Syndrome Oneiroid: izimpawu, ukwelashwa. Ukwelashwa oneiric-catatonic sifo ngo-schizophrenia

Oneiroid syndrome - a delirium schizophrenic, esibonakala by uhlobo oluthile yokuphazamiseka nomqondo (grezopodobnaya disorientation) nokuba khona isithombe egcwele ngengqondo psevdogallyutsinatornyh snovidnyh nemizwelo, kudidaniswe ubufakazi.

Yiziphi izenzo zokukhetha le syndrome?

Zonke ezizungezile ezithathwe isiguli ngenjongo I ngokwezifiso, lapho "ukudlala kokuzenzisa" nabantu mbumbulu (delirium double, isiteji). Bubonakala nokulahlekelwa isikhathi nendawo, esinda lekugcilwe e ngabanye siqu: isiguli uyazi ukuthi kuyinto esibhedlela, kodwa okwamanje kungaba induna mkhathi, flying kwamanye amaplanethi azungeze ubuso bakhe, futhi abasebenzi bezempilo abaningi abhekwa njengabantu abasebenzi zezinkanyezi nokwamukela izithunywa umkhumbi yokuqothula eminye imiphakathi. Ngakho kubonakaliswa oneiroid syndrome.

izimpawu Sibangelwa ukuziphatha nesineke ekuleso simo, siziqhathanise ne ayiziphihli psevdogallyutsinatorno izimpawu zaso delirious. Njengomthetho sisekuciniseni buthule embhedeni, uvale emehlo, ngezinye izikhathi kuveza "zasemoyeni-hasteless" isandla ukunyakaza, naphezu ingozi wabo omangalisayo, kodwa ngabantu bangaphandle kuphela. Kanye ukuqonda wabhubhisa lokhu izinsuku edlulayo futhi yobudala lesiguli: acabanga ukuthi uyikho zindiza, ukukhanya-iminyaka eminingi, futhi ngalesi sikhathi efa ngokuphindaphindiwe futhi cloning Reborn.

Izimpawu sleepwalking

Ngezinye izikhathi isiguli uhlezi futhi ukuzulazula dreamily emnyangweni nge "uloyiwe" ukumamatheka, ngifuna zonke ngokwako. Lapho eneminyaka engu-ngokuthile ukubuza, uthumela ezinye izinkathazo zakhe kwemvelo. Oneiroid syndrome kungaba ukuzibonakalisa ngesimo izici olulodwa catatonic, isibonelo, substupora noma catalepsy. Kumele kuqashelwe ukuthi isihloko imizwa esiteji oneiric ethathwa amakhono siqu, yesehlakalo ezifanele ababuke ama-movie noma ukufunda izincwadi uchungechunge fabulous.

Uma uphume kule isimo isiguli kumemori yayo yonke imizwa emangalisayo, kodwa amneziruet isinyathelo real ezenzeka ekuphileni kwakhe kulesi sigaba ukuhlasela sokugembula. Kwaphela izinsuku eziningana, kungase kube ukusangana asalile.

Ubude besikhathi isimo oneiric kungaba izinsuku 2-3 noma ngisho 1-2 amasonto. Ngokuvamile, lokhu zokugula kwenzeka lokusangana, kodwa ngezinye izikhathi ulithole ukulimala ebuchosheni yangaphakathi futhi ngobuthi.

Kwezinye izimo, ungase ukwazi ukuhlonza yini kulumkhuhlane?

Oneiroid syndrome kwenzeka:

• nge bayasangana catatonic (ngokuvamile wakhiwa Dynamics isici);
• sengqondo lingaze (delirium tremens) ;
• isithuthwane;
• yezifo zobuchopho.

bayasangana catatonic

Ekuqaleni imakwe iziyaluyalu yimizwelo njengokucindezeleka amaphuzu kanye nemizwelo subdepressive ke kukhona inkathi delirium, lapho ezizungezile kubonakala engaqondakali isiguli kanye ukushintshwa. imizwa Awkward ephelezelwa imibono akusenjalo oyisiphukuphuku, ikakhulukazi ukufa, ushushiso, inkinga yempilo. Khona-ke kukhona imfihlakalo ye ukubona izinto ezingekho okuvezwa ukudungeka kwemizwa, intermetamorfozy futhi unencazelo enenjongo.

Iziguli oneiroid syndrome abonisa ukuthi eduze kwabo ukwenza izenzo ezithile futhi ziba noma izilaleli zakhe noma ababambiqhaza. Amathuba automatism ngemilingo, eduke ngamazwi, ukuqashelwa zamanga. Khona-ke kwamiswa Isiteji abukhali paraphrenia enchanting noma iqondiswe oneiric, okwaphumela isiguli zihlala amaphupho fabulous, ukusangana, kanye orientation isimo sangempela. Isithombe basemtholampilo bayasangana catatonic iphela ukuthuthukiswa kwe-oneiric.

ukuhlola

Kudinga izinyathelo ezivamile sitholakele sokuphazamiseka kwengqondo. izinkomba Special zingavela Transistor catatonic ngenxa noma yiluphi uhlobo lesi sifo. Ukuze sitholakele bayasangana kufanele inikwe ukunquma uhlamvu yokuziphatha nesineke ezimweni ezinzima, uma ine- oneiroid syndrome:

• izimbangela nangaphandle);
• rigidity (ekugcineni isikhundla niqinile impendulo ukushintsha isampula yayo);
• stupor (ukunciphisa ukusabela imvelo, umsebenzi kanye iminyakazo ngokwawo);
• lukhuni (eyanele yokuzithandela futhi nokugcinwa okungalungile, postures yinqaba);
• wax kuyaqina (ebambe izingxenye zomzimba kulesi sikhundla kubo);
• negativism (isimiso engenangqondo noma yikuphi ukunyakaza komzimba kolunye uhlangothi ekuphenduleni ukucindezeleka noma ukushintsha isikhundla ukufakwa, phansi);
• nezinye izimpawu (perseveration kanye auto ezihambisana).

Ukwelashwa oneiric-catatonic sifo ngo-schizophrenia

Bhekana ukungaphatheki kahle ngempela kuphela esibhedlela sabagula ngengqondo ngosizo izidakamizwa, futhi ngezinye izikhathi - yokwelapha ukushaqeka. Uma isiguli ukhululeka isimo stupor, kwakudingeka umuthi omude, ngokuvamile impilo yonke ukuvimbela yokuphindela catatonia. Ngesikhathi exacerbation kuyodingeka ukuletha kogulayo ngokushesha ngangokunokwenzeka emtholampilo zengqondo. Ngokuvamile, iziguli kulesi simo ngokuvamile ukulithatha ukudla, ukwazi obuntofontofo ngokwako ngenxa yokuntuleka ukuma endaweni kanye nesikhathi, njengoba usongo omkhulu bona noma abanye abambheka ngayo.

ukwelashwa

Ukuze ukuphulukisa bayasangana catatonic, ngokuvamile asetshenziselwa benzodiazepine zinhlungu nezidakamizwa esekelwe Gaba. Ngezinye izikhathi uhlelo lokwelapha Imininingwane engeza imisipha relaxants, Dopamine abamelene kanye nemizwelo stabilizers. Nge kuhlasela eside catatonia iye asebenzisa ngayo ngokuphumelelayo yokwelapha electroconvulsive.

Izibikezelo

Kufanele kuqashelwe ukuthi oneiroid syndrome (ukwelashwa okwakubekelwa ezichazwe ngenhla) yisimo ezinyantisayo kakhulu njengoba e imigomo ukuphathwa kwabathintwayo nangokwengqondo. Lokhu nesineke kufanele bafake esibhedlela sabagula ngengqondo ngokushesha ngangokunokwenzeka. Lokhu kuzovimbela iyiphi ingozi ehambisana ne-ukuphila nempilo isiguli. Ngaphezu kwalokho, leli qembu labantu kuyadingeka nizungeze ukuqapha iwashi wemisebenzi eyinhloko esibalulekile, futhi ungadinga i ukumnika emthanjeni kwezidakamizwa umsoco parenteral.