Yosalongosoka akuchita misala: Zizindikiro ndi Chithandizo

Mmodzi wa mitundu kwambiri zilonda wachisokonezo maganizo yosalongosoka (hebephrenia) akuchita misala. Odwala matenda ndi zovuta kuzindikira. Iwo ankachita grimace ndi grimace. Matendawa ali ndi makhalidwe oipa ndi madokotala ananena zawo osauka chifukwa n'zovuta kuchitira. Kuti mudziwe zambiri zokhudza zimayambitsa ndi zizindikiro ayankhidwa m'nkhaniyi lero.

kufotokoza mwa chidule

Kuyambira 1871 akuyamba mbiri ya munthu akuchita misala matenda yosalongosoka. Mawonekedwe a matenda makamaka wafotokozedwapo Evaldom Gekkerom. Poyamba ankachitira monga kuphatikiza matenda a m'maganizo, monga zosiyanasiyana ndi gwero lachisokonezo kapena mavuto psychopathy anauka. Kwa zaka zingapo zotsatira, malire anali anangotengeka yosalongosoka akuchita misala. Ngakhale masiku ano, asayansi ambiri amene ankaona kuti kudwala siipezekanso mu maonekedwe ake angwiro.

Nthawi zambiri izo kumaonekera unyamata mochedwa. Matendawa ndi oopsa chifukwa ndi aliyense podwala motsatizana kuti kwambiri kusintha mu mawonekedwe zilonda za akuchita misala. Pankhaniyi, wodwala angathe kukhala oopsa kwa anthu mu zaka 1-2. Ngati Popanda kuchitapo kanthu, ndi akhoza kuchita chigawenga, ndi apamaliro kugonana. Odwala popanda mankhwala apamwamba nthawi zambiri kukhala zidakwa ndi mankhwala osokoneza bongo. Mndandanda wa zinthu zoipa kwambiri amachepetsa nthawi ya moyo wa munthu.

The zifukwa

Ngakhale masiku ano, madokotala sangakhoze kunena chimodzimodzi chifukwa osauka mawonekedwe yosalongosoka wa akuchita misala. Komabe, ambiri a iwo amafuna kwa buku la chikhalidwe majini ndi tizilombo wa kudwala lapansi. Monga precipitating zinthu ankaona zinthu osauka amoyo ndi vuto akumane m'banja. Various matenda neurobiological gulu, zoopsa ndi zopanikiza zochitika komanso azidwala matenda okhudza ubongo.

Kuwanda ndi chiwopsezo kuti matenda

Woyamba zizindikiro za matenda aubongo kukhala unyamata. Malinga ndi kafukufuku, kudwala izi amawapeza ndi maulendo angapo ofala kwambiri kwa anthu okhala m'mizinda ikuluikulu kuposa m'midzi. Odwala yosalongosoka milandu akuchita misala ya mwamuna ndi mkazi analembedwa ndi pafupifupi pafupipafupi chomwecho.

Mwachibadwa, kale chiyambire matendawa ake odwala angathe akukumana ndi vuto kucheza. Iwo ndi mlingo wochepa wa nzeru. Nthawi zina, pali osakwanira kulemera. Akamakula wodwala amayamba kuona kukondabe kwambiri makolo awo. Komabe, kulankhulana ndi alendo iye anyalanyaza.

Siteji koyamba ndi matenda

Yosalongosoka akuchita misala zimapangitsa lokha anamva mu m'badwo kwa zaka 14 mpaka 25. Poyamba mwana wayamba kuchita khalidwe abnormally, nthawi zambiri capricious ndi amene akukhudzidwa. Makolo kawirikawiri kulabadira kusintha ngati khalidwe. Kenako, munthu wotero amakhala akudwala kuyerekezera zinthu m'maganizo ndi kuona zilubwelubwe.

Mapangidwe chilema schizophrenic pasanathe zaka zitatu. Pang'onopang'ono, mtima wotaya chinthu chofunika kwambiri, chidwi, zimapangitsa zochita mosayembekezereka. Chikhalidwe cha ndondomeko pathological ndi mosalekeza, kotero otchedwa intervals lucid kwina. Komabe pali mwina episodic loyenda alternating nthawi chikhululukiro ndi exacerbation. Koma ngakhale mu nkhani iyi, matenda idzapambana. zotsatira zake ndi kusintha kwakukulu umunthu wodwalayo. Iye akukhala lethargic ndi ofooka wofuna, satha kuzisamalira zokha.

mbali chifungulo cha matenda

Matendawa zimagawidwa n'zovuta oterewa. Komabe, chiwerengero zizindikiro matenda akadali amalola kuganiza matenda. Kodi yosalongosoka zizindikiro akuchita misala?

1. Mmene alili (kuseka amapereka ndi maganizo, anatseka).
2. Nthawi pali kuona zilubwelubwe ndi kuyerekezera zinthu m'maganizo. Iwo ali a nthawi yochepa, pafupifupi ziribe mphamvu pa khalidwe la munthu.
3. zochitika zonse yodziwika ndi wosazindikira, koma kuganiza amakhalabe pa msinkhu wa mwana wamng'ono.
4. Iwo incoherent ndipo kawirikawiri alibe katundu zamalankhulidwe.
5. Khalidwe aona khalidwe.
6. Wodwala kutenga kumudzudzula komanso ndemanga adiresi wake.
7. Nthawi makamaka aakulu ndi kuchuluka pagalimoto kugonana.

Komanso, misala amakhala ndi mtundu yosalongosoka zizindikiro catatonic. Amasonyeza matenda kuyenda. Pakuti matenda catatonic ndi akhate, ndipo pambuyo pawo - affective. Onse itha yosalongosoka malemeredwe. Akuyambira yeniyeni kusonyezedwa ndi zovuta kudziwa.

Khalidwe la odwala ngati akusewera wosewera oipa amene imamveka mwana. Iwo akhoza kusintha mawu, akupusitsa padziko kapena kusonyeza zobwera kutengeka. Kukonda ena msanga m'malo mwa mokwiya. Odwala musazengereze nanyamula mtembo.

njira matenda

Kutsimikiza matenda a polojekiti chisanadze chofunika odwala kwa miyezi 2-3. Akatswiri ambiri m'munda ndikukhulupirira kuti kudwala zingadziŵike mu kukhalapo kwa wa ku zizindikiro zotsatirazi:

• chodabwitsa "maganizo zachabe";
• grimacing;
• wosabereka euphoria.

Ngati mukukayikira ndi yosalongosoka akuchita misala oyembekezera wodwala sayenera kuwona zamaganizo. Kunyumba, kusintha khalidwe lawo kapena kuchiza kwathunthu sizingatheke. Only oyenerera ogwira ntchito pa mphamvu athetse vutoli. Matenda yomaliza anatsimikizira pambuyo ndi maganizo yaitali wodwalayo, mndandanda wa mayesero patopsihologicheskih, kuphunzira mbiri yake.

mankhwala

Mwatsoka, yosalongosoka akuchita misala nthawi akusonyeza bata. Kuyambira inu simungathe muchisiye, koma zingakhale pang'ono kuthetsa vutoli. Matendawa amafunika chithandizo yake, si koyenera kuyembekezera kuti izi ndi clouding zosakhalitsa kutsitsimuka.

Mtima ndi matenda zimenezi zimathandiza anaikidwa chipatala kumene iye adzakhala kuyang'aniridwa ndi akatswiri. Chifukwa cha kulimbikira mkulu mankhwala kutumikiridwa mlingo waukulu wa neuroleptics ( "klopiksol", "Rispolept", "Azaleptin") ndi mavitamini. Iodzafewa ndipo kulepheletsa ena chiyerekezo schizoid chilema thandizo zotsatirazi mankhwala: "Flyuanksol", "Rispolept", "quetiapine". Zonsezi amasankhidwa payekha, kutenga nkhani ukupeza wodwala.

njira zina zochizira

Mu mankhwala chikhululukiro yosalongosoka akuchita misala si linasokonekera, koma zonse misala. inawo ntchito ndi cholinga anatengera mtima anthu. Monga ulamuliro, pali options osiyana mankhwala gulu:

• Khalidwe chidziwitso;
• psychodrama;
• zomveka maganizo.

Nthawi makamaka akuluakulu amachita chithandizo banja. Magawo pa dokotala kuitana achibale a wodwalayo, odwala ena ndi matenda ofanana ndi matenda. Choncho zimakhala zosavuta kuti azolowere matenda ndi nacho, ndi mphamvu ya ukuwonjezeka mankhwala kwambiri.

Yochepa chithandizo zambiri akuwonetsa zotsatira zabwino mu gawo pachimake. A mankhwala yaitali chofunika kuti:

1. Kukhazikitsa kukhudzana ndi dziko kunja (ntchito Kuyesezera, luso mankhwala osavuta dialogues).
2. Development luso chikhalidwe ndi khalidwe (ntchito dialogues ndi zokambirana, mawerengeredwe zochitika pa moyo).
3. Kuwukonza mogwirizana ndi anzathu ndi mabanja.

Kodi ubwino wa banja mankhwala khalidwe chiyani? Mankhwalawa amathandiza abale a mtima kumvetsa mmene khalidwe labwino. Yosalongosoka akuchita misala - ndi matenda aakulu, amenenso kovuta banja. Iwo pamapeto pake akhoza kuyamba kuvutika ndi matenda neurotic. Ndi muyezo njira ya mankhwala iwo savuta kuzindikira matenda ndi kumanga mgwirizano mu banja.

kaonedwe

Muyenera kumvetsa mmene oopsa yosalongosoka akuchita misala. Ngati ayi mwamsanga kanthu ndi kuyamba mankhwala wodwala ngozi nokha ndi ena. mwamsanga iye kudzatha kulamulira zochita zawo, tichita chirichonse chimene chimabwera m'maganizo. Zikatere kale amafuna hospitalization mwamsanga kuchipatala cha anthu amisala.