Ukubuyekezwa okusha okususelwa ku-neuroscience okuhlanganisa "Ukusetshenziswa Kwezinkinga Ezingcolile Zobulili Eziku-inthanethi". Ihambisana nemodeli yokulutha. Izingcaphuno ezimbalwa:
Ukutholakala okutholakalayo kuphakamisa ukuthi kunezici eziningana ze-CSBD ne-POPU ezihambisana nezici zokulutha, nokuthi ukungenelela okusizayo ekubhekiseni ukulutha kokuziphatha kanye nezidakamizwa kuqinisekisa ukucutshungulwa nokusetshenziswa ekusekeleni abantu abane-CSBD ne-POPU. Ngenkathi kungekho zilingo ezingahleliwe zokwelashwa kwe-CSBD noma i-POPU, abaphikisi be-opioid, ukwelashwa kokuziphatha kwengqondo, kanye nokungenelela okususelwa emqondweni kubonakala kukhombisa ukuthembisa ngesisekelo semibiko ethile yamacala.
I-neurobiology ye-POPU ne-CSBD ifaka phakathi ama-correlates amaningi we-neuroanatomical ahlanganyelwe anokuphazamiseka okusetshenzisiwe kokusetshenziswa kwezidakamizwa, izindlela ezifanayo ze-neuropsychological, kanye nokuguqulwa okuvamile kwe-neurophysiological ku-dopamine umvuzo uhlelo.
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UMauer-Vakil, uDane BSc1; I-Bahji, i-Anees MD2
ICanada Journal of Addiction: Septhemba 2020 - Umqulu 11 - Issue 3 - p 42-51
i-doi: 10.1097 / CXA.0000000000000091
abstract
Ingemuva:
Isifo sokucindezela sokuziphatha ngokocansi (CSBD) sisanda kufakwa kusigaba sokuphazamiseka kokulawula umfutho kuHlelo Lomhlaba Wonke Lwezifo 11th uhlelo (ICD-11). Ukusetshenziswa kwezithombe zocansi eziku-inthanethi okunenkinga (i-POPU) kubhekwa ngabaningi njengophawu lokuziphatha okuyinhloko lwe-CSBD. Lokhu kuhlukaniswa kuhlala kuyinkinga yombango kunikezwe ukugqagqana okukhulu phakathi kwe-CSBD ne-POPU ngezimpawu zokusetshenziswa kwezidakamizwa kanye umlutha ukuphazamiseka.
Injongo:
Okwamanje ukubuyekeza ihlose ukuhlola izici ze-nosological, epidemiological, neurobiological, kanye nemitholampilo ye-CSBD ne-POPU engaxhasa ukufakwa kwabo njengokusemthethweni umlutha ukuphazamiseka ezinhlelweni ezizayo ze-DSM.
Izindlela:
Sithole izindatshana ezifanele sisebenzisa imininingwane emibili eku-inthanethi (i-PubMed ne-Google Scholar) ngo-Okthoba 2019. Izifundo zifakiwe uma i-POPU, i-CSBD, noma igama elihlobene nalo bekuyisihloko esiyinhloko se-athikili futhi uma ngabe lishicilelwe ngesiNgisi kumagazini obuyekezwe ngontanga. . Yonke imibhalo ibuyekezwe ngabalinganisi ababili abazimele ukuthola ukufaneleka nokukhishwa kwemininingwane efanele. Izinkinga ezibalulekile ezifundweni zonke zahlelwa zaba izingqikithi ezine: i-nosology, i-epidemiology, i-neurobiology, kanye nezici zomtholampilo. Sibe sesihlola isimo sobufakazi emkhakheni wonkana.
Okutholakele:
Ukutholakala okutholakalayo kuphakamisa ukuthi kunezici eziningana ze-CSBD ne-POPU ezihambisana nezici zokulutha, nokuthi ukungenelela okusizayo ekubhekiseni ukulutha kokuziphatha kanye nezidakamizwa kuqinisekisa ukucutshungulwa nokusetshenziswa ekusekeleni abantu abane-CSBD ne-POPU. Ngenkathi kungekho zilingo ezingahleliwe zokwelashwa kwe-CSBD noma i-POPU, abaphikisi be-opioid, ukwelashwa kokuziphatha kwengqondo, kanye nokungenelela okususelwa emqondweni kubonakala kukhombisa ukuthembisa ngesisekelo semibiko ethile yamacala. Ukusabalala kwe-POPU ne-CSBD kuyahlukahluka kakhulu, kepha-ke, izinto ezinobungozi ezingaguquki zibandakanya ukuphazamiseka kokusetshenziswa kwezidakamizwa ze-comorbid nomlando wokuhlukunyezwa ebuntwaneni. I-neurobiology ye-POPU ne-CSBD ifaka phakathi ama-correlates amaningi we-neuroanatomical ahlanganyelwe anokuphazamiseka okusetshenzisiwe kokusetshenziswa kwezidakamizwa, izindlela ezifanayo ze-neuropsychological, kanye nokuguqulwa okuvamile kwe-neurophysiological ku-dopamine umvuzo uhlelo.
Isiphetho:
Ucwaningo lwesikhathi esizayo lwezobuciko luzothuthukisa ukuqonda kwe-CSBD ne-POPU, kanye nobudlelwano babo nezindlela ezisunguliwe zokulutha umlutha-kanye nokuphazamiseka kokulawula umfutho-ukusiza ukuqonda ukuthi yiziphi izikimu zokuhlukaniswa ezisuselwa ebufakazini kakhulu. Ngenkathi iningi lezifundo zibandakanye amasampula abesilisa abesilisa nabesilisa abesilisa nabesifazane, umsebenzi wesikhathi esizayo kufanele ubandakanye abantu abavela kwezinye izinhlobo zobulili nobulili. Njengoba le kuyindawo ebalulekile evumela ukuqhubeka kokufunda, izifundo ezengeziwe zizosiza ukuqhubekisela phambili inkambu.
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