Kushamwaridzana Kunoshamisa pakati pe OCD neEpilepsy
Kunyange zvazvo zvingashamisika kune vamwe, pane kusangana kwenguva refu pakati pekufa nehutano uye marudzi akasiyana ezvirwere zvepfungwa. Zvechokwadi, pakati pevarwere vane chirwere chekufa kwechirwere chemazuva, chimiro chekufa kwepfungwa umo kukanganisa kunotangira muhutano hwemakore hwehuropi, 70% inosangana nehutano hwekuongorora humwe hutomu hwehutano hwepfungwa uye inowanzonyanya kuora mwoyo uye kushungurudzika kwepfungwa.
Kunyange zvazvo nhamba dzichisiyana kubva pakudzidza kuongorora, kutsvakurudza kunoratidza kuti pakati pe10% ne20% yevanhu vane chirwere chekufa kwepanguva yekare vane kushaya -kusagadzikana kwepfungwa (OCD) . Ichi chiyero chakakwirira kwazvo kudarika zvaizotarisirwa muhuwandu hwevanhu, uko kuwandisa kunowanzova anenge 1.5% kusvika 2%. Kunyange zvazvo marudzi mazhinji ehuputi ane njodzi yakawanda yeOCD, nguva yemaorepa epileptica inoratidzika ine simba rakasimba.
Chii Chirwere?
Usati wataura nezvehukama huripo pakati peOCD uye kuora mwoyo, zvingava zvinobatsira kuti utange kujekesa kuti chii chinokonzera.
Chirwere chinokanganisa kusvika 1% yevanhu. Kunyange zvazvo kune marudzi akawanda ehutupa, chimwe nechimwe chinosanganisira kupesana mukukurukurirana pakati peeurons muuropi. Apo kuyanana kwemasero emasero eropa kunokanganisa kunogona kutungamirira kune muenzaniso wemuitiro we neuronal unozivikanwa sekutora.
Kukanganwa kunogona kutora pamhando dzakawanda uye kunogona kubva kubva kuchinja chisina kuchena mukuziva kusvika pakuzara, kunonzi "grand mal" kugumburwa uko kuziva kurasikirwa uye muviri wose unoenda mukudengenyeka kwechisimba.
Aya ndiwo maitiro ekutorwa kwevanhu vose vanozivikanwa zvikuru.
Vanhu vane kurwadza kazhinji vanowanzogumburwa uye kakawanda vanoda kurapwa nemishonga yekudzivirira kubata basa. Muzviitiko zvisingawanzoitiki, kuvhiyiwa kweuropi kubvisa zvimwe zvikamu zvehuropi zvingave zvakakosha kudzora kukanganisa nekuwanazve hupenyu hwehupenyu.
The Link Between OCD and Epilepsy
Zvinofadza kuti zvakambocherechedza kuti vanhu vane chirwere chekufa kwemazuva ano vanowanzoratidza nzira chaiyo yehutano inonzi inongororwa maitiro ehutano . Iyi maitiro ehutano anotarisa zvakadai saOCD pakuti inowanzozivikanwa nekuchinjwa mukuita zvepabonde, kuwedzera kwechitendero uye yakakura, uye mune dzimwe nguva kumanikidzika, kunyora uye kutora (dzimwe nguva kunonzi hypergraphy). Saizvozvowo, zvidzidzo zvekutarisa unhu hwakasiyana-siyana zvakaratidzawo kukura kwekushungurudzika sechinhu chakakosha chevanhu vane chirwere chekufa kwepanguva.
Ichokwadi, maitiro aya ega haasi akakwana kuti aongororwe OCD ; zvisinei, iyo ndiyo inotanga kuziva kuti kune ngozi yekuita zvisingabatsiri, kudzokorora maitiro pakati pevanhu vane chirwere chekufa.
Mune chirwere chekufa kwechirwere, OCD inowanzoitika mushure mokutanga kwekugumburwa. Gare gare kuitika kweOCD zviratidzo zvekurwadziwa kunogona kusungirirwa kuhutano hwehuropi hunoitika muuropi "circuits" inoratidzirwa kuita basa rinowanzoitika.
Izvo zvave zvichirondedzerwa kuti hofari inogona kukanganisa circuits inobatanidza nzvimbo dzakasiyana dzehuropi, kunyanya mukati memuviri wemagetsi, basal ganglia uye frontal cortex, nzvimbo dzouropi dzakanyatsotaridzirwa mukutaura kweOCD zviratidzo.
Kunyange zvazvo zvisingachinji zvachose pane zvese zvidzidzo, kuvhiringidzika mune yeurourochemical serotonin zvakare kwakaonekwa mune zvose kuora uye OCD. Uyewo, kunyange zvazvo kuongororwa kutsvaga kwakakanganiswa, kuregererwa kwese kweOCD zviratidzo kwave kuchionekwa mushure mekuvhiyiwa kubvisa nzvimbo dzehupi dzakagadziriswa nehutupa.
Kurapa kweOCD muChirangariro cheEpilepsy
Kurapa kwaOCD mumamiriro ezvinhu epilepsi kwakafanana zvikuru neOCD inoitika yoga. Kurapa kwepfungwa, sekuraira uye kugadzirisa kurapwa kwemashoko kana kugadzirisa-maitiro ekurapa ndiyo yakanaka yekutanga; zvisinei, nekuda kwematambudziko ari muchiyeuchidzo dzimwe nguva ane ruzivo rwekurwadziwa, kurapwa kungada kuchinjwa maererano.
Mishonga nemishonga inogonawo kuitika; zvisinei, nekuda kwekutora-kukonzera kukwanisa kweimwe mishonga inoshandiswa kurapa OCD, mamwe madawa eOCD haana kuratidzirwa kuti ashandiswe kune varwere vane hosha. Zvimwe zvinogona kubvumirwa asi pamatare akachengetedzwa zvakanaka. Mukuwedzera, kusanganisa kusina kunaka pakati pe OCD mishonga uye antiepileptic zvinodhaka zvinofanira kuongororwa. Kana uri kutsvaga kurapwa kweOCD, iva nechokwadi chokuti unorayira chiremba wemhuri yako kana chiremba chepfungwa zvezvose zvinorapwa zvirwere.
Zvidzidzo zvinoratidza kuti OCD munharaunda yekufa kwekufa inowanzonyanya kuongororwa. Izvi zvakakosha nokuti apo OCD uye epilepsy zvinowanzoitika, dambudziko rekuora mwoyo rinobuda zvikuru. Kushungurudzika kunoita kuti kurapa kweOCD uye kuora mwoyo kuve kwakaoma, kunoderedza kushandiswa kwemishonga uye kunowedzera ngozi yekuzviuraya.
Sources:
Barry, JJ & Huynh, N. "Psychotropic kushandiswa kwezvinodhaka muvarwere vane chirwere chekufa nekuremara kwekukura". Mu: Devinsky O uye Westbrook LE, (eds). Kurapa uye Kukura Kwekuremara . Boston: Butterworth-Heinemann; 2001; 205-217.
Kaplan, PW "Obsessive-compulsive disorder in chronic epilepsy" Epilepsy and Behavior 2011, e-yakabudiswa mberi kwekudhinda.
Monaco, F., Cavanna, A., Magli, E., Barbagli, D., Collimedaglia, L., Cantello, R., & Mula, M. "Kuzvidya mwoyo, kukanganisa-kusagadzikana kwepfungwa, uye kukanganisa kwepfungwa" Epilepsy & Maitiro 2005 7: 491-496.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181953/