Esilawulayo syndrome: Iimpawu kunye nonyango loko. Yintoni na ukuba likhoboka lento ethile syndrome?

Ukuza kuthi ga ngoku, abathathu abadala ikhulu elinamanci amabini aphuma kubantwana ezingamakhulu amahlanu abafunyenwe syndrome of likhoboka lento ethile. Esi sifo, esifuna unyango enyanzelekileyo. Ukuze ufumane iimpawu ACS, yenza ukwenzeka kunye nonyango iinketho.

Yintoni ACS?

Ukuba likhoboka lento ethile syndrome (okanye disorder) - esoloko ngokuphinda iingcamango ezifanayo esilawulayo kunye nezenzo vukele (okanye) (izithethe). Le meko ibizwa ngokuba likhoboka lento ethile.

Igama sigulo weza evela amagama amabini Latin:

• kukhathazeka, igama elithetha nasekuxinweni, yaye kuvalwe, yaye irhafu;
• enyanzelekile - ukunyanzela, uxinzelelo, self-ngxaki.

Oogqirha kunye izazinzulu uye abe nomdla onaso yokuba likhoboka lento ethile kwinkulungwane XVII:

• E. Barton wachaza ukoyika ukhathazeka ukufa ngo-1621.
• Philippe Pinel uphando kwicandelo tai ngo-1829.
• Ivan Balinskii yaqalisa kwenkcazo 'iingcinga izifaka "kwiincwadi Russian kwi zengqondo, njalo-njalo.

Ngokutsho uphando lwangoku, izenzo syndrome iphawulwa njenge neurosis, oko kukuthi akukho isifo ngengqiqo bokwenene ilizwi.

Ukuba likhoboka lento ethile syndrome angamelwa ngokwalo njengoko ngokulandelelana ilandelayo kwenzeka: tai (iingcinga izifaka) - lokubandezeleka ngokwasengqondweni (ixhala, uloyiko) - compulsions (compulsions) - uncedo okwethutyana, kwaye ke kuyo yonke kwakhona.

types of ACS

Kuxhomekeka iimpawu ezihamba ngayo ukuba likhoboka syndrome ke iintlobo:

1. Ukuba likhoboka lento ngokuthi- syndrome. Luphawulwa bubukho kuphela iingcinga esilawulayo okanye amaxhala, uloyiko, amathandabuzo loo nto ikhokelele okwenzayo. Umzekelo, ukuba zokwazisela rhoqo lweemeko ngaphambili. Kwakhona ibonakale njengoba yokuhlaselwa uphaphazele.
2. Ukuba likhoboka lento convulsive syndrome - ubukho izenzo kukuthenga izinto. Basenokuba kunxulumana kwesikhokelo yokulandela ngumyalelo osisigxina okanye ukhuseleko. Ngexesha ezi zithethe lusenokuthabatha iiyure eziliqela ngosuku kunye nexesha ukutya. Ngokufuthi sisithethe nga smenivatsya abanye.
3. Ukuba likhoboka lento ngokuthi- syndrome lukhatshwa convulsive, oko kukuthi, kukho tai (iingcinga) kunye nezenzo.

ACS ngokuxhomekeke kwixesha uphuhliso ingaba:

• episodic;
• okuqhubekayo;
• ezigulo ezondeleyo.

Izizathu esilawulayo syndrome

Iingcali musani ukunika impendulo ecacileyo ukuba syndrome ukhathazeka angavela ngenxa yaso nasiphi na isizathu. Ngelo xesha kukho ingcamango yokuba ezinye izinto eziphilayo nezengqondo nempembelelo kuphuhliso ACS.

izizathu eziphilayo:

• ufuzo;
• imiphumo yokwenzakala kwengqondo ebuhlungu;
• iingxaki kwi ingqondo emva izifo ezosulelayo;
• ezimbi-luvo;
• ukuphazamiseka zemithambo-luvo;
• nokwehla kwizinga serotonin, norepinephrine kunye dopamine apha ebuchotsheni.

izinto yezengqondo:

• ubuhlobo xi;
• imfundo olungqongqo eceleni (umz, yenkolo);
• abanamava iimeko konxunguphalo;
• umsebenzi xi;
• enengqondo eyomeleleyo (umzekelo, indlela abukhali iindaba ezimbi).

Ngubani banazo ACS?

A ingozi enkulu ukuba likhoboka syndrome ngabantu kusapho abasele wadibana Kwiimeko ezinjalo - yofuzo. Oko kukuthi, ukuba intsapho unesifo ACS umntu, le amathuba ukuba inzala yakhe iya kuba neurosis enye, ukusuka ezintathu ukuya asixhenxe ekhulwini.

ACS kwakhona ngokuxhomekeke kuhlobo ilandelayo ubuntu:

• abantu distrustful kakhulu;
• ezinqwenela ukugcina yonke into phantsi kolawulo lwabo;
• abantu imbali trauma ebuntwaneni, okanye ezahlukeneyo kwiimeko ungquzulwano kakhulu osapho;
• kakhulu abantu abayinyamekelayo umntwana okanye, icala, musa ukufumana ingqalelo ngokwaneleyo kubazali babo;
• unenzondelelo ukwenzakala ebuchotsheni ezahlukeneyo.

Ngokutsho manani, akukho kubukulana inani lezigulane kunye likhoboka lento ethile phakathi kwamadoda nabafazi. Kodwa kukho umkhwa ukuba neurosis kucala ukubonisa abantu abaneminyaka eyi-15 ukuya kwengama-25.

Iimpawu ACS

Phakathi iimpawu eziphambili yimbonakalo likhoboka lento ethile, inani kwezenzeko ze iingcinga eziphazamisayo kunye nemisebenzi obungabangeli mdla yemihla ngemihla (umzekelo, ukoyika lomgadi ephosakeleyo bathi igama okanye uloyiko eziphilayo, nto leyo ebangela ukuhlamba izandla rhoqo). Kwakhona ukuze sibonakale sikhatshwe ngemiqondiso:

• quthu;
• amabi;
• imnyama okanye ilahleko epheleleyo yayo;
• nesithokothoko;
• iqembu buso okanye epheleleyo ebantwini (iyantlukwano).

Iindidi abantu compulsions iintlobo

Kwiimeko ezininzi, abantu abakhuselekanga ezi ndidi zilandelayo ngokungqinelana iintlobo compulsions (iintshukumo kukuthenga akanyanzelwanga):

1. Ukucoceka okanye abo boyika kokungcola. Oko kukuthi, izigulane ninikele umnqweno rhoqo ukuhlamba izandla zenu, uhlambe amazinyo akho, ukutshintsha okanye bozihlamba iingubo zabo, njalo-njalo. Abo sisoloko reinsured. Abantu abanjalo abakhathazwa iingcamango ithuba komlilo, ngotyelelo yesela kunye ezifana, ngoko basoloko ukukhangela ukuba ngaba ucango okanye ifestile, nokuba kuseketileni, eziko icinyiwe uvaliwe, isitovu, ngentsimbi njalo njalo.
2. Aboni abathi. Aba bantu boyika ayesohlwaywa amandla aphezulu okanye ii-arhente zokunyanzelisa umthetho, nokuba ngenxa yokuba into kwenziwa abafezekileyo njengoko becinga.
3. Phantse ukuphelela. Bona phithi umyalelo kunye wolingano yonke: impahla, izinto zabanye abantu, kunye nokutya.
4. Kubaqokeleli. Abantu abangakwaziyo ayeke izinto, nokuba ukuba ngaba kukho imfuneko, ngenxa yokoyika ngoko kuya kwenzeka into embi okanye ke noko kunjalo xa udinga nto.

Imizekelo zokubonisa syndrome coronary ahlekise kubantu abadala

Njani na uxilongo "syndrome ukuba likhoboka lento ethile '? Iimpawu zesi sifo zingenzeka kwi umntu ngamnye ngendlela yabo.

Eyona tai ziqhelekileyo zezi:

• Ndacinga kukuhlaselwa intsapho yakhe;
• kubaqhubi: ukukhathalela wadubula phantsi ngeenyawo;
• ixhala ezinokubangela umonakalo ngengozi umntu (umzekelo, ukuba amalungiselelo endlwini yomnye umntu eziphezu komlilo, izikhukula, njalo-njalo);
• uloyiko lokuba onethemba;
• yokoyika bobulili;
• uluvo lokuba kukho iqabane uthando, amathandabuzo gqolo malunga ukuchaneka choice yakhe;
• ukoyika ngengozi bathi okanye ubhale ukuba kukho into engalunganga (umzekelo, sebenzisa ulwimi ezingafanelekanga kwincoko ne boss);
• musa ukoyika ukuphila phantsi kweenyani unqulo okanye nokuziphatha;
• iingcinga ephazamisayo malunga imvelaphi iingxaki komzimba (ezifana ukuphefumla, yokuginya, ukungaboni emehlweni, njalo-njalo);
• ukoyika ukwenza iimpazamo emsebenzini okanye umsebenzi;
• ukwesaba ukulahlekelwa ntle izinto;
• ukoyika yokugula, abosulelwe iintsholongwane;
• iingcinga rhoqo konwaba okanye ukuzisa izinto yelishwa, amagama, amanani;
• ngaphezulu.

Ezinye tai oqhelekileyo izenzo ezinjalo:

• ukucoca rhoqo kunye nentlonipho ngendlela ethile izinto;
• ukuhlamba izandla rhoqo;
• Ukuhlolwa zokhuseleko (nokuba uphothe atshixiwe kude xa umbane, igesi, amanzi kunye njalo-njalo);
• ngokuphinda- phinda iseti efanayo amanani, amagama okanye amabinzana ukuze siphephe iziganeko ezimbi;
• rhoqo cross-lopelo iziphumo yomsebenzi wabo;
• amanyathelo zokubala njalo.

Imizekelo zokubonisa syndrome coronary ahlekise ebantwaneni

Abantwana ukuba likhoboka lento ethile syndrome kuba ngaphantsi kakhulu abadala. Kodwa iimpawu ezifanayo, kodwa ongunaphakade naphaya:

• ukoyika ukufumana ngokwakho phantsi kwephiko lakho;
• ukoyika liyasilela ngabazali ezilahlekileyo;
• nokukhathazeka kovandlakanyo, leyo uyakhula Yazi;
• ukuhlamba izandla rhoqo, amazinyo ihlamba;
• izakhiwo phambi kontanga wakhula syndrome ukhathazeka njalo njalo.

Ingxelo ACS kwesifo

Uxilongo lwe likhoboka lento ethile syndrome kukuchonga iingcinga kakhulu kanti izifaka kunye nezenzo ezithe zenzeka kwithuba elide (iiveki ezimbini ubuncinane) kwaye mazihambe kunye nokudakumba okanye uxinezeleko.

Phakathi ngeempawu iimpawu obsessional moshilongo ifanele ukubandakanya oku kulandelayo:

• isigulana akhoyo ubuncinane enye ingcamango okanye inyathelo, kwaye uphikisa kubo;
• ingcamango ukwenza injongo, umguli ayikwazi namnye umvuyo;
• uphindaphindo phithi kuzisa ixhala.

Ukuntsonkotha uxilongo amanga neqiniso ukuba kudla ngokuba nzima ukwahlukanisa syndrome ukuba likhoboka lento edakumbisayo ukususela kokulula ACS njengoko iimpawu zazo kwenzeka phantse ngaxeshanye. Xa kunzima ukumisela ukuba ngowuphi kubo phambi, emva koko kubhekwe ukuba abe disorder ephambili kukudakumba.

Uninzi ndibatyhilele lokufunyaniswa 'ukuba likhoboka lento ethile syndrome "uvavanyo. Njengomgaqo, iqulathe imiba eliqela enxulumene uhlobo kunye nobungakanani amanyathelo kunye ingcinga, uphawu izigulane ACS. Umzekelo:

• inani ixesha elichithwa imihla ukucinga iingcinga esilawulayo (iimpendulo kunokwenzeka: hayi zonke, iiyure ezimbalwa iiyure ezingaphezu kwama-6, njalo-njalo);
• ixesha ngemihla echithwa ukwenza izenzo kukuthenga (iimpendulo ezifanayo njengoko kumbuzo wokuqala);
• njengaye iingcamango okanye izenzo kukuthenga (iimpendulo kunokwenzeka: akukho, kakhulu, alungise, kwaye ezifana);
• Ingaba iingcinga esilawulayo / ukulawula izenzo (iimpendulo kunokwenzeka; ewe, akukho, kancinane, njalo-njalo);
• Ngaba nawe uziva iingxaki kunye ukuhlamba izandla / aqiniseke / ukukama / yokuxhela / ahlambe iimpahla / izinto ukuze / bakhuphe inkunkuma, njalo njalo (iimpendulo kunokwenzeka; ewe, njengaye wonke umntu, hayi, musani ufuna ukwenza oku, 'Ndilingeka rhoqo kunye ezifana);
• njani ixesha elingakanani kwi Centauri ishawa / ukukama / iinwele / (iimpendulo kunokwenzeka: yonke into, kabini, izihlandlo eziliqela, kwaye ezifana) yokuxhela / zokucoca ukususwa / umonakalo, njalo-njalo.

Kuba ukuxilongwa ngakumbi aqingqa ubungqongqo sigulo, le uluhlu lwemibuzo inokuba kakhulu ngakumbi.

Iziphumo kuxhomekeka kwinani lamanqaku. kaninzi ngaphezu kwazo ezinkulu, ayanda amathuba yokuba likhoboka lento ethile syndrome.

Ukuba likhoboka lento ethile syndrome - Treatment

Ukuze ufumane uncedo kule unyango ahlekise coronary syndrome kufuneka bangathunyelwa wengqondo abangayi kunceda kuphela ukuxilongwa, kodwa kwakhona bakwazi ukuchonga uhlobo olongamileyo likhoboka lento ethile.

Nendlela ukuwina jikelele esilawulayo syndrome? unyango ACS ukuba sifeze eziliqela zokungenelela kwengqondo zonyango. Amayeza ziye benikwa kuphela imvelaphi, ukuba akuyichazi imvelaphi bayakwazi ukugcina isiphumo afunyenwe ngugqirha kuphela.

Ezisetyenziswa tricyclic kunye lakhula tetracyclic (umz, "Melipraminum" "mianserin" kunye nabanye), kunye anticonvulsants.

Ukuba kukho ukuphazamiseka pathways eziyimfuneko ukuze eqhelekileyo yokusebenza luvo esengqondweni, ugqirha umisela amalungiselelo ezizodwa kunyango neurosis. Umzekelo, "Fluvoxamine", "Paroxetine" njalo-njalo.

Njengoko therapy hypnosis kunye psychoanalysis asilubandakanyi. Xa unyango lwe likhoboka lento ethile kusetyenziswa iindlela cognitive-zokuziphatha ukuba zinempumelelo ethe kratya.

Injongo yale unyango - ukunceda isigulane ukuba ayeke ezijolise iingcamango ukuba likhoboka kunye neengcamango, ngokuthe ngcembe uyatshona kubo. Umgaqo tyando ngolu hlobo lulandelayo: isigulane kufuneka bajolise kungekhona qwa, kanye nokwala enze kwisiko. Ngenxa yoko, isigulana lifumana kabi ukusuka phithi ayikho, kwaye ngenxa yokungasebenzi. Ubuchopho sokuyivula ukusuka ingxaki omnye komnye, emva iindlela eziliqela ezinjalo, sizimisele ukwenza izinto ukudla kudambe.

Phakathi kwezinye zonyango ezaziwayo-kakuhle kodwa kwengqondo-zokuziphatha, isetyenzisiwe practice kwaye iseyeyona ndlela 'stop acinga ngayo. " Isigulana ngexesha phithi okanye amanyathelo ekucetyiswa ukuba bathi engqondweni kuwe, "Yima!" Kwaye ahlaziye yonke ngokuzama ukuba uphendule le mibuzo ilandelayo:

1. strong njani amathuba okuba oku kuya kwenzeka ngokwenene?
2. Musa ukunqanda iingcinga esilawulayo ngokuqhelekileyo baphile kangakanani?
3. ingqondo Yimalini enkulu kabi lwangaphakathi?
4. kuya ukuphila lula kakhulu ngaphandle tai kunye compulsions?
5. Uya konwaba ngaphandle tai nezithethe?

Uluhlu imibuzo ukuya phambili. Eyona nto ibalulekileyo kukuba injongo yabo ithuba lokuyihlolisisa le meko kuvela macalana onke.

Kukho kwakhona kungenzeka ukuba kwengqondo ugqiba ukuba usebenzise indlela ezahlukeneyo zonyango njengenye okanye njengento uncedo olungaphezulu. Oku kuxhomekeka kwimeko ngamnye kunye namandla aso. Umzekelo, kusenokuba intsapho okanye iqela nonyango lwengqondo.

Self-uncedo ACS

Nokuba unayo i therapist ngcono ehlabathini, iinzame kufuneka zenziwe yaye abaninzi. oogqirha bambalwa kakhulu - omnye wabo, Dzheffri Shvarts, a kakhulu ezaziwayo-kakuhle Umphandi ACS - qaphela ukuba lo msebenzi ezizimeleyo imeko yakhe ibaluleke kakhulu.

Ukuze wenze oku kufuneka:

• Ndayihlela yonke imithombo kunokwenzeka of likhoboka lento ethile: iincwadi, iijenali zonyango, amanqaku kwi-Internet. Zoba iinkcukacha ezininzi kangangoko unako malunga neurosis.
• Basebenzise izakhono wawufundisa therapist yakho. Okt ukuzama ukucinezela tai kunye nokuziphatha kukuthenga izinto.
• Hlala uqhagamshelana nabo ababathandayo - usapho kunye nabahlobo. Kuphephe wedwa, njengoko kuwuvule kuphela syndrome esilawulayo.

Ke okona kubalulekileyo, funda ukuphumla. Funda ubuncinane iziseko zokuphola. Sebenzisa ukucamngca, yoga okanye ezinye iindlela. Baya kuya kunceda ekunciphiseni impembelelo iimpawu likhoboka lento ethile kunye nezihlandlo kwazo.