Anosognosia - ndiko kushaya yakaoma tinyatsonzwisisa varwere vavo kuremara kana chirwere

Zvinonzi vaidavira kuti ruzivo uye kugamuchirwa zviri dambudziko - zviri 50% dzaro mhinduro. Zvisinei, mishonga yakaratidza kuti ichi, Pakutanga, danho nyore kunogona kuita haasi munhu wose. Saka, pakutanga rokupedzisira remakore ari wepfungwa pane yakadaro izwi se "anosognosia". Ichi kunyanya ezvinhu omurwere, kana iye anoramba kuti ane chirwere chepfungwa kana mumuviri kuremara, uye kunyange kuedza munzira dzose kudzivirira kurapwa. Nei izvi zvichiitika, uye kana kurapwa kunobvira?

zvokurapa

Muna 1914, chiremba wetsinga Polish Zhozef Babinsky kutanga akarondedzera chinonakidza kuti anosognosia. Uye pakutanga kwaraiitwa sezvo kutyorwa omumwe rworuboshwe hafu muviri, panyama ayo zvikanganiso (kuoma kana paresis maoko nemakumbo), uye kuramba chokwadi. Kubva yezvokurapa nemaonero, izvi imhaka rakakura dzinoparadza maronda muuropi, kureva zvakarurama parietal akafukidza. Mune imwe nzira, mamiriro ichi anonzi "Babinski syndrome."

kupatsanura

Nhasi anosognosia - ishoko rinobatanidza pfungwa, dzinoratidzwa kusavapo yakaoma tinyatsonzwisisa varwere nehosha, zvichienderana, ari kuremara. Zvichitaurwa zviri nyore murwere haasi kuziva pamberi pathological kwacho mumuviri. Izvi kunyanya chinobata injini uye kutaura zvinetso, kurasikirwa chiratidzo uye kunzwa. Kubva chinzvimbo ichi, anosognosia ari Classified kupinda marudzi akawanda:

• Anosognosia hemiplegia (kutanga kana munhu anorwara pashure sitiroko anoti sangano iri kuruboshwe migumo akanga aponeswa, uye anogona kufamba vakasununguka, kana achida).
• Anosognosia upofu / kusanzwa (mupfungwa murwere ane ziso uye auditory mifananidzo, raakanga zvinotora nokuda chaicho).
• Anosognosia aphasia (kutaura murwere richinzi "mwana yoku", asi haana kuona zvikanganiso uye matauriro kuremara).
• Anosognosia marwadzo (kukwana kana kwakakwana nokurasikirwa paakasangana muchishungurudza Kufurirwa nevamwe).

Nyanzvi dzinodavira zvomurwere mamiriro haisi yakazvimirira chirwere, uye rondedzera kuti zviratidzo zvikuru kunzwisisa uye akaoma pezvakaitwa mumuviri. Kudivi rimwe, anosognosia - mumwe kuratidzwa chirwere chepfungwa (zvokudarikidza, dementia, Korsakoff kuti psychosis). Kune mumwe - zvinogona anoonekwa somunhu chekuchengeta ndiani murwere (semuenzaniso pane udhakwa, neanorexia). Panewo wechitatu maonero: vanorwara munhu akadai nepfungwa mhosva, mukusaziva anoshandisa pfungwa kudzivirira mashandiro. Zvakakodzera kutaura psychosomatic zvirwere.

chidhakwa anosognosia

Pari rakajairika mupfungwa ezvinhu chidhakwa anosognosia. kuramba uyu murwere wake pazviri doro kana underestimation pamusoro kwokuomerwa tsika (giponozognoziya). Panguva iyoyo sechinhu chinangwa tinyatsonzwisisa murwere kunofanira zvakarurama chirwere rokuraradza.

Kana ichi mhando anosognosia maitiro uye murwere kuzvidzora kutsoropodzwa angatanga nenzira mbiri. Anogona kutaura kuti upenyu hwake hwose ari kuenda zvakanaka, uye doro hazvirevi angamudzivisa. Uyezve, maererano murwere, kana kutsvakwa, haagoni kunwa doro. Zvisinei, tsika rinoratidza zvakasiyana mamiriro ezvinhu.

Chimwe muenzaniso murwere maitiro ari kukwana kuziva doro nematambudziko, asi nekuomarara dzavo zvaanofunga, harisi rukuru vatsvake kurapwa. Kuteerera vamwe, iye vangaedza kunyange kuenda chiedza nedoro, sapanguva chavanoziva pamwero murwere anogutsikana kuti chero nguva kunogona kuva nyore uye zvachose kuti arege kunwa doro.

Mumwe muenzaniso achipfeka chete rwechokwadi - kuvanza zviratidzo chirwere kusimukira. Sick murume nemaune kunodzima uwandu anonwa doro uye mwero kudhaka kana kukurukurirana nemhuri uye navanachiremba.

Korsakoff chirwere

Maererano nedzimwe vanachiremba vepfungwa, anosognosia - kunzwisisa chakajairika, dzimwe nguva generalizing zviratidzo zvikuru pathological kwendangariro. Saka, somugumisiro kwenguva refu doro, muviri pokuperevedza uye kushaya nicotinic asidhi uye vhitamini B1 murwere inoparadza kuchinja kuitika munyika peripheral tsinga. Mugumisiro ndiye Korsakov psychosis. chirwere ichi rakaonekwa muna Russian chiremba wepfungwa namapfumbamwe remakore Sergei Sergeyevich Korsakov.

The chirwere kunoratidzwa nekusagona murwere atungamirirwe nzvimbo uye nguva kuyeuka, panyama zvikanganiso (paresis nhengo dzake), uyewo zvenhema ndangariro (nguva kusuduruka uye nzvimbo chokwadi kana zvachose zvekunyepera mamiriro ezvinhu). Izvi chirwere chepfungwa nokusava kwezvakatipoteredza uye ayo ezvinhu akaoma kunyatsoongorora murwere uye basa rimwe marudzi anosognosia.

psychosomatic nyonganyonga

A kudzidza zvakawanda hwakadzama iri parizvino pasi anosognosia uye psychosomatic zvinetso, avo chikonzero-uye-kushanda ukama. Zvave kare matambudziko evanhu somatic maitiro (ndiko, chirwere chake mupfungwa) physiology. Saka, vamwe zvirwere zvakakomba (udhakwa, dzinonzi rheumatoid arthritis, dumbu nemaronda) regai vanokweretesa pachavo kuti yokurapwa kurapwa chete nokuti chaizvoizvo zvibereko fungidziro kwevanhu. Kuti pane zvimwe pezvakaitwa kuitika subconscious pfungwa (pakuonekwa mhosva, unforgiveness, godo, ruvengo kugara) vari goho panguva mumuviri chechetere. Panyaya iyi, murwere anogutsikana kuti musoro wake mupfungwa mupfungwa, hapana dambudziko, asi chirwere haisi nokuda kwake kwepfungwa mutoro. Ichi chaiva tsanangudzo somatic anosognosia.

Ko mabatiro zvinobvira?

Nyanzvi All vanosimbirira kuti apore inoenderana murwere uye ake zvido. Kutsungirira chirwere, zvakakodzera nekururama kuongorora kwavo mamiriro uye kutsvaka nzira yokugadzirisa dambudziko. Chokutanga, murwere vachafanira kubvisa neunyengedzi, dzisiri. Uye izvi zvinoda nyanzvi rubatsiro. Zvichabatsira murwere kutora ane chinangwa Kutarira dambudziko, uye chete ipapo unogona anozodzidza pakurapa chirwere. Ichokwadi, hatifaniri kukanganwa kuti kumhanya, yakanyanya zvirwere amenable kubvisa zvikuru zvakasimba kana regai kupa panguva dzose.