Boala fizica a determinat afectarea psihica sau invers? Controversa continua-part 1

Posted by: | Posted on: July 9, 2016

In producerea bolilor sunt implicati factori fiziologici, constitutionali si emotionali.Frustrările repetate conduc la acumulări de afecte negative (tristeţe, neîncredere, neputinţă, ostilitate, mânie) şi constituie un teren optim pentru stresori.
Boala este o modalitate reacţională a organismului în raport cu un agent ce-l dezechilibrează, orice agent perturbator adresându-se întregului organism chiar dacă manifestarea bolii e locală, astfel boala ce apare în spaţiul psihic are răsunet visceral, dar şi o boală,,strict somatică”are implicaţii şi repercusiuni psihice. Omul răspunde în totalitate.
Între starea fizică şi emoţională a bolnavului există o strânsă interdependenţă, durerea fizică generează reacţii psihologice diverse ce duc la modificarea calităţii vieţii.

Tulburarea unei funcţii poate fi expresia leziunii unui organ, perturbaţiile funcţionale pot fi neînsoţite de o leziune organică decelabilă, dar prin repetarea acestor tulburări funcţionale pot apare alteraţii anatomice care devin în timp ireversibile.
Pavlov înţelegea prin termenul de activitate nervoasă superioară, unitatea dintre psihic şi fiziologic, dintre subiectiv şi obiectiv cu expresie în reflexele condiţionate în activitatea cerebrală şi în toate reacţiile cerebrale complexe, la influenţele mediului extern şi intern.
Toate stările de conştienţă au pe lângă mecanismul neurocerebral şi o expresie organică probabil.
Emoţiile se însoţesc de modificări ale circulaţiei prin nervii vasomotori şi glandele endocrine, de modificări de secreţie şi peristaltism digestiv. O emoţie repetată sau un sentiment de durată(invidie,ură, frică)pot provoca boli şi chiar grijile pot provoca boli.
Pavlov a demonstrat cu o tehnică experimentală şi riguroasă strânsele legături dintre modificările din scoarţa cerebrală şi funcţionarea organelor interne. Traducerea în patologic a tulburărilor activităţii nervoase superioare poate depăşi planul psihic şi să se repercuteze asupra organelor interne via hipotalamus,utilizând căile:endocrină, neurovegetativă şi imunitară.
Scoarţa cerebrală analizează şi compară permanent impulsurile interoceptive care îi vin. S-a putut observa la pacienţii care au suferit mult timp o durere cronică şi după excluderea sursei permanente de semnalizare, au persistat simptomele, datorită “reacţiilor vestigeale” din scoarţa cerebrală la reflexul condiţionat interoceptor format anterior şi fixat.
Menţionăm, că în corticalizarea unor boli organice în special cronice , se realizează legături viscerocorticale patologic fixate, în care chiar dacă aspectele lezionale şi funcţionale ale organului s-au redus prin tratament, rămâne polul cortical care păstrându-se într-o stare parabiotică nu permite o vindecare completă.

Continuarea …maine

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