Anosognosia: chimene icho chiri, zizindikiro, zifukwa ndi chithandizo
Zamkati
Anosognosia imafanana ndi kutaya chidziwitso komanso kukana za matenda omwewo komanso zolephera zake. Nthawi zambiri anosognosia ndi chizindikiro kapena zotsatira za matenda amitsempha, ndipo amatha kukhala ofala koyambirira kapena magawo ovuta kwambiri a Alzheimer's, schizophrenia kapena dementia, mwachitsanzo, kukhala okalamba pafupipafupi.
Palibe chithandizo chapadera cha anosognosia, koma chithandizo chazomwe zakhala zikuchitika nthawi zambiri chimathandiza kuchepetsa chizindikirochi. Komabe, chomwe chimapangitsa chithandizo kukhala chovuta ndikuti munthuyo akukana vutoli, yemwe angakane thandizo lililonse, popeza amakhulupirira kuti alibe matendawa.
Zizindikiro za anosognosia
Anosognosia imatha kuzindikirika pakusintha kwadzidzidzi kwamunthu, monga kuwonekera kwamakhalidwe ndi cholinga chokopa chidwi, mwachitsanzo.Zizindikiro zina zomwe zingathandize onse adotolo komanso banja kuti azindikire anosognosia ndi:
- Nthawi zonse ndimavala zovala zomwezo osadziwa;
- Kuchepetsa ukhondo;
- Kusintha kwa malingaliro chifukwa chakukumana ndi anthu ena;
- Kusazindikira za matenda anu.
Kuphatikiza apo, munthuyo angaganize kuti amatha kusuntha nkono wake, mwachitsanzo, pomwe sangathe, kapena kuganiza kuti adayankha mafunso onse moyenera poyesa, pomwe adalephera, ndipo osazindikira cholakwikacho. Zizindikirozi zimayenera kuwonedwa ndi banja ndikudziwitsidwa kwa a zachipatala kuti vutolo lizindikiridwe ndikuyamba kulandira mankhwala.
Zoyambitsa zazikulu
Anosognosia nthawi zambiri ndi chizindikiro kapena zotsatira za minyewa monga:
- Chilonda: Ndikusokonezeka kwa magazi kudera lina laubongo, ndikupangitsa ziwalo za gawo lina la thupi, kuvutika kuyankhula ndi chizungulire;
- Matenda achizungu: Ndi matenda amisala omwe amadziwika ndi kusintha kwa magwiridwe antchito am'maganizo omwe amatsogolera ku zisokonezo m'malingaliro ndi machitidwe;
- Misala: Zimafanana ndi kutaya kwapangidwe kazinthu zopanda nzeru, komwe kumatha kubweretsa kukumbukira, kulingalira ndi chilankhulo, mwachitsanzo;
- Matenda a Alzheimer's: Ndi neurodegenerative matenda yodziwika ndi kusintha patsogolo kukumbukira;
- Hemiplegia: Ndi mtundu wa matenda aubongo omwe amakhudza mbali imodzi ya thupi. Mvetsetsani kuti hemiplegia ndi chiyani ndi mawonekedwe ake;
- Matenda a bipolar: Imafanana ndi kusinthasintha kwa malingaliro komwe kumatha kukhala masiku, miyezi kapena zaka.
Kuzindikira kwa anosognosia kumapangidwa ndi neurologist kapena dokotala wazachipatala kutengera malipoti abanja ndikuwona momwe munthuyo amakhalira, poganizira zina monga chilankhulo, kukumbukira, kusintha kwa umunthu komanso kuthekera kochita ntchito inayake.
Momwe mankhwalawa amachitikira
Chifukwa sakudziwa momwe alili, munthu yemwe ali ndi anosognosia nthawi zambiri samalandira chithandizo chamankhwala kapena mankhwala, popeza amawona kuti zonse zili bwino ndi thanzi lake.
Palibe chithandizo chapadera cha anosognosia, koma chithandizo cha chifukwa chake, ndipo nthawi zambiri, ndikwanira kuthetsa chizindikirochi. Njira yabwino kwambiri yomwe madokotala amachepetsera izi ndi kudzera mu kukondoweza kwa mitsempha kudzera mu magwiridwe antchito azidziwitso, monga kusaka kwamawu, ma jigsaw puzzles kapena mawu achinsinsi, mwachitsanzo, kuwonjezera pakuchita masewera olimbitsa thupi, psychotherapy ndi chithandizo pagulu.
Kuphatikiza apo, munthu yemwe ali ndi anosognosia amayenera kuyang'aniridwa nthawi ndi nthawi ndi dokotala wazachipatala, kotero kuti kupita patsogolo kwa chizindikirocho ndi momwe zimakhalira.
Zovuta zotheka
Anthu omwe ali ndi anosognosia amakhala pachiwopsezo chowonjezeka pafupipafupi chifukwa cha kusintha kwamitsempha. Chifukwa chake, adotolo kapena akatswiri ena azaumoyo ayenera kuwalangiza am'banjamo za chisamaliro ndi zodzitetezera tsiku lililonse, kuti apewe kuvulala komwe kumadza chifukwa chakugwa, komwe kumatha kusokoneza thanzi la munthuyo.