Oneiroid chirwere: zviratidzo, kurapwa. Treatment oneiric-catatonic urwere mu schizophrenia

Oneiroid chirwere - a schizophrenic delirium, izvo dzinoratidzwa chaicho nenyonganiso mupfungwa (grezopodobnaya nekuvhiri- ngika) mutsa pamberi azere mufananidzo pamusoro zvekufungidzira psevdogallyutsinatornyh snovidnyh uye manzwiro, kuvhiringidzwa umboo.

Ndezvipi kuratidzwa chirwere ichi?

All yakapoteredza rakatorwa murwere nechinangwa The customized, iye apo "nyengedza mutambo" pamwe Bogus vanhu (double delirium, inoshandiswa pakutsigira). Hunoonekwa nokurasikirwa nguva uye nzvimbo, kusanyatsotsanangurwa focussed panyaya nomumwe: murwere anoziva kuti ari muchipatara, asi panguva iyoyo inogona kuva mukuru chitundumusere-musere, kubhururuka vamwe mapuraneti, uye chiso chake, uye vashandi vezveutano vanoonekwa sezvo vashandi kuti muchadenga kunoongorora uye achigamuchira chikepe nhume dzimwe tsika. Saka akaratidza oneiroid syndrome.

zviratidzo It kunokonzerwa rarehwa murwere mumugariro, achisiyanisa yayo upenyu hwaAbhigairi psevdogallyutsinatorno delirious zviratidzo. Kazhinji, izvozvo riri chinyararire pamubhedha, akavhara maziso, dzimwe nguva unoita "zvemuchadenga-hasteless" fambisa maoko, kunyange zvavo tsaona anoshamisa, asi chete kubva kunze. Pamwe nokunzwisisa akaparadza ichi kupfuura mazuva uye murwere zera: anofunga ari kutiza, dzakawanda chiedza-makore, uye panguva iyi anoramba anofa uye aberekwazve cloning.

Zviratidzo sleepwalking

Dzimwe murwere ugere uye kungodzungaira dreamily ari dhipatimendi ne "kuroyiwa" achinyemwerera, achitarisa zvose pachako. Paakanga oda chinhu bvunza, anotuma vamwe ake remweya mwoyo. Oneiroid chirwere kungazviratidza muchimiro kuroorwa catatonic features, Somuenzaniso, substupora kana catalepsy. Zvinofanira kucherechedzwa kuti nyaya manzwiro oneiric Danho zvabviswa pachavo unyanzvi, wakakodzera chiitiko vaiona mafirimu kana kuverenga mabhuku nakisisa dzakatevedzana.

Kana iwe buda kubva mamiriro iyi murwere anoponesa mundangariro ayo anoshamisa zvose manzwiro, asi amneziruet chiito chaicho yakaitika muupenyu hwake Panguva iyi pathological kurwisa. Kwemazuva akawanda, pangava residual zvisipo.

Duration oneiric mamiriro anogona kuva mazuva 2-3 kana kunyange 1-2 mavhiki. Kazhinji, zvokurwara ichi unowanikwa schizophrenia, asi dzimwe nguva vanoona vari munyika pfungwa kukuvara uye pachepfu.

Mune zvimwe zviitiko, unogona kuona chirwere ichi?

Oneiroid urwere kunoitika:

• pamwe catatonic schizophrenia (kazhinji akaumbwa mamirire emuchina);
• symptomatic psychosis (sokumborasika pfungwa uye kubvunda) ;
• pfari;
• zvirwere muuropi.

catatonic schizophrenia

Pakutanga anozivikanwa zvinetso mupfungwa depression uye Kukanganisika subdepressive, saka pane nguva delirium, kana yakapoteredza sokuti isinganzwisisiki murwere uye dzakachinjwa. Vachinyara manzwiro achiperekedzwa pfungwa unstructured benzi, kunyanya rufu, kutambudzwa, kurwara. Zvadaro pane chakavanzika munhu kuvhumuka, intermetamorfozy uye zvaanoreva.

Varwere oneiroid chirwere zvinoratidza kuti pedyo navo kuita zvimwe zviito uye vakava kana vateereri vake kana vatori vechikamu. The ndingangokuvara vanoziva remangwana kana zvinofunga automatism, kutukana rokukanganisa, venhema pamutemo. Zvadaro akaumba Stage inopinza enchanting paraphrenia kana rinotungamirirwa oneiric, zvakazoita kuti murwere coexisting hope nakisisa, aone zvinhu zvisipo, uye dzidziso mamiriro ezvinhu chaiwoiwo. The kunotoda mufananidzo catatonic schizophrenia chinoguma kukura oneiric.

Diagnostics

Zvinoda zvakajairika zviyero nechirwere pakati schizophrenia. Special zviratidzi kuonekwe catatonic transistor nokuda chero chirwere ichi. Nokuti nechirwere ose schizophrenia anofanira kupiwa kuona hunhu nokushivirira unhu ezvinhu akaoma, kana ane oneiroid urwere:

• zvekunze zvikonzero);
• Rigidity (kuramba takasimba chinzvimbo mukupindura kushandura mharidzo yacho);
• ndivete (rutapudzo anwa kwezvakatipoteredza, basa uye kwatangwa kufamba);
• kuomesa (nokuzvidira yaunodya uye chengetedzo kukodzera, noshamisa postures);
• Wakisi elasticity (vakabata nhengo dzomuviri munzvimbo iyi kwavari);
• negativism (safunga mhingaidzo chero pamuviri kufamba negwara risiri semhinduro kushushikana kana kushandura installation chinzvimbo, kure pasi);
• zvimwe zviratidzo (perseveration uye motokari ancillary).

Treatment oneiric-catatonic urwere mu schizophrenia

Kukunda discomforts zvechokwadi chete muchipatara chepfungwa achibatsirwa zvinodhaka, uye dzimwe nguva - kuvhunduka mishonga. Kana murwere wobudiswa mamiriro wekutsumwaira, vaida refu uye kakawanda kwoupenyu hwose mishonga ine kudzivisa dzokororo ine catatonia. Panguva imwe exacerbation zvinoda kuuya zvose murwere nekukurumidza kuti chepfungwa kiriniki. Kazhinji, varwere mumamiriro ezvinhu kakawanda vanoramba kutora zvokudya, unogona kupinda tangled pachako nokuti kushaya dzidziso panzvimbo uye nguva, uyewo kukuisa rakakura kutyisidzirwa pachavo kana vamwe.

zvinodhaka kurapa

Kuporesa catatonic schizophrenia, kazhinji kushandiswa benzodiazepine mapiritsi uye zvinodhaka hunobva neGhebha. Dzimwe nguva chirongwa kurapwa zvachose wedzera tsandanyama relaxants, dopamine mhandu uye kumunetsawo stabilizers. With kurwisa kwenguva yakareba catatonia rave zvinobudirira kushandiswa electroconvulsive kurapa.

fungidziro

Zvinofanira kuzivikanwa kuti oneiroid syndrome (kurapwa rakanga pamusoro apa) chinhu chinonyangadza kwazvo ezvinhu sezvo ari somatic uye nepfungwa mazwi. murwere Izvi zvinofanira kuiswa muchipatara chepfungwa nokukurumidza sezvinobvira. Izvi hatizodembi ngozi chokuita noupenyu uye utano murwere. Uyezve, boka iri revanhu chinodiwa kumativi wachi richiona huru anokosha, uye vanogona vachiri kuda ane intravenous aizomupa zvinodhaka uye parenteral kudya kunovaka.