Psychomotor agitation: Nau'in, Alamun, Jiyya

Agitation auku a m shafi tunanin mutum da cuta bayyana karin motor aiki, wanda zai iya a tare da rikice, tashin hankali, mutunci, fun, hallucinations, da ruɗewa, delirium kuma m. P. More game da cewa shi ne bai yanayin, saboda wanda shi zai iya faruwa da kuma yadda bi da, da za a tattauna daga baya a cikin labarin.

Major ãyõyin psychomotor agitation

Jihar agitation ne halin da m farko, mai tsanani hanawa na sani da restlessness (da shi zai iya zama kamar yadda fidgeting kuma m hallakaswa mataki). A haƙuri iya samun asar, sai murna, ko, a akasin haka, tashin hankali, da tsoro.

Its ƙungiyoyi zama m, rashin, maganarsu iya bi zumudi - verbosity, wani lokacin a cikin wani nau'i na ci gaba da rafi kalmomi tare da ihu mutum sauti ko phrases. A haƙuri iya bi hallucinations, ya lura dizziness, tunani ta wãyi kara da kuma tsage (dissociative). Akwai ta'adi directed biyu a na yanayi da kuma a kanta (suicidal yunkurin). Af, da zargi don ya yanayin a cikin wani haƙuri ne m.

Kamar yadda aka fahimta daga sama bayyanar cututtuka, da mãsu haƙuri ta kiwon lafiya shi ne wani hatsari da kuma bukatar likita nan da nan hankali. Amma da za a iya kai wa ga irin wannan halin da ake ciki?

Sanadin agitation

M agitation za a iya tsokane da dama dalilai kamar tsananin gajiya, da kuma kwayoyin kwakwalwa lalacewa (msl, epilepsy).

Mafi sau da yawa da shi ya auku:

• a dogon zauna wajen tunani da lafiya mutum a Jihar tsoro ko a sakamakon ya yi mashi wani rai barazana halin da ake ciki (misali, bayan wani hadarin mota, zai iya ci gaba da ake kira mai amsawa psychosis) .
• a m ko na kullum barasa, abin mãye da guba tare da maganin kafeyin, quinacrine, atropine kuma m. p.;
• bayan kunno kai daga coma ko bayan traumatic kwakwalwa rauni, tsokani pathological lalacewar sassan ƙwaƙwalwa.
• Yana iya zama sakamako na CNS gubobi, sakamakon tsananin cutar.
• a ciwon iska.
• sau da yawa ci karo a shafi tunanin mutum da rashin lafiya: schizophrenia, depressive psychosis, mania, m, ko bipolar cuta.

mai tsanani agitation

A magani, psychomotor agitation kasu kashi uku digiri na tsanani.

1. M. Marasa lafiya a cikin wannan hali ya dubi kawai kamar wani unusually m.
2. A talakawan mataki da aka bayyana a cikin siffofin unfocused su maganganu da ayyuka. The ayyuka ne m, ya bayyana bayyana affective cuta (cheerfulness, fushi, bakin ciki, malignancy da sauransu. P.).
3. Ba zato mataki na zumudi da aka nuna a randomness magana da motsi, da juwa.

Af, yadda wannan bayyana tashin hankali, to babban har ya dogara da shekaru na haƙuri. Saboda haka, a cikin shimfiɗar jariri, ko tsufa, shi ne tare da wani monotonous magana ko mota ayyukan.

Yara - wannan monotonous kuka, kururuwa, dariya ko maimaitawa na wannan al'amurran da suka shafi, in yi ta fama, grimacing ko smacking. Kuma a tsofaffi da marasa lafiya tashin hankali bayyana fussiness, yake kallon businesslike damuwa da kirki loquacity. Amma sau da yawa a cikin irin wannan yanayi da kuma bayyananen na irritability ko tashin hankali, tare da m.

Iri agitation

Dangane da yanayin da zumudi na haƙuri bambance daban-daban na jihar.

• Hallucinatory-delirious tashin hankali - halin da hankali na tsoro, tashin hankali, rudani, ko sharri da irin ƙarfin lantarki. Marasa lafiya za su iya magana da wani ganuwa interlocutor, ya amsa su tambayoyi, don sauraron wani abu, da kuma a wasu lokuta - kai hare hare hasashen makiya, ko, conversely, tserewa daga gare su, ta hanyar jirgin, da kuma saukar da Dale da kuma bayyana daga cikas.
• Catatonic agitation - ta bayyanar cututtuka a randomness da unfocused haƙuri ƙungiyoyi - su ne kwatsam, m da kuma m, tare da mi} a mulki daga zumudi to mãyen. Haƙuri durashliv, grimaces, kuma behaves ridiculously mannered.
• Manic tashin hankali bayyana a mulki daga cheerfulness ya yi fushi, irritability da sharri. A haƙuri ba zai iya zama har yanzu - ya waka, rawa, duk tsoma baki, ga duk an dauka da kome ya kawo mu karshen. Ya ce da sauri, tutur, sa'an nan canza magana da ba kammala sentences. A bayyane yake overestimates ya damar, na iya sa ra'ayin yawa, da kuma nuna ta'adi saboda wani ƙin yarda.

A 'yan iri psychomotor agitation

Bugu da kari ya na sama, akwai da dama iri psychomotor agitation, wanda zai iya ci gaba a cikin wani m mutum, kuma da ciwon da kwayoyin kwakwalwa lalacewa.

• Saboda haka, farfadiya tashin hankali halayyar da almuru Jihar sani a marasa lafiya tare da epilepsy. Ya bi da kallo m shafi, cikakken disorientation, rashin iyawa a tuntube. A farkon da kuma karshen shi, kamar yadda mai mulkin, kwatsam, da kuma jihar za ta iya isa wani babban mataki na hatsari ga wasu, tun da haƙuri iya pounce a kan su, kuma haifar da tsanani lalacewa, kuma ya halaka dukan abin da a ka hanya.
• Psychogenic agitation faruwa nan da nan bayan m danniya yanayi (bala'i da rushewar m. P.). An bayyana sãɓãwar launukansa digiri na mota restlessness. Wannan na iya zama monotonic da zumudi inarticulate sauti da kuma bazuwar zumudi da tsoro jirgin, kai-lalatawa, kunar bakin ƙoƙari. Sau da yawa, da tashin hankali da aka maye gurbinsu da mãyen. Af, in hali na taro bala'i kamar jiha da kuma iya rufe manyan kungiyoyin na mutane zama na kowa.
• Kwakwalwa tashin hankali kama wani psychogenic, kamar yadda kuma ya auku a ƙarƙashin rinjayar waje dalilai, amma da ƙarfin da martani a cikin wannan harka, kamar yadda mai mulkin, ba ya dace to ta haddasawa. Wannan yanayin da ake dangantawa da kwakwalwa halaye na haƙuri hali.

Yadda za a samar da gaggawa kula ga m psychomotor agitation

Idan wani mutum da aka samu psychomotor agitation, gaggawa taimako da ake bukata nan da nan, kamar yadda haƙuri iya haifar da rauni a kansu da sauransu. Don yin wannan, daga cikin dakin, inda ya aka tambaye su bar duk da bare.

Tare da haƙuri sadarwa calmly kuma cike da amincewa. Ya kamata a ware a raba dakin, wanda shi ne pre-binciki: kusa kuma kofofi da tagogi, cire kaifi abubuwa da dukan abin da ka iya buge. A gaggawa sa tabin hankali tawagar.

Kafin ta zuwa, kamata kokarin janye hankali da haƙuri (su da magariba, da majalisar ba dace ba, don haka haƙuri ba a tuntube ..), Kuma idan ya cancanta - don gudanar da wani immobilization.

Taimaka a kan haƙuri immobilization

Psychomotor agitation, da bayyanar cututtuka da abin da aka tattauna a sama, sau da yawa na bukatar yin amfani da restraints. Wannan yawanci na bukatar taimakon 3-4 mutane. Su ne dace da baya da kuma tarnaƙi, rike hannuwa guga man da haƙuri da kirji da tsince sharply karkashin gwiwoyinsa, sa a cikin wannan hanya a kan wani gado ko shimfiɗa, baya gusa daga bangon, saboda haka za a iya kusata daga bangarorin biyu.

Idan haƙuri ya tsayayya, talking wani abu, shi ne shawarar su ci gaba da mataimakansa, a gaban bargo, matasan kai, ko kyãwãwa. Daya daga cikin su yana jefa bargo a kan fuskar da haƙuri, da shi zai taimaka sa shi a kan gado. Wani lokacin dole ka rike kanka, wadda jefa wani tawul zuwa goshin (zai fi dacewa rigar) da kuma zana da iyakar da gado.

Yana da muhimmanci a rike da motsa jiki da taka tsantsan, don haka kamar yadda ba su sa lalacewa.

Features taimako psychomotor agitation

Drug taimako a psychomotor agitation Ba dole ne a bayar a wani asibiti yanayi. Domin lokaci har sai da haƙuri da aka hawa zuwa, kuma a lokaci kafin a mataki na kwayoyi, jiyar da wucin aikace-aikace na kam (a matsayin shigarwa a cikin likita records). A lokaci guda cika tare da m sharudda:

• a lokacin amfani restraints ne kawai m kayan (tawul din, zanen gado, belts sanya na zane, da dai sauransu ...).
• tam gyara kowane reshe da kafada abin ɗamara, kamar yadda in ba haka ba da haƙuri iya tserewa.
• Ba za mu iya ba da damar matsawa daga jijiya kututturan da jini saboda yana iya kai wa ga m yanayi;
• rubuta haƙuri ba a bar unattended.

Bayan da mataki na neuroleptics yana da warware daga ta kam, amma kallo ya kamata a ci gaba, tun da jihar ne m, kuma zai iya faruwa wani sabon hari da zumudi.

Jiyya agitation

Domin taimako na haƙuri acuity hari wani psihozm gudanar sedatives "Seduxen" - IV "sodium barbital" - intramuscularly "Chlorpromazine" (w / w ko w / o). Idan haƙuri iya dauka baka shirye-shirye, ya wajabta "Phenobarbital" kwamfutar hannu "Seduxen" ko "Chlorpromazine".

Babu kasa tasiri da kuma neuroleptics "clozapine", "Zuk-lopentiksol" da "levomepromazina". Yana da matukar muhimmanci wajen saka idanu da haƙuri da jini, kamar yadda wadannan kayayyakin aiki, zai iya sa shi ya fada.

A sharuddan somatic asibiti magani ciyar agitation da kwayoyi amfani ga maganin sa barci ( "Droperidol" da kuma bayani hydroxybutyrate sodium glucose) da m numfashin iko da kuma AD. Kuma ga mai rauni ko tsofaffi da marasa lafiya amfani tranquilizers, "tiaprid", "Diazepam", "Midazolam".

Amfani da shirye-shirye bisa ga irin psychosis

Yawanci, da haƙuri za a iya shiga a sake obschesedativnye shirye-shirye, amma bayan kara ganewar asali, kama m agitation zai zama ne kai tsaye dogara da irin. Saboda haka, a lokacin da hallucinatory-delusional zumudi nada "Haloperidol" kwayoyi "Stelazin" kuma idan manic tasiri wajen "klopiksol" da "lithium hydroxybutyrate". Amsawa jihar cire kwayoyi "Chlorpromazine", "Tisercinum" ko "Phenazepam" da kuma katotonicheskoe tashin hankali warke miyagun ƙwayoyi "Mazhepril".

Musamman magani hada da obschesedativnymi idan ya cancanta, daidaitawa da kashi.

A 'yan kalmomi a ƙarshe

Psychomotor agitation iya faruwa a yau da kullum yanayi ko faruwa kan bango na pathological tafiyar matakai related to ilimin tsarin jijiyoyi, tiyata da traumatology. Saboda haka, ya san yadda za a dakatar da wani hari na psychosis, ba tare da haddasa lalacewar da haƙuri a lokaci guda, yana da muhimmanci sosai.

Kamar yadda ya bayyana daga abin da aka ce a cikin labarin, mafi muhimmanci a lokacin taimakon farko - da za a tattara, da kuma kwantar da hankula. Kada ku yi ƙoƙarin amfani da wani jiki sakamako a kan haƙuri a kan nasu, kuma haka ba su nuna ta'adi zuwa gare shi. Ka tuna, wannan mutum ba ya bayar da mafi sau da yawa sane da abin da ya ke yi, da kuma abin da ke faruwa - shi ne kawai bayyanar cututtuka na kabarinsa yanayin.