Nukae nye catatonia? Ðe míaƒo nu tso nuwɔna wɔnuku sia ŋua?

Ðe nèkpɔ ame aɖe ƒe mo va zu kpe zi ɖeka, meƒoa nu boo o, alo wòwɔa nu ɖeka ma ke zi gbɔ zi geɖe gɔmesese aɖeke manɔmee kpɔa? Ðewohĩ èbu eŋu kpɔ hã be, “Oo nye Mawu, nukae gblẽ le ame sia ŋu?” Ne èkpɔ nu siawo tɔgbi la, ɖewohĩ èbu eŋu kpɔ. Catatonia nye nɔnɔme si me míaƒe ahɔhɔ̃ wɔa dɔ le mɔ aɖe nu, eye alesi míewɔa nui kple alesi míewɔa nui ɖe xexe si ƒo xlã mí ŋu la trɔna. Togbɔ be esia adze nu sesẽ vie hã la, egbea míaƒo nu tso eŋu eme nakɔ eye míase egɔme.

Nukae nye catatonia? Ne míagblɔe tututu la...

Kpuie ko la, catatonia nye dɔléle sesẽ aɖe si gblẽa alesi míaƒe ahɔhɔ̃ wɔa dɔe, si kpɔa ŋusẽ ɖe alesi míekpɔa xexe si ƒo xlã míi hewɔa nui dzi. Ame siwo ŋu dɔléle sia le ate ŋu anye esiwo mewɔa nu ɖe ​​nusiwo ƒo xlã wo ŋu kura o ɣeaɖewoɣi, alo woate ŋu awɔ nu le mɔ siwo mebɔ kura o nu. Nɔnɔme sia ƒe dzesi vevitɔwoe nye nuƒoƒo dzi ɖeɖe kpɔtɔ, ʋuʋu si mebɔ o alo ʋuʋumanɔamesi, kple nuwɔna ƒe tɔtrɔ .

Ènya be le keke ƒe 1874 me ke la, Germany tagbɔdɔdala Karl Kahlbaum ɖɔ dɔléle sia zi gbãtɔ be catatonia . Gake womese nɔnɔme sia gɔme nyuie haɖe o. Susu ɖekae nye be vaseɖe nyitsɔ laa la, ame geɖe susui be amesiwo ŋu tagbɔdɔléle le koe wòdzɔna le . Azɔ hã, nukpɔsusu vovovowo le tagbɔdɔdalawo dome le dzesi siwo hiã be woatsɔ anya dɔlélea kple wo dometɔ agbɔsɔsɔme si hiã ŋu. Nu bubue nye be dzesiawo dometɔ aɖewo, abe tɔtɔ kple nuƒoƒo ƒe ŋutete ene, hã dzena le dɔléle bubuwo me, eyata esesẽna vie be woanya nenye be esia nye catatonia.

Ameka dzie nɔnɔme sia ate ŋu akpɔ ŋusẽ ɖo wu?

Catatonia mekpɔa ŋusẽ ɖe ame aɖeke koŋ dzi le ameƒomevinyenye alo ŋutsu alo nyɔnu nyenye nu o. Gake wokpɔnɛ zi geɖe kpe ɖe atikewɔwɔ ƒe nɔnɔme siwo gbɔna ŋu:

• Tagbɔdɔléle: Esiawo nye dɔléle siwo gblẽa nu le wò susu ƒe lãmesẽ ŋu tẽ.
• Ahɔhɔ̃mekawo ƒe dɔlélewo: Esiawo nye dɔléle siwo gblẽa nu le wò ahɔhɔ̃ ƒe dɔwɔwɔ ŋu.
• Atikewɔwɔ ƒe nɔnɔme bubuwo: Esiawo nye nɔnɔme siwo gblẽa nu le wò ŋutilã ƒe dɔwɔɖoɖo ɖeka alo esi wu nenema ƒe dɔwɔwɔ ŋu.

Míaƒo nu tso esia ŋu tsitotsito le akpa si ƒo nu tso nusiwo gbɔ wòtso kple dzesiwo ŋu me.

Aleke gbegbee catatonia bɔe?

Numekuku siwo wowɔ fifia ɖee fia be amesiwo le tagbɔdɔléle ƒe atike xɔm ƒe 0.5% va ɖo 2.1% ate ŋu axɔ catatonia. Ke hã, xexlẽme sia dzina ɖe edzi va ɖoa abe 10% ene le amesiwo xɔa susumedɔlélewo gbɔ kpɔkpɔ le aƒeme dome.

Nukae esia wɔna na míaƒe ŋutilã, vevietɔ ahɔhɔ̃a?

Catatonia nana míaƒe ahɔhɔ̃ ƒe akpa aɖewo dzudzɔa dɔwɔwɔ. Woyɔa esia be yiyi ɖe "catatonic nɔnɔme" me. Ahɔhɔ̃a ƒe akpa siwo ŋu wògblẽ nu le la kpɔa nuwo abe:

• Zɔzɔ̃.
• Sidzenuwo: nukpɔkpɔ, nusese, ʋeʋẽ, asikaka nu ŋu, kple vivisese.
• Susu.
• Tamebubu kple susu ƒe ŋutete (Sidzedze ŋutetewo).
• Dzideƒo.
• Seselelãmewo.
• Nyametsotsowɔwɔ kple ɖokuidziɖuɖu ƒe ŋutetewo (Dɔwɔƒea ƒe dɔwɔwɔwo).

Abe alesi nàte ŋu akpɔe ene la, esi wònye be catatonia gblẽa nu le ahɔhɔ̃a ƒe akpa vovovo geɖe ŋu ta la, dzesiawo ate ŋu ato vovo ŋutɔ. Esia tae wokpɔa nɔnɔme sia zi geɖe le dɔléle vovovo geɖe ŋu, eye ate ŋu anye kuxi na eŋutinunyalawo be woakpɔe.

Nukawoe nye catatonia ƒe dzesiwo?

Le Amerika Tagbɔdɔlélawo ƒe Habɔbɔ ƒe DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) ƒe mɔfiamewo nu la, catatonia ƒe dzesi 12 ye dzi dziɖuɖua da asi ɖo. Na míakpɔ nusiwo wonye ɖa.

• Ʋuʋudedi: Esia nye ne ame aɖe tsi dzodzodzoe alo tɔtɔ ko. Dzesi sia menye nu bubu aɖeke si ƒo xlã wo ƒe ŋuɖoɖo o, ke boŋ edzɔna ne zitɔtɔ sia dzɔ.
• Catalepsy: Esia nye ne ame aɖe tsɔ ame aɖe de nɔnɔme aɖe me eye wònɔa nɔnɔme ma me. Àte ŋu atsɔ wo ayi teƒe bubu vivivi, gake wonɔa nɔnɔme yeye ma me.
• Echolalia: Esia nye gbeɖiɖi alo nya siwo ame bubu gblɔ, abe echo ene, gbugbɔgagblɔ.
• Echopraxia: Esia bia be woasrɔ̃ ame bubu ƒe ʋuʋu.
• Grimacing: Mo ƒe dzedzeme ɖeka, si zi geɖe nyea mo ƒe dzedzeme si me teteɖeanyi le, si woléna ɖe asi ɣeyiɣi didi. Ɣeaɖewoɣi la, ate ŋu adze abe ɖe wòle nu kom gɔ̃ hã ene ne kadodo aɖeke mele wo dome o.
• Mɔnu: Ʋuʋu alo nuwɔna siwo sɔ wɔwɔ le mɔ si wɔ nuku, si gbɔ eme, alo esi gbɔ eme nu.
• Mutism: Ðoɖoezizi ɣeyiɣi akpa gãtɔ, alo nuƒoƒo kura manɔmee. Ne nɔnɔme bubu aɖe li si xea mɔ na nuƒoƒo (e.g., aphasia) ko hafi esia nyea dzesi.
• Negativism: Esia fia be màwɔ nu ɖe ​​nusiwo ƒo xlã wò ŋu o, alo atsi tre ɖe nusiwo ƒo xlã wò ŋu susu aɖeke manɔmee.
• Tsitretsitsi: Nɔnɔme aɖe koŋ léle ɖe asi, menye le esi ame bubu bia tso asiwò ta o, eye nànɔ nɔnɔme ma me. Nɔnɔme siawo me léle ɖe asi sesẽna ŋutɔ na ame dzɔdzɔe.
• Nukpɔsusu si me susu mele o: Ʋuʋu ma ke gbugbɔgawɔ taɖodzinu aɖeke si me kɔ o, abe asibidɛwo ƒoƒo alo ŋutilã ƒe akpa ɖeka tutu ene.
• Ðekematsɔleme ɖe xexe si ƒo xlã wò ŋu (Stupor):Be woanɔ ŋudzɔ, gake womeléa ŋku ɖe naneke si ƒo xlã wo ŋu o, eye womewɔa nu ɖe ​​wo ŋu o. Ame siwo ŋu catatonia le la mewɔa nu ɖe ​​wo ŋu ne woka asi wo ŋu vie gɔ̃ hã o kloe (e.g., woƒe ŋutilã ƒoƒo).
• Waxy flexibility: Esia nye ne ame aɖe dze agbagba be yeatrɔ ame ƒe nɔnɔme, eye wotsi tre ɖe eŋu le gɔmedzedzea me, abe alesi wotutui vie ene. Emegbe, woƒe lãmekawo ɖea dzi ɖi vivivi, eye abɔa bɔbɔna abe bosomikaɖi si wofa ene.

Bu eŋu kpɔ, ne kasia xɔ̃wòa dze nya si tututu nègblɔ la gbugbɔgagblɔ gɔme (`(Echolalia)`) alo wòʋuʋu woƒe asiwo abe alesi nèʋãnɛ ene (`(Echopraxia)`) la, àse le ɖokuiwò me be yewɔ nuku vie, alo? Emawo nye dɔléle sia ƒe dzesi aɖewo.

Nukae nye catatonia ƒe dɔwɔwɔ ƒe agbɔsɔsɔ vovovoawo?

Ame geɖe bua catatonia be enye nɔnɔme si me ŋutilãa tsikpe le teƒe si wòle, eye mete ŋu ʋãna o. Gake menye nenemae wònɔna ɣesiaɣi o. Catatonia ate ŋu alɔ nuwɔna ƒe tɔtrɔ kpata siwo womele mɔ kpɔm na o hã ɖe eme. Ðewohĩ ʋuʋu si gbɔ eme, si ayi edzi gɔ̃ hã, anɔ anyi. Dɔwɔwɔ ƒe ɖoɖo siawo dometɔ aɖewoe nye:

• Dzidzɔkpɔkpɔ/Hyperkinetic: Zi geɖe la, nuwɔna ƒe tɔtrɔwoe ɖea esia fiana. Woate ŋu anye ame siwo ƒe susu mewɔa dɔ o, ame siwo meɖea dzi ɖi o, wowɔa adã, eye ɣeaɖewoɣi la, wowɔa ŋutasẽnu le susu aɖeke manɔmee. Woate ŋu aƒo nu ahawɔ nu wòawɔ nuku hã, asrɔ̃ nusi ame bubu siwo ƒo xlã wo le wɔwɔm, eye woate ŋu awɔ nuvevi wo ɖokui gɔ̃ hã .
• Withdrawn/Hypokinetic: Zi geɖe la, esiae nye nusi amewo susuna ne wose nya catatonia. Ame siawo le ŋudzɔ, gake womewɔa nu ɖe ​​nusiwo ƒo xlã wo ŋu o, abe ɖe wometsɔ ɖeke le xexe si ƒo xlã wo me o ene. Zi geɖe la, wozi ɖoɖoe, eye seselelãme aɖeke medzena le woƒe mo o. Woate ŋu alé nɔnɔme siwo mebɔ o ɖe asi, eye woate ŋu atsi tre ɖe ʋuʋu ŋu. Ðewohĩ womaɖu nu alo ano nu o, eye woate ŋu atsi woƒe awuwo gɔ̃ hã (incontinence).
• Tɔtɔ: Esia nye nɔnɔme siwo me wowɔa dɔ fũu akpa kple esiwo mewɔa dɔ nyuie o siaa ƒe ƒuƒoƒo. Ame ate ŋu atrɔ le dɔwɔwɔ ƒe ɖoɖo eve siawo dome zi ɖeka nuxlɔ̃ame aɖeke manɔmee.

Nukae nye catatonia vɔ̃ɖi? Ðe wòate ŋu ade ame ƒe agbe afɔku mea?

Le go aɖewo me la, catatonia ate ŋu ahe kuxi siwo ate ŋu ade ame ƒe agbe afɔku me vɛ. Woyɔa ema be catatonia vɔ̃ɖi . Nɔnɔme sia hea nɔnɔme aɖe si woyɔna be dysautonomia vɛ. Esia fia be wò autonomic nervous system mele dɔ wɔm nyuie o. Wò lãmeka si le eɖokui si la kpɔa ŋutilã ƒe dɔwɔwɔ siwo dzɔna le wo ɖokui si mèbu wo ŋu gɔ̃ hã o (e.g., dzi ƒe tsotso, ʋu ƒe sisi).

Catatonia vɔ̃ɖi ƒe dzesiwoe nye:

• Ŋutilã ƒe dzoxɔxɔ si nu sẽ kple dzoxɔxɔ si me afɔku le (Hyperthermia).
• Dzi ƒe tsotso kabakaba ŋutɔ (Tachycardia).
• Fifia si gbɔ eme (Diaphoresis).
• Ʋu ƒe sisi si meli ke o.
• Cyanosis: Esia nye nɔnɔme si me oxygen ƒe agbɔsɔsɔ si le ʋua me dzi ɖena kpɔtɔna, si wɔnɛ be ŋutigbalẽa ƒe akpa aɖewo, vevietɔ ƒo xlã nuyiwo kple asibidɛwo, zua blɔ.

Nusi wòle be nànyae nye esi: Catatonia vɔ̃ɖi nye atikewɔwɔ kpata si ate ŋu ade wò agbe afɔku me. Ate ŋu ana ame naku gɔ̃ hã elabena egblẽa nu le ŋutilãa ƒe dɔwɔwɔ le eɖokui si, si dzi ahɔhɔ̃a kpɔa ŋusẽ ɖo la ŋu. Eyata ele vevie be nàyi atikewɔƒe enumake ne èkpɔ dzesi siawo.

Nukae hea catatonia ƒe nɔnɔme sia vɛ?

Togbɔ be wowɔ numekuku ƒe 150 kloe hã la, eŋutinunyalawo mete ŋu gblɔ nusi tututu hea catatonia vɛ o. Gake numeɖeɖe vovovowo li, tso atikewo ƒe masɔmasɔ le ahɔhɔ̃a me dzi va ɖo domenyiŋusẽfianu siwo tso dzidzime yi dzidzime dzi.

Esi wònye be naneke koŋ meli si gbɔ wòtso o ta la, ɖeko eŋutinunyalawo ate ŋu asusu nu le nɔnɔme bubu siwo ate ŋu ahe catatonia vɛ ŋu. Tagbɔdɔléle siwo bɔ wu siwo do ƒome kple catatoniae nye:

• Nu eve ƒe susu ƒe dɔmawɔmawɔ nyuie.
• Tagbɔdɔléle si nye tagbɔdɔléle.
• Tagbɔdɔléle si nye Schizoaffective dɔléle.
• Blanuiléledɔ sesẽ.

Ahɔhɔ̃mekawo kple ŋutilã ƒe nɔnɔme bubu siwo wokpɔna zi geɖe le catatonia ŋu dometɔ aɖewoe nye:

• Autism spectrum dɔléle.
• Dɔlélenutsiŋutete ƒe dɔlélewo (e.g., lupus , multiple sclerosis ).
• Ahɔhɔ̃medɔléle siwo gblẽa nu le ame ŋu (e.g. dementia , Parkinson ƒe dɔléle ).
• Down ƒe dɔléle si nye Down syndrome.
• Nɔnɔme siwo do ƒome kple atikewo (esia lɔ atike siwo woŋlɔ na amewo kple atike siwo ŋu se meɖe mɔ ɖo o siaa ɖe eme).
• Tagbɔdɔléle , si me anti-NMDA receptor encephalitis hã le .
• Elektrikŋusẽ ƒe dadasɔmakpɔmakpɔ ƒe nɔnɔmewo.
• Aɖuɖɔtoedɔ.
• Susu ƒe nuwɔametɔnyenye.
• Tsi ƒe tagbɔdɔléle si ƒe nyaƒoɖeamenu si sɔ.
• Gbagbãdᴐ.
• Tourette ƒe dɔlélea.

Ðe esia nye dɔléle si xɔa ame mea?

Ao, menye nenema kura o.Catatonia menye dɔléle si xɔa ame me o. Màte ŋu alée le ame bubu gbɔ o, eye màte ŋu alée le ame bubu hã gbɔ o.

Aleke ɖɔktawo wɔa anya catatonia ƒe nɔnɔme sia?

Wò ɖɔkta azã mɔnu vovovowo atsɔ anya catatonia. Zi geɖe la , esia dzea egɔme tso ahɔhɔ̃mekawo dodokpɔ dzi . Le dodokpɔ sia me la, wò ɖɔkta alé ŋku ɖe wò susuŋudɔwɔwɔ, alesi nèwɔa nui, kple alesi nèwɔa nui (alo mèwɔa nu ɖe ​​xexe si ƒo xlã wò ŋu o) ŋu.

Emegbe zi geɖe la, ɖɔktaa azã dɔwɔnu si woɖo ɖi si wotsɔ daa dɔe, abe Bush Francis Catatonia Rating Scale , ene, atsɔ akpɔ catatonia ƒe anyinɔnɔ kple eƒe sesẽme. Ne wonya kpɔ catatonia ko la, afɔɖeɖe si kplɔe ɖo si ɖɔktawo awɔe nye be woadi nusi gbɔ wòtso. Esia le alea elabena zi geɖe la, catatonia do ƒome kple tagbɔdɔ alo ŋutilã me dɔléle bubu. Esi wònye be catatonia ate ŋu adzɔ kple dɔléle sesẽwo, siwo wua ame ɣeaɖewoɣi ta la, nu gbãtɔ si woatsɔ aɖo nɔƒe gbãtɔe nye be woaɖe nɔnɔme sesẽ mawo siwo gbɔ wòtso la ɖa.

Dodokpɔ ka ƒomevie wowɔna?

Zi geɖe la, wowɔa dodokpɔ siwo gbɔna tsɔ dea dzesi catatonia eye wokpɔa nusi gbɔ wòtsona:

• Nɔnɔmetatawo dodokpɔ: Esia ate ŋu alɔ dodokpɔwo abe CT scan kple MRI scan ene ɖe eme .
• Ʋu, aɖuɖɔ, kple ahɔhɔ̃mekawo ƒe tsi (spinal tap) dodokpɔwo: Dodokpɔ siawo ate ŋu ade dzesi nuwo abe atikewo ƒe tɔtrɔ le ŋutilã me tsiwo me kple dɔlékuiwo ene. (Ahɔhɔ̃ me tsi dodokpɔ nye dodokpɔ si me woɖea tsi sue aɖe tso aklã me.)
• Ahɔhɔ̃ ƒe dɔwɔwɔ dodokpɔ: EEG (Electroencephalogram) dodokpɔ dzroa wò ahɔhɔ̃ ƒe elektrikŋusẽ ƒe dɔwɔwɔ me heŋlɔnɛ ɖi. Esia ate ŋu agbe nɔnɔmewo abe asrãdɔ ene.

Nukawoe nye atike siwo wozãna na esia? Ðe woate ŋu adae keŋkeŋa?

Zi geɖe la, catatonia dada nɔ te ɖe nɔnɔme (alo nɔnɔme) si gbɔ wòtso dzi. Ne ŋutilã alo ahɔhɔ̃mekawo ƒe dɔléle aɖe gbɔe wòtso la, dɔléle ma dada, ne anya wɔ la, ana catatonia la nanyo ɖe edzi zi geɖe. Ne edzɔ kple tagbɔdɔléle aɖe la, atikewɔwɔ bubuwo ate ŋu anye tiatia nyuitɔ.

Atike alo atike kawoe wozãna?

Mɔ vevi eve li siwo dzi woato ada catatonia: atike kple elektrikŋusẽ ƒe dɔwɔwɔ (ECT). Atike bubuwo, abe transcranial magnetic stimulation ene, ate ŋu anɔ anyi, gake numekuku si sɔ gbɔ be woatsɔ anya alesi wowɔa dɔe le wo zazã le afisiafi me o.

Atikewo

Benzodiazepines ye nye atike vevitɔ si wozãna tsɔ daa catatonia elabena wole dedie eye wowɔa dɔ ŋutɔ. Ame siwo ŋu catatonia le ƒe 60% va ɖo 90% hayana tso benzodiazepines me. Lorazepam ye nye atike si wozãna wu, gake atike bubuwo abe clonazepam , diazepam , kple zolpidem hã wɔa dɔ nyuie. Woate ŋu ado atike siawo ɖe ʋuka me (IV) , abe atikekui ene, alo abe atikekui ene.

Atike bubuwo (e.g., mood stabilizers , antipsychotic drugs ) ate ŋu akpe ɖe ame ŋu, gake zi geɖe la, wometsɔa wo naa wo abe atikewɔwɔ gbãtɔ ene o. Woɖea vi wu ne catatonia ƒe dzesi gbãtɔwo nu tso vɔ megbe, be woatsɔ ada dzesi bubuwo. Vevietɔ, atike siwo wua tagbɔdɔ ate ŋu ana catatonia nayi ŋgɔ ava zu catatonia vɔ̃ɖi alo neuroleptic malignant syndrome , eyata ehiã be woaɖɔ ŋu ɖo.

Elektrikŋusẽ ƒe ʋuʋu ƒe atikewɔwɔ (ECT) .

Elektrikŋusẽ ƒe dɔdamɔnu (ECT) nye atike si naa elektrikŋusẽ si fa miamiamia ŋutɔ yia wò ahɔhɔ̃ ƒe akpa aɖe koŋ, si wɔnɛ be wò lãme ʋuʋuna ɣeyiɣi kpui aɖe. Wona atike si naa alɔ̃dɔdɔ ame siwo xɔa ECT eye wodɔa alɔ̃ vevie, eyata womesea veve aɖeke le atikewɔwɔa me o.

ECT hã wɔa dɔ ŋutɔ. Ewɔa dɔ nyuie le catatonia ƒe dɔlélewo katã kloe me. Enye atike vevitɔ si wozãna na catatonia vɔ̃ɖi , eye le nɔnɔme mawo me la, enye atike si xɔa ame ɖe agbe. Eɖea vi ŋutɔ hã le catatonia si mewɔa dɔ ɖe atikewo ŋu o hã me.

Kuxi alo nugbegblẽ kawoe ate ŋu ado mo ɖa le atikewɔwɔ me?

Kuxi siwo dona tso catatonia ƒe atikewɔwɔ me kple nugbegblẽ le ame ŋu ate ŋu ato vovo le atikewɔwɔ (alo atike siwo wotsɔ ƒo ƒu) si ame xɔna nu. Wò ɖɔkta ate ŋu aɖe nusiwo ate ŋu ado tso eme alo kuxi siwo ate ŋu ado mo ɖa la me nyuie wu.

Ne dzesi siawo le ŋunye la, aleke mawɔ akpɔ ɖokuinye dzi alo akpɔ dzesiawo gbɔ?

Esia le vevie ŋutɔ: Catatonia nye dɔléle si ate ŋu asesẽ na ɖɔkta siwo wona hehee eye bibiwo gɔ̃ hã. Ate ŋu atso nɔnɔme siwo ate ŋu ade ame ƒe agbe afɔku me siwo hiã be woakpɔ egbɔ kpata hã gbɔ. Le susu siawo evea siaa ta la, mele be wò ŋutɔ nàdze agbagba akpɔ dɔlélea alo adae gbeɖe o.

Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie? Ɣeyiɣi didi kae wòaxɔ hafi ahaya?

Le nɔnɔmewo abe catatonia ene me la, amesiame ƒe nuteƒekpɔkpɔ to vovo. Wò ɖɔkta ate ŋu ana nyatakaka nyuitɔ kekeake wò tso ɣeyiɣi si nàhaya ŋu, elabena ate ŋu abu nusiwo katã kpɔa ŋusẽ ɖe wò nɔnɔme tɔxɛa dzi (abe nɔnɔme siwo gbɔ wòtso kple wò atikewɔwɔ ŋutinya ene) ŋu.

Zi geɖe la, benzodiazepines wɔa dɔ kabakaba. Ne wodoe ɖe ʋuka me (IV) la, ame akpa gãtɔ dzea egɔme ƒe dzi dzea eme le miniti 10-15 me. Ne wozãe le nu me abe atikekui ene la, atikeawo ate ŋu axɔ miniti 20-30 pɛ ko hafi adze dɔwɔwɔ gɔme. Gake ate ŋu axɔ ɣeyiɣi aɖe hafi woake ɖe agbɔsɔsɔme si sɔ ŋu, eyata ɖewohĩ ame aɖewo makpɔ ŋgɔyiyi aɖeke le woƒe catatonia ŋu o vaseɖe esime woda dɔ nɛ ŋkeke ʋɛ aɖewo vɔ hafi.

ECT zazã hã ate ŋu awɔ dɔ kabakaba. Ame aɖewo dzea ŋgɔyiyi aɖewo kpɔkpɔ gɔme le aɖabaƒoƒo alo gaƒoƒo ʋɛ aɖewo megbe le atikewɔwɔ vɔ megbe, evɔ ame bubuwo ya ahiã be woawɔ atike na wo zi geɖe hafi woate ŋu awɔ dɔ na wo. Ame akpa gãtɔ xɔa ECT zi geɖe le kwasiɖa me hena kwasiɖa geɖe, gake ame aɖewo ate ŋu ahiã be woawɔ atike na wo gbesiagbe vaseɖe esime woƒe dzesiwo nanyo ɖe edzi.

Ðe mɔ aɖe li si dzi woato axe mɔ ɖe esia nu alo aɖe afɔkua dzi akpɔtɔa?

Catatonia dzɔna le vome eye le susu siwo gɔme eŋutinunyalawo mese bliboe haɖe o ta. Eyata manya wɔ be woaxe mɔ nɛ be wòagadzɔ o alo aɖe afɔkua dzi akpɔtɔ o.

Gake ne woŋlɔ atike na wò na tagbɔdɔléle aɖe la, atike mawo dzudzɔ ate ŋu ana catatonia xɔxɔ ƒe afɔkua nadzi ɖe edzi.

Ne nɔnɔme sia le ŋunye la, nukae wòle be makpɔ mɔ na?

Ame akpa gãtɔ siwo ŋu catatonia le la nya nu tso xexe si ƒo xlã wo ŋu vie ya teti. Woƒe kuxiae nye be womete ŋu wɔa nu ɖe ​​nusiwo le edzi yim ƒo xlã wo ŋu le mɔ si sɔ nu o. Azɔ hã, woate ŋu aɖo ŋku nudzɔdzɔ siwo dzɔ la dometɔ aɖewo dzi, togbɔ be adze abe womenya naneke o ene hã.

Esi wònye be catatonia gblẽa nu le ame ƒe xexe si ƒo xlãe ƒe sidzedze ŋu ta la, ebɔ be amesiwo ŋu dɔlélea le mate ŋu aƒo nu tso wo ɖokui ŋu alo atso nya me le woƒe atikewɔwɔ ŋu o. Le nɔnɔme mawo me la, zi geɖe la, ɖɔktawo biaa woƒe ƒometɔ alo xɔlɔ̃ vevi aɖe be wòakpe ɖe yewo ŋu yewoawɔ nyametsotsowo le atikewɔwɔ ŋu.

Ɣeyiɣi didi kae catatonia ate ŋu anɔ anyi?

Ɣeyiɣi didi si catatonia nɔa anyi la toa vovo le nɔnɔme si gbɔ wòtso kple atike si wowɔ na wò nu. Ele vevie be nàdi atikewɔmɔnu kaba. Zi alesi catatonia nɔa anyi didi la, zi nenemae wòate ŋu awɔ nu ɖe ​​atikewɔwɔ ŋu o. Wò ɖɔktae nye ame nyuitɔ kekeake si nàƒo nu tso ɣeyiɣi didi si wòanɔ anyi kple nusi nàkpɔ mɔ na ŋu.

Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ?

Zi geɖe la, Catatonia menye agbe ƒe afɔku le eɖokui si o (gake catatonia vɔ̃ɖi ya dea ame ƒe agbe afɔku me).(negbe ɖe wowɔ atike nɛ kaba ko la, ewua ame). Gake nɔnɔme sia ate ŋu ana ku ƒe afɔkua nadzi ɖe edzi le dɔléle siwo dzɔna le ʋuʋudedi ta (e.g., pulmonary embolism , pneumonia ). Azɔ hã, catatonia dada ate ŋu asesẽ ne enɔa anyi didi alo ne exɔa ame aɖe enuenu. Dzɔgbenyuietɔe la, benzodiazepines kple ECT ƒe hayahaya ƒe agbɔsɔsɔme sɔ gbɔ ŋutɔ. Esia fia be enye dɔléle si woate ŋu ada ŋutɔ .

Edze abe amesiwo ŋu seselelãme ƒe kuxiwo le (e.g., bipolar disorder, major depressive disorder ) wɔa nu ɖe ​​atikewɔwɔ ŋu nyuie wu amesiwo ŋu tagbɔdɔléle le ene. Ke hã, esia ate ŋu ato vovo, eye menye amesiame ƒe nɔnɔme sɔ o. Wò ɖɔktae nye ame nyuitɔ kekeake si ana nyatakaka kple nukpɔsusu si de pɛpɛpɛ wu le wò nɔnɔmea ŋu.

Aleke nàwɔ akpɔ ɖokuiwò dzi le nɔnɔme si me catatonia sesẽ le me?

Ame si ŋu catatonia sesẽ le mate ŋu akpɔ eɖokui dzi o. Wohiã beléle tso atikewɔla siwo wona hehee gbɔ. Esi wònye be catatonia nana wòsesẽna na ame be wòaʋuʋu alo awɔ nu ɖe ​​xexe si ƒo xlãe ŋu ta la, kuxiwo ate ŋu adze wo dzi wu. Esia fia be womate ŋu aɖu nu alo ano nu o, si ate ŋu ahe kuxiwo abe tsikuɖiɖi kple nunyuimakpɔɖui ene vɛ . Aklãdɔ ate ŋu atso ʋuʋu ƒe anyimanɔmanɔ gbɔ. Woate ŋu ana ʋu natsi hã, si ate ŋu ana woaxɔ ʋusɔgbɔdɔ alo aklã me ʋu ƒe sisi . Wole afɔku me hã be yewoaƒo wo ɖokui ɖe nuwɔna siwo ate ŋu agblẽ nu le wo ɖokui alo ame bubuwo ŋu la me.

Ɣekaɣie wòle be makpɔ ɖɔkta? Alo nàdi atikewɔlawo ƒe aɖaŋuɖoɖoa?

Ame aɖe si le catatonia ƒe dzesiwo ɖem fia la hiã atikewɔla kaba ale si wòanya wɔ . Dzesi siawo ate ŋu asrɔ̃ atikewɔwɔ me nɔnɔme sesẽ siwo hiã be woakpɔ egbɔ enumake. Ne ame aɖe si nèlɔ̃ la le catatonia ƒe dzesiwo ɖem fia la, ahiã be nàkplɔe ayi kɔdzi alo ayɔ dɔnɔdzikpɔʋu, abe alesi wònɔ le ƒe 1990 me ene.

Ɣekaɣie wòle be mayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ame siwo ŋu catatonia le, vevietɔ amesiwo ŋu nɔnɔmewo abe tagbɔdɔléle ene le la, le afɔku me wu be woawɔ nuvevi wo ɖokui ahawu wo ɖokui . Ne susu le ŋuwò be yeawɔ nuvevi ye ɖokui, yeawu ye ɖokui, alo yeawɔ nuvevi ame bubuwo la, ele be nàyi xɔ si me wowɔa dɔ kpata le (ETU) me enumake, alo nàƒo ka na 1990. Ne susu siawo le ŋuwò la, àte ŋu aƒo ka na teƒewo abe Dukɔa ƒe Tagbɔdɔléle Ŋuti Kpekpeɖeŋunaƒe si le Sri Lanka, 1926 , hã be woakpe ɖe ŋuwò.

Mlɔeba la, anyo be nàɖo ŋku nu siawo dzi:

Catatonia nye dɔléle sesẽ aɖe si gblẽa nu le ame ƒe ahɔhɔ̃ ƒe dɔwɔwɔ ŋu eye wòkpɔa ŋusẽ ɖe alesi wòwɔa nui ɖe xexe si ƒo xlãe ŋu dzi. Ame aɖewo ate ŋu awɔ nu sue aɖe ko alo mawɔ nu kura o, evɔ ame bubuwo ya ate ŋu awɔ nu le mɔ si womate ŋu agblɔ ɖi o nu eye wòanye afɔku na wo ɖokui alo ame bubuwo. Catatonia ate ŋu adzɔ kple nɔnɔme vovovowo, tso tagbɔdɔlélewo dzi va ɖo ŋutilãmedɔlélewo dzi. Togbɔ be zi geɖe la, menye nudzɔdzɔ kpata si ate ŋu ade ame ƒe agbe afɔku me o hã la, ate ŋu ahe kuxi sesẽwo vɛ eye wòava zu catatonia vɔ̃ɖi ( nɔnɔme kpata si ate ŋu ade ame ƒe agbe afɔku me).

Esi wònye be zi geɖe la, amesiwo ŋu dɔléle sia le mete ŋu kpɔa wo ɖokui dzi o ta la, wohiã beléle na wo tso atikewɔla bibiwo gbɔ. Dzɔgbenyuietɔe la, catatonia nye dɔléle si woate ŋu ada ŋutɔ, eye ame geɖe wɔa nu ɖe ​​atikewo zazã ŋu. Zi geɖe la, amesiwo mewɔa dɔ ɖe atikewo zazã dzi o la wɔa nu ɖe ​​elektrikŋusẽ ƒe dɔlékuiwutike (ECT) ŋu. Ne wowɔ atike na catatonia nyuie le ɣeyiɣi nyuitɔ dzi la, zi geɖe la, woate ŋu atrɔ catatonia ƒe ŋusẽkpɔɖeamedziwo, eye woate ŋu ada atikewɔwɔ me nɔnɔme ɖesiaɖe si ate ŋu ado ƒome kplii alo adae.

` Catatonia, Catatonia, Susu ƒe Lãmesẽ, Ahɔhɔ̃ ƒe Dɔlélewo, Nuwɔna ƒe Kuxiwo, Ʋuʋu ƒe kuxiwo, Atikewɔwɔ, Dzesiwo