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Kodi catatonia ndi chiyani? Kodi tikambirane za khalidwe lachilendoli?

Kodi catatonia ndi chiyani? Kodi tikambirane za khalidwe lachilendoli?

Kodi munayamba mwawonapo munthu mwadzidzidzi akukwiya, kulankhula pang'ono, kapena kuchita zomwezo mobwerezabwereza popanda tanthauzo lililonse? Mwina munaganizaponso kuti, "Mulungu wanga, vuto ndi chiyani ndi munthu uyu?" Mukawona zinthu ngati izi, mwina munaganizapo. Catatonia ndi vuto lomwe ubongo wathu umagwira ntchito mwanjira ina, ndipo momwe timachitira ndi momwe timachitira ndi dziko lotizungulira zimasintha. Ngakhale izi zingawoneke zovuta pang'ono, lero tikambirana momveka bwino komanso mwanjira yomwe mungamvetse.

Kodi catatonia ndi chiyani? Kunena zoona...

Mwachidule, catatonia ndi vuto lovuta lomwe limasokoneza momwe ubongo wathu umagwirira ntchito, zomwe zimakhudza momwe timaonera komanso momwe timachitira ndi dziko lotizungulira. Anthu omwe ali ndi vutoli nthawi zina satha kuyankha zinthu zomwe zimawazungulira, kapena angachite zinthu zachilendo kwambiri. Zizindikiro zazikulu za vutoli ndi kuchepa kwa kulankhula, mayendedwe osazolowereka kapena kusayenda, komanso kusintha kwa khalidwe .

Kodi mukudziwa kuti kale mu 1874, katswiri wa zamaganizo wa ku Germany Karl Kahlbaum anayamba kufotokoza vutoli ngati catatonia . Komabe, vutoli silikumveka bwino. Chifukwa chimodzi ndichakuti mpaka posachedwapa, anthu ambiri ankaganiza kuti limachitika mwa anthu omwe ali ndi schizophrenia okha. Komanso, pali malingaliro osiyanasiyana pakati pa madokotala a matenda amisala okhudza zizindikiro zomwe zimafunika kuti adziwe matendawa komanso kuchuluka kwa zomwe zimafunika. Chinanso n'chakuti zizindikiro zina, monga kusokonezeka maganizo ndi kusowa chonena, zimawonekeranso m'matenda ena, kotero zimakhala zovuta kudziwa ngati vutoli ndi catatonia.

Ndani amene angakhudzidwe kwambiri ndi vutoli?

Catatonia sikhudza aliyense makamaka kutengera mtundu kapena jenda. Komabe, nthawi zambiri imapezeka limodzi ndi matenda awa:

  • Matenda amisala: Awa ndi matenda omwe amakhudza mwachindunji thanzi lanu la maganizo.
  • Matenda a mitsempha: Awa ndi matenda omwe amakhudza ntchito ya ubongo wanu.
  • Matenda ena: Izi ndi matenda omwe amakhudza kugwira ntchito kwa thupi limodzi kapena angapo.

Tidzakambirana zambiri za izi mwatsatanetsatane mu gawo lofotokoza zomwe zimayambitsa ndi zizindikiro zake.

Kodi catatonia ndi yofala bwanji?

Kafukufuku waposachedwa akusonyeza kuti pakati pa 0.5% ndi 2.1% ya anthu omwe akulandira chithandizo cha matenda amisala akhoza kukhala ndi vuto la catatonia. Komabe, chiwerengerochi chikuwonjezeka kufika pafupifupi 10% mwa omwe akulandira chithandizo cha matenda amisala kunyumba.

Kodi izi zimachita chiyani ku matupi athu, makamaka ubongo?

Catatonia imayambitsa kuti mbali zina za ubongo wathu zisiye kugwira ntchito. Izi zimatchedwa kupita ku "catatonic state." Malo okhudzidwa a ubongo amalamulira zinthu monga:

  • Kuyenda.
  • Kumva: kuona, kumva, kununkhiza, kukhudza, ndi kulawa.
  • Kukumbukira.
  • Luso loganiza bwino komanso kusamala (luso lozindikira).
  • Chilimbikitso.
  • Maganizo.
  • Luso lopanga zisankho ndi kudziletsa (Ntchito za Executive).

Monga mukuonera, chifukwa catatonia imakhudza madera osiyanasiyana a ubongo, zizindikiro zake zimatha kukhala zosiyanasiyana. Ichi ndichifukwa chake vutoli nthawi zambiri limapezeka ndi matenda osiyanasiyana, ndipo zingakhale zovuta kwa akatswiri kuti adziwe matendawa.

Kodi zizindikiro za catatonia ndi ziti?

Malinga ndi malangizo a bungwe la American Psychiatric Association's DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) , pali zizindikiro 12 zodziwika bwino za catatonia. Tiyeni tiwone zomwe zili.

  • Kusakhazikika: Izi zimachitika munthu akangokwiya kapena kukwiya. Chizindikiro ichi sichimachitika chifukwa cha china chilichonse chomuzungulira, koma chimachitika pamene kusakhazikika kumeneku kwachitika.
  • Catalepsy: Izi zimachitika munthu akaika munthu pamalo enaake ndipo amakhala pamalo amenewo. Mutha kumusuntha pang'onopang'ono kupita pamalo ena, koma amakhalabe pamalo atsopanowo.
  • Echolalia: Uku ndi kubwerezabwereza kwa mawu kapena mawu olankhulidwa ndi munthu wina, monga echo.
  • Echopraxia: Izi zimaphatikizapo kutsanzira mayendedwe a munthu wina.
  • Kunyoza: Nkhope imodzi, nthawi zambiri nkhope yolimba, yomwe imakhalapo kwa nthawi yayitali. Nthawi zina, imatha kuoneka ngati ikumwetulira pamene palibe kulumikizana.
  • Makhalidwe: Kuchita mayendedwe kapena zochita mwachibadwa mwanjira yachilendo, yokokomeza, kapena yokokomeza.
  • Kusalankhula bwino: Kukhala chete nthawi zambiri, kapena kusalankhula konse. Ichi ndi chizindikiro pokhapokha ngati pali vuto lina lomwe limalepheretsa kulankhula (monga aphasia).
  • Kusaganizira ena: Izi zikutanthauza kusayankha zinthu zomwe zikukuzungulirani, kapena kutsutsa zinthu zomwe zikukuzungulirani popanda chifukwa chomveka.
  • Kuyimirira: Kukhala ndi kaimidwe kabwino, osati chifukwa chakuti wina wakupemphani kuti muchite zimenezo, ndikukhalabe pamalo amenewo. Kaimidwe kabwino aka n'kovuta kwambiri kwa munthu wabwinobwino kuti asunge.
  • Kusaganizira ena: Kubwerezabwereza mayendedwe omwewo popanda cholinga chilichonse chomveka bwino, monga kuseweretsa zala kapena kukanda gawo lomwelo la thupi.
  • Kusaganizira za dziko lozungulira (Kusokonezeka):Kukhala maso, koma osalabadira chilichonse chowazungulira, komanso osayankha. Anthu omwe ali ndi catatonia samva ngakhale pang'ono kukhudza (monga kukanikiza thupi).
  • Kusinthasintha kwa phula: Apa ndi pamene wina amayesa kusintha kaimidwe ka munthu, ndipo poyamba amakana, ngati kukankha pang'ono. Kenako, minofu yawo imamasuka pang'onopang'ono, ndipo chiwalo chimapindika ngati kandulo yosungunuka.

Tangoganizirani, ngati mnzanu mwadzidzidzi ayamba kubwereza zomwe mumanena ndendende (`(Echolalia)`) kapena kuyamba kugwedeza manja ake monga momwe mumachitira (`(Echopraxia)`), mungamve zachilendo pang'ono, sichoncho? Izi ndi zina mwa zizindikiro za matendawa.

Kodi magulu osiyanasiyana a ntchito ya catatonia ndi ati?

Anthu ambiri amaganiza kuti catatonia ndi vuto lomwe thupi limazizira pamalo ake, silingathe kuyenda. Komabe, sizili choncho nthawi zonse. Catatonia ingayambitsenso kusintha kwadzidzidzi komanso kosayembekezereka kwa khalidwe. Pakhoza kukhala kuyenda mopitirira muyeso, ngakhale kosalekeza. Zochita izi zikuphatikizapo:

  • Kusangalala/Kuthamanga Kwambiri: Izi nthawi zambiri zimadziwika ndi kusintha kwa khalidwe. Angakhale osakhazikika, osakhazikika, aukali, ndipo nthawi zina achiwawa popanda chifukwa chomveka. Angalankhule ndi kuchita zinthu zachilendo, kutsanzira zomwe ena omwe ali pafupi nawo akuchita, komanso angadzivulaze .
  • Kudzipatula/Kusadziletsa: Izi nthawi zambiri ndi zomwe anthu amaganiza akamva mawu akuti catatonia. Anthu awa amakhala maso, koma sachitapo kanthu pa zinthu zowazungulira, ngati kuti sakusamala za dziko lowazungulira. Nthawi zambiri amakhala chete, ndipo nkhope zawo sizisonyeza kukhudzidwa. Angakhale ndi machitidwe osazolowereka, ndipo angakane kugwedezeka. Sangadye kapena kumwa, ndipo anganyowetse zovala zawo (kusadziletsa).
  • Zosakaniza: Izi ndi kuphatikiza kwa makhalidwe onse awiri okhudzika ndi osachita bwino. Munthu akhoza kusintha mwadzidzidzi komanso popanda chenjezo pakati pa magawo awiriwa a magwiridwe antchito.

Kodi catatonia yoopsa ndi chiyani? Kodi ikhoza kupha munthu?

Nthawi zina, catatonia ingayambitse mavuto omwe angawononge moyo. Izi zimatchedwa malignant catatonia . Matendawa amayambitsa matenda otchedwa dysautonomia . Izi zikutanthauza kuti dongosolo lanu la mitsempha lodziyimira palokha silikugwira ntchito bwino. Dongosolo lanu la mitsempha lodziyimira palokha limalamulira ntchito za thupi zomwe zimachitika zokha popanda kuganizira za izo (monga kugunda kwa mtima, kuthamanga kwa magazi).

Zizindikiro za catatonia yoopsa ndi izi:

  • Kutentha thupi kwambiri komanso malungo (Hyperthermia).
  • Kugunda kwa mtima mofulumira kwambiri (Tachycardia).
  • Kutuluka thukuta kwambiri (Diaphoresis).
  • Kuthamanga kwa magazi kosakhazikika.
  • Cyanosis: Iyi ndi vuto lomwe mpweya m'magazi umachepa, zomwe zimapangitsa kuti madera ena a khungu, makamaka ozungulira milomo ndi zikhadabo, asinthe kukhala abuluu.

Izi ndi zomwe muyenera kudziwa: Malignant catatonia ndi vuto lachipatala lomwe lingayambitse imfa. Lingayambitsenso imfa chifukwa limasokoneza machitidwe a thupi, omwe amayendetsedwa ndi ubongo. Chifukwa chake, ndikofunikira kufunafuna chithandizo chamankhwala nthawi yomweyo ngati mukukumana ndi zizindikirozi.

Kodi n’chiyani chimayambitsa vutoli la catatonia?

Ngakhale kuti patha zaka pafupifupi 150 akufufuza, akatswiri sakudziwabe chomwe chimayambitsa catatonia. Komabe, pali mafotokozedwe osiyanasiyana, kuyambira kusalinganika kwa mankhwala muubongo mpaka zifukwa za majini zomwe zimapatsiridwa kuchokera ku mibadwomibadwo.

Popeza palibe chifukwa chenicheni, akatswiri amangoganizira za matenda ena omwe angayambitse catatonia. Matenda amisala omwe amapezeka kwambiri omwe amagwirizanitsidwa ndi catatonia ndi awa:

  • Matenda a bipolar.
  • Matenda a Schizophrenia.
  • Matenda a Schizoaffective.
  • Matenda aakulu a maganizo.

Matenda a ubongo ndi ena omwe amapezeka kwambiri ndi catatonia ndi awa:

  • Matenda a Autism spectrum.
  • Matenda a autoimmune (monga lupus , multiple sclerosis ).
  • Matenda a ubongo ofooka (monga matenda a dementia , matenda a Parkinson ).
  • Matenda a Down.
  • Matenda okhudzana ndi mankhwala osokoneza bongo (izi zikuphatikizapo mankhwala olembedwa ndi dokotala komanso mankhwala osaloledwa).
  • Encephalitis , kuphatikizapo anti-NMDA receptor encephalitis .
  • Matenda a kusalingana kwa ma electrolyte.
  • Khunyu.
  • Kulemala kwa nzeru.
  • Hydrocephalus ya kuthamanga kwabwinobwino.
  • Stroke.
  • Matenda a Tourette.

Kodi iyi ndi matenda opatsirana?

Ayi, ayi konse.Catatonia si matenda opatsirana. Simungawatenge kuchokera kwa wina, komanso simungawatenge kuchokera kwa wina.

Kodi madokotala amazindikira bwanji vuto la catatonia?

Dokotala wanu adzagwiritsa ntchito njira zosiyanasiyana kuti adziwe matenda a catatonia. Izi nthawi zambiri zimayamba ndi kuyezetsa mitsempha . Pa nthawi yoyezetsayi, dokotala wanu adzayang'ana momwe thupi lanu limagwirira ntchito, momwe limayankhira, komanso momwe mumayankhira (kapena momwe simukuyankhira) ku dziko lozungulirani.

Kenako, dokotala nthawi zambiri amagwiritsa ntchito chida chowunikira chokhazikika, monga Bush Francis Catatonia Rating Scale , kuti awone kupezeka ndi kuopsa kwa catatonia. Catatonia ikapezeka, gawo lotsatira la madokotala ndikupeza chomwe chimayambitsa. Izi zili choncho chifukwa catatonia nthawi zambiri imagwirizanitsidwa ndi matenda ena amisala kapena akuthupi. Popeza catatonia imatha kuchitika ndi matenda oopsa, nthawi zina oopsa, choyamba ndikuchotsa matenda oopsa otere.

Ndi mayeso amtundu wanji omwe amachitidwa?

Mayeso otsatirawa nthawi zambiri amachitidwa kuti apeze catatonia ndikupeza chomwe chimayambitsa:

  • Mayeso ojambulira: Izi zitha kuphatikizapo mayeso monga CT scans ndi MRI scans .
  • Mayeso a magazi, mkodzo, ndi madzi a m'mitsempha: Mayesowa amatha kuzindikira zinthu monga kusintha kwa mankhwala m'madzi am'thupi ndi matenda. (Mayeso a madzi a m'mitsempha ndi mayeso omwe amatenga madzi pang'ono kuchokera ku msana.)
  • Kuyesa ntchito ya ubongo: Kuyesa kwa EEG (Electroencephalogram) kumafufuza ndikulemba momwe magetsi a ubongo wanu amagwirira ntchito. Izi zitha kuchotsa matenda monga khunyu.

Kodi mankhwala ake ndi otani? Kodi angathe kuchiritsidwa kwathunthu?

Chithandizo cha catatonia nthawi zambiri chimadalira vuto lomwe layambitsa vutoli. Ngati layamba chifukwa cha vuto la thupi kapena la mitsempha, kuchiza vutoli, ngati n'kotheka, nthawi zambiri kumathandiza kuti catatonia ikhale bwino. Ngati lichitika ndi matenda amisala, mankhwala ena angakhale njira yabwino kwambiri.

Ndi mankhwala kapena mankhwala ati omwe amagwiritsidwa ntchito?

Pali njira ziwiri zazikulu zochizira matenda a catatonia: mankhwala ndi chithandizo cha electroconvulsive (ECT). Mankhwala ena, monga transcranial magnetic stimulation, angapezeke, koma palibe kafukufuku wokwanira wotsimikizira momwe angathandizire kugwiritsidwa ntchito kwambiri.

Mankhwala

Mankhwala a Benzodiazepines ndi omwe amagwiritsidwa ntchito kwambiri pochiza matenda a catatonia chifukwa ndi otetezeka komanso othandiza kwambiri. Pakati pa 60% ndi 90% ya anthu omwe ali ndi matenda a catatonia amachira ku benzodiazepines. Lorazepam ndiye mankhwala omwe amagwiritsidwa ntchito kwambiri, koma mankhwala ena monga clonazepam , diazepam , ndi zolpidem nawonso ndi othandiza. Mankhwalawa amatha kuperekedwa kudzera m'mitsempha (IV) , ngati jakisoni, kapena ngati piritsi.

Mankhwala ena (monga mankhwala oletsa kukhumudwa , mankhwala oletsa kusokonezeka maganizo ) angathandize, koma nthawi zambiri saperekedwa ngati chithandizo choyamba. Amakhala othandiza kwambiri zizindikiro zoyambirira za catatonia zikatha, pochiza zizindikiro zina. Makamaka, mankhwala oletsa kusokonezeka maganizo angayambitse catatonia kupita ku malignant catatonia kapena neuroleptic malignant syndrome , choncho kusamala n'kofunika.

Chithandizo cha electroconvulsive (ECT)

Chithandizo cha Electroconvulsive (ECT) ndi chithandizo chomwe chimatumiza mphamvu yamagetsi yocheperako kwambiri kudera linalake la ubongo wanu, zomwe zimapangitsa kuti munthu agwere kwakanthawi. Anthu omwe amalandira ECT amapatsidwa mankhwala oletsa ululu ndipo amakhala m'tulo tofa nato, kotero samva kupweteka kulikonse panthawi ya chithandizo.

ECT imathandizanso kwambiri. Imagwira ntchito pafupifupi nthawi zonse za matenda a catatonia. Ndiyo njira yaikulu yothandizira matenda a catatonia yoopsa , ndipo nthawi zina, ndi njira yopulumutsira moyo. Ndi yothandiza kwambiri pa matenda a catatonia omwe salandira mankhwala.

Ndi mavuto kapena zotsatirapo ziti zomwe zingachitike panthawi ya chithandizo?

Mavuto ndi zotsatirapo za chithandizo cha catatonia zimatha kusiyana malinga ndi chithandizo (kapena kuphatikiza kwa chithandizo) chomwe munthu amalandira. Dokotala wanu akhoza kufotokoza bwino zotsatirapo kapena zovuta zomwe mungakumane nazo.

Ngati ndili ndi zizindikiro izi, ndingadzisamalire bwanji kapena kuthana ndi zizindikirozo?

Izi ndizofunikira kwambiri: Catatonia ndi matenda omwe angakhale ovuta kuwazindikira, ngakhale kwa madokotala ophunzitsidwa bwino komanso odziwa bwino ntchito yawo. Angayambitsidwenso ndi matenda omwe amaika moyo pachiswe omwe amafunikira chithandizo chadzidzidzi. Pazifukwa zonsezi, simuyenera kuyesa kuwazindikira kapena kuwachiza nokha.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditalandira chithandizo? Zimatenga nthawi yayitali bwanji kuti ndichire?

Mu matenda monga catatonia, zomwe aliyense amakumana nazo zimakhala zosiyana. Dokotala wanu angakupatseni chidziwitso chabwino kwambiri chokhudza nthawi yomwe mukuchira, chifukwa angaganizire zinthu zonse zomwe zimakhudza vuto lanu (monga matenda omwe amayambitsa komanso mbiri yanu yachipatala).

Mankhwala a Benzodiazepine nthawi zambiri amagwira ntchito mwachangu. Akaperekedwa kudzera m'mitsempha (IV), anthu ambiri amayamba kumva bwino mkati mwa mphindi 10-15. Akamwedwa ngati piritsi, mankhwalawa amatha kutenga mphindi 20-30 kuti ayambe kugwira ntchito. Komabe, zingatenge nthawi kuti apeze mlingo woyenera, kotero anthu ena sangaone kusintha kulikonse mu catatonia yawo mpaka atalandira chithandizo kwa masiku angapo.

Chithandizo cha ECT chingathandizenso mwachangu. Anthu ena amayamba kuona kusintha pakangopita mphindi zochepa kapena maola ochepa kuchokera pamene chithandizo chachitika, pomwe ena angafunike chithandizo kangapo kuti ayankhe. Anthu ambiri amalandira ECT kangapo pa sabata kwa milungu ingapo, koma ena angafunike chithandizo cha tsiku ndi tsiku mpaka zizindikiro zawo zitachepa.

Kodi pali njira yopewera izi kuti zisachitike kapena kuchepetsa chiopsezo?

Catatonia imachitika mosayembekezereka komanso pazifukwa zomwe akatswiri sakuzimvetsa bwino. Chifukwa chake, sizingatheke kuiletsa kuti isachitike kapena kuchepetsa chiopsezo.

Komabe, ngati mwapatsidwa mankhwala a matenda amisala, kusiya kumwa mankhwalawo kungakulitse chiopsezo chanu chokhala ndi matenda a catatonia.

Ngati ndili ndi vutoli, ndiyenera kuyembekezera chiyani?

Anthu ambiri omwe ali ndi matenda a catatonia amadziwa pang'ono za dziko lozungulira iwo. Vuto lawo ndilakuti sangathe kuchitapo kanthu pa zomwe zikuchitika mozungulira iwo mwachibadwa. Komanso, amatha kukumbukira zina mwa zochitika zomwe zinachitika, ngakhale kuti mwina sakudziwa chilichonse.

Popeza catatonia imakhudza kuzindikira kwa munthu za dziko lozungulira iye, nthawi zambiri anthu omwe ali ndi vutoli satha kulankhula za iwo okha kapena kupanga zisankho zokhudzana ndi chithandizo chawo chamankhwala. Zikatero, madokotala nthawi zambiri amapempha wachibale kapena mnzake wapamtima kuti awathandize kupanga zisankho zokhudzana ndi chithandizo.

Kodi catatonia ingatenge nthawi yayitali bwanji?

Kutalika kwa nthawi ya catatonia kumasiyana malinga ndi vuto lomwe lilipo komanso chithandizo chomwe mumalandira. Ndikofunikira kufunafuna chithandizo mwachangu. Catatonia ikatenga nthawi yayitali, mwayi woti munthu ayankhe chithandizocho suchepa. Dokotala wanu ndiye munthu wabwino kwambiri woti mulankhule naye za nthawi yomwe ingatenge komanso zomwe mungayembekezere.

Kodi chiyembekezo cha vutoli n'chiyani?

Catatonia nthawi zambiri siimayambitsa imfa yokha (komabe, catatonia yoopsa ndi yomwe imapha).(pokhapokha ngati atalandira chithandizo mwachangu, amapha). Komabe, vutoli likhoza kuwonjezera chiopsezo cha imfa chifukwa cha matenda omwe amabwera chifukwa cha kusayenda bwino (monga pulmonary embolism , chibayo ). Komanso, catatonia ikhoza kukhala yovuta kuchiza ngati imatenga nthawi yayitali kapena ngati munthu ailandira mobwerezabwereza. Mwamwayi, benzodiazepines ndi ECT zimachira kwambiri. Izi zikutanthauza kuti ndi vuto lochiritsika kwambiri .

Anthu omwe ali ndi matenda a maganizo (monga bipolar disorder, major depression disorder ) amaoneka kuti amayankha bwino akalandira chithandizo kuposa anthu omwe ali ndi schizophrenia . Komabe, izi zimatha kusiyana, ndipo si aliyense amene ali ndi vuto lofanana. Dokotala wanu ndiye munthu wabwino kwambiri wokupatsani chidziwitso cholondola komanso momwe zinthu zilili pa vuto lanu.

Kodi mungadzisamalire bwanji mukakhala ndi catatonia yoopsa?

Munthu amene ali ndi vuto la catatonia lalikulu sangathe kudzisamalira yekha. Amafunika chisamaliro kuchokera kwa ogwira ntchito zachipatala ophunzitsidwa bwino. Chifukwa catatonia imapangitsa kuti munthu azivutika kusuntha kapena kuchitapo kanthu ku dziko lozungulira, ali pachiwopsezo chachikulu cha zovuta. Izi zikutanthauza kuti sangadye kapena kumwa, zomwe zingayambitse mavuto monga kusowa madzi m'thupi komanso kusowa zakudya m'thupi . Chibayo chingayambe chifukwa chosayenda bwino. Angathenso kukhala ndi magazi oundana, zomwe zingayambitse sitiroko kapena pulmonary embolism . Ali pachiwopsezo chochita zinthu zomwe zingavulaze iwowo kapena ena.

Kodi ndiyenera kupita kwa dokotala liti? Kapena kufunsa upangiri kwa dokotala?

Munthu amene akusonyeza zizindikiro za catatonia amafunika thandizo lachipatala mwamsanga . Zizindikirozi zimatha kufanana ndi matenda aakulu omwe amafunika thandizo lachipatala mwamsanga. Ngati munthu amene mumamukonda akusonyeza zizindikiro za catatonia, mungafunike kupita naye kuchipatala kapena kuyimbira ambulansi, monga momwe zinalili mu 1990.

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Anthu omwe ali ndi matenda a catatonia, makamaka omwe ali ndi matenda monga schizophrenia , ali pachiwopsezo chachikulu chodzivulaza komanso kudzipha . Ngati muli ndi malingaliro odzivulaza, kudzipha, kapena kuvulaza ena, muyenera kupita ku chipinda chodzidzimutsa (ETU) nthawi yomweyo, kapena imbani 1990. Ngati muli ndi malingaliro awa, mutha kuyimbiranso malo monga National Mental Health Helpline ku Sri Lanka, 1926 , kuti akuthandizeni.

Pomaliza, ndi bwino kukumbukira zinthu izi:

Catatonia ndi vuto lovuta lomwe limasokoneza ntchito ya ubongo wa munthu ndipo limakhudza momwe amachitira zinthu zomwe zimawazungulira. Anthu ena sangayankhepo kanthu kapena sangayankhepo kalikonse, pomwe ena angachite zinthu mosayembekezereka komanso m'njira zomwe zimakhala zoopsa kwa iwo eni kapena kwa ena. Catatonia imatha kuchitika ndi matenda osiyanasiyana, kuyambira matenda amisala mpaka matenda akuthupi. Ngakhale nthawi zambiri si vuto loopsa, limatha kukhala ndi mavuto akuluakulu ndikusanduka catatonia yoopsa ( vuto loopsa).

Popeza anthu omwe ali ndi vutoli nthawi zambiri satha kudzisamalira okha, amafunika chisamaliro kuchokera kwa ogwira ntchito zachipatala ophunzitsidwa bwino. Mwamwayi, catatonia ndi matenda ochiritsika kwambiri, ndipo anthu ambiri amayankha mankhwala. Anthu omwe sayankha mankhwala nthawi zambiri amayankha mankhwala a electroconvulsive therapy (ECT). Ndi chithandizo chogwira ntchito komanso chothandiza panthawi yake, zotsatira za catatonia nthawi zambiri zimatha kuthetsedwa, ndipo matenda aliwonse omwe angakhale nawo akhoza kuchiritsidwa kapena kuchiritsidwa.


Catatonia , Catatonia, Thanzi la Maganizo, Matenda a Ubongo, Mavuto a Khalidwe, Matenda Oyendayenda, Chithandizo, Zizindikiro

Frequently Asked Questions (FAQ)

Ndi mayeso amtundu wanji omwe amachitidwa?

Mayeso otsatirawa nthawi zambiri amachitidwa kuti apeze catatonia ndikupeza chomwe chimayambitsa:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Kodi catatonia ndi chiyani? Kodi tikambirane za khalidwe lachilendoli?

Kodi catatonia ndi chiyani? Kodi tikambirane za khalidwe lachilendoli?

Kodi munayamba mwawonapo munthu mwadzidzidzi akukwiya, kulankhula pang'ono, kapena kuchita zomwezo mobwerezabwereza popanda tanthauzo lililonse? Mwina munaganizaponso kuti, "Mulungu wanga, vuto ndi chiyani ndi munthu uyu?" Mukawona zinthu ngati izi, mwina munaganizapo. Catatonia ndi vuto lomwe ubongo wathu umagwira ntchito mwanjira ina, ndipo momwe timachitira ndi momwe timachitira ndi dziko lotizungulira zimasintha. Ngakhale izi zingawoneke zovuta pang'ono, lero tikambirana momveka bwino komanso mwanjira yomwe mungamvetse.

Kodi catatonia ndi chiyani? Kunena zoona...

Mwachidule, catatonia ndi vuto lovuta lomwe limasokoneza momwe ubongo wathu umagwirira ntchito, zomwe zimakhudza momwe timaonera komanso momwe timachitira ndi dziko lotizungulira. Anthu omwe ali ndi vutoli nthawi zina satha kuyankha zinthu zomwe zimawazungulira, kapena angachite zinthu zachilendo kwambiri. Zizindikiro zazikulu za vutoli ndi kuchepa kwa kulankhula, mayendedwe osazolowereka kapena kusayenda, komanso kusintha kwa khalidwe .

Kodi mukudziwa kuti kale mu 1874, katswiri wa zamaganizo wa ku Germany Karl Kahlbaum anayamba kufotokoza vutoli ngati catatonia . Komabe, vutoli silikumveka bwino. Chifukwa chimodzi ndichakuti mpaka posachedwapa, anthu ambiri ankaganiza kuti limachitika mwa anthu omwe ali ndi schizophrenia okha. Komanso, pali malingaliro osiyanasiyana pakati pa madokotala a matenda amisala okhudza zizindikiro zomwe zimafunika kuti adziwe matendawa komanso kuchuluka kwa zomwe zimafunika. Chinanso n'chakuti zizindikiro zina, monga kusokonezeka maganizo ndi kusowa chonena, zimawonekeranso m'matenda ena, kotero zimakhala zovuta kudziwa ngati vutoli ndi catatonia.

Ndani amene angakhudzidwe kwambiri ndi vutoli?

Catatonia sikhudza aliyense makamaka kutengera mtundu kapena jenda. Komabe, nthawi zambiri imapezeka limodzi ndi matenda awa:

  • Matenda amisala: Awa ndi matenda omwe amakhudza mwachindunji thanzi lanu la maganizo.
  • Matenda a mitsempha: Awa ndi matenda omwe amakhudza ntchito ya ubongo wanu.
  • Matenda ena: Izi ndi matenda omwe amakhudza kugwira ntchito kwa thupi limodzi kapena angapo.

Tidzakambirana zambiri za izi mwatsatanetsatane mu gawo lofotokoza zomwe zimayambitsa ndi zizindikiro zake.

Kodi catatonia ndi yofala bwanji?

Kafukufuku waposachedwa akusonyeza kuti pakati pa 0.5% ndi 2.1% ya anthu omwe akulandira chithandizo cha matenda amisala akhoza kukhala ndi vuto la catatonia. Komabe, chiwerengerochi chikuwonjezeka kufika pafupifupi 10% mwa omwe akulandira chithandizo cha matenda amisala kunyumba.

Kodi izi zimachita chiyani ku matupi athu, makamaka ubongo?

Catatonia imayambitsa kuti mbali zina za ubongo wathu zisiye kugwira ntchito. Izi zimatchedwa kupita ku "catatonic state." Malo okhudzidwa a ubongo amalamulira zinthu monga:

  • Kuyenda.
  • Kumva: kuona, kumva, kununkhiza, kukhudza, ndi kulawa.
  • Kukumbukira.
  • Luso loganiza bwino komanso kusamala (luso lozindikira).
  • Chilimbikitso.
  • Maganizo.
  • Luso lopanga zisankho ndi kudziletsa (Ntchito za Executive).

Monga mukuonera, chifukwa catatonia imakhudza madera osiyanasiyana a ubongo, zizindikiro zake zimatha kukhala zosiyanasiyana. Ichi ndichifukwa chake vutoli nthawi zambiri limapezeka ndi matenda osiyanasiyana, ndipo zingakhale zovuta kwa akatswiri kuti adziwe matendawa.

Kodi zizindikiro za catatonia ndi ziti?

Malinga ndi malangizo a bungwe la American Psychiatric Association's DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) , pali zizindikiro 12 zodziwika bwino za catatonia. Tiyeni tiwone zomwe zili.

  • Kusakhazikika: Izi zimachitika munthu akangokwiya kapena kukwiya. Chizindikiro ichi sichimachitika chifukwa cha china chilichonse chomuzungulira, koma chimachitika pamene kusakhazikika kumeneku kwachitika.
  • Catalepsy: Izi zimachitika munthu akaika munthu pamalo enaake ndipo amakhala pamalo amenewo. Mutha kumusuntha pang'onopang'ono kupita pamalo ena, koma amakhalabe pamalo atsopanowo.
  • Echolalia: Uku ndi kubwerezabwereza kwa mawu kapena mawu olankhulidwa ndi munthu wina, monga echo.
  • Echopraxia: Izi zimaphatikizapo kutsanzira mayendedwe a munthu wina.
  • Kunyoza: Nkhope imodzi, nthawi zambiri nkhope yolimba, yomwe imakhalapo kwa nthawi yayitali. Nthawi zina, imatha kuoneka ngati ikumwetulira pamene palibe kulumikizana.
  • Makhalidwe: Kuchita mayendedwe kapena zochita mwachibadwa mwanjira yachilendo, yokokomeza, kapena yokokomeza.
  • Kusalankhula bwino: Kukhala chete nthawi zambiri, kapena kusalankhula konse. Ichi ndi chizindikiro pokhapokha ngati pali vuto lina lomwe limalepheretsa kulankhula (monga aphasia).
  • Kusaganizira ena: Izi zikutanthauza kusayankha zinthu zomwe zikukuzungulirani, kapena kutsutsa zinthu zomwe zikukuzungulirani popanda chifukwa chomveka.
  • Kuyimirira: Kukhala ndi kaimidwe kabwino, osati chifukwa chakuti wina wakupemphani kuti muchite zimenezo, ndikukhalabe pamalo amenewo. Kaimidwe kabwino aka n'kovuta kwambiri kwa munthu wabwinobwino kuti asunge.
  • Kusaganizira ena: Kubwerezabwereza mayendedwe omwewo popanda cholinga chilichonse chomveka bwino, monga kuseweretsa zala kapena kukanda gawo lomwelo la thupi.
  • Kusaganizira za dziko lozungulira (Kusokonezeka):Kukhala maso, koma osalabadira chilichonse chowazungulira, komanso osayankha. Anthu omwe ali ndi catatonia samva ngakhale pang'ono kukhudza (monga kukanikiza thupi).
  • Kusinthasintha kwa phula: Apa ndi pamene wina amayesa kusintha kaimidwe ka munthu, ndipo poyamba amakana, ngati kukankha pang'ono. Kenako, minofu yawo imamasuka pang'onopang'ono, ndipo chiwalo chimapindika ngati kandulo yosungunuka.

Tangoganizirani, ngati mnzanu mwadzidzidzi ayamba kubwereza zomwe mumanena ndendende (`(Echolalia)`) kapena kuyamba kugwedeza manja ake monga momwe mumachitira (`(Echopraxia)`), mungamve zachilendo pang'ono, sichoncho? Izi ndi zina mwa zizindikiro za matendawa.

Kodi magulu osiyanasiyana a ntchito ya catatonia ndi ati?

Anthu ambiri amaganiza kuti catatonia ndi vuto lomwe thupi limazizira pamalo ake, silingathe kuyenda. Komabe, sizili choncho nthawi zonse. Catatonia ingayambitsenso kusintha kwadzidzidzi komanso kosayembekezereka kwa khalidwe. Pakhoza kukhala kuyenda mopitirira muyeso, ngakhale kosalekeza. Zochita izi zikuphatikizapo:

  • Kusangalala/Kuthamanga Kwambiri: Izi nthawi zambiri zimadziwika ndi kusintha kwa khalidwe. Angakhale osakhazikika, osakhazikika, aukali, ndipo nthawi zina achiwawa popanda chifukwa chomveka. Angalankhule ndi kuchita zinthu zachilendo, kutsanzira zomwe ena omwe ali pafupi nawo akuchita, komanso angadzivulaze .
  • Kudzipatula/Kusadziletsa: Izi nthawi zambiri ndi zomwe anthu amaganiza akamva mawu akuti catatonia. Anthu awa amakhala maso, koma sachitapo kanthu pa zinthu zowazungulira, ngati kuti sakusamala za dziko lowazungulira. Nthawi zambiri amakhala chete, ndipo nkhope zawo sizisonyeza kukhudzidwa. Angakhale ndi machitidwe osazolowereka, ndipo angakane kugwedezeka. Sangadye kapena kumwa, ndipo anganyowetse zovala zawo (kusadziletsa).
  • Zosakaniza: Izi ndi kuphatikiza kwa makhalidwe onse awiri okhudzika ndi osachita bwino. Munthu akhoza kusintha mwadzidzidzi komanso popanda chenjezo pakati pa magawo awiriwa a magwiridwe antchito.

Kodi catatonia yoopsa ndi chiyani? Kodi ikhoza kupha munthu?

Nthawi zina, catatonia ingayambitse mavuto omwe angawononge moyo. Izi zimatchedwa malignant catatonia . Matendawa amayambitsa matenda otchedwa dysautonomia . Izi zikutanthauza kuti dongosolo lanu la mitsempha lodziyimira palokha silikugwira ntchito bwino. Dongosolo lanu la mitsempha lodziyimira palokha limalamulira ntchito za thupi zomwe zimachitika zokha popanda kuganizira za izo (monga kugunda kwa mtima, kuthamanga kwa magazi).

Zizindikiro za catatonia yoopsa ndi izi:

  • Kutentha thupi kwambiri komanso malungo (Hyperthermia).
  • Kugunda kwa mtima mofulumira kwambiri (Tachycardia).
  • Kutuluka thukuta kwambiri (Diaphoresis).
  • Kuthamanga kwa magazi kosakhazikika.
  • Cyanosis: Iyi ndi vuto lomwe mpweya m'magazi umachepa, zomwe zimapangitsa kuti madera ena a khungu, makamaka ozungulira milomo ndi zikhadabo, asinthe kukhala abuluu.

Izi ndi zomwe muyenera kudziwa: Malignant catatonia ndi vuto lachipatala lomwe lingayambitse imfa. Lingayambitsenso imfa chifukwa limasokoneza machitidwe a thupi, omwe amayendetsedwa ndi ubongo. Chifukwa chake, ndikofunikira kufunafuna chithandizo chamankhwala nthawi yomweyo ngati mukukumana ndi zizindikirozi.

Kodi n’chiyani chimayambitsa vutoli la catatonia?

Ngakhale kuti patha zaka pafupifupi 150 akufufuza, akatswiri sakudziwabe chomwe chimayambitsa catatonia. Komabe, pali mafotokozedwe osiyanasiyana, kuyambira kusalinganika kwa mankhwala muubongo mpaka zifukwa za majini zomwe zimapatsiridwa kuchokera ku mibadwomibadwo.

Popeza palibe chifukwa chenicheni, akatswiri amangoganizira za matenda ena omwe angayambitse catatonia. Matenda amisala omwe amapezeka kwambiri omwe amagwirizanitsidwa ndi catatonia ndi awa:

  • Matenda a bipolar.
  • Matenda a Schizophrenia.
  • Matenda a Schizoaffective.
  • Matenda aakulu a maganizo.

Matenda a ubongo ndi ena omwe amapezeka kwambiri ndi catatonia ndi awa:

  • Matenda a Autism spectrum.
  • Matenda a autoimmune (monga lupus , multiple sclerosis ).
  • Matenda a ubongo ofooka (monga matenda a dementia , matenda a Parkinson ).
  • Matenda a Down.
  • Matenda okhudzana ndi mankhwala osokoneza bongo (izi zikuphatikizapo mankhwala olembedwa ndi dokotala komanso mankhwala osaloledwa).
  • Encephalitis , kuphatikizapo anti-NMDA receptor encephalitis .
  • Matenda a kusalingana kwa ma electrolyte.
  • Khunyu.
  • Kulemala kwa nzeru.
  • Hydrocephalus ya kuthamanga kwabwinobwino.
  • Stroke.
  • Matenda a Tourette.

Kodi iyi ndi matenda opatsirana?

Ayi, ayi konse.Catatonia si matenda opatsirana. Simungawatenge kuchokera kwa wina, komanso simungawatenge kuchokera kwa wina.

Kodi madokotala amazindikira bwanji vuto la catatonia?

Dokotala wanu adzagwiritsa ntchito njira zosiyanasiyana kuti adziwe matenda a catatonia. Izi nthawi zambiri zimayamba ndi kuyezetsa mitsempha . Pa nthawi yoyezetsayi, dokotala wanu adzayang'ana momwe thupi lanu limagwirira ntchito, momwe limayankhira, komanso momwe mumayankhira (kapena momwe simukuyankhira) ku dziko lozungulirani.

Kenako, dokotala nthawi zambiri amagwiritsa ntchito chida chowunikira chokhazikika, monga Bush Francis Catatonia Rating Scale , kuti awone kupezeka ndi kuopsa kwa catatonia. Catatonia ikapezeka, gawo lotsatira la madokotala ndikupeza chomwe chimayambitsa. Izi zili choncho chifukwa catatonia nthawi zambiri imagwirizanitsidwa ndi matenda ena amisala kapena akuthupi. Popeza catatonia imatha kuchitika ndi matenda oopsa, nthawi zina oopsa, choyamba ndikuchotsa matenda oopsa otere.

Ndi mayeso amtundu wanji omwe amachitidwa?

Mayeso otsatirawa nthawi zambiri amachitidwa kuti apeze catatonia ndikupeza chomwe chimayambitsa:

  • Mayeso ojambulira: Izi zitha kuphatikizapo mayeso monga CT scans ndi MRI scans .
  • Mayeso a magazi, mkodzo, ndi madzi a m'mitsempha: Mayesowa amatha kuzindikira zinthu monga kusintha kwa mankhwala m'madzi am'thupi ndi matenda. (Mayeso a madzi a m'mitsempha ndi mayeso omwe amatenga madzi pang'ono kuchokera ku msana.)
  • Kuyesa ntchito ya ubongo: Kuyesa kwa EEG (Electroencephalogram) kumafufuza ndikulemba momwe magetsi a ubongo wanu amagwirira ntchito. Izi zitha kuchotsa matenda monga khunyu.

Kodi mankhwala ake ndi otani? Kodi angathe kuchiritsidwa kwathunthu?

Chithandizo cha catatonia nthawi zambiri chimadalira vuto lomwe layambitsa vutoli. Ngati layamba chifukwa cha vuto la thupi kapena la mitsempha, kuchiza vutoli, ngati n'kotheka, nthawi zambiri kumathandiza kuti catatonia ikhale bwino. Ngati lichitika ndi matenda amisala, mankhwala ena angakhale njira yabwino kwambiri.

Ndi mankhwala kapena mankhwala ati omwe amagwiritsidwa ntchito?

Pali njira ziwiri zazikulu zochizira matenda a catatonia: mankhwala ndi chithandizo cha electroconvulsive (ECT). Mankhwala ena, monga transcranial magnetic stimulation, angapezeke, koma palibe kafukufuku wokwanira wotsimikizira momwe angathandizire kugwiritsidwa ntchito kwambiri.

Mankhwala

Mankhwala a Benzodiazepines ndi omwe amagwiritsidwa ntchito kwambiri pochiza matenda a catatonia chifukwa ndi otetezeka komanso othandiza kwambiri. Pakati pa 60% ndi 90% ya anthu omwe ali ndi matenda a catatonia amachira ku benzodiazepines. Lorazepam ndiye mankhwala omwe amagwiritsidwa ntchito kwambiri, koma mankhwala ena monga clonazepam , diazepam , ndi zolpidem nawonso ndi othandiza. Mankhwalawa amatha kuperekedwa kudzera m'mitsempha (IV) , ngati jakisoni, kapena ngati piritsi.

Mankhwala ena (monga mankhwala oletsa kukhumudwa , mankhwala oletsa kusokonezeka maganizo ) angathandize, koma nthawi zambiri saperekedwa ngati chithandizo choyamba. Amakhala othandiza kwambiri zizindikiro zoyambirira za catatonia zikatha, pochiza zizindikiro zina. Makamaka, mankhwala oletsa kusokonezeka maganizo angayambitse catatonia kupita ku malignant catatonia kapena neuroleptic malignant syndrome , choncho kusamala n'kofunika.

Chithandizo cha electroconvulsive (ECT)

Chithandizo cha Electroconvulsive (ECT) ndi chithandizo chomwe chimatumiza mphamvu yamagetsi yocheperako kwambiri kudera linalake la ubongo wanu, zomwe zimapangitsa kuti munthu agwere kwakanthawi. Anthu omwe amalandira ECT amapatsidwa mankhwala oletsa ululu ndipo amakhala m'tulo tofa nato, kotero samva kupweteka kulikonse panthawi ya chithandizo.

ECT imathandizanso kwambiri. Imagwira ntchito pafupifupi nthawi zonse za matenda a catatonia. Ndiyo njira yaikulu yothandizira matenda a catatonia yoopsa , ndipo nthawi zina, ndi njira yopulumutsira moyo. Ndi yothandiza kwambiri pa matenda a catatonia omwe salandira mankhwala.

Ndi mavuto kapena zotsatirapo ziti zomwe zingachitike panthawi ya chithandizo?

Mavuto ndi zotsatirapo za chithandizo cha catatonia zimatha kusiyana malinga ndi chithandizo (kapena kuphatikiza kwa chithandizo) chomwe munthu amalandira. Dokotala wanu akhoza kufotokoza bwino zotsatirapo kapena zovuta zomwe mungakumane nazo.

Ngati ndili ndi zizindikiro izi, ndingadzisamalire bwanji kapena kuthana ndi zizindikirozo?

Izi ndizofunikira kwambiri: Catatonia ndi matenda omwe angakhale ovuta kuwazindikira, ngakhale kwa madokotala ophunzitsidwa bwino komanso odziwa bwino ntchito yawo. Angayambitsidwenso ndi matenda omwe amaika moyo pachiswe omwe amafunikira chithandizo chadzidzidzi. Pazifukwa zonsezi, simuyenera kuyesa kuwazindikira kapena kuwachiza nokha.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditalandira chithandizo? Zimatenga nthawi yayitali bwanji kuti ndichire?

Mu matenda monga catatonia, zomwe aliyense amakumana nazo zimakhala zosiyana. Dokotala wanu angakupatseni chidziwitso chabwino kwambiri chokhudza nthawi yomwe mukuchira, chifukwa angaganizire zinthu zonse zomwe zimakhudza vuto lanu (monga matenda omwe amayambitsa komanso mbiri yanu yachipatala).

Mankhwala a Benzodiazepine nthawi zambiri amagwira ntchito mwachangu. Akaperekedwa kudzera m'mitsempha (IV), anthu ambiri amayamba kumva bwino mkati mwa mphindi 10-15. Akamwedwa ngati piritsi, mankhwalawa amatha kutenga mphindi 20-30 kuti ayambe kugwira ntchito. Komabe, zingatenge nthawi kuti apeze mlingo woyenera, kotero anthu ena sangaone kusintha kulikonse mu catatonia yawo mpaka atalandira chithandizo kwa masiku angapo.

Chithandizo cha ECT chingathandizenso mwachangu. Anthu ena amayamba kuona kusintha pakangopita mphindi zochepa kapena maola ochepa kuchokera pamene chithandizo chachitika, pomwe ena angafunike chithandizo kangapo kuti ayankhe. Anthu ambiri amalandira ECT kangapo pa sabata kwa milungu ingapo, koma ena angafunike chithandizo cha tsiku ndi tsiku mpaka zizindikiro zawo zitachepa.

Kodi pali njira yopewera izi kuti zisachitike kapena kuchepetsa chiopsezo?

Catatonia imachitika mosayembekezereka komanso pazifukwa zomwe akatswiri sakuzimvetsa bwino. Chifukwa chake, sizingatheke kuiletsa kuti isachitike kapena kuchepetsa chiopsezo.

Komabe, ngati mwapatsidwa mankhwala a matenda amisala, kusiya kumwa mankhwalawo kungakulitse chiopsezo chanu chokhala ndi matenda a catatonia.

Ngati ndili ndi vutoli, ndiyenera kuyembekezera chiyani?

Anthu ambiri omwe ali ndi matenda a catatonia amadziwa pang'ono za dziko lozungulira iwo. Vuto lawo ndilakuti sangathe kuchitapo kanthu pa zomwe zikuchitika mozungulira iwo mwachibadwa. Komanso, amatha kukumbukira zina mwa zochitika zomwe zinachitika, ngakhale kuti mwina sakudziwa chilichonse.

Popeza catatonia imakhudza kuzindikira kwa munthu za dziko lozungulira iye, nthawi zambiri anthu omwe ali ndi vutoli satha kulankhula za iwo okha kapena kupanga zisankho zokhudzana ndi chithandizo chawo chamankhwala. Zikatero, madokotala nthawi zambiri amapempha wachibale kapena mnzake wapamtima kuti awathandize kupanga zisankho zokhudzana ndi chithandizo.

Kodi catatonia ingatenge nthawi yayitali bwanji?

Kutalika kwa nthawi ya catatonia kumasiyana malinga ndi vuto lomwe lilipo komanso chithandizo chomwe mumalandira. Ndikofunikira kufunafuna chithandizo mwachangu. Catatonia ikatenga nthawi yayitali, mwayi woti munthu ayankhe chithandizocho suchepa. Dokotala wanu ndiye munthu wabwino kwambiri woti mulankhule naye za nthawi yomwe ingatenge komanso zomwe mungayembekezere.

Kodi chiyembekezo cha vutoli n'chiyani?

Catatonia nthawi zambiri siimayambitsa imfa yokha (komabe, catatonia yoopsa ndi yomwe imapha).(pokhapokha ngati atalandira chithandizo mwachangu, amapha). Komabe, vutoli likhoza kuwonjezera chiopsezo cha imfa chifukwa cha matenda omwe amabwera chifukwa cha kusayenda bwino (monga pulmonary embolism , chibayo ). Komanso, catatonia ikhoza kukhala yovuta kuchiza ngati imatenga nthawi yayitali kapena ngati munthu ailandira mobwerezabwereza. Mwamwayi, benzodiazepines ndi ECT zimachira kwambiri. Izi zikutanthauza kuti ndi vuto lochiritsika kwambiri .

Anthu omwe ali ndi matenda a maganizo (monga bipolar disorder, major depression disorder ) amaoneka kuti amayankha bwino akalandira chithandizo kuposa anthu omwe ali ndi schizophrenia . Komabe, izi zimatha kusiyana, ndipo si aliyense amene ali ndi vuto lofanana. Dokotala wanu ndiye munthu wabwino kwambiri wokupatsani chidziwitso cholondola komanso momwe zinthu zilili pa vuto lanu.

Kodi mungadzisamalire bwanji mukakhala ndi catatonia yoopsa?

Munthu amene ali ndi vuto la catatonia lalikulu sangathe kudzisamalira yekha. Amafunika chisamaliro kuchokera kwa ogwira ntchito zachipatala ophunzitsidwa bwino. Chifukwa catatonia imapangitsa kuti munthu azivutika kusuntha kapena kuchitapo kanthu ku dziko lozungulira, ali pachiwopsezo chachikulu cha zovuta. Izi zikutanthauza kuti sangadye kapena kumwa, zomwe zingayambitse mavuto monga kusowa madzi m'thupi komanso kusowa zakudya m'thupi . Chibayo chingayambe chifukwa chosayenda bwino. Angathenso kukhala ndi magazi oundana, zomwe zingayambitse sitiroko kapena pulmonary embolism . Ali pachiwopsezo chochita zinthu zomwe zingavulaze iwowo kapena ena.

Kodi ndiyenera kupita kwa dokotala liti? Kapena kufunsa upangiri kwa dokotala?

Munthu amene akusonyeza zizindikiro za catatonia amafunika thandizo lachipatala mwamsanga . Zizindikirozi zimatha kufanana ndi matenda aakulu omwe amafunika thandizo lachipatala mwamsanga. Ngati munthu amene mumamukonda akusonyeza zizindikiro za catatonia, mungafunike kupita naye kuchipatala kapena kuyimbira ambulansi, monga momwe zinalili mu 1990.

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Anthu omwe ali ndi matenda a catatonia, makamaka omwe ali ndi matenda monga schizophrenia , ali pachiwopsezo chachikulu chodzivulaza komanso kudzipha . Ngati muli ndi malingaliro odzivulaza, kudzipha, kapena kuvulaza ena, muyenera kupita ku chipinda chodzidzimutsa (ETU) nthawi yomweyo, kapena imbani 1990. Ngati muli ndi malingaliro awa, mutha kuyimbiranso malo monga National Mental Health Helpline ku Sri Lanka, 1926 , kuti akuthandizeni.

Pomaliza, ndi bwino kukumbukira zinthu izi:

Catatonia ndi vuto lovuta lomwe limasokoneza ntchito ya ubongo wa munthu ndipo limakhudza momwe amachitira zinthu zomwe zimawazungulira. Anthu ena sangayankhepo kanthu kapena sangayankhepo kalikonse, pomwe ena angachite zinthu mosayembekezereka komanso m'njira zomwe zimakhala zoopsa kwa iwo eni kapena kwa ena. Catatonia imatha kuchitika ndi matenda osiyanasiyana, kuyambira matenda amisala mpaka matenda akuthupi. Ngakhale nthawi zambiri si vuto loopsa, limatha kukhala ndi mavuto akuluakulu ndikusanduka catatonia yoopsa ( vuto loopsa).

Popeza anthu omwe ali ndi vutoli nthawi zambiri satha kudzisamalira okha, amafunika chisamaliro kuchokera kwa ogwira ntchito zachipatala ophunzitsidwa bwino. Mwamwayi, catatonia ndi matenda ochiritsika kwambiri, ndipo anthu ambiri amayankha mankhwala. Anthu omwe sayankha mankhwala nthawi zambiri amayankha mankhwala a electroconvulsive therapy (ECT). Ndi chithandizo chogwira ntchito komanso chothandiza panthawi yake, zotsatira za catatonia nthawi zambiri zimatha kuthetsedwa, ndipo matenda aliwonse omwe angakhale nawo akhoza kuchiritsidwa kapena kuchiritsidwa.


Catatonia , Catatonia, Thanzi la Maganizo, Matenda a Ubongo, Mavuto a Khalidwe, Matenda Oyendayenda, Chithandizo, Zizindikiro

Frequently Asked Questions (FAQ)

Ndi mayeso amtundu wanji omwe amachitidwa?

Mayeso otsatirawa nthawi zambiri amachitidwa kuti apeze catatonia ndikupeza chomwe chimayambitsa:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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