Schizophrenia Kuongororwa: Zvichaitwa Nechiremba Wako Kuziva
Kuona mupfungwa yepfungwa isarudzo isingauyi nyore. Chikamu chekutambudzika hakuzivi kuti chii chaunotarisira. Ndiko chiremba achienda kunobvunza mibvunzo yakawanda here? Mibvunzo ipi yemibvunzo? Ichi chinyorwa chinopa mhedziso yemibvunzo inowanzobvunzwa panguva yekuongororwa kwepfungwa kwechichichiphrenia . Kuziviswa kunofamba nenzira yakareba yekugadzirisa zvimwe zvekuzvidya mwoyo zvinowanzoonekwa nevarwere vachiona chiremba chepfungwa kwenguva yekutanga.
Vanachiremba vanoita sei kuongororwa?
Nyaya dzakawanda dzezvehutano dzinoongororwa dzichibva pamusana wekunyunyuta kwevarwere (zviratidzo) uye zvisizvo zvisina kuwanikwa kubva mumuviri kana mupfungwa mamiriro ekuongorora (zviratidzo).
Kutevera nhoroondo nekuongorora, chiremba angave ane ruzivo rwakakwana kuti aongorore. Zvisinei, pane zviitiko apo chiremba anoda kuwana mimwe miedzo yekuwedzera kunzwisisa zviri nani dambudziko iri.
Kazhinji vanachiremba vanotarisa huwandu hwehutano hwehutano hunogona kunge hunokonzera dambudziko. Sezvo chiremba akaisa pamwe ruzivo kubva munhoroondo, kuongororwa, uye chero humwe huongorori humwe, mapurisa emamiriro ezvinhu akasiyana-siyana ari kuongororwa (differential diagnosis) anowedzererwa kusvika pakuonekwa kunowanikwa.
Kuwana History
Chiremba anotanga kuunganidza nhoroondo, zvinoreva kuti achamubvunza pamusoro pezviratidzo: sei vakatanga (kutanga), vakashandura sei munguva (mararamiro ekurwara) uye chii chinoita kuti zvinhu zvive nani kana kuipa (kuchinja zvinhu). Chiremba achabvunza zvakare nezvezvinetso zvinosanganiswa zvinosanganisira zvinetso zvehutano uye kushandisa zvakanyanya doro kana zvinodhaka.
Icho chiito chakanaka chekujekesa kuti mishonga yakanzi chii uye kuti zviratidzo zvako zvakagadziriswa sei mukurapwa.
Chiremba achabvunzawo nezvemhando ipi neipi yehutano hwepfungwa dzakapfuura, pamwe nehutano hwekare hwehutano hunosanganisira kugunun'una, kushungurudzika musoro kana kurasikirwa kwenguva refu kwekuziva.
Kunzwisisa uyo murwere akaita somunhu chikamu chinokosha chekuongorora kwepfungwa. Saka, tarisira mibvunzo pamusoro pokukura, kuchikoro, ukama nevomumhuri neshamwari, zvinofarira uye zvinokuvaraidza, simba uye utera.
Pakupedzisira asi kwete, mudzidzisi wepfungwa achabvunza mibvunzo pamusoro pemhuri ipi neipi yehutano hwehutano hwepfungwa, kusanganisira zvinodhaka kana zvinodhaka.
Collateral History
Kuti uzonzwisisa zviri nani zviri kuitika zvingave zvakakosha kuti utaurewo kune vamwe vanoziva murwere zvakanaka. Izvozvo zvinoreva kuti chiremba wepfungwa angangodaro atsvaga mvumo yekutaura nevanhu vanopedza nguva pamwe nemurwere, sevanhengo dzemhuri kana shamwari.
Mental Status Examination
Chiremba anoongorora murwere, manzwiro, chido, chinangwa, nekufungisisa.
Mibvunzo pamusoro pechido chekuzvikuvadza kana kukuvadza vamwe ndiyo chikamu chekuongorora kwepfungwa.
Kuongororwa kwepfungwa mupfungwa kune schizophrenia nguva dzose inosanganisira mibvunzo pamusoro pezvakaitika zvisingawanzoitika manzwi ekunzwa kana manzwi, kuona zviratidzo, kunzwa sezvinhu zviri kutambaira paganda rako, kana chimwe chinhu chingafanirwa sechinhu chisingazivikanwi kana chinoshamisa kana manzwiro ( zviratidzo zvakanaka ).
Tarisira mibvunzo pamusoro pekuti unofambidzana sei nevamwe vanhu kusanganisira mibvunzo pamusoro pekunzwa sokunge vamwe vachikupa nguva yakaoma, kukutevera kana kuronga pamusoro pako.
Pakupedzisira, chirwere chepfungwa chinoda kuongorora kukanganisa, kukwanisa kubhadhara uye kuyeuka kunofunga. Kuti uwane izvo chiremba achakumbira murwere kuita zviverengero zvakajeka, kana yeuka mazwi mashomanana kana nhamba.
Vhura
Zvakajairika kuti unzwe usina kunetseka kana ukabvunzwa mibvunzo yakawanda. Vanhu vazhinji vanozviona zvakaoma kuvimba uye kuvhura kune mumwe wavanongosangana navo, vanachiremba vaisanganisira. Mimwe yemibvunzo yechiremba ichave ine nyaya dzisinganzwisisiki uye kutaura pamusoro pezvinonyadzisa kana zvakanyanya pachedu hazvisi nyore.
Uyezve, kuti uite zvakanyanya kuoma, fungidzira manzwi anokuudza "kusavimba nomunhu" kana kunzwa sokuti "ivo vari kunze kundondiwana" (pane dzimwe nguva inogona kunzwa sokuti chiremba ariwo chikamu chebasa). Hazwi mazwi kana paranoia hazvifungidziri asi ndeyechokwadi kuvarwere vanorarama schizophrenia .
Zvinonzwisisika saka izvo kazhinji nguva varwere vane schizophrenia vanosarudza kusabatanidzwa kana kunyange kuperedzwa zvakakwana.
Zvinosuruvarisa, kana izvozvo zvikaitika, chiremba achava nemashoko mashomanana. Uye ruzivo ruduku haruna rubatsiro ruduku kana rwuri pamusoro pechirwere chekuongorora uye chirongwa chekurapa.
Munguva dzakafanana neizvi, zvakakosha kukuyeuchidza murwere kuti vanachiremba havagoni kuverenga pfungwa dzemumwe munhu uye mikana ndeyekuti havasi kunze kuti avatore. Kukurudzirwa kubva kuvanhu vavanovimba kunogona kubatsira varwere kunzwa vanonzwa vakasununguka vachitaura pamusoro pezvavanowana, pfungwa, uye manzwiro avo.
Vanachiremba vanogona kubatsira kune zvakakanaka semashoko avanowana panguva yekuongorora. Kuona chiremba wepfungwa hakusiyana nekuona mumwe chiremba: "basa" romurwere ndeyekuedza kupindura mibvunzo zvakanakisisa zvavanogona, kwete kureurura uye kusaisa ruzivo. Sezvo iyo yakawanda yakazaruka murwere, zviri nani kuti chiremba ave nekodzero yekuita zviratidzo zvakanaka uye kupa mishonga yakanakisisa.