Anosognosia - ukungabi khona ukuhlolwa ezibucayi iziguli zabo enesici, noma isifo

Kukholakala ukuthi yingxenye yokuqwashisa kanye nokuqoqa ukwamukelwa inkinga - kuba 50% izixazululo zayo. Nokho, ezokwelapha ziye kwabonisa ukuthi le, Uma unganakile, isinyathelo ezilula kungenza akubona bonke. Ngakho, ekuqaleni kwekhulu leminyaka eledlule e wezifo zengqondo kukhona eside ezifana "anosognosia". Lesi simo ikakhulukazi esiguli, lapho uyaphika anakho isifo sengqondo noma ukungasebenzi kahle ngokomzimba, ngisho bazama ngazo zonke izindlela ukuvimbela ukwelashwa. Kungani kwenzeka, nokuthi usizo lokwelapha?

ngezizathu zezokwelapha

Ngo-1914, isazi sezinzwa Polish Zhozef Babinsky owokuqala owachaza lesi lo mkhuba anosognosia. Futhi ekuqaleni kwake kwaqondwa ukuhlukumeza bezibona uhhafu kwesokunxele umzimba, ukukhubazeka yayo ngokomzimba (ukukhubazeka noma paresis yezingalo nemilenze), futhi enganaki ngokoqobo. Kusuka umbono wezokwelapha, le nqubo kungenxa izilonda olubanzi elimazayo ebuchosheni, okungukuthi ngakwesokudla Lobe parietal. Ngenye indlela, le isimo ibizwa ngokuthi "Babinski syndrome."

ngezigaba

Namuhla anosognosia - ngumqondo ebanzi, libhekene ukungabikho ukuhlolwa ezibucayi iziguli lesi sifo, kuye, yokungafaneleki. Ngamafuphi nje isiguli akukhona uyazi khona inqubo sokugembula emzimbeni. Lokhu ikakhulukazi kuthinta motor futhi inkulumo neziyaluyalu, ukulahlekelwa umbono nokuzwa. Kule isikhundla, anosognosia libhekwa ku izinhlobo eziningana:

• Anosognosia hemiplegia (into uma umuntu ogulayo ngemva kokushaywa unhlangothi ibonisa ukuthi ukunyakaza emikhawulweni kwesokunxele wasindisa, futhi angakwazi ukuhambisa ngokukhululekile, uma uthanda).
• Anosognosia ubumpumputhe / ubuthulu (engqondweni isiguli ukuba ebukwayo futhi sokuzwa, yena uthatha ngempela).
• Anosognosia aphasia (inkulumo isiguli kuchazwa ngokuthi "umntwana ngamazwi", kodwa akusho ukuqaphela amaphutha bese inkulumo ukukhubazeka).
• ubuhlungu Anosognosia (ukulahlekelwa esinqunyiwe noma ephelele asabela ngayo abakucasulayo amathonya zangaphandle).

Ochwepheshe bakholelwa nesimo sesiguli akusona isifo ezimele, futhi le ndaba ukuze izimpawu izinqubo eziyinkimbinkimbi nezinzima kakhulu emzimbeni. Ngakolunye uhlangothi, anosognosia - ingenye yezindlela uJehova alubonisa ngayo isifo sengqondo (mania, ukuwohloka, sengqondo Korsakoff sika). Ngakolunye - ke kungase kubhekwe njengokwelapha ubunikazi isitoreji isiguli (isb e umlutha wotshwala, sokuzincisha). Kukhona umbono wesithathu: ogulayo, ezifana nomuzwa wecala, ngokungazi isebenzisa ngokwengqondo ukuzivikela indlela. Kuyafaneleka ukukhuluma kuphazamiseka zengqondo.

anosognosia Alcoholic

Okwamanje, isimo ezivamile ngokwengqondo kuyinto anosognosia oludakayo. Lokhu ekuphikeni yisiguli ka ukwethembela kwakhe utshwala noma underestimation of kobukhulu umkhuba (giponozognoziya). Ngesikhathi esifanayo njengoba ukuhlolwa Inhloso isiguli kufanele ngokunembile ukuthi nginesifo etshwaleni.

Lapho lolu hlobo anosognosia ukuziphatha nokuzihlonipha, ngokuba nezingxabano ukugxekwa lesiguli ingaqala ngezindlela ezimbili. Angakwenza ukuthi kukho konke ukuphila kwakhe into ihamba kahle, kanye notshwala akusho ukumvimbela. Ngaphezu kwalokho, ngokuvumelana nesineke, uma uthanda, akakwazi baphuze utshwala. Nokho, umkhuba ubonisa isimo okuphambene.

Enye imodeli yokuziphatha lesiguli Yisifakaziso olungaphelele izinkinga utshwala, kodwa ngobubi bawo, ngokombono wakhe, akuyona omkhulu kangaka, ukuze afune ukwelashwa. Ukulalela abanye, angase azame ngisho ukuya iziphuzo ukukhanya oludakayo, njengoba ezingeni equlekile isiguli uyaqiniseka ukuthi nganoma yisiphi isikhathi kungaba kalula futhi irrevocably ukuyeka ukuphuza.

imodeli ngamunye eqala ngokuzenzisa efanayo - fihla izimpawu asathuthukayo isifo. Ogulayo siyehla ngamabomu inani utshwala isilinganiso kanye degree lokudakwa uma uxhumana nomndeni odokotela.

isifo Korsakoff sika

Ngokwezazi ezithile psychiatrists, anosognosia - into eziyinkimbinkimbi, ngezinye izikhathi generalizing izimpawu izinqubo ezinzima sokugembula. Ngakho, ngenxa isikhathi eside kabi utshwala, kwamaphutha yokudla okunempilo kanye nokuntuleka nicotinic acid uvithamini B1 nesineke izinguquko elimazayo zenzeka neuropathy isimiso sezinzwa. Umphumela kuba Korsakov sengqondo. Lesi sifo kwatholakala udokotela wezengqondo Russian yekhulu nesishiyagalolunye Sergei Sergeyevich Korsakov.

Lesi sifo libhekene ukungakwazi nesineke ukuqondiswa space kanye nesikhathi, ukukhohlwa, ukukhubazeka ngokomzimba (paresis nemilenze), kanye izinkumbulo zamanga (isikhathi shift nendawo ngokoqobo noma isimo esingamanga ngokuphelele). Lezi nokugula ngengqondo ngenxa yokuntula imvelo kanye nesimo salo critical evaluation nesineke futhi babelwa ukuba omunye izinhlobo anosognosia.

disorder zengqondo

Ucwaningo olunemininingwane ethe xaxa okwamanje ngaphansi anosognosia futhi zengqondo neziyaluyalu, imbangela nemphumela ubudlelwano babo. Sekuyisikhathi eside umthelela somuntu sokujikeleza ukuphathwa kwabathintwayo (okungukuthi, kuba nokuphazamiseka kwengqondo yakhe) izitho zomzimba. Ngakho, ezinye izifo ezingathi sína (ukusebenzisa uphuzo ngokweqile, i-rheumatoid arthritis, izilonda esiswini) Akulula ekwelashweni ezivamile zokwelapha kuphela ngoba kukhona ngokoqobo isithelo umcabango womuntu. Lokho kukhona izinqubo ezithile ezenzeka ingqondo enganakile (ukubukeka wecala, Ukungaxoleli, umona, inzondo njalo) kukhona okuphumayo ezingeni ngokomzimba. Kulokhu, isiguli uyaqiniseka ukuthi asekhanda lakhe ngomqondo ezingokwengqondo, akunankinga, kodwa lesi sifo ngenxa umthwalo sakhe sengqondo. Lesi simo kwaba nokuchazwa anosognosia ukuphathwa kwabathintwayo.

Ingabe ukwelashwa kunokwenzeka?

Zonke izazi bagcizelele ukuthi yokutakula incike nesineke kanye nezifiso zakhe. Ukuze sibhekane isifo, kubalulekile ukuba soberly ukuhlola isimo sabo futhi sifune izindlela zokwenza ukuxazulula le nkinga. Okokuqala, isiguli kuzodingeka ukuqeda ukukhohlisa, imiphi imibono eyiphutha. Futhi lokhu kudinga usizo uchwepheshe. Kuyokusiza isiguli uyihlola umgomo ngesikhathi inkinga, bese kuphela ungakwazi udlulele ekwelapheni lesi sifo. Yiqiniso, akufanele sikhohlwe ukuthi ukugijima, iziyaluyalu ezinzima amenable ukuqeda kuwumqansa noma ayinawo nhlobo.