Psychomotor nokusagadzikana: Types, Zviratidzo, Treatment

Kusagadzikana ndepana chenjera chirwere chepfungwa akaratidza rakawedzera gwenya basa, izvo angaperekedzwa kuvhiringidzika, kufunganya, utsinye, kunonakidza, aone zvinhu zvisipo, kuvhiringidzika, delirium uye m. P. More pamusoro ndiwo akapiwa ezvinhu, nokuti izvo rinogona kuitika uye zvakaitira, ichakurukurwa gare gare munyaya.

zviratidzo zvikuru psychomotor nokusagadzikana

State of kutambudza kunoratidzwa rikwanise Pazvinotanga, zvakakomba vanotaura kuti pfungwa uye wokusagadzikana (kunogona sezvo fidgeting uye zvechivhurumukira risa). Murwere tinganetseka euphoria, kana, nekusiyana, kufunganya, kutya.

kufamba Its kuva runobva, kukwana, kutaura kwavo anogona kuenda excitation - verbosity, dzimwe nguva muchimiro chinoramba karwizi mashoko vachipururudza nomumwe ruzha kana zvirevo. Murwere chingatsvakwa zvisipo, akacherechedza dzungu, mafungiro yava nokukurumidza uye zvakabvaruka (dissociative). Pane kenya rinotungamirirwa zvose panguva ambient uye panguva pacharo (kuzviuraya kuedza). Nenzira, uchitsoropodzwa urwere hwake murwere chisipo.

Sezvo kunzwisisa kubva pamusoro zviratidzo, utano murwere ane ngozi uye kunoda kurapwa nokukurumidza. Asi kuti zvingaita kuti mamiriro ezvinhu akadaro?

Zvinokonzera kutambudza

Chenjera kugadzikana inogona kushatiriswa nezvikonzero zvakasiyana-siyana zvakadai kuzvidya mwoyo, uye makemikari uropi (semuenzaniso, tsviyo).

Kakawanda zvaitika:

• panguva refu gara munhu mupfungwa hwakanaka vachingotya mavhunduka kana somugumisiro akavhiyiwa ezvinhu chinouraya (somuenzaniso, pashure tsaona yemotokari, angatanga anonzi reactive psychosis) ;
• mu chenjera kana chirwere doro kudhaka uye chepfu pamwe caffeine, quinacrine, atropine uye mamita p..
• pashure zvichiitika kubva pakoma kana pashure dzechimwe Kukuvara uropi, vakakuvadza pathological kukuvadza zvikamu uropi;
• Kungava mhedzisiro CNS muchetura, zvichiguma kwakakura zvirwere;
• mu chemaneka;
• kazhinji vasangana mu pfungwa chirwere: schizophrenia, depressive psychosis, zvokudarikidza, kufara kana nedambudziko rebipolar.

nekuomarara nokusagadzikana

In mushonga, psychomotor kushungurudzika rakakamurwa madhigirii matatu zvakaoma.

1. Munyoro. Varwere iyi nyaya vanotarisa kungofanana kugomo zvine.
2. Paavhareji dhigirii runoratidzwa siyana unfocused matauriro avo nezviito. Zviito zvisingatarisirwi, kuzviratidza akaratidza kuvhiringidzika chirwere (rufaro, hasha, kusuruvara, malignancy uye zvichingodaro. P.).
3. Chimbichimbi mwero excitation kunoratidzwa pana randomness kutaura uye rwokufamba, uye dzungu.

Zviya, sei izvi anoratidza mufaro, kuti pamwero mukuru kunoenderana nemakore murwere. Saka, muna pauduku kana kukwegura, zviri pamwe chete monotonous kutaura kana motokari mabasa.

Vana - ichi monotonous achidanidzira, achidanidzira, achiseka kana uchidzokorora chete nyaya, raitonga, grimacing kana smacking. Uye varwere vakwegura mufaro akaratidza fussiness, yakatarisana kusununguka hanya uye benign loquacity. Asi kazhinji mumamiriro ezvinhu akadaro uye kuratidzirwa kushatirwa kana kufunganya, achiperekedzwa nyenaira.

Mhando kutambudza

Zvichienderana pakati excitation murwere kusiyanisa rakasiyana-siyana ehurumende.

• Hallucinatory-delirious mufaro - dzinoratidzwa pfungwa kutya, kuzvidya mwoyo, kuvhiringidzika, kana ruvengo uye voltage. Varwere vanogona kutaura chinhu interlocutor asingaoneki, kupindura mibvunzo yavo, kuteerera chinhu, uye mune zvimwe zviitiko - uchirwisa zvekufungidzira vavengi, kana, Ukuwo, kutiza kwavari muchitiza, uye pasi Dale uye dzakajeka nezvipingamupinyi.
• Catatonic kugadzikana - ayo Zviratidzo zviri randomness uye unfocused murefu kufamba - vane kamwe, zvavasingagoni chakunoreva, pamwe kuchinja kubva excitation kusvika vadhakwa. Patient durashliv, grimaces, uye achiita ridiculously tsika.
• Nemanic kufara akaratidza kuchinja kubva nomufaro kutsamwa, kushatirwa uye nokuvenga. Murwere haigoni kugara achiri - anoimba, vachitamba, zvose kupindira, nokuti zvose achatorwa uye hapana kunounza zvaguma. Anoti nokukurumidza, akaramba, uye ipapo kuchinja nyaya uye kwete kupedza mitsetse. Zvakajeka overestimates mano ake, anogona kuita pfungwa ukuru, uye kuratidza utsinye nokuda akaramba.

A Mhando zvishomanana psychomotor nokusagadzikana

Kuwedzera pane zviri pamusoro apa, pane mhando dzakawanda psychomotor nokusagadzikana, zvinogona kuva noutano munhu, uye ane makemikari uropi.

• Saka, zvipusha kufara cho yorubvunzavaeni ezvinhu pfungwa iri varwere netsviyo. Ari pamwe noutsinye hasha sei, nekuvhiri- ngika wakakwana, kutadza kutaura. Mavambo kuguma kwayo, sezvinoita mutemo, pakarepo, uye hurumende inogona kusvika pamwero wakakwirira nezvengozi vamwe, sezvo murwere anogona wokubata kwavo uye kukuvadza uye kuparadza zvose munzira dzenyu.
• Psychogenic kugadzikana kunoitika pakarepo pashure rikwanise kunetseka ezvinhu (nenjodzi uye kuparara m. P.). It inoratidzwa kunosiyana inosiyana motokari wokusagadzikana. Izvi zvingava monotonic pamwe excitation inarticulate ruzha uye chero excitation nokutya kutiza, kuzvikuvadza, kuedza kuzviuraya. Kazhinji, mufaro kuchatsiviwa vadhakwa. Panzira, kana nevazhinji dzoga kufanana nehurumende uye anogona kufukidza mapoka makuru evanhu ava zvakafanana.
• Psychopathic kufara anotarira sezvinoita psychogenic, sezvo neniwo kunoitika pasi pokudzora zvimwewo zvinoitika, asi nesimba mhinduro iyi, sezvo mutemo, asingadi anoenderana ayo zvinokonzera. Ichi chirwere Rinobatanidzwa ne psychopathic zvechadenga murwere unhu.

How kugovera nechimbichimbi kutarisira rikwanise psychomotor nokusagadzikana

Kana munhu akawanikwa psychomotor nokusagadzikana, kubatsirwa nokukurumidza kunodiwa pakarepo, sezvo murwere kungaita kuti pachavo uye vamwe zvinokuvadza. Kuti aite izvi, mumba, apo iye akabvunza kuti kusiya kunze zvose.

With murwere kukurukura makadzikama uye nechivimbo. Zvinofanira voga ari oga muimba, ndiro pre-iongororwe: pedyo mahwindo uye madhoo, bvisa midziyo inopinza uye zvose kuti unogona kurova. In rokukurumidzira kukonzera chikwata chepfungwa.

Vasati kwake nokusvika, vanofanira kuedza kutsausa murwere (kusvika parubvunzavaeni yeDare haisi akakodzera, saka murwere haasi kutaura ..), uye kana zvakakodzera - kuita immobilization.

Kubatsira murwere immobilization

Psychomotor nokusagadzikana, zviratidzo zvakanga zvataurwa pamusoro apa, kazhinji zvinoda kushandiswa kuzvidzora. Izvi zvinowanzoda rubatsiro 3-4 vanhu. Vane akakodzera musana uye mativi, maoko waitsimbirira chipfuva murwere uye vakanhonga zvikuru pasi namabvi ake, vachiisa nenzira iyi pamubhedha kana pemubhedha, kare vabva parusvingo, zvokuti rinogona zvaaiswedera kumativi maviri.

Kana murwere akaramba, swinging chero chinhu, Zvinokurudzirwa kuchengeta vabatsiri pamberi magumbeze, nezvifukidzo kana nemamatiresi. Mumwe wavo anofanira kukanda negumbeze pamusoro pechiso murwere, zvichabatsira ndokumuisa pamubhedha. Dzimwe nguva unofanira kubata musoro wako, izvo kanoita tauro kuti pahuma (zvimwe nyoro) uye vaswedere kumugumo mubhedha.

Zvinokosha kuomerera chiitwa ngwarira, kuti arege kukuvadza.

Features zvokuyamura psychomotor nokusagadzikana

Drug kubatsirwa psychomotor nokusagadzikana Chinofanira inopiwa muchipatara ezvinhu. Nokuti nguva kusvikira murwere zvifambiswe kuti, uye panguva asati chiito mishonga, akabvumira dikidiki kushandiswa Kuda kutamba (sechinhu kupinda mune zvokurapa zvinyorwa). Panguva iyoyowo zvinoenderana fanira mitemo:

• panguva kushandiswa kuzvidzora ndivo chete nyoro zvinhu (matauro, machira, mabhandi zvakagadzirwa jira, etc ...);
• vakachengetwa kugadzirisa rimwe gumbo uye fudzi bhanhire, sezvo zvimwe murwere anogona nyore kutiza;
• Tinogona kubvumira compression tsinga hunde dzacho nemidziyo ropa nokuti kungakonzera ezvinhu ngozi;
• yakanyorwa murwere hazvisiyiwi vasina akavatarisa.

Pashure kuitwa neuroleptics anosunungurwa kubva kwayo Kuda kutamba, asi kwacho kunofanira mberi, sezvo mamiriro riri kusagadzikana uye kunogona kuitika mukurwisa mutsva excitation.

Treatment nokusagadzikana

Kusunungurwa nokushivirira acuity kurwiswa chero psihozm raitongwa sedatives "Seduxen" - IV "yavaibvisa barbital" - intramuscularly "Chlorpromazine" (w / W kana w / o). Kana murwere anogona kutora nemumuromo kugadzirira, iye ushandiswe "Phenobarbital" piritsi "Seduxen" kana "Chlorpromazine".

No zvishoma inobudirira uye neuroleptics "clozapine", "Zuk-lopentiksol" uye "levomepromazina". Zvakakosha chaizvo kuongorora murwere BP, sezvo maturusi izvi zvinogona kukonzera kuti kuwa.

Nemashoko somatic muchipatara kupedza kugadzikana uye zvinodhaka zvinoshandiswa yokutindivadza ( "Droperidol" uye mhinduro hydroxybutyrate yavaibvisa shuga) pamwe fanira kudzora kufema uye AD. Uye simba kana vakwegura varwere akashandisa mapiritsi, "tiaprid", "Diazepam", "Midazolam".

Kushandisa gadziriro maererano mhando psychosis

Kazhinji, murwere anogona wakapindazve obschesedativnye kugadzirira, asi pashure mamwe nechirwere, kusunga mberi nokusagadzikana vachava iri zvakananga hunotsigirwa ayo mhando. Saka, kana hallucinatory-delusional excitation yakatarwa "Haloperidol" zvinodhaka "Stelazin" uye kana nemanic inobudirira rinoreva "klopiksol" uye "lithium hydroxybutyrate". Reactive mamiriro akabvisa zvinodhaka "Chlorpromazine", "Tisercinum" kana "Phenazepam" uye katotonicheskoe mufaro arapwa zvinodhaka "Mazhepril".

mushonga Specialised sangana naye obschesedativnymi kana zvakakodzera, nokugadzirisa dose.

Mashoko mashoma mhedziso

Psychomotor kugadzikana inogona kuitika mumamiriro ezvinhu ose kana kuitika tikafunga pathological pezvakaitwa chokuita neurology, oparesheni uye traumatology. Saka, kuziva sei kumisa munhu kurwisa psychosis, pasina kukonzera kukuvara murwere panguva, zvinokosha chaizvo.

Sezvo zviri pachena kubva zvakataurwa munyaya, Chikurukuru panguva rwekutanga - kuti anounganidzwa uye akadzikama. Usaedza kushandisa hwomuviri zvainoita murwere ari yavo uye nokudaro haaratidzi utsinye pairi. Yeuka, munhu uyu haapi kakawanda kuziva zvaakanga achiita, uye chii chiri kuitika - ndiko chete zviratidzo zvake guva ezvinhu.