Kuyini i-catatonia? Singaxoxa ngalokhu kuziphatha okungajwayelekile?

Wake wambona umuntu ngokuzumayo eba nobuso obungacacile, ekhuluma kancane kakhulu, noma enza into efanayo ngokuphindaphindiwe ngaphandle kwencazelo? Mhlawumbe uke wacabanga nokuthi, "Hawu Nkulunkulu, yini inkinga ngalo muntu?" Uma ubona izinto ezinjengalezi, kungenzeka ukuthi uke wacabanga. I-Catatonia yisimo lapho ubuchopho bethu busebenza khona ngandlela thile, futhi indlela esisabela futhi siziphathe ngayo ezweni elisizungezile iyashintsha. Nakuba lokhu kungase kubonakale kuyinkimbinkimbi kancane, namuhla sizokhuluma ngakho ngokucacile nangendlela ongayiqonda.

Kuyini i-catatonia? Ukucacisa...

Kalula nje, i-catatonia yisimo esiyinkimbinkimbi esiphazamisa indlela ubuchopho bethu obusebenza ngayo, sithinta indlela esibona futhi sisabela ngayo ezweni elisizungezile. Abantu abanalesi simo ngezinye izikhathi bangase bangasabeli nhlobo ezintweni ezibazungezile, noma bangase baziphathe ngezindlela ezingavamile kakhulu. Izimpawu eziyinhloko zalesi simo ukuncipha kokukhuluma, ukunyakaza okungavamile noma ukuntuleka kokunyakaza, kanye nezinguquko ekuziphatheni .

Ubuwazi ukuthi kusukela ngo-1874, udokotela wezifo zengqondo waseJalimane uKarl Kahlbaum waqala ukuchaza lesi simo ngokuthi i-catatonia . Kodwa-ke, lesi simo asikaqondakali kahle. Esinye isizathu ukuthi kuze kube muva nje, abantu abaningi babecabanga ukuthi senzeka kubantu abane -schizophrenia kuphela. Futhi, kunemibono ehlukene phakathi kodokotela bezifo zengqondo mayelana nokuthi yiziphi izimpawu ezidingekayo ukuze kutholakale ukuthi zingakanani nokuthi zingaki zazo ezidingekayo. Enye into ukuthi ezinye zezimpawu, njengokukhungatheka nokungakwazi ukukhuluma, ziyabonakala nakwezinye izifo, ngakho-ke kunzima kancane ukunquma ukuthi lokhu kuyi-catatonia.

Ubani okungenzeka kakhulu ukuthi athinteke yilesi simo?

I-Catatonia ayithinti muntu ngokukhethekile ngokusekelwe ohlangeni noma ubulili. Kodwa-ke, ivame ukubonakala ngokuhambisana nezimo zezokwelapha ezilandelayo:

• Izimo zengqondo: Lezi yizifo ezithinta ngqo impilo yakho yengqondo.
• Izimo ze-neurological: Lezi yizifo ezithinta ukusebenza kobuchopho bakho.
• Ezinye izimo zezokwelapha: Lezi yizimo ezithinta ukusebenza kwesistimu eyodwa noma ngaphezulu yomzimba wakho.

Sizoxoxa ngalokhu ngokuningiliziwe esigabeni esimayelana nezimbangela nezimpawu.

Ivame kangakanani i-catatonia?

Ucwaningo lwamanje lusikisela ukuthi phakathi kuka -0.5% no-2.1% wabantu abathola ukwelashwa kwengqondo bangase babe ne-catatonia. Kodwa-ke, leli nani likhuphuka lifinyelele cishe ku -10% phakathi kwalabo abathola ukwelashwa kwezempilo yengqondo yokuhlala.

Lokhu kwenzani emizimbeni yethu, ikakhulukazi ebuchosheni?

I-Catatonia ibangela ukuthi izingxenye zobuchopho bethu ziyeke ukusebenza. Lokhu kubizwa ngokuthi ukuya "esimweni se-catatonic." Izindawo ezithintekile zobuchopho zilawula izinto ezifana nalezi:

• Ukunyakaza.
• Izinzwa: ukubona, ukuzwa, ukuhogela, ukuthinta, kanye nokunambitha.
• Inkumbulo.
• Amakhono okucabanga nokunaka (amakhono okuqonda).
• Isisusa.
• Imizwa.
• Amakhono okwenza izinqumo nokuzithiba (Imisebenzi yokuphatha).

Njengoba ubona, ngenxa yokuthi i-catatonia ithinta izindawo eziningi ezahlukene zobuchopho, izimpawu zingahlukahluka kakhulu. Yingakho lesi simo sivame ukubonakala ngezifo eziningi ezahlukene, futhi kungaba yinselele kochwepheshe ukusixilonga.

Ziyini izimpawu ze-catatonia?

Ngokusho kweziqondiso ze -DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) ze-American Psychiatric Association, kunezimpawu ezingu-12 eziqashelwa ngokusemthethweni ze-catatonia. Ake sibone ukuthi ziyini.

• Ukuphazamiseka: Lokhu kwenzeka lapho umuntu ephazamisekile noma ephazamisekile. Lesi sibonakaliso asiyona impendulo kunoma yini enye emzungezile, kodwa sivela lapho lokhu kuphazamiseka kwenzeka.
• I-Catalepsy: Lokhu kwenzeka lapho umuntu ebeka umuntu endaweni ethile bese ehlala kuleso simo. Ungamhambisa kancane kancane kwenye indawo, kodwa yena uhlala kuleso simo esisha.
• I-Echolalia: Lokhu ukuphindaphinda kwemisindo noma amagama akhulunywa ngomunye umuntu, njenge-echo.
• I-Echopraxia: Lokhu kuhilela ukulingisa ukunyakaza komunye umuntu.
• Ukumamatheka: Ukubukeka kobuso okukodwa, ngokuvamile ukubonakala kobuso obuqinile, okuhlala isikhathi eside. Ngezinye izikhathi, kungabonakala sengathi kuyamomotheka uma kungekho ukuxhumana.
• Ukuziphatha Kahle: Ukwenza ukunyakaza noma izenzo ezivamile ngendlela engavamile, eqisiwe, noma eqisiwe.
• Ukungezwani komzimba: Ukuthula isikhathi esiningi, noma ukungakhulumi nhlobo. Lokhu kuyimpawu kuphela uma kukhona esinye isimo esivimbela ukukhuluma (isb., i-aphasia).
• Ukungalungi: Lokhu kusho ukungaphenduli ezintweni ezikuzungezile, noma ukuphikisa izinto ezikuzungezile ngaphandle kwesizathu esizwakalayo.
• Ukuma: Ukubamba ukuma okuthile, hhayi ngoba omunye umuntu ekucelile, nokuhlala kuleso simo. Lokhu kuma kunzima kakhulu kumuntu ojwayelekile ukukugcina.
• I-stereotypy: Ukuphindaphinda ukunyakaza okufanayo ngaphandle kwenhloso ecacile, njengokudlala ngeminwe noma ukuhlikihla ingxenye efanayo yomzimba.
• Ukunganaki izwe elikuzungezile (Ukuphazamiseka):Ukuphaphama, kodwa unganaki lutho olubazungezile, futhi ungaphenduli. Abantu abane-catatonia cishe abasabeli ngisho noma bethintwa kancane (isib., ukucindezelwa komzimba).
• Ukuguquguquka kwe-waxy: Lokhu kwenzeka lapho umuntu ezama ukushintsha ukuma komuntu, futhi ekuqaleni uyamelana, njengokusunduza okuncane. Ngemuva kwalokho, imisipha yakhe iyakhululeka kancane, futhi isitho sigoba njengekhandlela elincibilikisiwe.

Cabanga nje, uma umngane wakho eqala ngokuzumayo ukuphinda lokho okushoyo ngqo (`(Echolalia)`) noma eqala ukuqhweba izandla zakhe ngendlela efanayo nawe (`(Echopraxia)`), ubungazizwa ungajwayelekile kancane, akunjalo? Lezo ezinye zezimpawu zalesi sifo.

Yiziphi amazinga ahlukene okusebenza kwe-catatonia?

Abantu abaningi bacabanga nge-catatonia njengesimo lapho umzimba uqandisiwe khona, ungakwazi ukunyakaza. Kodwa-ke, lokhu akunjalo ngaso sonke isikhathi. I-Catatonia ingabandakanya nezinguquko ezisheshayo, ezingalindelekile ekuziphatheni. Kungase kube nokunyakaza okukhulu, ngisho nokuqhubekayo. Lawa mazinga omsebenzi afaka:

• Ukujabula/Ukukhungatheka Okukhulu: Lokhu kuvame ukubonakala ngokushintsha kokuziphatha. Bangase babe nokungahlaliseki, ukungahlaliseki, ulaka, futhi ngezinye izikhathi babe nobudlova ngaphandle kwesizathu esibonakalayo. Bangase futhi bakhulume futhi benze ngendlela exakile, balingise lokho abanye abaseduze nabo abakwenzayo, futhi bangase bazilimaze .
• Ukuhoxiswa/Ukungadli kahle: Lokhu kuvame ukuba yilokho abantu abakucabangayo lapho bezwa igama elithi catatonia. Laba bantu baphapheme, kodwa abasabeli ezintweni ezibazungezile, njengokungathi abanandaba nomhlaba obazungezile. Bavame ukuthula, futhi ubuso babo abubonisi mizwa. Bangase babe nezimo ezingavamile, futhi bangase bamelane nokunyakaziswa. Bangase bangadli noma baphuze, futhi bangase bamanzise nezingubo zabo (ukungakwazi ukuzibamba).
• Okuxubile: Lokhu kuyinhlanganisela yezimpawu zokusebenza ngokweqile kanye nezici ezingasebenzi kahle. Umuntu angashintsha ngokuzumayo futhi ngaphandle kwesixwayiso phakathi kwala mazinga amabili okusebenza.

Iyini i-catatonia ebulalayo? Ingabe ingaba yingozi empilweni?

Kwezinye izimo, i-catatonia ingaholela ezinkingeni ezisongela ukuphila. Lokho kubizwa ngokuthi i-malignant catatonia . Lesi simo sibangela isimo esibizwa ngokuthi i-dysautonomia . Lokhu kusho ukuthi uhlelo lwakho lwezinzwa oluzimele alusebenzi kahle. Uhlelo lwakho lwezinzwa oluzimele lulawula imisebenzi yomzimba eyenzeka ngokuzenzakalelayo ngaphandle kokuthi ucabange ngayo (isib. izinga lokushaya kwenhliziyo, umfutho wegazi).

Izimpawu ze-catatonia enobungozi yilezi:

• Ukushisa komzimba okuphezulu kakhulu kanye nomkhuhlane (i-Hyperthermia).
• Ukushaya kwenhliziyo okusheshayo kakhulu (i-Tachycardia).
• Ukujuluka ngokweqile (i-Diaphoresis).
• Umfutho wegazi ongazinzile.
• I-Cyanosis: Lesi yisimo lapho izinga lomoya-mpilo egazini lehla khona, okubangela ukuthi ezinye izindawo zesikhumba, ikakhulukazi ezizungeze izindebe nezinzipho, ziphenduke zibe luhlaza okwesibhakabhaka.

Nakhu okudingeka ukwazi: I-catatonia ebulalayo iyisimo esiphuthumayo sezokwelapha esisongela ukuphila. Ingaholela ngisho nasekufeni ngoba iphazamisa izinqubo zomzimba ezizenzakalelayo, ezilawulwa ubuchopho. Ngakho-ke, kubalulekile ukufuna usizo lwezokwelapha ngokushesha uma uhlangabezana nalezi zimpawu.

Yini ebangela lesi simo se-catatonia?

Naphezu kweminyaka ecishe ibe yi-150 yocwaningo, ochwepheshe abakakwazi ukusho ngqo ukuthi yini ebangela i-catatonia. Kodwa-ke, kunezincazelo ezahlukahlukene, kusukela ekungalingani kwamakhemikhali ebuchosheni kuya ezizathwini zofuzo ezidluliselwa ezizukulwaneni ngezizukulwane.

Ngenxa yokuthi ayikho imbangela ethile, ochwepheshe bangaqagela kuphela ngezinye izimo ezingase zibangele i-catatonia. Izimo zempilo yengqondo ezivame kakhulu ezihlotshaniswa ne-catatonia yilezi:

• Isifo se-bipolar.
• I-Schizophrenia.
• Isifo sokungezwani komzimba (Schizoaffective disorder).
• Isifo sokucindezeleka okukhulu.

Izimo ze-neurological nezinye izimo zomzimba ezivame ukubonakala nge-catatonia zifaka:

• Isifo se-Autism spectrum.
• Izifo ezizenzakalelayo (isib. i- lupus , i-multiple sclerosis ).
• Izifo zobuchopho eziwohlokayo (isib. i-dementia , isifo sikaParkinson ).
• I-Down syndrome.
• Izimo ezihlobene nezidakamizwa (lokhu kufaka phakathi kokubili imithi kadokotela kanye nemithi engekho emthethweni).
• I-Encephalitis , okuhlanganisa ne-anti-NMDA receptor encephalitis .
• Izimo zokungalingani kwe-electrolyte.
• Isifo sokuwa.
• Ukukhubazeka kwengqondo.
• I-hydrocephalus yokucindezela okuvamile.
• Isifo sohlangothi.
• I-Tourette syndrome.

Ingabe lesi yisifo esithathelwanayo?

Cha, akunjalo nhlobo.I-Catatonia ayisona isifo esithelelanayo. Awukwazi ukusithola komunye umuntu, futhi awukwazi ukusithola komunye umuntu.

Odokotela bakuthola kanjani lesi simo se-catatonia?

Udokotela wakho uzosebenzisa inhlanganisela yezindlela zokuxilonga i-catatonia. Lokhu kuvame ukuqala ngokuhlolwa kwezinzwa . Phakathi nalokhu kuhlolwa, udokotela wakho uzohlola ukusabela kwakho, izimpendulo, kanye nendlela osabela ngayo (noma ongaphenduli ngayo) ezweni elikuzungezile.

Ngemuva kwalokho, udokotela uzosebenzisa ithuluzi lokuhlola elijwayelekile, njenge -Bush Francis Catatonia Rating Scale , ukuhlola ubukhona kanye nobukhali be-catatonia. Uma i-catatonia isitholakele, isinyathelo esilandelayo kodokotela ukuthola imbangela. Lokhu kungenxa yokuthi i-catatonia ivame ukuhlotshaniswa nesinye isifo sengqondo noma somzimba. Njengoba i-catatonia ingenzeka ngezifo ezimbi, ngezinye izikhathi ezibulalayo, into yokuqala okufanele yenziwe ukuqeda izimo ezinjalo ezimbi kakhulu.

Hlobo luni lokuhlolwa okwenziwayo?

Ukuhlolwa okulandelayo kuvame ukwenziwa ukuze kutholakale i-catatonia futhi kutholakale imbangela eyinhloko:

• Ukuhlolwa kwezithombe: Lokhu kungafaka phakathi ukuhlolwa okufana nokuskena kwe-CT kanye nokuskena kwe-MRI .
• Ukuhlolwa kwegazi, umchamo, kanye noketshezi lomgogodla (umpompi womgogodla): Lokhu kuhlolwa kungathola izinto ezifana nezinguquko zamakhemikhali oketshezini lomzimba kanye nezifo. (Ukuhlolwa koketshezi lomgogodla ukuhlolwa okuthatha inani elincane loketshezi emgogodleni.)
• Ukuhlolwa kokusebenza kobuchopho: Ukuhlolwa kwe-EEG (i-Electroencephalogram) kuhlaziya futhi kuqophe umsebenzi kagesi wobuchopho bakho. Lokhu kungasusa izimo ezifana nesifo sokuwa.

Yiziphi izindlela zokwelapha lokhu? Ingabe kungalapheka ngokuphelele?

Ukwelashwa kwe-catatonia kuvame ukuncika esimweni esiyisisekelo (noma izimo) esibangele lokho. Uma kubangelwa isimo somzimba noma sezinzwa, ukwelapha leso simo, uma kungenzeka, kuzovame ukuthuthukisa i-catatonia. Uma kwenzeka ngesifo sengqondo, ezinye izindlela zokwelapha zingaba yindlela engcono kakhulu.

Yimiphi imithi noma izindlela zokwelapha ezisetshenziswayo?

Kunezindlela ezimbili eziyinhloko zokwelapha i-catatonia: imithi kanye nokwelashwa nge-electroconvulsive (ECT). Ezinye izindlela zokwelapha, njengokushukunyiswa kwamagnetic kwe-transcranial, zingatholakala, kodwa alukho ucwaningo olwanele lokunquma ukuthi zisebenza kahle kangakanani ekusetshenzisweni kabanzi.

Imithi

Ama-Benzodiazepines ayindlela eyinhloko yokwelapha i-catatonia ngoba aphephile futhi asebenza kahle kakhulu. Abantu abaphakathi kuka -60% no-90% abane-catatonia bayalulama kuma-benzodiazepines. I-Lorazepam iyimithi esetshenziswa kakhulu, kodwa eminye imithi efana ne -clonazepam , i-diazepam , ne -zolpidem nayo iyasebenza. Le mithi inganikezwa nge-intravenously (IV) , njengomjovo, noma njengephilisi.

Eminye imithi (isib., iziqinisi zemizwa , imithi yokwelapha ingqondo ) ingaba usizo, kodwa ngokuvamile ayinikezwa njengokwelashwa kokuqala. Iwusizo kakhulu ngemva kokuba izimpawu zokuqala ze-catatonia seziphelile, ukwelapha ezinye izimpawu. Ikakhulukazi, imithi yokwelapha ingqondo ingabangela i-catatonia ukuthi iqhubekele ku- malignant catatonia noma i-neuroleptic malignant syndrome , ngakho-ke kudingeka uqaphele.

Ukwelashwa nge-electroconvulsive (ECT)

Ukwelashwa nge-electroconvulsive (ECT) kuyindlela yokwelapha ethumela ugesi omncane kakhulu endaweni ethile yobuchopho bakho, okubangela ukuxhuzula isikhashana. Abantu abathola i-ECT banikezwa i-anesthesia ejwayelekile futhi balele ubuthongo obujulile, ngakho abazizwa ubuhlungu ngesikhathi sokwelashwa.

I-ECT nayo iyasebenza kakhulu. Isebenza cishe kuzo zonke izimo ze-catatonia. Iyindlela eyinhloko yokwelapha i-catatonia enobungozi , futhi ezimweni ezinjalo, iyindlela yokwelapha esindisa impilo. Iwusizo kakhulu nasezimweni ze-catatonia engaphenduli emithini.

Yiziphi izinkinga noma imiphumela emibi engaba khona ngesikhathi sokwelashwa?

Izinkinga kanye nemiphumela emibi yokwelashwa kwe-catatonia ingahluka kuye ngokwelashwa (noma inhlanganisela yokwelashwa) umuntu akutholayo. Udokotela wakho angachaza kangcono imiphumela emibi noma izinkinga ongase ube nazo.

Uma nginalezi zimpawu, ngingazinakekela kanjani noma ngiziphathe kanjani izimpawu?

Lokhu kubaluleke kakhulu: I-Catatonia yisimo esingaba nzima ukusixilonga, ngisho nakodokotela abaqeqeshiwe nabanolwazi. Singabangelwa nezimo ezisongela ukuphila ezidinga ukunakekelwa kwezokwelapha okuphuthumayo. Ngenxa yalezi zizathu zombili, akufanele uzame ukuzixilonga noma ukuzelapha wena.

Ngizozizwa ngingcono isikhathi esingakanani ngemva kokwelashwa? Kuzothatha isikhathi esingakanani ukululama?

Ezimweni ezifana ne-catatonia, ulwazi lomuntu wonke luhlukile. Udokotela wakho angakunikeza ulwazi olungcono kakhulu mayelana nesikhathi sakho sokululama, njengoba engacabangela zonke izici ezithinta isimo sakho esithile (njengezimo eziyisisekelo kanye nomlando wakho wezokwelapha).

Ama-Benzodiazepine avame ukusebenza ngokushesha. Uma enikezwa nge-intravenous (IV), abantu abaningi baqala ukuzizwa bengcono zingakapheli imizuzu eyi-10-15. Uma ethathwa ngomlomo njengephilisi, umuthi ungathatha imizuzu engama-20-30 ukuqala ukusebenza. Kodwa-ke, kungathatha isikhathi ukuthola umthamo ofanele, ngakho abanye abantu bangase bangaboni ukuthuthuka ku-catatonia yabo kuze kube ngemva kwezinsuku ezimbalwa zokwelashwa.

Ukwelashwa nge-ECT nakho kungasebenza ngokushesha. Abanye abantu baqala ukubona intuthuko ethile kungakapheli imizuzu noma amahora okwelashwa, kanti abanye bangadinga ukwelashwa okuningana ukuze baphendule. Iningi labantu lithola i-ECT izikhathi eziningana ngesonto amasonto amaningana, kodwa abanye abantu bangadinga ukwelashwa nsuku zonke kuze kube yilapho izimpawu zabo zithuthuka.

Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki noma yokunciphisa ingozi?

I-Catatonia yenzeka ngokungalindelekile futhi ngezizathu ochwepheshe abangakaziqondi ngokugcwele. Ngakho-ke, akunakwenzeka ukuyivimbela ukuthi ingenzeki noma ukunciphisa ingozi.

Kodwa-ke, uma unikezwe imithi yesifo sengqondo, ukuyeka leyo mithi kungandisa ingozi yakho yokuthola i-catatonia.

Uma nginalesi simo, yini okufanele ngiyilindele?

Iningi labantu abane-catatonia okungenani liyazi kahle umhlaba obazungezile. Inkinga yabo ukuthi abakwazi ukusabela kulokho okwenzekayo nxazonke zabo ngendlela evamile. Futhi, bangase bakhumbule ezinye zezenzakalo ezenzekile, yize kungenzeka bangabonakali bazi lutho.

Ngenxa yokuthi i-catatonia ithinta ukuqwashisa komuntu ngezwe elimzungezile, kuvamile ukuthi abantu abanalesi simo bangakwazi ukukhuluma ngabo noma ukwenza izinqumo mayelana nokwelashwa kwabo. Ezimweni ezinjalo, odokotela bavame ukucela ilungu lomndeni noma umngane oseduze ukuba abasize benze izinqumo mayelana nokwelashwa.

I-catatonia ingahlala isikhathi esingakanani?

Ukuthi i-catatonia ihlala isikhathi esingakanani kuyahlukahluka kuye ngesimo esiyisisekelo kanye nokwelashwa okutholayo. Kubalulekile ukufuna ukwelashwa ngokushesha. Uma i-catatonia ihlala isikhathi eside, kulapho amathuba okuthi ingasabela khona ekwelashweni ancipha. Udokotela wakho ungumuntu ongcono kakhulu ongakhuluma naye ngokuthi izohlala isikhathi esingakanani nokuthi yini ongayilindela.

Iyini ikusasa lalesi simo?

I-Catatonia ngokuvamile ayisongeli impilo ngokwayo (noma kunjalo, i-catatonia enobungozi iyisongelo).(ngaphandle kokuthi ilashwe ngokushesha, iyabulala). Kodwa-ke, lesi simo singandisa ingozi yokufa ngenxa yezifo ezenzeka ngenxa yokungasebenzi kahle (isb., i-pulmonary embolism , i-pneumonia ). Futhi, i-catatonia ingaba nzima ukuyiphatha uma ihlala isikhathi eside noma uma umuntu enayo ngokuphindaphindiwe. Ngenhlanhla, ama-benzodiazepines kanye ne -ECT anezinga eliphezulu lokululama. Lokhu kusho ukuthi yisimo esingelapheka kakhulu .

Abantu abanezinkinga zemizwa (isib., i-bipolar disorder, i-major depression disorder ) babonakala besabela kangcono ekwelashweni kunabantu abane- schizophrenia . Kodwa-ke, lokhu kungahluka, futhi akuzona zonke izimo ezifanayo. Udokotela wakho ungumuntu ongcono kakhulu ukukunikeza ulwazi olunembile kakhulu kanye nombono wesimo sakho.

Ungazinakekela kanjani esimweni se-catatonia enzima?

Umuntu one-catatonia enzima akakwazi ukuzinakekela. Udinga ukunakekelwa ngabasebenzi bezokwelapha abaqeqeshiwe. Ngenxa yokuthi i-catatonia yenza kube nzima ngomuntu ukunyakaza noma ukusabela ezweni elimzungezile, usengozini enkulu yezinkinga. Lokhu kusho ukuthi akakwazi ukudla noma ukuphuza, okungaholela ezinkingeni ezifana nokuphelelwa amanzi emzimbeni kanye nokungondleki kahle . I-pneumonia ingavela ngenxa yokungakwazi ukunyakaza. Angakha futhi amahlule egazi, okungaholela ekushayweni yisifo sohlangothi noma i-pulmonary embolism . Asengozini futhi yokuzibandakanya ekuziphatheni okungazilimaza wona noma abanye.

Kufanele ngimbone nini udokotela? Noma ngifune iseluleko sezokwelapha?

Umuntu obonisa izimpawu ze-catatonia udinga usizo lwezokwelapha ngokushesha okukhulu . Lezi zimpawu zingalingisa izimo zezokwelapha ezingathi sína ezidinga usizo lwezokwelapha ngokushesha. Uma umuntu omthandayo ebonisa izimpawu ze-catatonia, kungadingeka ukuthi umyise esibhedlela noma ushayele i-ambulensi, njengoba kwakunjalo ngo-1990.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Abantu abane-catatonia, ikakhulukazi labo abanezimo ezifana ne -schizophrenia , basengozini enkulu yokuzilimaza nokuzibulala . Uma unemicabango yokuzilimaza, ukuzibulala, noma ukulimaza abanye, kufanele uye ekamelweni eliphuthumayo (ETU) ngokushesha, noma ushayele u-1990. Uma unale micabango, ungashayela nezindawo ezifana ne-National Mental Health Helpline eSri Lanka, 1926 , ukuze uthole usizo.

Okokugcina, kuhle ukukhumbula lezi zinto:

I-Catatonia yisimo esiyinkimbinkimbi esiphazamisa ukusebenza kobuchopho bomuntu futhi sithinta indlela asabela ngayo ezweni elibazungezile. Abanye abantu bangase basabele kancane kakhulu noma bangasabeli nhlobo, kuyilapho abanye bengase baziphathe ngendlela engalindelekile futhi eyingozi kubo noma kwabanye. I-Catatonia ingenzeka ngezimo ezahlukahlukene, kusukela ezifweni zengqondo kuya ezifweni zomzimba. Nakuba ngokuvamile kungeyona into ephuthumayo esongela ukuphila, ingaba nezinkinga ezinkulu futhi ikhule ibe yi -catatonia ebulalayo ( isimo esiphuthumayo esisongela ukuphila).

Ngenxa yokuthi abantu abanalesi simo bavame ukungakwazi ukuzinakekela, badinga ukunakekelwa ngabasebenzi bezokwelapha abaqeqeshiwe. Ngenhlanhla, i-catatonia iyisimo eselaphekayo kakhulu, futhi abantu abaningi bayasabela emithini. Labo abangasabeli emithini bavame ukusabela ekwelashweni nge-electroconvulsive (ECT). Ngokwelashwa okufika ngesikhathi, okusebenzayo, imiphumela ye-catatonia ivame ukuguqulwa, futhi noma yiziphi izimo zezokwelapha ezingase zihlotshaniswe nayo zingelashwa noma zelashwe.

I- Catatonia, i-Catatonia, Impilo Yengqondo, Izinkinga Zobuchopho, Izinkinga Zokuziphatha, Izinkinga Zokunyakaza, Ukwelashwa, Izimpawu