O‘ZBEK BOLALARI VA O‘SMIRLARINING PSIXOSOMATIK XOLATI VA SHAXSIY XUSUSIYATLARINI NEYROSTIRKULYATOR DISTONIYA RIVOJLANISHIDAGI AHAMIYATI
Abstrakt
Vegetovaskulyar distoni (VVD) bo'lgan bolalarning shaxsiy xususiyatlarini o'rganishning dolzarbligi shundaki, ko'plab psixosomatik kasalliklar bolalik davrida paydo bo'ladi va vegetativ kasalliklar ularning asosiy ko'rinishidir. Adabiyotlarga ko'ra, yuqumli bo'lmagan kasalliklar bilan shifokorga boradigan bolalar orasida 50-75% VVD bilan kasallanganlar. Tadqiqot maqsadi. O'zbekiston aholisining bolalar va o'smirlarida NCDning namoyon bo'lishi va rivojlanishiga bemorlarning ruhiy holati va shaxsiy xususiyatlarining ta'sirini o'rganish. Materiallar va usullar. Biz 7 yoshdan 16 yoshgacha bo'lgan 43 nafar NCD (18 o'g'il va 25 qiz) gipotonik, gipertonik va yurak turlari bo'lgan bemorlarni o'rgandik. NCD bilan og'rigan bemorlarning tekshirilgan guruhida gipertenziv (46,5%) turdagi bolalar ustunlik qildi. Bemorlarda (39,5%) gipotonik NCD, 14 bemorda esa yurak tipi bilan kasallangan. Bolalarning individual-tipologik va shaxsiy xususiyatlarini o'rganish uchun klinik va pedagogik kuzatishlarga qo'shimcha ravishda an'anaviy eksperimental-psixologik usullar qo'llanildi, bu esa bemor bolaning shaxsiyatini tahlil qilishda eng differentsial yondashuvga imkon beradi. Natijalar: NCD bilan og'rigan bemorlarda hissiy stressning sezilarli kuchayishi, shaxslararo aloqalarni o'rnatishda qiyinchilik va shaxsning psixo-vegetativ regulyatsiyasining buzilishiga yordam berish bilan ajralib turadi. Xulq-atvorning yaxshi xulq-atvor shakllariga bo'lgan intilishning ustunligi, ongli ravishda o'zini o'zi boshqarish bilan birgalikda, salbiy his-tuyg'ularning reaktsiyasini oldini oladi, bu hissiy stressning uzoq vaqt saqlanib qolishiga va moslashishdagi keyingi qiyinchiliklarga yordam beradi. NCD bilan og'rigan bemorlarda odatda nomutanosib shaxsiy xususiyatlarning kombinatsiyasi mavjud edi, bu esa dominant va o'zaro eksklyuziv ehtiyoj turlari o'rtasida intrapsixik to'qnashuvlarning paydo bo'lishiga olib keldi. Kettell usuli bilan aniqlangan NDCli bolalarning haqiqiy ruhiy holati umuman olganda o'zini yuqori nevrotik reaktsiyaning shaxsiyati sifatida namoyon qiladi, bu NDC va shaxsiyat xususiyatlari o'rtasidagi bog'liqlikni tasdiqlaydi. Xulosa: Ushbu intrapsixik to'qnashuvlar maktab va oilada ijtimoiy moslashuvning buzilishini keltirib chiqaradi, shuningdek, ushbu kasallikdagi psixopatologik va vegetativ-somatik kasalliklarda namoyon bo'lgan psixo-vegetativ moslashuvning oldini oladi.
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