Mixed unhu chirwere: zviratidzo, marudzi uye kurapwa

vatigere rinoumbwa zvakasiyana zvachose, vanhu vakasiyana. Uye izvi zvinogona kuonekwa kwete chete chitarisiko - kunyanya maitiro edu akasiyana, nezvinoita kuti upenyu ezvinhu, kunyanya kunetseka. Mumwe nomumwe wedu - uye zvichida kupfuura kamwe - I nezvakaonekwa vanhu zvikuru, sezvo vachiti, vane maitiro hairevi kazhinji kugamuchirwa dzemunharaunda uye kunowanzokonzera mhosva. Nhasi tiri kutarisa zvakavhenganiswa unhu chirwere: kuitwa kuti rinobatanidza chirwere ichi, ayo zviratidzo uye kurapwa.

Kana maitiro yomunhu ari kuchengetwa zvokutsauka kubva zvinodiwa, inoganhurana kukwana, vanachiremba uye vanachiremba vepfungwa vanotenda izvi unhu nyonganyonga. Vanoverengeka marudzi akajeka zvinetso zvakadaro, izvo isu takurukura pazasi, asi anowanzodanwa chirwere (kana iwe unogona kufunga ichi tsanangudzo chinoshanda chirwere) yakavhenganiswa. Pane kutaura, ichi izwi rinofanira kushandiswa zviitiko apo chiremba havagoni kureva maitiro murwere kuti mumwe woga. Practitioners cherechedza kuti ichi kwakakurumbira chaizvo, nokuti vanhu - kwete marobhoti, uye unosimbisa mhando wakachena maitiro hazviiti. All Mhando anozivikanwa chokuzivikanwa zviri hama tsananguro.

Mixed unhu nyonganyonga: Definition

Kana munhu akaona kutyorwa mu pfungwa, maitiro uye nezviito, izvozvo - unhu nyonganyonga. Ichi boka diagnoses chokuita nepfungwa. vanhu vakadaro vari haazvibati zvakafanira, zvakasiyana kuonesesa zvinokangaidza, kusiyana zvachose pfungwa utano vanhu. Zvinhu izvi zvinogona kuva chinokonzera kurwisana kumabasa uye mumhuri.

Somuenzaniso, kune vanhu vari mumamiriro ezvinhu akaoma pachavo, apo vamwe vanotsvaka rubatsiro; vamwe vanowanzotevedzera kukudziridza zvinetso zvavo, apo vamwe vari kufuratira navo. Chero zvazvingava, kwakadaro kuita zvakakwana kuipa uye kuvimba hunhu wemunhu.

Vanhu hwakakanyiwa nemamwe unhu zvinetso, zvinosuruvarisa havazvioni kuti ivo vane nezvinetso psyche, ndizvo kashoma kutsvaka rubatsiro pachavo. Zvichakadaro rubatsiro urwu ivo chaizvoizvo. The chikuru Basa chiremba iyi - kubatsira murwere kunzwisisa pachavo uye kumudzidzisa kukurukura munharaunda, pasina anokonzera zvakaipa pachavo kana vamwe.

Mixed unhu zvirwere muna ICD-10 anofanira kutsvaka pasi pemisoro F60-F69.

Ezvinhu akadaro kunogara kwemakore uye anotanga kuratidza muuduku. Mumakore 17-18 pane paumbwe munhu. Asi kubva panguva iyoyo, chimiro iri chete kuumbwa, zvakadai chirwere ari kuyaruka kwakarasika. Asi akura, kana zvakazara kuumbwa unhu, unhu chirwere zviratidzo chete achiipa. Uye kazhinji ichi mhando yakavhenganiswa zvirwere.

In ICD-10, pane mumwe kupfuura mbiru - ". Unhu kukanganisika makemikari etiology" /F07.0/ Dzinoratidzwa kuchinja avo nzira netsika zviri premorbid maitiro. Zvikurukuru zvakakanganisa kutaura manzwiro, zvinodiwa uye mafungiro. Zvishande basa anogona kuderedzwa munzvimbo kwekuronga uye kufanoona kuti migumisiro pachavo uye nzanga. Qualifier rine wandei zvirwere ari muchikwata ichi, mumwe wavo - unhu chirwere nezvichaitika vakavhengana zvinetso (semuenzaniso, mwoyo). zvokurwara Izvi pamwe murume zvose hwake, kana iye asingazivi pamusoro dambudziko uye asingauyi kurwa naro. Panguva chirwere mafungu - pane nguva ruregerero, umo murwere anonzwa kukuru. Transiently-yakavhenganiswa unhu chirwere (kureva pfupi) kunowanzoitika. Zvisinei, zvinokonzera sezvo kushushikana, doro kana kushandisa zvinodhaka, uye kunyange kumwedzi kunogona kukonzera kuitazve kana kudzikira.

Zvinowedzerwa unhu nyonganyonga kungaita kuti migumisiro, kusanganisira kukuvadza vamwe.

The zvinokonzera unhu zvirwere

Unhu zvinetso, uyewo vakavhengana uye yakananga, kazhinji kuitika tikafunga akuvara uropi nokuda mapopoma kana njodzi. Zvisinei, vanachiremba vanoti kuti paumbwe chirwere ichi inosanganisira zvose majini uye nokukanganisika zvinhu uye magariro. Uye magariro mutambo mumwe kutungamirira basa.

Chokutanga, ichi ndicho chakaipa vana - iyi kana hunhu unhu psychopath dzinotanga kuumbika muuduku. Uyezve, hapana mumwe wedu havazivi here kuti kukuvadza kunetseka kuti muviri. Kana kushushikana iri simba zvakare, zvino kungakonzera zvinetso zvakadai.

Chibharo uye zvimwe mupfungwa kunotevera, kunyanya mu pauduku, kazhinji kutungamirira imwe mugumisiro - vanachiremba vanoti vanenge 90% yevakadzi vane chemaneka pauduku kana kuyaruka vaiva chibharo. Kazhinji, zvinokonzera pathologies kuti vanozivikanwa muna ICD-10 sezvo unhu chirwere chokuita zvakasiyana zvirwere, kazhinji kuti kutsvaka pauduku kana kuyaruka murwere.

Sei kuratidza unhu chirwere?

Vanhu vane unhu zvinetso zvinowa- nechokuita nezvinetso zvepfungwa - vari kutendeukira kuna vanachiremba pamusoro mwoyo, chirwere Makakatanwa, nezvinetso kuvaka ukama neshamwari uye nevamwe. Panguva iyoyowo, varwere vane chivimbo kuti kunobva matambudziko avo - vane zvimwewo zvinhu kuti murege pakuti pavo uye vari mhiri kukura kwavo kutonga.

Saka vanhu vane chirwere che "yakavhenganiswa unhu chirwere" zvinotevera zviratidzo:

• nezvinetso kuvaka ukama mumhuri uye kubasa, sezvataurwa pamusoro apa;
• mupfungwa disconnection umo munhu anogona kunzwa vasurukirwa uye angasafa kutaurirana;
• nematambudziko pakushandisa pachavo madengetera avo akaipa kuti kukonzera bongozozo dzimwe nguva kunyange vachirikitwa inoguma;
• inoratidza kurasikirwa kuonana chokwadi.

Varwere kusagutsikana hwavo, zvinoita sokuti zvinhu zvose anokonzera kukundikana kwavo. Yokutanga Kudavira yaiva kuti chirwere ichi hachisi rinorapika, asi vanachiremba vachangobva vakachinja pfungwa dzavo.

Mixed unhu nyonganyonga, zviratidzo zvacho pamusoro apa, zvakasiyana-siyana richiratidzwa. Inoitwa zvinoverengeka pathological zvinhu zviri kuri mumashoko unhu zvinetso, sezvinorondedzerwa pazasi. Saka, funga mhando iyi mashoko.

Mhando unhu zvirwere

Paranoid nyonganyonga. Kazhinji, zvakadai chirwere vanhu manyawi avo chete vanotenda maonero avo. Vanoramba debaters, vanotenda kuti chete havana nguva dzose uye kwose kwose kunaka. Chero mashoko nezviito nevamwe kuti urege kusangana pachavo pfungwa dzavo, paranoid anoona kunaka. Ake chete-mativi kutonga inogona kuva mhaka kukakavara uye kurwisana. Panguva decompensation zviratidzo vari kuipa - the paranoid kazhinji vaifungidzirwa kusavimbika kwevarume vavo negodo ravo pathological uye ndakazoona vari yakakura nguva zhinji.

Schizoid nyonganyonga. It chemafuta akawandisa reticence. vanhu vakadaro vane chete hanya sei zvose rumbidzo uye kutsoropodzwa. Ivo Bench kuchitonhora mupfungwa, zvisina inokwanisa kuratidza kune vamwe kana rudo kana ruvengo. Ivo Munokudzwa deadpan uye monotone izwi. Nyika yakatipoteredza madziro schizoid wakavanzika kusanzwisisa uye kunyara. Panguva iyoyowo akava pfungwa, tsika kufungisisa chakadzama nyaya ouzivi, mupfumi fungidziro.

Izvi rworudzi unhu rebipolar achiumbwa muduku. By zera 30 unopinza makona pathological zviri anoverengeka dzichienderana. Kana basa murwere Rinobatanidzwa usingashandi kubatana kwenzanga, yava zvinobudirira kujairana akadaro upenyu.

Dissocial nyonganyonga. Type, umo varwere havatani chisimba uye mafungu maitiro, kurega zvose panhu mitemo youtsinye kuremekedza hama neshamwari. In uduku kuyaruka, vana ava havana kuwana mutauro chakajairika rezvizhinji, kazhinji kurwisa kuti vazvibate zvepabonde. Kutiza musha. Mumakore akazotevera, ivo isingambokwanisi rudo, ivo vanonzi "vanhu zvakaoma", zvichiguma pokutambudza vabereki, vakaroorana, vana uye mhuka. It akadai vanowanza mhosva.

Mupfungwa kusagadzikana nyonganyonga. Ataurwa sezvo impulsivity, aine kubatwa utsinye. vanhu ava kuona chete pfungwa yavo nezvoupenyu. A dambudziko shoma, kunyanya mumusha, zvichiita kuti mupfungwa, kushushikana, iyo inotungamira muhondo, izvo dzimwe nguva dzikava vachirikitwa. vanhu ava havagoni zvakakwana kuongorora mamiriro ezvinhu uye sei zvakare nechisimba kune vanhuwo upenyu matambudziko. Zvisinei, vane chivimbo chavo kukosha kuti vamwe havasi kunzwisisa uye vakavaitira pamwe rusaruro sezvo varwere nechokwadi.

Hysterical nyonganyonga. Vanhu havatani mwana achishusha kwakawedzera mupfungwa excitability, theatricality, asingatani suggestibility uye chimbichimbi Zvinyamusi. Vanoda kuva chaanoonekwa, achivimba kwayo chikumbiro uye risingadzivisiki. Muhurukuro iyi nani zvechipameso uye haana kutora mabasa kuti zvinoda kutarisirwa uye kuzvitsaurira. vanhu vakadaro vanoda uye kuziva sei kutsausa vamwe - mhuri, shamwari, vaunoshanda navo. By akura zvinobvira-refu muripo. Decompensation kunogona kuitika munguva dzinonetsa ezvinhu, panguva kubereka vakadzi. Zvakakomba siyana vanoratidza pfungwa kutadza kufema, mukanyiwa ari huro, muzvidimbu chiveve uye kuora mwoyo.

Yambiro! In chemaneka kungava kuzviuraya. Mune zvimwe zviitiko zviri nyore zvomuenzaniso kuedza kuzviuraya, asiwo zvinoitika kuti mwana achishusha, nekuti kwavo tsika echisimba maitiro uye okuvhurumuka zvisarudzo zvinogona zvakakomba kuedza kuzviuraya. Ndokusaka varwere izvi zviri kunyanya kukosha kugadzirisa kuti psychotherapist.

Anankastnoe nyonganyonga. Ataurwa tichinoona mubvunzo, kunyanya kungwarira uye yakawedzera hanya zvizere. In ichi mhando yebasa zviri kufuratirwa nekuti murwere chete kunetseka pamusoro mashoko ari kuti list, unhu navo. Vanhu vakadaro vanofunga kuti kuita zvakarurama, uye kuramba kuti mashoko kune vamwe, kana vari kuita chinhu "zvakaipa". Kunyanya kuoneka nyonganyonga apo munhu anoita zvimwe chete zviito - .. ochinja zvinhu, kugara kuongorora, etc. The muripo varwere pedantic, zvinonyatsochengeta mabasa avo, kunyange hwakavimbika. Asi munguva exacerbation vanoonekwa kufunganya, nyanyisa pfungwa, kutya rufu. With zera, pedantry uye kuchengetedza yazova udyire uye makaro.

Kufunganya nyonganyonga runoratidzwa Kufunganya, vachitya, kusanyatsozviremekedza. Munhu akadaro kuramba kunetseka kworudzii pfungwa, ari kutambura kubva hana vayo kure Hadzisi unattractiveness.

Sick anonyara, nehana, iye anoedza kutungamirira yatisingaonekwi upenyu sezvo oga anonzwa akachengeteka. vanhu ava vanotya kugumbura vamwe. Panguva iyoyo vari kwazvo kujairana upenyu munharaunda, nekuti vanhu anobata navo rudo.

Decompensation mamiriro kunooneka utano murombo - kupfupika mweya, kukurumidza kurova kwehana, kuda kurutsa kana kurutsa, uye manyoka.

Muyanzvi (kusagadzikana) unhu nyonganyonga. Vanhu vane chirwere ichi wakasiyana pusa maitiro. Dzinofamba zvose mutoro sarudzo uye kunyange upenyu hwake pachake rumwe, uye kana asingadi nezvezvinhu mumwe - kunzwa kusimba kusagadzikana. Varwere vanotya kutizwa nevanhu vari pedyo navo, akasiyana pasi uye kuvimba nevamwe vanhu mafungiro uye zvisarudzo. Decompensation akaratidza ari kutadza wakakwana kudzora upenyu hwavo kurasikirwa "musoro", kuvhiringidzika, kwindi.

Kana chiremba anoona kanganisika unhu rakasiyana-siyana zvinetso, iye diagnoses munhu "yakavhenganiswa unhu nyonganyonga."

The dzinonakidza zvikuru mhando mushonga - mubatanidzwa schizoid uye hysterical. vanhu vakadaro kazhinji kuva neramangwana schizophrenia.

Ndezvipi zvinorehwa yakavhenganiswa unhu nyonganyonga?

1. zvarakasiya kwakadaro kungaita vanoziva remangwana kana zvinofunga muropa udhakwa, kupindwa muropa, mafungiro kuzviuraya, kufanira dzepabonde, hypochondriasis.
2. Usava dzidzo yevana pamusana chirwere chepfungwa (kunyanya emotionality, utsinye, kushaya pfungwa basa) kunotungamirira chirwere chepfungwa vana.
3. Pane pfungwa breakdowns panguva dzose ezuva nezuva.
4. Unhu nyonganyonga anotungamirira mumwe mupfungwa zvinetso - mwoyo, kufunganya, psychosis.
5. Hazvibviri zvizere kuonana nachiremba kana chiremba nokuda kusavimba kana kushaya basa nezvavaizoita.

Mixed unhu chirwere muvana uye kuyaruka

Kazhinji kuona unhu chirwere muuduku. It runoratidzwa kunyanya kusateerera, hazvina ushamwari maitiro, kutsvinyirwa. Muchiitiko chino, maitiro ichi haisi nguva dzose chirwere uye angava kuratidzwa zvikuru zvakasikwa inotungamirwa hunhu. kana chete maitiro iri kunyanyisa uye chinoramba, tinogona kutaura zvakavhenganiswa unhu nyonganyonga.

A chikuru basa kukura zvokurwara vakaridza kunyange masero okutodza sezvo dzidzo uye munzanga ezvinhu. Somuenzaniso, imwe hysterical chirwere chinogona kuitika tikafunga kusadiwa uye kuita upenyu mwana nevabereki. Somugumisiro, vanenge 40% vana vane zvinetso maitiro vanotambura nayo munguva yemberi.

Mixed unhu nyonganyonga kuyaruka hakunganzi chirwere. Chirwere chinogona chirwere chete pashure pakuyaruka kwakaguma - murume akura kare akaumba mumwe hunhu kuti inoda kugadziriswa, asi haina kugadziriswa zvachose. Asi panguva yokuyaruka, maitiro akadaro kunowanzokonzerwa kuti "perestroika", riri kusangana kuyaruka zvose. The chikuru mhando kurapwa - psychotherapy. Vechiduku vane zvakakomba vakavhengana unhu nyonganyonga iri dariro decompensation kungasashanda ari mafekitari havabvumirwi muchiuto.

Unhu Rezvinyamusi Treatment

Vanhu vazhinji vane chirwere "vakavhengana unhu chirwere", kufarira zvikurukuru mune sei ngozi izvi uye kana ikarapwa. Vanhu vakawanda vari panoonekwa netsaona, varwere vanoti havasi kuzviziva kuti kuratidzwa. Zvichakadai, mubvunzo kana ikarapwa, achiri yakazaruka.

Vanachiremba vepfungwa vanodavira kuti kurapa munhu unhu kukanganisika yakavhenganiswa mhando kwakaoma zvisingaiti - nayo zvichavatevera munhu muupenyu hwake. Zvisinei, vanachiremba vanodavira kuti zviratidzo ake zvingaderedzwa kana kunyange kuzadzisa yakagadzikana kanganwiro. Ndiko, murwere zvinoenderana nzanga uye anonzwa takasununguka. Panguva iyoyo zvakakosha kuti aida kubvisa zviratidzo chirwere chake uye akanga zvizere vaonane nachiremba. Pasina ichi chido kurapa haangavi inobudirira.

Medicines pakurapa yakavhenganiswa unhu chirwere

Kana Organic unhu nyonganyonga yakavhenganiswa mavambo kazhinji kurapwa zvinodhaka, chirwere runoonekwa nesu - psychotherapy. vanachiremba vepfungwa Most vanodavira kuti mishonga asingadi kubatsira murwere, nekuti haisi zvainanga vachichinja mutambi, umo varwere vanofanira kuva chaizvoizvo.

Asi regai kudaro kukurumidza kupa mishonga - vazhinji vavo vanokwanisa kuderedza evanhu, kubvisa munhu zviratidzo, zvakadai sokuora mwoyo, kufunganya. Muchiitiko chino, prescribers vanofanira kungwarira, nokuti varwere unhu zvirwere zvinodhaka nedoro kunoitika nokukurumidza.

Mukusarudza muchinangwa kurapwa kuti antipsychotics kutamba - kwakavakirwa zviratidzo, vanachiremba varayire kushandisa mishonga yakadaro "Haloperidol" nezvinogadzirwa nomukaka. Kuti mushonga uyu chinonyanya akakurumbira pakati vanachiremba vane unhu chirwere sezvo saasipo, kuratidzwa hasha.

Uyezve, dzimwe ushandiswe mishonga:

• "Flupektinsol" kubudirira kutsungirira kuzviuraya.
• "Olazapin" anobatsira vane kusagadzikana mupfungwa, hasha; paranoid zviratidzo uye kufunganya; It ane kushanda muna vachida kuzviuraya zvinobatsira.
• Valproic asidhi - Nedambudziko stabilizer - kuzvigona mwoyo uye hasha.
• "Lamotrigine" uye "Topiromat" kuderedza impulsivity, hasha, kuzvidya mwoyo.
• "Amitriptin" uyewo anobata mwoyo.

Muna 2010, vanachiremba vave kuferefeta zvinodhaka izvi, asi mugumisiro refu chiito hazvizivikanwi, sezvo paine mukana nemishonga. Panyaya iyi, kuti National Institutes of Health muUnited Kingdom muna 2009 yakabudisa nyaya umo zvinonzi penyanzvi regai dzinokurudzira kuti mishonga, kana pane unhu chirwere, yakavhenganiswa mhando. Asi dambudziko comorbidities zvinodhaka mushonga kunogona pave zvakanaka.

Psychotherapy uye vakavhengana unhu chirwere

Psychotherapy mukurapa rine kutungamirira basa. Zvisinei, izvi hazvina refu uye kunoda kakawanda. Kazhinji, varwere mukati makore 2-6 yakawana ruregerero, urwo rwakatora makore anenge maviri.

DBT (Zvekupikisana Behavioral Yokurapa) - iri nzira yakanga yakataurwa Marsha Linehan ari 90s. It ndehwokuti ainyanya kurapa varwere dzakaona kunotevera uye havagoni kusimuka kubva pairi. Maererano chiremba, marwadzo hazvigoni kudziviswa, uye kutambura - zvinokwanisika. Nyanzvi vabatsire varwere kuva mumwe mutsetse mafungiro uye maitiro. Izvi zvichabatsira mune ramangwana kudzivisa anoshungurudza ezvinhu uye kudzivirira decompensation.

Psychotherapy, kusanganisira mhuri, anoda kushandura interpersonal ukama pakati murwere nemhuri yake uye shamwari. Kazhinji Treatment kunotora rinenge gore. Zvinobatsira kubvisa kusavimbana, manipulativeness, murwere nokuzvikudza. Chiremba ari kutsvaga pamudzi matambudziko murwere, iye kunoratidza kwavari. Varwere pamwe chirwere narcissistic (narcissistic uye narcissistic), izvo rinorondedzerawo kuti unhu zvinetso, vatatu inokurudzirwa psychoanalysis.

Unhu nyonganyonga uye rezinesi rokutyaira

Ndiye "yakavhenganiswa unhu chirwere" pfungwa dziri enderana, uye "chitupa chokutyaira"? Zvechokwadi, dzimwe nguva yakadaro chirwere chinogona kudzivisa murwere kutyaira, asi muchiitiko chino, zvose nomumwe. The chiremba wepfungwa anofanira kuona marudzi kuti zvinetso zvakapararira munyika murwere uye chii kukuvadza kwavo. Chete nokuda izvi zvinoita kuti chokupedzisira nyanzvi "vertikt". Kudai chirwere apfuura muhondo, zvine musoro kushanyirazve hofisi yachiremba. Mixed unhu nyonganyonga uye rezinesi rokutyaira dzimwe nguva zvachose hazvivhiringidzi mumwe.

Kurambidzwa murwere upenyu

Zvinetso nebasa iri dzakagadzirirwa varwere kazhinji zvikasaitika, uye ivo anosangana vanhu kwazvo, kunyange zvazvo iri zvakafamba kunoenderana kwokuomerwa ari pathological zvinhu. Kana paine chirwere kuti "yakavhenganiswa unhu chirwere", kurambidzwa akafukidza zvinenge zvose mabhora muupenyu hwevanhu, sezvazvakanyorwa kakawanda asingatenderwi muchiuto uye kutyaira motokari. Zvisinei, kurapa kunobatsira iti chechetere ine micheto, uye kurarama sezvinoita zvachose utano munhu.