He aha ʻo ʻAbulia?

Anter

• Hōʻike Overview
• Nā ʻōuli o abulia
• Nā kumu o abulia
• Diagnosing abulia
• Hana iā abulia
• Nā kūlana e pili ana me abulia
• He aha ke kuanaʻike?

Hōʻike Overview

He maʻi ʻo Abulia ma hope o ka hōʻeha ʻana i kahi ʻāpana a i ʻole nā ​​wahi o ka lolo. Hoʻopili ʻia me nā lehelehe lolo.

ʻOiai hiki i ka abulia ke noho ma kāna iho, ʻike pinepine ʻia ia me nā maʻi ʻē aʻe. Hiki i kēia mau maʻi ke neurological a psychiatric paha i ke ʻano.

ʻO Abulia kahi kūlana i hōʻike ākea ʻia a ua hoʻokaʻawale ʻia e ka apathy ikaika. Hiki i kēia ke hopena i ka nele o ka hoʻonāukiuki, a me nā mea he nui me abulia e hakakā nei me nā pilikia o ka makemake, ka makemake, a me ka hoʻokele.

ʻO ka poʻe me ka abulia ka ʻike i ka hoʻohaʻahaʻa ʻoi aku ma muli o ka naʻau maʻamau, ka ʻike, a me ka ʻike. ʻO kekahi me ka abulia he mau makemake, akā e hakakā paha e hana i nā mea e pono ai e hoʻokō i nā pahuhopu a lākou e makemake ai.

He mea maʻamau ʻo Abulia akā huikau pinepine ʻia me nā pilikia pili i ka lolo. Loaʻa nā koho lapaʻau hiki, akā he mea nui e ʻike kūpono ʻia kēia ʻano i mea e loaʻa ai ka lāʻau.

I loko nō o ke koʻikoʻi o ke kuhi, ua ʻike iki ʻia kēia ʻano. Eia nō naʻe, i nā makahiki i hala iho nei, ua hoʻonui ʻia ke kūkā a me ka noiʻi ʻana e pili ana i ka hōʻailona abulia.

Nā ʻōuli o abulia

Hōʻike kekahi kanaka me ka abulia i nā ʻōuli e pili pū me nā loli a me ka loli. ʻAʻole kēia kūlana ma muli o ka hoʻemi ʻia o nā pae o ka ʻike, ka noʻonoʻo, a i ʻole ka hiki i ka ʻōlelo.

Hiki i nā ʻōuli ke hoʻohui pū:

• lilo o ka hana, hoʻoikaika, a me ka hāpai ʻana
• noʻonoʻo ʻole
• ka nele o nā hoʻolālā a me nā pahuhopu
• emi a i ʻole ka ʻole o kahi ʻōlelo a hana paha
• ka nele o nā pane naʻau i nā hanana ola koʻikoʻi
• ʻoi aku ka liʻiliʻi o nā manaʻo pahuhopu
• hoʻemi i ka hoihoi kaiāulu
• nānā maikaʻi ʻole
• hoʻolalau maʻalahi

Hiki i ka poʻe me abulia ke wehewehe i nā pahuhopu, nā hoihoi, a i ʻole nā ​​hoʻolālā i loaʻa iā lākou. Eia nō naʻe, hana pinepine lākou pēlā i kahi ala liʻiliʻi a no kahi manawa pōkole, e hōʻike ana i nā hōʻailona mua o ka hōʻalo.

ʻOi aku ka pinepine o nā hihia maʻa ʻole o ka abulia ma mua o nā hihia koʻikoʻi. ʻOi pinepine ka mea maʻamau i nā poʻe kahiko me nā maʻi o ke ʻano, nā pilikia neurological, a me nā kūlana ʻē aʻe. ʻIke pinepine ʻia ʻo Abulia ma ke ʻano he hōʻailona ma waena o kahi kūlana olakino paʻakikī.

Pono hou ka noiʻi e pili ana i ka ʻike a me ka hoʻokele o abulia i nā mākua. He mea nui kēia no ka mea ke ʻike ʻia me nā maʻi a me nā maʻi e pili ana i ka ʻelemakule.

Nā kumu o abulia

Hoʻokumu pinepine ʻia ʻo Abulia e kahi ʻeha i ka lolo. ʻIke ʻia kēia mau ʻeha ma ke ʻano o nā leona lolo.

Hoʻonāukiuki ka hoʻonāukiuki e nā ʻano kaiapuni e hoʻokuʻu i nā hōʻailona neuron. Ke hōʻino ʻia nā wahi o ka lolo, ʻaʻole holo pono kēia mau hōʻailona neuron. ʻO kēia ka hopena i ka hiki ʻole o ka lolo ke hoʻopaʻa inoa i ka uku. Loaʻa kahi pane ʻoluʻolu.

ʻO nā wahi i loli i ka lolo ka:

• basal ganglia
• nā pihi alo
• cingulate gyrus
• nukelea caudate
• globus pallidus

Aia kekahi e hōʻike nei hiki i ka hana ʻole ke hana i nā wahi ma waho o ka wahi o ka leona. Pili kēia mau wahi i, akā ma waho o ka, nā lolo i liona.

ʻOiai ʻoi aku paha ma mua o hoʻokahi neurotransmitter i pili, ʻo ka hapa nui o nā noiʻi i kau i ka kuleana o ka dopamine i nā hihia o abulia.

Ua ʻike ʻia hoʻokahi noiʻi holoholona i ka hōʻino ʻana i nā kaapuni dopaminergic e pili ana i ka apathy. Manaʻo nā kānaka noiʻi ʻo kēia mau ala ka mea e hiki ai iā mākou ke hoʻohuli i ka manaʻo i ka hana.

Aia kekahi pili kaiaulu, kaiapuni, a me nā meaolaola e hiki ke hoʻopili i ka hoʻokele. Hiki i kēia mau mea ke hoʻoulu i ka apathy. ʻAʻole lākou e huikau me ke alo o abulia.

Diagnosing abulia

ʻOi aku ka maʻamau o Abulia ma mua o ka manawa hoʻokahi, no ka mea, he ʻano hōʻike ākea ia, huikau pinepine ʻia me nā maʻi ʻē aʻe a i ʻole nā ​​maʻi. Hiki i kēia ke hopena i ka poʻe e mālama ʻole ʻia no nā wā lōʻihi.

Huikau pinepine kēia ʻano me:

• kaumaha
• aphasia
• lualua

He mea nui i ke kaʻina hana o ka ʻike e kāpae i nā kūlana e hōʻike i ka apathy ma ke ʻano he hōʻailona. ʻO ka hopena, hana pinepine nā kauka i nā hoʻokolohua neurological a psychosocial piha ke hoʻopili ʻia ka apathy e hāʻawi i kahi ʻano ʻokoʻa.

I kahi ana o nā kauka Pelekane no ke kumuhana apathy i nā mākua makua, ma lalo o 50 pākēneka i manaʻo he ʻokoʻa ka abulia mai ke kaumaha.

He hoʻokaʻawale ʻokoʻa ʻo Abulia mai ke kaumaha. ʻAʻole pili ka manaʻo kaumaha a me nā manaʻo maikaʻi ʻole iā abulia.

E kauoha paha kāu kauka i kahi mokuʻāina hoʻomaha fcMRI. Pili kēia hōʻike i ka hele ʻana i kahi MRI me ka noi ʻole ʻia e hana i nā hana kikoʻī ke kahakaha ʻia ka lolo. ʻO nā ʻano kiʻi ʻē aʻe o ka lolo e like me CT scans hiki ke kōkua i ke kuhi ʻana i nā kūlana i hoʻopili ʻia me ka abulia.

Hana iā abulia

Pono ke kauka e ʻike wawe i ka abulia i hiki iā lākou ke kōkua iā ʻoe e ʻike i nā koho lapaʻau maikaʻi loa nāu.

Hoʻopili nā koho lapaʻau i kēia manawa me bromocriptine, i hōʻoia ʻia e maikaʻi i ka hoʻohaʻahaʻa ʻana i ka apathy.

Hāʻawi pinepine ʻia kēia hana i nā lāʻau haʻahaʻa me nā hoʻonui iki o nā ana i ka manawa. E kiaʻi ʻia ʻoe e kāu kauka i ka lawe ʻana i ka bromocriptine, ma muli o nā hopena hopena maikaʻi ʻole, e like me:

• hiamoe
• hoʻohaʻahaʻa koko
• hoʻonui i nā hana koikoi

I kahi liʻiliʻi o nā hihia hihia, ua hoʻāʻo ʻo L-dopa ma ke ʻano he koho lapaʻau kūpono. Ua ʻike kēia noiʻi ua mālama kūleʻa ka L-dopa i nā hihia koʻikoʻi o ka abulia, akā ʻaʻole lōʻihi ka hopena o kēia lāʻau.

Hiki i ka lāʻau Dopamine ke hōʻoia i ke kōkua, akā ma muli o ka nele o ka hōʻike, ʻaʻole hoʻohana nui ʻia. Loaʻa i kēia mau lāʻau lapaʻau ka papa inoa o nā hopena ʻē aʻe e pili ana i ka hoʻi hou ʻana o psychotic i ka poʻe i ʻike i nā ʻāpana o ka psychosis i ka wā i hala.

Ua hōʻike ʻia nā amphetamines e hoʻonui i ka lawena e ʻimi nei i ka stimulate-i loko o nāʻiole. Pono e noiʻi ʻia nā noiʻi kanaka no ka hoʻohana ʻana i kēia lāʻau i nā hihia o abulia.

Nā kūlana e pili ana me abulia

Ua ʻike ʻia ʻo Abulia i ka hui pū ʻana me:

• Huntington's
• Alzheimer's
• nā maʻi noʻonoʻo
• Dementia kino Lewy
• Maʻi ʻo Parkinson
• hahau

He aha ke kuanaʻike?

He kūlana ʻo Abulia i hiki ke hoʻopili i kou ola. Ke hoʻoponopono nei i nā pilikia i pili i ka pili me abulia he mea nui. E kōkua kēia i kāu kauka e ʻike maikaʻi i ka hoʻolālā lapaʻau maikaʻi loa nāu.

He mea nui e ʻimi i ke kōkua o kahi kauka inā loaʻa ʻoe a i ʻole kahi mea aloha i ka apathy a i ʻole nā ​​hōʻailona ʻē aʻe i helu ʻia ma luna. Inā ʻoe hopohopo e pili ana iā abulia, e hōʻoia e haʻi iā ia i kāu kauka, ʻoiai ʻaʻole kamaʻāina paha kekahi me ka hōʻailona.