Lengqondo ukuyaluza: Izinhlobo, Izimpawu, Ukwelashwa

Ukuyaluza kwenzeka ngesikhathi iziyaluyalu acute engqondo wabonakaliswa okhushuliwe motor umsebenzi, okuyinto kungase kuhambisane ukudideka, ukukhathazeka, ulaka, kumnandi, ukuhhema, ukudideka, delirium m. P. Okuningi mayelana okungukuthi isimo inikezwe, ngenxa okuyinto kungase kwenzeke nokuthi iphathwa, kuzoxoxwa ngakho kamuva esihlokweni.

izimpawu ezinkulu lengqondo ukuyaluza

State ukuyaluza libhekene kuqala acute, ezinzima ukungakhuli ukwazi futhi ukungahlaliseki (kungaba njengoba ukuyobayobeka futhi engacabanganga isinyathelo elimazayo). Isiguli bangezwa kwesasa, noma, kunalokho, ukhathazekile, wesaba.

ukunyakaza balo badume senhlekelele, singenele, indlela abakhuluma ngayo ingase ihambisane excitation - verbosity, ngezinye izikhathi ngendlela ukusakaza okuqhubekayo yamagama ngokumemeza imisindo ngabanye noma imishwana. Isiguli angayiphishekela ukusangana, waqaphelisisa isiyezi, ukucabanga kuba yanda futhi zidabukile (dissociative). Kube ubudlova iqondiswe kokubili ngesikhathi ambient futhi ngezinye ngokwayo (imizamo yokuzibulala). By the way, ukugxekwa ukuba isimo sakhe isiguli silahlekile.

Njengoba ukuqonda kusukela izimpawu ngenhla, impilo lesiguli kunengozi futhi kudinga ukuba bathole ukunakekelwa kwezokwelapha ngokushesha. Kodwa lokho kungaholela esimweni esinjalo?

Izimbangela ukuyaluza

ukuyaluza olunamandla kungenziwa cuphuluza yezizathu ezihlukahlukene ezifana kwengcindezi enkulu kanye organic ukulimala kobuchopho (isb, isithuthwane).

Ngokuvamile kwenzeka:

• ngesikhathi eside uhlale umuntu enempilo ngokwengqondo esimweni ninetwetwe noma ngenxa wabhekana nesimo esisongela ukuphila (isibonelo, emva engozini yemoto, ingaqala okuthiwa sengqondo esisheshayo) ;
• e oyingozi noma ezingamahlalakhona utshwala adakwe ubuthi caffeine, quinacrine, atropine m p..;
• ngemva okubuya ikhoma noma ngemva kuhlasimulise ukulimala ebuchosheni, wayithukuthelisa sokugembula umonakalo izingxenye zobuchopho;
• Kungase umphumela CNS ubuthi, obubangela izifo ezinzima samafayela;
• e usinga;
• ezivame ukubhekana nazo emasimini yesifo sengqondo: lokusangana, sengqondo futhi bacindezeleke, mania, ujabule noma sokuphazamiseka kwengqondo okuguquguqukayo.

ukuyaluza Ubucayi

Kwezokwelapha, lengqondo ukuyaluza ihlukaniswe degrees ezintathu zaba namandla kakhulu.

1. Izindaba Ezintsha. Iziguli kuleli cala libukeka nje emnandi ngokungavamile.
2. Izinga isilinganiso lubonakaliswa amafomu unfocused inkulumo nezenzo zabo. Izenzo kukhona ezingalindelekile, avele uzwakalise disorder affective (ngokwenama, intukuthelo, ukudabuka umdlavuza nokunye. P.).
3. degree ngokushesha excitation siboniswa randomness inkulumo kanye nokunyakaza, nesiyezi.

By endleleni, ukuthi lokhu kubonisa ukuthi injabulo, ngokwezinga elikhulu incike yobudala isiguli. Ngakho, ebuntwaneni noma ukuguga, ke kuhambisana okuyisidina inkulumo noma motor izenzo.

Izingane - lokhu okuyisidina okhalayo, ukuthetha elihlekayo noma ukuphindaphinda izimpikiswano ezifanayo, zintengantenga, obuhlinayo noma smacking. Futhi ezigulini esezikhulile injabulo wabonakaliswa fussiness, esibheke ukukhathazeka businesslike futhi loquacity kungavamile ukuba ingozi. Kodwa ngokuvamile abakulezo zimo futhi zokubonisa ukucasuka noma ukukhathazeka, ephelezelwa oqumbile.

Izinhlobo ukuyaluza

Kuye uhlobo excitation isiguli ukuhlukanisa izinhlobo ezahlukene isimo.

• Hallucinatory-delirious injabulo - elinesimo umqondo ukwesaba, ukukhathazeka, ukudideka, noma inzondo voltage. Iziguli zingenza ukukhuluma interlocutor ongabonakali, ukuphendula imibuzo yabo, ukulalela okuthile, futhi kwezinye izimo - ehlasela izitha ngengqondo, noma, Ngakolunye uhlangothi, ukubaleka kwabo izingozi ezivela nxazonke zendiza, phansi Dale futhi ecacile izithiyo.
• ukuyaluza Catatonic - izimpawu yayo randomness nokunyakaza unfocused nesineke - abayikho okungazelelwe, engacabanganga futhi lutho, nge ukuhwebelana kusuka excitation ukuze stupor. durashliv Iziguli grimaces, futhi siziphathe aweve iziphoxi.
• injabulo Manic uzwakalise ukuhwebelana kusuka ngokwenama ukuthukuthela, ukucasuka kanye nobubi. Isiguli ayihlaliseki - uyahlabelela, umdanso zonke ukugxambukela, ngoba zonke esithathwayo futhi lutho kuletha ekupheleni. Uthi ngokushesha, njalo, bese ushintsha isihloko futhi hhayi kokuqeda imisho. overestimates Kusobala amakhono akhe, angenza umbono onjengokaKristu ngobukhulu, futhi ubonise ubudlova ngenxa ukuphikisa.

A izinhlobo ezimbalwa lengqondo ukuyaluza

Ngaphezu okungenhla, kukhona izinhlobo eziningana lengqondo ukuyaluza, ezingasetshenziswa ukuthuthukisa e umuntu enempilo, nokuba umonakalo ebuchosheni organic.

• Ngakho, nabanesithuthwane injabulo isici isimo twilight ukwazi in iziguli isithuthwane. Yena kuhambisana ngonya nodlame kuthinte, disorientation ephelele, ukungakwazi ukuxhumana. Isiqalo ukuphela kwayo, njengoba umthetho, kungazelelwe, futhi umbuso ukwazi ukufinyelela ngezinga eliphezulu yingozi kwabanye, njengoba isiguli ehlele kubo futhi adale ingozi embi futhi ukubhubhisa konke endleleni yakho.
• ukuyaluza Psychogenic kwenzeka ngokushesha ngemva kokuba acute ukucindezeleka izimo (inhlekelele futhi wokugoqa m. P.). Lubonakaliswa degrees motor ukungahlaliseki obuhlukahlukene. Lokhu kungaba monotonic nge excitation imisindo inarticulate futhi excitation okungahleliwe nge indiza ukwethuka, ukuzisika, ukuzama ukuzibulala. Ngokuvamile, injabulo esikhundleni stupor. By endleleni, uma izinhlekelele mass efana isimo futhi uzisibekele namaqembu amakhulu wabantu Sekuvamile.
• injabulo Psychopathic ifana psychogenic, njengoba futhi kwenzeka ngaphansi kwethonya izici zangaphandle, kodwa amandla impendulo kuleli cala, njengoba umthetho, ayihambisani nezimbangela zayo. Lesi simo lihlotshaniswa izici psychopathic uhlamvu lesiguli.

Kanjani ukunikeza ukunakekelwa okuphuthumayo acute lengqondo ukuyaluza

Uma umuntu kutholakala lengqondo ukuyaluza, usizo oluphuthumayo kuyadingeka ngokushesha, njengoba isiguli kungase kubangele ukulimala futhi bazuzise nabanye. Ukuze wenze lokhu, egumbini, lapho kuthiwa ushiye zonke bangaphandle.

Nge isiguli ukuxhumana ngomoya ophansi nangekutetsemba. Kumele behlukaniswe ekamelweni elihlukile, okuyinto pre-zihlolwe: amawindi eduze nezicabha, ukususa izinto ezicijile futhi konke ungakwazi ushaye. Ngo esiphuthumayo kubangele ithimba zengqondo.

Ngaphambi kokufika kwakhe, kufanele azame ukuphazamisa isiguli (kuya twilight woMkhandlu asifanele, ngakho isiguli ukuba uxhumane ..), Futhi uma kudingekile - lokufeza immobilization.

Ukusiza phezu immobilization nesineke

Lengqondo ukuyaluza, izimpawu okuxoxwe ngazo ngenhla, ngokuvamile kudinga ukusetshenziswa Imingcele. Lokhu ngokuvamile kudinga ngosizo 3-4 abantu. Ziyakwazi efanelekayo emuva futhi izinhlangothi, babambane ngezandla yayicindezele esifubeni sesiguli bese eyithola ngokucijile ngaphansi kwamadolo akhe, ngokubeka ngale ndlela embhedeni noma kusofa, ngaphambili lasuka odongeni, ukuze kungashiwo wasondela izinhlangothi ezimbili.

Uma isiguli wamelana wahosha iyiphi into, kutuswa ukuba ugcine abasizi phambi izingubo zokulala, imicamelo noma omatilasi. Omunye wabo ukujikijela ingubo phezu kobuso nesineke, kuyokusiza wambeka phezu kombhede. Ngezinye izikhathi kufanele ukuthi uyaliphakamisa ikhanda, okuyinto Ufaka ithawula esiphongweni (mhlawumbe ezimanzi) bese udweba emikhawulweni embhedeni.

Kubalulekile ubambe ngokuqapha umsebenzi, ngakho abangele umonakalo.

Izici impumuzo lengqondo ukuyaluza

usizo izidakamizwa e lengqondo ukuyaluza It kufanele inikezwe endaweni esibhedlela. Ngalesi sikhathi kuze isiguli uyiswa, futhi ngesikhathi ngaphambi isenzo izidakamizwa, kuvunyelwe isicelo lwesikhashana nenkanuko edlulele (njengenhlangano entry amarekhodi zezokwelapha). Ngesikhathi esifanayo nemithetho saziso:

• phakathi kokusebenza Imingcele kukhona izinto kuphela ezithambile (amathawula, amashidi, amabhande wenziwe ngendwangu, njll ...);
• ngokuphephile silungise esitho nesiphanga ngamunye ibhande, uma kungenjalo isiguli kalula ukubaleka;
• Asikwazi ukuvumela kokucindezelwa Izinzwa iziqu futhi imithambo yegazi ngoba kungaholela izimo eziyingozi;
• eqoshiwe isiguli yini zishiywe.

Ngemva isenzo neuroleptics is ebugqilini nenkanuko edlulele yayo, kodwa la mazwi kufanele kuqhutshwe, kusukela state engazinzile futhi lesi simo singenzeka ukuhlaselwa entsha excitation.

Ukwelashwa ukuyaluza

Ukuze esiqoshiwe nesineke acuity kuhlasela iyiphi psihozm iqondiswa sedatives "Seduxen" - IV "sodium barbital" - intramuscularly "Chlorpromazine" (w / w noma w / o). Uma isiguli kungathatha amalungiselelo temlomo, wagunyaza "Phenobarbital" ithebhulethi "Seduxen" noma "Chlorpromazine".

Ayikho kangako futhi neuroleptics "clozapine", "Zuk-lopentiksol" futhi "levomepromazina". Kubalulekile kakhulu ukuqapha umfutho wegazi lesiguli, njengoba la mathuluzi kungabangela ukuba iwe.

Ngamagama ukuphathwa kwabathintwayo ukwelashwa kwasesibhedlela imali ukuyaluza nezidakamizwa ezisetshenziselwa indlela yokubulala izinzwa ( "Droperidol" kanye nekhambi hydroxybutyrate sodium glucose) nge saziso ukudonsa umoya futhi AD. Futhi for the iziguli ababuthakathaka noma abadala esetshenziswa zinhlungu, "tiaprid", "Diazepam", "Midazolam".

Ukusetshenziswa amalungiselelo ngokuvumelana uhlobo sengqondo

Ngokuvamile, isiguli angafakwa futhi obschesedativnye amalungiselelo, kodwa ngemva uphethwe okwengeziwe, ebopha ukuyaluza okwengeziwe kuyoba kuyinto encike ngqo kwi uhlobo yayo. Ngakho, lapho excitation hallucinatory-kokudumazeka esimisiwe 'Haloperidol "izidakamizwa" Stelazin "nalapho ukwenama izindlela eziphumelelayo" klopiksol "futhi" lithium hydroxybutyrate ". isimo esisheshayo isuswe izidakamizwa "Chlorpromazine", "Tisercinum" noma "Phenazepam" futhi katotonicheskoe injabulo izidakamizwa waphulukisa "Mazhepril".

imithi Akhethekile okuhlangana ngayo obschesedativnymi uma kunesidingo, ukulungisa umthamo.

A amazwi ambalwa esiphethweni

Lengqondo ukuyaluza singenzeka ezimweni zansuku zonke noma kwenzeka ngokumelene isizinda izinqubo sokugembula ezihlobene Neurology, ukuhlinzwa kanye traumatology. Ngakho-ke, ukwazi ukuthi ukuyeka ngokuhlasela sengqondo, ngaphandle kokudala umonakalo isiguli ngesikhathi esifanayo, kubaluleke kakhulu.

Njengoba kusobala ukuthi kuthiweni esihlokweni, okubaluleke ngesikhathi usizo lokuqala - ukuze kuqoqwe nokuzola. Ungazami ukusebenzisa umphumela ngokomzimba nesineke bebodwa futhi ngaleyo ndlela ungabonisi ubudlova kuso. Khumbula, lo muntu akukuniki kaningi uyazi ukuthi wenzani, futhi kwenzekani - it is kuphela izimpawu isimo sakhe esibi.