Catatonia chu eng nge ni? He nungchang mak tak hi kan sawi dawn em ni?

Mi pakhat chu rang taka lung ang maia awm, thusawi tlem lutuk, emaw, awmzia nei lova thil inang ti nawn leh nawn leh hi i hmu ngai em? "Aw ka Pathian, he mi hi eng thil nge a tihsual?" Hetiang thil i hmuh hian i ngaihtuah tawh mai thei. Catatonia hi kan thluak hian eng emaw ti takin hna a thawk a, kan chhehvel khawvel chunga kan thil tih dan leh kan awm dan pawh a danglam thin. Hei hi a buaithlak deuhin lang mah se, vawiinah hian chiang tak leh in hriatthiam theih tur angin kan sawi dawn a ni.

Catatonia chu eng nge ni? A dik tak chuan...

A awlsam zawngin sawi ila, catatonia hi natna khirh tak a ni a, kan thluak hnathawh dan a tibuai a, kan chhehvel khawvel kan hmuh dan leh kan chhan dan a nghawng a ni. Hetiang natna vei te hi a châng chuan an chhehvêla thil awmte chu an chhâng lo vek thei a, a nih loh leh thil danglam tak takin an awm thei bawk. He natna lan chhuahna ber chu thusawi tlahniam, chetna danglam tak emaw, che thei lo emaw, leh nungchang inthlak danglamna te hi a ni .

Kum 1874 daih tawh khan German rilru lam doctor Karl Kahlbaum-a chuan he natna hi catatonia tiin a sawi hmasa ber tih i hria em. Mahse, he dinhmun hi hriat chian a la ni lo. A chhan pakhat chu tun hnai thleng khan mi tam tak chuan rilru lam natna (schizophrenia) vei zingah chauh a thleng niin an ngai a ni . Tin, rilru lam doctor-te zingah pawh a natna hriat theihna tur symptoms engzat nge mamawh tih leh engzat nge mamawh tih chungchangah ngaihdan hrang hrang a awm bawk. Thil dang chu a natna lan chhuah dan thenkhat, agitation leh speechlessness te hi natna dang ah pawh hmuh tur a awm a, chuvangin hei hi catatonia a ni em tih hriat a harsa deuh.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Catatonia hian hnam leh mipa leh hmeichhia a zirin tumah a bik takin a nghawng lo. Mahse, a hnuaia damdawi lam dinhmunte nen hian a inzawm tlat a ni.

• Psychiatric conditions: Heng natnate hi i rilru hriselna tichhe thei direct a ni.
• Neurological conditions: Heng natnate hi i thluak hnathawhna tichhe thei natna a ni.
• Damdawi lam thil dang: Hengte hi i taksa system pakhat emaw a aia tam emaw hnathawhna tichhe thei dinhmun a ni.

Hemi chungchang hi a chhan leh a lan chhuah dan tur section-ah chipchiar zawkin kan sawi dawn a ni.

Catatonia hi engtiang chiahin nge a awm?

Tuna zirchianna atanga a lan dan chuan rilru lam enkawlna dawngtu zinga 0.5% leh 2.1% inkar chuan catatonia an nei thei a ni. Mahse, he zat hi residential mental health treatment dawngtu zingah 10% velin a pung a ni.

Hei hian kan taksa, a bik takin thluak chungah eng nge a tih?

Catatonia hian kan thluak hmun thenkhat chu hna a thawk tawh lo. Hei hi "catatonic state"-a kal an ti. Thluak a natna hmunte hian thil hrang hrang a control a, chungte chu:

• Chet.
• Senses: hmuh, hriat, rim, khawih leh ei.
• Hriatrengna.
• Ngaihtuahna leh ngaihven thiamna (Cognitive abilities).
• Fuihthar.
• Emotions (Emotions) te.
• Thutlukna siam thiam leh mahni inthunun theihna (Executive functions).

I hmuh angin catatonia hian thluak hmun hrang hrang a nghawng avangin a natna lan chhuah dan chu a inang lo thei hle. Chuvangin he natna hi natna chi hrang hrang tam takah hmuh tur a awm fo a, specialist te tan chuan a hriat chian chu harsatna a ni thei.

Catatonia natna lan chhuah dan chu engte nge ni?

American Psychiatric Association-in DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) kaihhruaina a siamah chuan official-a hriat chhuah catatonia symptom 12 a awm a. Eng nge an nih i en ang u.

• Agitation: Hei hi mi pakhat agitated emaw agitated mai mai emaw a ni. He symptom hi an chhehvela thil dang chhanna a ni lo va, he buaina hi a lo awm hian a thleng zawk a ni.
• Catalepsy: Hei hi mi pakhatin dinhmun engemaw takah a dah a, chu dinhmunah chuan an awm reng a ni. Zawi zawiin hmun dangah i sawn thei a, mahse chu dinhmun tharah chuan an awm reng thung.
• Echolalia: Hei hi mi dangin aw emaw, thu emaw a sawi nawn lehna, echo ang maia sawi nawn lehna a ni.
• Echopraxia: Hei hian mi dang chezia entawn a huam a ni.
• Grimacing: Facial expression pakhat, a tlangpuiin tense facial expression, rei tak vawn tlat. A châng chuan, inzawmna a awm loh lai pawhin nuihzatthlâk angin a lang thei bawk.
• Mannerism: Thil tih dan pangngai emaw, thil tih dan pangngai emaw, mak tak mai, tihpun, tihpun (exaggerated) anga tih.
• Mutism: A tam zawkah chuan ngawi renga awm, emaw, tawng lo tak tak emaw. Hei hi thusawi tikhawlo thei dinhmun dang (e.g., aphasia) a awm chauhvin a chhinchhiahna a ni.
• Negativism: Hei hian i chhehvela thil awmte chhan loh emaw, i chhehvela thil awmte chu chhan dik tak nei lovin dodalna emaw tihna a ni.
• Posturing: Mi dangin a tih vang ni lovin, posture bik chelh a, chutiang dinhmunah chuan awm reng. Heng posture te hi mi pangngai tan chuan vawn that a harsa hle.
• Stereotypy: Thil tum chiang tak awm lova chetna inang tih nawn leh, finger play emaw taksa peng khata hnawih emaw ang chi.
• I chhehvel khawvel ngaihsak lohna (Stupor):Harh reng, mahse an chhehvela engmah ngaihven lo, leh chhan loh. Catatonia vei te hi khawih tlemte (e.g., taksa pinching) pawhin an chhang thei lo tluk a ni.
• Waxy flexibility: Hei hi mi pakhatin mi pakhat dinhmun thlak danglam a tum a, a tir lamah chuan an dodal a, nawr tlemte ang maiin. Tichuan, an taksa ruhte chu zawi zawiin a hahdam a, an ke ruh chu melted candle ang maiin a ben ta a ni.

Ngaihtuah teh, i thianpa chuan i thusawi dik tak (`(Echolalia)`) chu a sawi nawn leh ta thut emaw, i kut a vawrh ang bawkin (`(Echopraxia)`) emaw chuan, thil mak deuhin i inhria ang a ni lawm ni? Chu chu he natna lan chhuah dan thenkhat chu an ni.

Catatonia hian eng functional level hrang hrang nge a neih?

Mi tam tak chuan catatonia hi taksa chu a hmunah a vawt a, a che thei lo tihna angin an ngai a. Mahse, hei hi a ni reng reng lo. Catatonia-ah hian nungchang inthlak danglamna rang tak, beisei loh taka inthlak danglamna a awm thei bawk. A lutuk, a kal zel pawh a awm thei. Heng level hrang hranga activity hrang hrangte hi:

• Excited/Hyperkinetic: Hei hi nungchang inthlak danglamna avanga hriat theih a ni tlangpui. Anni chu fidgety, restless, aggressive, leh a châng chuan chhan hriat lohvin tharum thawhna nei an ni thei bawk. Tin, mak tak maiin an sawi thei a, an che thei bawk a, an chhehvêla mi dangte thil tih chu an entawn thei a, mahni intihhlum pawh an ni thei bawk .
• Withdrawn/Hypokinetic: Hei hi miten catatonia tih thumal an hriat hian an ngaihtuah fo thin. Heng mite hi an harh a, mahse an chhehvela thil awmte chu an chhân lêt lo, an chhehvêla khawvêl ngaihsak lo ang maiin. An ngawi reng fo a, an hmelah hian rilru natna a lang lo. An dinhmun danglam tak an vawng thei a, tihnghing pawh an do thei bawk. Ei leh in pawh an ei lo thei a, an thawmhnaw pawh an hnim thei (incontinence).
• Mixed: Hei hi hyperactive leh underactive trait pahnih inzawmkhawm a ni. Mi pakhat chuan rang takin leh vaukhânna engmah awm lovin heng hnathawhna level pahnih inkarah hian a inthlak thei a ni.

Malignant catatonia tih hi eng nge ni? Nunna atana hlauhawm a ni thei ang em?

A then phei chuan catatonia hian nunna atana hlauhawm harsatna a thlen thei bawk. Chu chu malignant catatonia an ti a. Hetiang dinhmun hian dysautonomia tih natna a thlen thin . Hei hian i autonomic nervous system a thawk tha lo tihna a ni. I autonomic nervous system hian taksa hnathawh hrang hrangte chu i ngaihtuah pawha ngaihtuah lovin automatic-a thleng (e.g., heart rate, blood pressure) chu a control a ni.

Malignant catatonia natna lan chhuah dan chu:

• Taksa lumna sang leh khawsik (Hyperthermia) hlauhawm tak a ni.
• Lung a na rang hle (Tachycardia).
• Thaw tam lutuk (Diaphoresis).
• Thisen sang a nghet lo.
• Cyanosis: Hei hi thisen a oxygen level a tlahniam a, vun hmun thenkhat, a bik takin hmui leh kut zungtang vel te chu a sen vek thin a ni.

Hetah hian i hriat tur chu: Malignant catatonia hi nunna atana hlauhawm medical emergency a ni. Thihna hial a thlen thei a, a chhan chu taksaa automatic process, thluak in a thunun a tihbuai vang a ni. Chuvangin heng symptoms te hi i neih chuan doctor pan vat a pawimawh hle.

Eng thilin nge he catatonia dinhmun hi a thlen?

Kum 150 dawn zet zirchianna nei tawh mah se, mithiamte chuan catatonia thlentu hi eng nge ni tih chiang takin an la sawi thei lo. Mahse, hrilhfiahna hrang hrang a awm a, thluaka chemical inthlauhna atanga thlah khat atanga thlah danga inthlunzawm thin genetic cause thlengin a awm a ni.

A chhan chiang tak a awm loh avangin mithiamte chuan catatonia thlen thei dinhmun dang an sawi chhuak thei chauh a ni. Catatonia nena inzawm rilru lam hriselna lama harsatna awm tam ber chu:

• Bipolar disorder a ni.
• Schizophrenia natna (Schizophrenia) natna a ni.
• Schizoaffective natna (Schizoaffective disorder) a ni.
• Depressive disorder lian tak a ni.

Catatonia natna vei zingah hian neurological leh taksa lama harsatna dang hmuh tur awmte chu:

• Autism spectrum natna a ni.
• Autoimmune natna (e.g., lupus , multiple sclerosis ) te hi a ni.
• Thluak natna chhe thei (e.g. dementia , Parkinson natna ).
• Down syndrome tih hi a ni.
• Ruihhlo kaihhnawih dinhmun (hei hian damdawi leh damdawi phal loh zawng zawng a huam vek a ni).
• Encephalitis , anti-NMDA receptor encephalitis te pawh a tel.
• Electrolyte inthlauhna awm thei te.
• Epilepsy natna a ni.
• Thinlung lama harsatna nei.
• Normal-pressure-a awm hydrocephalus a ni.
• Thai.
• Tourette natna a ni.

Hei hi natna hrik kai theih a ni em?

Ni lo, a ni lo tak zet.Catatonia hi natna hrik kai theih a ni lo. Midang hnen atangin i man thei lo va, mi dang hnen atangin i man thei hek lo.

Engtin nge doctor-te chuan he catatonia natna hi an hriat theih?

I doctor chuan catatonia hriat theihna tur kawng hrang hrang a hmang ang. Hei hi a tlangpuiin neurological examination atanga tan a ni . He examination neih chhung hian i doctor chuan i reflexes, responses, leh i chhehvel khawvel i chhan dan (or don’t response) te a enfiah ang.

Tichuan, doctor chuan a tlangpuiin standardized assessment tool, Bush Francis Catatonia Rating Scale , hmangin catatonia awm leh awm loh a teh ang. Catatonia hmuhchhuah a nih hnuah doctor-te tan chuan a chhan zawn chhuah a ni ang. Hei hi a chhan chu catatonia hi rilru lam emaw taksa lam natna dang nen a inzawm fo vang a ni. Catatonia hi natna khirh tak tak, a chang chuan thihna thlen thei natna nen a awm theih avangin, ngaih pawimawh hmasak ber chu chutiang underlying condition na tak takte chu paih chhuah a ni.

Eng ang test nge tih thin?

Catatonia hriat theihna tur leh a chhan bulpui hriat nan a hnuaia test te hi tih thin a ni tlangpui:

• Imaging test: Hei hian CT scan leh MRI scan ang chi test te pawh a huam thei .
• Thisen, zun, leh cerebrospinal fluid (spinal tap) test: Heng test te hian taksa tuiah chemical inthlak danglamna leh natna hrik te ang chi thil a hmuchhuak thei a ni. (Crebrospinal fluid test hi ruhro atanga tui tlemte lak chhuah a ni.)
• Brain function testing: EEG (Electroencephalogram) test hian i thluak electrical activity a zirchiang a, a record a ni. Hei hian epilepsy ang chi dinhmun a paih chhuak thei a ni.

Hei hi eng enkawlna nge ni? A dam kim thei ang em?

Catatonia enkawlna hi a chhan bulpui (or conditions)-ah a innghat tlangpui. Taksa emaw, thluak lam emaw avanga lo awm a nih chuan, chu natna enkawl chuan, a theih chuan catatonia chu a ti tha fo thin. Rilru natna nena a lo awm chuan enkawlna dang hi a tha ber mai thei.

Eng damdawi nge enkawl dan nge hman?

Catatonia enkawl dan tlangpui pahnih a awm a, chungte chu damdawi leh electroconvulsive therapy (ECT) te an ni. Enkawlna dang, transcranial magnetic stimulation te pawh a awm thei a, mahse hmanna hmun zau takah engtiang chiahin nge an tangkai tih hriat chian nan zirchianna a tling tawk lo.

Damdawi chi hrang hrang

Benzodiazepines hi catatonia enkawlna atana hmanraw pawimawh ber a ni a, a chhan chu a him a, a hlawk hle bawk. Catatonia vei zinga 60% leh 90% inkar chu benzodiazepines vangin an dam leh thin. Lorazepam hi damdawi hman tam ber a ni a, mahse damdawi dang clonazepam , diazepam , leh zolpidem te pawh hi a tha hle. Heng damdawi te hi thisen kal tlanga (IV) , injection angin emaw, pill angin emaw pek theih a ni.

Damdawi dang (e.g., mood stabilizers , antipsychotic drugs ) te hi a \angkai thei a, mahse first-line treatment angin pek an ni lo. Primary catatonia symptoms a reh hnuah an tangkai ber a, symptom dang enkawl nan. A bik takin, antipsychotic damdawi hian catatonia chu malignant catatonia emaw neuroleptic malignant syndrome -ah a thlen thei a, chuvangin fimkhur a ngai a ni.

Electroconvulsive therapy (ECT) hmanga enkawl a ni.

Electroconvulsive therapy (ECT) hi i thluak hmun bik pakhatah electric current na lo tak tak a thawn a, rei lo te chhung chu i seizure a thlen thei a ni. ECT dawng thinte hi general anesthesia pek an ni a, muthilh thuk takah an awm a, chuvangin an enkawl chhungin natna an nei lo.

ECT pawh a hlawk hle. Catatonia vei zawng zawngah te chuan a thawk tha hle. Malignant catatonia enkawlna bulpui ber a ni a, chutiang hunah chuan nunna chhanhim thei damdawi a ni. Damdawi ei lo catatonia vei tan pawh a tangkai hle bawk.

Enkawl lai hian eng harsatna emaw, side effect emaw a awm theih?

Catatonia enkawlna avanga harsatna leh side effects te hi mi pakhatin enkawlna (or combination of treatment) a dawn dan azirin a danglam thei a ni. I doctor chuan i tawrh theih tur side effect emaw, complication emaw awm thei te chu a sawifiah tha ber ang.

Heng symptoms te hi ka neih chuan engtin nge ka in enkawl ang emaw, symptoms te hi ka enkawl theih ang?

Hei hi a pawimawh hle: Catatonia hi doctor trained leh tawnhriat ngah tan pawh hriat harsa tak a ni thei. Nunna atana hlauhawm, emergency medical attention mamawh vang pawh a ni thei bawk. Heng chhan pahnih avang hian nangmah ngeiin i hmuhchhuah emaw, enkawl emaw i tum ngai lovang.

Engtiang chiahin nge enkawl hnuah ka dam leh ang? Eng chen nge a dam leh theih ang?

Catatonia ang dinhmunah chuan mi zawng zawng tawn dan a inang lo. I doctor chuan i dam leh hun tur chungchangah thu tha ber ber a pe thei che a, i dinhmun bik tichhe thei thil zawng zawng (underlying conditions leh i medical history ang chi) te chu a ngaihtuah vek thei a ni.

Benzodiazepines hian hna a thawk rang tlangpui. Intravenous (IV) a pek hian mi tam zawk chu minute 10-15 chhungin an dam tan thin. Pill anga ei a nih chuan damdawi hi minute 20-30 vel chauh a ni thei a, hna a thawk tan thei a ni. Mahse, a dose dik tak hmuh nan hun a duh rei thei a, chuvangin mi thenkhat chuan ni engemaw zat enkawl hnuah chauh an catatonia-ah hmasawnna an hmu lo mai thei.

ECT hmanga enkawlna pawh a hlawk thuai thei bawk. Mi thenkhat chuan enkawl an nih atanga minute emaw darkar emaw chhungin hmasawnna engemaw zat an hmu tan a, thenkhat erawh chuan an chhan let theih nan enkawlna engemaw zat an mamawh thei thung. Mi tam zawk chuan kar khatah vawi eng emaw zat ECT hi kar eng emaw zat an dawng thin a, mahse mi thenkhat chuan an natna lan chhuah dan a reh hma chuan nitin enkawl an ngai mai thei.

Hei hi a thlen loh nan emaw, a hlauhawmna tihtlem dan tur emaw a awm em?

Catatonia hi beisei loh takin a thleng a, a chhan chu mithiamte’n an la hriatthiam kim loh vang a ni. Chuvangin a lo thlen loh nan emaw, a hlauhawmna tihziaawm emaw theih a ni lo.

Mahse, rilru lam natna damdawi pek i nih chuan, chu damdawi chu tihtawp chuan catatonia i vei theihna a tipung thei a ni.

Hetiang dinhmun hi ka neih chuan eng nge ka beisei ang?

Catatonia vei tam zawk chuan an chhehvel khawvel hi eng emaw chen tal chu an hre chiang hle. An buaina chu an chhehvela thil thlengte chu a pangngai anga an chhanlet theih loh vang a ni. Tin, thilthleng ṭhenkhat chu engmah hre lo angin lang mah se, an hre reng thei bawk.

Catatonia hian mi pakhatin a chhehvel khawvel a hriatna a nghawng avangin, he natna vei te hian anmahni chanchin an sawi thei lo emaw, an damdawi hman dan tur chungchanga thutlukna an siam thei lo emaw hi thil awmze nei tak a ni. Chutiang hunah chuan doctor-te chuan an chhûngkaw member emaw, an ṭhian hnai tak emaw chu enkawlna chungchânga thu tlûkna siam tûra ṭanpui tûrin an ngen ṭhîn.

Catatonia hi eng chen nge a awm theih?

Catatonia hian eng chen nge a awm tih hi a dinhmun leh enkawlna i dawn dan azirin a inang lo. Enkawlna zawn vat a pawimawh. Catatonia a rei poh leh enkawlna a dawng tlem zawk thin. I doctor hi eng chen nge a daih dawn tih leh eng nge i beisei tur tih sawipui tur tha ber a ni.

Hetiang dinhmun hi eng nge a thlir ang?

Catatonia hi a tlangpuiin nunna atana hlauhawm a ni lo (mahse, malignant catatonia hi a ni).(enkawl vat a nih loh chuan thihna a thlen thei). Mahse, he dinhmun hian che thei lo vanga natna (e.g., pulmonary embolism , pneumonia ) avanga thihna a tipung thei a ni. Tin, catatonia hi rei tak a daih emaw, mi pakhatin a neih nawn fo chuan enkawl a harsa thei bawk. Vanneihthlak takin benzodiazepines leh ECT hian dam lehna rate a sang hle. Chumi awmzia chu enkawl theih tak a ni tihna a ni.

Mood disorder nei (e.g., bipolar disorder, major depressive disorder ) te hian schizophrenia vei te aiin enkawlna an dawng tha zawk niin a lang. Mahse, hei hi a inang lo thei a, mi zawng zawng dinhmun a inang vek lo. I doctor hi i dinhmun chungchanga thu dik ber leh thlirna dik ber pe thei tur che a ni.

Catatonia na tak dinhmunah engtin nge i in enkawl ang?

Catatonia na tak nei chuan mahni in enkawl thei lo. Trained medical staff atanga enkawl an mamawh a ni. Catatonia hian mi pakhat tan a chhehvel khawvel a kal emaw, a chhanlet emaw a tiharsa avangin harsatna a thlen theihna a sang hle. Hei hian ei leh in an ei thei lo tihna a ni a, chu chuan tui tlakchhamna leh ei leh in lama harsatna a thlen thei a ni . Pneumonia hi chet that lohna atanga lo awm thei a ni. Thisen zam an nei thei bawk a, chu chuan stroke emaw pulmonary embolism emaw a thlen thei bawk . Anmahni emaw, midang emaw tichhe thei thil tihnaah pawh an inhnamhnawih hlauhawm hle bawk.

Engtikah nge Doctor ka hmuh ang? A nih loh leh damdawi lam thurawn zawng rawh?

Mi pakhatin catatonia chhinchhiahna a neih chuan a rang thei ang bera damdawi lam pan a ngai a ni . Heng symptoms te hian damdawi lam dinhmun khirh tak tak, damdawi lam pan nghal ngai te chu a entawn thei a ni. I hmangaih mi pakhatin catatonia chhinchhiahna a neih chuan damdawi inah hruai emaw, ambulance ko emaw a ngai mai thei, kum 1990-a thil thleng ang khan.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Catatonia vei, a bik takin schizophrenia ang chi natna nei te chu mahni intihhlum leh mahni intihhlum an hlauhawm hle. Mahni intihhlum duhna i neih chuan, mahni intihhlum tumna, midang tihnat tumna i neih chuan emergency room (ETU) -ah i kal nghal tur a ni a, a nih loh leh 1990-ah i call tur a ni.

A tawp berah chuan hengte hi hriat reng a tha:

Catatonia hi natna khirh tak a ni a, mi thluak hnathawh a tibuai a, a chhehvel khawvel a chhan dan a nghawng bawk. Mi \henkhatin an chhân lêt tlem hle emaw, chhân lêt lo emaw pawh a ni thei a, ṭhenkhat erawh chuan sawi lâwk loh leh anmahni emaw, mi dangte tâna hlauhawm zawng zawngin an awm thei thung. Catatonia hi natna chi hrang hrang nen a awm thei a, rilru natna atanga taksa natna thlengin a awm thei. A tlangpuiin nunna atana hlauhawm emergency a nih loh laiin, harsatna lian tak tak a nei thei a, malignant catatonia ( nunna atana hlauhawm emergency)-ah a chang thei bawk.

Hetiang natna vei te hi anmahni in enkawl thei lo an nih fo avangin damdawi lam thawktu trained te enkawlna an mamawh a ni. Vanneihthlak takin catatonia hi enkawl theih tak a ni a, mi tam tak chuan damdawi an dawng nasa hle. Damdawi ei lote chuan electroconvulsive therapy (ECT) an dawng tlangpui. A hun taka enkawl, \ha taka enkawl a nih chuan catatonia nghawng chu tihdanglam theih a ni fo va, a kaihhnawih damdawi lama harsatna awm thei zawng zawng chu enkawl emaw, tihdam emaw theih a ni.

` Catatonia, Catatonia, Rilru hriselna, Thluak lama harsatna, Nungchang lama harsatna, Incheina lama harsatna, Enkawlna, Symptoms