Kodi mmodzi wa inu sakumvetsa matenda awo? (Anosognosia) Tiyeni tikambirane za matendawa!

Tangoganizani kuti mnzanu ali ndi matenda enaake, koma sakufuna kuvomereza kapena kulankhula za matendawa. Kodi akuoneka kuti sakumvetsa mavuto omwe amabwera ndi matendawa? Mwina ali ndi matenda otchedwa Anosognosia, omwe tikambirane lero. Izi zingawoneke zovuta pang'ono, koma tiyeni tizisunge mosavuta.

Kodi Anosognosia ndi chiyani?

Mwachidule, anosognosia ndi kulephera kuzindikira matenda kapena vuto lomwe munthu ali nalo. Madokotala angatchulenso izi ngati "kukana kuperewera" kapena "kusowa chidziwitso." Izi kwenikweni ndi vuto la ubongo. Limagwera m'gulu la matenda otchedwa "agnosia," omwe amapezeka pamene ubongo sungathe kuzindikira kapena kumvetsetsa bwino zomwe timamva.

Taganizirani kuti matenda ena amisala, monga schizophrenia , sangadziwe kuti ali ndi matendawa kapena kuti amafunika mankhwala. Mofananamo, anosognosia ingathenso kuchitika ndi matenda akuthupi, monga sitiroko.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Matendawa, otchedwa anosognosia, nthawi zambiri amapezeka mwa anthu omwe ali ndi mavuto ena azaumoyo, makamaka matenda ena amisala. Zina mwa matenda omwe amapezeka kwambiri ndi awa:

• Matenda a Alzheimer
• Matenda amisala
• Matenda a bipolar
• Schizophrenia-maganizo `(Schizophrenia)`

Ndi chinthu chofala kwambiri moti akatswiri amanena kuti anosognosia imakhudza pakati pa 50% ndi 98% ya anthu omwe ali ndi schizophrenia, pafupifupi 40% ya anthu omwe ali ndi matenda a bipolar, ndi oposa 80% ya anthu omwe ali ndi matenda a Alzheimer's. Ingakhudzenso pakati pa 10% ndi 18% ya anthu omwe adadwala sitiroko ndipo adataya chikumbumtima mbali imodzi ya thupi lawo.

Kodi Anosognosia imakhudza bwanji thupi?

Ubongo wathu nthawi zonse umasintha zambiri zokhudza matupi athu, "chithunzi chathu." Tangoganizani kuti mwavulala, thupi lanu limawonjezera chidziwitso chimenecho ku chithunzi chanu, kenako chidziwitsocho chimasinthidwa ngakhale pamene chilondacho chikuchira. Komabe, kwa munthu amene ali ndi vuto la anosognosia, ziwalo za ubongo zomwe zimasintha chithunzi ichi zitha kuwonongeka.

Chifukwa chake, chifukwa chakuti maganizo a munthu sangathe kusintha chithunzi chake, sangamvetse kapena kuzindikira kuti ali ndi vuto la thanzi. Izi ndi zosiyana ndi "kukana" komwe nthawi zina timakumana nako tikakhala achisoni kapena odabwa. Pokana, monga momwe zimatchulidwira "chitsanzo cha Kübler-Ross," munthu amapewa mwadala zenizeni chifukwa sangathe kuzipirira. Koma munthu amene ali ndi "Anosognosia" sangazindikire ngakhale kuti ali ndi vuto .

Mwachidule, munthu amene ali ndi vuto la anosognosia sadziwa kuti akudwala. Zili ngati kulephera kuona chilema pankhope pake pagalasi.

Pachifukwa ichi, sangazindikire kuti ali ndi matenda, kotero sangaganize nkomwe zofunafuna chithandizo cha matendawa. Nthawi zina, angakane kapena kupewa chithandizo.

Kodi zizindikiro za Anosognosia ndi ziti?

Anthu omwe ali ndi anosognosia nthawi zambiri amasonyeza, kudzera m'zochita ndi mawu awo, kuti sangathe kuzindikira vuto lawo la thanzi. Nthawi zina, anthuwa amayamba kuganiza bwino (kapena kuyesa kubisa) zizindikiro kapena zizindikiro. Zizindikiro zina zingamveke bwino, pomwe zina sizingakhale zomveka.

Anosognosia ndi kulephera kuchita chimodzi kapena zingapo mwa izi:

• Kuzindikira kuti ali ndi matenda kapena vuto la thanzi.
• Kuzindikira zizindikiro zomwe akukumana nazo.
• Kugwirizanitsa zizindikiro zawo ndi matenda oyenera.
• Kumvetsetsa ndi kuvomereza kuti matendawa ndi aakulu ndipo amafunika chithandizo.

Nthawi zina, munthu amene ali ndi vutoli angapewe zoona zokhudza matenda ake, kaya mwadala kapena mosadziwa. Anthu ena "amasinthasintha maganizo", zomwe zikutanthauza kudzaza mipata m'maganizo mwawo ndi zokumbukira zabodza.

Anosognosia ingathenso kuchitika ndi zizindikiro zinazake. Tiyeni tiwone zitsanzo zingapo.

Mavuto a kumva ndi kuyenda mbali imodzi ya thupi

Mawu akuti anosognosia anayamba kupangidwa mu 1914 ndi katswiri wa za mitsempha wa ku France Joseph Babinski. Anagwiritsa ntchito mawuwa pofotokoza munthu amene sankatha kugwiritsa ntchito kapena kumva mbali yakumanzere ya thupi lake. Ngakhale kuti munthuyo sankatha kugwiritsa ntchito mbali yakumanzere, iwo sankadziwa.

Mtundu uwu wa anosognosia wa mbali imodzi nthawi zambiri umakhudza mbali yakumanzere ya thupi, komanso ungakhudzenso mbali yakumanja. Zizindikiro ziwiri zazikulu zomwe zimatsatira izi ndi izi:

• Hemiplegia: Uku ndi kutaya mphamvu mbali imodzi ya thupi. Munthu amene ali ndi anosognosia, amene sangathe kusuntha mbali imodzi ya thupi lake, amaganiza kuti angathe.
• Kutaya kwa hemisensory: Uku ndi kutaya kwa kumva, monga kuwona, kumva, ndi kukhudza, mbali imodzi ya thupi.

Matenda a Anton - vuto la masomphenya

Matenda a Anton ndi mtundu wosowa kwambiri wa anosognosia. Amakhudza masomphenya m'njira ziwiri:

• Kukana kusaona: Uku ndi kulephera kwa munthu wosaona kuzindikira kuti ndi wosaona. Izi nthawi zambiri zimakhudza maso onse awiri, koma pali zina zomwe sizikuchitika. Chitsanzo ndi "masomphenya a mfuti", pomwe munthu amatha kungoona pakati pa maso ake.
• Kukana kuona: Apa ndi pamene munthu amanena ndi kukhulupirira kuti ndi wakhungu, koma akadali ndi zizindikiro zoti angathe kuona. Mtundu uwu ndi wosowa kwambiri kuposa kukana kuona.

Kodi zifukwa za Anosognosia ndi ziti?

Pali zifukwa zambiri zosiyanasiyana za anosognosia. Zonse zimagawidwa m'magulu awiri akuluakulu:

1. Kuwonongeka kwa ubongo

Monga momwe zilili ndi mbali ina iliyonse ya thupi lathu, ubongo ukhoza kuvulala. Kuwonongeka kwa ubongo kumatchedwa "lesion". "Lesions" izi zomwe zimayambitsa anosognosia zitha kuchitika chifukwa cha chilichonse mwa izi:

• Kuchuluka kwa magazi m'mitsempha ya ubongo
• Zotupa za muubongo (kuphatikizapo zotupa za khansa ndi zosakhala khansa)
• Kuvulala mutu, monga kuvulala kwa mutu kapena kuvulala kwa ubongo koopsa (TBIs)
• Kuwonongeka komwe kumachitika chifukwa cha kusowa kwa mpweya muubongo (cerebral hypoxia)
• Matenda (monga matenda omwe amayambitsa encephalitis)
• Khunyu ndi Khunyu
• Kupuma movutikira
• Kukwapula
• Zinthu zoopsa, mwachitsanzo poizoni wa carbon monoxide

2. Matenda ofooka

Pali matenda osiyanasiyana omwe amasokoneza kulumikizana kwa ubongo. Kusokonezeka kotereku kungakhudze luso lanu losintha chithunzi chanu, zomwe zimapangitsa kuti musamadziwe bwino. Matenda ena omwe amayambitsa kapena okhudzana ndi kusokonezeka kotereku ndi awa:

• Matenda a Alzheimer
• Matenda a bipolar
• Matenda amisala
• Matenda a Huntington
• Schizophrenia-maganizo `(Schizophrenia)`

Kodi izi ndi zopatsirana?

Ayi, anosognosia si matenda opatsirana.

Kodi Anosognosia imapezeka bwanji?

Ndipotu, zimakhala zovuta kwambiri kuti dokotala adziwe matenda a anosognosia pokhapokha ngati akudziwa kale kuti muli ndi vuto la thanzi, ndipo simukuwona zizindikiro zoti simukudziwa vutoli. Nthawi zambiri, dokotala amayamba kuzindikira vuto lomwe limakhudza kwambiri moyo wanu. Kenako, amakayikira anosognosia akaona zizindikiro zoti simukumvetsa vutolo.

Ndizachilendonso kuti anthu omwe ali ndi anosognosia azinena kapena kubisa zizindikirozo. Izi zili choncho chifukwa akuyesera kudzaza mipata m'maganizo mwawo ndi zinthu zomwe sangamvetse. Chifukwa chake, kuphatikiza kwa zinthuzi ndikofunikira kuti adziwe vutoli:

• Kuwunika thupi ndi mitsempha.
• Kufunsa za mbiri ya thanzi la munthu komanso momwe moyo wake ulili.
• Mayeso ozindikira matenda ndi kujambula zithunzi.

Ndi mayeso ati omwe amachitidwa pa izi?

Mayeso ena omwe angachite kuti aone ngati ali ndi anosognosia ndi awa (koma osati okha):

• Kujambula kwa Computerized Tomography (CT)
• Electroencephalogram (EEG)
• Chithunzi cha Magnetic Resonance (MRI)

Kodi Anosognosia imachiritsidwa bwanji?

Anosognosia ndi matenda ovuta kwambiri kuchiza ndipo sangachiritsidwe kwathunthu. Ngati ayambitsidwa ndi kuvulala kwa ubongo, matendawa amatha kusintha pakapita nthawi pamene kuvulala komwe kumayambitsa matendawa kukuchiritsidwa. Komabe, anthu ena amatha kukhala ndi zotsatirapo zosatha, mwina zosatha.

Anosognosia ndi matenda owononga ubongo omwe sangachiritsidwe akangoyamba. Komabe, njira zina zochiritsira ndi mapulogalamu ochizira zingathandize munthu amene ali ndi vutoli kuthana nalo. Palibe mankhwala kapena chithandizo chomwe chimathandiza mwachindunji ndi anosognosia. Chithandizo chimangophunzitsa momwe mungakhalire ndi vutoli, sichimachiritsa.

Ndi mavuto ati omwe angachitike chifukwa cha vutoli?

Mavuto omwe angabwere chifukwa cha anosognosia amadalira matenda ena omwe munthuyo ali nawo koma sakudziwa. Chifukwa anthu omwe ali ndi anosognosia sazindikira kuti ali ndi vuto, nthawi zambiri savomera ndikupempha chithandizo.

Popeza mavuto amenewa amatha kusiyana kwambiri, dokotala wanu ndiye munthu wabwino kwambiri woti afotokoze mavuto omwe angakhalepo okhudzana ndi vuto lomwe limakukhudzani.

Kodi mungachepetse bwanji chiopsezo cha anosognosia?

Anosognosia ndi matenda omwe sangadziwike ndipo sangapeweke. Amachitikiranso ndi matenda ena, monga sitiroko kapena schizophrenia . Ngakhale kuti matenda ena amatha kupewedwa, si zoona kuti anosognosia imayamba chifukwa cha matenda amenewo.

Koma, ndikofunikira kwambiri kusamalira ndi kuteteza ubongo wanu. Nazi zina mwa zinthu zabwino kwambiri zomwe mungachite:

• Idyani zakudya zopatsa thanzi komanso mukhale ndi thupi labwino lomwe likuyenererani.Matenda ambiri okhudzana ndi kayendedwe ka magazi ndi thanzi la mtima, makamaka sitiroko, angayambitse kuwonongeka kwa ubongo. Kupewa matenda monga sitiroko ndi njira yofunika kwambiri yochepetsera chiopsezo cha matenda omwe angayambitse anosognosia.
• Musanyoze matenda. Matenda m'maso ndi m'makutu amatha kukhala oopsa komanso oopsa ngati afalikira ku ubongo. Kuphatikiza apo, matendawa amatha kuwononga ubongo ndikuyambitsa matenda okhudzana ndi anosognosia.
• Valani zida zodzitetezera. Kuvulala kumutu kungayambitse kuwonongeka kwa ubongo ndi mavuto a anosognosia. Izi zikutanthauza kuti zida zodzitetezera, makamaka zipewa, ndizofunikira kuntchito komanso panthawi yanu yopuma.
• Konzani matenda anu. Ndikofunikira kwambiri kusamalira matenda amisala omwe angayambitse kapena okhudzana ndi anosognosia, makamaka schizophrenia . Kusamalira matenda awa kungathandize kupewa mavuto aakulu kapena kuipiraipira kwa matenda osalamulirika.

Kodi chimachitika ndi chiyani ndikakhala ndi Anosognosia?

Vuto la vutoli ndilakuti silikulolani kuzindikira matenda ena. Chifukwa chakuti simungathe kuwazindikira, zimakhala zovuta kwambiri kudziteteza ku zotsatira zake. Mwachitsanzo, anthu omwe ali ndi ziwalo mbali imodzi ya thupi lawo ali pachiwopsezo chachikulu chovulala chifukwa chogwa chifukwa amaganiza kuti akhoza kudzukabe.

Kodi vutoli lidzatha liti?

Ngati chachitika chifukwa cha vuto la ubongo, anosognosia imatha yokha. Nthawi zina imatha kwathunthu, komanso imatha kukhala yokhazikika. Anosognosia imatha kukhala yokhazikika ikachitika ndi matenda amisala kapena matenda a ubongo osakhazikika.

Kodi chiyembekezo cha vutoli n'chiyani?

Anosognosia si matenda oopsa kapena oopsa omwe angawononge moyo. Komabe, imawonjezera chiopsezo cha mavuto ena. Anthu omwe ali ndi vutoli amathanso kukana kapena kupewa chithandizo chamankhwala chifukwa cha matenda omwe sakudziwa.

Kodi ndimadzisamalira bwanji? (Makamaka kwa iwo omwe akuthandiza munthu amene ali ndi vutoli)

Ngati muli ndi anosognosia, ndikofunikira kutsatira malangizo ndi malangizo a dokotala wanu. Popeza simungamvetse matenda anu, ndikofunikira kudalira luso lawo. Izi zikuphatikizapo kuonana ndi dokotala wanu monga momwe akulangizidwira, kumwa mankhwala anu monga momwe mwalangizidwira, komanso kusamala ndi kusintha kwa zizindikiro zanu, makamaka kusintha komwe simungathe kufotokoza mwanjira ina.

Chofunika kwambiri n’chakuti, popeza munthu amene ali ndi vutoli sadziwa za vuto lake, thandizo ndi kumvetsetsa kwa abale ndi abwenzi n’kofunika kwambiri.

Kodi ndiyenera kupita kwa dokotala liti?

Dokotala wanu adzakulangizani nthawi yoti mudzakumane ndi dokotala wanu nthawi zonse komanso nthawi yokumana ndi dokotala wanu. Ndikofunikira kuonana ndi dokotala wanu monga momwe mwalangizidwira. Mwanjira imeneyi, akhoza kuyang'anira matenda anu ndikukulangizani zosintha ngati pakufunika kutero. Dokotala wanu adzakudziwitsaninso za zizindikiro kapena kusintha kulikonse komwe kungafunike thandizo lachipatala mwachangu.

Pomaliza, uthenga wofunika kwambiri

Matenda a Anosognosia amatha kukhala vuto losokoneza komanso loopsa kwambiri. Kwa ena, angawoneke ngati kuuma mtima kapena kusafuna kuvomereza chowonadi. Koma kwenikweni, vutoli limakhudza luso la munthu lomvetsa zomwe zikuchitika m'thupi lake.

Ndikofunikira kuti anthu omwe ali ndi vutoli amange ubale wodalirika ndi dokotala wawo ndikudalira luso lawo. Ngati inu kapena wokondedwa wanu muli ndi anosognosia, ndikofunikiranso kukhala oleza mtima komanso omvetsetsa momwe mungathere. Njira yothandizira yolimba komanso chithandizo cha okondedwa anu zingathandize kwambiri ndi vutoli. Izi zingathandizenso kuchepetsa zotsatira za vutoli pa matenda ena okhudzana ndi matendawa komanso pa thanzi la aliyense.

` Anosognosia, matenda a ubongo, thanzi la maganizo, kusadziwa zizindikiro, kusadzidziwa, matenda a mitsempha, chithandizo