Nyanyisa chirwere: Zviratidzo neMarapirwo. Chii nyanyisa-jairira chirwere?

To musi, vatatu mumwe zana vakuru maviri nevana mazana mashanu vari panoonekwa urwere pakati nyanyisa-muropa nyonganyonga. chirwere ichi, izvo zvinoda madikanwa kurapwa. Kuti nekuwana ACS zviratidzo, rinoita chiitiko uye marapirwo.

Chii ACS?

Nyanyisa-jairira syndrome (kana nyonganyonga) - inongogara tichidzokorora chete nyanyisa pfungwa uye involuntary (kana) Zviito (tsika). Ichi chirwere anonzi nyanyisa-muropa nyonganyonga.

Zita chirwere vaibva pamashoko maviri Latin:

• Kunyanya, rinoreva kukombwa, blockade, uye mutero;
• nokugombedzerwa - kumanikidza, kumanikidzwa, nokuzvidzora nekurovererwa.

Doctors uye masayendisiti vava kuziva chirwere pamusoro nyanyisa-muropa nyonganyonga iri XVII remakore:

• E. Barton akatsanangura nyanyisa kutya rufu muna 1621.
• Philippe Pinel tsvakurudzo mumunda zvikaramba zviripo muna 1829.
• Ivan Balinskii akatanga tsanangudzo "pfungwa intrusive" mumabhuku Russian pamusoro wepfungwa, uye zvichingodaro.

Maererano nokutsvakurudza ano, nyanyisa chirwere kunoratidzwa kuva neurosis, kuti haisi chirwere ari wechokwadi pfungwa shoko.

Nyanyisa-muropa chirwere chinogona kumiririrwa schematically seinotevera kutevedzana kunoitika: zvikaramba zviripo (intrusive pfungwa) - mupfungwa nenhamo (kufunganya, kutya) - compulsions (compulsions) - vambotibatsirwei, uye zvose ipapo pamusoro zvakare.

mhando ACS

Zvichienderana padivi zviratidzo nyanyisa chirwere ane marudzi akawanda;

1. Nyanyisa-phobic syndrome. Inozivikanwa nokuvapo chete kuti nyanyisa pfungwa kana mwoyo, kutya, kusava nechokwadi kuti haanamati zvimwe chiito. Somuenzaniso, dzose rethinking ezvinhu kare. Rinogonawo kuratidza sezvo kunyonganiswa kurwisa.
2. Nyanyisa-convulsive chirwere - kuvapo muropa zviito. Vangave chokuita kutungamirirwa wechigarire kuti Tracking kana kuchengeteka. Pakazosvika nguva tsika izvi zvinogona kutora vanoverengeka maawa pazuva uye nguva unoparadza. Kazhinji ndeyokungoitawo anogona smenivatsya vamwe.
3. Nyanyisa-phobic chirwere achabatsirwa convulsive, kureva, pane zvikaramba zviripo (pfungwa) nezviito.

ACS zvichienderana pakukura nguva kunogona kuva:

• episodic;
• mberi;
• refu.

Zvikonzero nyanyisa urwere

Nyanzvi regai kupa mhinduro pachena nyanyisa chirwere anogona kuonekwa chero chikonzero. Panguva iyi pane kubvuma kuti vamwe zvipenyu uye mupfungwa zvinhu kupesvedzera kukura ACS.

Biological zvikonzero:

• nhodzera;
• migumisiro dzechimwe kukuvara pfungwa;
• yematambudziko muuropi pashure zvirwere;
• pathologies pakati tsinga;
• nokuvhiringidzirwa Tutsinga tunofambisa mashoko utwu;
• zvinoderedza padanho kweserotonin, norepinephrine uye dopamine muuropi.

Psychological zvikonzero:

• anoshungurudza ukama hwemhuri;
• kuzviomesera Pfungwa dzidzo (semuenzaniso, chitendero);
• zvakaipisisa kushushikana ezvinhu;
• anoshungurudza basa;
• simba kunzwisisa (semuenzaniso, rikwanise pavakanzwa mashoko akaipa).

Ndiani sei ACS?

A mukana mukuru nyanyisa urwere muvanhu vari mumhuri vanenge kare vakasangana zviitiko zvakadaro - nemagene kubatwa. Kureva, kana imwe mhuri ine munhu ane chirwere pamusoro ACS, mikana vari kuti vana vake pakarepo achava chete neurosis, kubvira matatu nomwe muzana.

ACS ndiye pasi zvinotevera mhando unhu:

• zvakare havavimbiki vanhu;
• achida kuramba zvose pasi pavo;
• vanhu vane nhoroondo youduku mupfungwa, kana siyana ane nyaya mumhuri zvakakomba kusawirirana,
• vanhu wo vakatora kuchengeta mwana kana, Ukuwo, havawani yakakwana zvavabereki vavo;
• inini siyana kukuvara uropi.

Maererano nenhamba, hapana nokupesana nhamba varwere nyanyisa-muropa chirwere pakati pevarume nevakadzi. Asi pane muitiro kuti neurosis kazhinji anotanga kuratidza vanhu vane makore 15 kusvika 25 makore.

The zviratidzo ACS

Pakati huru zviratidzo chitarisiko nyanyisa-muropa nyonganyonga, nhamba kwokuonekwa zvinovhiringidza pfungwa uye monotonous ezuva (semuenzaniso, dzose kutya zvakaipa kutaura shoko kana kutya utachiona hunokonzera kakawanda Washing ruoko). Uyewo sevanhu achiperekedzwa zviratidzo:

• nokusarara usiku;
• kurota zvinotyisa;
• murombo Nzara kana kurasikirwa zvakakwana dzaro;
• kwokusuruvara;
• Mienzaniso kana zvakakwana yokuzviparadzanisa vanhu (munzanga chokudzingwa).

Categories vanhu compulsions mhando

Kazhinji, vanhu kupesvedzera zvinotevera Mapato maererano mhando compulsions (muropa zviito kumanikidzwa):

1. Utsanana kana vaya vanotya pakusvibiswa. Kureva, varwere kupa kugara chido kugeza maoko ako, kukwesha mazino enyu, kuchinja kana kusuka nguvo dzavo, uye zvichingodaro. Vaya nguva dzose dziri reinsured. vanhu vakadaro vari kunetseka nepfungwa zvaiita moto, kushanya mbavha uye zvakadai, saka kakawanda kuti dziongorore kumukova kana hwindo, kana muhadyana, muchoto iri adzima yakavharwa, chitofu, simbi uye zvichingodaro.
2. Vatadzi avo vanokahadzika. vanhu ava kutya kurangwa nokuda dzakakwirira mauto kana Vezvemitemo, kunyange chokwadi kuti chimwe chinhu kwete zvakakwana sezvo vanofunga.
3. Vanenge yakakwana. Vari kufunga kuti uye symmetry pazvose: nguvo, zvinhu nevamwe, uye kunyange zvokudya.
4. Vateresi. Vanhu vanogona kurega zvinhu, kunyange kana vasina zvakakodzera, nokuti kutya chii chichaitika chinhu chakaipa kana vose zvakafanana kana uchida chinhu.

Mienzaniso kuratidzwa chakasimba coronary urwere nedzevakuru

Sei nechirwere "nyanyisa-muropa urwere"? Zviratidzo zviri chirwere kunogona kuitika panguva mumwe munhu nenzira yavo.

Rakajairika zvikaramba zviripo ndiwo:

• Ndakafunga pamusoro nokurwiswa mhuri yake;
• nokuti vatyairi: kufunga kuti akapfura pasi mumwe chime;
• kufunganya kuti anogona kukonzera netsaona kukuvara munhu (somuenzaniso, kuronga mumba munhu ari pamusoro moto, mafashamo, uye zvichingodaro);
• kutya kuva pedophile;
• kutya kuva ngochani;
• pfungwa yokuti pane shamwari rudo, anosimbirira nechokwadi pamusoro Kururama sarudzo yake;
• kutya netsaona vanoti kana kunyora kuti chinhu hachina kunaka (somuenzaniso, vanoshandisa mutauro kukodzera nemumwe wepabasa);
• usatya kurarama maererano nechitendero kana netsika;
• anokangaidza pfungwa nezvemavambo matambudziko vasiri (akadai kufema, pakuparadza, avhiringidzwa mumaziso, nezvimwewo);
• kutya zvikanganiso basa kana basa;
• Kutya kurasikirwa zvinhu zvakanaka;
• kutya kurwara nechirwere nemavhairasi;
• kuramba pfungwa kufara kana kuunza chakaipa zvinhu, mashoko, nhamba;
• zvakawanda.

Vamwe zvikaramba zviripo zvakafanana inosanganisira zviito zvakadaro:

• Kugara kuchenesa uye kuremekedza mumwe hurongwa zvinhu;
• kakawanda Washing ruoko;
• akationgorora (kana dzevhudzi akakiyiwa kure kana magetsi, gasi, mvura zvichingodaro);
• kakawanda uchidzokorora chete akagadzirwa nhamba, mashoko kana zvikamu zvemashoko kuitira kudzivisa zviitiko zvakaipa;
• Kugara muchinjikwa-vachiongorora migumisiro basa ravo;
• Kugara kukarukureta matanho.

Mienzaniso kuratidzwa chakasimba coronary urwere muvana

Vana vari nyanyisa-muropa chirwere iri shoma zvikuru pane vakuru. Asi zviratidzo zvakafanana, asi zera-kugadziridzwa:

• kutya kuwana uri pokutizira;
• kutya kudonha shure nevabereki uye akarasika;
• kufunganya pamusoro wakatarwa, iyo inokura kuti madiro;
• kakawanda Washing ruoko, Kukwesha mazino;
• zvivako pamberi vezera akakura kuva nyanyisa chirwere uye zvichingodaro.

Mashoko ACS nechirwere

Chirwere pamusoro nyanyisa-muropa chirwere ndiko kuziva kupfuura intrusive pfungwa nezviito kuti vakatora nzvimbo pamusoro yakareba nguva (kwevhiki mbiri) uye aine mwoyo kana kuora mwoyo.

Pakati hunhu obsessional zviratidzo kuti chirwere kunofanira kusanganisira zvinotevera:

• murwere aripo kanenge imwe pfungwa kana chiito, uye iye anodzivisa navo;
• pfungwa kuita chinangwa, murwere Haanunuri mufaro
• Kudzokorora Kuramba anounza kufunganya.

Kunzwisisa nechirwere iri chokwadi kuti kazhinji zvakaoma kusiyanisa nyanyisa-depressive urwere kubva nyore ACS sezvo zviratidzo zvavo kuitika panenge panguva imwe chete. Kana zvakaoma kusarudza pakati pavo akazviratidza pamberi, ipapo vaiona kuva chikuru chirwere mwoyo.

Most ichafukura zvokuongorora kuti "nyanyisa-muropa chirwere" bvunzo. Kazhinji, rine nhamba penhau chokuita mhando uye nguva chiito uye kufunga, hunhu varwere ACS. Somuenzaniso:

• Kuwanda kwenguva daily yakawandisa kufunga intrusive pfungwa (mhinduro zvichibvira: akaita, vaviri maawa anopfuura maawa 6, zvichingodaro);
• nguva zuva yakawandisa kuita muropa zviito (mhinduro dzakafanana kuti mubvunzo wokutanga);
• kunakidzwa muropa pfungwa kana zviito (zvichibvira mhinduro: kwete, zvakakomba, mwero, uye zvakafanana);
• Uri nyanyisa pfungwa / zviito kuzvidzora (zvichibvira mhinduro: Zvirokwazvo, kwete, zvishoma, uye zvichingodaro);
• Unonzwa matambudziko washing ruoko / kugeza / Kukwesha / kupfeka / mbatya / zvinhu kuitira / rubanzu marara, uye zvichingodaro (mhinduro zvichibvira: Zvirokwazvo, kufanana nevamwe vanhu vose, kwete, regai kuita chinhu ichi, dzose muedzo uye zvakadai);
• sei nguva yakawanda Centauri kugeza / Kukwesha / bvudzi / kupfeka / okuchenesa / marara Kubviswa, zvichingodaro (zvichibvira mhinduro: zvose, kaviri, kakawanda zvikuru, uye akafanana).

Kuti uwane yakarurama chirwere uye kuona kukomba kwechirwere chacho, aya mibvunzo aigona kuva zvakati zvakawanda.

The zvabuda kuvimba nhamba pfungwa. Kakawanda kupfuura zvavo hombe, dzakanga mukana wokuva nyanyisa-muropa syndrome.

Nyanyisa-muropa urwere - Treatment

Kuti ubatsirwe pakurapa chakasimba coronary chirwere inofanira raireva chiremba wepfungwa uyo asina zvichabatsira chete yakarurama nechirwere, asi kukwanisa kuziva chikuru mhando nyanyisa-muropa nyonganyonga.

Uye sei unogona kukunda mune mukuru obsessional urwere huri ACS kurapwa kuti vaite imwe nhamba mupfungwa kuchirapa kupindira. Mishonga vari yakarideredza kuti necheseri, uye kazhinji vanokwanisa kuramba mugumisiro kubudirira nachiremba chete.

Yemanyorero kushandiswa tricyclic uye tetracyclic antidepressants (semuenzaniso, "Melipraminum" "mianserin" uye vamwe), uye anticonvulsants.

Kana pane metabolic zvinetso, izvo zvinodiwa dzose kushanda Tutsinga tunofambisa mashoko utwu muuropi, chiremba prescribes unokosha gadziriro nokurapa neurosis. Somuenzaniso, "Fluvoxamine", "Paroxetine" uye zvichingodaro.

Sezvo hypnosis kurapa uye psychoanalysis regai zvinosanganisirei. In pakurapa nyanyisa-muropa nyonganyonga akashandisa zvishande-maitiro nzira dziri tibudirire.

Chinangwa kurapwa ichi - kubatsira murwere kurega kufunga obsessional pfungwa uye pfungwa, achinyudza navo zvishoma nezvishoma. Nheyo yokuvhiyiwa sezvinotevera: murwere anofanira kufunga kwete vakamuka, uye kuramba kuita tsika. Saka, murwere kusangana kusagadzikana kubva nokuzvitutumadza haachipo, uye mugumisiro basa. Uropi Minamato haipindurwe kubva mumwe dambudziko kune mumwe, pashure nzira akawanda zvakadaro, chido kuita mabasa muropa aserera.

Zvimwewo kwomuchipatara anonyatsozivikanwa asi zvishande-zvounhu, kushandiswa tsika uye ichiri nzira "chemabhazi mafungiro." Murwere panguva Kunyanya kana zviito akakurudzira mupfungwa uti pachako, "Mira!" Uye ongorora zvose nokuedza kupindura mibvunzo inotevera:

1. rinofanira simba sei kuti izvi zvichaitika chaizvoizvo?
2. Ko kudzivisa nyanyisa pfungwa anowanzoita kurarama uye sei?
3. Sei pfungwa huru munyika kusagadzikana?
4. Achaita kuti kurarama nyore pasina zvikaramba zviripo uye compulsions?
5. Uchavapo here kufara pasina zvikaramba zviripo uye netsika?

The nyora mibvunzo vaigona kuenda mberi. The chikuru ndechokuti yavo chinangwa chaiva kuongorora mamiriro ezvinhu kubva kumativi ose.

Panewo Zvinogoneka kuti kwepfungwa anosarudza kushandisa nzira dzakasiyana-siyana kurapa serimwe rinogona kutsiva kana sezvi- rubatsiro. It kunobva munhu mhosva yayo kukuvadza. Somuenzaniso, zvingava mhuri kana boka psychotherapy.

Self-kubatsirwa ACS

Kunyange kana uine yakanaka chiremba munyika, zvinoitwa zvinofanira kuitwa uye vakawanda. Kwete zvishomanana vanachiremba - mumwe wavo, Dzheffri Shvarts, zvikuru inozivikanwa mutsvakurudzi ACS - dzinoti kuti yakazvimirira basa iri ezvinhu ake kunokosha chaizvo.

Nokuti ichi unoda:

• Kuongorora zvose zvinobvira manyuko nyanyisa-muropa chirwere: mabhuku, magazini yezvokurapa, nyaya paIndaneti. Vhomora mashoko napo pamusoro neurosis.
• Shandisa mazano kuti iwe wakadzidzisa chiremba wako. Kureva kuedza kudzvinyirira zvikaramba zviripo uye muropa maitiro.
• Ramba vaonane vadiwa - mhuri uye shamwari. Dzivisa zindoga, sezvo chete exacerbates ari nyanyisa syndrome.

Uye Chikurukuru, dzidza kuzorora. Dzidza pane zvinokosha kuzvivaraidza. Shandisa Kufungisisa, yoga kana dzimwe nzira. Ivo zvichakubatsira muderedze zviratidzo nyanyisa-muropa rebipolar uye kakawanda panowanikwa yavo.