I-Syndrome Kandinsky-Konovalov. Iimpawu, unyango, ukuxela

I-Kandinsky-Konovalov syndrome (uKandinsky-Clerambo) yenye yeentlobo ze- hallucinatory-paranoid syndrome, ebizwa ngokuba yi- syndrome ye-automatism yengqondo. Esi simo sengqondo, esichazwe ngokuhlukanisa okanye ukulahlekelwa "ngokwabo", ukungabikho kwemigaqo yabo yengqondo (inzwa, imoto kunye nengqondo).

Eli rhulumente lidibaniswe kunye nefuthe lempembelelo yamandla angaphandle. Ngaloo ndlela, i-Kandinsky-Konovalov syndrome ichazwa njengento ephosakeleyo, ihamba kunye nemvakalelo yenyama kunye nengqondo, kwakunye neengcamango zentshutshiso, imeko. Ngokuqhelekileyo, le syndrome iyabonakala kwi-schizophrenia, kodwa nayo ibonakala njengesifo esibizayo, umzekelo, kwisifo esifana nesifo sikaKonovalov-Wilson.

Kuluhlu lweembonakaliso ze-neuropsychic zezifo zesifo-i-Wilson-izifo zentetho, ubuthathaka obuso buthathaka, ukugungqiswa, ukunyanzeliswa ngokugqithiseleyo, ukulungelelanisa ukulungelelanisa ukuhamba. Ngesifo se-Konovalov-Wilson, ngokungafani ne-Konovalov's syndrome, ubulumko bugcinwe ngokupheleleyo. Nangona kunjalo, ukuziphatha okuphambene nokuhamba kunye nokubonakaliswa kweentlobo ze-phobias kubonwa.

Isifo sikaWilson sifa kwaye sibangelwa ukuphulwa kwezinto eziqhelekileyo zokusabalalisa ubhedu emzimbeni, okukhokelela ekuhlanganyeleni komzimba. Oku kubangela ukuba umonakalo wesibindi (i-cirrhosis) kunye nezilonda ze-cerebellar, i-cortex ye-cerebral kunye ne-basal ganglia. Esi sifo sihamba kunye nomonakalo kwisibindi nesistim se-nervous system ngokubandakanyeka kwinkqubo yesifo sezintso, kunye nelihlo.

Isifo sikaKandinsky. Umfanekiso wekliniki

Kukho iintlobo ezimbini eziphambili ze-syndrome kaKandinsky, ngokuhambelana neempawu zolu hlobo oluthile:

- kunye neembandezelo zeempembelelo (i-automatism yengqondo), leyo, njengomthetho, kubangelwa i-degree ephezulu yokukhubazeka kwindawo yokucinga;

- kunye ne-predominance ye-neuro-hallucinatory disorders.

Kuyaphawuleka ukuba le syndrome ivele kuphela kubantu. Ukhohlakeleko lwentshutshiso kunye neengcamango ezingabonakaliyo zifunyenwe kwingcamango yesigulane ngeendlela ezahlukeneyo: ukusuka kwi-hypnosis kunye nobugqwirha, kwimpembelelo yezobuchwepheshe zamacandelo anamhlanje. Umzekelo, amandla e-athomu okanye "imisebe ye-electromagnetic" evela kwikhompyutheni yekhompyutha.

Ukugxekwa kokunqoba ulawulo olunjalo njengokuba u-Kandinsky-Konovalov syndrome ayimbi kakhulu.

Kwizengqondo, kukho iintlobo ezintathu ze-automatism yengqondo:

- unxulumano okanye umxhelo;

- inzwa, okanye i-senestopatic;

- kinesthetic okanye imoto.

I-automation okanye i-ideator automatisms yiphumo yempembelelo engqondweni kwiinkqubo zokucinga, kunye nezinye iintlobo zomsebenzi wengqondo. Uhlobo olulula kakhulu lwezithuthi ezisebenzisayo zengqondo, oko kukuthi, inkambo yokuzibandakanya iingcinga kunye neengcamango, ezihamba kunye nesifo somguli, ukuba iingcamango zakhe zaziwa kubo bonke abakuzungezile.

I-sensory (i-senestopatic) i-automatisms ibandakanya ukuvakalelwa okungathandekiyo okuvela kwizigulana nazo kuthiwa zibangelwa yimpembelelo engaphandle. Zingahluke kakhulu. Ngokomzekelo, umvakalelo wokubanda ngokukhawuleza okanye ukufudumala, ukuvakalelwa intlungu "kwindawo ethile ngaphakathi," entloko okanye ekupheleni, kunokuzibonakalisa.

Ukuhamba ngeemoto (i-kinesthetic) i-automatisms zibandakanya ukuphazamiseka apho izigulane ziqinisekile ukuba ukunyakaza abakwenzayo akuzenzekanga ngokwabo, kodwa ngaphezu kokuthanda kwabo. Ukubonwa ngumbono-ngcamango kungabonakaliswa imibono: ubuso, imifanekiso, imifanekiso yeepanoramic, esiboniswe kwisigulane, njengomthetho, abaxhasi bakhe ngoncedo lwezixhobo ezithile ezenziwe ngabantu.

Unyango lwe-Kandinsky-Konovalov syndrome

Ukuze unyango lwamaxesha okudandatheka kwesifo, isisombululo semithi yokulwa ne-antipsychotic efana ne-tryptazine kunye ne-haloperidol isetyenziswe. Ukongezelela, ngesiphumo esihle seziyobisi ze-psychotropic, isigulane sinokugcinwa nguthambo lweengqondo kunye nokuvuselelwa kwangaphambili.

Ngokungafani nemeko enjalo njenge-Kandinsky-Konovalov syndrome, unyango lwe-Konovalov-Wilson isifo. Injongo yalo kukunciphisa inani lobhedu eliya emzimbeni nokunciphisa iindawo ezikhoyo ezikhoyo. Kule nto, isigulane sinikwa ukutya okude ubomi, oku kuthetha ukugatya okupheleleyo ukutya okubutyebi ngobhedu: ubhontshisi, ikhofi, ushokoleta, i-nut, njalonjalo.

Ukunyangwa kweziyobisi ze-Konovalov-Wilson isifo senziwa ngoncedo lweziyobisi ezisusa ubhedu emzimbeni. Umzekelo, i-D-penicillamine, kwakunye neeriti ze-zinc. Kule meko, unyango lunqunywe ngokusemthethweni kwisigulane ngasinye, kodwa kuxhomekeke ekunyusweni ngokukodwa kwimiqathango yeziyobisi.

Kungakhathaliseki ukuba zeziphi izizathu ezichaphazelekayo ekuziphatheni komntu, isizathu esiyinhloko sokutshintshwa kweso sifo sengqondo singumntu ongapheliyo kukungabikho kokuqwalaselwa komntu kwiintsapho zakhe. Kukho nawuphi na, ukuxilongwa ngokukhawuleza kunye nokungabi nonyango olufanelekileyo kungakhokelela isiguli.