Anosognosia - kukungabikho uvavanyo lwezinto ngezinto izigulane zabo yomonakalo okanye isifo

Kukholelwa ukuba ulwazi kunye nokwamkelwa ingxaki - kuba yi-50% yabo izisombululo zayo. Noko ke, amayeza kuye kwabonisa ukuba le, xa uqala, inyathelo elula akakwazi ukwenza bonke abantu. Ngoko ke, ekuqaleni kwenkulungwane lokugqibela kwengqondo kukho ezifana elide njengoko "anosognosia". Le imeko ethile isigulana, xa okhanyelayo ukuba unalo ukuphazamiseka engqondweni okanye isiphene ngokwasemzimbeni, yaye uzama ngandlela zonke ukuthintela unyango. Kutheni le nto isenzeka, nokuba unyango kunokwenzeka?

izizathu zempilo

Ngowe-1914, iminyaka emine Polish Zhozef Babinsky kuqala wachaza mba we anosognosia. Kwaye ekuqaleni kwaqondwa ukuhlukumeza yoluvo wesiqingatha lasekhohlo umzimba, iziphene zayo emzimbeni (ukushwabana okanye paresis le imilenze), leyinene ngoyaba. Ukusuka kwindawo yezonyango lwembono, le nkqubo kubangelwa izilonda kakhulu etshabalalisayo ebuchotsheni, elileli, nomhlehlo ekunene Parietal. Ngenye indlela, le urhulumente ubizwa ngokuba "Babinski syndrome."

ngezigaba

Namhlanje anosognosia - yinto ingqiqo ebanzi, esibonakala ngokungabikho kovavanyo ebaluleke kakhulu izigulane zesi sifo, ngokuxhomekeka, engasebenzi. Ngamafutshane isigulana esingalaziyo ebusweni inkqubo zophendlo lwezifo emzimbeni. Oku ikakhulu echaphazela iingxaki zeemoto kunye nentetho, ukulahlekelwa umbono kunye nokuva. Ukusuka kwesi sikhundla, anosognosia ihlelwa iintlobo:

• Anosognosia Hemiplegia (simanga xa umntu ogulayo emva kokuba icala uthi intshukumo kwi eziphelweni ekhohlo benibasindisile, yaye unako ukuhamba ngokukhululekileyo, ukuba ezinqwenelekayo).
• Anosognosia blindness / ukungeva (engqondweni yomguli ukuba imifanekiso ebonwayo ezikhalayo, leyo ikuthatha wokwenene).
• Anosognosia aphasia (intetho ze isigulane sichazwa "sana yomlomo", kodwa ungawuqwalaseli iziphoso kunye iziphene intetho).
• ubuhlungu Anosognosia (buso okanye epheleleyo ukulahleka yokusabela ukuba ukubacaphukisa iimpembelelo angaphandle).

Iingcali zikholelwa imeko yesigulane alikho sisifo ozimeleyo, uze ubalise ukuba iimpawu a iinkqubo ezinokuntsonkotha nzima emzimbeni. Kwelinye icala, anosognosia - ngomnye wabona kukho ukuphazamiseka kwengqondo (mkhuba, sengqondo esixhalabisayo, ukugula ngengqondo Korsakoff kaThixo). Kwelinye - oko kuthathwa uchazo yokugcina isigulane (umz e butywala, anorexia). Kukho kwakhona imbono lesithathu: umntu ogulayo, ezifana nemvo letyala, engaqondanga usebenzisa isixhobo wokhuselo nasengqondweni. Kufanelekile ukuba sithetha ukuphazamiseka zengqondo.

anosognosia utshwala

Okwangoku, le meko iqhelekileyo engqondweni i anosognosia ezinxilisayo. Le ukwalela yi ogulayo uxhomekeke etywaleni okanye underestimation yengxinano umkhwa (giponozognoziya). Ngelo xesha njengoko uhlolo kwinjongo isigulane kufuneka ngokuchanileyo unesifo butywala.

Xa olu hlobo lokuziphatha anosognosia kunye yomguli self-nokugxekwa uyakwazi ukuphuhlisa ngeendlela ezimbini. Lowo uthi kuzo zonke ubomi bakhe ihamba kakuhle, yaye utywala na ongamnqandayo. Ngaphezu koko, ngokutsho isigulane, ukuba oyifunayo, akanako ukusela utywala. Noko ke, ukwenza ibonisa imeko esahlukileyo.

Olunye uhlobo lokuziphatha yomguli i ingqalelo kwenxenye iingxaki utywala, kodwa ifuthe lazo, ngokwembono yakhe, akukho mkhulu kangaka, ukuze bafune unyango. Ukuphulaphula kwabanye, ukuze nokuba bazame ukuya kwi iziselo ukukhanya ezinxilisayo, njengoko kwinqanaba zingqondweni zayo isigulana uqinisekile ukuba nanini na ungawusebenzisa nje nasekugqibeleni ukuba ayeke ukusela.

model nganye ithatha luhanahaniso efanayo - ukufihla iimpawu okhulayo sifo. umntu ogulayo luya ngabom isixa ireyithi ukusetyenziswa kotywala kunye neqondo ukunxila xa yokunxibelelana nosapho kunye noogqirha.

isifo Korsakoff kaThixo

Ngokutsho kwezinye yengqondo, anosognosia - into enzima, maxa wambi generalizing iimpawu kweenkqubo kakhulu zophendlo lwezifo. Ngenxa yoko, ngenxa yokusetyenziswa kakubi kotywala elide, kusekho okunesondlo kunye nokungabikho nicotinic acid kunye novithamini B1 nomonde utshintsho entshabalalo kwenzeka kwinkqubo peripheral luvo. Le nokulandelelana Korsakov ngengqondo. Esi sifo lwafumaneka kwi kugqirha Russian kwinkulungwane yeshumi elinesithoba Sergei Sergeyevich Korsakov.

Isifo luphawulwa ukungakwazi isigulane ukuba kukhokelwa isithuba kunye nexesha, ilahleko memory, ukukhubazeka emzimbeni (paresis kwamalungu omzimba), kwakunye iinkumbulo bobuxoki (ixesha shift kunye nendawo ekhoyo nokuba imeko wasentsomini ngokupheleleyo). Ezi abagula ngengqondo kunye nokungabikho kokusingqongileyo kunye nemeko novavanyo yayo ebaluleke kakhulu isigulane kwaye babelwa kwenye yeendidi anosognosia.

disorder zengqondo

Ufundo ngakumbi ngoku phantsi anosognosia kunye zengqondo ukuphazamiseka, ubudlelwane babo unobangela kunye nesiphumo. Oku kuye kwaba nefuthe kwinkqubo somatic oluntu (oko kukuthi, ukuphazamiseka kwengqondo yakhe) zomzimba elide. Ngoko ke, ezinye izigulo ezinzulu (butywala, isifo samathambo, izilonda esiswini) musa Azifumaneki lonyango eqhelekileyo kuphela ngenxa yokuba ngokoqobo isiqhamo ezingqondweni zabantu. Ukuba kukho iinkqubo ezithile zisenzeka engqondweni ienjini (inkangeleko ityala, ukungaxoleli, umona, intiyo rhoqo) kukho imveliso kwinqanaba emzimbeni. Kulo mzekelo, isigulana uqinisekile ukuba intloko yakhe ngengqiqo ngokwasengqondweni, akukho ngxaki, kodwa ke esi sifo akukho ngenxa yokuba umthwalo kwengqondo yakhe. Le meko yaba inkcazo anosognosia somatic.

Ngaba kunokwenzeka unyango?

Zonke iingcali bathi ukuchacha ixhomekeke umguli kunye neminqweno yakhe. Ukumelana sifo, kuyimfuneko ukuba ingcinga ephilileyo ukuhlola imeko yabo kwaye sijonge iindlela zokusombulula le ngxaki. Okokuqala, isigulana siya kufuneka ukuphelisa ezikhohlisayo, kwengcamango. Kwaye oku kufuna uncedo ingcali. Kuya kunceda isigulane yokuzihlolisisa injongo kule ngxaki, uze kuphela ungahambisa kwi yonyango sifo. Kakade ke, asimele silibale ukuba nokubaleka, ukuphazamiseka kakhulu efanele ukuba kupheliswe kakhulu nzima okanye musa ukunika kwaphela.