Uche dị iche iche nke olu na-achịkwa mkpali na nsogbu iri mmadụ ahụ (2020)

March 2020

AKWỤKWỌ: Echiche nke riri ahụ na nsogbu nchịkwa mkpali na-agbanwe dị ka e gosipụtara na 11th ụdị nke International Classification of Disorders (ICD-11, WHO, 2018). Agbanyeghị, ọmụmụ na-elekwasị anya na ntụnyere kpọmkwem nke ọdịiche ụbụrụ arụrụ arụ na omume na ihe riri ahụ nwere oke.

AIM: N'ebe a, anyị na-atụle ọdịiche nke isi awọ (GMV) n'ofe ndị mmadụ nwere nsogbu mmekọahụ na-akpata nsogbu (CSBD), nsogbu ịgba chaa chaa (GD), na nsogbu ị alcoholụbiga mmanya (AUD) na ndị na-enweghị nsogbu ndị a (ndị sonyere njikwa ahụike; HCs).

Uzo esi eme: morphometry dabere na Voxel (VBM) ka ejiri were nyocha nyocha nyocha nke ụbụrụ ụbụrụ yana oke mgbaàmà riri ahụ. Iji chọpụta mpaghara ụbụrụ nke metụtara oke ihe riri ahụ, a chịkọtara njikọ dị n'etiti akara ajụjụ na GMV.

Isi ihe pụta: Anyị nakọtara data MRI (GMV) sitere na ndị ọrịa 26 CSBD, ndị ọrịa 26 GD, ndị ọrịa 21 AUD na ndị sonyere 25 HC (ndị nwoke niile na-edina ụdị onwe; afọ: 24-60; M = 34.5, SD = 6.48).

Nsonaazụ: Ndị mmadụ metụtara (CSBD, GD, AUD) ma e jiri ya tụnyere ndị sonyere HC gosipụtara obere GMV na ogwe ihu aka ekpe, kpọmkwem na cortex orbitofrontal. Ahụrụ ndịiche kachasị akpọpụta na otu GD na AUD, yana ndị kacha nta na otu CSBD. Enwere mmekọrịta na-adịghị mma n'etiti GMV na oke nsogbu na otu CSBD. Ejikọbara oke mgbaàmà CSBD dị elu yana mbelata GMV na cingulate gyrus aka nri.

Ihe eji eme ihe: Nchọpụta anyị na-egosi myirịta dị n'etiti nsogbu nrụrụaka na ihe riri ahụ.

Ike na oke: Ọmụmụ ihe a bụ nke mbụ na-egosi obere GMV na otu ụlọ ọgwụ 3 nke CSBD, GD na AUD. Mana ọmụmụ ihe ahụ bụ naanị ndị nwoke na-edina ụdị onwe. Ọmụmụ ogologo oge kwesịrị inyocha oke mbelata ventral prefrontal na olu nwere ike ịnọchite anya ihe adịghị ike dị adịbu ma ọ bụ na ha nwere ike ịmalite site na ọga n'ihu.

Nkwenye: Nnyocha anyị gbatịrị nchoputa tupu nchoputa na nsogbu ojiji nke GMV dị ala na prefrontal cortical mpịakọta n'etiti otu ụlọ ọgwụ 3 nke ndị ọrịa nwere njikwa mkpali akọwapụtara na nsogbu omume na ihe na-eri ahụ. Mmekọrịta na-adịghị mma n'etiti GMV na akara CSBD na cingulate gyrus aka nri na-atụ aro njikọ na akara ngosi ụlọ ọgwụ.