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VASVOS

polnyj-bredVASVOS, bred, ikhtiloli ruhi, ki dar shakli aqidayu fikrhoi az haqiqat dur padid omada, ba galat budani onho bemorro bovar kunondan gayriimkon ast. V. yake az nishonahoi asosi va mamulii bemorihoi ruhi meboshad. Mazmuni goyahoi vasvosi metavonand khele gunogun boshand, mas., munosibati bad, takibot, zahroludi, osebi jismoni, zarar rasondan, gunahgori rashk, past zadani khud, buzurgmanishi va g. Bisyor vaqt V.-hoi mazmunan gunogun dar yakjoyagi rukh menamoyand.
V. hargiz alomati yagonai bemorii ruhi nest. On, odatan, bo tars, mushavvashkhotiri, afsurdaruhi, gallyutsinatsiya, tiragii aql va g. padid meoyad. Dar robita ba in chand shakli V.-ro farq mekunand, mas., paranoya, paranoid, parafreniya, paranoidi shadid, V.-i boqimonda.
Alomathoi paranoya tadrijan inkishof miyoband. Ba in guna bemoron fahmondani yagon masala yo sukhan khele dushvor ast. Agar ba «joi dardmand»-i onho narasand, yagon nishonai bemori his karda nameshavad. Kase, ki ba bemor yagon chizro isbot kardan khohad, «dushman»-i hameshagii u megardad. Tafakkur va nutqi marizon bisyor bamantiq ast; sukhani khudro mumkin bo sher tasdiq kunand; kirdoru raftori khudro haqiqat mepindorand, mekhohand digaronro bovar kunonand, ki az onho dida donotar kase nest. CHunin bemoron behad kinagir buda, imkon dorad raftorhoi baroi digaron khatarnok sodir namoyand. Paranoya bisyor vaqt hangomi shizofreniya duchor meoyad.
Paranoid asosan bo vasvosi taqibkori va holathoi tavohummot (gallyutsinatsiya) rukh menamoyad. Bemoron gumon mekunand, ki onhoro kim-kadom tashkilot takib, harakat, raftor va kirdorashonro nazorat menamoyad; azoi tashkilot mekhohand uro dar nazdi digaron sharmsor va beobru gardonand. «Takibgaron» asbobhoi makhsus dorand, ki nurhoi elektromagniti mebarorand; bo asbobho gipnoz va fikru aqidaashon idora karda meshavad. Hangomi paranoid raftor va tafakkuri marizon khalal meyobad. Onho bisyor shikoyat menavisand, talab mekunand, ki az taqibgaron najot doda shavand; goho khud baroi rahoi «tadbir»-ho meandeshand, ki metavonad baroi digaron khatarnok boshad. Paranoid asosan dar mavridi bemorii shizofreniya rukh menamoyad.
Parafreniya beshtar bo nishonahoi taqib, zurovari, buzurgmanishi zohir megardad. Bemoron khudro odamoni buzurg pindoshta, bovar dorand, ki sarnavishti davlatashon az onho vobasta ast. Onho dar borai vokhuri va suhbat bo odamoni mutabar hikoya mekunand, az bobati hodisahoi gushnoshunid harf mezanand. Tabi chunin marizon, odatan, bolida ast. Hudro bemor namehisoband, vale az «taqibgaron» haros dorand. Parafreniya asosan dar mavridi bemorii shizofreniya va psikhozhoi pirsolon padid meoyad.
Paranoidi shadid bo alomathoi aniqu vozeh va mushakhkhasi taqib, tars, mushavvashkhotiri, andarmoni zohir meshavad. Qabl az ogozi bemori dar mariz yak nav hissi tarsu vahmi beasos padid meoyad. Badtar fikr mekunad, ki uro mekhohand gorat namoyand, ba qatl rasonand, kheshu taborashro nestu nobud sozand. Raftoru kirdori digaron ba nazari onho misli «zabon yak kardan» ast. In guna bemoron metavonand yakbora az khona gurezand, az poezd yo avtobus faroyand, ba militsiya murojiat kunand. Dar mavridi bemori khob noorom va ishtiho nest meshavad. Bemori asosan shomgohon va shab khuruj mekunad. Binobar in dar in hangom onhoro az nazar dur mondan mumkin nest. Paranoidi shadid dar mavridi bemorii shizofreniya va psikhozhoi alkuhuli zohir meshavad.
Vasvosi boqimonda bar asari psikhozhoe, ki bo tiragii aql jarayon giriftaand, padid meoyad. Metavonad az chand hafta to chand sol davom yobad.
Bemoroni giriftori V. boyad hatman ba dispanseri psikhiatri firistoda shavand. Marizoni paranoidi shadidro dar bemorkhona bistari kardan lozim ast.
Ad.: Gulyamov M.G., Psikhiatriya, D., 1993; Gulomov M.G., Ravonpizishki, D., 1996; SHaropova N.M., Aktualnie voprosi psikhiatrii, D., 1997.

N.M. SHarofova.

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