Tuakoi ko te tamaiti: tohu, Te tātaritanga me te rongoā

Tuakoi ko te mate āhua noa. Kei te pāngia te reira i kore anake i roto i ngā pakeke, engari ano hoki i roto i ngā tamariki. He aha te mea te mauri o tenei mate? E kore te te whakahoki ki tēnei pātai mohiotia ki ngā mātua maha. E mōhio o te āhua o te mate mātanga anake. Na, tuakoi i te tamaiti, tohu, te tātaritanga me te maimoatanga o te mate - te kaupapa e tūhura utu.

Tuakoi: tuhinga o te wā, me te nuinga o te mate

E pā ana te wā i runga ki te mate roro. A, no te puta i reira tohu o tuakoi: waimaero whanonga tangata, me te mahi hinengaro te. I mua, tenei mate i huaina te mate hinengaro, te haurangi, te haurangi. I roto i te 1896, ka timata Kraepelin ki te tono ki te ariā mate o "praecox tupu". Anake mai 1911 ka anga ki te whakamahi i te wā "tuakoi" no te mea o E. Bleuler.

Tuakoi, rite te whakaatu tatauranga, mamae kahore iti iho i te 1% o nga tangata o to tatou paraneta. Tata 10% o tenei tau - te reira i te tamariki. Ratou mate e taea puta i reanga rerekē. Hoki tenei take, kua wehea tohunga ki ngā rōpū o te mate:

• kohungahunga tuakoi me te kōhungahunga;
• tau kura tuakoi;
• tuakoi taiohi.

Ko te pūtake o te wairua tuakoi i roto i ngā tamariki

Ko nga whakaaro o te ngaio hou i runga i nga take o te mate i runga i te tauira o te predisposition me te ahotea. I roto i te runga ki reira he wāhi nui takaro e te pāhekoheko ki predisposition me te ahotea paruru āhuatanga i roto i te tukanga whanaketanga. Predisposition ngā:

• whakawhiti ira, e tika ana ki nei kia whakawhanake i te tamaiti te mate;
• tukanga pathological i roto i te pūnaha io pokapū;
• te ngaro o nga tikanga e tika ana mō te ako.

Ähua - he takahanga e whakanui i te tūponotanga o te whakawhanake i mate pērā i tuakoi i roto i te tamaiti. maha puta Tohu tika ki te mate o te whanaunga. Ko te āhuatanga kino hoki ngā te puna o te ahotea ma'i. Tauira - te kino-maimoatanga o te tamaiti. E tano ia tapao e kore e whakawhanake tonu te predisposition ira tuakoi. puta te mate, ka ki he puaretanga ka makona ratou kaha fakamamafa'i āhuatanga me ngā e kore e te tangata i rawaka ngā rauemi ki te pato'ii te mate.

Rawa tuakoi me wawe tau kura

whakaatu tatauranga e āhua 69% o nga kohungahunga, me tamariki kōhungahunga, ka tīmata te mate i mua i te tau o te 3 tau. Tuakoi ko te tamaiti kia pai puta 2 tau o tau. I roto i te 26% o ngā tamariki te whakawhanake i te mate i waenganui i te 3 me te 5 tau. Ko te tahi atu mau tamarii pāngia te mate i roto i 5-8 tau. Tuakoi tino maha kitea i roto i te mau tamaroa. Girls uaua haukotia ki tenei mate.

Kei te wehea Tuakoi wawe me te kōhungahunga tau ki te maha puka:

• tūturu matepukupuku;
• tonu progredient;
• puhoi.

puka nāianei mārere i roto i te wawe, me te mua-kura tau

I te 1,5-2 tau anga reira ki te whakawhanake i te tuakoi taua i roto i te tamaiti. Tohu ngā memenge o mahi Piripīni, whakaiti i te moni i roto i te kēmu, te ngaro o te tāpiritanga aronganui me te hiahia ki te kōrero. mutu te manawanui ki te whakangahau ia ratou ki te taonga tākaro. Tona kēmu he apa i tuhia ai, mirimiri tūemi petipeti-kore (mongamonga o rino, rakau, taura).

Vahi i roto i te rere repara tau riro atu korerotia. E kore tamariki whakahoki pātai, e kore huru ki te wehenga. Kei te hoko atu kau ratou kēmu. Kōhungahunga waimaero perception ataata, i reira he wehi. He tau torutoru i muri paku kia whakapai ake i te āhua o ngā tamariki e mate ana. Whakaitia te pakeke o kite tohu hihira ngaro excitation me wehi, ake moe te. te tikanga puta Exacerbation o tuakoi i te rua o nga raruraru tau, i roto i te 7-8 tau.

Tonu te ahua whakamua o wawe, me te kōhungahunga tau

Hoki tenei puka o te wairua tuakoi āhuatanga e te ahua o tohu o te mate i te tau o 5-9 tau. I roto i te tamariki, i reira he māharahara me te kore whakapono. Ka taea e ratou te hoatu ake auhoaraa ki ētahi atu tamariki, tautohetohe e ka tangohia atu e te reira i te taonga tākaro katoa. I roto i ētahi wā, i reira te mea he huru haurangi i roto i te pā ana ki ngā mātua.

A, no te tonu e taea tamariki progredient te hanga noa ahua. A, no te puta te mate moemoea ataata, me te māna. E piri ratou e ngā wheako e puta i roto i te moe.

puka puhoi o tuakoi i roto i te tau wawe, me te mua-kura

Me pēhea te ki te ite i tuakoi i te tamaiti, e rere i roto i tenei puka? tīmata te mate i 3-4 tau o raruraru. Ko tōna ahua whakapataritari e āhuatanga psychogenic pērā i te wehenga i te whaea, me te papa, huringa i roto i te āhuatanga. Mate āta whakawhanake i te tamaiti. Āta heke porowhita pāpori. Ko te tamaiti i roto i te whakapā anake ki takitahi tamariki. faataa taua heke e te hiahia ki te kōrero.

Hoki tuakoi atu puhoi āhuatanga e te tohu e whai ake nei:

• mate o te hiahia;
• auau takahi o kupu;
• disorders moe;
• maha wehi roa ho'i i pā ana ki tales patupaiarehe me ahua, e te hunga ka whakapataritari te ahua o whakaaro whakatoi.

Ki te mau metua wawahi te tamaiti ake ngāwari. e kore e ētahi tamariki kia ratou, me te Dads, engari taua whanonga kite ratou anake te mea o te wehi ite. I roto i ētahi wā, whakaatu tamariki pērā tohu rite nanakia, te mauahara, fakaaoao, sadism.

Rawa tuakoi i roto i ngā tamariki o te tau kura

Āhuatanga o te pikitia hinengaro o tuakoi i roto i ngā tamariki o te tau kura e e puta nga◊i ia me puhoi nga mate. I roto i te tahi mau tūroro, i reira e ngā wehi. manukanuka ki to ratou iho oraraa, me te hauora o nga matua tamariki. I te tuatahi, e taea te whakatikaia te wheako. Na ka ngaro ratou ratou tikanga, me te kore e pā ana ki tetahi ngā. ngaro nga tamariki moni i roto i te ako, ngā kēmu, puta whakaaro te haavareraa e pā ana ki te mana o ope tipua.

I roto i te tahi atu tamariki, he rerekē te mate. whakaaroa ana ratou ratou ake ao wawata, e whakaaturia ana nei i roto i te tānga. E rumakina ana tūroro i roto i to ratou whakaaro tino, te tahi mea fanafana, tia'ii, pakeke ki te whakawhiti ki ngā tūturu. tākaro ēnei tamariki anake, tono i etahi e i huaina ratou ingoakē.

tuakoi Rawa taiohi

I roto i ētahi wā, i reira e aritarita ki te takanga o te mate. tohu ratou he whanonga heahea, whanonga tākaha, fakalotofo'í ranei wāhanga härukiruki. He huru rite i roto i nga kohungahunga pumau i te maha ra ki te maha wiki.

I muri i te aritarita o te wairua tuakoi i roto i ngā taiohi ngā pōreareatanga e papā nui ki ō rātou hoa, ngaahi kākā ki ngā mātua, e ngana ana ki te tutu. He rerekē te mate hua. Kua heke ētahi mahi, ngaro ngākau nuitanga, me te tipu disorders aronganui me te volitional. Etahi puta pokepoke wehi, whakaaro, ponana.

Tātaritanga o te mate i te paearu ICD-10

Hoki te mate "tuakoi" he whakamātautau e taea te whakamana i roto i te taiwhanga me e e whai i runga i te mate ki te kia whakawhanakehia. hanga tātaritanga e rata ki te whakaaro ki nga paearu o ICD-10 (International Whakarōpū o Diseases whakahounga 10). E ai ki a ratou, kia riro te mate i te iti rawa 2 tohu (tohu o te 5 whakamutunga tabulahia i raro nei) 1 mārama tohumate (o te tūtohu tuatahi e whā) ranei:

• tāruarua soundless o whakaaro i roto i toku mahunga;
• tirohanga te haavareraa;
• moemoea māna, te ahua o reo ke i roto i toku matenga e aparau i kōrero i runga i te whanonga o te manawanui ranei;
• horihori;
• moemoea tamau o tetahi mara, haere tahi e te horihori tino i hanga iu kore ranei kahore ihirangi mārama aronganui, ngā ariā overvalued tamau ranei;
• haea kupu e maharakore noa;
• aroaro o disorders pērā i pakeke, te oaoa, te kore o whakautu ki te pātai, hiamoe, negativism;
• huringa i roto i te whanonga, mate o te pānga i roto i te ao, me te kōrero ki ētahi atu iwi, taratahi;
• te aroaro o ngā tohu kino pērā i tau'a, tika ranei rawakore o kare, withdrawal pāpori me te pāpori huakore.

tātaritanga pārōnaki

Tuakoi i roto i taiohi me tamariki taitamariki whakaatu taua tohu, e he tūturu i roto i te maha atu mate, na hiahia tātaritanga pārōnaki. Ko te mahi mātanga, ko te ki te whakahaere tikanga i roto i te aroaro o somatic, neurological me organic disorders hinengaro, matū paitini i roto i te tinana.

Ki te he tuakoi e mahi ngā mātua te tamaiti? Me ratou ki te kite i te mātanga i roto i te tikanga ki te whiwhi tohutohu ki te whakamātautau hauora tonu, tae atu ki:

• tirohanga;
• whakamātautau toto whānui, me te matüora;
• urinalysis;
• ECG;
• tātari hoki taero me ētahi atu akoranga (ki te tika).

Aratohu maimoatanga

"Tuakoi" tātaritanga ko te hiahia hoki te kaupapa puāwaitanga o te maimoatanga. Kei roto te reira i te whai i ēnei:

• maimoatanga whakapeka;
• aueue (dolechivatsya) therapy;
• therapy tiaki.

Ko te whāinga o te maimoatanga whakapeka - whakakorenga o tohu (horihori, moemoea, disorders whakamātau tinana). I roto i te maimoatanga te whakamahi i antipsychotics - raau taero psychotropic. A, no te whakaritea te maimoatanga aueue te he tarukino kua oti nei te whakamahia i roto i te wā tuatahi, ka i he pānga pai. whakamahia Neuroleptic i te horopeta raro ki te whakakore i te tohu. whakamana maimoatanga tautoko te ki te taua taero, i to'o tohu o te mate, engari i roto i toketaá nui iti ki te ārai i hohokitanga o matahoki.

Ko te kino o te therapy, me te hiahia mō ngā maimoatanga ā-hinengaro

Ko te tātaritanga "tuakoi" - he mate ma'i. He fakatu'atamaki matapae wā-roa mō te nuinga o tūroro. Heoi, e tika ana ki taero ähotea ko reira taea ki te whakatutuki whakapai ake o te tūroro. I roto i te maimoatanga o te wairua tuakoi i roto i ngā tamariki e whakamahia whānuitia antipsychotics. E kore ano i matau tino te pānga o raau taero i runga i te tinana o te tamaiti. Ko te whakamahi o taero e taea meinga ētahi wā pānga taha nui. Ko te kupu, ko te maimoatanga - e kore te tukanga haumaru, engari e kore e taea te hoatu ki runga ki runga ki a ia.

Tūkino i taero psychotropic - tetahi o nga āhuatanga o te rongoā i te mate. Ko te āhuatanga tuarua ko te hiahia hoki maimoatanga hinengaro. Ko ētahi o ēnei pāpori whakangungu pūkenga, wawaotanga whai wāhi whānau, whakatakoto tūroro i roto i ngā kura motuhake.

I roto i te mutunga, ko reira ia tapao e tuakoi i te tamaiti, he whānui nga tohu o nei - ko reira te tikanga he mate tuku. Heoi, whakaatu rangahau e kore take katoa o mahanga monozygotic i whanau hinga kino ki tuakoi tamariki e rua. haapapu tenei te meka e tākiekina te tūponotanga o tona tupu te āhuatanga ira kore anake. A, no te nga tohu o te wairua tuakoi e hiahia ana koe ki te kite i te tākuta. titau mate tātaritanga (ki te mate "tuakoi" kore te he whakamātautau motuhake whakahaere i roto i te taiwhanga, tangohia te pikitia haumanu te ki pūkete, ka waiho i te amuamu whakamātautau toto me te mimi, kei te whakaritea akoranga atu). titau hoki te mate maimoatanga wā roa-a te whakamahi o anti-taero i muri i te whakahekenga atu o ngā tohu e wātea ana.