Fugue amati: zimayambitsa, zizindikiro, zimene matenda ndi diagnostics

Kudzuka mzinda watsopano popanda kukumbukira kwa munthu kapena moyo wakale - zingamvekere ngati script kwa Hollywood kanema kapena sopo opera. Fugue boma - kotero zotsatira za amnesia kugwirizana ndi chizindikiro cha zomwe zikuchitika kwa masabata angapo kapena miyezi.

Fugue Kodi

Dissociative fugue amati chisokonezo, umene umawalekanitsa munthu kuchokera kukumbukira wakale zimene zinamuchitikira, maganizo, kapena anthu mu miyoyo yawo. Anthu akuvutika izo, sitingakhoze kumbukirani amudziwe chilichonse cha moyo.

Dissociative fugue ikulongosola za matenda: pali kugawanika wa manyazi, pa yemweyo nthawi kubereka kanthu. Pankhaniyi, anthu ena, kuona mtima, sindikumvetsa n'ciani cinamucitikila kuti china chake chinalakwika. Chitsanzo chabwino ndi mtima wa dissociation galimoto ndipo pochitika kasinthasintha ake chifukwa kulota. Malingaliro mu maganizo kugawanika za ali panthawi galimoto. Tikazindikira kuti munthu anaphonya yake, monga ulamuliro, abwerera kumka ku njira zosiyana. Choncho, dissociation angayambe anthu athanzi, koma suchedwa yaitali.

Kodi n'zotheka

Pambuyo maganizo aakulu ena kukumbukira ndi oletsedwa ndi mukubwera boma fugue. Zitsanzo:

• mwamuna 57 wazaka ndi bambo wa ana awiri, mnyamata Scout - anasiya garaja pafupi ofesi yake inasowa. Patapita miyezi sikisi anapezeka pansi pa dzina latsopano mu khumbi la osowa pokhala ku Chicago, wosadziwa chimene iye ali ndi komwe iye anachokera.

• Middle mayi wina wachikulire akugula nyuzipepala kupeza tsiku ndi tauni yomwe izo ili, ndiye kwasanduka utumiki chitukuko kudziwa adzadziwire ake. Mwamwayi ina iye anali ndi zaka 5 amaonedwa chosowacho.

• Agata Kristi kuti anali wotchuka wolemba nthawi zonse. Mu 1926, madzulo a December 3, 36 wazaka Christy wasowa mosadziwika kuchokera kwawo ku England. Mmawa wotsatira, galimoto yake anasiya anapezeka, koma ambiri ake kulibe. Patsogolo mofulumira mwamuna wake Archibald anaopseza chilekano. December 14 Christie anapezeka moyo ndi mayina pansi pa dzina la Teresa Nil Hotel Harogeyt. Mayiyu anamunamiza sindikudziwa momwe iye anatsirizira pamwamba apo. Munthu aganiza kuti mofulumira anali ntchito pa kulima ndi kukumananso ndi mwamuna wake. Komabe, pali umboni wakuti Christie unalinso fugue ndipo wasiya kukumbukira. Pa tsiku la kutha kwa iye anthu anamuona, n'kumanena kuti analibe zovala zotentha ngakhale nyengo yozizira, ankaoneka kusokonezedwa ndi kukhumudwa. Pali nkhambakamwa kuti lithe adziwitse ndi imfa posachedwapa amake inamchititsa kulowa kwambiri. Agata Kristi anamwalira mu 1976, ndipo anatenga zoona zokhazokha za zimene zinachitika ku manda.

Monga tikuonera Fugue

Subconsciously, anapambulwa pa zinthu zonse wake ndi zochitika, adamulowetsa fugue boma. Zoyambitsa, zizindikiro, matenda zonse kukopa chidwi. Nthawi zina, munthu akhoza kupita kuntchito, koma konse kubwerera kwawo. M'malo mwake, munthu akupitiriza kusuntha popanda cholinga, pokhalabe ndi tsankho manyazi, ndi udindo kanthu ake makina. Pomaliza, iye adzakhala mu mzinda zachilendo kutali na kunyumba kwao. Iye alibe yankho iye ali ndi zomwe akuchita mu Mzinda watsopano uwu. Nthawi zina munthu fugue ndi amalenga abwino latsopano kuti angalipirire imfa ya chikumbumtima. Zimakhala choncho chifukwa masiku angapo miyezi ingapo kapena zaka pamaso pa dissipates fugue, ndiye kukumbukira wabwezeretsedwa, ndipo abwelela kunyumba.

Zizindikiro za boma fugue

• Yosakonzekera ulendo kuchoka panyumba ndekha.

• Kulephera kukumbukira zomwe zinachitika kale ndi zokumana nazo.

• Depersonalization, kapena kumverera kuti munthuyo kunja kwa thupi lake.

• Kulephela kumbukirani chizindikiro ndi mfundo za moyo wake kwa masiku angapo miyezi, mu nthawi zina Mukhoza kukoka kwa zaka zambiri.

Kodi kuchita

Odwala amene anali ndi boma fugue, asungike moyang'aniridwa pafupi zachipatala. Mbiri ya mtima kuti achotse chifukwa organic matendawa (mwachitsanzo, khunyu kapena zina umunthu matenda) ayenera kuphunzira. Ngati zimayambitsa sapezeka, ndi zamaganizo kapena anthu ena ogwira ntchito maganizo azichititsa kuyankhulana ndi wodwalayo komanso khalidwe kuwunika maganizo. kuwunika Zina ndi monga zinachitikira dissociative, zosanjidwa matenda kuyankhulana kwa matenda otchedwa fugue boma. Zoyambitsa, zizindikiro angasonyeze okha mu ntchito ndi nkhanza za mankhwala ena ndi mankhwala osokoneza bongo. Mwachitsanzo, odwala ndi uchidakwa nthawi zambiri mu mkhalidwe "mdima" pamene kuchita kanthu, ndipo nthawi zina maulendo posakonzekera, chitsanzo omveka umenewu fugue dissociative - kanema "Sangalalani Bath wanu".

Fugue amati: zizindikiro, kupewa

N'zovuta kufotokoza chifukwa boma fugue, koma anthu amene amadwala matenda a amakhala ndi mtundu wina wa kuvulala kwambiri kapena kupanikizika moyo. anamenyela nkhondo kapena anthu amene akuvutika ndi chiwawa choopsa, anapulumuka zitsanzo tsoka, mwina sachedwa zizindikiro zimenezi. Akatswiri ena amakhulupirira kuti akuvutika fugue mwina osathetsedwa nkhondo pa moyo wanu kuti inu mukhoza kuwonjezera kwa nthenda dissociation Mwina. N'zotheka kuti mankhwala osokoneza bongo angathandize kuti chitukuko cha matenda.

Kodi wamba matenda

Dissociative fugue n'chosoŵa, ndi kuchuluka kwa 0.2% pakati pa anthu ambiri. Makanema kutalika fugue amakhulupirira zokhudza popereka maganizo kapena choipa chimene chinayambitsa izo. Nthawi zambiri, zikuoneka ngati zinthu zochititsa limodzi popanda kubwereza. Nthawi zina, anthu kukumbukira zimene zinachitika pa boma fugue. Mu zochitika zina, amnesia kugwirizana ndi chochitika zoopsa zimene zinayambitsa ndi puffer akhoza anakhalabe kumlingo pambuyo M'nkhani ya udzatha. Kupewa matenda mwina kukambirana ndi dokotala pambuyo yomwe akutchulidwa yoopsya ya moyo, chithandizo chabwino banja ndi ubwenzi wa kukhulupirirana ndi anzanu. Ngati zoopsa psyche maganizo kunja, ubongo kukumbukira midadada chitetezo akubwera amnesia.

Freudian zamaganizo

Freud zikusonyeza kuti psychogenic amnesia kumasonyeza zitetezeke, zimenezi mophunzitsa nkhawa zoopsa ndipo ngakhale kudzipha. Zosasangalatsa, osafunika, kapena maganizo oopsa kukumbukira amatsekeka kulowa m'maganizo. Neurologically yachibadwa processing autobiographical kukumbukira ndi oletsedwa ndi vutoli mahomoni kupanikizika, monga glucocorticoids ndi mineralocorticoids mu ubongo, makamaka m'madera a dongosolo limbic, kumatanthauza mapangidwe kukumbukira.

zinthu zimenezi anazunzidwa angathe kubwezeretsedwanso fungo zokha wapadera, kukoma kapena dzina zina, zaka makumi zitachitika. Chifukwa amagwirizana ndi mavuto a maganizo osati thupi la amnesia psychogenic.

Fugue amati: Zizindikiro, Chithandizo

Mankhwalawa fugue dissociative ayenera kuganizira pothandiza wodwalayo komanso kuti mulimbane ndi chochitika zoopsa kapena maganizo chifukwa cha matenda a. Izi chingapezeke mwa ntchito mitundu yosiyanasiyana ya njira zokambirana ndi chithandizo, zomwe kufufuza zifukwa ayeneranso anagwira ntchito pa chilengedwe cha njira kuthetsa mavuto a mtima kupewa zisadzachitikenso zina. Madokotala ena amagwiritsa ntchito mankhwala chidziwitso, yomwe imayang'ana kusintha zosayenera ganizo dongosolo. Bukuli lili ndi mfundo yakuti khalidwe zosayenera, mu nkhani iyi ndi yanthaŵi wa fugue ndi, anayambitsa maganizo osayenera kapena zopanda nzeru. Dokotala chidziwitso adzayesa kusintha makhalidwe a lingaliro (amatchedwanso kuwapotoza chidziwitso), kusanthula koyenera ndi n'loonadi bwino maganizo kumbuyo kwawo ndi mtima.

mankhwala akhoza kukhala adjunct zothandiza pa matenda a zizindikiro zina zimene wodwala akhoza kuona poyerekezera ndi zochititsa dissociative. Nthawi zina, ena antidepressants kapena mankhwala odana ndi nkhawa mwina mankhwala.

Chithandizo ndi mankhwala

Creative mankhwala (luso mankhwala mankhwala nyimbo) kulola odwala kufotokoza ndi kulongosola malingaliro ndi maganizo ngalande "otetezeka". Iwo kuwonjezera ufulu ndi mwayi wa wodwalayo kudzera Kukwezeleza wodzilamulira nzeru ndi mphamvu ya kulamulira.

mankhwala Gulu - dokotala kapena phungu kungakhale kothandiza iziyenda mtima nthawi zonse. Komanso wodwalayo kuti apeze azidzidalira ndi kugwirizana ndi anzake m'njira zabwino.

mankhwala banja akhale mbali ya boma mankhwala, monga kuphunzira zoopsa imene inachititsa fugue Zomwe zinachitika, ndi mafotokozedwe a matenda ena mutu banja.