Oneiroid syndrome: zizindikiro, chithandizo. Chithandizo oneiric-catatonic syndrome mu akuchita misala

Oneiroid matenda - ndi schizophrenic kuona zilubwelubwe, amene amakhala ndi mtundu yeniyeni ya chisokonezo mtima (grezopodobnaya disorientation) ndi pamaso pa chithunzi zonse za kungoganiza psevdogallyutsinatornyh snovidnyh ndi maganizo, kusokonezedwa ndi umboni.

ndi maonekedwe a syndrome ichi ndi chiyani?

Onse ozungulira anatengedwa ndi wodwalayo kwa cholinga The sinthidwa mwamakonda kumene "ayerekeze kusewera" ndi anthu chonamizira (awiri kuona zilubwelubwe, staging). Timaona imfa ya nthawi ndi malo, pang'onong'ono focussed mu payekha payekha: wodwala amadziwa kuti ali kuchipatala, koma pa mphindi zingakhale mkulu wa spacecraft ndi, zouluka ndi mapulaneti ena, ndi kuzungulira nkhope yake, ndi ogwira ntchito zaumoyo amaoneka kuti ogwira ntchito chombo ndi kulandira sitima nthumwi cha anthu ena. Choncho timakusonyeza syndrome oneiroid.

zizindikiro Ndi chifukwa cha khalidwe la mtima, mu chikhalidwe choterocho, zosiyana ndi maphwando a psevdogallyutsinatorno zizindikiro zake delirious. Monga ulamuliro yankholo mwakachetechete pabedi maso otsekedwa, nthawi zina umabala "mlengalenga-hasteless" manja, ngakhale ngozi awo abwino, koma kuchokera kunja. Pamodzi ndi kumvetsa anawononga ichi papita masiku ndi zaka wodwalayo: iye amaganiza kuti iye ali mu ndege, ambiri kuwala zaka, ndipo pa nthawi mobwerezabwereza umafa ndipo obadwanso cloning.

Zizindikiro za sleepwalking

Nthawi zina wodwala wakhazikika ndipo akungoyendayenda dreamily mu dipatimenti ndi "Kulodzedwa" kumwetulira, kuyang'ana onse palokha. Pamene anali ndi chinachake kufunsa, iye atuma nkhawa auzimu. syndrome Oneiroid angasonyeze mu mawonekedwe a mbali umodzi catatonic Mwachitsanzo, substupora kapena catalepsy. Tikumbukenso kuti mutu wa maganizo siteji oneiric wachotsedwa luso lenileni, yoyenera powonekera ankaona mafilimu kapena mabuku angapo lowoneka.

Pamene inu kuchoka ku boma la wodwalayo amapulumutsa m'chikumbumtima ake maganizo zonse zodabwitsa, koma amneziruet kanthu kwenikweni zimene zinachitika pa moyo wake pa siteji iyi ya kuukira pathological. Kwa masiku angapo, pangakhale yotsalira kuyerekezera zinthu m'maganizo.

Nthawi oneiric boma kungakhale masiku 2-3 ngakhale 1-2 masabata. Nthawi zambiri, kudwala izi zimachitika mu akuchita misala, koma nthawi zina mu kuvulala mkati ubongo ndi poisonings.

Nthawi zina, mungamvetse matenda?

syndrome Oneiroid akupezeka:

• ndi catatonic akuchita misala (zambiri popangidwa ndi mphamvu khalidwe);
• symptomatic psychosis (kuona zilubwelubwe tremens) ;
• khunyu;
• matenda ubongo.

catatonic akuchita misala

Poyamba amalembedwa matenda kwambiri maganizo ndi maganizo subdepressive, ndiye pali nthawi ya kuona zilubwelubwe, pamene ozungulira zikuoneka zovuta kumvetsa wodwalayo komanso kusinthidwa. maganizo womangika limodzi malingaliro unstructured opusa, makamaka imfa, chizunzo, kudwaladwala. Ndiye pali chinsinsi cha zideruderu, intermetamorfozy ndi tanthauzo.

Odwala matenda oneiroid akusonyeza kuti pafupi ndi iwo kuchita zinthu zina ndipo adzakhala kaya omvera ake kapena ophunzira. Mwina automatism zamatsenga, wapakamwa chinyengo, kuzindikira onyenga. Kenako anapanga Gawo lakuthwa yosangalatsa paraphrenia kapena lotsogozedwa oneiric zinachititsa kuti wodwala ndi pamodzi maloto chadzaoneni, kuyerekezera zinthu m'maganizo, ndipo lathu vuto kwenikweni. Chithunzi matenda a akuchita misala catatonic umatha ndi citukuko ca oneiric.

diagnostics

Pamafunika miyeso wamba matenda a akuchita misala. zizindikiro Special angaoneke catatonic transistor chifukwa mtundu uliwonse wa matenda. Kwa matenda a akuchita misala ayenera kudziwa khalidwe khalidwe mtima mu mavuto, ngati ali ndi matenda oneiroid:

• zimayambitsa kunja);
• chinthu chimodzimodzi (kukhalabe malo olimba poyankha kusintha chitsanzo chake);
• stupor (zochita kuchepetsa chilengedwe, ntchito ndi magulu mowiriza);
• kuumitsa (kudya kwawo ndi posungira zosayenera, chodabwitsa kugwedeza);
• sera elasticity (atagwira ziwalo mu udindo uwu kuti iwo);
• negativism (zopanda nzeru kutsekeka kwa aliyense kayendedwe thupi zosiyana poyankha maganizo kapena kusintha unsembe malo, pa nthaka);
• zizindikiro zina (perseveration ndi galimoto ancillary).

Chithandizo oneiric-catatonic syndrome mu akuchita misala

Kupirira zimachitika kwa kwenikweni kokha kuchipatala Psychiatric ndi thandizo la mankhwala, ndipo nthawizina - mankhwala mantha. Kamodzi mtima limasuka boma la stupor, anafunikira mankhwala nthaŵi yaitali ndiponso wonse kupewa zisadzachitikenso wa catatonia. Pa exacerbation ndi adzafuna kubweretsa onse wodwala posachedwapa ku chipatala bongo. Childs, odwala imeneyi ambiri amakana kutenga chakudya, ndithe opiringizidwa palokha chifukwa chosowa lathu mu malo ndi nthawi, komanso loopsa zikuluzikulu ena.

mankhwala

Kuchiritsa catatonic akuchita misala, kawirikawiri ntchito benzodiazepine asamakhale ndi nkhawa ndiponso mankhwala zochokera GABA. Nthawi zina okwana chithandizo pulogalamu kuwonjezera relaxants minofu, dopamine muzikangana ndi stabilizers maganizo. Ndi kuukira yaitali catatonia wakhala bwinobwino ntchito mankhwala electroconvulsive.

madokotala ananena zawo

Kuyenera anazindikira kuti oneiroid syndrome (chithandizo chimene anali tafotokozazi) ndi chikhalidwe choipa kwambiri monga mwa mawu somatic ndi m'maganizo. wodwala uyu ayenera kuikidwa kuchipatala cha anthu amisala mwamsanga. Izi kupewa ngozi iliyonse yokhudzana ndi moyo ndi thanzi la wodwalayo. Komanso, gulu lino la anthu chofunika wozungulira chounikira wotchi za ntchito yaikulu yofunika kwambiri, akhoza kukhala ndi kulowetsedwa mtsempha wa mankhwala ndi zakudya parenteral.