Lengqondo ukuphazamiseka: Iindidi, Iimpawu, Treatment

Ukuphazamiseka kwenzeka ukuphazamiseka kwengqondo etsolo walibonakalisa umsebenzi motor okwandileyo, nto leyo enokuthi ikhatshwe isiphithiphithi, ixhala, ukuba ndlongondlongo, kumnandi, nemibono, ukudideka, ingqondo kunye m. P. Okunye malunga oko imeko, ngoba apho nto inokwenzeka njani ukuphathwa ngayo, kuya kuxoxwa ngazo kamva kweli nqaku.

Iimpawu eziphambili lengqondo ukuphazamiseka

State of kukuphazamiseka luphawulwa abaqala etsolo, kakhulu kuphazamisane sezingqondweni kwaye Mzoli (oko kuba ukungqunga kunye namanyathelo 'ukungxama eziyingozi). Isigulane okungakanani imincili, okanye ngokuchasene noko, ixhala, uloyiko.

iintshukumo zalo zibe umbhodamo, asanelanga, intetho yabo ukuze ihambisane excitation - ombaxa, maxa wambi ngokohlobo loqukuqelo eliqhubekekayo amagama kuhlatywa izandi okanye amabinzana ngamnye. Esi sigulane asikwazi asukele nemibono, wabona nesiyezi, ukucinga uba okukhawulezileyo wandiqwenga (dissociative). Kukho ndlongo ngqo omabini kokugquma kunye ngokwalo (iinzame ukuzibulala). Ngendlela, ukuba ukugxekwa imeko yakhe isigulane engekhoyo.

Njengoko eziqondwa mpawu zingasentla, impilo yomguli ingozi kwaye kufuna unyango ngoko nangoko. Kodwa oko kunokukhokelela nemeko enjalo?

Izinto ezibangela yokususa

ukuphazamiseka Acute ibe nomsindo ezahlukeneyo yezizathu ezifana noxinzelelo kakhulu, kwaye ukonakala kwengqondo eziphilayo (umz, sokuwa).

Kaninzi kwenzeka:

• e ukuhlala ixesha elide umntu siphilile kwimo ukwesaba okanye ngenxa lwakhe nemeko ubomi emngciphekweni (umzekelo, emva kwengozi yemoto, banokuba ebizwa ngokuba yi- psychosis lovukelo) ;
• e ukunxila okanye utywala oyingozi okanye engapheliyo ubuthi caffeine, quinacrine, atropine kunye m p..;
• emva asakhulayo ukusuka isiqaqa okanye emva ukwenzakala ebuchotsheni esibuhlungu, wamqumbisa iinxalenye umonakalo zophendlo lwezifo zobuchopho;
• Mhlawumbi ngenxa CNS buthi, ngokubangela izifo kakhulu esosulelayo;
• ku fane;
• ngokufuthi awadibana nazo ukugula ngengqondo: schizophrenia, psychosis, mkhuba, yimincili okanye ukuphazamiseka kwengqondo.

yokususa elihlabayo

Xa amayeza, lengqondo ukuphazamiseka wahlulwe manqanaba mathathu ubungnqongqo.

1. Ezintsha. Izigulane kule meko ikhangeleka ngathi nje into emnandi engaqhelekanga.
2. Le wononophelo okuvakaliswa ngeendlela ingaqwalaselwa intetho nezenzo zabo. Ezi zenzo olungalindelekanga, kubonakala wavakalisa disorder (echwayithile, umsindo, usizi, yobubi kunye njalo njalo. P.).
3. degree ngokukhawuleza of excitation kuboniswe intetho randomness kunye nentshukumo, kunye nesiyezi.

Hi ndlela leyi, oku kubonisa ukuba imincili, ubukhulu becala kuxhomekeke ubudala umguli. Ngoko ke, ebuntwaneni okanye ebudaleni, oko kukhatshwa a izenzo intetho okanye motor obungabangeli mdla.

Abantwana - oku obungabangeli mdla edanduluka esithi, ekhwaza, ehleka okanye uphindaphindo imiba efanayo, alilawulayo, kwenaliti, okanye wrestling. Kwaye kubantu abalupheleyo uchulumanco wabonakalisa fussiness, elibheke inkxalabo yoshishino kunye loquacity elihle. Kodwa ke amaxesha amaninzi kwiimeko ezinjalo kunye izenzo ukucaphuka okanye ixhala, ephelekwa grumpy.

Types of yokususa

Kuxhomekeka kuhlobo excitation lomguli umahluko iintlobo ezahlukeneyo karhulumente.

• Hallucinatory-delirious uchulumanco - lubonakala ingqiqo uloyiko, ixhala, ukudideka, okanye ulunya kunye ombane. Izigulane ukuthetha interlocutor ongabonakaliyo, ukuze baphendule imibuzo yabo, ukuba ukuphulaphula into, kwaye kwezinye iimeko - ahlasele iintshaba ngengqondo, okanye, icala, ukuba babalekele kuyo ngokubaleka, wehla Dale kunye ngokucacileyo imiqobo.
• ukuphazamiseka Catatonic - iimpawu zayo randomness kunye iintshukumo ingaqwalaselwa nomonde - ke ngequbuliso, ukungxama kunye ngamampunge, kunye yokutshintsha ukusuka excitation ukuya wobuthongo. durashliv Nomonde, grimaces, kwaye uziphatha aweve emibi.
• uchulumanco mania wavakalisa yokutshintsha ukusuka echwayithile kade umsindo, ukuba nochuku kunye ulunya. Esi sigulane asikwazi ukuhlala namanje - ucula, imidaniso, bonke aphazamisa, kuba bonke kuthathwe kwaye ayikho ukuya esiphelweni. Uthi ngokukhawuleza, rhoqo, uze ukutshintsha eso sifundo kwaye unakho izivakalisi. Ngokucacileyo overestimates ubunakho bakhe, ukuze enze ingcamango ngobukhulu, uze ubonise ndlongo ngenxa inkcaso.

A iindidi ezimbalwa lengqondo ukuphazamiseka

Ukongeza kule miba ingentla apha, kukho iindidi ezininzi lengqondo kukuphazamiseka, nto leyo zokuphuhlisa onempilo, nokuba umonakalo ebuchotsheni ephilayo.

• Ngenxa yoko, nabanesithuthwane uchulumanco uphawu ekuzeni imo ezingqondweni kwizigulane kunye sokuwa. Uphelekwa ngokukrakra ndlongo ichaphazela, nokudideka epheleleyo, ukungakwazi kbafownlwa. Isiqalo kunye nesiphelo kwalo, njengokuba umthetho, ngequbuliso, kwaye urhulumente unako ukufikelela ngezinga eliphezulu yingozi kwabanye abantu, kuba isigulane nga kuxhwila kwaye zibangela umonakalo omkhulu kwaye atshabalalise yonke into kumendo wakho.
• ukuphazamiseka Psychogenic kwenzeka ngokukhawuleza emva kokuba iimeko xi etsolo (yentlekele kunye m ukuwa. P.). Oku kubonakaliswa izidanga ze motor Mzoli ezahlukahlukeneyo. Oku kunokuba monotonic kunye excitation izandi inarticulate kunye excitation random isidumo moya, ukuzeyisa bazicente, azame ukuzibulala. Ngokufuthi, imincili luthathelwa wobuthongo. Hi ndlela leyi, kwimeko yeentlekele like mass karhulumente kwaye kukugubungela amaqela amakhulu abantu babe abaqhelekileyo.
• uchulumanco Psychopathic ikhangeleka ngathi psychogenic, njengokuba kwenzeka phantsi kweempembelelo ezingaphandle, kodwa inqaba impendulo kulo mzekelo, njengoko umthetho, ayingqinelani kubangelwa. Le meko esidityaniswe ezineempawu psychopathic lomlinganiswa yesigulane.

Indlela ukunika ukhathalelo olungxamisekileyo for oyingozi lengqondo ukuphazamiseka

Ukuba umntu ufunyenwe lengqondo kukuphazamiseka, uncedo olungxamisekileyo lufuneka nangoko, njengoko isigulane ezinokuba nobungozi ngokwabo nabanye. Ukuze wenze oku, ngaphandle kwegumbi, apho athe wacela ukuba bashiye zonke abangaphandle.

Isigulane ukunxibelelana ngokuzolileyo nangokuzithemba. Kufuneka bodwa kwigumbi elahlukileyo, nto leyo pre-zihlolwe: windows osenyongweni neengcango, susa izinto ezibukhali kwaye konke ukwazi kubetha. In engxamisekileyo ukuba iqela zengqondo.

Ngaphambi kokuba efikile, kufuneka uzame ezinokuphazamisa isigulane (ukuya ungcwalazi, iBhunga ayifaneleki, ngoko ke isigulana ukuba uqhagamshelane ..), ukuba kukho imfuneko - ukuze sifeze immobilization.

Ukuncedisa phezu immobilization ogulayo

Lengqondo kukuphazamiseka, iimpawu ebekuthethwe ngazo ngasentla, ngokufuthi ifuna ukusetyenziswa sisekelo. Oku kufuna uncedo lwabantu 3-4. Bona zilufanele nasemzimbeni, ngezandla icinezelwe esifubeni yomguli wathatha kabukhali phantsi ngamadolo akhe, ukubeka ngale ndlela elukhukweni okanye kwesingqengqelo, ngaphambili ningashukunyiswa nimke eludongeni, ukuze oko wasondela macala mabini.

Ukuba isigulane na omelana, zooswingi nayiphi na into, kucetyiswa ukuba abancedisi phambi ngeengubo, imiqamelo okanye oomatrasi. Omnye kubo ukuphosa ingubo phezu kobuso isigulane, oko kuya kunceda wambeka phezu kwebhedi. Ngamanye amaxesha kufuneka ingabamba intloko yakho, nto leyo uphosa itawuli ibunzi (ekukhethwa manzi) ze bazobe iziphelo ebhedini.

Kubalulekile ukubamba umzimba lo isilumkiso, ukuze umonakalo.

Features ukukhululeka lengqondo ukuphazamiseka

uncedo Drug in lengqondo ukuphazamiseka Kufuneka zinikwe kwindawo esibhedlele. Kwithuba de isigulane ithuthelwe, kwaye ngexesha phambi kokuba isenzo kweziyobisi, wavumela isicelo lwethutyana nitrogen (njengoko ungeno kwi iingxelo zonyango). Ngelo xesha ukuthobela imithetho mandatory:

• ngexesha ukusetyenziswa ziingxaki yinto kuphela ezithambileyo (iitawuli, iimakhishithi, amabhanti ezenziwe ngelaphu, etc ...);
• ngokukhuselekileyo ukulungisa umlenze negxalaba ngamnye nombhinqo, njengoko kungenjalo isigulane isindileyo ngokulula;
• Asinako ukuvumela ucinezelo of zemithi-luvo kunye imithambo yegazi kuba oko kunokukhokelela iimeko eziyingozi;
• baloba isigulane hayi zishiywe.

Emva yesenzo neuroleptics ugwetyelwe, wakhululwa kuso nenkanuko yalo, kodwa mkhanya kufuneka kuqhube, ekubeni urhulumente iyahlozinga kwaye kwenzeka ukuhlaselwa entsha excitation.

yokususa Treatment

Kuba ukukhululeka yokuhlaselwa acuity isiguli psihozm elawulwa nadlamkisayo "Seduxen" - IV "sodium barbital" - intramuscularly "Chlorpromazine" (w / w okanye w / o). Ukuba isigulana ingathatha amalungiselelo ngomlomo, azimiselweyo "Phenobarbital" icwecwe "Seduxen" okanye "Chlorpromazine".

Akukho kangako kunye neuroleptics "clozapine", "Zuk-lopentiksol" yaye "levomepromazina". Kubaluleke kakhulu ukuba esweni uxinzelelo lwegazi yesigulane, njengoko ezi zixhobo kungabangela ukuba bawe.

Ngokwamanani somatic unyango esibhedlele echithwa yokususa kunye namachiza asetyenziselwa zomzimba ( "Droperidol" kunye nesisombululo hydroxybutyrate sodium iswekile) kunye nolawulo ukuphefumla ayisosinyanzelo kwaye AD. Ke ukuba izigulane ezibuthathaka okanye abadala kusetyenziswa okudambisa, "tiaprid", "Diazepam", "Midazolam".

Ukusetyenziswa ngamalungiselelo ngokungqinelana uhlobo ngengqondo

Ngokuqhelekileyo, isigulana angafakwa kwakhona obschesedativnye amalungiselelo, kodwa emva kokuxilongwa ngakumbi, kunqandwa ukuphazamiseka olunye iya kuba luxhomekeke ngqo kwi hlobo yayo. Ngoko, xa excitation hallucinatory-bazikhohlisa wamisa iziyobisi "Haloperidol" "Stelazin" yaye xa manic indlela ephumelelayo "klopiksol" yaye "lithium hydroxybutyrate". karhulumente lovukelo amachiza isusiwe "Chlorpromazine", "Tisercinum" okanye "Phenazepam" kunye katotonicheskoe uchulumanco iziyobisi waphilisa "Mazhepril".

amayeza Specialised zihlangana obschesedativnymi ukuba kuyimfuneko, ngokulungisa idosi.

A amagama ambalwa esiphelweni

Lengqondo ukuphazamiseka kunokuba kwenzeke kwiimeko zemihla ngemihla okanye zenzeka ngokuchasene nentsukaphi iinkqubo zophendlo lwezifo ezinxulumene yeenkqubo zengqondo, utyando kunye traumatology. Ngoko ke, ukuze nazi ukuba ayeke indlela kokuhlaselwa ukugula ngengqondo, ngaphandle ebangela umonakalo kwisigulana ngexesha elinye, kubalulekile kakhulu.

Njengoko kucacile koko kwathiwa kweli nqaku, okubaluleke kakhulu ngexesha zoncedo lokuqala - ukuze ziqokelelwe kwaye ezolile. Musa ukuzama ukusebenzisa nempembelelo ebonakalayo kwisigulana ngokwabo kwaye musa ukubonisa ndlongo kuyo. Khumbula, lo mntu ayiniki rhoqo uyazi oko akwenzayo, yaye kwenzeka ntoni - kuyinto nje iimpawu imeko yakhe engcwabeni.