Ingabe wena, noma othile omaziyo, wake wazizwa udidekile ngokuthi izinto ozicabangayo nozizwayo zingokoqobo noma cha? Ngezinye izikhathi ungase uzizwe sengathi usezweni elihlukile, uhlangabezana futhi uzizwa izinto abanye abangaziqondi. Lolo uhlobo lokuphazamiseka kwengqondo esizokhuluma ngalo namuhla , i-schizophrenia . Nakuba lokhu kungase kubonakale kuyinkimbinkimbi kancane, masikwenze kube lula.

Iyini le nkinga ye-schizophrenic -emotional disorder?

Kalula nje, i-schizophrenia yisifo sengqondo esingathi sína esithinta ingqondo nomzimba wakho. Siphazamisa indlela ubuchopho bakho obusebenza ngayo. Lokhu kusho ukuthi imicabango yakho, inkumbulo, imizwa (imizwa), kanye nokuziphatha kungaphambuka. Lokhu kungenza kube nzima ngawe ukusebenza ezindaweni eziningi zokuphila kwakho kwansuku zonke. Uma singelashwa, lesi simo singathinta yonke into kusukela emsebenzini wakho kuya ebudlelwaneni bakho bezenhlalo kanye nobudlelwano bothando. Ungase ungakwazi futhi ukuhlela imicabango yakho futhi ungase uziphathe ngezindlela ezingaholela ekulimaleni noma kwezinye izinkinga zempilo.

Ingabe zikhona izinhlobo ze -schizophrenia ?

Esikhathini esidlule, odokotela bezifo zengqondo babekhuluma ngezinhlobo ezahlukene ze -schizophrenia . Isibonelo, i-"Paranoid Schizophrenia" (uhlobo lapho usola khona konke futhi uzizwe sengathi othile uyakuphikisa) kanye ne-"Catatonic Schizophrenia" (uhlobo lapho ugcina khona umzimba wakho usesimweni esisodwa noma uhambahamba ngokweqile). Kodwa-ke, lokhu kuhlukaniswa kwakungasizi ngalutho ekuxilongeni lesi sifo ngokunembile noma ekukhetheni ukwelashwa okufanele kwaso.

Ngakho-ke, ochwepheshe manje bakubona njengesimo esinezici namazinga ahlukene okugula okufanayo. Njengoba nje uthingo lunemibala eminingi ehlobene, lubhekwa njenge-"spectrum". Nazi ezinye izimo eziwela kulolu "hlobo lwe-Schizophrenia":

• `(Isifo sobuntu be-Schizotypal)` (Lokhu kuphinde kuwele ngaphansi kwesigaba sezinkinga zobuntu)
• `(Delusional disorder)` (ukuba khona kwezinto eziningi ezikhohlisayo)
• `(Isifo sengqondo esifushane)` (Ukudideka kwengqondo kwesikhathi esifushane)
• `(Isifo se-Schizophreniform)` (Izimpawu ezifana ne -schizophrenia , kodwa zesikhathi esifushane)
• Isifo se-Schizoaffective (isimo esibonakala ngokushintshashintsha kwemizwelo kanye nezimpawu ze -schizoaffective )
• Ezinye izifo ze -schizoaffective spectrum ezicacisiwe noma ezingacacisiwe. Lokhu kuvumela odokotela ukuthi babone izinhlobo ezingavamile zesifo se-schizoaffective ezingavamile ukubonwa.

Ubani othinteka kakhulu yilesi simo?

I-schizophrenia ivame ukuqala phakathi kweminyaka eyi-15 nengama-25 kwabesilisa kanye naphakathi kweminyaka engama-25 nengama-35 kwabesifazane. Cishe ama-20% ezimo ezisanda kutholakala ukuthi zinalesi sifo aneminyaka engaphezu kwengama-45. Uma kwenzeka kule minyaka, kuthinta amadoda kakhulu kunabesifazane.

Akuvamile kakhulu ukuthi izingane zibe nesifo sengqondo , kodwa akuyona into engenakwenzeka. Uma lesi simo siqala ebuntwaneni, ngokuvamile singaba sibi kakhulu futhi kube nzima ukuselapha.

Ivame kangakanani i -schizophrenia ?

Lesi yisimo esivamile impela. Emhlabeni wonke, sithinta abantu abangaba ngu-221 kwabayi-100,000.

Yiziphi izimpawu ezinhlanu eziyinhloko ze -schizophrenia ?

Ngokuvamile, abantu abane -schizophrenia abaqapheli ukuthi banalezi zimpawu. Kodwa labo abaseduze nawe, umndeni wakho, nabangani, bangazibona lezi zinguquko. Nazi izimpawu ezinhlanu eziyinhloko ze -schizophrenia :

1. Ukukhohlisa: Lezi yizinkolelo ezingamanga onazo engqondweni yakho ezingenakufakazelwa ukuthi ziyiphutha, kungakhathaliseki ukuthi unabo ubufakazi obungakanani. Isibonelo, ungase ucabange ukuthi othile ulawula lokho okucabangayo, okushoyo, noma okwenzayo. Noma, ungase ucabange ukuthi othile ukwenza uzungu ngawe noma uzama ukukulimaza. Mhlawumbe ucabanga ukuthi unamandla akhethekile noma ukuthi udumile kakhulu.

2. Ukubona izinto ezingekho: Isimo lapho ubona, uzwa, uzwa, uhogela, noma unambitha izinto ezingekho. Okuvame kakhulu ukuzwa amazwi angekho. La mazwi angase akhulume nawe, akugxeke ngalokho okwenzayo, noma akunike ngisho neziyalo.

3. Ukukhuluma okungahlelekile noma okungaqondile: Ungase ube nobunzima bokugcina imicabango yakho ihlelekile lapho ukhuluma. Lokhu kungase kusho ukuthi unobunzima bokuhlala esihlokweni, noma imicabango yakho ingase idideke kangangokuthi abanye bangase bangakuqondi okushoyo. Ngezinye izikhathi ungase ungakwazi ukuhlanganisa amagama akho futhi ungase ukhulume ngendlela engenangqondo.

4. Ukunyakaza okungahlelekile noma okungajwayelekile: Ukunyakaza kwakho nokuziphatha kwakho kungase kuhluke kulokho abanye abakulindele. Isibonelo, ungase ujikeleze endaweni eyodwa ngaphandle kwesizathu esibonakalayo, noma ngokuzumayo uqine endaweni yakho ngaphandle kokunyakaza nhlobo. Ungase futhi ubambe ukuma okungajwayelekile.

5. Izimpawu ezimbi: Lokhu kubhekisela ekunciphiseni noma ekulahlekelweni yikhono lakho lokwenza njengoba kulindelekile. Isibonelo, ungase ungabonakalisi mizwa ebusweni bakho, noma ungase ukhulume ngezwi elilodwa elingenayo imizwa.Lokhu kuhlanganisa ukulahlekelwa yisithakazelo kunoma yini, ikakhulukazi ukuba nobudlelwano nabantu, kanye nokulahlekelwa yisithakazelo sokwenza izinto ozithandayo. Ungase futhi ulahlekelwe yisithakazelo sokuzigcina uhlanzekile nokunakekela ukubukeka kwakho.

Ngenxa yalezi zimpawu, ungase ubhekane nezinto ezifana nalezi:

• Ukusola nokwesaba yonke into.
• Ukungakhathaleli ukuhlanzeka nokubukeka komuntu.
• Ukucindezeleka, ukukhathazeka, kanye nemicabango yokuzibulala kungase kwenzeke.
• Ungase ulingeke ukusebenzisa kabi utshwala, i-nicotine, imithi kadokotela, noma eminye imithi ukuze uzame ukuqeda lezi zimpawu.

Ziyini izimbangela ze -schizophrenia ?

I-Schizophrenia ayinayo imbangela eyodwa. Ochwepheshe bakholelwa ukuthi ibangelwa yinhlanganisela yezici. Izimbangela ezintathu eziyinhloko sezitholiwe:

• Ukungalingani kwezimpawu zamakhemikhali ezisetshenziswa ukuxhumana phakathi kwamangqamuzana obuchopho bakho.
• Izinkinga zokukhula kobuchopho ngaphambi kokuzalwa.
• Ukulahlekelwa ukuxhumana phakathi kwezingxenye ezahlukene zobuchopho.

Yiziphi izici eziyingozi ze -schizophrenia ?

Nakuba izimbangela eziqondile zalokhu zingakaqinisekiswa, kunezici eziningana ezandisa ingozi yokuthola lesi simo:

• Indawo: Izinto eziningi endaweni okuyo zingandisa ingozi yakho yokuthola isifo sofuba . Ukuzalwa ebusika kwandisa ingozi yakho kancane. Ezinye izifo ezithinta ubuchopho, njengezifo ezithathelwanayo kanye nezifo ezihlasela amasosha omzimba (izimo lapho amasosha omzimba wakho ehlasela khona izingxenye zomzimba wakho), nazo zingandisa ingozi yakho. Ukuba ngaphansi kokucindezeleka okukhulu isikhathi eside nakho kungaba nomthelela kulokhu.
• Izici zokukhula nokuzalwa: Indlela okhula ngayo esibelethweni ingathinta nengozi yakho ye-schizophrenia . Uma umama wakho wayenesifo sikashukela sokukhulelwa, i-preeclampsia, ukungondleki kahle, noma ukuntuleka kwe-vitamin D ngesikhathi sokukhulelwa, ungase ube sengozini enkulu yokuthola i-schizophrenia . Ungase ube sengozini enkulu uma wazalwa unesisindo esiphansi noma waba nezinkinga ngesikhathi sokuzalwa (njengokuhlinzwa okuphuthumayo).
• Ukusetshenziswa kwezidakamizwa: Ukusetshenziswa kwezinye izidakamizwa, ikakhulukazi ngemithamo ephezulu kanye nasebancane, kuye kwahlotshaniswa ne -schizophrenia . Ukuxhumana phakathi kokusetshenziswa kakhulu kwensangu entsheni, ikakhulukazi intsha, kanye nalesi simo kuye kwafundwa kahle. Kodwa ochwepheshe abakaqiniseki ukuthi ukusetshenziswa kwensangu kuhlobene ne-schizophrenia.Ingabe kuyimbangela eqondile, noma kumane kuyisici esibangela lokho?

Ingabe i-schizophrenia ibangelwa izakhi zofuzo?

Ochwepheshe abakayitholi imbangela eyodwa eqinisekile ye -schizophrenia , ngakho-ke akucaci ukuthi ibangelwa yizakhi zofuzo. Kodwa-ke, uma othile emndenini wakho, ikakhulukazi umzali noma umfowenu noma udadewenu, ene -schizophrenia , usengozini enkulu kakhulu yokuthola lesi simo.

Itholakala kanjani i-schizophrenia ?

Udokotela wakho (noma othandekayo wakho) angaxilonga i-schizophrenia noma isifo esihlobene naso ngokubuza imibuzo, ukuchaza izimpawu zakho, nokubuka ukuziphatha kwakho. Uzobuza nemibuzo ukuze abheke ezinye izimbangela ezingaba khona zezimpawu zakho. Ngemuva kwalokho, bazoqhathanisa lokho okutholakele nezindlela zokuxilongwa kwe -schizophrenia .

Ngokusho kwe-Diagnostic and Statistical Manual of Mental Disorders (DSM-5), ukuxilongwa kwesifo se -schizoaffective kudinga:

• Okungenani izimpawu ezimbili kweziyisihlanu eziyinhloko esikhulume ngazo kumele zibe khona.
• Kumelwe ukuthi ubunalezi zimpawu okungenani inyanga yonke .
• Izimpawu zakho kumele ukuthi zithinte umsebenzi wakho noma ubudlelwano bakho (abangane, uthando, umsebenzi, noma okunye) .

Yiziphi izivivinyo ezenziwayo ukuze kutholakale lesi simo?

Azikho izivivinyo ezithile zokuxilonga i-schizophrenia . Kodwa-ke, ngaphambi kokuxilonga i-schizophrenia , odokotela bangenza ezinye izivivinyo ukuze banqume ezinye izimo. Izinhlobo ezivame kakhulu zezivivinyo yilezi:

• Ukuhlolwa kwezithombe: Odokotela bavame ukusebenzisa ukuhlolwa kwezithombe, njengokuskena kwe-computerized tomography (CT) noma ukuskena kwe-magnetic resonance imaging (MRI), ukuze banqume izinkinga ezifana nesifo sohlangothi, ukulimala kobuchopho, izimila zobuchopho, noma ezinye izinguquko esakhiweni sobuchopho.
• Ukuhlolwa kwegazi, umchamo, kanye noketshezi lomgogodla (umpompi womgogodla): Lokhu kuhlolwa kubheka izinguquko zamakhemikhali oketshezini lomzimba wakho ukuze kubhekwe izinto ezingase zibangele ushintsho ekuziphatheni kwakho. Lokhu kungavimbela izinto ezifana nobuthi bensimbi esindayo, ezinye izimbangela zobuthi, kanye nezifo.
• Ukuhlolwa kokusebenza kobuchopho: Ukuhlolwa kwe-electroencephalogram (EEG) kuthola futhi kuqophe umsebenzi kagesi wobuchopho bakho. Lokhu kuhlolwa kungasiza ekuvimbeleni izimo ezifana nesifo sokuwa.

Ingabe i-schizophrenia ingelapheka?

I-schizophrenia ayikwazi ukwelapheka ngokuphelele.Kodwa lesi simo ngokuvamile singelapheka. Iphesenti elincane kakhulu labantu lingalulama ngokuphelele kwi -schizophrenia . Kodwa akulona ikhambi, ngoba ayikho indlela yokwazi ukuthi ubani ozophinde abuye futhi obani abangeke babuye. Yingakho ochwepheshe bebheka abantu abalulama kulesi simo njengabasesimeni esingcono.

Iphathwa kanjani i-schizophrenia ?

Ukwelashwa kwe -schizophrenia kuvame ukuhilela inhlanganisela yemithi, ukwelashwa kwengqondo, kanye namasu okuzilawula. Lokhu kufaka phakathi:

• Ama-antipsychotic esizukulwane sokuqala nesesibili: Imithi efana neHaloperidol - Haldol®, Aripiprazole - Abilify®, Aristada®, Olanzapine - Zyprexa®, Lyablvi®, Symbyax®, kanye neQuetiapine - I-Seroquel® isebenza ngokuvimbela isenzo samakhemikhali athile (ama-neurotransmitter) asetshenziswa ubuchopho bakho ukuthumela imiyalezo phakathi kwamaseli. Kodwa-ke, lokhu kungabangela imiphumela emibi njengobuthongo, ukukhuluphala, kanye nokuthuthumela.
• Ama-antipsychotics esizukulwane esilandelayo: I-FDA isanda kuvuma uhlobo olusha lwemithi yokulwa nesifo sengqondo ebizwa ngokuthi i-Xanomeline kanye ne-trospium chloride (Cobenfy™). Lolu hlobo lwemithi yokulwa nesifo sengqondo lusebenza kuma-receptor e-cholinergic esikhundleni sama-receptor e-dopamine. Ezivivinyweni zemitholampilo, lokhu kwelashwa okusha kuboniswe ukuthi kunciphisa izimpawu ze- schizophrenia futhi kunemiphumela emibi ehlukene. Imiphumela emibi ifaka phakathi isicanucanu, ukuphazamiseka kwesisu, ukugcinwa komchamo, izinga lokushaya kwenhliziyo elikhuphukile, kanye nokuqunjelwa.
• Ukwelapha Ngengqondo: Izindlela zokwelapha ezikhulunywayo ezifana ne-Cognitive Behavioral Therapy (CBT) zingakusiza ukuthi ubhekane futhi ulawule lesi simo. Ukwelashwa kwesikhathi eside kungasiza futhi ezinkingeni zesibili ezifana nokukhathazeka, ukucindezeleka, noma ukusebenzisa kabi izidakamizwa okungase kwenzeke kanye ne-schizophrenia .
• Ukwelashwa Nge-Electroconvulsive (ECT): Uma ezinye izindlela zokwelapha zingasebenzi, udokotela wakho angase akuncome i-ECT. Lokhu kwelashwa kuthumela ugesi ekhanda lakho, okuvuselela izingxenye zobuchopho bakho. Lokhu kuvuselela kubangela isimo sokuxhuzula esifushane, esingasiza ekuthuthukiseni ukusebenza kobuchopho kubantu abanokucindezeleka okukhulu noma ukukhathazeka. Uma une-ECT, uzonikezwa i-anesthesia. Ngakho-ke uzobe ulele ngesikhathi senqubo futhi ngeke uzwe ubuhlungu.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Udokotela wakho ungumuntu ongcono kakhulu ukukutshela ukuthi kuzothatha isikhathi esingakanani ukuze uzizwe ungcono ngemithi kanye nokwelashwa. Imithi ehlukene ithatha isikhathi esingafani ukusebenza. Udokotela wakho angakhuluma nawe ngezinye izindlela zokwelapha ezingasiza uma ukwelashwa kwakho kokuqala kungasebenzi.

Yini engingayilindela uma nginalesi simo?

I-Schizophrenia yisimo esihlukahluka kakhulu kumuntu nomuntu. Ungase ube nobunzima ngezinto ezifana nomsebenzi, ubudlelwano, kanye nokuzinakekela. Kodwa ngokwelashwa, ungasebenza, uzinakekele, futhi ube nobudlelwano obujabulisayo.

Lesi simo sivame ukuba nomphumela ojikelezayo. Lokhu kusho ukuthi kungase kube nezikhathi lapho isifo siqala khona futhi izimpawu zakho zibe zimbi kakhulu. Bese kuba nezikhathi lapho izimpawu zakho zithuthuka kancane, kodwa hhayi ngokuphelele.

Kungakhathaliseki ukuthi lesi simo sibi kangakanani, ungakhohlwa ukuthi ngokwelashwa ungaphila naso futhi unciphise umthelela waso empilweni yakho.

Iyini ikusasa lalesi simo?

I-Schizophrenia ayisona isifo esibulalayo. Kodwa imiphumela yayo ingaholela ekuziphatheni okuyingozi noma okulimazayo. Cishe ingxenye yesithathu yabantu abane -schizophrenia babhekana nezimpawu eziba zimbi ngokuhamba kwesikhathi. Lokhu kungaba ngoba izimpawu zakho aziphenduli ekwelashweni, noma ngoba ukuthola kunzima ukulandela uhlelo lokwelashwa kahle ngokwanele ukuphatha isimo sakho. Cishe abantu abayi-10% abane -schizophrenia bafa ngokuzibulala.

Abanye basabela kahle ekwelashweni, kodwa bangase babe nezikhathi lapho izimpawu zibuya khona futhi zibe zimbi kakhulu. Bangase babe nezinkinga eziqhubekayo, njengobunzima bokugxilisa ingqondo nokucabanga, ngenxa yemiphumela yesimo esivele sikhona.

Ngingayinciphisa kanjani ingozi yami, noma ngiyivimbele kanjani lokhu?

Ngenxa yokuthi ochwepheshe abasazi kahle ukuthi kungani i-schizophrenia iqala, akunakwenzeka ukuyivimbela noma ukunciphisa ingozi yokuyithola.

Ngizinakekela kanjani?

Uma une -schizophrenia , kufanele wenze lezi zinto ukuze uzinakekele futhi uphathe isimo sakho:

• Thatha imithi yakho njengoba uyalelwe: Into ebaluleke kakhulu ongayenza ukuthatha imithi yakho ngendlela efanele. Uma unesifo sokuqaqamba kwamalunga , ungayeki ukuthatha imithi yakho ngaphandle kokukhuluma nodokotela wakho. Khuluma nodokotela wakho nganoma yiziphi izinkinga noma imiphumela emibi onayo, bese ukhetha umuthi okusebenzelayo futhi onemiphumela emibi embalwa noma engenayo nhlobo.
• Bona udokotela wakho njengoba kunconywa: Udokotela wakho uzohlela isimiso sokubabona. Lawa ma-aphoyintimenti abaluleke kakhulu ekuphatheni isimo sakho.
• Ungazinaki izimpawu:Uma uxilongwa futhi ufuna ukwelashwa kusenesikhathi, cishe uzosabela kahle ekwelashweni futhi ube nemiphumela emihle.
• Gwema ukusebenzisa utshwala nezidakamizwa: Ukusebenzisa utshwala nezidakamizwa kungenza izimpawu ze -schizophrenia zibe zimbi kakhulu futhi kubangele ezinye izinkinga. Lokhu kuhlanganisa ukusebenzisa imithi kadokotela ngezindlela ezingezona ezinconyiwe.
• Cabanga ngokuthola ukwesekwa: Ungathola izinsiza eziwusizo nolwazi oluvela ezinhlanganweni ezifana ne-National Alliance on Mental Illness. Kunezindawo eSri Lanka ezihlinzeka ngezinsizakalo ezifanayo, ngakho-ke zihlole.

Kufanele ngimbone nini udokotela wami?

Kufanele ubonane nodokotela wakho njengoba uyalelwe. Futhi, uma ubona ushintsho ezimpawini zakho, isibonelo, uma izimpawu zakho ziba zimbi kakhulu ngisho nalapho uphuza imithi yakho, kufanele ubonane nodokotela wakho. Uma imiphumela emibi yemithi yakho iphazamisa impilo yakho, ungatshela nodokotela wakho ngakho. Udokotela wakho ngezinye izikhathi angayiphatha kangcono isimo sakho, futhi angancoma eminye imithi noma ukwelashwa okungenazo imiphumela emibi.

Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?

Uma unemicabango yokuzilimaza wena noma abanye, shayela ucingo lweNational Mental Health Helpline ku-1926 ngokushesha. Uma unomuzwa wokuthi usuzozilimaza, iya emnyangweni wezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma ushayele i-Suwaseriya Ambulance Service ku-1990.

Yini engingayenza uma othandekayo wami ebonisa izimpawu ze -schizophrenia ?

Uma ucabanga ukuthi othandekayo wakho ubonisa izimpawu ze- schizophrenia noma isimo esihlobene naso, ungazama ukusiza ngalezi zindlela:

• Buza ukuthi ungasiza kanjani: Ukulalela, ukunikeza usizo lwakho, ukugcina imizila yokuxhumana ivulekile nabo, nokubasiza bazizwe bexhumene nabanye.
• Bakhuthaze ukuthi bathole umuntu ongasiza: Izinkinga zemizwa ezihlobene ne-schizophrenia , ikakhulukazi imithi, zingathuthukisa izimpawu zomuntu futhi zimsize aqonde ukuthi yini engokoqobo nokuthi yini engeyona.
• Ungahluleli noma uphikisane: Ngisho noma kukhona ubufakazi, ungabahluleli noma uphikisane nabo ngokuthi yini eyiqiniso noma cha. Abantu ababhekana nemibono engekho noma izinkolelo-ze ngokuvamile abaphenduli ebufakazini ngoba abakwazi ukuthola ukuthi yini eyiqiniso noma cha.
• Hlala uzolile:Uma becasukile noma bethukuthele, ungaphakamisi izwi lakho. Zama ukwenza indawo okuyo ibe nokuthula ngangokunokwenzeka. Futhi, qiniseka ukuthi abazizwa bevalelekile noma besongelwa nganoma iyiphi indlela.
• Thola usizo esimweni esiphuthumayo: Abantu abane -schizophrenia basengozini enkulu yokuzibulala. Uma bekhuluma ngokucabanga ngokuzilimaza bona noma abanye, funa usizo ngokushesha (isib. shayela u-911, ubayise esibhedlela).

Okokugcina, okufanele ukukhumbule

I-Schizophrenia ingaba yisimo esesabekayo kuwe nakubathandekayo bakho. Kodwa naphezu kwemibono eyiphutha umphakathi onayo, akuyona isimo esingenakwenzeka ukululama kuso, ukuze uphile impilo ejabulisayo neyanelisayo. Uma ucabanga ukuthi unezimpawu ze- schizophrenia , kubalulekile ukukhuluma nodokotela ngokushesha okukhulu. Umsebenzi wabo ukukusiza. Odokotela, ikakhulukazi labo abanokuqeqeshwa okukhethekile ezifweni zengqondo ezifana ne-schizophrenia , baqeqeshwe ukukusiza uzizwe ungahlulelwa, unamahloni, noma unamahloni.

Uma ucabanga ukuthi othandekayo wakho angase abe nesifo sengqondo noma isifo sokungazweli kahle kwengqondo , mkhuthaze ukuba afune ukwelashwa ngendlela emnene nesekelayo. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungenza umehluko omkhulu ekululameni nasekuphathweni kwalesi simo.

I - Schizophrenia-affective I-Schizophrenia, ukugula kwengqondo, impilo yengqondo, izimpawu zokugula kwengqondo, ukwelashwa kwe -schizophrenia-affective , izimbangela zokugula kwengqondo