Psychomotor mukubwadamuka: Mitundu, Zizindikiro, Chithandizo

Kusakhazikika limapezeka pa mavuto a m'maganizo pachimake akuwonetseredwa bwino galimoto ntchito, kumene limodzi ndi chisokonezo, nkhawa, ndewu, zosangalatsa, kuyerekezera zinthu m'maganizo, chisokonezo kuona zilubwelubwe ndi mamita P. More za kuti ndi chikhalidwe wapatsidwa,. M'menemo izo zingachitike ndi mmene ankachitira, nkhani zotsatirazi nkhaniyi.

Zizindikiro zikuluzikulu za psychomotor mukubwadamuka

State wa mukubwadamuka amakhala ndi isanayambike pachimake, aakulu kuwonongeka kwa chikumbumtima ndi m'chikaiko chowakaikitsa (zingakhale monga fidgeting ndi mopupuluma zowononga kanthu). Wodwala akhoza kuona euphoria, kapena, pa mwake, nkhawa ndi mantha.

akutakataka kukhala wachisokonezo, kuchepa, malankhulidwe awo chingabwere limodzi malemeredwe - verbosity, nthawizina mu mawonekedwe a mtsinje mosalekeza mawu ndi kufuula phokoso payekha kapena mawu. Wodwala kuchita kuyerekezera zinthu m'maganizo, anaona chizungulire, maganizo amakhala inapita patsogolo ndiponso ong'ambika (dissociative). Pali mokwiya imatsogoleredwa onse pa yozungulira ndipo pa yokha (kudzipha zoyesayesa). Mwa njira, ndi kutsutsa kwa chikhalidwe chake mu mtima akusowa.

Pamene anazindikira kuchokera zizindikiro zakumwamba, thanzi wodwalayo ngozi ndipo amafuna chithandizo mwamsanga. Koma zimene zingachititse kuti zikatero?

Zimayambitsa mukubwadamuka

Pachimake mukubwadamuka akhoza chikwiyire ndi zifukwa zosiyanasiyana monga kuvutika maganizo kwambiri, ndipo organic ubongo (mwachitsanzo, khunyu).

Nthawi zambiri kumachitika:

• pamapeto kukhala munthu maganizo wathanzi mu mkhalidwe mantha kapena chifukwa cha iye anakumana ndi pangozi (mwachitsanzo, pambuyo pa ngozi ya galimoto, akhoza kukhala otchedwa zotakasika psychosis) ;
• mu kuledzera pachimake kapena aakulu mowa ndi poyizoni ndi tiyi kapena khofi, quinacrine, atropine ndi mamita p..
• pambuyo akutulukira kuchokera chikomokere kapena pambuyo choipa ubongo zoopsa, chikwiyire ndi pathological kuwonongeka mbali ya ubongo;
• Zingakhale ndi zotsatira za CNS poizoni, zimayambitsa matenda aakulu opatsirana;
• mu chipwirikiti;
• kawirikawiri ankakumana ndi matenda amisala: akuchita misala, kuvutika maganizo, kukonda, poganizira kapena matendaŵa.

kusalekerera mukubwadamuka

Mu mankhwala, psychomotor mukubwadamuka ogaŵikana madigiri atatu a mwamphamvu.

1. Wofatsa. Odwala Pankhaniyi limaoneka ngati ndi modabwitsa mumangidwa.
2. Mlingo pafupifupi chimaoneka m'njira unfocused mawu ndi zochita zawo. zochita zili zosayembekezereka, kuoneka anasonyeza affective matenda (kukondwa, mkwiyo, chisoni, chotupa chija ndi zina zotero. P.).
3. Mwadzidzidzi digiri ya malemeredwe akusonyeza kulankhula randomness ndi kayendedwe, ndi chizungulire.

Mwa njira, mmene izi kuwawonetsera chisangalalo, Pamlingo waukulu zimadalira m'badwo wa wodwalayo. Choncho, ana kapena ukalamba, izo limodzi ndi wonyong'onya mawu kapena galimoto zochita.

Ana - ichi wonyong'onya kulira, kukuwa, kuseka kapena kubwereza nkhani yomweyo, Mnjira, grimacing kapena kumamumenya. Ndipo odwala achikulire chisangalalo akuwonetseredwa fussiness, moyang'anizana nkhawa businesslike ndi mtima wabwino loquacity. Koma kawirikawiri zoterezi ndi kuwonekera irritability kapena nkhawa, limodzi ndi grumpy.

Mitundu ya mukubwadamuka

Malinga a malemeredwe wodwalayo kusiyanitsa mitundu yosiyanasiyana ya boma.

• Hallucinatory-delirious chisangalalo - khalidwe la mphamvu ya mantha, nkhawa, chisokonezo, kapena dumbo, ndi voteji. Odwala akhoza kulankhula kwa interlocutor wosaonekayo, kuyankha mafunso, kumvera chinachake, ndi zina - pomenyana ndi adani kungoganiza, kapena, Tikawonetsetsa kuthawa iwo ndi ndege, ndipo pansi Dale ndi bwino mavuto.
• Catatonic mukubwadamuka - zizindikiro zake mu randomness ndi unfocused kayendedwe mtima - iwo ali mwadzidzidzi, mopupuluma ndi tanthauzo, ndi kusintha kwa malemeredwe kuti stupor. Wodwala durashliv, grimaces, ndi khalidwe ridiculously labwino.
• Wosangalala monyanyira chisangalalo anasonyeza kusintha kwa kukondwa msanga, irritability ndi dumbo. Wodwala mungokhala chete - anaimba, kuvina onse kusokoneza, onse atengedwa ndi kanthu kumabweretsa mathero. Iye akuti msanga, mosalekeza, ndiyeno kusintha nkhani ndi osati kumaliza ziganizo. Bwino overestimates mphamvu yake, akhoza kupanga lingaliro la Ukulu, ndi kusonyeza olusa chifukwa chokana ndi.

A mitundu ingapo ya psychomotor mukubwadamuka

Kuwonjezera pa pamwamba, pali mitundu ingapo ya psychomotor mukubwadamuka, amene angathe kuyamba munthu wathanzi, ndiponso kukhala ndi organic ubongo.

• Choncho, wakhunyu chisangalalo khalidwe la madzulo boma la kutsitsimuka pa odwala khunyu. Iye limodzi ndi kodetsa aukali bwanji, disorientation wathunthu, amalephera funsani. Chiyambi ndi mapeto a izo, monga ulamuliro, mwadzidzidzi, ndi boma angafikire digiri yapamwamba pachiswe ena, kuyambira wodwala ambwandile iwo ndi kuwononga kwambiri ndi kukawononga chirichonse mu njira yanu.
• Psychogenic mukubwadamuka kukuwonekera mwamsanga zinthu pachimake nkhawa (tsoka kugwa m. P.). Iwo anafotokoza amawasonyeza mosiyanasiyana a galimoto m'chikaiko chowakaikitsa. Izi zikhoza kukhala monotonic ndi malemeredwe phokoso inarticulate ndi mwachisawawa malemeredwe ndi mantha ndege, kudzichekacheka, amafuna kudzipha. Nthawi zambiri, chisangalalo m'malo mwa stupor. Mwa njira, ngati masoka misa ngati boma ndipo imachititsa gulu lalikulu la anthu kukhala wamba.
• Psychopathic chisangalalo zikuwoneka ngati psychogenic, monga likugwiritsidwanso mchikakamizo cha zinthu zina, koma mphamvu ya yankho mu nkhani iyi, monga ulamuliro, si zizigwirizana zimayambitsa. Matenda, amagwirizana ndi makhalidwe psychopathic khalidwe la wodwalayo.

Kodi kuwasamalira mwadzidzidzi kwa pachimake psychomotor mukubwadamuka

Ngati munthu akapezeka psychomotor mukubwadamuka, thandizo mwamsanga chofunika yomweyo, monga wodwala angayambitse kupweteka anthu ena. Kuchita izi, kuchokera mu chipinda, kumene iye kuti achoke akunja onse.

Ndi mtima kulankhula modekha molimba mtima. Kuyenera olekanitsidwa mu chipinda osiyana, amene ali chisanadze anayendera: mazenera pafupi ndi zitseko, kuchotsa zinthu lakuthwa ndi zonse zimene mungathe kukantha. Mu mwamsanga chifukwa timu bongo.

Isanafike kufika ake, ayenera kuyesetsa zimalepheretsa wodwala (ku madzulo kwa Council siyabwino, kotero wodwalayo si zolankhulirana ..), Ndipo ngati n'koyenera - kuchita immobilization.

Kuthandiza pa immobilization mtima

Psychomotor mukubwadamuka, zizindikiro zomwe zinakambidwa pamwamba, amafunika ntchito Oikidwa. Zimenezi zimafuna thandizo la anthu 3-4. Iwo ali oyenera mmbuyo ndi kumbuyo manja unkagunda pachifuwa cha wodwalayo ndipo anatola zikuchepa pansi pa mawondo ake, kuika njira imeneyi pa bedi kapena kama, poyamba unachoka mpanda, kuti akhoza kuwaphunzira kuchokera mbali ziwiri.

Ngati odwala anakaniza anatenga chinthu chilichonse, Ndi bwino kusunga othandizira kutsogolo mabulangete, mapilo kapena mphasa. Mmodzi wa iwo ali kuponya bulangeti pa nkhope ya mtima, zikuthandizani anamuika iye pa kama. Nthawi zina muyenera kugwira mutu wako, amene chitaya chopukutira kuti mphumi (makamaka chonyowa) ndi kujambula malekezero a bedi.

Nkofunika kugwira ntchito mosamala, kuti kuwononga.

NKHANI mpumulo psychomotor mukubwadamuka

thandizo mankhwala psychomotor mukubwadamuka Izo ziyenera kuperekedwa mu chilengedwe kuchipatala. Pakuti nthawi mpaka mtima wa chimadzera, ndipo pa nthawi isanafike zochita za mankhwala, analola ntchito provisional wa fixation (monga kulowa mu zolembedwa zachipatala). Pa nthawi yomweyo kutsatira malamulo kuvomerezedwa:

• pa ntchito Oikidwa okha zofewa zipangizo (mathawulo, mapepala, malamba za nsalu, etc ...);
• adzatsekeredwa kukonza aliyense nthambi ndi phewa lamba, monga mwinamwake wodwala mosavuta athawire;
• Tisalole psinjika za mitengo ikuluikulu mitsempha ndi mitsempha chifukwa kungachititse kuti zinthu zoopsa;
• analemba wodwala osati sizikugwiridwa.

Pambuyo zochita za neuroleptics chachoka ku fixation ake, koma kuonerera ayenera anapitiriza, popeza boma ndi osakhazikika ndipo angayambe matenda atsopano a malemeredwe.

chithandizo mukubwadamuka

Mpumulo wa mtima acuity kuukira psihozm aliyense kutumikiridwa mankhwala "Seduxen" - IV "ndi sodium barbital" - intramuscularly "Chlorpromazine" (w / yakumadzulo kapena yakumadzulo / o). Ngati wodwala kutenga kukonzekera m'kamwa, iye Kwalamulidwa "Phenobarbital" piritsi "Seduxen" kapena "Chlorpromazine".

No sakhala ogwira ndi neuroleptics "clozapine", "Zuk-lopentiksol" ndi "levomepromazina". Nkofunika kuti aziona wodwalayo magazi, monga zida izi zingachititse kuti angagwe.

Kumbali somatic kuchipatala chithandizo Muziyesetsa kupeza mukubwadamuka ndi mankhwala ntchito mankhwala ochititsa dzanzi ( "Droperidol" ndi njira hydroxybutyrate ndi sodium shuga) ndi kuvomerezedwa kulamulira mpweya ndi AD. Ndipo kwa odwala ofooka kapena okalamba ntchito asamakhale ndi nkhawa, "tiaprid", "ntchito diazepam", "Midazolam".

Ntchito za kukonzekera malingana ndi mtundu wa psychosis

Childs, wodwala akhoza mwalowa kachiwiri obschesedativnye kukonzekera, koma pambuyo matenda zina, atagwira mukubwadamuka zina kudzakhala mwachindunji amadalira mtundu wake. Choncho, pamene hallucinatory-onyenga malemeredwe yoikika "Haloperidol" mankhwala "Stelazin" ndipo pamene wosangalala monyanyira ogwira amatanthauza "klopiksol" ndi "lifiyamu hydroxybutyrate". Zotakasika mkhalidwe kuchotsedwa mankhwala "Chlorpromazine", "Tisercinum" kapena "Phenazepam" ndi katotonicheskoe chisangalalo anachiritsa mankhwala "Mazhepril".

mankhwala apadera zimagwirizizirana ndi obschesedativnymi ngati n'koyenera, kusintha mlingo.

A mawu ochepa pomaliza

Psychomotor mukubwadamuka angayambe zochitika tsiku ndi tsiku kapena zimachitika ndi maziko a ndondomeko pathological zokhudza ubongo, opaleshoni traumatology. Choncho, kudziwa momwe kusiya kuukira kwa psychosis, popanda kuchititsa kuwonongeka kwa mtima pa nthawi yomweyo, n'kofunika kwambiri.

Monga Zimene anati m'nkhani, Chofunika kwambiri pa thandizo - kuti amatengedwa ndi bata. Musayesere kugwiritsa ntchito zotsatira thupi pa mtima okha ndipo motero satchula mokwiya kwa izo. Kumbukirani, munthu uyu sapereka zambiri akudziwa chimene iye anali kuchita, ndipo zimene zikuchitika - yekha zizindikiro za matenda ake aakulu.