Wake wambona umuntu ebonakala eqandisiwe ngokuzumayo, ekhuluma kancane kakhulu, noma enza izenzo ezifanayo ezingenamsebenzi ngokuphindaphindiwe? Kungenzeka ukuthi uke wazibuza, “Kwenzekani kulo muntu?” Ngamazwi alula, lesi simo—lapho ukusebenza kobuchopho kuphazamiseka khona, kushintsha indlela umuntu abheka futhi asabela ngayo ezweni elimzungezile—saziwa ngokuthi iCatatonia . Nakuba kungase kubonakale kuyinkimbinkimbi, eNirogi Lanka, silapha ukuze sikuchaze futhi sikuchazele ngendlela elula ukuyiqonda.
Iyini iCatatonia? Ake siyichaze…
Kalula nje, i-catatonia yisimo esiyinkimbinkimbi esiphazamisa indlela ubuchopho bakho obusebenza ngayo, esithinta indlela obona futhi uxhumana ngayo nomhlaba okuzungezile. Abantu ababhekene ne-catatonia bangase bangasabeli endaweni ebazungezile noma baziphathe ngezindlela ezingavamile kakhulu. Lesi simo sibonakala kakhulu ngokukhuluma okunciphile, ukunyakaza okungavamile (noma ukuntuleka kokunyakaza okuphelele), kanye nezinguquko ezibalulekile ekuziphatheni.
Ubuwazi ukuthi lesi simo saqala ukuchazwa ngudokotela wezifo zengqondo waseJalimane uKarl Kahlbaum emuva ngo-1874? Naphezu kwalokhu, i-catatonia isalokhu ingaqondwa kahle noma ingahlolwa kahle. Ngokomlando, kwakucatshangwa ngephutha ukuthi yenzeka kuphela kubantu abane- schizophrenia . Ngaphezu kwalokho, ngisho nangaphakathi komphakathi wezifo zengqondo, kungaba nemibono ehlukahlukene ngezindlela zokuxilonga eziqondile. Okwenza izinto zibe nzima, izimpawu ezifana nokucasuka noma i-mutism zingaba khona kwezinye izimo eziningi zempilo, okwenza ukuxilongwa okunembile kwe-catatonia kube inselele yangempela yezokwelapha.
Ubani osengozini enkulu?
I-Catatonia ayibandlululi ngokohlanga noma ubulili. Kunalokho, ivame ukubonakala kanye nezinhlobo ezilandelayo zezimo zempilo:
- Izimo zengqondo: Izinkinga ezithinta ngqo impilo yakho yengqondo.
- Izimo ze-neurological: Izinkinga ezithinta isakhiwo somzimba kanye nokusebenza kobuchopho bakho.
- Ezinye izimo zezokwelapha: Izifo ezithinta uhlelo olulodwa noma ngaphezulu lwezitho zomzimba wakho ezibalulekile.
Sizogxila kakhulu ezimbangela nezimpawu ezithile esigabeni sethu esilandelayo.
Ivame kangakanani i-catatonia?
Ucwaningo lwamanje lubonisa ukuthi i-catatonia yenzeka cishe ku -0.5% kuya ku-2.1% weziguli ezithola ukwelashwa kwengqondo. Kodwa-ke, phakathi kweziguli ezilaliswe ezikhungweni zempilo yengqondo, leli nani lingakhuphuka lifinyelele cishe ku -10% .
Lokhu kwenzani emzimbeni wakho nasengqondweni yakho?
I-Catatonia ilimaza izindawo ezithile zobuchopho bakho, okuholela kulokho okubizwa ngokuthi “isimo se-catatonic.” Izindawo zobuchopho ezithintekile zilawula imisebenzi eminingana ebalulekile, okuhlanganisa:
- Ukunyakaza.
- Ukucubungula izinzwa: Indlela ohumusha ngayo umbono, ukuzwa, ukuhogela, ukuthinta, kanye nokunambitha.
- Inkumbulo.
- Amakhono okuqonda: Ukucabanga kwakho nokugxila.
- Isisusa.
- Ukulawula ngokomzwelo.
- Imisebenzi yokuphatha: Ukwenza izinqumo nokuzithiba.
Njengoba ubona, ngenxa yokuthi i-catatonia ithinta izindawo eziningi zobuchopho ezahlukahlukene, izimpawu ziyahlukahluka kakhulu. Yingakho ivame ukuhlotshaniswa nezimo eziningi ezahlukene eziyisisekelo futhi ihlala iyisifo esiyinkimbinkimbi kochwepheshe baseNirogi Lanka.
Ziyini izimpawu ze-catatonia?
Ngokusho kwe -DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) eyanyatheliswa yi-American Psychiatric Association, kunezimpawu ezingu-12 eziqashelwa ngokusemthethweni ze-catatonia. Ake sizibheke ndawonye:
- Ukukhathazeka: Ukuzwa ukungahlaliseki okukhulu noma ukucasuka ngaphandle kwesizathu sangaphandle.
- I-Catalepsy: Ukugcina isimo somzimba isikhathi eside; uma uthutha, ungase uhlale kuleso simo esisha.
- I-Echolalia: Ukuphindaphinda amagama noma imisindo ekhulunywe ngomunye umuntu, njenge-echo.
- I-Echopraxia: Ukulingisa ukunyakaza komunye umuntu.
- Ukumomotheka: Ukugcina ubuso buqinile, buphambukile, noma mhlawumbe ukumomotheka ngaphandle kwesizathu esicacile.
- Ukuziphatha Kahle: Ukwenza izenzo ezivamile ngendlela exakile, engavamile, noma yaseshashalazini.
- Ukungakwazi ukukhuluma: Ukungakwazi ukukhuluma kakhulu noma ngokuphelele (uma nje lokhu kungengenxa yesinye isimo esifana ne-aphasia).
- Ukungavumelani: Ukwenqaba ukulandela imiyalelo noma ukunqaba ukunyakaza ngaphandle kwesizathu esinengqondo.
- Ukuma komzimba: Ukubamba ukuma komzimba okungakhululekile noma okungajwayelekile isikhathi eside.
- I-stereotypy: Ukunyakaza okuphindaphindiwe, okungaqondiswanga emigomweni, njengokuzulazula ngeminwe noma ukuhlikihla isikhumba.
- Ukudinwa: Ukuhlala usesimweni sokuncipha kokusabela endaweni ezungezile, ngisho noma uphapheme.
- Ukuguquguquka kwe-waxy: Uma othile ezama ukukushukumisa, ubonisa ukumelana okuncane, bese imisipha yakho iyakhululeka, okuvumela amalungu akho ukuba abekwe njengokungathi wenziwe nge-wax ethambile.
Qaphela: Uma wena noma othandekayo wakho nibhekene nezinguquko ezinkulu zokuziphatha noma ukucindezeleka, sicela uxhumane nezinsizakalo eziphuthumayo noma uye esibhedlela esiseduze ngokushesha. Ukuphepha kwakho kuyinto eza kuqala eqenjini laseNirogi Lanka.
Cabanga ngalokhu: uma umngane eqala ukuphinda lokho okushoyo ('Echolalia') noma eqala ukulingisa yonke intshukumo yakho ('Echopraxia'), ubungazizwa ungakhululekile, akunjalo? Lezi ezinye nje zezimpawu ezihlobene nalesi simo.
Yiziphi amazinga ahlukene okusebenza kweCatatonia?
Abantu abaningi bacabanga ukuthi iCatatonia isho ukuhlala uqandisiwe futhi unganyakazi. Kodwa-ke, lokho akunjalo ngaso sonke isikhathi. ICatatonia ingabonakala njengezinguquko ezisheshayo, ezingalindelekile ekuziphatheni, noma ngisho nokunyakaza ngokweqile nokuqhubekayo. Nansi indlela la mazinga ahlukaniswa ngayo:
- Ukujabula/Ukukhungatheka Okukhulu: Lokhu kuvame ukubonakala njengezinguquko zokuziphatha. Ungase uqaphele ukuhambahamba okungenanjongo, ukucasuka, ulaka, noma ukuziphatha okungajwayelekile ngaphandle kwesizathu esicacile. Ungase futhi ubone amaphethini okukhuluma angavamile, ukulingisa abanye, futhi kwezinye izimo, amathuba ayingozi okuzilimaza .
- Ukuhoxiswa/Ukungadli kahle: Lesi yisimo esivamile abantu abaningi abasihlobanisa neCatatonia. Ngisho noma bephapheme, abantu bangase bangasabeli endaweni abakuyo, babonakale behlukene ngokuphelele. Bavame ukuthula, babonise ubuso obuyisicaba, bangase babe nokuma okuqinile noma okungajwayelekile, futhi bangase bamelane nanoma yimiphi imizamo yokushukunyiswa. Bangase benqabe ukudla noma ukuphuza futhi bangahlushwa ukungakwazi ukuzibamba.
- Okuxubile: Lokhu kwenzeka uma ubona izici zezimo ze-hyperkinetic kanye ne-hypokinetic. Umuntu angase ashintshe ngokungalindelekile phakathi kwalezi zimo ezibucayi ngaphandle kwesixwayiso.
Iyini i-Malignant Catatonia futhi ingabe isongela ukuphila?
Kwezinye izimo, i-Catatonia ingabangela izinkinga ezibulalayo. Lokhu kwaziwa ngokuthi i-Malignant Catatonia . Lesi simo siholela ku- Dysautonomia , okusho ukuthi uhlelo lwakho lwezinzwa oluzimele luyehluleka ukusebenza kahle. Lolu hlelo lunesibopho sokulawula izinqubo zomzimba wakho ezingazikhetheli, njengokushaya kwenhliziyo kanye nomfutho wegazi.
Izimpawu ze-Malignant Catatonia zifaka:
- Ukushisa komzimba okuphezulu kakhulu (i-Hyperthermia).
- Isilinganiso senhliziyo esisheshayo (i-Tachycardia).
- Ukujuluka ngokweqile (i-Diaphoresis).
- Umfutho wegazi ongazinzile.
- I-Cyanosis: Lokhu kubhekisela ekwehleni kwamazinga omoya-mpilo egazini, okubangela izingxenye zesikhumba, ikakhulukazi ezizungeze izindebe nezinzipho, ukuba ziphenduke zibe luhlaza okwesibhakabhaka.
Lokhu kubalulekile ukukhumbula: I-Malignant Catatonia iyisimo esiphuthumayo sezokwelapha esisongela ukuphila. Ngenxa yokuthi iphazamisa imisebenzi ezenzakalelayo elawulwa ubuchopho bakho, ingaholela ekufeni. Uma ubona lezi zimpawu, funa usizo lwezokwelapha oluphuthumayo ngokushesha ngokushayela u-911 noma inombolo yakho ephuthumayo yendawo.
Yini ebangela i-Catatonia?
Naphezu kweminyaka ecishe ibe yi-150 yocwaningo, ochwepheshe abakakakwazi ukukhomba imbangela eqondile yeCatatonia. Kodwa-ke, kunemibono ehlukahlukene, kusukela ekungalingani kwamakhemikhali obuchopho kuya ekuthambekeleni kwezakhi zofuzo.
Ngenxa yokuthi ayikho imbangela eyodwa eyaziwayo, ochwepheshe bayikhomba ngokuyinhloko ngokuhlotshaniswa kwayo nezinye izimo zezokwelapha. Izimo zempilo yengqondo ezivamile ezihlobene neCatatonia zifaka:
- Isifo se-bipolar.
- I-Schizophrenia.
- Isifo sokungezwani komzimba (Schizoaffective disorder).
- Isifo sokucindezeleka okukhulu.
Izimo ezivamile zezinzwa nezomzimba ezihlobene neCatatonia zifaka:
- Isifo se-Autism spectrum.
- Izifo ezizenzakalelayo (isb., i-Lupus , i-Multiple sclerosis ).
- Izifo zobuchopho eziwohlokayo (isb., i-Dementia , isifo sikaParkinson ).
- I-Down syndrome.
- Izimo ezihlobene nezidakamizwa (kufaka phakathi kokubili imithi kadokotela kanye nezidakamizwa ezingekho 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 neze. I-Catatonia ayisona isifo esithathelwanayo. Awukwazi ukusithola komunye umuntu, futhi awukwazi ukusidlulisela kwabanye.
Odokotela bayixilonga kanjani iCatatonia?
Udokotela wakho uzosebenzisa izindlela eziningana ukuxilonga i-catatonia. Le nqubo ivame ukuqala ngokuhlolwa kwezinzwa . Phakathi nalokhu kuhlolwa, udokotela wakho uzohlola ukusabela kwakho, izimpendulo, kanye nendlela oxhumana ngayo (noma ohluleka ngayo ukuxhumana) nomhlaba okuzungezile.
Ngemva kwalokhu, udokotela wakho cishe uzosebenzisa ithuluzi lokuhlola elijwayelekile, njenge -Bush-Francis Catatonia Rating Scale , ukuqinisekisa ukuba khona kwe-catatonia nokulinganisa ubukhali bayo. Uma isitholakele, into elandelayo ebalulekile ukuthola imbangela eyisisekelo, njengoba i-catatonia cishe njalo ilandela isimo sempilo yomzimba noma yengqondo esikhona. Ngenxa yokuthi i-catatonia ingahlotshaniswa nezimo zezokwelapha ezinzima, ezingase zisongele impilo, ukususa lezi zinkinga ezinkulu eziyisisekelo kuyindaba eyinhloko.
Yiziphi izivivinyo ezenziwayo?
Ukuze kutholakale i-catatonia futhi kutholakale imbangela yayo, izivivinyo ezilandelayo zivame ukwenziwa:
- Ukuhlolwa kwezithombe: Lokhu kungafaka phakathi ama-CT scan noma ama-MRI scan .
- Ukuhlolwa kwegazi, umchamo, kanye noketshezi lomgogodla (i-CSF): Lokhu kuhlolwa kusiza ekutholeni ukungalingani kwamakhemikhali noma izifo. Ukuhlolwa kwe-CSF kuhilela ukubhoboza i-lumbar (umpompi womgogodla) ukuze kuqoqwe inani elincane loketshezi emgudwini wakho womgogodla.
- Ukuhlolwa komsebenzi wobuchopho: I -EEG (i-Electroencephalogram) iqopha umsebenzi kagesi wobuchopho bakho ukuze kunqunywe izimo ezifana nesifo sokuwa.
Yiziphi izindlela zokwelapha ezitholakalayo, futhi ingabe zelapheka ngokuphelele?
Ukwelashwa kwe-catatonia ngokuvamile kuncike esimweni sezokwelapha noma sengqondo esiyisisekelo. Uma kubangelwa inkinga yomzimba noma yezinzwa, ukwelapha leso simo esithile kuvame ukuthuthukisa izimpawu ze-catatonia. Uma kuxhunyaniswa nezimo zengqondo, izindlela ezahlukene zokwelapha ziveza imiphumela emihle kakhulu.
Yimiphi imithi noma izindlela zokwelapha ezisetshenziswayo?
Kunezindlela ezimbili eziyinhloko zokwelapha i-catatonia: imithi kanye ne-Electroconvulsive Therapy (ECT). Ezinye izindlela zokwelapha, njengokushukumisa i-transcranial magnetic , zikhona, kodwa abukho ubufakazi obanele bokusekela ukusetshenziswa kwazo kabanzi emtholampilo.
Imithi
Imithi yesigaba se -benzodiazepine iyindlela yokwelapha eyinhloko ye-catatonia ngenxa yephrofayili yayo yokuphepha ephezulu kanye nokusebenza kahle. Phakathi kuka -60% no-90% wabantu abane-catatonia babonisa ukuthuthuka nge-benzodiazepines. I-Lorazepam iyona esetshenziswa kakhulu, yize i-clonazepam , i-diazepam , kanye ne-zolpidem nayo ingasebenza kahle. Le mithi inganikezwa nge-intravenously (IV) , ngomjovo, noma ngomlomo.
Eminye imithi (njengemithi yokuqinisa imizwa noma imithi yokwelapha ingqondo ) ingaba usizo kodwa ayivame ukusetshenziswa njengokwelashwa kokuqala. Iwusizo kakhulu ekuphatheni izimpawu zesibili uma isimo sokuqala se-catatonic sesiphelile. Ukuqapha kubalulekile, njengoba imithi yokwelapha ingqondo ngezinye izikhathi ingenza i-catatonia ibe yimbi kakhulu noma ibangele i-malignant catatonia noma i-neuroleptic malignant syndrome .
Ukwelashwa Nge-Electroconvulsive (ECT)
I-ECT inqubo lapho kufakwa khona ugesi omncane ezindaweni ezithile zobuchopho bakho ukuze kubangele ukuquleka okufushane nokulawulwayo. Uzoba ngaphansi kwe-anesthesia ejwayelekile kuyo yonke inqubo, ukuqinisekisa ukuthi awuzwa ubuhlungu noma ukungakhululeki.
I-ECT iyasebenza kakhulu, futhi cishe wonke umuntu oyithola ngenxa ye-catatonia uthola impumuzo. Iyindlela yokwelapha ejwayelekile ye -catatonia enobungozi futhi ingasindisa impilo ezimweni ezinjalo. Futhi iyithuluzi elibalulekile ezigulini ezingasabeli emithini.
Yiziphi izinkinga noma imiphumela emibi engase ivele ngenxa yokwelashwa?
Izinkinga nemiphumela emibi iyahlukahluka kuye ngokwelashwa okuthile noma inhlanganisela yokwelashwa okutholayo. Udokotela wakho ungumuntu ongcono kakhulu ukuchaza imiphumela emibi ethile noma izingozi ezihlobene nohlelo lwakho lokwelashwa oluqondene nawe eNirogi Lanka.
Uma nginalezi zimpawu, kufanele ngiziphathe kanjani?
Lokhu kubaluleke kakhulu: I-Catatonia yisimo esiyinkimbinkimbi esingaba nzima ukusixilonga, ngisho nakochwepheshe bezokwelapha abanolwazi. Ngaphezu kwalokho, singahlotshaniswa nezimo eziphuthumayo zezokwelapha ezingathi sína nezisongela ukuphila. Ngenxa yalezi zici, akufanele neze uzame ukuzixilonga noma ukuzelapha lesi simo. Sicela uxhumane nezinsizakalo eziphuthumayo noma uye esibhedlela esiseduze ngokushesha.
Uzozizwa ungcono ngokushesha kangakanani ngemva kokuqala ukwelashwa, futhi kuthatha isikhathi esingakanani ukululama?
Ngezimo ezifana ne-catatonia, okuhlangenwe nakho kwawo wonke umuntu kuhlukile. Udokotela wakho ungumuntu ongcono kakhulu wokukunikeza isiqondiso esithile ngesikhathi sakho sokululama, njengoba ezofaka umlando wakho wezokwelapha ophelele kanye nanoma yiziphi izimo zempilo eziyisisekelo.
Ama-Benzodiazepine avame ukusebenza ngokushesha okukhulu. Uma enikezwa nge-intravenously (IV), iziguli eziningi ziqala ukuzizwa zingcono zingakapheli imizuzu eyi-10-15. Uma ethathwa ngomlomo, kungathatha imizuzu engama-20-30 ukuqaphela umphumela. Kodwa-ke, ngoba ukuthola umthamo ofanele kungathatha isikhathi, ezinye iziguli zingadinga izinsuku ezimbalwa zokwelashwa ukuze zibone intuthuko enkulu esimweni sazo se-catatonic.
I-ECT nayo iyindlela yokwelapha ephumelela kakhulu futhi esheshayo. Nakuba ezinye iziguli zibonisa izimpawu zokuthuthuka phakathi nemizuzu noma amahora ambalwa, ezinye zingadinga izikhathi eziningi. Iningi leziguli lithola i-ECT izikhathi eziningana ngesonto amasonto ambalwa, yize ezinye zingadinga izikhathi zansuku zonke kuze kube yilapho izimpawu ziphela.
Ingabe ikhona indlela yokuvimbela i-catatonia noma ukunciphisa ingozi?
I-Catatonia ivame ukuvela ezimbangela ezihlala ziyinkimbinkimbi ngisho nakochwepheshe. Ngenxa yalokho, ayikho indlela eqinisekisiwe yokuyivimbela noma yokunciphisa ingozi yakho.
Kodwa-ke, uma unikezwe imithi yesifo sengqondo esikhona kakade, kubalulekile ukuthi ungayeki ukuyithatha ngaphandle kokuqashwa ngudokotela, njengoba ukwenza kanjalo kungandisa ingozi yakho yokuthola i-catatonia.
Uma nginalesi simo, yini engingayilindela?
Iningi labantu abane-catatonia lihlala liqaphela indawo ebazungezile ngezinga elithile. Inselele ukungakwazi ukusabela ngendlela evamile kulokho okwenzekayo. Ngisho noma kubonakala sengathi abazi, abaningi bakhumbula izenzakalo ezenzeka ngesikhathi sabo se-catatonia.
Ngenxa yokuthi i-catatonia ithinta ikhono lakho lokuxhumana nomhlaba, ungase ukuthole kunzima ukuxhumana noma ukwenza izinqumo mayelana nokunakekelwa kwakho. Ezimweni ezinjalo, ithimba lakho lezokwelapha eNirogi Lanka lizosebenzisana nomndeni wakho noma ummeleli wezempilo oqokiwe ukuqinisekisa ukuthi uthola ukwesekwa okungcono kakhulu.
I-catatonia ingahlala isikhathi esingakanani?
Ubude be-catatonia buxhomeke embangela eyinhloko kanye nokwelashwa okunikezwayo. Ukufuna ukunakekelwa ngesikhathi kubalulekile. Uma kungelashwa isikhathi eside kakhulu, lesi simo siba nzima ukusilawula. Udokotela wakho eNirogi Lanka ungumuntu ongcono kakhulu ukuxoxa ngalokho ongakulindela ngokusekelwe esimweni sakho sempilo.
Iyini inhloso yalesi simo?
I-Catatonia ngokwayo ngokuvamile ayisongeli impilo (yize i-catatonia embi iyisimo esiphuthumayo sezokwelapha esidinga ukunakekelwa okusheshayo). Kodwa-ke, izinkinga ezivela ekungenzini lutho—njenge -pulmonary embolism noma i-pneumonia —zingabangela izingozi ezinkulu. Ngaphezu kwalokho, uma lesi simo siqhubeka noma siphinde sibuye njalo, kuba nzima kakhulu ukwelapha. Ngenhlanhla, nge -benzodiazepines kanye ne-ECT , amazinga empumelelo aphezulu kakhulu, okwenza i-catatonia ibe yisimo esingelapheka kakhulu .
Iziguli ezinezinkinga zemizwa (njenge- bipolar disorder noma i-major depression disorder ) zivame ukusabela kahle ekwelashweni kunalezo ezine- schizophrenia . Wonke umuntu uhlukile, ngakho-ke sicela uxhumane nodokotela wakho waseNirogi Lanka ukuze uthole isibikezelo esinembile kakhulu mayelana nohambo lwakho lwezempilo.
Ungayiphatha kanjani i-catatonia enzima?
Umuntu obhekene ne-catatonia enzima akakwazi ukuzinakekela futhi udinga ukubhekwa ngudokotela ochwepheshe. Ngenxa yokuthi i-catatonia ingashiya umuntu engakwazi ukunyakaza noma ukusabela endaweni ezungezile, ingozi yezinkinga ezinkulu zezokwelapha iphezulu. Bangase bangakwazi ukudla noma ukuphuza, okuholela ezingozini zokuphelelwa amanzi emzimbeni kanye nokungondleki kahle . Ukuntuleka kokunyakaza kungaholela nase -pneumonia . Ngaphezu kwalokho, basengozini yokuthola amahlule egazi, athwala ingozi yesifo sohlangothi noma i-pulmonary embolism . Ngaphezu kwalokho, kunengozi yokuziphatha okungalimaza bona noma abanye.
Kufanele ufune nini iseluleko sezokwelapha?
Noma ubani obonisa izimpawu ze-catatonia udinga usizo lwezokwelapha ngokushesha . Lezi zimpawu zingalingisa ezinye izimo eziphuthumayo zezokwelapha ezisongela ukuphila ezidinga ukungenelela okuphuthumayo. Uma othandekayo wakho ebonisa izimpawu ze-catatonia, kufanele umyise esibhedlela esiseduze noma uxhumane nezinsizakalo eziphuthumayo (njenge-911) ngokushesha.
Kufanele uye nini eMnyangweni Wezimo Eziphuthumayo (ED)?
Abantu abane-catatonia, ikakhulukazi labo abanezimo ezingaphansi njenge -schizophrenia , basengozini enkulu yokuzilimaza kanye nokuziphatha kokuzibulala . Uma ubhekene nemicabango yokuzilimaza, ukuzibulala, noma ukulimaza abanye, sicela uye ngokushesha eMnyangweni Wezimo Eziphuthumayo oseduze noma ushayele u-911. Ungaxhumana nezinombolo zocingo zosizo lwezempilo yengqondo zasendaweni ukuze uthole ukwesekwa okusheshayo.
Ekuphetheni, sicela ugcine la maphuzu engqondweni
I-Catatonia yisimo esiyinkimbinkimbi esiphazamisa ukusebenza kobuchopho futhi sithinta indlela oxhumana ngayo nomhlaba. Abanye abantu bangase babe nolaka noma bangasabeli, kanti abanye bangase baziphathe ngendlela engalindelekile ngezindlela ezingaba yingozi. I-Catatonia ingavela ezimweni ezahlukene zengqondo noma zomzimba. Nakuba ingeyona ingozi ngaso sonke isikhathi empilweni, ingaholela ezinkingeni ezinkulu futhi ingaqhubekela ku- Malignant Catatonia , okuyisimo esiphuthumayo sezokwelapha esisongela impilo.
Ngenxa yokuthi labo abathintekile bavame ukungakwazi ukuzinakekela, ukunakekelwa kwezokwelapha kochwepheshe kubalulekile. Ngenhlanhla, i-catatonia iyisimo esingelapheka kakhulu, futhi iziguli eziningi zisabela kahle emithini. Kulabo abangaphenduli emithini, ukwelashwa nge-electroconvulsive (ECT) kuvame ukusebenza kahle. Ngokwelashwa okufika ngesikhathi nangokuphumelelayo okuvela eNirogi Lanka kanye nabanye abahlinzeki bochwepheshe, imiphumela ye-catatonia ivame ukuguqulwa, okuvumela ukuthi izinkinga zempilo eziyisisekelo zixazululwe futhi zilawulwe.
Amagama angukhiye: I-Catatonia, impilo yengqondo, izinkinga zobuchopho, izinkinga zokuziphatha, izinkinga zokunyakaza, ukwelashwa, izimpawu
