulia.
Kuziva kugadziriswa kunogona kubatsira mukugadzirisa unyanzvi hwokufunga, izvo zvingavandudza abulia. Kurapa kwepanyama kunogona kubatsira pakuita basa rekuita muviri, zvichida kuwedzera kukurudzira kune vanhu vanobatwa nehutano ichi. Kupa mazano nekupa mazano kumhuri kunogona kuvandudza kukurukurirana nekubatsira mukubata nebubulia.
> Sources:
> Kusatenda shure kwekurohwa, Jorge RE, Starkstein SE, Robinson RG. Can J Psychiatry. 2010 Jun; 55 (6): 350-4
Yakagadzirwa naHeidi Moawad MD