Kodi mwamvapo za matenda a catatonic schizophrenia? Tiyeni tidziwe bwino lomwe!

Mwina mwawonapo, kapena kumva, anthu ena mwadzidzidzi amaima pamalo omwewo ngati kuti agwidwa ndi miyala, kapena kupitiriza kuchita mayendedwe omwewo popanda tanthauzo lililonse. Nthawi zina palibe kulankhula, palibe kukhudzidwa pankhope. Tikamaona zinthu ngati izi, zimakhala zovuta kwambiri kuti tiganizire zomwe zikuchitika. Lero tikambirana za vuto lotere, lomwe ndi vuto lotchedwa catatonia, lomwe nthawi zina limapezeka ndi schizophrenia .

Kodi "Catatonic Schizophrenia" ndi chiyani? Kodi dzina limenelo likugwiritsidwabe ntchito?

Mwachidule, "catatonic schizophrenia" ndi matenda omwe kale ankaonedwa ngati mtundu wa schizophrenia. Panthawiyo, catatonia inali chizindikiro chachikulu. Komabe, madokotala sagwiritsanso ntchito dzinali . Izi zikutanthauza kuti ndi gulu lakale lomwe silikugwiritsidwanso ntchito.

Bungwe la American Psychiatric Association linachotsa mawu akuti "catatonic schizophrenia" mu buku lake la 2013 la Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Mofananamo, bungwe la World Health Organization (WHO) linachotsa mawu akuti "catatonic schizophrenia" mu buku lake la 2019 la International Classification of Diseases (ICD-11).

Madokotala tsopano amaona kuti schizophrenia ndi matenda osiyana, ndipo catatonia ndi matenda omwe angachitike nawo kapena ndi matenda ena amisala ndi akuthupi.

Kodi catatonia ndi chiyani kwenikweni?

Catatonia ndi gulu la zizindikiro. Imachitika pamene zizindikiro zomwe zimatumizidwa kuchokera muubongo wanu kupita ku minofu yanu sizikuyendetsedwa bwino. Zotsatira zake, khalidwe lanu limasintha mwanjira yachilendo. Poyamba anthu ankaganiza kuti catatonia imachitika ndi schizophrenia yokha. Koma tsopano zapezeka kuti catatonia ikhoza kuchitika ndi matenda ena amisala, monga bipolar disorder , komanso ndi matenda ena akuthupi. Ndipotu, catatonia imapezeka kwambiri ndi bipolar disorder kuposa schizophrenia.

Pali mitundu itatu ikuluikulu ya catatonia:

1. Kusokonezeka maganizo/kusokonezeka maganizo: Izi zimadziwika ndi mayendedwe a thupi mopitirira muyeso. Mwachitsanzo, kuyenda pang'onopang'ono, kugwedezeka, kupanga mayendedwe osazolowereka kapena okokomeza, kubwerezabwereza kapena kuchita zinthu zomwezo, kapena kutsanzira zomwe wina akuchita kapena kunena.

2. Kutaya/kuchepetsa mphamvu ya katatonia: Izi n'zosavuta kuzizindikira chifukwa anthuwa alibe yankho lalikulu, ngati alipo, ku malo ozungulira. Angakhale osalankhula, opanda nkhope, osaima chilili, akuyang'ana chinthu chomwecho, kapena kukhala pamalo osazolowereka kwa nthawi yayitali.

3. Catatonia yosakanikirana:Pankhaniyi, makhalidwe a njira zonse ziwiri zomwe zili pamwambapa amatha kuwoneka pamodzi.

Kodi kusiyana pakati pa "catatonic schizophrenia" ndi "paranoid schizophrenia" ndi kotani?

Monga "catatonic schizophrenia," "paranoid schizophrenia" ndi mawu omwe sagwiritsidwanso ntchito. Kale, paranoid schizophrenia inkatanthauza anthu omwe ali ndi schizophrenia omwe anali ndi zizindikiro monga kuganiza molakwika komanso kuona zinthu molakwika . Catatonic schizophrenia inkatanthauza anthu omwe ali ndi zizindikiro za catatonia. Komabe, kumbukirani kuti mayina onsewa sagwiritsidwanso ntchito ndi madokotala.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Matenda a Schizophrenia nthawi zambiri amayamba pakati pa zaka 15 ndi 25 mwa amuna . Nthawi zambiri amayamba pakati pa zaka 25 ndi 35 mwa akazi . Matendawa amapezekanso mwa amuna ndi akazi. Nthawi zambiri ana amathanso kudwala matenda a schizophrenia. Matenda oterewa amatha kukhala oopsa kwambiri kuposa akuluakulu. Poyerekeza ndi akuluakulu, matenda a catatonia amapezeka kwambiri mwa ana omwe ali ndi matenda a schizophrenia.

Kodi vutoli ndi lofala bwanji?

Matenda a Schizophrenia ndi matenda ofala, koma si zachilendo. Anthu pafupifupi 85 mwa anthu 10,000 aliwonse amakhala ndi vutoli m'moyo wawo wonse. Padziko lonse lapansi, madokotala amazindikira anthu pafupifupi 2.77 miliyoni omwe ali ndi matendawa chaka chilichonse.

Ofufuza apeza kuti anthu ochepa koma ofunikira kwambiri (pakati pa 10% ndi 25%) omwe ali ndi schizophrenia amakumananso ndi catatonia.

Kodi vutoli limakhudza bwanji thupi langa?

Schizophrenia ndi vuto lomwe limasokoneza momwe ubongo wanu umagwirira ntchito. Lingakhudze zinthu monga kuganiza kwanu, luso lanu loganizira, kukumbukira kwanu, ndi mphamvu zanu zazikulu. Catatonia imawonekera makamaka pamene schizophrenia imabwera ndi zizindikiro. Izi zili choncho chifukwa imatha kuyambira pakuyenda kwambiri mpaka kusayenda konse . Komabe, anthu ambiri ali ndi zizindikiro zomwe zili pakati pa izi ziwirizi, zomwe sizikudziwika bwino.

Kodi zizindikiro zake ndi ziti?

Matenda a Schizophrenia nthawi zambiri amapezeka m'magawo atatu. Pali zizindikiro zazikulu zisanu. Zizindikiro zake zimakhala zoopsa kwambiri panthawi yogwira ntchito ya schizophrenia. Zizindikiro zazikulu zisanuzi zimatha kuchitika ndi kapena popanda catatonia.

Zizindikiro zisanu ndi izi:

1. Kunyenga: Zikhulupiriro zopanda maziko, koma zokhulupiriridwa mwamphamvu. Mwachitsanzo, kuganiza kuti winawake akukukonzerani chiwembu.

2. Kuona kapena kumva zinthu zomwe palibe (Kuona zinthu molakwika): Kuona, kumva, kumva, kapena kununkhiza zinthu zomwe palibe.

3. Kulankhula kosalongosoka kapena kosamveka bwino:Zinthu zomwe zikukambidwa sizikugwirizana ndipo sizikumveka.

4. Mayendedwe osakonzedwa bwino kapena osazolowereka: Kupanga mayendedwe opanda cholinga komanso achilendo.

5. Zizindikiro zoipa: "Kuipa" pano sikutanthauza choipa, koma "kuchepa" kapena "kuchepa." Mwachitsanzo, kuchepa kwa mawu osonyeza malingaliro, kuchepa kwa kulankhula, komanso kuchepa kwa chidwi pa zochita za tsiku ndi tsiku.

Kuti mudziwe zambiri zokhudza zizindikiro izi ndi magawo omwe zimapezeka, onani nkhani yathu yaikulu yokhudza Schizophrenia.

Zizindikiro za Catatonia

M'mbuyomu, pakhala zizindikiro pafupifupi 40 zokhudzana ndi catatonia. Komabe, DSM-5 yachepetsa mndandandawu kufika pa 12. Dokotala adzazindikira catatonia ndi schizophrenia ngati pali zizindikiro zitatu mwa izi.

1. Kusakhazikika: Kuchita zinthu mosakhazikika komanso mokwiya popanda chifukwa chomveka. Ichi ndi chizindikiro cha catatonia pokhapokha ngati sichikugwirizana ndi china chake chomwe chili m'deralo.

2. Catalepsy: Kutha kukhalabe pamalo enaake ngati wina akuikani pamalopo. Izi zikutanthauza kuti mutha kumusuntha kupita pamalo ena.

3. Echolalia: Kubwereza mawu kapena mawu a munthu wina, ngati kuti akuwabwereza.

4. Echopraxia: Kutsanzira mayendedwe kapena machitidwe a munthu wina.

5. Kudzikuza: Kusunga mawonekedwe a nkhope omwewo. Nthawi zambiri, minofu ya nkhope imaoneka ngati yagwedezeka. Nthawi zina, imatha kuoneka ngati ikumwetulira nthawi zina zosayenera.

6. Makhalidwe: Kuchita mayendedwe kapena manja omwe nthawi zambiri timachita mwanjira yachilendo komanso yokokomeza.

7. Kusalankhula bwino: Kulankhula pang'ono kapena kusalankhula konse. Ichi ndi chizindikiro pokhapokha ngati palibe chifukwa china chosowera kulankhula (monga matenda monga aphasia).

8. Kusaganizira ena: Kusayankha zinthu zomwe zikukuzungulirani popanda chifukwa chomveka, kapena kutsutsa zinthuzo mwachangu.

9. Kuika thupi m'thupi: Kusunga kaimidwe kake. Kaimidwe kameneka n'kovuta kwa munthu wopanda catatonia. Mosiyana ndi catalepsy, izi sizikutanthauza kuti wina akuyesera kupanga kaimidwe kake.

10. Kusaganizira ena: Kuyenda mobwerezabwereza komwe kumawoneka ngati kulibe ntchito. Mwachitsanzo, kuseweretsa zala, kugogoda/kukanda ziwalo za thupi.

11. Kusalabadira chilengedwe chozungulira (Kupusa):Kukhala maso koma osalabadira zinthu zomwe zikukuzungulira. Anthu omwe ali ndi vuto la catatonia nthawi zambiri sayankha zinthu zopweteka (monga kumenyedwa kapena kukakamizidwa).

12. Kusinthasintha kwa phula: Munthu akamayesa kusintha kaimidwe ka munthu, amayamba kusonyeza kukana pang'ono, ngati kuti akukankhidwa. Kenako minofu imamasuka, ndipo miyendo imapindika ngati kandulo yotentha ya phula.

Chofunika: Ngakhale kuti anthu omwe ali ndi zizindikiro za catatonia salabadira zomwe zili pafupi nawo, ambiri amadziwa zomwe zikuchitika mozungulira iwo . Kafukufuku wasonyeza kuti anthu omwe ali ndi zizindikiro za catatonia, ngakhale kuti salabadira zomwe zili pafupi nawo, amatha kukumbukira okha komanso zomwe zinachitika mozungulira iwo.

Kusintha kwa kuchuluka kwa zochita

Ngakhale kuti matenda a schizophrenia amapezeka m'magawo angapo, kupita patsogolo kwa matendawa kumatha kusiyana pamene matenda a catatonia alipo. Anthu ambiri omwe ali ndi matenda a schizophrenia omwe ali ndi matenda a catatonia amakula mofulumira komanso matenda awo amakula kwambiri .

Catatonia ingayambitsenso kuchuluka kwa zochita. Anthu ena sangachitepo kanthu ku dziko lozungulira kwa nthawi ndithu, kenako mwadzidzidzi akuyamba kuchita zinthu mwachangu. Nthawi zina, kusintha kumeneku pa kuchuluka kwa zochita kumatha kutsagana ndi khalidwe losasamala kapena loopsa kwa iwo eni kapena ena .

Kodi zifukwa zake ndi ziti?

Chifukwa chenicheni cha schizophrenia sichinadziwikebe, koma asayansi amakhulupirira kuti pali zinthu zambiri zomwe zimayambitsa vutoli.

• Kusalingana kwa mankhwala muubongo: Awa ndi mankhwala (ma neurotransmitters) omwe maselo a ubongo (ma neuron) amagwiritsa ntchito polankhulana. Ngati izi sizikufanana, schizophrenia imatha kuchitika.
• Mavuto a ubongo wobadwa nawo: Mavuto omwe amabwera panthawi yomwe ubongo ukukula muli m'mimba.
• Kusokonezeka kwa kulankhulana pakati pa ziwalo zosiyanasiyana za ubongo: Kuti ziwalo zosiyanasiyana za ubongo zigwire ntchito limodzi, pamafunika kulankhulana bwino pakati pawo. Ofufuza akuganiza kuti pamene maukonde olumikiziranawa asokonekera, matenda a schizophrenia amatha kuchitika.

Kuphatikiza apo, asayansi amakhulupirira kuti pali zinthu zingapo zomwe zimayambitsa chiopsezo chotenga matenda a schizophrenia. Mwachitsanzo, kusintha kwa majini komwe kumatengera kwa makolo, kukhudzidwa ndi mankhwala enaake, kupsinjika maganizo kapena zovuta zomwe zimachitika panthawi yobereka, komanso kugwiritsa ntchito mankhwala osokoneza bongo. Komabe, palibe chilichonse mwa izi chomwe chatsimikiziridwa kuti ndi chifukwa chenicheni.

Kodi izi ndi zopatsirana?

Schizophrenia si matenda opatsirana. Sichifalikira kuchokera kwa munthu wina kupita kwa wina. Catatonia si matenda opatsirananso. Komabe, matenda ena opatsirana (monga meningitis) angayambitse catatonia.

Kodi matenda amachitika bwanji?

Dokotala wanu adzagwiritsa ntchito mayeso osiyanasiyana kuti adziwe matenda a schizophrenia. Mayesowa angaphatikizepo mayeso akuthupi, mayeso amitsempha, mayeso a labu, ndi ma scan a zithunzi. Palibe mayeso amodzi a labu, mayeso ozindikira matenda, kapena mayeso a zithunzi omwe angathandize kuzindikira matenda a schizophrenia. Komabe, mayesowa angathandize dokotala wanu kuchotsa matenda ena akuluakulu kapena oopsa.

Kuti munthu apezeke ndi matenda a schizophrenia, ayenera kukhala ndi zizindikiro ziwiri mwa zisanu zazikulu za matendawa. Kuphatikiza apo, kuti apezeke ndi matenda a schizophrenia ndi catatonia, zizindikiro zitatu mwa 12 za catatonia zomwe zatchulidwa pamwambapa ziyenera kukhalapo.

Ndi mayeso ati omwe amachitidwa kuti adziwe vutoli?

Pali mayeso angapo omwe angachitike ngati munthu akukayikira kuti ali ndi matenda a schizophrenia:

• Mayeso ojambulira zithunzi: Izi zitha kuphatikizapo mayeso monga `(CT scans)` (Computerized Tomography scans) ndi `(MRI scans)` (Magnetic Resonance Imaging scans).
• Mayeso a magazi, mkodzo, ndi madzi a m'mitsempha (CSF): Mayesowa amatha kuzindikira kusintha kwa mankhwala m'madzi am'thupi, poizoni wa zitsulo zolemera, ndi matenda.
• Kuyesa kwa ntchito ya ubongo: ``EEG`` (Electroencephalogram) imafufuza ndikulemba momwe magetsi a ubongo wanu amagwirira ntchito. Izi zitha kuchotsa matenda monga khunyu.

Kodi chimachiritsidwa bwanji? Kodi chingachiritsidwe?

Schizophrenia nthawi zambiri imatha kuthetsedwa, koma singathe kuchiritsidwa . Mankhwala ndiye mankhwala akuluakulu a schizophrenia. Komabe, ngati vutoli likuphatikizidwa ndi catatonia, pamafunika mankhwala osiyanasiyana.

Pali njira ziwiri zazikulu zochizira schizophrenia ndi catatonia:

1. Mankhwala: Chithandizo choyamba cha schizophrenia ndi catatonia ndi mankhwala enieni. Benzodiazepines (yomwe imagwiritsidwanso ntchito pochiza nkhawa, mantha, ndi khunyu) ndi yothandiza kwambiri poletsa zizindikiro za catatonia. Mankhwala oletsa matenda amisala , omwe amagwiritsidwa ntchito kwambiri pochiza schizophrenia, nthawi zambiri saperekedwa pazochitika za catatonia yoopsa, chifukwa amatha kupangitsa kuti catatonia ikule kwambiri.

2. Chithandizo cha Electroconvulsive (ECT): Izi zimaphatikizapo kutumiza mphamvu yamagetsi yocheperako kudzera pakhungu lanu ndi chigaza chanu kupita ku gawo linalake la ubongo wanu. Mphamvu iyi imayambitsa vuto la khunyu kwakanthawi komanso kusintha kwa magwiridwe antchito a ubongo. Mosiyana ndi zomwe zimawonetsedwa m'mafilimu ena ndi mapulogalamu apa TV, chithandizochi chimachitidwa pansi pa anesthesia, kotero simukumva kupweteka kulikonse.Uwu ndi mankhwala otetezeka komanso ogwira mtima kwambiri a zizindikiro za catatonia. Nthawi zambiri amagwiritsidwa ntchito ngati mankhwala achiwiri. Komabe, pazochitika zoopsa kwambiri (kapena catatonia yoopsa, monga momwe tafotokozera mu gawo la "Kodi chiyembekezo cha vutoli ndi chiyani?" pansipa), amaperekedwanso ngati mankhwala a mzere woyamba.

Zovuta/zotsatira zoyipa za chithandizo

Mavuto ndi zotsatirapo zake chifukwa cha chithandizo cha schizophrenia zimadalira zinthu zingapo, monga mtundu wa mankhwala omwe mumamwa ndi matenda ena omwe muli nawo. Dokotala wanu ndiye munthu wabwino kwambiri wokuuzani za zotsatirapo zomwe mungakumane nazo, chifukwa amatha kusintha zomwe mwapeza kuti zigwirizane ndi vuto lanu.

Kodi ndingathe bwanji kuthana ndi zizindikiro ngati sindingathe kudzisamalira ndekha?

Simuyenera kuyesa kudzizindikiritsa nokha kapena wokondedwa wanu yemwe ali ndi matenda a schizophrenia. Izi zili choncho chifukwa zimafunika maphunziro ndi luso kuti mudziwe bwino matendawa. Komanso, zizindikiro za matendawa zimatha kuchitika ndi matenda ena kapena kugwiritsa ntchito mankhwala osokoneza bongo. Chinthu china chofunikira ndichakuti mankhwala ofunikira pochiza matenda a schizophrenia angatengedwe kokha ndi dokotala. Pazifukwa zonsezi, dokotala wanu ndiye ayenera kuzindikira vutoli ndikulangiza chithandizo.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditatha kulandira chithandizo?

Dokotala wanu ndiye gwero labwino kwambiri la chidziwitso chokhudza nthawi yomwe mudzayamba kumva bwino komanso nthawi yomwe mudzawona zotsatira za chithandizo chanu. Iye akhoza kuganizira za vuto lanu ndi zonse zomwe zili mkati mwake ndikukupatsani chidziwitso choyenera kwambiri pa vuto lanu.

Kodi ndingachepetse bwanji chiopsezo changa kapena kupewa vutoli?

Matenda a Schizophrenia ndi matenda omwe amakula mwadzidzidzi. Izi zikutanthauza kuti sangathe kupewedwa kapena chiopsezo chotenga matendawa chingachepe.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi vutoli?

Schizophrenia ndi matenda omwe amadziwika kuti amasokoneza kuganiza ndi kumvetsetsa kwa munthu za dziko lozungulira. Amayambitsa vuto la maganizo, kulekana ndi zenizeni , ndipo anthu omwe ali ndi matendawa amavutika kumvetsetsa zomwe zili zenizeni ndi zomwe sizili. Mwina sangazindikire kuti ali ndi matendawa chifukwa ubongo wawo sungathe kuwathetsa.

Anthu omwe ali ndi vuto la schizophrenia omwe ali ndi zizindikiro za catatonic sangadziwe chilichonse chomwe chikuchitika mozungulira iwo, ngakhale kuti sangayankhe zomwe zikuchitika mozungulira iwo. Angasinthenso nthawi zina pakati pa nthawi zosayankha ndi nthawi zosachita zinthu mopitirira muyeso. Mu nthawi zimenezi zosachita zinthu mopitirira muyeso, akhoza kukhala achiwawa komanso oopsa kwa iwo okha kapena ena.

Ngati matenda a schizophrenia sanachiritsidwe, matendawa angasokoneze kwambiri moyo wa munthu. Zingamulepheretse kugwira ntchito, kukhala ndi ubwenzi, komanso kukhala ndi ubale wabwino. Anthu ambiri - modziwa kapena mosadziwa - amayesa "kudzipatsa mankhwala". Izi zingayambitse zizolowezi zoledzera mowa ndi mankhwala osokoneza bongo (''matenda ogwiritsira ntchito mankhwala osokoneza bongo'').

Ndi chithandizo, schizophrenia nthawi zambiri imatha kuthetsedwa. Anthu ambiri omwe amalandira chithandizo, amapeza njira zothanirana ndi matendawa, ndikutsata ndondomeko ya chithandizo amatha kukhala ndi moyo wosangalala komanso wokhutiritsa.

Kodi matenda a schizophrenia amatenga nthawi yayitali bwanji?

Schizophrenia ndi matenda osatha . Nthawi zina zizindikiro zimatha ndipo sizibwerera ('remission'). Komabe, chifukwa zizindikiro zimatha kubwerera mosayembekezereka, asayansi amaona kuti ndi matenda a moyo wonse.

Kodi chiyembekezo cha vutoli n'chiyani?

Schizophrenia yokhala ndi catatonia nthawi zambiri siipha yokha. Komabe, matenda omwe amapezeka mukasayendayenda kwambiri (monga pulmonary embolism, chibayo) amatha kuwonjezera chiopsezo chanu cha imfa. Palinso mtundu wa catatonia wotchedwa malignant catatonia . Ikhoza kukhala yoopsa komanso yowopsa. Malignant catatonia ndi yoopsa chifukwa ingayambitse malungo akulu ndikusokoneza autonomic nervous system yanu (dongosolo lomwe limalamulira machitidwe a thupi lanu popanda inu kuzindikira (monga kupuma, kuthamanga kwa magazi). Chifukwa malignant catatonia ikhoza kukhala yoopsa, ECT ndiye chithandizo choyamba, osati mankhwala.

Kawirikawiri, matenda a schizophrenia omwe ali ndi catatonia ndi matenda omwe amayankha bwino chithandizo . Zotsatira zake nthawi zambiri zimakhala zabwino, makamaka ngati matendawa apezeka ndi kuchiritsidwa msanga. Komabe, matenda a schizophrenia omwe ali ndi schizophrenia amatha kukhala ovuta kuchiza kuposa matenda ena amisala.

Kodi ndimadzisamalira bwanji?

Ngakhale mutakhala ndi mbiri ya zizindikiro za catatonia, mutha kuthana ndi schizophrenia ndikudzisamalira nokha. Nazi zina zomwe mungachite:

• Imwani mankhwala anu monga mwalangizidwira (musasiye kumwa popanda kulankhula ndi dokotala wanu).
• Pitani kwa dokotala wanu monga momwe mwakonzera (maulendo awa adzakuthandizani kupanga dongosolo labwino kwambiri la chithandizo).
• Musanyalanyaze kapena kunyalanyaza zizindikiro zanu.
• Pewani kumwa mowa ndi mankhwala osokoneza bongo (izi zingapangitse kuti zizindikiro zanu zikhale zovuta kwambiri kapena kuyambitsa mavuto ena).
• Funani chithandizo. Pangani ubale ndi anthu omwe mumawadalira - makamaka okondedwa anu komanso dokotala wanu - ndipo musadzipatule kwa iwo.

Kodi ndiyenera kupita liti kwa dokotala wanga kapena kufunafuna upangiri wa dokotala?

Dokotala wanu adzakupatsani nthawi yokumana ndi dokotala nthawi zonse. Ndikofunikira kwambiri kuti muzipita naye kuchipatala. Komanso, ngati muwona kusintha kwa zizindikiro zanu, kapena ngati muwona kusintha kwa mphamvu ya mankhwala anu, muyenera kuonana ndi dokotala wanu.

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

Anthu omwe ali ndi zizindikiro za matenda a schizophrenia omwe alipo kapena omwe adalipo kale ali pachiwopsezo chachikulu chodzivulaza komanso kudzipha . Ngati muli ndi malingaliro odzivulaza, kuphatikizapo malingaliro odzipha, kapena malingaliro odzivulaza ena , muyenera kupita kuchipatala chadzidzidzi nthawi yomweyo kapena kuyimbira nambala yofunikira yadzidzidzi monga 1990 (Sri Lanka's Suicide Prevention Helpline).

Kodi ndingatani ngati wokondedwa wanga akuwonetsa zizindikiro za schizophrenia kapena vuto lofanana nalo?

Anthu omwe ali ndi matenda a schizophrenia nthawi zambiri sakhulupirira kuti akufunika chithandizo chamankhwala chifukwa sangathe kuzindikira zizindikiro kapena vuto lawo. Izi zitha kukhala zovutitsa komanso zoopsa kwa munthu amene ali ndi zizindikirozo komanso osamalira awo.

Ngati muli ndi matenda a schizophrenia ndi catatonia, inu kapena wokondedwa wanu mungamve nkhawa kapena mantha. Ngati wokondedwa wanu akuwonetsa zizindikiro za schizophrenia, makamaka catatonia, ndikofunikira kufunafuna chithandizo chamankhwala . Anthu omwe ali ndi matenda a catatonia ndi schizophrenia amatha kukhala ndi matenda a malignant catatonia. Nthawi zina, amatha kukwiya, kuchita zinthu zoopsa, komanso kukhala ndi mavuto ena.

Kodi mungamuthandize bwanji wokondedwa wanu amene ali ndi matenda a schizophrenia?

Ngati wokondedwa wanu akuwonetsa zizindikiro za schizophrenia kapena vuto lina lofanana nalo, mutha kumuthandiza pochita izi:

• Funsani momwe mungathandizire. Mukamvetsera ndi kupereka thandizo lanu, mumasunga njira yolankhulirana yotseguka, ndipo amamva kuti akugwirizana ndi ena.
• Alimbikitseni kuti akaone munthu amene angathandize. Chithandizo cha matenda a schizophrenia, makamaka mankhwala, chingachepetse zizindikiro za munthu. Nthawi zambiri, zimenezo zimangowathandiza kuzindikira kuti ali ndi vuto lachipatala lomwe limafuna thandizo la dokotala.
• Musaweruze kapena kukangana. Anthu omwe ali ndi matenda a schizophrenia amavutika kumvetsetsa zomwe zili zenizeni ndi zomwe sizili. Pewani kuwaweruza kapena kuyesa kuwatsimikizira kuti akuona zinthu zosayembekezereka kapena akuganiza zinthu zonyenga. Izi zingawapangitse kutaya chidaliro mwa inu kapena kuwonjezera mantha awo.
• Khalani chete.Mkwiyo ndi kukhumudwa zingakhudze ubale wanu ndi wokondedwa wanu yemwe ali ndi matenda a schizophrenia. Angakhumudwenso mosavuta m'malo aphokoso kapena osokonezeka. Yesani kusankha malo abata komanso odekha. Apangitseni kumva kuti ndi otetezeka komanso omasuka momwe mungathere.
• Pezani thandizo pakagwa ngozi. Ngati munthu amene ali ndi matenda a schizophrenia akunena kuti akudzivulaza yekha kapena ena, kapena ngati akusonyeza mantha aakulu, osakhazikika, kapena akuchita zachiwawa, muyenera kuyimbira foni nambala yanu yadzidzidzi yapafupi nthawi yomweyo.

Uthenga Womaliza Wopita Nawo Kunyumba

"Catatonic schizophrenia" ndi mtundu wakale wa schizophrenia womwe madokotala sagwiritsanso ntchito. Komabe, catatonia yodziwika bwino nthawi zambiri imapezeka ndi schizophrenia. Ndi chizindikiro chosiyana chifukwa chimakhudza mayendedwe a munthu, khalidwe lake, komanso luso lake lolankhulana. Nthawi zina, catatonia imatha kupha. Chifukwa chake, anthu omwe ali ndi zizindikiro za catatonia ayenera kulandira chithandizo chamankhwala mwachangu momwe angathere.

Mwamwayi, pali mankhwala a catatonia ndi schizophrenia. Anthu omwe ali ndi schizophrenia nthawi zambiri amatha kuthana ndi vuto lawo ndikukhala ndi moyo wokhutiritsa komanso wosangalala. Ngati inu kapena wokondedwa wanu mukukumana ndi zizindikirozi, chinthu chabwino kuchita ndikusakhala ndi mantha kapena manyazi, koma kufunsa upangiri kwa dokotala.

Schizophrenia , Catatonia, Thanzi la maganizo, Schizophrenia, Catatonia, Psychosis, Matenda a ubongo