Ngaba omnye kuni akaqondi ukuba ugula kangakanani? (Anosognosia) Makhe sithethe ngayo!

Khawucinge ukuba umhlobo wakho unesifo esithile, kodwa akafuni ukuvuma okanye ukuthetha ngaso. Ngaba ubonakala engaqondi ubunzima obuhambisana naso? Mhlawumbi unesifo esibizwa ngokuba yi-Anosognosia, esiza kuthetha ngaso namhlanje. Oku kusenokubonakala kunzima kancinci, kodwa masikwenze kube lula.

Yintoni i-Anosognosia?

Ngamafutshane, i-anosognosia kukungakwazi ukubona imeko yempilo okanye ingxaki umntu anayo. Oogqirha banokubhekisa koku ngokuthi "ukukhanyela ukusilela" okanye "ukuswela ukuqonda." Le yimeko yengqondo. Iwela phantsi kweqela leemeko ezibizwa ngokuba yi-"agnosia," ezenzeka xa ingqondo ingakwazi ukubona okanye ukuqonda ulwazi olubonelelwa ziimvakalelo zethu.

Cinga ukuba ezinye izifo zengqondo, ezifana ne -schizophrenia , zisenokungazi ukuba zinesifo okanye zifuna amayeza. Ngokufanayo, i-anosognosia inokwenzeka nakwizifo zomzimba, ezifana ne-stroke.

Ngubani ochaphazeleka kakhulu yile meko?

Le meko, ebizwa ngokuba yi-anosognosia, idla ngokubonakala kubantu abanezinye iingxaki zempilo, ingakumbi ezinye izifo zengqondo. Ezinye zezona meko zixhaphakileyo apho le meko ibonwa khona zezi:

• Isifo sika-Alzheimer
• Isifo sengqondo esixhalabisayo
• Ukuxhuzula
• I-Schizophrenia-yeemvakalelo `(Schizophrenia)`

Kuqheleke kakhulu kangangokuba iingcali zithi i-anosognosia ichaphazela phakathi kwama-50% nama-98% abantu abane-schizophrenia, malunga nama-40% abantu abane-bipolar disorder, kunye nabantu abangaphezu kwama-80% abanesifo se-Alzheimer. Ingachaphazela phakathi kwe-10% ne-18% yabantu abaye bahlaselwa sistroke baza balahlekelwa zingqondo kwelinye icala lomzimba wabo.

I-Anosognosia iwuchaphazela njani umzimba?

Iingqondo zethu zihlala zihlaziya ulwazi malunga nemizimba yethu, "umfanekiso wethu." Khawuthelekelele wenzakele, umzimba wakho wongeza olo lwazi kumfanekiso wakho, uze olo lwazi luhlaziywe nangona ukwenzakala kuphola. Nangona kunjalo, kumntu one-anosognosia, iindawo zengqondo ezihlaziya lo mfanekiso wakhe zinokonakala.

Ngenxa yoko, kuba ingqondo yomntu ingakwazi ukuhlaziya umfanekiso wakhe, akakwazi ukuqonda okanye ukuqonda ukuba unengxaki yempilo. Oku kwahlukile "kwinto yokukhanyela" esiyifumana ngamanye amaxesha xa sidakumbile okanye sothukile. Ngokukhanyela, njengakwimodeli ebizwa ngokuba yi-"Kübler-Ross," umntu uphepha ngabom inyani kuba akanakuyinyamezela. Kodwa umntu ono-"Anosognosia" akanakwazi nokubona ukuba unengxaki .

Ngamafutshane, umntu one-anosognosia akaqondi ukuba uyagula. Kufana nokungakwazi ukubona isiphene ebusweni bakhe esipilini.

Ngenxa yesi sizathu, basenokungazi ukuba banesifo, ngoko ke basenokungacingi nokufuna unyango lwaso. Kwezinye iimeko ezinzima, basenokungavumi okanye baphephe unyango.

Zithini iimpawu ze-Anosognosia?

Abantu abane-anosognosia badla ngokubonisa, ngezenzo nangamazwi abo, ukuba abakwazi ukuqaphela ingxaki yabo yempilo. Ngamanye amaxesha, aba bantu baqala ukuzithethelela (okanye ukuzama ukufihla) iimpawu okanye iimpawu. Ezinye iimpawu zinokuqondakala, ngelixa ezinye zisenokungaqondakali.

I-Anosognosia kukungakwazi ukwenza enye okanye ezingaphezulu kwezi zilandelayo:

• Ukuqonda ukuba banesifo okanye ingxaki yempilo.
• Ukuchonga iimpawu abazibonayo.
• Ukunxulumanisa iimpawu zabo nemeko yempilo efanelekileyo.
• Ukuqonda nokuvuma ukuba esi sifo sinzulu kwaye sifuna unyango.

Ngamanye amaxesha, umntu onesi sifo usenokungayifumani inyaniso ngesigulo sakhe, nokuba ngabom okanye ngokungazi. Abanye abantu "bayayidibanisa", oko kuthetha ukugcwalisa izithuba kwinkumbulo yabo ngeenkumbulo zobuxoki.

I-Anosognosia inokwenzeka nangeempawu ezithile ezithile. Makhe sijonge imizekelo embalwa.

Iingxaki zeemvakalelo kunye nokuhambahamba kwelinye icala lomzimba

Igama elithi anosognosia laqalwa ngo-1914 yingcali yezifo zengqondo yaseFransi uJoseph Babinski. Wasebenzisa eli gama ukuchaza umntu ongakwaziyo ukusebenzisa okanye ukuva icala lasekhohlo lomzimba wakhe. Nangona umntu wayengenakukwazi ukusebenzisa icala lasekhohlo, babengazi ngalo.

Olu hlobo lwe-anosognosia oluhamba kwicala elinye ludla ngokuchaphazela icala lasekhohlo lomzimba, kodwa lunokuchaphazela necala lasekunene. Iimpawu ezimbini eziphambili ezihamba nalo zezi:

• I-Hemiplegia: Oku kukulahlekelwa ngamandla kwelinye icala lomzimba. Umntu one-anosognosia, ongakwaziyo ukushukumisa elinye icala lomzimba wakhe, ucinga ukuba unako.
• Ukulahlekelwa ziziva-mvo: Oku kukulahlekelwa ziziva-mvo, njengokubona, ukuva, kunye nokuchukumisa, kwelinye icala lomzimba.

Isifo sika-Anton - i-anosognosia yokubona

I-Anton's syndrome luhlobo olungaqhelekanga lwe-anosognosia. Ichaphazela umbono ngeendlela ezimbini:

• Ukukhanyela ubumfama: Oku kukungakwazi komntu oyimfama ukuqonda ukuba uyimfama. Oku kudla ngokuchaphazela amehlo omabini, kodwa kukho ezinye izinto ezingaqhelekanga. Umzekelo "ngumbono wesibhamu-umbhobho", apho umntu anokubona kuphela embindini wentsimi yakhe yokubona.
• Ukungabonwa: Kulapho umntu athi aze akholelwe ukuba uyimfama, kodwa useneempawu zokubona. Olu hlobo lunqabile kakhulu kunokungabonwa.

Zithini izizathu ze-Anosognosia?

Zininzi izizathu ezahlukeneyo ze-anosognosia. Zonke zahlulwe zibe ziindidi ezimbini eziphambili:

1. Ukonakala kwengqondo

Njengayo nayiphi na enye inxalenye yomzimba wethu, ingqondo inokwenzakala. Ukonakala kwengqondo kubizwa ngokuba yi-"lesion". Ezi "lesions" ezibangela i-anosognosia zinokubangelwa nakweyiphi na kwezi zilandelayo:

• Ii-aneurysms zobuchopho
• Iithumba zobuchopho (kuquka iithumba ezinomhlaza nezingengomhlaza)
• Ukulimala entloko, okufana nokuxinana kwengqondo okanye ukwenzakala kwengqondo okubuhlungu (iiTBI)
• Umonakalo obangelwa kukungabikho komoya-mpilo engqondweni (i-cerebral hypoxia)
• Iintsholongwane (umzekelo, izifo ezibangela i-encephalitis)
• Ukuxhuzula kunye nokuxhuzula
• Ukuphelelwa ngamandla kokulala
• Izibetho
• Izinto ezinobuthi, umzekelo, ukutyhefwa yi-carbon monoxide

2. Izifo eziwohlokayo

Kukho izifo ezahlukeneyo eziphazamisa uthungelwano lonxibelelwano lobuchopho. Ukuphazamiseka okunjalo kunokuchaphazela amandla akho okuhlaziya umfanekiso wakho, nto leyo ekhokelela kwi-anosognosia. Ezinye izifo ezibangela okanye ezinxulumene nokuphazamiseka okunjalo ziquka:

• Isifo sika-Alzheimer
• Ukuxhuzula
• Isifo sengqondo esixhalabisayo
• Isifo sikaHuntington
• I-Schizophrenia-yeemvakalelo `(Schizophrenia)`

Ingaba oku kuyasulela?

Hayi, i-anosognosia ayisiyonto eyosulelayo.

Ifunyaniswa njani i-Anosognosia?

Enyanisweni, kunzima kakhulu kugqirha ukufumanisa i-anosognosia ngaphandle kokuba sele esazi ukuba unengxaki yempilo, kwaye awuboni zimpawu zokuba awuyiqondi ingxaki. Rhoqo, ugqirha uqala ngokuxilonga imeko echaphazela ubomi bakho kakhulu. Emva koko, baya kukrokrela i-anosognosia xa bebona iimpawu zokuba awuyiqondi ingxaki.

Kuqhelekile nokuba abantu abane-anosognosia bazibeke ezi mpawu okanye bazifihle. Oku kungenxa yokuba bazama ukugcwalisa izikhewu ezingqondweni zabo ngezinto abangaziqondiyo. Ke ngoko, kufuneka udibaniso lwezi zinto ukuze kufunyaniswe esi sifo:

• Uvavanyo lwenkqubo yomzimba neyemithambo-luvo.
• Ukubuza ngembali yempilo yomntu kunye neemeko zakhe zokuphila.
• Uvavanyo lokuxilonga kunye nemifanekiso.

Zeziphi iimvavanyo ezenziwayo koku?

Ezinye zeemvavanyo ezinokwenziwa ukujonga i-anosognosia ziquka (kodwa azipheleli apho):

• Iskeni yeTomography eKhompyutha (CT)
• I-Electroencephalogram (EEG)
• Umzobo weMagnetic Resonance (MRI)

Iphathwa njani i-Anosognosia?

I-Anosognosia yimeko enzima kakhulu ukuyinyanga kwaye ayinakuphiliswa ngokupheleleyo. Ukuba ibangelwa kukwenzakala kwengqondo, imeko isenokuphucuka ngokuhamba kwexesha njengoko ukwenzakala okusisiseko kunyangwa. Nangona kunjalo, abanye abantu banokufumana iziphumo ezingapheliyo, mhlawumbi ezihlala zihleli.

I-Anosognosia sisifo sengqondo esiwohlokayo esingenakunyangwa xa sithe savela. Nangona kunjalo, ezinye iindlela zonyango kunye neenkqubo zonyango zinokumnceda umntu onesifo ukuba ajongane naso. Akukho mayeza okanye unyango olunceda ngokuthe ngqo kwi-anosognosia. Unyango lukufundisa kuphela indlela yokuphila nale meko, aluyinyangi.

Ziziphi iingxaki ezinokwenzeka ngenxa yale meko?

Iingxaki ezinokuvela kwi-anosognosia zixhomekeke ngokupheleleyo kwesinye isifo umntu anaso kodwa angasaziyo. Ngenxa yokuba abantu abane-anosognosia bengazi ukuba banengxaki, akunakwenzeka ukuba bamkele baze bafune unyango.

Ngenxa yokuba ezi ngxaki zinokwahluka kakhulu, ugqirha wakho ngumntu ofanelekileyo ukuchaza iingxaki ezinokubakho ezinxulumene nemeko ethile ekuchaphazelayo.

Ungayinciphisa njani ingozi ye-anosognosia?

I-Anosognosia yimeko engenakucingeleka kwaye ayinakuthintelwa. Iyenzeka nakwezinye iimeko zonyango, ezifana ne-stroke okanye i-schizophrenia . Nangona ezinye zezi meko zinokuthintelwa, akuyonyani ukuba i-anosognosia ikhula ngenxa yezo meko.

Kodwa, kubaluleke kakhulu ukukhathalela nokukhusela ingqondo yakho. Nazi ezinye zezinto ezilungileyo onokuzenza:

• Yitya ukutya okunesondlo kwaye ugcine ubunzima obufanelekileyo obukufaneleyo.Iimeko ezininzi ezinxulumene nenkqubo yakho yokujikeleza kwegazi kunye nempilo yentliziyo, ingakumbi istroke, zinokubangela umonakalo engqondweni. Ukuthintela iimeko ezifana nestroke yindlela ephambili yokunciphisa umngcipheko wokukhula kweemeko ezikhokelela kwi-anosognosia.
• Musa ukuyithatha lula into yokuba iintsholongwane zikho emehlweni nasezindlebeni. Iintsholongwane emehlweni nasezindlebeni zinokuba yingozi kwaye zibulale ukuba zisasazeka ziye engqondweni. Ukongeza, ezi ntsholongwane zingonakalisa ingqondo kwaye zibangele izifo ezinxulumene ne-anosognosia.
• Nxiba izixhobo zokhuseleko. Ukulimala entloko kunokubangela umonakalo engqondweni kunye neengxaki ze-anosognosia. Oko kuthetha ukuba izixhobo zokhuseleko, ingakumbi izigcina-ntloko, zibalulekile emsebenzini nangexesha lakho lokuphumla.
• Lawula iimeko zakho zempilo. Kubalulekile ukulawula iimeko zempilo yengqondo ezinokukhokelela okanye ezinxulunyaniswa ne-anosognosia, ingakumbi i-schizophrenia . Ukulawula ezi meko kunokunceda ukuthintela iingxaki ezinkulu okanye ukuba mandundu kwemeko engalawulekiyo.

Kuza kwenzeka ntoni ukuba ndine-Anosognosia?

Ingxaki ngale meko kukuba ayikuvumeli ukuba uzibone ezinye izifo. Ngenxa yokuba awukwazi ukuzibona, kunzima kakhulu ukuzikhusela kwimiphumo yazo. Umzekelo, abantu abakhubazekileyo kwelinye icala lomzimba wabo basengozini enkulu yokwenzakala ngenxa yokuwa kuba becinga ukuba basenako ukuvuka.

Le meko iza kuhlala ixesha elingakanani?

Ukuba ibangelwa sisilonda sobuchopho, i-anosognosia inokuba ngcono ngokwayo. Ngamanye amaxesha inokuphela ngokupheleleyo, kodwa inokuba ngunaphakade. I-Anosognosia inokuba ngunaphakade xa isenzeka kwiimeko zempilo yengqondo okanye iingxaki zengqondo eziwohlokayo.

Iyintoni ikamva lale meko?

I-Anosognosia ayisiyongxaki okanye imeko eyingozi ngokwayo. Nangona kunjalo, iyandisa umngcipheko weengxaki ezivela kwezinye iingxaki. Abantu abanale meko banamathuba amaninzi okuxhathisa okanye ukuphepha unyango lwesifo abangasaziyo.

Ndingazinyamekela njani? (Ingakumbi abo baxhasa umntu onesi sifo)

Ukuba une-anosognosia, kubalulekile ukulandela icebiso nesikhokelo sikagqirha wakho. Ekubeni usenokungaziqondi iimeko zakho zempilo, kubalulekile ukuba uthembele kubuchule babo. Oku kuquka ukubona ugqirha wakho njengoko kucetyisiwe, ukuthatha amayeza akho njengoko kumiselwe, kunye nokunika ingqalelo kutshintsho kwiimpawu zakho, ingakumbi utshintsho ongenakukwazi ukuluchaza ngenye indlela.

Eyona nto ibalulekileyo kukuba, ekubeni umntu onesi sifo engayazi imeko yakhe, inkxaso nokuqonda kosapho nabahlobo kubaluleke kakhulu.

Ndifanele ndimbone nini ugqirha?

Ugqirha wakho uza kucebisa ishedyuli yokulandelela kunye namadinga onyango aqhubekayo. Kubalulekile ukubona ugqirha wakho njengoko kucetyisiwe. Ngale ndlela, unokujonga imeko yakho aze acebise utshintsho njengoko kufuneka. Ugqirha wakho uza kukuxelela nangazo naziphi na iimpawu okanye utshintsho olunokufuna unyango olukhawulezileyo.

Okokugqibela, umyalezo obaluleke kakhulu

I-Anosognosia inokuba yimeko edidayo neyoyikisayo. Kwabanye, ingabonakala ngathi yinkani okanye ukungafuni ukwamkela inyaniso. Kodwa eneneni, le meko ichaphazela amandla omntu okuqonda okwenzekayo emzimbeni wakhe.

Kubalulekile ukuba abantu abanale meko bakhe ubudlelwane bokuthembana nogqirha wabo kwaye bathembele kubuchule babo. Ukuba wena okanye umntu omthandayo une-anosognosia, kubalulekile nokuba nomonde nokuqonda kangangoko kunokwenzeka. Inkqubo eqinileyo yenkxaso kunye nenkxaso yabantu abathandayo inokwenza umahluko omkhulu kule meko. Oku kunokunceda ekunciphiseni impembelelo yemeko kwezinye izifo ezinxulumene nayo nakwimpilo-ntle yomntu wonke.

I- Anosognosia, isifo sengqondo, impilo yengqondo, ukungazi iimpawu, ukungaziqondi, isifo semithambo-luvo, unyango