Ikhonkco elimangalisayo phakathi kwe-OCD ne-Epilepsy
Nangona kunokumangalisa kwabanye, kukho ubudlelwane obude phakathi kokuhluthwa kunye neendlela ezahlukeneyo zokugula kwengqondo. Enyanisweni, phakathi kwezigulane ezinezondlo zesifo se-lobe, uhlobo lokuthintela ekuthinjeni okuqala kwi-lobe yesikhopho yengqondo, i-70% ihlangabezana neendlela zokuxilonga okungenani enye uhlobo lwesifo sengqondo kunye nezona zixhaphakileyo.
Nangona amanani ahluka ukusuka ekufundeni ukufundisisa, uphando lubonisa ukuba phakathi kwe-10% kunye no-20% wabantu abanesifo sokuhluthwa kwexesha elidlulileyo abanenkinga yokunyanzela (OCD) . Eli nqanaba liphezulu kunokuba likulindeleke kuluntu jikelele, apho ukuxhaphaka kudla ngo-1.5% ukuya kwi-2%. Ngelixa iintlobo ezininzi zesifo sokuhluthwa zithwala ingozi ye-OCD, ukuhluthwa kwe-lobe kwesikhashana kubonakala kunesixhumanisi esinamandla.
Kuyintoni ukuxhwala?
Ngaphambi kokuxubusha ubudlelwane phakathi kwe-OCD kunye nokuhluthwa, kunokuba luncedo ukuqala ukuchaza okokuthwala.
Ukuhluthwa kwesifo kuchaphazela kwi-1% yabemi. Nangona zininzi iintlobo zokuhluthwa, nganye iquka ukuphazamiseka kwintsebenziswano phakathi kwe-neurons engqondweni. Xa uqhagamshelwano oluqhelekileyo phakathi kweeseli zesisongela luphazamiseka lungakhokelela kumsebenzi we-neuronal owaziwayo njengokuthunjwa.
Ukuxhamla kungathatha iindidi ezininzi kwaye kungabakho ukuguqulwa okuqhaqhayisayo ekuziqheleni ukuphefumula ngokupheleleyo, okubizwa ngokuthi "inkulu enkulu" ekuthinjweni apho ukuqonda kulahlekile kwaye umzimba wonke uhamba ngokuxhalabisa.
Ezi zihlobo lokubanjelwa koluntu jikelele oluqhelekileyo.
Abantu abanesifo sokuhluthwa ngokuqhelekileyo banamava amaninzi kwaye bahlala befuna unyango ngamachiza ukulawula umsebenzi wokubamba. Kwiimeko ezinqabileyo, ukuhlinzwa kwengqondo ukususa imimandla ethile yobuchopho kunokufuneka ukuba ulawule ukutshatyalaliswa kwaye uphinde uphinde uphile ngobomi.
Ikhonkco phakathi kwe-OCD kunye ne-Epilepsy
Kuyathakazelisa, kuye kwaphawula ukuba abantu abanesifo sokuhluthwa kwexesha eliqhelekileyo babonisa indlela ethile yokuziphatha ebizwa ngokuba yi- interictal syndrome . Izifo zengqondo zibukeka zinjenge-OCD kuba zihlala zibonakala ngokutshintshwa kwindlela yokuziphatha ngokwesondo, ukunyuka kwenkolo kunye nokubanzi, kwaye kwezinye iimeko ziphoqeleka, ukubhala nokudweba (ngezinye izikhathi kuthiwa yi-hypergraphy). Ngokufanayo, uphando olujongene noluntu oluguqukayo luye lwafumanisa nokuphuhliswa kwezithintelo njengento ebalulekileyo yabantu abanesifo sokuhluthwa kwesikhashana.
Kakade ke, ezi ziphatha zodwa azixhomekanga ngokwaneleyo ukuxilongwa kwe-OCD ; Nangona kunjalo, yinto yokuqala yokubakho ukungathinteka kokubandakanyeka, ukuziphatha okuphindaphindiweyo phakathi kwabantu abaneempembelelo zesikhashana.
Kwi-static lobe epilepsy, i-OCD idla ngokukhawuleza emva kokuqala kokubamba. Kamva ukuqala kweempawu ze-OCD ekuthuthweni kungabandakanywa nomonakalo wengqondo evela kwingqondo "iipokethi" ezibonakaliswe ngokuphindaphindiweyo.
Kuye kucetyiswa ukuba ukuhluthwa kungaphazanyisa iisekethe ezidibanisa iingingqi ezahlukeneyo zengqondo, ngokukodwa ngaphakathi kwinkqubo yesigxina, i-basal ganglia kunye ne-cortex yangaphambili, iingingqi zengqondo eziye zathinteka ngamandla kwiimpawu ze-OCD.
Nangona kungagqibekanga kuzo zonke izifundo, ukuphazamiseka kwi- serotonin ye- neurochemical kwaye kwaphawulwa kwi-static and OCD. Kwakhona, nangona uphando olufumeneyo ludibeneyo, ukuxolelwa ngokupheleleyo kweempawu ze-OCD kuye kwaphawulwa emva kokuhlinzwa ukuba kususwe iindawo zobuchopho ezichaphazelekayo.
Ulwaphulo lwe-OCD kwiContext of Epilepsy
Uphuhliso lwe-OCD kumxholo wokuthwala lufana kakhulu ne-OCD eyenzeka yedwa. Ionyango zengqondo ezifana nokuchaswa kunye nokuthintela impendulo okanye ukunyanga kwengqondo-yokuziphatha kukukhetha okokuqala; nangona kunjalo, ngenxa yobunzima besikhumbuzo maxa wambi bafumana ukuhluthwa, unyango lungadinga ukulungiswa ngokufanelekileyo.
Unyango olunamayeza lunokwenzeka; nangona kunjalo, ngenxa yokukhutshwa kwamachiza athile asetyenziswe ukunyanga i-OCD, amanye amayeza e-OCD awabonakaliswa ukuba asetyenziswe kwizigulane ezinokuhluthwa. Ezinye zivumelekile kodwa zilawulwe ngokuthe ngqo. Ukongezelela, ukusebenzisana okungalunganga phakathi kwamayeza e-OCD kunye neziyobisi zokulwa ne-antiepileptic kufuneka zihlolwe. Ukuba ufuna unyango lwe-OCD, qiniseka ukuba ucebise ugqirha wakho wosapho okanye ingqondo yengqondo yazo zonke izimo zonyango.
Uphando lubonisa ukuba i-OCD kwimeko yokuhluthwa ixhomekeka kakhulu. Oku kubalulekile kuba xa i-OCD kunye ne-strophy eqhubekayo, ingozi yokuxinezeleka iphakama kakhulu. Ukuxinezeleka kwenza unyango lwe-OCD kunye nokuhlutha, kunciphise ukunyanzelisa unyango kwaye kwandisa ingozi yokuzibulala.
Imithombo:
Barry, JJ & Huynh, N. "Ukusetyenziswa kweziyobisi zengqondo kwiizigulane ezinokuhluthwa nokukhubazeka". Ku: Devinsky O kunye ne-Westbrook LE, (eds). Ukukhubazeka kwesifo sokuSwela nokuPhuhlisa . I-Boston: I-Butterworth-Heinemann; 2001; 205-217.
I-Kaplan, i-PW "I-dispersive disorder in a static epidemic" I- Epilepsy and Bewuvior 2011, e-papashwe ngaphambi kokushicilelwa.
Monaco, F., Cavanna, A., Magli, E., Barbagli, D., Collimedaglia, L., Cantello, R., & Mula, M. "Ukunyamekela, ukukhathazeka okunyanzelekileyo, kunye nokuhluthwa kwesikhashana" Ukuziphatha 2005 7: 491-496.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181953/