Kutarisirwa Kwekuchengetedzwa Kwevana Vane Schizophrenia
Pendauluan
Schizophrenia chirwere chepfungwa chakakomba chinoratidzwa nekukanganisika kwepfungwa, maonero, manzwiro, uye maitiro. Chirwere ichi chinogona kuoneka sekuona zvinhu zvisipo, kufungidzira, kutaura kusina kurongeka, maitiro asina kurongeka, uye zviratidzo zvisina kunaka zvakaita sekushaya hanya uye kurega. Muvakadzi vari pazera rekubereka, schizophrenia idambudziko guru pakutarisirwa kwepamuviri nekuti inogona kukanganisa hunyanzvi hwekuzvitarisira, kutevedzera kutarisirwa kwepamuviri, hukama hwemhuri, uye kunyange kugadzirira kubereka uye kutarisira mwana. Saka, kutarisira kutarisirwa kwepamuviri kwenyaya dzeschizophrenia kunofanirwa kuve kwakakwana, kwakabatana, uye kwakanangana nekuchengetedzeka kweamai nemwana ari mudumbu.
Nheyo dzeKutarisira Vananyamukuta vane Schizophrenia
Kutarisirwa kwevananyamukuta vane chirwere cheschizophrenia hakungotaridzi chete zvinhu zvemuviri zvepamuviri kana pakusununguka, asiwo zvinhu zvepfungwa, zvemagariro, uye zvekuchengetedza. Nheyo dzinofanira kutevedzwa navananyamukuta dzinosanganisira nzira inotarisa murwere, kutaurirana nekurapa, kuremekedza kodzero dzevarwere, kudzivirira rusarura, uye kushandira pamwe kwevashandi pamwe chete. Mukuita, vananyamukuta vanofanira kuvaka kuvimbana, kushandisa mutauro uri nyore, kupa tsananguro pfupi asi dzakajeka, uye kudzokorora ruzivo sezvinodiwa.
Uyezve, vananyamukuta vanofanira kuongorora kugona kwemurwere kuita sarudzo. Mune zvimwe zviitiko, varwere vanogona kudzoka zvakare, zvichiita kuti vasakwanise kuongorora chokwadi. Mumamiriro ezvinhu akadaro, sarudzo dzekurapa dzinowanzoda rutsigiro rwemhuri yepedyo kana muchengeti, ukuwo vachifunga nezvetsika nemitemo inoshanda.
Kuongororwa Kwakazara Kwevana Vakwegura
Danho rekutanga rekutarisira varwere iongororo yakazara. Nyamukuta anofanira kuwana nhoroondo yekuzvitakura (LMP, zera repamuviri, nhoroondo yekusununguka, kupfupfudzika kwepamuviri), mamiriro ekudya, zvimwe zvirwere, uye nhoroondo yemishonga. Muchirwere cheschizophrenia, rumwe ruzivo rwakakosha runosanganisira:
1. Nhoroondo yezvirwere zvepfungwa: kana zvikaonekwa, kakawanda kacho kudzoka kwechirwere, nhoroondo yekurara muchipatara, kuvapo kwehunhu hwehasha kana hwekuzvikuvadza.
2. Kutevedzera kurapwa: kana murwere achitora mishonga yekurwisa pfungwa nguva dzose, kuti ndeapi mimwe migumisiro yakaipa yaanosangana nayo, uye zvikonzero zvekurega kana zvakadaro.
3. Rutsigiro rwemhuri: ndiani mutarisiri mukuru, chii chiri kuitika mumhuri, uye kugona kwemhuri kutarisa murwere.
4. Mamiriro epfungwa aripo iye zvino: kuvapo kwezviroto, kufungidzira, kusagadzikana, kunyumwira zvakanyanya, kuzvidya mwoyo, kana kuora mwoyo.
5. Njodzi dzekuchengetedza: njodzi yekuzviuraya, njodzi yekukuvadza vamwe, uye njodzi yekuzviregeredza (kusadya, kusageza, kusadzora).
Kuongororwa kwemuviri kuchiri kuitwa zvichienderana nemitemo yevanamukoti: zviratidzo zvehupenyu, mamiriro akajairika, kuongororwa kwedumbu, kurova kwemoyo wemwana ari mudumbu (FHR), kufamba kwemwana ari mudumbu, uye kuongororwa kunotsigira senge hemoglobin (Hb), shuga yeropa, uye kuongororwa kwehutachiona, kana zvichidikanwa. Vanamukoti vanofanirawo kuziva nezvemhedzisiro yemimwe mishonga yekurapa psychotic, iyo inogona kuwedzera njodzi yekuwedzera uremu kana kusagadzikana kweglucose.
Kuronga Kutarisira Kwakabatana
Kuronga rubatsiro rwevakadzi vane pamuviri vane chirwere cheschizophrenia kunofanira kufunga nezvepfungwa dzavo, nzira dzekushandisa mishonga, uye kugadzirira shanduko dzemuviri wepamuviri. Zvimwe zvikamu zvehurongwa hwerubatsiro zvinosanganisira:
1. Hurongwa Hwakachengeteka Hwekuzvara
Vananyamukuta vanofanira kuronga kushanya kwakarongeka kweANC vachiyeuchidza zvakajeka. Kana murwere achiwanzokanganwa, mhuri inogona kubatanidzwa kuti ive nechokwadi chekuti vanouya. Dzidzo inofanira kupiwa zvishoma nezvishoma, semuenzaniso, nezvezviratidzo zvepamuviri zvine njodzi, kudya kunovaka muviri, kuzorora, uye kugadzirira kusununguka. Taura ruzivo uchishandisa mitsara mipfupi uye kumbira murwere kuti arudzokorore kuti ave nechokwadi chekuti vanonzwisisa.
2. Kutumirwa Kwechiremba uye Kushanda Pamwe Chete Nevanachiremba Vepfungwa
Kushanda pamwe chete kwakakosha nekuti mimwe mishonga yekurapa chirwere chepfungwa inoda kutariswa zvakanyanya panguva yekuzvitakura nekuyamwisa. Vananyamukuta havachinje mishonga vega asi vanorerutsa kutaurirana pakati pemurwere nachiremba wepfungwa. Chinangwa ndechekugadzikana kwezviratidzo nekushandisa mushonga wakaderera unoshanda, pamwe nekutarisa migumisiro yakaipa.
3. Kudzivirira Kudzokorora
Kushushikana, kushaya hope, kusawirirana mumhuri, uye kurega kushandisa mishonga kamwe kamwe zvinogona kukonzera kudzokera shure. Vananyamukuta nemhuri vanofanira kugadzira hurongwa hwekudzivirira: purogiramu yekurara, mabasa ezuva nezuva, rutsigiro rwemanzwiro, uye kuona zviratidzo zvekudzokera shure nekukurumidza zvakaita sekunetseka kurara, kuva nefungidziro zvakanyanya, kana kutaura kusina kurongeka.
4. Kuronga Kuzvarwa uye Kugadzirira Dambudziko
Chirongwa chekusununguka chinofanira kusanganisira nzvimbo yakachengeteka yekuberekera, zvinodiwa nevanotarisira, uye mamiriro ezvinhu kana murwere akasangana nedambudziko repfungwa kana psychosis. Muzviitiko zvine njodzi huru, kusununguka kunzvimbo yekutumira rubatsiro nerutsigiro rwevanachiremba vezvekubereka nevanachiremba vepfungwa ndiko kunonyanya kufarirwa. Vananyamukuta vanogadzirirawo nzira dzisiri dzemishonga dzekudzikamisa murwere, dzakadai sekamuri rakanyarara, kusanyanya kumutsa, uye kutaurirana kusingatyisidzi.
Kuitwa kweKutarisira Munguva yeKubata Pamuviri, Kubereka, uye Mushure mekusununguka
Kutarisirwa Munguva Yekuzvitakura
Vananyamukuta vanovimbisa kuti zvinodiwa nevarwere zvinozadzikiswa: chikafu chakakwana, zvinwiwa, hutsanana, uye kuzorora. Dzidziso yehutano inopihwa nguva dzose asi kwete zvakanyanya kudzivirira kuremedza murwere. Kana murwere akasangana nezviratidzo zvepfungwa zvisina kusimba, vananyamukuta vanochengetedza hunhu hwakadzikama, vanodzivisa kukakavadzana nepfungwa dzisina kunaka, uye vanonangidzira hurukuro kune zvinodiwa zvehutano. Kana zvisizvo zvinotyisidzira hupenyu kana maitiro asingadzoreki zvikaitika, kutumira varwere nekukurumidza kunodiwa.
Kutarisirwa Kwemwana Mukati Mekusununguka (Panguva Yekusununguka)
Kusununguka kunogona kuva nguva inonetsa zvikuru. Vananyamukuta vanofanira kugadzira nzvimbo yakachengeteka uye inotsigira, kuderedza huwandu hwevanhu vari mukamuri, uye kuona kuti murwere anowana tsananguro yezvese zvinoitwa. Kana murwere asingashande pamwe chete nekuda kwezviratidzo, nyamukuta achashanda nechikwata chevanachiremba kuti vafunge nezvekunyaradza kana kupindira sezvakaratidzwa, ukuwo vachifunga nezvekuchengetedzwa kwemwana ari mudumbu.
Munhu anovimbwa naye pakusununguka anogona kubatsira kuderedza kuzvidya mwoyo. Nzira dziri nyore dzekuzorora, kutsigirana nemashoko, uye kugadzirisa marwadzo zvakakodzera zvinogonawo kuderedza njodzi yekushungurudzika.
Kutarisirwa Kwemwana Mushure mekusununguka uye Kuyamwisa
Nguva yekusununguka inguva isina kugadzikana yezvirwere zvepfungwa, zvinosanganisira kuora mwoyo mushure mekusununguka kana kudzoka kwechirwere chepfungwa. Vananyamukuta vanoongorora mamiriro epfungwa dzaamai, kunaka kwekurara, maitiro ekudya, uye kugona kwavo kutarisira mwana. Kuyamwisa kunofanirwa kufungwa nezvako nachiremba wepfungwa nekuti mimwe mishonga inogona kupinda mumukaka wezamu. Kana kuyamwisa kuchionekwa sekunge kwakachengeteka, amai vanofanira kuperekedzwa kuti vaone kuti kuyamwisa kunobudirira. Kana izvi zvisingaite, vananyamukuta vanobatsira mhuri kugadzirira dzimwe nzira dzekupa mwana chikafu uye kuona kuti vanobatana kuburikidza nekubatana kweganda neganda uye kudyidzana kwakanaka.
Kuchengetedzwa kwemwana kunonyanya kutariswa. Kana amai vakaratidza hunhu hune njodzi, mhuri ndiyo inofanira kutungamira amai vachitarisirwa.
Kuongorora uye Zvinyorwa
Kuongororwa kunoitwa nguva dzose: kana amai vari kuenda kunoongororwa, vachitora mishonga nguva dzose, mamiriro emwana ari mudumbu, uye chero zviratidzo zvekudzokera shure. Magwaro anofanira kunge akakwana, kusanganisira zvakawanikwa mumuviri nepfungwa, dzidzo inopiwa, kubatanidzwa kwemhuri, uye zvirongwa zvekutevera. Zvinyorwa zvakanaka zvinoita kuti pave nekudyidzana nevamwe vanopa hutano uye kuvandudza mhando yerubatsiro.
Matambudziko uye Mazano Ekukunda
Kurapwa kwechirwere chepfungwa panguva yekusununguka kunowanzosangana nematambudziko akadai sekunyadziswa, kuramba kurapwa, kusatsigirwa kwemhuri, uye njodzi yemhirizhonga. Nzira dzinogona kushandiswa nevananyamukuta dzinosanganisira kutanga hukama hwekurapa, kupa dzidzo isina mhosva, kubatanidza vanhu vane simba mumhuri, uye kuona kuti pane network inoshanda yekutumira varwere. Vananyamukuta vanofanirawo kuchengetedza kuchengetedzeka kwavo nekutevera nzira dzekuchengetedza, kunyanya kana murwere akaratidza zviratidzo zvehasha.
Mhedziso
Kutarisirwa kwekuchengetedzwa kwevana vanorwara neschizophrenia kunoda nzira yakazara inobatanidza nyaya dzekusununguka nezvehutano hwepfungwa. Kuongorora kwakakwana, kuronga kwakarongeka, kushanda pamwe chete nachiremba wepfungwa, uye kubatanidzwa kwemhuri ndizvo zvakakosha. Chinangwa chikuru chekutarisira ndechekuona kuchengetedzeka kwaamai nemwana ari mudumbu, kudzivirira kudzokera shure, kukurudzira kusununguka kwakachengeteka, uye kubatsira amai mubasa ravo rekurera nerutsigiro rwakakwana. Nekubatsirana, kuronga, uye kushanda pamwe chete, vakadzi vane schizophrenia vanogona kuramba vachiwana pamuviri nekusununguka zvakachengeteka uye neruremekedzo.