Ðe nède dzesii kpɔ be ame aɖe dze abe ɖe wòtsi tsikpe ene zi ɖeka, meƒoa nu boo o, alo wòwɔa nuwɔna mawo ke siwo ŋu gɔmesese aɖeke mele o enuenu kpɔa? Ðewohĩ àbia ɖokuiwò be, “Nukae le dzɔdzɔm ɖe ame sia dzi?” Ne míagblɔe bɔbɔe la, woyɔa nɔnɔme sia—si me ahɔhɔ̃a ƒe dɔwɔwɔ me gblẽ le, si trɔa alesi ame bua xexe si ƒo xlãe hewɔa nui ɖe eŋu—be Catatonia . Togbɔ be adze nu sesẽ hã la, le Nirogi Lanka la, míeva afisia be míagbãe ahaɖe eme na wò le mɔ si gɔme sese le bɔbɔe nu.
Nukae nye Catatonia? Mina míagbãe...
Kpuie ko la, catatonia nye dɔléle sesẽ aɖe si gblẽa alesi wò ahɔhɔ̃ wɔa dɔe, si kpɔa ŋusẽ ɖe alesi nèbua xexe si ƒo xlã wòe hewɔa nu kplii dzi. Ame siwo ŋu catatonia le ate ŋu ava zu amesiwo mewɔa nu ɖe nusiwo ƒo xlã wo ŋu o alo woawɔ nu le mɔ siwo mebɔ kura o nu. Nuƒoƒo dzi ɖeɖe kpɔtɔ, ʋuʋu si mesɔ o (alo ʋuʋu ƒe anyimanɔmanɔ kura), kple tɔtrɔ ɖedzesiwo le nuwɔna me koŋue ɖea nɔnɔmea fiana.
Ènya be Germanytɔ tagbɔdɔdala Karl Kahlbaum ye ƒo nu tso nɔnɔme sia ŋu zi gbãtɔ le keke ƒe 1874 me kea? Togbɔ be ele alea hã la, wogasea catatonia gɔme nyuie o alo womekpɔnɛ nyuie o zi geɖe. Le ŋutinya me la, wosusui vodadatɔe be ame ɖekaɖeka siwo ŋu tagbɔdɔléle le koe wòdzɔna le . Gakpe ɖe eŋu la, le tagbɔdɔlélawo ƒe habɔbɔa me gɔ̃ hã la, nukpɔsusu vovovowo ate ŋu anɔ anyi le dzidzenu siwo tututu woatsɔ anya dɔlélea ŋu. Be nyaa nasesẽ la, dzesiwo abe ʋuʋu alo mutism ene ate ŋu anɔ lãmesẽkuxi bubu geɖe me, si ana be catatonia ƒe dɔléle didi pɛpɛpɛ nyea dɔdamɔnu ƒe kuxi vavãtɔ.
Amekae le afɔku me wu?
Catatonia mewɔa vovototodedeameme le ameƒomevinyenye alo ŋutsu alo nyɔnu nyenye ta o. Ke boŋ wokpɔnɛ zi geɖe kpe ɖe lãmesẽkuxi ƒomevi siwo gbɔna ŋu:
- Tagbɔdɔléle: Dɔléle siwo kpɔa ŋusẽ ɖe wò susu ƒe lãmesẽ dzi tẽ.
- Ahɔhɔ̃mekawo ƒe dɔlélewo: Dɔléle siwo gblẽa nu le wò ahɔhɔ̃ ƒe ŋutilã ƒe wɔwɔme kple dɔwɔwɔ ŋu.
- Atikewɔwɔ ƒe nɔnɔme bubuwo: Dɔléle siwo gblẽa nu le wò ŋutilã ƒe ŋutinu veviwo dometɔ ɖeka alo esi wu nenema ŋu.
Míadzro nusiwo koŋ gbɔ wòtso kple dzesi siwo koŋ gbɔ wòtso me le míaƒe akpa si kplɔe ɖo me.
Aleke gbegbee catatonia bɔe?
Numekuku siwo wowɔ fifia ɖee fia be catatonia dzɔna le dɔnɔ siwo le tagbɔdɔlélawo ƒe atike wɔm la dometɔ siwo ade 0.5% va ɖo 2.1% me. Gake le dɔnɔ siwo woxɔ ɖe tagbɔdɔlélawo ƒe dɔwɔƒewo dome la, xexlẽme sia ate ŋu adzi ɖe edzi va ɖo abe 10% ene .
Nukae esia wɔna ɖe wò ŋutilã kple ahɔhɔ̃ ŋu?
Catatonia gblẽa nu le wò ahɔhɔ̃ ƒe akpa aɖewo koŋ ŋu, si wɔnɛ be wòva nɔa nusi woyɔna be “catatonic state” me. Ahɔhɔ̃a ƒe akpa siwo ŋu wògblẽ nu le la kpɔa dɔ vevi geɖe dzi, siwo dometɔ aɖewoe nye:
- Zɔzɔ̃.
- Sidzenuwo ƒe dɔwɔwɔ: Alesi nèɖea nukpɔkpɔ, nusese, ʋeʋẽ, asikaka nu ŋu, kple vivisese gɔmee.
- Susu.
- Sidzedze ŋutetewo: Wò tamebubu kple susu tsɔtsɔ ɖo nu ŋu.
- Dzideƒo.
- Seselelãme ƒe ɖoɖowɔwɔ.
- Dɔdzikpɔlawo ƒe dɔwɔwɔwo: Nyametsotsowɔwɔ kple ɖokuidziɖuɖu.
Abe alesi nàte ŋu akpɔe ene la, esi wònye be catatonia gblẽa nu le ahɔhɔ̃a ƒe akpa vovovo geɖe ŋu ta la, dzesiawo to vovo ŋutɔ. Esia tututu tae wòdo ƒome kple nɔnɔme vovovo geɖe siwo gbɔ wòtso enuenu eye wògakpɔtɔ nye dɔléle ŋuti dɔléle sesẽ aɖe na eŋutinunyala bibiwo le Nirogi Lanka.
Nukawoe nye catatonia ƒe dzesiwo?
DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) si Amerika Tagbɔdɔlélawo ƒe Habɔbɔ ta gblɔ be catatonia ƒe dzesi 12 ye da asi ɖe edzi le se nu. Mina míalé ŋku ɖe wo ŋu ɖekae:
- Tɔtɔ: Dzimaɖitsitsi alo dzikudodo vevie si gotagome nusi gbɔ wòtso o.
- Catalepsy: Ŋutilã ƒe nɔnɔme me léle ɖe asi ɣeyiɣi didi; ne woʋu la, àte ŋu anɔ nɔnɔme yeye ma me.
- Echolalia: Nya alo gbeɖiɖi siwo ame bubu gblɔ gbugbɔgagblɔ, abe echo ene.
- Echopraxia: Ame bubu ƒe ʋuʋu sɔsrɔ̃.
- Modzakaɖeɖe: Mo ƒe dzedzeme si le teƒe ɖeka, si tro, alo ɖewohĩ alɔgbɔnukoko susu aɖeke manɔmee.
- Mɔnu: Nuwɔna siwo wowɔna edziedzi wɔwɔ le mɔ si gbɔ eme, si mebɔ o, alo fefewɔƒe.
- Mutism: Nuƒoƒo ƒe ŋutete ƒe akpa gãtɔ alo keŋkeŋ (ne esia metso nɔnɔme bubu abe aphasia ene gbɔ o ko).
- Negativism: Gbegbe be yemawɔ ɖe mɔfiamewo dzi o alo tsi tre ɖe ʋuʋu ŋu le susu aɖeke si me susu mele o ta.
- Nɔnɔme: Lãmesẽ ƒe nɔnɔme si me mekɔ o alo esi mewɔ nuku o léle ɖe asi ɣeyiɣi didi aɖe.
- Nukpɔsusu si me susu mele o: Ʋuʋu enuenu, si me taɖodzinu aɖeke mele o, abe asibidɛwo ʋuʋu alo ŋutigbalẽa tutu ene.
- Alɔ̃madɔmadɔ: Be woanɔ nɔnɔme si me womewɔa nu ɖe nutoa me ŋu o me, ne wole ŋudzɔ gɔ̃ hã.
- Wax ƒe asitɔtrɔ le nɔnɔmewo ŋu: Ne ame aɖe dze agbagba be yeaʋuʋu wò la, èɖea tsitretsitsi vie fiana, emegbe wò lãmekawo ɖea dzi ɖi, si wɔnɛ be wò abɔwo te ŋu nɔa teƒe abe ɖe wotsɔ wax falɛfalɛ wɔ wò ene.
De dzesii: Ne wò ŋutɔ alo wò lɔlɔ̃tɔ aɖe le tɔtrɔ sesẽwo me tom le nuwɔna alo nuteɖeamedzi me la, taflatse te ɖe dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ alo nàɖo ta kɔdzi si te ɖe ŋuwò enumake. Wò dedienɔnɔe nye nu vevitɔ na Nirogi Lanka ƒe ƒuƒoƒoa.
Bu esia ŋu kpɔ: ne kasia xɔ̃wò aɖe dze nya si tututu nègblɔ la gbugbɔgagblɔ gɔme (`Echolalia`) alo dze wò ʋuʋu ɖesiaɖe sɔsrɔ̃ gɔme (`Echopraxia`) la, àse le ɖokuiwò me be yeƒe dzi mefa o, alo? Esiawo nye dzesi siwo do ƒome kple nɔnɔme sia dometɔ aɖewo ko.
Nukae nye Catatonia ƒe dɔwɔwɔ ƒe ɖoɖo vovovoawo?
Ame geɖe tsɔe be Catatonia fia ɣesiaɣi be woanɔ anyi tsikpe eye womaʋã o. Gake menye nenemae wònɔna ɣesiaɣi o. Catatonia ate ŋu adze abe nuwɔna ƒe tɔtrɔ kpata, si womele mɔ kpɔm na o, alo ʋuʋu si gbɔ eme kple ɣesiaɣi gɔ̃ hã ene. Alesi woda dzidzenu siawo ɖe hatsotsowo me enye si:
- Dzidzɔ/Hyperkinetic: Zi geɖe la, esia dzena abe nuwɔna ƒe tɔtrɔ ene. Àte ŋu ade dzesi afɔɖeɖe si me taɖodzinu aɖeke mele o, zitɔtɔ, adãwɔwɔ, alo nuwɔna si mesɔ o evɔ susu si me kɔ o. Àte ŋu ade dzesi nuƒoƒo ƒe ɖoɖo si mebɔ o, ame bubuwo sɔsrɔ̃, kple le go aɖewo me la, afɔku si ate ŋu agblẽ nu le ɖokuiwò ŋu hã .
- Withdrawn/Hypokinetic: Esiae nye nuƒoƒo si wonya nyuie si ame akpa gãtɔ doa ƒome kple Catatonia. Ne ame ɖekaɖekawo le ŋudzɔ gɔ̃ hã la, ɖewohĩ mawɔ nu ɖe nuto si me wole ŋu o, eye wòadze abe ɖe woɖe wo ɖokui ɖa keŋkeŋ ene. Zi geɖe la, wozia ɖoɖoe, woƒe mo ƒe dzedzeme le gbadzaa, woate ŋu alé nɔnɔme sesẽwo alo esiwo mebɔ o, eye woate ŋu atsi tre ɖe agbagba ɖesiaɖe si woadze be woaʋuʋu yewo ŋu. Woate ŋu agbe nuɖuɖu alo nunono eye woate ŋu akpe fu le ɖokuidzimademade me.
- Mixed: Esia dzɔna ne èkpɔ hyperkinetic kple hypokinetic nɔnɔme siaa ƒe nɔnɔmewo. Ame ɖeka ate ŋu atrɔ le nusiwo gbɔ eme siawo dome le mɔ si womate ŋu agblɔ ɖi o nu nuxlɔ̃ame manɔmee.
Nukae nye Malignant Catatonia eye ɖe wòdea ame ƒe agbe afɔku mea?
Le go aɖewo me la, Catatonia ate ŋu ahe kuxi siwo wua ame vɛ. Woyɔa esia be Catatonia Dɔlékuiwo . Nɔnɔme sia hea Dysautonomia , si fia be wò autonomic nervous system mele dɔ wɔm nyuie o. Nuɖoanyi siae kpɔa wò ŋutilã ƒe dɔwɔwɔ siwo mèlɔ̃na faa o, abe dzi ƒe tsotso kple ʋu ƒe sisi ene dzi.
Catatonia vɔ̃ɖi ƒe dzesiwo dometɔ aɖewoe nye:
- Ŋutilã ƒe dzoxɔxɔ si nu sẽ si me afɔku le (Hyperthermia).
- Dzi ƒe tsotso kabakaba (Tachycardia).
- Fifia si gbɔ eme (Diaphoresis).
- Ʋu ƒe sisi si meli ke o.
- Cyanosis: Esia fia oxygen ƒe agbɔsɔsɔ si le ʋu me ƒe ɖiɖi, si wɔnɛ be ŋutigbalẽa ƒe akpa aɖewo, vevietɔ esiwo ƒo xlã nuyiwo kple ɖawo, zua blɔ.
Esia le vevie ŋutɔ be míaɖo ŋku edzi: Catatonia vɔ̃ɖi nye atikewɔwɔ kpata si ate ŋu ade ame ƒe agbe afɔku me. Esi wògblẽa nu le dɔwɔwɔ siwo dzi wò ahɔhɔ̃ kpɔna le wo ɖokui si ŋu ta la, ate ŋu ahe ku vɛ. Ne ède dzesi dzesi siawo la, di atikewɔla kpata enumake to 911 alo xexlẽdzesi si le mia gbɔ ƒoƒo kpata me.
Nukae hea Catatonia vɛ?
Togbɔ be wowɔ numekuku ƒe 150 kloe hã la, eŋutinunyalawo mete ŋu de dzesi nusi tututu gbɔ Catatonia tso haɖe o. Gake nufiafia vovovowo li, tso ahɔhɔ̃a ƒe atikewo ƒe masɔmasɔ dzi va ɖo domenyiŋusẽfianu ƒe nɔnɔme dzi.
Esi womenya nu ɖeka aɖeke si gbɔ wòtso o ta la, eŋutinunyalawo dea dzesii to eƒe hadede kple atikewɔwɔ me nɔnɔme bubuwo dzi koŋ. Tagbɔdɔléle siwo bɔ siwo do ƒome kple Catatonia dometɔ aɖewoe nye:
- Nu eve ƒe susu ƒe dɔmawɔmawɔ nyuie.
- Tagbɔdɔléle si nye tagbɔdɔléle.
- Tagbɔdɔléle si nye Schizoaffective dɔléle.
- Blanuiléledɔ sesẽ.
Ahɔhɔ̃ kple ŋutilã ƒe nɔnɔme siwo bɔ siwo do ƒome kple Catatonia dometɔ aɖewoe nye:
- Autism spectrum dɔléle.
- Dɔlélenutsiŋutete ƒe dɔlélewo (le kpɔɖeŋu me, Lupus , Multiple sclerosis ).
- Ahɔhɔ̃medɔléle siwo gblẽa nu le ame ŋu (le kpɔɖeŋu me, Tagbɔdɔléle , Parkinson ƒe dɔléle ).
- Down ƒe dɔléle si nye Down syndrome.
- Nɔnɔme siwo do ƒome kple atike muamewo (siwo dometɔ aɖewoe nye atike siwo woŋlɔ na ame kple atike siwo ŋu se meɖe mɔ ɖo o siaa).
- 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 akakae na ame bubuwo hã o.
Aleke ɖɔktawo wɔa dea dzesi Catatonia?
Wò ɖɔkta azã mɔnu vovovowo atsɔ anya catatonia. Zi geɖe la, dɔ sia dzea egɔme kple ahɔhɔ̃mekawo dodokpɔ . Le dodokpɔ sia me la, wò ɖɔkta ada wò susu ƒe dɔwɔwɔ, alesi nèwɔa nui, kple alesi nèwɔa nu kple xexe si ƒo xlã wò (alo mèdoa kpo nu) kpɔ.
Le esia megbe la, anɔ eme be wò ɖɔkta azã dɔwɔnu aɖe si woɖo ɖi, abe Bush-Francis Catatonia Rating Scale , ene, atsɔ aɖo kpe catatonia ƒe anyinɔnɔ dzi ahakpɔ eƒe sesẽme. Ne wonya de dzesii ko la, nusi woatsɔ aɖo nɔƒe gbãtɔe nye be woanya nusi gbɔ wòtso, elabena ɣesiaɣi kloe la, catatonia nyea evelia le ŋutilã alo susu me lãmesẽ ƒe nɔnɔme si li xoxo megbe. Esi wònye be catatonia ate ŋu ado ƒome kple atikewɔwɔ me nɔnɔme sesẽ siwo ate ŋu ade ame ƒe agbe afɔku me ta la, nya sesẽ siawo siwo le ete la ɖeɖeɖae nye nusi ŋu wotsi dzi ɖo vevie.
Dodokpɔ kawoe wowɔna?
Be woade dzesi catatonia eye woake ɖe nusi gbɔ wòtso ŋu la, zi geɖe la, wowɔa dodokpɔ siwo gbɔna:
- Nɔnɔmetatawo dodokpɔ: Esiawo ate ŋu anye CT-dɔdamɔnu alo MRI-dɔdamɔnu .
- Ʋu, aɖuɖɔ, kple ahɔhɔ̃metsi (CSF) dodokpɔwo: Dodokpɔ siawo kpena ɖe ame ŋu wòdea dzesi atike siwo mesɔ o alo dɔlékuiwo. CSF dodokpɔ bia be woaɖe akɔta (spinal tap) be woatsɔ aƒo tsi sue aɖe nu ƒu tso wò aklã me.
- Ahɔhɔ̃ ƒe dɔwɔwɔ ƒe dodokpɔ: EEG (Electroencephalogram) ŋlɔa wò ahɔhɔ̃ ƒe elektrikŋusẽ ƒe dɔwɔwɔ ɖi be wòaɖe nɔnɔmewo abe asrã ene ɖa.
Dɔdamɔnu kawoe li, eye ɖe woate ŋu adae bliboea?
Zi geɖe la, atikewɔwɔ na catatonia nɔ te ɖe atikewɔwɔ alo susu me nɔnɔme si gbɔ wòtso dzi. Ne ŋutilã alo ahɔhɔ̃mekawo ƒe nya aɖe gbɔe wòtso la, zi geɖe la, dɔléle ma koŋ dada nana catatonic ƒe dzesiwo nyona ɖe edzi. Ne wotsɔe do ƒome kple tagbɔdɔlélewo la, atikewɔwɔmɔnu vovovowo naa nu nyuitɔ kekeake dona tso eme.
Atike alo atikewɔmɔnu kawoe wozãna?
Mɔnu vevi eve li siwo dzi woato ada catatonia: atike kple Electroconvulsive Therapy (ECT). Atikewɔmɔnu bubuwo, abe transcranial magnetic stimulation , ene li, gake kpeɖodzi si sɔ gbɔ haɖe si ɖo kpe wo zazã le atikewɔnyawo me le afisiafi dzi o.
Atikewo zazã
Benzodiazepine ƒe hatsotso si nye atikewoe nye catatonia dada vevitɔ le woƒe dedienɔnɔ kple dɔwɔwɔ nyuie ta. Ame siwo ŋu catatonia le ƒe 60% va ɖo 90% ɖea ŋgɔyiyi fiana le benzodiazepines zazã me. Lorazepam ye wozãna wu, togbɔ be clonazepam , diazepam , kple zolpidem hã ate ŋu awɔ dɔ nyuie hã. Woate ŋu ado atike siawo ɖe ʋuka me (IV) , to atikewo dodo me, alo to nu me.
Atike bubuwo (abe seselelãme nana ame alo tagbɔdɔlékuiwutikewo ene ) ate ŋu akpe ɖe ame ŋu gake zi geɖe la, womezãa wo abe atike gbãtɔwo ene o. Woɖea vi wu le dzesi evelia dzi kpɔkpɔ me ne catatonic ƒe nɔnɔme gbãtɔa nya nu tso. Ŋuɖɔɖɔɖo le vevie ŋutɔ, elabena ɣeaɖewoɣi la, atike siwo wua tagbɔdɔ ate ŋu ana catatonia nagblẽ ɖe edzi alo ana catatonia vɔ̃ɖi alo neuroleptic malignant syndrome .
Elektrikŋusẽ ƒe Ʋuʋudedi (ECT) .
ECT nye dɔdamɔnu si me wotsɔa elektrikŋusẽ fafɛ aɖe dea wò ahɔhɔ̃a ƒe akpa aɖewo koŋ be wòana nàxɔ alɔ̃ kpuie si dzi woaɖu. Woawɔ atike na wò le dɔwɔwɔ na wò katã me, si ana nàse veve alo vevesese aɖeke o.
ECT wɔa dɔ ŋutɔ, eye amesiame kloe si xɔe ɖe catatonia ta la kpɔa gbɔdzɔe. Enye sika ƒe atike si wozãna na catatonia vɔ̃ɖi eye ate ŋu axɔ ame ɖe agbe le nɔnɔme mawo me. Enye dɔwɔnu vevi aɖe hã na dɔnɔ siwo mewɔa nu ɖe atikewo ŋu o.
Kuxi alo nugbegblẽ kawoe ate ŋu ado tso atikewɔwɔ me?
Kuxiwo kple eƒe nugbegblẽ le ame ŋu toa vovo le atikewɔwɔ tɔxɛ alo atikewɔmɔnu siwo wotsɔ ƒo ƒui nu. Wò ɖɔktae nye ame nyuitɔ kekeake si aɖe nugbegblẽ alo afɔku tɔxɛ siwo dona tso wò atikewɔwɔ ƒe ɖoɖo si nèwɔ na wò ŋutɔ me le Nirogi Lanka.
Ne dzesi siawo le ŋunye la, aleke wòle be makpɔ wo gbɔe?
Esia le vevie ŋutɔ: Catatonia nye dɔléle sesẽ aɖe si didi ate ŋu asesẽ na atikewɔla bibiwo gɔ̃ hã. Gakpe ɖe eŋu la, woate ŋu atsɔe asɔ kple atikewɔwɔ kpata siwo ate ŋu ade ame ƒe agbe afɔku me. Le nu siawo ta la, mele be nàdze agbagba gbeɖe be ye ŋutɔ yeakpɔ dɔléle sia alo adae na ye ɖokui o. Taflatse te ɖe dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ alo yi kɔdzi si te ɖe ŋuwò enumake.
Aleke gbegbee wò lãme asẽ kaba ne èdze atikewɔwɔ gɔme, eye ɣeyiɣi didi kae wòxɔna hafi nàhaya?
Esi nɔnɔmewo le abe catatonia ene ta la, amesiame ƒe nuteƒekpɔkpɔ le etɔxɛ. Wò ɖɔktae nye ame nyuitɔ kekeake si ana mɔfiame tɔxɛ le wò hayahaya ƒe ɣeyiɣiɖoɖo ŋu, elabena woabu wò atikewɔwɔ ŋutinya bliboa kple lãmesẽkuxi ɖesiaɖe si le eme ŋu.
Zi geɖe la, benzodiazepines wɔa dɔ kabakaba ŋutɔ. Ne wodoe ɖe ʋuka me (IV) la, dɔnɔ geɖe dzea egɔme sena le wo ɖokui me be yewoƒe lãme sẽ le miniti 10–15 me. Ne wozãe to nu me la, ate ŋu axɔ miniti 20–30 hafi woade dzesi ŋusẽkpɔɖeamedzi aɖe. Gake esi wònye be agbɔsɔsɔme si sɔ didi ate ŋu axɔ ɣeyiɣi ta la, ate ŋu ahiã be dɔnɔ aɖewo nawɔ atike ŋkeke ʋɛ aɖewo hafi woakpɔ ŋgɔyiyi ɖedzesi aɖe le woƒe catatonic nɔnɔme me.
ECT hã nye atike si wɔa dɔ ŋutɔ eye wòwɔa dɔ kabakaba. Togbɔ be dɔnɔ aɖewo ɖea dzesiwo fiana be yewoƒe lãme sẽ le aɖabaƒoƒo alo gaƒoƒo ʋɛ aɖewo me hã la, bubuwo ate ŋu ahiã be woawɔ dɔ na wo zi geɖe. Dɔnɔ akpa gãtɔ xɔa ECT zi geɖe le kwasiɖa me hena kwasiɖa ʋɛ aɖewo, togbɔ be wo dometɔ aɖewo ate ŋu ahiã be woawɔ dɔ na wo gbesiagbe vaseɖe esime dzesiawo nu naɖe akpɔtɔ hã.
Ðe mɔ aɖe li si dzi woato axe mɔ ɖe catatonia nu alo aɖe afɔkua dzi akpɔtɔa?
Zi geɖe la, Catatonia dona tso nusiwo gbɔ wòtsona siwo gakpɔtɔ sesẽ na eŋutinunyalawo gɔ̃ hã gbɔ. Eyata mɔ aɖeke meli si ŋu kakaɖedzi le si dzi nàto axe mɔ ɖe enu alo aɖe wò afɔkua dzi akpɔtɔ o.
Gake ne woŋlɔ atike na wò na susumedɔléle aɖe si li xoxo la, ele vevie ŋutɔ be màdzudzɔ enono atikewɔlawo ƒe ŋkuléleɖenuŋu manɔmee o, elabena esia wɔwɔ ate ŋu ana wò afɔku nadzi ɖe edzi be nàxɔ catatonia.
Ne nɔnɔme sia le ŋunye la, nukae mate ŋu akpɔ mɔ na?
Ame akpa gãtɔ siwo ŋu catatonia le la gakpɔtɔ nya nu tso nusiwo ƒo xlã wo ŋu vaseɖe afi aɖe. Kuxiae nye ŋutete si mele ame si be wòawɔ nu ɖe nusi le dzɔdzɔm ŋu le mɔ si sɔ nu o. Ne edze abe womenya o ene hã la, ame geɖe ɖoa ŋku nudzɔdzɔ siwo dzɔ le woƒe catatonic nɔnɔmea me dzi.
Esi wònye be catatonia kpɔa ŋusẽ ɖe wò ŋutete be nàwɔ nu kple xexeame dzi ta la, ate ŋu asesẽ na wò be nàɖo dze alo atso nya me le wò beléle ŋu. Le nɔnɔme mawo me la, wò atikewɔha si le Nirogi Lanka awɔ ɖeka kple wò ƒomea alo lãmesẽnyawo gbɔ kpɔla si woɖo be woakpɔ egbɔ be yexɔ kpekpeɖeŋu nyuitɔ kekeake.
Ɣeyiɣi didi kae catatonia ate ŋu anɔ anyi?
Ɣeyiɣi didi si catatonia xɔna nɔ te ɖe nusi gbɔ wòtso kple atikewɔwɔ si wowɔ dzi. Beléle na ame le ɣeyiɣi nyuitɔ dzi didi le vevie ŋutɔ. Ne womewɔ atike nɛ ɣeyiɣi didi akpa o la, dɔlélea dzi ɖuɖu va sesẽna ɖe edzi. Wò ɖɔkta si le Nirogi Lanka ye nye ame nyuitɔ kekeake si adzro nusiwo nàte ŋu akpɔ mɔ na me le wò lãmesẽ ƒe nɔnɔme tɔxɛa nu.
Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ?
Zi geɖe la, catatonia ŋutɔ medea ame ƒe agbe afɔku me o (togbɔ be catatonia vɔ̃ɖi nye atikewɔwɔ kpata si hiã be woakpɔ egbɔ enumake hã). Gake kuxi siwo dona tso dɔmawɔmawɔ me—abe aklã me ʋu ƒe sisi alo aklãdɔ ene —ate ŋu ahe afɔku gãwo vɛ. Gakpe ɖe eŋu la, ne dɔlélea yi edzi alo gadze enu enuenu la, edada va sesẽna ɖe edzi. Dzɔgbenyuietɔe la, ne wozã benzodiazepines kple ECT , dzidzedzekpɔkpɔ ƒe agbɔsɔsɔme sɔ gbɔ ŋutɔ, si wɔe be catatonia nye dɔléle si woate ŋu ada ŋutɔ .
Zi geɖe la, dɔnɔ siwo ƒe seselelãme ƒe kuxiwo le (abe tagbɔdɔléle alo blanuiléle sesẽ ene ) wɔa nu ɖe atikewɔwɔ ŋu nyuie wu amesiwo ŋu tagbɔdɔléle le . Ame ɖesiaɖe to vovo, eyata taflatse yi wò Nirogi Lanka ɖɔkta gbɔ hena nyagblɔɖi si sɔ wu ku ɖe wò lãmesẽmɔzɔzɔ tɔxɛa ŋu.
Aleke nàwɔ akpɔ catatonia sesẽ gbɔe?
Ame si ŋu catatonia sesẽ le la mete ŋu kpɔa eɖokui dzi o eye wòhiã be atikewɔla bibiwo nakpɔ edzi. Esi wònye be catatonia ate ŋu ana ame ɖeka mate ŋu aʋuʋu alo awɔ nu ɖe nusiwo ƒo xlãe ŋu o ta la, atikewɔwɔ me kuxi sesẽwo ƒe afɔkua lolo ŋutɔ. Ðewohĩ womate ŋu aɖu nu alo ano nu o, si ana tsi ƒe vɔvɔ kple nunyuimakpɔɖu ƒe afɔkuwo . Ʋuʋu ƒe anyimanɔmanɔ hã ate ŋu ana ame naxɔ aklãdɔ . Gakpe ɖe eŋu la, woate ŋu axɔ ʋu ƒe sisi, si tsɔa ʋusɔgbɔdɔ alo aklã me ʋu ƒe sisi ƒe afɔku vɛ . Tsɔ kpe ɖe eŋu la, afɔku li be nuwɔna siwo ate ŋu agblẽ nu le wo ɖokui alo ame bubuwo ŋu.
Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo?
Amesiame si ɖea catatonia ƒe dzesiwo fiana la hiã be woakpɔ egbɔ enumake . Dzesi siawo ate ŋu asrɔ̃ atikewɔwɔ kpata bubu siwo ate ŋu ade ame ƒe agbe afɔku me siwo hiã be woawɔ nu kpata. Ne wò lɔlɔ̃tɔ aɖe le catatonia ƒe dzesiwo ɖem fia la, ele be nàtsɔe ayi kɔdzi si te ɖe ŋuwò alo nàƒo ka na dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ (abe 911 ene) enumake.
Ɣekaɣie wòle be nàyi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ED)?
Ame siwo ŋu catatonia le, vevietɔ amesiwo ŋu dɔléle siwo gbɔ wòtso abe tagbɔdɔléle ene le la le afɔku gã aɖe me be woawɔ nuvevi wo ɖokui eye woawu wo ɖokui . Ne èle susuwo me tom be yeawɔ nuvevi ye ɖokui, yeawu ye ɖokui, alo yeawɔ nuvevi ame bubuwo la, taflatse yi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ si te ɖe ŋuwò enumake alo nàƒo ka na 911. Àte ŋu aƒo ka na susumedɔléle ƒe kaƒoƒo siwo le mia gbɔ hã be woakpe ɖe ŋuwò enumake.
Le nyataƒoƒo me la, taflatse na nya siawo nanɔ susu me na wò
Catatonia nye dɔléle sesẽ aɖe si gblẽa ahɔhɔ̃a ƒe dɔwɔwɔ me eye wòkpɔa ŋusẽ ɖe alesi nèwɔa nu kple xexeame dzi. Ame aɖewo ate ŋu adzo le wo ɖokui me alo maganɔ nu wɔm o, evɔ ame bubuwo ya ate ŋu awɔ nu le mɔ siwo womate ŋu agblɔ ɖi o nu le mɔ siwo ate ŋu ahe afɔku vɛ nu. Catatonia ate ŋu atso tagbɔdɔ alo ŋutilã ƒe nɔnɔme vovovowo gbɔ. Togbɔ be menye ɣesiaɣie wòdea ame ƒe agbe afɔku me enumake o hã la, ate ŋu ahe kuxi sesẽwo vɛ eye ate ŋu ayi ŋgɔ ava zu Malignant Catatonia , si nye atikewɔwɔ kpata si ate ŋu ade ame ƒe agbe afɔku me.
Esi wònye be zi geɖe la, amesiwo ŋu wògblẽ nu le mete ŋu kpɔa wo ɖokui dzi o ta la, ehiã be woakpɔ atikewɔla bibiwo gbɔ. Dzɔgbenyuietɔe la, catatonia nye dɔléle si woate ŋu ada ŋutɔ, eye dɔnɔ akpa gãtɔ wɔa nu ɖe atikewo ŋu nyuie. Le amesiwo mewɔa nu ɖe atike ŋu o gome la, elektrikŋusẽ ƒe dɔdamɔnu (ECT) wɔa dɔ nyuie zi geɖe. Ne Nirogi Lanka kple atikewɔla bibi bubuwo da dɔ nɛ le ɣeyiɣi nyuitɔ dzi eye wòwɔ dɔ nyuie la, zi geɖe la, woate ŋu atrɔ catatonia ƒe ŋusẽkpɔɖeamedziwo, si ana woate ŋu akpɔ lãmesẽnya siwo le ete gbɔ ahakpɔ wo gbɔ.
Nya veviwo: Catatonia, susu ƒe lãmesẽ, ahɔhɔ̃ ƒe kuxiwo, nuwɔna ƒe nyawo, ʋuʋu ƒe kuxiwo, atikewɔwɔ, dzesiwo
