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Yintoni i-catatonia? Singathetha ngale ndlela ingaqhelekanga yokuziphatha?

Yintoni i-catatonia? Singathetha ngale ndlela ingaqhelekanga yokuziphatha?

Ngaba wakha wambona umntu ngequbuliso eba nomsindo, ethetha kancinci, okanye esenza into efanayo rhoqo ngaphandle kwentsingiselo? Mhlawumbi ukhe wacinga, "Owu Thixo wam, yintoni ingxaki ngalo mntu?" Xa ubona izinto ezinje, usenokuba ukhe wacinga. I-Catatonia yimeko apho ingqondo yethu isebenza ngandlela thile, kwaye indlela esisabela ngayo nesiziphatha ngayo kwihlabathi elisingqongileyo iyatshintsha. Nangona oku kunokubonakala kunzima kancinci, namhlanje siza kuthetha ngako ngokucacileyo nangendlela onokuyiqonda.

Yintoni i-catatonia? Ngokuchanekileyo...

Ngamafutshane, i-catatonia yimeko enzima ephazamisa indlela esebenza ngayo ingqondo yethu, ichaphazela indlela esibona ngayo nesisabela ngayo kwihlabathi elisingqongileyo. Abantu abanale meko ngamanye amaxesha basenokungaphenduli ngokupheleleyo kwizinto ezibangqongileyo, okanye baziphatha ngeendlela ezingaqhelekanga. Iimpawu eziphambili zale meko kukuncipha kokuthetha, iintshukumo ezingaqhelekanga okanye ukungabikho kwentshukumo, kunye notshintsho kwindlela yokuziphatha .

Ubusazi na ukuba ukususela ngo-1874, ugqirha wengqondo waseJamani uKarl Kahlbaum waqala ukuchaza le meko njenge- catatonia . Nangona kunjalo, le meko ayikaqondwa kakuhle. Esinye isizathu kukuba kude kube kutshanje, abantu abaninzi babecinga ukuba yenzeka kubantu abane -schizophrenia kuphela. Kwakhona, kukho izimvo ezahlukeneyo phakathi koogqirha bengqondo malunga nokuba zeziphi iimpawu ezifunekayo ukuze kuchongwe kwaye zingaphi ezifunekayo. Enye into kukuba ezinye zeempawu, ezinje ngokushukuma kunye nokungakwazi ukuthetha, zikwabonakala nakwezinye izifo, ngoko ke kunzima kancinci ukufumanisa ukuba le yi-catatonia na.

Ngubani onokuthi achaphazeleke kakhulu yile meko?

I-Catatonia ayichaphazeli mntu ngokukodwa ngokusekelwe kubuhlanga okanye isini. Nangona kunjalo, idla ngokubonakala ngokudibene nezi meko zilandelayo zonyango:

  • Iimeko zengqondo: Ezi zizifo ezichaphazela ngqo impilo yakho yengqondo.
  • Iimeko ze-neurological: Ezi zizifo ezichaphazela ukusebenza kwengqondo yakho.
  • Ezinye iimeko zonyango: Ezi ziimeko ezichaphazela ukusebenza kwenkqubo enye okanye ezingaphezulu zomzimba wakho.

Siza kuthetha ngale nto ngokweenkcukacha kwicandelo elithetha ngezizathu kunye neempawu.

Ixhaphake kangakanani i-catatonia?

Uphando lwangoku lubonisa ukuba phakathi kwe -0.5% kunye ne-2.1% yabantu abafumana unyango lwengqondo banokufumana i-catatonia. Nangona kunjalo, eli nani linyuka liye kuthi ga kwi- 10% phakathi kwabo bafumana unyango lwempilo yengqondo yokuhlala.

Oku kwenza ntoni emizimbeni yethu, ingakumbi engqondweni?

I-Catatonia ibangela ukuba iindawo ezithile zobuchopho bethu ziyeke ukusebenza. Oku kubizwa ngokuba kukungena "kwimeko ye-catatonic." Iindawo ezichaphazelekayo zobuchopho zilawula izinto ezifana nezi:

  • Intshukumo.
  • Izivamvo: ukubona, ukuva, ukuvumba, ukuchukumisa, kunye nokungcamla.
  • Inkumbulo.
  • Izakhono zokucinga nokunikel’ ingqalelo (izakhono zokuqonda).
  • Inkuthazo.
  • Iimvakalelo.
  • Izakhono zokwenza izigqibo kunye nokuzilawula (Imisebenzi yoLawulo).

Njengoko ubona, kuba i-catatonia ichaphazela iindawo ezininzi ezahlukeneyo zobuchopho, iimpawu zinokwahluka kakhulu. Yiyo loo nto le meko idla ngokubonakala kwizifo ezahlukeneyo, kwaye kunokuba nzima kwiingcali ukuyixilonga.

Ziziphi iimpawu ze-catatonia?

Ngokwezikhokelo ze -DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) ze-American Psychiatric Association, kukho iimpawu ezili-12 eziqatshelweyo ngokusemthethweni ze-catatonia. Makhe sibone ukuba zeziphi.

  • Ukuxhalaba: Oku kwenzeka xa umntu exhalabile okanye ekhathazekile. Olu phawu alubangelwa yimpendulo kwenye into emngqongileyo, kodwa luvela xa oku kuphazamiseka kwenzeka.
  • I-Catalepsy: Oku kwenzeka xa umntu ebeka umntu kwindawo ethile aze ahlale kuloo ndawo. Ungamhambisa kancinci kancinci aye kwenye indawo, kodwa ahlale kuloo ndawo intsha.
  • I-Echolalia: Oku kukuphindaphinda kwezandi okanye amagama athethwa ngomnye umntu, njenge-echo.
  • I-Echopraxia: Oku kuquka ukulinganisa iintshukumo zomnye umntu.
  • Ukubhinyalaza: Imbonakalo yobuso enye, edla ngokuba yimbonakalo yobuso exineneyo, ehlala ixesha elide. Ngamanye amaxesha, inokubonakala ngathi iyancuma xa kungekho nxibelelwano.
  • Isimilo: Ukwenza iintshukumo okanye izenzo eziqhelekileyo ngendlela engaqhelekanga, egqithisileyo, okanye egqithisileyo.
  • Ukungathethi kakuhle: Ukuthula ixesha elininzi, okanye ukungathethi konke konke. Olu luphawu kuphela xa kukho enye imeko ethintela ukuthetha (umz., i-aphasia).
  • Ukungakhathali: Oku kuthetha ukungaphenduli kwizinto ezikungqongileyo, okanye ukuchasa izinto ezikungqongileyo ngaphandle kwesizathu esivakalayo.
  • Ukuma ngendlela ethile: Ukubamba indlela ethile yokuma, kungekhona kuba omnye umntu ekucelile, kwaye uhlale kuloo ndlela. Ezi ndlela zokuma zinzima kakhulu kumntu oqhelekileyo ukuzigcina.
  • I-stereotypy: Ukuphinda iintshukumo ezifanayo ngaphandle kwenjongo ecacileyo, njengokudlala ngeminwe okanye ukukhuhla inxalenye efanayo yomzimba.
  • Ukungakhathali kwihlabathi elikungqongileyo (Stupor):Ukuba siphaphile, kodwa singanaki nto ikufutshane nabo, kwaye singaphenduli. Abantu abane-catatonia phantse abasabeli nokuba bachukunyiswa kancinci (umz., ukucinezela umzimba).
  • Ukuguquguquka kwe-waxy: Oku kwenzeka xa umntu ezama ukutshintsha indlela ami ngayo, aze ekuqaleni axhathise, njengokutyhala kancinci. Emva koko, izihlunu zakhe ziyakhululeka kancinci, kwaye ilungu ligoba njengekhandlela elinyibilikisiweyo.

Khawucinge nje, ukuba umhlobo wakho ngequbuliso uqalise ukuphinda into oyithethayo ngqo (`(Echolalia)`) okanye aqalise ukushukumisa izandla zakhe ngendlela efanayo nawe (`(Echopraxia)`), ubuya kuziva ungaqhelekanga, akunjalo? Ezo zezinye zeempawu zesi sifo.

Ngawaphi amanqanaba ahlukeneyo okusebenza kwe-catatonia?

Abantu abaninzi bacinga nge-catatonia njengemeko apho umzimba uqandisiwe endaweni yawo, ungakwazi ukuhamba. Nangona kunjalo, oku akusoloko kunjalo. I-Catatonia inokubandakanya utshintsho olukhawulezileyo nolungalindelekanga kwindlela yokuziphatha. Kunokubakho intshukumo egqithisileyo, neqhubekayo. La manqanaba omsebenzi aquka:

  • Uvuyo/Ukuphazamiseka Kwengqondo: Oku kudla ngokubonakala ngotshintsho kwindlela yokuziphatha. Basenokuba ngabangaphumliyo, abangazoliyo, abanobundlongondlongo, kwaye ngamanye amaxesha babe nobundlobongela ngaphandle kwesizathu esicacileyo. Basenokuthetha kwaye benze ngendlela engaqhelekanga, baxelise oko kwenziwa ngabanye abangqongileyo, kwaye banokuzenzakalisa .
  • Ukurhoxa/Ukungazinzi: Oku kudla ngokuba yinto abantu abayicingayo xa besiva igama elithi catatonia. Aba bantu baphaphile, kodwa abaphenduli kwizinto ezibangqongileyo, ngokungathi abanandaba nehlabathi elibangqongileyo. Bahlala bethule, kwaye ubuso babo abubonisi mvakalelo. Banokuba neendlela ezingaqhelekanga zokuma, kwaye banokungavumi ukushukunyiswa. Basenokungatyi okanye basele, kwaye banokumanzisa neempahla zabo (ukungakwazi ukuzibamba).
  • Ixutyiwe: Olu ludibaniso lweempawu ezingasebenzi kakuhle nezingasebenzi kakuhle. Umntu unokutshintsha ngequbuliso nangaphandle kwesilumkiso phakathi kwala manqanaba mabini okusebenza.

Yintoni i-malignant catatonia? Ngaba inokuba yingozi ebomini?

Kwezinye iimeko, i-catatonia inokukhokelela kwiingxaki ezisongela ubomi. Oko kubizwa ngokuba yi -malignant catatonia . Le meko ibangela imeko ebizwa ngokuba yi -dysautonomia . Oku kuthetha ukuba inkqubo yakho ye-autonomic nervous ayisebenzi kakuhle. Inkqubo yakho ye-autonomic nervous ilawula imisebenzi yomzimba eyenzeka ngokuzenzekelayo ngaphandle kokuba ucinge ngayo (umz., izinga lokubetha kwentliziyo, uxinzelelo lwegazi).

Iimpawu ze-catatonia enobungozi zezi:

  • Ubushushu bomzimba obuphezulu kakhulu kunye nomkhuhlane (iHyperthermia).
  • Ukubetha kwentliziyo okukhawulezayo kakhulu (iTachycardia).
  • Ukubila okugqithisileyo (iDiaphoresis).
  • Uxinzelelo lwegazi olungazinzanga.
  • I-Cyanosis: Le yimeko apho inqanaba leoksijini egazini liyehla, nto leyo ebangela ukuba ezinye iindawo zolusu, ingakumbi ezijikeleze imilebe kunye neenzipho, zijike zibe luhlaza okwesibhakabhaka.

Nantsi into ekufuneka uyazi: I-Malignant catatonia yimeko engxamisekileyo yezonyango esongela ubomi. Inokukhokelela ekufeni kuba iphazamisa iinkqubo zomzimba ezenzekelayo, ezilawulwa yingqondo. Ke ngoko, kubalulekile ukufuna unyango ngokukhawuleza ukuba ufumana ezi mpawu.

Yintoni ebangela le meko ye-catatonia?

Nangona uphando luthathe phantse iminyaka eli-150, iingcali azikakwazi ukuxela ngqo ukuba yintoni ebangela i-catatonia. Nangona kunjalo, kukho iinkcazo ezahlukeneyo, ukusuka kukungalingani kweekhemikhali engqondweni ukuya kwizizathu zemfuza ezidluliselwa kwizizukulwana ngezizukulwana.

Ngenxa yokuba kungekho sizathu sithile, iingcali zinokuqikelela kuphela ngezinye iimeko ezinokubangela i-catatonia. Ezona meko ziqhelekileyo zempilo yengqondo ezinxulumene ne-catatonia zezi:

  • Ukuxhuzula.
  • I-Schizophrenia.
  • Isifo sokunganyamezelani kakuhle kwengqondo (Schizoaffective disorder).
  • Isifo sokudakumba esikhulu.

Iimeko ze-neurological kunye nezinye izifo zomzimba eziqhele ukubonwa nge-catatonia ziquka:

  • Ingxaki ye-Autism spectrum.
  • Izifo ezizikhusela ngokwazo emzimbeni (umz., i-lupus , i-multiple sclerosis ).
  • Izifo zengqondo eziwohlokayo (umz. isifo sengqondo esixhalabisayo , isifo sikaParkinson ).
  • Isifo seDown.
  • Iimeko ezinxulumene neziyobisi (oku kuquka amayeza kagqirha kunye namayeza angekho mthethweni).
  • I-Encephalitis , kuquka i-anti-NMDA receptor encephalitis .
  • Iimeko zokungalingani kwe-electrolyte.
  • Isifo sokuwa.
  • Ukukhubazeka kwengqondo.
  • I-hydrocephalus yoxinzelelo oluqhelekileyo.
  • Istroke.
  • Isifo seTourette.

Ingaba esi sisifo esosulelayo?

Hayi akunjalo kwakona.I-Catatonia ayisosifo esosulelayo. Awunakuyifumana komnye umntu, kwaye awunakuyifumana komnye umntu.

Oogqirha bayixilonga njani le meko ye-catatonia?

Ugqirha wakho uza kusebenzisa iindlela ezahlukeneyo zokuxilonga i-catatonia. Oku kudla ngokuqala ngovavanyo lwe-neurological . Ngexesha lovavanyo, ugqirha wakho uza kuhlola i-reflexes yakho, iimpendulo, kunye nendlela ophendula ngayo (okanye ongaphenduli ngayo) kwihlabathi elikungqongileyo.

Emva koko, ugqirha uya kusebenzisa isixhobo sovavanyo esiqhelekileyo, esifana neBush Francis Catatonia Rating Scale , ukuvavanya ubukho kunye nobunzima be-catatonia. Nje ukuba i-catatonia ifunyaniswe, inyathelo elilandelayo koogqirha kukufumana unobangela. Oku kungenxa yokuba i-catatonia idla ngokunxulunyaniswa nesinye isifo sengqondo okanye somzimba. Ekubeni i-catatonia inokwenzeka ngezifo ezinzulu, ngamanye amaxesha ezibulalayo, into yokuqala ekufuneka yenziwe kukuthintela ezo meko zinzima nezingaphantsi.

Luhlobo luni lovavanyo oluqhutywayo?

Ezi mvavanyo zilandelayo zihlala zenziwa ukuze kufunyanwe i-catatonia kwaye kufunyanwe unobangela oyintloko:

  • Uvavanyo lokucinga: Oku kungabandakanya iimvavanyo ezifana ne -CT scans kunye ne-MRI scans .
  • Uvavanyo lwegazi, umchamo, kunye nolwelo lwe-cerebrospinal (i-spinal tap): Olu vavanyo lunokufumanisa izinto ezifana notshintsho lweekhemikhali kulwelo lomzimba kunye nosulelo. (Uvavanyo lwe-cerebrospinal fluid luvavanyo oluthatha ulwelo oluncinci kwi-spinal cord.)
  • Uvavanyo lokusebenza kobuchopho: Uvavanyo lwe-EEG (i-Electroencephalogram) luhlalutya kwaye lurekhode umsebenzi wombane wengqondo yakho. Oku kunokuthintela iimeko ezifana nokuxhuzula.

Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa ngokupheleleyo?

Unyango lwe-catatonia ludla ngokuxhomekeka kwimeko esisiseko (okanye iimeko) ebangele ukuba ibe yiyo. Ukuba ibangelwa yimeko yomzimba okanye yemithambo-luvo, ukunyanga loo meko, ukuba kunokwenzeka, kuya kuyiphucula i-catatonia. Xa isenzeka ngesifo sengqondo, ezinye iindlela zonyango zinokuba lolona khetho lufanelekileyo.

Ngawaphi amayeza okanye unyango olusetyenziswayo?

Kukho iindlela ezimbini eziphambili zokunyanga i-catatonia: amayeza kunye nonyango lwe-electroconvulsive (ECT). Ezinye iindlela zonyango, ezifana nokukhuthaza i-transcranial magnetic, zinokufumaneka, kodwa akukho phando lwaneleyo lokufumanisa ukuba zisebenza kangakanani na ekusetyenzisweni ngokubanzi.

Amayeza

IiBenzodiazepines zezona ziphambili kunyango lwe-catatonia kuba zikhuselekile kwaye zisebenza kakuhle. Phakathi kwama -60% kunye nama-90% abantu abane-catatonia bayaphola kwi-benzodiazepines. I-Lorazepam lelona yeza lisetyenziswa kakhulu, kodwa amanye amayeza afana ne -clonazepam , i-diazepam , kunye ne -zolpidem nawo ayasebenza. La mayeza anokunikwa nge-intravenously (IV) , njenge-injection, okanye njengepilisi.

Amanye amayeza (umz., amayeza okulawula imeko yengqondo , amayeza okuthintela ukuphazamiseka kwengqondo ) anokuba luncedo, kodwa awasoloko enikwa njengonyango lokuqala. Aluncedo kakhulu emva kokuba iimpawu zokuqala ze-catatonia ziphelile, ukunyanga ezinye iimpawu. Ngokukodwa, amayeza okuthintela ukuphazamiseka kwengqondo anokubangela ukuba i-catatonia iqhubekele kwi- malignant catatonia okanye i-neuroleptic malignant syndrome , ngoko ke kufuneka uqaphele.

Unyango lwe-Electroconvulsive (ECT)

Unyango lwe-Electroconvulsive (ECT) lunyango oluthumela umbane omncinci kakhulu kwindawo ethile yengqondo yakho, nto leyo ebangela ukuba umntu axhuzule okwethutyana. Abantu abafumana i-ECT banikwa i-anesthesia jikelele kwaye balele ubuthongo obunzulu, ngoko ke abaziva ntlungu ngexesha lonyango.

I-ECT ikwasebenza kakhulu. Isebenza phantse kuzo zonke iimeko ze-catatonia. Yindlela ephambili yonyango lwe -catatonia enobungozi , kwaye kwiimeko ezinjalo, lunyango olusindisa ubomi. Ikwaluncedo kakhulu kwiimeko ze-catatonia engaphenduliyo kumayeza.

Zeziphi iingxaki okanye iziphumo ebezingalindelekanga ezinokubakho ngexesha lonyango?

Iingxaki kunye nemiphumo emibi yonyango lwe-catatonia inokwahluka ngokuxhomekeke kunyango (okanye indibaniselwano yonyango) umntu alufumanayo. Ugqirha wakho unokuchaza ngcono iziphumo okanye iingxaki onokuthi uzifumane.

Ukuba ndinezi mpawu, ndingazinyamekela njani okanye ndizilawule njani ezi mpawu?

Oku kubaluleke kakhulu: I-Catatonia yimeko enokuba nzima ukuyixilonga, nokuba koogqirha abaqeqeshiweyo nabanamava. Ingabangelwa zizifo ezisongela ubomi ezifuna unyango olungxamisekileyo. Ngenxa yezi zizathu zombini, akufanele uzame ukuyixilonga okanye ukuyinyanga ngokwakho.

Ndiza kuziva bhetele nini emva konyango? Kuza kuthatha ixesha elingakanani ukuze ndiphile?

Kwiimeko ezifana ne-catatonia, amava omntu wonke ahlukile. Ugqirha wakho angakunika ulwazi olungcono malunga nexesha lakho lokuchacha, njengoko enokuthathela ingqalelo zonke izinto ezichaphazela imeko yakho ethile (ezifana neemeko ezifihlakeleyo kunye nembali yakho yezonyango).

IiBenzodiazepines zihlala zisebenza ngokukhawuleza. Xa zinikwa ngemithambo yegazi (IV), uninzi lwabantu luqala ukuziva lungcono kwimizuzu eli-10-15. Xa zithathwa ngomlomo njengepilisi, amayeza anokuthatha imizuzu engama-20-30 ukuqala ukusebenza. Nangona kunjalo, kungathatha ixesha ukufumana idosi efanelekileyo, ngoko ke abanye abantu banokungaboni nkqubela kwi-catatonia yabo de kube emva kweentsuku ezimbalwa zonyango.

Unyango lwe -ECT lunokusebenza ngokukhawuleza. Abanye abantu baqala ukubona ukuphucuka kwimizuzu okanye iiyure zonyango, ngelixa abanye banokufuna unyango oluninzi ukuze baphendule. Uninzi lwabantu lufumana i-ECT izihlandlo ezininzi ngeveki kangangeeveki ezininzi, kodwa abanye abantu banokufuna unyango lwemihla ngemihla de iimpawu zabo zibe ngcono.

Ngaba ikho indlela yokuthintela oku ukuba kungenzeki okanye yokunciphisa umngcipheko?

I-Catatonia yenzeka ngequbuliso kwaye ngenxa yezizathu ezingakaziqondi ngokupheleleyo iingcali. Ngenxa yoko, akunakwenzeka ukuyithintela ukuba ingenzeki okanye ukunciphisa umngcipheko.

Nangona kunjalo, ukuba unikwe amayeza okugula ngengqondo, ukuyeka loo mayeza kunokunyusa umngcipheko wakho wokuba ne-catatonia.

Ukuba ndinayo le meko, ndimele ndilindele ntoni?

Uninzi lwabantu abane-catatonia bayazi kakuhle ihlabathi elibangqongileyo. Ingxaki yabo kukuba abakwazi ukuphendula kwinto eyenzekayo kufutshane nabo ngendlela eqhelekileyo. Kwakhona, banokukhumbula ezinye zeziganeko ezenzekileyo, nangona besenokubonakala bengazi nto.

Ngenxa yokuba i-catatonia ichaphazela ukuqonda komntu ngehlabathi elimngqongileyo, kuqhelekile ukuba abantu abanale meko bangakwazi ukuthetha ngabo okanye ukwenza izigqibo malunga nonyango lwabo. Kwiimeko ezinjalo, oogqirha badla ngokucela ilungu losapho okanye umhlobo osenyongweni ukuba abancede benze izigqibo malunga nonyango.

I-catatonia inokuhlala ixesha elingakanani?

Ixesha elithatha i-catatonia liyahluka ngokuxhomekeke kwimeko esisiseko kunye nonyango olufumanayo. Kubalulekile ukufuna unyango ngokukhawuleza. Okukhona i-catatonia ithatha ixesha elide, kokukhona amathuba okuba ingasabeli kunyango anciphile. Ugqirha wakho ngumntu ongcono ukuthetha naye malunga nokuba iza kuthatha ixesha elingakanani kunye noko ukulindeleyo.

Iyintoni ikamva lale meko?

I-Catatonia ayisongeli ubomi ngokwayo (nangona kunjalo, i-malignant catatonia iyingozi).(ngaphandle kokuba inyangwa ngokukhawuleza, iyabulala). Nangona kunjalo, le meko inokunyusa umngcipheko wokufa ngenxa yezifo ezenzeka ngenxa yokungakwazi ukuhamba (umz., i-pulmonary embolism , i-pneumonia ). Kwakhona, i-catatonia inokuba nzima ukuyinyanga ukuba ihlala ixesha elide okanye ukuba umntu unayo rhoqo. Ngethamsanqa, ii-benzodiazepines kunye ne -ECT zinezinga eliphezulu lokuchacha. Oku kuthetha ukuba yimeko enokunyangwa kakhulu .

Abantu abaneengxaki zeemvakalelo (umz., i-bipolar disorder, i-major depression disorder ) babonakala besabela ngcono kunyango kunabantu abane- schizophrenia . Nangona kunjalo, oku kunokwahluka, kwaye imeko yomntu wonke ayifani. Ugqirha wakho ngumntu ofanelekileyo ukukunika ulwazi oluchanekileyo kunye nembono yemeko yakho.

Ungazinyamekela njani xa ukwimeko ye-catatonia enzima?

Umntu one-catatonia enzima akanakuzinyamekela. Udinga unyango oluvela kubasebenzi bezonyango abaqeqeshiweyo. Ngenxa yokuba i-catatonia yenza kube nzima ukuba umntu ashukume okanye aphendule kwihlabathi elimngqongileyo, usengozini enkulu yokufumana iingxaki. Oku kuthetha ukuba akanakutya okanye asele, nto leyo enokukhokelela kwiingxaki ezinje ngokuphelelwa ngamanzi emzimbeni kunye nokungondleki kakuhle . I-pneumonia inokuvela ngenxa yokungakwazi ukuhamba. Banokuba namahlwili egazi, nto leyo enokukhokelela kwi -stroke okanye kwi-pulmonary embolism . Bakwasengozini yokuzibandakanya kwiindlela zokuziphatha ezinokuzilimaza bona okanye abanye.

Ndifanele ndidibane nogqirha nini? Okanye ndifune ingcebiso kugqirha?

Umntu obonisa iimpawu ze-catatonia udinga unyango ngokukhawuleza . Ezi mpawu zinokufana neemeko zempilo ezinzulu ezifuna unyango ngokukhawuleza. Ukuba umntu omthandayo ubonisa iimpawu ze-catatonia, unokufuna ukumsa esibhedlele okanye ubize i-ambulensi, njengoko kwakunjalo ngo-1990.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Abantu abane-catatonia, ingakumbi abo baneemeko ezifana ne -schizophrenia , basengozini enkulu yokuzilimaza nokuzibulala . Ukuba unengcinga zokuzilimaza, ukuzibulala, okanye ukwenzakalisa abanye, kufuneka uye kwigumbi likaxakeka (ETU) ngoko nangoko, okanye utsalele umnxeba ku-1990. Ukuba uneengcinga ezinjalo, ungatsalela umnxeba kwiindawo ezifana neNational Mental Health Helpline eSri Lanka, 1926 , ukuze ufumane uncedo.

Okokugqibela, kulungile ukukhumbula ezi zinto:

I-Catatonia yimeko enzima ephazamisa ukusebenza kwengqondo yomntu kwaye ichaphazela indlela abasabela ngayo kwihlabathi elibangqongileyo. Abanye abantu banokusabela kancinci kakhulu okanye bangaphenduli kwaphela, ngelixa abanye banokuziphatha ngendlela engalindelekanga kwaye ngeendlela eziyingozi kubo okanye kwabanye. I-Catatonia inokwenzeka ngeemeko ezahlukeneyo, ukusuka kwizifo zengqondo ukuya kwizifo zomzimba. Nangona idla ngokuba yingxamiseko esongela ubomi, inokuba neengxaki ezinkulu kwaye ikhule ibe yi -catatonia embi ( ingxamiseko esongela ubomi).

Ngenxa yokuba abantu abanale meko badla ngokungakwazi ukuzinyamekela, bafuna unyango oluvela kubasebenzi bezonyango abaqeqeshiweyo. Ngethamsanqa, i-catatonia yimeko enyangekayo kakhulu, kwaye abantu abaninzi bayasabela kumayeza. Abo bangaphenduliyo kumayeza badla ngokuphendula kunyango lwe-electroconvulsive (ECT). Ngonyango olusebenzayo nolufike ngexesha, iziphumo ze-catatonia zihlala zibuyiselwa kwimeko yazo, kwaye naziphi na iimeko zonyango ezinokubakho ezinxulunyaniswa nayo zinokunyangwa okanye zinyangwe.


I- Catatonia, i-Catatonia, Impilo Yengqondo, Iingxaki Zobuchopho, Iingxaki Zokuziphatha, Iingxaki Zokuhamba, Unyango, Iimpawu

Frequently Asked Questions (FAQ)

Luhlobo luni lovavanyo oluqhutywayo?

Ezi mvavanyo zilandelayo zihlala zenziwa ukuze kufunyanwe i-catatonia kwaye kufunyanwe unobangela oyintloko:

⚠️ 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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Yintoni i-catatonia? Singathetha ngale ndlela ingaqhelekanga yokuziphatha?
Izifo kunye neemekoJulayi 16, 2026

Yintoni i-catatonia? Singathetha ngale ndlela ingaqhelekanga yokuziphatha?

Ngaba wakha wambona umntu ngequbuliso eba nomsindo, ethetha kancinci, okanye esenza into efanayo rhoqo ngaphandle kwentsingiselo? Mhlawumbi ukhe wacinga, "Owu Thixo wam, yintoni ingxaki ngalo mntu?" Xa ubona izinto ezinje, usenokuba ukhe wacinga. I-Catatonia yimeko apho ingqondo yethu isebenza ngandlela thile, kwaye indlela esisabela ngayo nesiziphatha ngayo kwihlabathi elisingqongileyo iyatshintsha. Nangona oku kunokubonakala kunzima kancinci, namhlanje siza kuthetha ngako ngokucacileyo nangendlela onokuyiqonda.

Yintoni i-catatonia? Ngokuchanekileyo...

Ngamafutshane, i-catatonia yimeko enzima ephazamisa indlela esebenza ngayo ingqondo yethu, ichaphazela indlela esibona ngayo nesisabela ngayo kwihlabathi elisingqongileyo. Abantu abanale meko ngamanye amaxesha basenokungaphenduli ngokupheleleyo kwizinto ezibangqongileyo, okanye baziphatha ngeendlela ezingaqhelekanga. Iimpawu eziphambili zale meko kukuncipha kokuthetha, iintshukumo ezingaqhelekanga okanye ukungabikho kwentshukumo, kunye notshintsho kwindlela yokuziphatha .

Ubusazi na ukuba ukususela ngo-1874, ugqirha wengqondo waseJamani uKarl Kahlbaum waqala ukuchaza le meko njenge- catatonia . Nangona kunjalo, le meko ayikaqondwa kakuhle. Esinye isizathu kukuba kude kube kutshanje, abantu abaninzi babecinga ukuba yenzeka kubantu abane -schizophrenia kuphela. Kwakhona, kukho izimvo ezahlukeneyo phakathi koogqirha bengqondo malunga nokuba zeziphi iimpawu ezifunekayo ukuze kuchongwe kwaye zingaphi ezifunekayo. Enye into kukuba ezinye zeempawu, ezinje ngokushukuma kunye nokungakwazi ukuthetha, zikwabonakala nakwezinye izifo, ngoko ke kunzima kancinci ukufumanisa ukuba le yi-catatonia na.

Ngubani onokuthi achaphazeleke kakhulu yile meko?

I-Catatonia ayichaphazeli mntu ngokukodwa ngokusekelwe kubuhlanga okanye isini. Nangona kunjalo, idla ngokubonakala ngokudibene nezi meko zilandelayo zonyango:

  • Iimeko zengqondo: Ezi zizifo ezichaphazela ngqo impilo yakho yengqondo.
  • Iimeko ze-neurological: Ezi zizifo ezichaphazela ukusebenza kwengqondo yakho.
  • Ezinye iimeko zonyango: Ezi ziimeko ezichaphazela ukusebenza kwenkqubo enye okanye ezingaphezulu zomzimba wakho.

Siza kuthetha ngale nto ngokweenkcukacha kwicandelo elithetha ngezizathu kunye neempawu.

Ixhaphake kangakanani i-catatonia?

Uphando lwangoku lubonisa ukuba phakathi kwe -0.5% kunye ne-2.1% yabantu abafumana unyango lwengqondo banokufumana i-catatonia. Nangona kunjalo, eli nani linyuka liye kuthi ga kwi- 10% phakathi kwabo bafumana unyango lwempilo yengqondo yokuhlala.

Oku kwenza ntoni emizimbeni yethu, ingakumbi engqondweni?

I-Catatonia ibangela ukuba iindawo ezithile zobuchopho bethu ziyeke ukusebenza. Oku kubizwa ngokuba kukungena "kwimeko ye-catatonic." Iindawo ezichaphazelekayo zobuchopho zilawula izinto ezifana nezi:

  • Intshukumo.
  • Izivamvo: ukubona, ukuva, ukuvumba, ukuchukumisa, kunye nokungcamla.
  • Inkumbulo.
  • Izakhono zokucinga nokunikel’ ingqalelo (izakhono zokuqonda).
  • Inkuthazo.
  • Iimvakalelo.
  • Izakhono zokwenza izigqibo kunye nokuzilawula (Imisebenzi yoLawulo).

Njengoko ubona, kuba i-catatonia ichaphazela iindawo ezininzi ezahlukeneyo zobuchopho, iimpawu zinokwahluka kakhulu. Yiyo loo nto le meko idla ngokubonakala kwizifo ezahlukeneyo, kwaye kunokuba nzima kwiingcali ukuyixilonga.

Ziziphi iimpawu ze-catatonia?

Ngokwezikhokelo ze -DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) ze-American Psychiatric Association, kukho iimpawu ezili-12 eziqatshelweyo ngokusemthethweni ze-catatonia. Makhe sibone ukuba zeziphi.

  • Ukuxhalaba: Oku kwenzeka xa umntu exhalabile okanye ekhathazekile. Olu phawu alubangelwa yimpendulo kwenye into emngqongileyo, kodwa luvela xa oku kuphazamiseka kwenzeka.
  • I-Catalepsy: Oku kwenzeka xa umntu ebeka umntu kwindawo ethile aze ahlale kuloo ndawo. Ungamhambisa kancinci kancinci aye kwenye indawo, kodwa ahlale kuloo ndawo intsha.
  • I-Echolalia: Oku kukuphindaphinda kwezandi okanye amagama athethwa ngomnye umntu, njenge-echo.
  • I-Echopraxia: Oku kuquka ukulinganisa iintshukumo zomnye umntu.
  • Ukubhinyalaza: Imbonakalo yobuso enye, edla ngokuba yimbonakalo yobuso exineneyo, ehlala ixesha elide. Ngamanye amaxesha, inokubonakala ngathi iyancuma xa kungekho nxibelelwano.
  • Isimilo: Ukwenza iintshukumo okanye izenzo eziqhelekileyo ngendlela engaqhelekanga, egqithisileyo, okanye egqithisileyo.
  • Ukungathethi kakuhle: Ukuthula ixesha elininzi, okanye ukungathethi konke konke. Olu luphawu kuphela xa kukho enye imeko ethintela ukuthetha (umz., i-aphasia).
  • Ukungakhathali: Oku kuthetha ukungaphenduli kwizinto ezikungqongileyo, okanye ukuchasa izinto ezikungqongileyo ngaphandle kwesizathu esivakalayo.
  • Ukuma ngendlela ethile: Ukubamba indlela ethile yokuma, kungekhona kuba omnye umntu ekucelile, kwaye uhlale kuloo ndlela. Ezi ndlela zokuma zinzima kakhulu kumntu oqhelekileyo ukuzigcina.
  • I-stereotypy: Ukuphinda iintshukumo ezifanayo ngaphandle kwenjongo ecacileyo, njengokudlala ngeminwe okanye ukukhuhla inxalenye efanayo yomzimba.
  • Ukungakhathali kwihlabathi elikungqongileyo (Stupor):Ukuba siphaphile, kodwa singanaki nto ikufutshane nabo, kwaye singaphenduli. Abantu abane-catatonia phantse abasabeli nokuba bachukunyiswa kancinci (umz., ukucinezela umzimba).
  • Ukuguquguquka kwe-waxy: Oku kwenzeka xa umntu ezama ukutshintsha indlela ami ngayo, aze ekuqaleni axhathise, njengokutyhala kancinci. Emva koko, izihlunu zakhe ziyakhululeka kancinci, kwaye ilungu ligoba njengekhandlela elinyibilikisiweyo.

Khawucinge nje, ukuba umhlobo wakho ngequbuliso uqalise ukuphinda into oyithethayo ngqo (`(Echolalia)`) okanye aqalise ukushukumisa izandla zakhe ngendlela efanayo nawe (`(Echopraxia)`), ubuya kuziva ungaqhelekanga, akunjalo? Ezo zezinye zeempawu zesi sifo.

Ngawaphi amanqanaba ahlukeneyo okusebenza kwe-catatonia?

Abantu abaninzi bacinga nge-catatonia njengemeko apho umzimba uqandisiwe endaweni yawo, ungakwazi ukuhamba. Nangona kunjalo, oku akusoloko kunjalo. I-Catatonia inokubandakanya utshintsho olukhawulezileyo nolungalindelekanga kwindlela yokuziphatha. Kunokubakho intshukumo egqithisileyo, neqhubekayo. La manqanaba omsebenzi aquka:

  • Uvuyo/Ukuphazamiseka Kwengqondo: Oku kudla ngokubonakala ngotshintsho kwindlela yokuziphatha. Basenokuba ngabangaphumliyo, abangazoliyo, abanobundlongondlongo, kwaye ngamanye amaxesha babe nobundlobongela ngaphandle kwesizathu esicacileyo. Basenokuthetha kwaye benze ngendlela engaqhelekanga, baxelise oko kwenziwa ngabanye abangqongileyo, kwaye banokuzenzakalisa .
  • Ukurhoxa/Ukungazinzi: Oku kudla ngokuba yinto abantu abayicingayo xa besiva igama elithi catatonia. Aba bantu baphaphile, kodwa abaphenduli kwizinto ezibangqongileyo, ngokungathi abanandaba nehlabathi elibangqongileyo. Bahlala bethule, kwaye ubuso babo abubonisi mvakalelo. Banokuba neendlela ezingaqhelekanga zokuma, kwaye banokungavumi ukushukunyiswa. Basenokungatyi okanye basele, kwaye banokumanzisa neempahla zabo (ukungakwazi ukuzibamba).
  • Ixutyiwe: Olu ludibaniso lweempawu ezingasebenzi kakuhle nezingasebenzi kakuhle. Umntu unokutshintsha ngequbuliso nangaphandle kwesilumkiso phakathi kwala manqanaba mabini okusebenza.

Yintoni i-malignant catatonia? Ngaba inokuba yingozi ebomini?

Kwezinye iimeko, i-catatonia inokukhokelela kwiingxaki ezisongela ubomi. Oko kubizwa ngokuba yi -malignant catatonia . Le meko ibangela imeko ebizwa ngokuba yi -dysautonomia . Oku kuthetha ukuba inkqubo yakho ye-autonomic nervous ayisebenzi kakuhle. Inkqubo yakho ye-autonomic nervous ilawula imisebenzi yomzimba eyenzeka ngokuzenzekelayo ngaphandle kokuba ucinge ngayo (umz., izinga lokubetha kwentliziyo, uxinzelelo lwegazi).

Iimpawu ze-catatonia enobungozi zezi:

  • Ubushushu bomzimba obuphezulu kakhulu kunye nomkhuhlane (iHyperthermia).
  • Ukubetha kwentliziyo okukhawulezayo kakhulu (iTachycardia).
  • Ukubila okugqithisileyo (iDiaphoresis).
  • Uxinzelelo lwegazi olungazinzanga.
  • I-Cyanosis: Le yimeko apho inqanaba leoksijini egazini liyehla, nto leyo ebangela ukuba ezinye iindawo zolusu, ingakumbi ezijikeleze imilebe kunye neenzipho, zijike zibe luhlaza okwesibhakabhaka.

Nantsi into ekufuneka uyazi: I-Malignant catatonia yimeko engxamisekileyo yezonyango esongela ubomi. Inokukhokelela ekufeni kuba iphazamisa iinkqubo zomzimba ezenzekelayo, ezilawulwa yingqondo. Ke ngoko, kubalulekile ukufuna unyango ngokukhawuleza ukuba ufumana ezi mpawu.

Yintoni ebangela le meko ye-catatonia?

Nangona uphando luthathe phantse iminyaka eli-150, iingcali azikakwazi ukuxela ngqo ukuba yintoni ebangela i-catatonia. Nangona kunjalo, kukho iinkcazo ezahlukeneyo, ukusuka kukungalingani kweekhemikhali engqondweni ukuya kwizizathu zemfuza ezidluliselwa kwizizukulwana ngezizukulwana.

Ngenxa yokuba kungekho sizathu sithile, iingcali zinokuqikelela kuphela ngezinye iimeko ezinokubangela i-catatonia. Ezona meko ziqhelekileyo zempilo yengqondo ezinxulumene ne-catatonia zezi:

  • Ukuxhuzula.
  • I-Schizophrenia.
  • Isifo sokunganyamezelani kakuhle kwengqondo (Schizoaffective disorder).
  • Isifo sokudakumba esikhulu.

Iimeko ze-neurological kunye nezinye izifo zomzimba eziqhele ukubonwa nge-catatonia ziquka:

  • Ingxaki ye-Autism spectrum.
  • Izifo ezizikhusela ngokwazo emzimbeni (umz., i-lupus , i-multiple sclerosis ).
  • Izifo zengqondo eziwohlokayo (umz. isifo sengqondo esixhalabisayo , isifo sikaParkinson ).
  • Isifo seDown.
  • Iimeko ezinxulumene neziyobisi (oku kuquka amayeza kagqirha kunye namayeza angekho mthethweni).
  • I-Encephalitis , kuquka i-anti-NMDA receptor encephalitis .
  • Iimeko zokungalingani kwe-electrolyte.
  • Isifo sokuwa.
  • Ukukhubazeka kwengqondo.
  • I-hydrocephalus yoxinzelelo oluqhelekileyo.
  • Istroke.
  • Isifo seTourette.

Ingaba esi sisifo esosulelayo?

Hayi akunjalo kwakona.I-Catatonia ayisosifo esosulelayo. Awunakuyifumana komnye umntu, kwaye awunakuyifumana komnye umntu.

Oogqirha bayixilonga njani le meko ye-catatonia?

Ugqirha wakho uza kusebenzisa iindlela ezahlukeneyo zokuxilonga i-catatonia. Oku kudla ngokuqala ngovavanyo lwe-neurological . Ngexesha lovavanyo, ugqirha wakho uza kuhlola i-reflexes yakho, iimpendulo, kunye nendlela ophendula ngayo (okanye ongaphenduli ngayo) kwihlabathi elikungqongileyo.

Emva koko, ugqirha uya kusebenzisa isixhobo sovavanyo esiqhelekileyo, esifana neBush Francis Catatonia Rating Scale , ukuvavanya ubukho kunye nobunzima be-catatonia. Nje ukuba i-catatonia ifunyaniswe, inyathelo elilandelayo koogqirha kukufumana unobangela. Oku kungenxa yokuba i-catatonia idla ngokunxulunyaniswa nesinye isifo sengqondo okanye somzimba. Ekubeni i-catatonia inokwenzeka ngezifo ezinzulu, ngamanye amaxesha ezibulalayo, into yokuqala ekufuneka yenziwe kukuthintela ezo meko zinzima nezingaphantsi.

Luhlobo luni lovavanyo oluqhutywayo?

Ezi mvavanyo zilandelayo zihlala zenziwa ukuze kufunyanwe i-catatonia kwaye kufunyanwe unobangela oyintloko:

  • Uvavanyo lokucinga: Oku kungabandakanya iimvavanyo ezifana ne -CT scans kunye ne-MRI scans .
  • Uvavanyo lwegazi, umchamo, kunye nolwelo lwe-cerebrospinal (i-spinal tap): Olu vavanyo lunokufumanisa izinto ezifana notshintsho lweekhemikhali kulwelo lomzimba kunye nosulelo. (Uvavanyo lwe-cerebrospinal fluid luvavanyo oluthatha ulwelo oluncinci kwi-spinal cord.)
  • Uvavanyo lokusebenza kobuchopho: Uvavanyo lwe-EEG (i-Electroencephalogram) luhlalutya kwaye lurekhode umsebenzi wombane wengqondo yakho. Oku kunokuthintela iimeko ezifana nokuxhuzula.

Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa ngokupheleleyo?

Unyango lwe-catatonia ludla ngokuxhomekeka kwimeko esisiseko (okanye iimeko) ebangele ukuba ibe yiyo. Ukuba ibangelwa yimeko yomzimba okanye yemithambo-luvo, ukunyanga loo meko, ukuba kunokwenzeka, kuya kuyiphucula i-catatonia. Xa isenzeka ngesifo sengqondo, ezinye iindlela zonyango zinokuba lolona khetho lufanelekileyo.

Ngawaphi amayeza okanye unyango olusetyenziswayo?

Kukho iindlela ezimbini eziphambili zokunyanga i-catatonia: amayeza kunye nonyango lwe-electroconvulsive (ECT). Ezinye iindlela zonyango, ezifana nokukhuthaza i-transcranial magnetic, zinokufumaneka, kodwa akukho phando lwaneleyo lokufumanisa ukuba zisebenza kangakanani na ekusetyenzisweni ngokubanzi.

Amayeza

IiBenzodiazepines zezona ziphambili kunyango lwe-catatonia kuba zikhuselekile kwaye zisebenza kakuhle. Phakathi kwama -60% kunye nama-90% abantu abane-catatonia bayaphola kwi-benzodiazepines. I-Lorazepam lelona yeza lisetyenziswa kakhulu, kodwa amanye amayeza afana ne -clonazepam , i-diazepam , kunye ne -zolpidem nawo ayasebenza. La mayeza anokunikwa nge-intravenously (IV) , njenge-injection, okanye njengepilisi.

Amanye amayeza (umz., amayeza okulawula imeko yengqondo , amayeza okuthintela ukuphazamiseka kwengqondo ) anokuba luncedo, kodwa awasoloko enikwa njengonyango lokuqala. Aluncedo kakhulu emva kokuba iimpawu zokuqala ze-catatonia ziphelile, ukunyanga ezinye iimpawu. Ngokukodwa, amayeza okuthintela ukuphazamiseka kwengqondo anokubangela ukuba i-catatonia iqhubekele kwi- malignant catatonia okanye i-neuroleptic malignant syndrome , ngoko ke kufuneka uqaphele.

Unyango lwe-Electroconvulsive (ECT)

Unyango lwe-Electroconvulsive (ECT) lunyango oluthumela umbane omncinci kakhulu kwindawo ethile yengqondo yakho, nto leyo ebangela ukuba umntu axhuzule okwethutyana. Abantu abafumana i-ECT banikwa i-anesthesia jikelele kwaye balele ubuthongo obunzulu, ngoko ke abaziva ntlungu ngexesha lonyango.

I-ECT ikwasebenza kakhulu. Isebenza phantse kuzo zonke iimeko ze-catatonia. Yindlela ephambili yonyango lwe -catatonia enobungozi , kwaye kwiimeko ezinjalo, lunyango olusindisa ubomi. Ikwaluncedo kakhulu kwiimeko ze-catatonia engaphenduliyo kumayeza.

Zeziphi iingxaki okanye iziphumo ebezingalindelekanga ezinokubakho ngexesha lonyango?

Iingxaki kunye nemiphumo emibi yonyango lwe-catatonia inokwahluka ngokuxhomekeke kunyango (okanye indibaniselwano yonyango) umntu alufumanayo. Ugqirha wakho unokuchaza ngcono iziphumo okanye iingxaki onokuthi uzifumane.

Ukuba ndinezi mpawu, ndingazinyamekela njani okanye ndizilawule njani ezi mpawu?

Oku kubaluleke kakhulu: I-Catatonia yimeko enokuba nzima ukuyixilonga, nokuba koogqirha abaqeqeshiweyo nabanamava. Ingabangelwa zizifo ezisongela ubomi ezifuna unyango olungxamisekileyo. Ngenxa yezi zizathu zombini, akufanele uzame ukuyixilonga okanye ukuyinyanga ngokwakho.

Ndiza kuziva bhetele nini emva konyango? Kuza kuthatha ixesha elingakanani ukuze ndiphile?

Kwiimeko ezifana ne-catatonia, amava omntu wonke ahlukile. Ugqirha wakho angakunika ulwazi olungcono malunga nexesha lakho lokuchacha, njengoko enokuthathela ingqalelo zonke izinto ezichaphazela imeko yakho ethile (ezifana neemeko ezifihlakeleyo kunye nembali yakho yezonyango).

IiBenzodiazepines zihlala zisebenza ngokukhawuleza. Xa zinikwa ngemithambo yegazi (IV), uninzi lwabantu luqala ukuziva lungcono kwimizuzu eli-10-15. Xa zithathwa ngomlomo njengepilisi, amayeza anokuthatha imizuzu engama-20-30 ukuqala ukusebenza. Nangona kunjalo, kungathatha ixesha ukufumana idosi efanelekileyo, ngoko ke abanye abantu banokungaboni nkqubela kwi-catatonia yabo de kube emva kweentsuku ezimbalwa zonyango.

Unyango lwe -ECT lunokusebenza ngokukhawuleza. Abanye abantu baqala ukubona ukuphucuka kwimizuzu okanye iiyure zonyango, ngelixa abanye banokufuna unyango oluninzi ukuze baphendule. Uninzi lwabantu lufumana i-ECT izihlandlo ezininzi ngeveki kangangeeveki ezininzi, kodwa abanye abantu banokufuna unyango lwemihla ngemihla de iimpawu zabo zibe ngcono.

Ngaba ikho indlela yokuthintela oku ukuba kungenzeki okanye yokunciphisa umngcipheko?

I-Catatonia yenzeka ngequbuliso kwaye ngenxa yezizathu ezingakaziqondi ngokupheleleyo iingcali. Ngenxa yoko, akunakwenzeka ukuyithintela ukuba ingenzeki okanye ukunciphisa umngcipheko.

Nangona kunjalo, ukuba unikwe amayeza okugula ngengqondo, ukuyeka loo mayeza kunokunyusa umngcipheko wakho wokuba ne-catatonia.

Ukuba ndinayo le meko, ndimele ndilindele ntoni?

Uninzi lwabantu abane-catatonia bayazi kakuhle ihlabathi elibangqongileyo. Ingxaki yabo kukuba abakwazi ukuphendula kwinto eyenzekayo kufutshane nabo ngendlela eqhelekileyo. Kwakhona, banokukhumbula ezinye zeziganeko ezenzekileyo, nangona besenokubonakala bengazi nto.

Ngenxa yokuba i-catatonia ichaphazela ukuqonda komntu ngehlabathi elimngqongileyo, kuqhelekile ukuba abantu abanale meko bangakwazi ukuthetha ngabo okanye ukwenza izigqibo malunga nonyango lwabo. Kwiimeko ezinjalo, oogqirha badla ngokucela ilungu losapho okanye umhlobo osenyongweni ukuba abancede benze izigqibo malunga nonyango.

I-catatonia inokuhlala ixesha elingakanani?

Ixesha elithatha i-catatonia liyahluka ngokuxhomekeke kwimeko esisiseko kunye nonyango olufumanayo. Kubalulekile ukufuna unyango ngokukhawuleza. Okukhona i-catatonia ithatha ixesha elide, kokukhona amathuba okuba ingasabeli kunyango anciphile. Ugqirha wakho ngumntu ongcono ukuthetha naye malunga nokuba iza kuthatha ixesha elingakanani kunye noko ukulindeleyo.

Iyintoni ikamva lale meko?

I-Catatonia ayisongeli ubomi ngokwayo (nangona kunjalo, i-malignant catatonia iyingozi).(ngaphandle kokuba inyangwa ngokukhawuleza, iyabulala). Nangona kunjalo, le meko inokunyusa umngcipheko wokufa ngenxa yezifo ezenzeka ngenxa yokungakwazi ukuhamba (umz., i-pulmonary embolism , i-pneumonia ). Kwakhona, i-catatonia inokuba nzima ukuyinyanga ukuba ihlala ixesha elide okanye ukuba umntu unayo rhoqo. Ngethamsanqa, ii-benzodiazepines kunye ne -ECT zinezinga eliphezulu lokuchacha. Oku kuthetha ukuba yimeko enokunyangwa kakhulu .

Abantu abaneengxaki zeemvakalelo (umz., i-bipolar disorder, i-major depression disorder ) babonakala besabela ngcono kunyango kunabantu abane- schizophrenia . Nangona kunjalo, oku kunokwahluka, kwaye imeko yomntu wonke ayifani. Ugqirha wakho ngumntu ofanelekileyo ukukunika ulwazi oluchanekileyo kunye nembono yemeko yakho.

Ungazinyamekela njani xa ukwimeko ye-catatonia enzima?

Umntu one-catatonia enzima akanakuzinyamekela. Udinga unyango oluvela kubasebenzi bezonyango abaqeqeshiweyo. Ngenxa yokuba i-catatonia yenza kube nzima ukuba umntu ashukume okanye aphendule kwihlabathi elimngqongileyo, usengozini enkulu yokufumana iingxaki. Oku kuthetha ukuba akanakutya okanye asele, nto leyo enokukhokelela kwiingxaki ezinje ngokuphelelwa ngamanzi emzimbeni kunye nokungondleki kakuhle . I-pneumonia inokuvela ngenxa yokungakwazi ukuhamba. Banokuba namahlwili egazi, nto leyo enokukhokelela kwi -stroke okanye kwi-pulmonary embolism . Bakwasengozini yokuzibandakanya kwiindlela zokuziphatha ezinokuzilimaza bona okanye abanye.

Ndifanele ndidibane nogqirha nini? Okanye ndifune ingcebiso kugqirha?

Umntu obonisa iimpawu ze-catatonia udinga unyango ngokukhawuleza . Ezi mpawu zinokufana neemeko zempilo ezinzulu ezifuna unyango ngokukhawuleza. Ukuba umntu omthandayo ubonisa iimpawu ze-catatonia, unokufuna ukumsa esibhedlele okanye ubize i-ambulensi, njengoko kwakunjalo ngo-1990.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Abantu abane-catatonia, ingakumbi abo baneemeko ezifana ne -schizophrenia , basengozini enkulu yokuzilimaza nokuzibulala . Ukuba unengcinga zokuzilimaza, ukuzibulala, okanye ukwenzakalisa abanye, kufuneka uye kwigumbi likaxakeka (ETU) ngoko nangoko, okanye utsalele umnxeba ku-1990. Ukuba uneengcinga ezinjalo, ungatsalela umnxeba kwiindawo ezifana neNational Mental Health Helpline eSri Lanka, 1926 , ukuze ufumane uncedo.

Okokugqibela, kulungile ukukhumbula ezi zinto:

I-Catatonia yimeko enzima ephazamisa ukusebenza kwengqondo yomntu kwaye ichaphazela indlela abasabela ngayo kwihlabathi elibangqongileyo. Abanye abantu banokusabela kancinci kakhulu okanye bangaphenduli kwaphela, ngelixa abanye banokuziphatha ngendlela engalindelekanga kwaye ngeendlela eziyingozi kubo okanye kwabanye. I-Catatonia inokwenzeka ngeemeko ezahlukeneyo, ukusuka kwizifo zengqondo ukuya kwizifo zomzimba. Nangona idla ngokuba yingxamiseko esongela ubomi, inokuba neengxaki ezinkulu kwaye ikhule ibe yi -catatonia embi ( ingxamiseko esongela ubomi).

Ngenxa yokuba abantu abanale meko badla ngokungakwazi ukuzinyamekela, bafuna unyango oluvela kubasebenzi bezonyango abaqeqeshiweyo. Ngethamsanqa, i-catatonia yimeko enyangekayo kakhulu, kwaye abantu abaninzi bayasabela kumayeza. Abo bangaphenduliyo kumayeza badla ngokuphendula kunyango lwe-electroconvulsive (ECT). Ngonyango olusebenzayo nolufike ngexesha, iziphumo ze-catatonia zihlala zibuyiselwa kwimeko yazo, kwaye naziphi na iimeko zonyango ezinokubakho ezinxulunyaniswa nayo zinokunyangwa okanye zinyangwe.


I- Catatonia, i-Catatonia, Impilo Yengqondo, Iingxaki Zobuchopho, Iingxaki Zokuziphatha, Iingxaki Zokuhamba, Unyango, Iimpawu

Frequently Asked Questions (FAQ)

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Ezi mvavanyo zilandelayo zihlala zenziwa ukuze kufunyanwe i-catatonia kwaye kufunyanwe unobangela oyintloko:

⚠️ 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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