Kurwadza kunogona kuchinja hupenyu hunochinja-shanduka, hwakadai sekusaona zvakanaka uye kuderedza simba remuviri nekubatana. Mukuwedzera kune zvakasununguka mumuviri zvakakosha zvekurohwa, chirwere chinogona kuitawo kuti munhu ave noupenyu hunochinja. Kana iwe uri muponesi wepuroke, yako yepasite-stroke behavioral changes inogona kukurova iwe nevanoda vako nekushamisika kana iwe kamwe kamwe usingaiti "iwe pachako" zvakare.
Kana ukangodzidza kuti ungaziva sei unhu hwakajairika huchichinja mushure mekurohwa, iwe unogona kutanga kutora pfungwa yekusimbiswa, uchiziva kuti kune tsanangudzo yekuti nei iwe kana mudiwa wako angave achiita zvishoma. Kuziva unhu hunochinja kunogona kuva danho guru mukugadzirisa unhu husingadikanwi sezvo iwe nechinangwa uchishanda kuti udzose zvimwe zveunhu hunhu hunoita kuti unzwe se "iwe."
Kuora mwoyo
Mushure mekurohwa, zvinowanzoitika kuti uwane pfungwa yekusafara uye kusuruvara. Kutaura zvazviri, vazhinji vanopera makumi matanhatu kubva muzana vevakasara vakarohwa vanorondedzera kuora mwoyo kwenguva yakareba, iyo kuora mwoyo kunowedzera uye kwakareba kwenguva refu kudarika kusuruvara.
Post-stroke depression inokonzerwa nekubatanidzwa kwezvisikwa uye zviitiko zvehutano. Chokutanga pane zvose, zvakajeka zvinokonzerwa nekurohwa, zvakadai sokusava nesimba, kurasikirwa kwezviratidzo, uye zvinetso zvekubatanidza zvinogona kuita kuti uwedzere kushungurudzika kana iwe uchinzwa usina simba nekuremara kwako.
Uyezve, mushure mekurohwa, iwe ungashushikana nehutano hwako kana kuti unonetseka pamusoro pekufa kwako. Izvozvo zvinokonzerwa nekushaya rubatsiro kana kusava netariro zvinogona kuita kuti mushure mekurwadziwa nekuora mwoyo.
Uye kukanganisa-kunokonzerwa nekukuvara kweuropi kunogona kuunza kuchinja nenzira iyo uropi hunoita, zvichikonzera kushandiswa kwezvinhu zvehupenyu zvinotungamirira ku kuora mwoyo.
Pasinei nezvose izvi zvinokonzera kukura kwekushungurudzika kwepfungwa, mushure mekurwadziwa kwepfungwa kunowanzorapwa nekubatanidza nzira inosanganisira mishonga nekupa mazano.
Vanhu vazhinji, zvisinei, vanozeza kutsvaka kurapwa kwekuora mwoyo. Vamwe vanopukunyuka chirwere vanozeza kutora mazita ekuora mwoyo kunze kwekunetseka kuti inogona kuva uprofita huri kuzadzika. Vamwe havatendi chiremba chirongwa chekugadzirisa nyaya dzepfungwa, uye vamwe vanoona kuora mwoyo sechiratidzo chekushaya simba.
Zvisinei, kana iwe kana mudiwa wako ane manzwiro anogara achisuruvarisa kana kuti asina tariro, unogona kuwana rubatsiro runobatsira dambudziko iri. Kuziva kuti kuora mwoyo kwako hakusi iko kukanganisa kwako uye hausi chiratidzo chekushaya simba ndechimwe chinhu chinopa simba pakuwana kurapa kwakanaka.
Kusurukirwa
Mushure mekurohwa, kuparadzana kunogona kuitika kana iwe usingakwanisi kuita zvinhu zvimwe chete zvawaimboita. Kana iwe uchifanira kusiya basa rako mushure mekurohwa, kana kuti iwe hausisiri chikamu chehupenyu hwako hwemagariro evanhu, izvi zvinogona kuita kuti uwedzere kusurukirwa.
Vamwe vanopukunyuka chirwere vane urema hwakanyanya hunoita kuti zvive zvakaoma kutyaira, kubva mumba kana kutobuda pamubhedha. Kuremara kwakanyanya kungaita kuti tifambe tichienda kune imwe nzvimbo mhenyu mhenyu , muchikamu chekuwana rubatsiro rwakawanda nehupenyu hwezuva nezuva, uye muchikamu chekudzikisa kusurukirwa uye kusurukirwa.
Munhu mumwe nomumwe anouraya chirwere angakunda mushure mekurohwa kwechisungo chekusurukirwa nenzira yake yakasiyana.
Kurasikirwa kweCognitive Skills
Kurasikirwa kweunyanzvi hwekuziva kana mushure mekurohwa kunogona kuitika mushure mekurohwa mukati memunharaunda chero ipi zvayo yeuropi, asi kazhinji kacho mumutambo wekutanga, parietal lobe kana temporal lobes.
Kushandurwa kweunyanzvi hwekuziva kugadzirisa zvinosanganisira dambudziko rine chinetso chekugadzirisa, kuverenga zvinetso, uye dambudziko nemhando dzemahembedhi dzakaoma. Vamwe vanopona murwere vanokanganwa, kukanganwa mazita, kana kurasikirwa nezvinhu kana kukanganwa kutarisira mabasa anokosha. Kukanganisa kwepfungwa kunogona kukonzera kuvhiringidzika kana kunogona kuita kuti zvive nyore kunzwisisa pfungwa dzomupukunyuti wechirwere angadai akagona kunzwisisa.
Kurasikirwa kweunyanzvi hwekuziva kunogona kuva kunetseka zvikuru kune vanopukunyuka, uye vazhinji vanoparara murwere vangangodaro mukuramba, vachipa zvikonzero zvekukanganisa kakawanda, kana kunyange kunyengera pamusoro pemakanganisa kuti vasanyadziswa.
Kuvaka unyanzvi hwekuziva ndewekuoma, asi sekuremara kwepanyama kunogona kuvandudzwa nekurapwa kwepanyama, kukanganisa kwemafungiro kunogona kuvandudza nekuzvipira kwakagadzirirwa kurapwa.
Kushushikana Kwepfungwa
Vakawanda vanorwara nechirwere vanozviwana vachinetseka mupfungwa kana kusina kunaka vachichema kana kuseka. Vamwe vanopona chirwere vanoona chirwere chinonzi pseudobulbar chinoshanda, icho chinoratidzwa nemafungiro ekuchinja uye kusingadzorwi manzwiro emanzwiro.
Kusava nekukurudzira
Kurohwa kunogona kutungamirira kushayikidziro rwekukurudzira, iyo inonzi kusatenda. Kusanzwisisa kunoitika pashure pemhando dzakawanda dzekukuvara kweuropi. Pane zvikonzero zvakawanda zvekusava nehanya kwepfungwa.
Kupera kwemazano ekuziva (kugadzirisa matambudziko uye unyanzvi hwekufunga) mushure mekurohwa kunogona kuita kuti mabasa mazhinji aite seanooma uye asingagoneki. Uyezve, kukura kwekushungurudzika kwepashure, kuve nemutoro mashoma ekubata nawo mushure mekurohwa, uye dzimwe nguva kunzwa kuti "hapana anozocherechedza" zvaunoita, zvose zvinogona kutungamirira mukusafarira.
Pakupedzisira, kusava nehanya kunogonawo kuitika nekuda kweshanduko muhutano nekushanda kwehuropi hwechipiri kusvika kune chirwere chacho pachako.
Kukanganiswa
Vamwe vanopukunyuka chirwere vanobva vasingatarisirwi nehasha uye kutsamwa, kuzvibata munzira dzinenge dzichireva kana kuti dzakashata. Kushungurudzika, kufanana nedzimwe hutsika uye hutano-hunoenderana nehupenyu hunoshanduka, inowanzokonzerwa nemanzwiro emanzwiro pamusoro pemhirizhonga uye kuora kwe-brain-injured injured.
Kushungurudzika kunonyanya kuzivikanwa muvanopukunyuka vasimba vane stroke pattern inounza masimba ekurwadziwa kwemavhu. Vascular dementia inowanzoitika kana shamhu dzakawanda dzichiitika pamusoro penguva, zvichiita kuti kuve nekukuvara kwehuropi muhupi hwose, uye kunoguma nehutano hwakasiyana hwehutano hwemangwana. Vascular dementia inoratidzwa nekuderera mukuyeuka uye unyanzvi hwokufunga, kuvhiringidzika, dambudziko kuwana zvinhu, dambudziko nemitemo, nekuchinja maitiro.
Kurega Sitiroko: Anosognosia
Anosognosia inotsanangura musikana wepuroke kusakwanisa kuziva kuti iye ane chirwere. Anosognosia inoratidzirwa nekunyanya kuzvidya mwoyo kunofadza uye kusaziva kuti pane chakaipa mushure mekurohwa. Kutaura zvazviri, munhu ane anorognosia angaratidza kushamisika uye kushamisika pamusana pekuti kune chero kurapa kupi zvayo kunotarisirwa zvachose.
Vakapukunyuka chirwere chechirwere vane anorognosia vane dambudziko rakaoma kune vadikanwa nevanochengeta, vanoedza kupa rubatsiro uye kutarisira, kazhinji vasina kubatana. Dzimwe nguva vanenge vasara varosi vane anorognosia vanobata avo vari kuedza kuvabatsira nekudzingwa kana kuramba.
Kusava netsitsi
Kusava netsitsi mushure mekurohwa kunokonzerwa nekukuvara kweuropi kunobata nzvimbo dzerudyi rweuropi. Kusava netsitsi ndiko kuchinja kwekutsika kunowanzogumbura shamwari neshamwari, asi kazhinji hazvizivikanwi nemupukunyuka.
Hazvisi nyore kufanotaura kana kusava nehanya kwekunzwira tsitsi kuchavandudza mushure mekurohwa, sezvo vamwe vanopona sitiroko vanogona kuratidza kuvandudza, asi vamwe vasingaiti.
Kurasikirwa Kwemazwi eUno
Mufaro wekunyomba unoda kunzwisisa nekukurumidza kufunga. Kunyara kunowanzobva pakuonekwa kwekuti pfungwa dzakawanda hadzisi pamwe chete uye kuti dzinonakidza uye dzinoseka kana dzikaiswa pamwechete.
Mhando dzakawanda dzepuroke dzinogona kuderedza kushungurudzika kwechirwere chepfungwa. Mumwe akapona muroti uyo aimbova anonakidza angave asingakwanisi kuvaka majee uye akapona musimba uyo angadai akakwanisa kuziva uye kuseka majokes angave asingakwanisi kudaro zvakare.
Kurasikirwa kwekunakidzwa kunogona kuva kwakaoma kupora kubva, nokuti izvi zvinorwadza zvinokonzerwa nekurasika kweunyanzvi hwekuziva. Zvisinei, kunzwisisa kuti kusava nekunyomba kunokonzerwa nekurohwa, uye kwete kurambwa kwega, kunogona kubatsira pakudzivirira kurwadziwa nemanzwisisiko kana munhu anenge apona chirwere asingabvumi nekutamba kwemoyo sezvaanotarisirwa.
Kurasikirwa Kwemagariro Evanhu
Vamwe vanopukunyuka chirwere vanogona kuita nenzira dzinofungidzirwa sevanhu vasina kukodzera mushure mekurohwa kwekodzero kana kuti kuruboshwe rworuboshwe. Kuita zvinhu zvakadai sokutora zvokudya kubva kune imwe nyika yevasingazivi, kunyomba vanhu zvinonzwika kana kunyadzisa kana kukwidza munharaunda, kunogona kuunza matambudziko kune avo vanochengeta uye vemhuri avo vari kunyanya kutarisira kuchengetedzwa nekuchengetedzwa kwechirwere chechirwere.
Kazhinji, munhu anopona muroti uyo anoratidza unhu hwemagariro asingagamuchirwi haanzwisisi kuti zviito hazvigamuchirwi, uye hazvibviri kukumbira ruregerero kana kuedza kugadzirisa maitiro.
Mutauro kana kuti kutuka kwomuponesi wepachirwere uyo akatambura nehutachiona hwepamberi husina kuenderana nehutano hwemunhu hwepakutanga husati hwaitika kana zvitendero. Uye zvakakosha kuziva kuti zvinoreva zvinorehwa hazvirevi kuti mupukunyuka wepuroke 'anonzwa sei, mukati mukati,' asi anowanzova mitsara yaakanzwa mune imwe nzvimbo isina kubatana, yakadai se bhuku kana kuti pane terevhizheni.
Kurasikirwa kwehutano hwemagariro evanhu kunogona kunge kwakanyatsogadziriswa apo muparadzi ane chirwere chiri nani, mumamiriro ezvinhu akajairika, uye pasi pese sekushungurudzika zvishoma sezvinobvira.
Godo
Rudzi rwechirwere rushoma runokonzera chirwere chinonzi Othello Syndrome, icho chinoratidzirwa nekusaziva uye kusina musoro kwegodo, zvikurukuru mumamiriro ekudanana. Iyi chirwere chinogona kukanganisa vasara vanorwara nechirwere nekuda kwekukuvara kweuropi kunobatsira nzvimbo dzekodzero yakakosha yekate.
Shoko Rinobva
Kurohwa kunogona kukonzera kushanduka kwakakura kwehupenyu kunogona kuita kuti unzwe sokunge wakarasikirwa iwe pachako kana kuti iwe warasikirwa nemudiwa wawaiwanzoziva. Unhu hunoshandurwa mushure mekurohwa kunogona kukonzera mupfungwa munhu wese anobatanidzwa.
Zvisinei, kana muparadzi wepuroke uye vadikanwa vanonzwisisa kuti izvo zvinobva pakuzvibata zvinobva mukurohwa-kukonzerwa nehuropi hunovhiringidza, zvinogona kuvimbisa munhu wose mukuziva kuti mufambiro unofadza hauna kutarisirwa kana kuti unofanirwa kutyisidzira. Kushanda kwakapona vanopukunyuka chirwere vanoziva nezvemaitiro ekugadzirisa mafambiro ekugadzirisa maitiro anogona kuwana ruzivo rwakakwana rwekukwanisa kuchinja zvimwe, izvo zvingaguma nekugutsikana kwehukama hwehukama.
> Sources:
> Neuropsychiatric zvibereko zvekurohwa, Hackett ML, Köhler S, O'Brien JT, Mead GE, Lancet Neurol. 2014 May; 13 (5): 525-34