Ogwiritsira ntchito zithunzi akufotokoza zomwe zimakonda kuti azigwedezeka
Mwezi watha, madokotala 3000 a American Society for Addiction Medicine adatulutsa chikalata cha anthu onse chomwe chikuwonetsa tanthauzo la chizolowezi choledzera mogwirizana ndi kafukufuku wa zaka zambiri wokhudza chizolowezi. “[Chizolowezi] chimakhudza ubongo…. Chimakhudza ubongo woyambira, osati zochita zakunja,” akufotokoza Dr. Michael Miller wa ASAM.
Tanthauzo la ASAM likufotokoza zinthu zofunika kwambiri zokhudza chizolowezi choledzera zomwe zafotokozedwa ndi mkulu wa NIDA, Nora Volkow, MD ndi gulu lake mu ndemanga ya Addiction: Decreated Reward Sensitivity and Increased Expectation Sensitivity Conspire to Overwhelm the Brain's Control Circuit Makhalidwe a chizolowezi ndi zotsatira za kusintha kwa ubongo koyezeka—ndipo kuchira kumafuna kusintha kusinthaku. Kusintha kumeneku kumayambira kuzungulira mayendedwe a mphotho ya ubongo: yankho losasangalatsa, kukhudzidwa kwambiri ndi zizindikiro zokhudzana ndi chizolowezi, komanso kuchepa kwa ntchito ya frontal-cortex.
ASAM ikutsimikiziranso kuti machitidwe ogonana amatha kukhala osokoneza bongo :
Tonsefe tili ndi ubongo wopereka mphoto zomwe zimapangitsa kuti kugonana ndi kugonana kulipindule. Ndipotu, izi ndizopulumuka. Mu ubongo wathanzi, izi mphotho ziri ndi njira zowonetsera zogonana kapena 'zokwanira.' Kwa munthu yemwe ali ndi chizolowezi choyendetsa bwalo, maofesiwa amakhala osayenera kotero kuti uthenga kwa munthuyo umakhala 'wochulukirapo,' zomwe zimayambitsa zofuna zapadera ndi / kapena chithandizo mwa kugwiritsa ntchito zinthu ndi makhalidwe.
Ngati mumawona zolaula, kodi mumakonda mankhwala osokoneza bongo kapena mumangokhala osuta?
Funso ili linali lopusa kwa ogwiritsa ntchito zolaula ambiri. Asanayambe kugwiritsa ntchito intaneti, kugwiritsa ntchito zolaula (ngati zilipo) kunali ndi ubale wina ndi chilakolako chenicheni cha kugonana. Munthu akatopa, magaziniyi inkabwerera pansi pa matiresi. Komabe, zolaula za pa intaneti zili ndi mphamvu yogonjetsa njira zachilengedwe zokhutitsa ubongo m'maubongo ambiri. Izi zimawonjezera chiopsezo cha kusintha kwa ubongo komwe kumakhudzana ndi chizolowezi chomwe ASAM imayankha.
Ponena za zolaula, ndizo osati nthawi yogwiritsidwa ntchito kuwonera kapena chani inu mukuyang'ana pa izo zimatsimikizira ngati ubongo wanu wasintha. M'malo mwake, yang'anani zizindikiro izi: 
- Kulephera kudziletsa;
- Kulepheretsa kugonjetsedwa;
- Kukonda;
- Kumvetsetsa mavuto ake; ndipo
- Kusokonezeka maganizo m'maganizo. (Zambiri za ASAM)
Mukufuna kudziwa momwe zizindikiritso izi zitha kuwonekera kwa ogwiritsa ntchito zolaula masiku ano? Tapereka mafunso otsatirawa kuchokera ku malipoti enieni a omwe amadziwika kuti ndi osokoneza bongo. Ogwiritsa ntchito ambiri samaphatikiza kulumikizana kwawo ndi zolaula mpaka atapewa zolaula kwa milungu ingapo, koma mafunso awa, ndi ndemanga pansipa, zingakuthandizeni kudziwa ngati mukufuna thandizo kuti musinthe zosafunikira ndikubwezeretsanso ubongo wanu kusamala.
- Kodi muli nawo ayesa kuimitsa kugwiritsa ntchito zolaula ndikulephera? Kodi mwazindikira zizindikiro za kuchotsa?
- Kodi mumakhala ndilakalaka kwambiri pamene mulibe zolaula masiku angapo?
- Mukagwiritsanso ntchito mukuwona kuchuluka kwa msinkhu wochulukirapo kuzinthu zoopsa kwambiri?
- Kodi mwawona kusintha kwa zokonda zanu zogonana?
- Kodi mwafufuza mitundu yambiri ya zolaula kuti muthe kukondwera?
- Kodi mukuwona zinthu zomwe simunakupangitseni?
- Kodi mukugwiritsa ntchito zolaula zomwe sizikugwirizana ndi kugonana kwanu?
- Kodi kuona zolaula ndiko chinthu chosangalatsa kwambiri pamoyo wanu? Kodi moyo umaoneka ngati wosasangalatsa?
- Kodi mumamva kuti mulibe mphamvu kuti musamawononge zolaula mukamawona kapena mukukumana ndi zinthu zomwe mukugwirizana nazo ndi zolaula, monga:
- pokhala nokha m'nyumba,
- ndikuwonera TV pazimene mumazikonda fetish zomwe mumaziwonetsa kapena kuziwonetsera,
- mukuwona nkhani zokhudza nyenyezi yolaula yomwe imakonda kwambiri?
- Kodi mumawona osiyana omwe ali ndi zibwenzi mosiyana-monga ziwalo za thupi kusiyana ndi anthu?
- Popeza mukugwiritsa ntchito zolaula pa intaneti, kodi mumamva kuti mumalankhula malilime, osatetezeka, ovuta kapena odera nkhawa anthu ena-makamaka okwatirana?
- Kodi ndi zovuta kulumikizana ndi ena? Kodi mumamva nokha? Kodi mumadandaula kwambiri ndi zomwe ena amaganiza za inu?
- Kodi muli (kapena iwo amene amakuganizirani) adakuonani:
- Chedwetsani kuposa momwe mudagwiritsirira ntchito, khalani ndi chidwi chochepa (osasamala), kutopa kwanthawi yayitali, ubongo waubongo, kapena kuvuta kuyang'ana kapena kukumbukira zinthu?
- akhala akuda nkhaŵa, osasamala, osasamala, opsinjika, osakwiya, osasangalala, osasamala, osasokonezeka maganizo, kapena ovutika maganizo?
- akhala osabisa, kapena kupatulapo zambiri?
- Kodi mwawona kuti kugonana kwanu kumagwira ntchito pa nthawi yogonana: Kuthamangitsidwa mofulumira (PE), kulepheretsa kukhala osasunthika popanda kudzikakamiza, zolaula kapena zolaula (ngakhale mutakhala ndi zolaula), kuchedwa kuchepa (kapena kuthekera kuwonetsetsa), zosowa zochepa zokhutiritsa, amafunikira magetsi pa nthawi ya kugonana kuti atulukidwe, osatembenuzidwa ndi wokondedwa, wokonda kugonana?
- Kodi mwawona kuchepa kwa chiwerewere mukamasewera: kukodza pafupipafupi?
- Chiyambireni kugwiritsa ntchito zolaula pa intaneti, mumamva ngati kuti mwataya "mojo," kapena chilakolako chogonana? Kodi mumakayikira kukongola kwanu kapena mumakhala ndi nkhawa kwambiri za kukula / mawonekedwe anyini yanu?
- Kodi mawu anu amanjenjemera kwambiri, osasunthika, omveka bwino, kapena osamveka bwino? Kupuma pang'ono?
- Kodi mwakhala ndi maliseche mpaka kufika poti abrasions kapena kuwonongeka kwina?
- Kodi mungagone popanda kugwiritsa ntchito zolaula? Kodi muli ndi vuto lalikulu kugona mokwanira usiku?
- Kodi mumagwiritsa ntchito zolaula zambiri mukamavutika?
- Kodi muli ndi zolaula zolaula?
- Kodi mukuika pangozi ntchito yanu, maphunziro kapena ubale kuti muwonere zolaula, kapena mumagwiritsa ntchito ndalama zambiri?
- Kodi mwataya chiyanjano kapena ntchito, kapena mwataya sukulu chifukwa chogwiritsa ntchito zolaula (kapena zizindikiro zogwirizana ndi izo)?
- Pambuyo pake, kodi mukuwona kusintha kwakukulu (kusokonezeka, kuvutika maganizo, nkhawa)?
Ogwiritsa ntchitowa awona zizindikiro zomwe zingasonyeze kusintha kwa ubongo:
Juan: Ndine wa zaka 23. Banja langa linandiuza kangapo kuti ndinali chigoba changa poyerekeza ndi pomwe ndinali 18 (mwachikondi). Anzanga sanali olunjika nane, koma zinali zowonekeratu. Sindinali pafupi ndi munthu yemweyo. Zaka zochepa chabe ndikugwiritsa ntchito zolaula, ndinayamba kukhala ndi nkhawa, nkhawa, kusowa pagalimoto, kutopa thupi, kutopa m'maganizo, osagwira ntchito, sindimatha kupita kumayunivesite osawopa kufa anthu, amamva zowawa mozungulira akazi kuyambira achichepere mpaka achikulire etc.
Greg: Kubwereranso kulikonse ku zolaula zogonana ndi anthu osintha chiwerewere kunali komaliza kwanga. (Ndili wolondola.) Nchifukwa chiyani izi zidandikopa mwadzidzidzi, m'nthawi yochepa chonchi? Ndinkadziseweretsa maliseche ndi zinthu zomwe zinkandinyansa kale, ndipo zikanandinyansabe ndikamaliza kugonana.
Ryan: Ndimaopa kudya kwambiri ngati ndikugwiritsa ntchito zolaula. Ndikudziwa kuchokera ku zomwe ndakumana nazo posachedwapa kuti ngati ndimadziseweretsa maliseche ndikuonera zolaula, ndimachita izi mosalekeza kwa masiku ambiri.
Davy: Sindinkadziwa kuti ndinali ndi vuto losiya zolaula. Ndinangosiya zolaula, monga momwe ndinkachitira ndikakhala pachibwenzi ndi mtsikana watsopano. Zikuoneka kuti sindinafikepo pamlingo woterewu. 90% ya zizindikirozi zinali zinthu zomwe sindinakumanepo nazo m'moyo wanga. ZONSE zachepa, kapena zasintha kwambiri, pofika pano (masiku 13 palibe zolaula/kuseweretsa maliseche/kugonana).
- Nkhawa, chifuwa cholimba, kuwopsya, mantha a mtima komanso kuthamanga kwa magazi
- Kukumana ndi chiwonongeko chomwe chikubwera. Kusokonezeka maganizo mpaka pamalingaliro odzipha
- Zizindikiro zosachedwa kutopa
- Kulephera kusangalala ndi chirichonse: kudya, kuwerenga, kuwonera kanema, kusewera nyimbo kapena kupanga zojambula (ndine woimba ndi wojambula.)
- Chisangalalo chachilendo chakumva
- Kugona kwakukulu: pafupifupi maola a 18 ogona pa masabata atatu
- Kuwonjezeka kwa chilakolako chochita maliseche-kufikira nthawi 10 tsiku
- Kutopa kwa kugonana, kutayika kwa libido, kusowa chidwi kwa moyo, kupweteka kwa testicular ndi kubuula, komabe chilakolako champhamvu cha kugonana maliseche (chiwonetsero chimodzimodzi)
- ADD
- Kulankhula kosavomerezeka
- Matenda a m'mimba
- litsipa
Adrian: Sindinadziwe kwenikweni momwe ndinaliri woledzera mpaka nditayesa kusiya. Ndimadziwa kuti ndimatha kudzuka ndi zolaula zokha.
Tyrone: Ndakhala ndikumva chisoni kwambiri kwa zaka zambiri tsopano moti ndikumva ngati ndataya umunthu wanga. Sindikudziwa zomwe ndimamva pazinthu. Palibe chomwe chimandisangalatsa/kundimvetsa chisoni.
Ben: Sindinkadziwa kuti ndinali ndi chizolowezi, zomwe n'zoseketsa poganizira kuti ndinkakhala maola ambiri tsiku lililonse ndikuyang'ana kompyuta ndikuonera makanema atsopano. Ngati intaneti yanga ikuyenda pang'onopang'ono ndipo sindingathe kuonera, ndinkakwiya kwambiri. Sindikanatha kuchita china chilichonse koma kudikira mpaka kanemayo ayambenso.
Tim: Kwa pafupifupi mwezi umodzi nditasiya zolaula, sindinkatha kuchita zinthu zodziseweretsa maliseche, ndipo pamene "ndinazikakamiza" kuti ndiziseweretsa maliseche, sindinali wokhutira kwenikweni.
Will: Ndimapita usiku wonse mpaka nditatopa, kenako ndimapitanso. Ndimamva kutopa kwambiri tsiku lotsatira moti sindingathe kupirira. Ndimamva kudwala thupi langa, kupweteka pakhosi, maso ofiira, ndi zina zotero. N'zovuta kwambiri kuyang'ana pa ntchito. Ndimayang'ana pa kompyuta, ndikuiwala zomwe ndikuchita. Nkhawa yocheza ndi anthu imakhala yayikulu ndikayambiranso kugonana. Sindikufuna kukhala pafupi ndi aliyense, ndipo ndimakwiya mosavuta. Thupi langa limatopa kwambiri ndikatha kudya kwambiri, koma zimandivuta kugona chifukwa maganizo anga amadzaza ndi nkhawa. Zili ngati ndili pafupi, ndili ndi chipolopolo cha mwamuna amene ndingakhale. Mawu anga ndi okwera, ndipo amamveka ngati ofooka pang'ono. Sindimakonda kuyang'ana pagalasi. Nthawi yatha, panali atsikana angapo omwe anali ndi chidwi chocheza nane, koma ndinavutika kwambiri nditaganiza zokhala nawo. Ndilibe chilakolako chogonana nditatha nthawi yanga yodziseweretsa maliseche, ndipo sindikufuna kukhala pafupi ndi akazi enieni. Chomwe ndikumva ndi nkhawa.
Kyle: Ndinamva ngati ndili wosiyana ndi aliyense, ndipo chifukwa chake ndinkamwa mowa kwambiri ndikuyembekeza kuoneka wodzidalira kwambiri… Sizinagwire ntchito LOL. Chinthu chake n'chakuti, kale ndinali wodzidalira komanso wotchuka. Ndinaonananso ndi mlangizi za vuto langa la ED, kusowa kudzidalira komanso nkhawa za anthu, koma sindinafunsidwepo za kugwiritsa ntchito zolaula.
Andrew: Kwa kanthawi kochepa, nthawi zonse ndinkabwerera ku zinthu "zosasangalatsa" kuti ndisiye. Kwa ine zinkaoneka ngati chinthu chosasangalatsa chokhudza kuyamba kuchita chinthu chomwe ndinkangochionera chifukwa cha ngozi ya galimoto komanso chidwi choopsa. Koma tsiku lina, ndinayamba kuseweretsa maliseche pa mavidiyo amtunduwu. Pamenepo ndi pamene ndinadziwa kuti ndadutsa malire. Ndinkayamba kuchita chinthu chomwe ndimachiona kuti n'chonyansa, osati chodzutsa chilakolako cha kugonana monga mwachizolowezi. Ndikanatha kudzuka mosavuta ndikusangalala ndi kugonana kudzera mu maliseche, koma osati pogonana ndi mkazi wanga. Mukakumana ndi vuto lodzuka kapena kutulutsa umuna ndi abwenzi enieni, mumadziwa kuti muli ndi chizolowezi. Mukapeza kuti mukupempha mnzanu kuti aike chipolopolo chamoyo mu p—- pamene inu— iye a—, ndipo iye akunena kuti “Ayi,” ndipo inu mumati, “Mukanachita zimenezo ngati mukandikonda. Izi ndi maloto anga.” Umu ndi momwe mumadziwira kuti ndinu woledzera.
Ubongo ndi wapulasitiki. Ndicho chimene chimawapangitsa kukhala pachiwopsezo cha chizolowezi, komanso ndicho chimene chimapangitsa kuti achire mosavuta. Ngati mukufuna kusintha, pezani chithandizo. Kusintha n'kotheka. Onani malipoti ena okhudza zizindikiro , kukwera kwa shuga ndi kuvutika kusiya kugwiritsa ntchito mankhwala osokoneza bongo . Onaninso malipoti okhudza zotsatira zomwe zimabwerera m'mbuyo mutasiya kugwiritsa ntchito mankhwala osokoneza bongo.
Onaninso - Mutha kukhala osokoneza bongo a PMO ngati …………….
MAFUNSO:
- Kugonana ndi kugonana / kugonana? Tsambali likulemba Zotsatira za 45 za sayansi (MRI, fMRI, EEG, matenda opatsirana pogonana, mahomoni). Amapereka chithandizo cholimba cha mtundu wa mankhwala osokoneza bongo pamene zofukufuku zawo zimagwirizanitsa zochitika za m'maganizo zomwe zimafotokozedwa mu maphunziro osokoneza bongo.
- Malingaliro enieni a akatswiri okhudzana ndi zolaula / kugonana? Mndandanda uwu uli Ndemanga za 25 zaposachedwa & ndemanga ndi ena mwa apamwamba a sayansi ya sayansi padziko lapansi. Zonse zothandizira mtundu wa mankhwala osokoneza bongo.
- Zizindikiro za kuledzera ndi kuchuluka kwa zinthu zoopsa kwambiri? Zofufuza za 45 zofukufuku zomwe zikupezeka zikugwirizana ndi kukula kwa zolaula (kulekerera), chizoloŵezi choonera zolaula, komanso ngakhale kusiya (zizindikiro zonse ndi zizindikiro zosokoneza bongo).
- Kodi munthu amadziwa bwanji? Mankhwala omwe amagwiritsidwa ntchito kwambiri padziko lonse, Mayiko Akumayiko Onse a Matenda (ICD-11), ali ndi matenda atsopano woyenera kuchita zachiwerewere: "Kugonana Kwachiwerewere