Ingabe kukhona okubonakala kuhlukile ngawe? Ake sixoxe nge-Schizophreniform Disorder!

Ingabe ngezinye izikhathi unomuzwa wokuthi othile omaziyo, mhlawumbe nawe uqobo, ushintshe kakhulu endleleni acabanga ngayo, aziphatha ngayo, noma akhuluma ngayo? Uma eqala ukukholelwa ezintweni ezingelona iqiniso, ekhuluma lapho kungekho muntu eduze, noma uma konke kubonakala kungahlelekile, kufanele ukhathazeke kancane. Namuhla sizokhuluma ngesinye isimo esinjalo, okuyi -schizophreniform disorder, noma ``(Schizophreniform Disorder)``.

Kuyini i-Schizophreniform Disorder?

Kalula nje, lesi yisimo sempilo yengqondo yesikhashana. Okwenzekayo kulokhu ukuphambuka okuthile kwengqondo, okungukuthi, isimo esibizwa ngokuthi "i-Psychosis". Uma uzwa "i-Psychosis", ungase uzibuze ukuthi kuyini lokhu. Kusho ukuthi ukuxhumana neqiniso kubonakala sengathi kulahlekile kancane. Kulesi simo, ungabona izinto ezinjengalezi:

• Ukuphupha izinto ezingekho: Ukubona noma ukuzwa izinto ezingekho ngempela.
• Ukukhohlisa: Izinkolelo ezingelona iqiniso, kodwa ezibambelele ngokuqinile engqondweni.
• Inkulumo edidekile: Izinto ezishiwoyo ziyadida futhi kunzima ukuziqonda.
• Ukuziphatha okudidekile noma okungajwayelekile: Izinto ezenziwe azijwayelekile futhi azihlelekile.

Uma lezi zimpawu zihlala isikhathi esingaphezu kwenyanga, kodwa zingaphansi kwezinyanga eziyisithupha, sizibiza ngokuthi yi-schizoaffective disorder.

Uyini umehluko phakathi kwe-Schizophrenia kanye ne-Schizophreniform Disorder?

Ungase uzibuze ukuthi lokhu kufana yini nesifo sokuqaqamba kwamalunga . Eqinisweni, izimpawu zifana kakhulu. Zombili zinezimpawu ezifanayo zesifo sengqondo. Kodwa-ke, umehluko omkhulu ubude balezi zimpawu.

• I-Schizophrenia yisimo esingamahlalakhona esivame ukuhlala impilo yonke futhi sidinga ukwelashwa isikhathi eside.
• Kodwa i-Schizophreniform Disorder iyisifo sesikhashana. Lokho kusho ukuthi izimpawu zihlala kusukela enyangeni eyodwa kuya kweziyisithupha. Ngemva kwalokho, abanye abantu bayalulama ngokuphelele.

Sivame kangakanani lesi simo?

Emazweni afana ne-United States, isifo se -schizophreniform asivamile njenge -schizophrenia . Isifo se-schizophreniform sithinta abantu abaphakathi kuka-0.6% no-1.9%.

Cishe ingxenye eyodwa kwezintathu (33%) yabantu abatholakale benesifo sokuqaqamba kwamalunga ngeke babe nazimpawu ngemva kwezinyanga eziyisithupha.Lezo yizindaba ezinhle ngempela. Kodwa-ke, izingxenye ezimbili kwezintathu ezisele (66%) zingase zitholakale kamuva zine- schizophrenia noma i-schizoaffective disorder. Okusho ukuthi, izimpawu zazo zihlala isikhathi esingaphezu kwezinyanga eziyisithupha.

Ziyini izimpawu zesifo se -schizoaffective ?

Njengoba sesixoxile kancane ngaphambili, izimpawu zalesi simo zifana kakhulu neze -schizophrenia . Ake sizibheke ngemininingwane eyengeziwe:

• Ukukhohlisa: Lezi yizinkolelo ezingelona iqiniso nganoma iyiphi indlela, kodwa ezigcinwe engqondweni yakho. Kungakhathaliseki ukuthi umuntu ukubonise ubufakazi obungakanani, ngeke ushintshe umqondo wakho. Isibonelo, ungase ukholelwe ukuthi othile ukwenza uzungu ngokumelene nawe, ukulandela, ukulawula imicabango yakho, noma ukuthi unamandla akhethekile.

• Ukuphupha izinto ezingekho: Yilapho ubona khona izinto ezingekho ngempela ngezinzwa zakho. Okungukuthi, amehlo akho, izindlebe, impumulo, ulimi, kanye nesikhumba.
• Into evame kakhulu ozoyibona amazwi akhuluma endaweni lapho kungekho muntu khona. Mhlawumbe lawo mazwi ayakuyala noma ayakugxeka.
• Kungenzeka futhi ukubona izinto ezingekho.
• Akuvamile ukuthi uzwe iphunga elingajwayelekile, unambithe ukunambitheka okungajwayelekile, noma uzizwe sengathi othile uthinta umzimba wakho.

• Inkulumo engahlelekile: Yilapho inkulumo yakho iba engahlelekile khona.
• Kunzima kwabanye ukuqonda okushiwoyo.
• Abaqedi imisho, noma bahlanganisa amagama angahlobene.
• Bakha amagama amasha bese bekhuluma.
• Ukugxuma kusuka kwesinye isihloko uye kwesinye ngokushesha.

Lokhu kuhluke kakhulu endleleni ovame ukukhuluma ngayo.

• Ukunyakaza okungahlelekile noma okungajwayelekile: Ukuziphatha kwakho kanye nokunyakaza kwakho kungase kubonakale kungavamile kwabanye.
• Bamane nje bayajikeleza futhi babambe izimo ezingavamile.
• Ngezinye izikhathi zihlala endaweni efanayo isikhathi eside, ngaphandle kokunyakaza nhlobo. Lokhu kubizwa nangokuthi `(Catatonia)`.
• Ukuziphatha njengengane, noma ukucasuka ngaphandle kwesizathu.

Ngaphezu kwalokhu, kunezinye izimpawu, ezibizwa ngokuthi "Izimpawu Ezimbi" . Lokhu kusho ukuthi ikhono lokwenza izinto esivame ukuzenza nesilindele ukuzenza liyancipha. Lezi yizi:

• Ukubonakaliswa okulinganiselwe kwemizwa: Kungase kube nokuntuleka kwemizwa ebusweni kanye nokuntuleka kokushintsha kwezwi lapho ukhuluma.
• Ukuntuleka kwamandla noma intshisekelo: Ukungazizwa sengathi ufuna ukwenza noma yini, ukuhlala uzizwa ukhathele.
• Ukungazinakekeli inhlanzeko nezingubo zabo: ukungagezi, ukungaxubhi amazinyo, kanye nokuba ngongcolile.
• Ukulahlekelwa injabulo noma isithakazelo empilweni (i-Anhedonia): Izinto ezazijabulisa ngaphambili azisasizisi injabulo.
• Ukuhlala kude nomndeni, abangane, kanye nemisebenzi yomphakathi.

Uma wena noma othandekayo wakho nibona noma yiziphi zalezi zimpawu, sicela nibone udokotela noma umeluleki wezempilo yengqondo ngokushesha.

Yiziphi izinkinga ezingaba khona ngenxa yesifo se -schizoaffective ?

Lezi zimpawu zingaba nomthelela omkhulu empilweni yansuku zonke. Ungase ungakwazi ukusebenza kahle esikoleni, emsebenzini, ebudlelwaneni bomndeni, noma ukuzinakekela. Lokhu kungaholela ekulahlekelweni umsebenzi kanye nokuwohloka kobudlelwano.

Abantu abanezinkinga zengqondo (kufaka phakathi i-schizoaffective disorder kanye ne-schizophrenia ) basengozini enkulu yokusebenzisa kabi izidakamizwa notshwala. Bangase balingeke ukusebenzisa lezi zinto ukuze banciphise izimpawu zabo ("ukuzelapha"). Uma ubhekene nalokhu, funa usizo kudokotela noma kumeluleki wezempilo yengqondo ngokushesha okukhulu.

Futhi, abantu ababhekene ne-`(Psychosis)` basengozini enkulu yokucabanga ngokuzibulala noma ukuzibulala . Uma unemicabango enjalo, sicela ufune iseluleko sezokwelapha ngokushesha. Ungashayela ne-Suicide and Crisis Lifeline ku-988. Kukhona umuntu otholakalayo ozokusiza amahora angama-24 ngosuku.

Yiziphi izimbangela zesifo se -schizoaffective ?

Abacwaningi abakayazi imbangela eqondile yalesi sifo, kodwa bacabanga ukuthi kunezici eziningana ezingase zibe nomthelela kuso:

• Izakhi zofuzo: I-schizophrenia ivame ukwenzeka emindenini. Lokhu kusho ukuthi uma umzali wemvelo enalesi simo, izingane zakhe zisengozini yokuba naso. Kodwa-ke, lokho akusho ukuthi zizosithola nakanjani.
• I-chemistry yobuchopho: Umuntu onesifo sengqondo noma isifo sengqondo esibangelwa yi-schizoaffective angase abe nokungalingani kwezinye izithunywa zamakhemikhali, ezibizwa ngokuthi ama-neurotransmitters, ebuchosheni. Ukungalingani kula makhemikhali kungaphazamisa ukuxhumana kwemiyalezo futhi kubangele izimpawu.
• Izici Zemvelo: Ubufakazi obuthile busikisela ukuthi kubantu abanesifo esibangelwa izakhi zofuzo, isici semvelo, njengesenzakalo esicindezelayo kakhulu (ukuhlukumezeka), singasibangela lesi sifo .

Isifo se-schizoaffective sitholakala kanjani?

Uma ubona udokotela, uzothatha umlando wakho wezokwelapha ophelele bese ekwenza ukuhlolwa ngokomzimba.Azikho izivivinyo zelebhu ezithile zokuxilonga lesi simo. Kodwa-ke, udokotela wakho angayala izivivinyo ukuze anqume ukuthi izimpawu zakho zibangelwa yini esinye isimo sezokwelapha noma ukusetshenziswa kwezidakamizwa. Lokhu kungafaka ukuhlolwa kwegazi noma ukuhlolwa kokubona ubuchopho.

Uma udokotela wakho engakwazi ukuthola imbangela yangempela yezimpawu zakho, angakudlulisela kudokotela wezifo zengqondo noma kudokotela wezifo zengqondo . Laba ngabantu abaqeqeshwe ngokukhethekile ukuxilonga nokwelapha izimo zempilo yengqondo.

Odokotela bezifo zengqondo nodokotela bezengqondo bazokhuluma nawe futhi basebenzise amasu athile okuxoxisana nokuhlola ukuze bahlole ukuthi "unesifo sengqondo." Udokotela wenza ukuxilongwa ngokubheka izimpawu zakho, isimo sakho sengqondo, kanye nokuziphatha kwakho.

I-Schizophrenia itholakala ngokwemigomo etholakala ku-American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Ngokusho kwalokhu, izimpawu ezimbili noma ngaphezulu kwezilandelayo kumele zibe khona isikhathi eside esikhathini esingangenyanga eyodwa :

• Ukukhohlisa
• Ukuphupha izinto ezingekho
• Inkulumo engahlelekile
• Ukuziphatha okungahlelekile noma okungajwayelekile
• Izimpawu ezimbi

Iphathwa kanjani isifo se-schizoaffective ?

Umgomo oyinhloko wokwelashwa ukukuvikela, ukukuzinzisa, nokunciphisa izimpawu zakho. Ukwelashwa kuza kakhulu ngezingxenye ezimbili: imithi kanye nokwelashwa kwengqondo (ukwelashwa ngokukhuluma). Uma unezimpawu ezinzima, noma uma usengozini yokuzilimaza wena noma abanye, kungadingeka uhlale esibhedlela futhi uthole ukwelashwa kuze kube yilapho izimpawu zakho zithuthuka.

Imithi yokwelapha isifo se -schizoaffective

Odokotela banikeza imithi yokwelapha izifo zengqondo ikakhulukazi ukwelapha lezi zimpawu. Ezinye izibonelo yilezi:

• I-Risperidone (i-Risperidone - i-Risperdal®)
• I-Clozapine (i-Clozapine - i-Clozaril®)
• I-Quetiapine (i-Quetiapine - i-Seroquel®)
• I-Ziprasidone (Geodon®)
• I-Olanzapine (i-Zyprexa®)
• I-Iloperidone (Iloperidone - Fanapt®)
• I-Paliperidone (Paliperidone - Invega®)
• I-Asenapine (i-Asenapine - i-Saphris®)
• I-Lurasidone (i-Lurasidone - i-Latuda®)

Njengoba izimpawu zakho zithuthuka, kufanele uqhubeke nokusebenzisana nodokotela wakho ukuze uphathe umthamo wemithi yakho. Udokotela wakho uzokuqapha eduze ukuze abone ukuthi izimpawu zakho ziyabuya yini (`ukubuyela emuva`).

Ukwelashwa kwengqondo kwesifo sengqondo se -schizoaffective

Ukwelashwa kwengqondo, noma ukwelashwa ngokukhuluma, uhlobo lokwelashwa olukusiza ukuthi ubone futhi ushintshe imizwa yakho engaphilile, imicabango, kanye nokuziphatha. Umgomo wokwelashwa ukukusiza ufunde nge- schizophrenia , ubeke imigomo, futhi uphathe izinkinga ezibangelwa yisimo sakho empilweni yakho yansuku zonke.

Kunezindlela ezimbili eziyinhloko zokwelapha isifo se-schizoaffective :

• Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Lolu uhlobo lwe-psychotherapy oluhlelekile nolugxile emigomweni. Ku-CBT, umeluleki wezempilo yengqondo uyakusiza ukuthi uhlole imicabango nemizwa yakho ngokujulile. Uzofunda ukuthi imicabango yakho ithinta kanjani izenzo zakho. Nge-CBT, ungafunda ukuyeka imicabango nokuziphatha okungekuhle futhi uthuthukise amaphethini nemikhuba yokucabanga enempilo. Kungakusiza futhi ukuthi uphathe ukucindezeleka okubangelwa izimpawu zakho futhi uphonsele inselelo imicabango engase ingasekelwe eqinisweni.

• Ukwelashwa Komndeni: Imfundo yengqondo ibalulekile emindenini ekwelapheni isimo sempilo yengqondo. Imfundo yengqondo yindlela ochwepheshe bezempilo yengqondo abafundisa ngayo iziguli nemindeni yabo ngezimo zempilo yengqondo. Ihlanganisa ulwazi oluyisisekelo mayelana nokugula, izimbangela, ukwelashwa, kanye nokubikezela. Ukwelashwa komndeni kusiza imindeni ukuqonda kangcono lokho umuntu one- schizophrenia abhekene nakho. Iphinde ibafundise amathuluzi abawadingayo ukuze babhekane nakho, basekele othandekayo wabo, futhi babone izimpawu zokuqala zezimpawu.

Iyini iphrojekthi kubantu abanesifo se -schizoaffective ?

Cishe ingxenye yesithathu (33%) yabantu abanesifo sokuqaqamba kwamalunga iyalulama zingakapheli izinyanga eziyisithupha. Uma izimpawu zakho ziqhubeka isikhathi esingaphezu kwezinyanga eziyisithupha, kungenzeka ukuthi une -schizophrenia noma isifo sokuqaqamba kwamalunga. Lezi yizimo zokuphila konke. Uma kunjalo, uzodinga ukwelashwa okuqhubekayo ukuze uphathe lesi sifo ngempumelelo.

Ingabe isifo se -schizoaffective singavinjelwa?

Okwamanje ayikho indlela eyaziwayo yokuvimbela lesi sifo noma ukunciphisa ingozi yokusithola. Kodwa-ke, ukuxilongwa kusenesikhathi kanye nokwelashwa kunganciphisa ukuphazamiseka empilweni yakho, emndenini kanye nasemsebenzini wakho.

Ngizinakekela kanjani?

Uma unesifo sokungazweli kahle kwengqondo , ungenza lezi zinto ukuze uzisize futhi ulawule ukugula kwakho:

• Thatha imithi yakho njengoba uyalelwe: Into ebaluleke kakhulu ongayenza ukuthatha imithi yakho njengoba uyalelwe udokotela wakho, ngesikhathi. Uma unemibuzo mayelana nemithi yakho noma ubhekene nemiphumela emibi, khuluma nodokotela wakho ukuze uthole ikhambi elikusebenzelayo.
• Bona udokotela wakho njalo: Udokotela wakho uzohlela ama-aphoyintimenti okuzokubona. La ma-aphoyintimenti abaluleke kakhulu ekuphatheni isimo sakho.
• Ungazinaki izimpawu: Uma uxilonga lesi sifo kusenesikhathi futhi ufuna usizo lwezokwelapha, cishe uzosabela kahle ekwelashweni futhi ube nemiphumela emihle.
• Gwema ukusebenzisa utshwala nezidakamizwa: Ukusebenzisa utshwala nezidakamizwa kungenza izimpawu zesifo se -schizoaffective zibe zimbi kakhulu futhi kubangele ezinye izinkinga.
• Cabanga ngokufuna ukwesekwa: Cabanga ngokujoyina iqembu lokusekela labantu abanesifo sengqondo noma ezinye izifo zengqondo. Ukusebenza neqembu kungakusiza uzizwe ungedwa futhi uxhumane nabanye ababhekene nokuhlangenwe nakho okufanayo.

Kufanele ngimbone nini udokotela?

Uma ubhekene nezimpawu zesifo sokungazweli kahle kwengqondo, bona udokotela ngokushesha. Thatha ngokungathi sína lokho okushiwo abathandekayo bakho ngokuziphatha kwakho, ikakhulukazi uma unomlando wesifo sengqondo noma uma othile emndenini wakho eke waba naso.

Uma utholakale unesifo sokungazweli kahle kwengqondo , kubaluleke kakhulu ukubona udokotela wakho kanye/noma uchwepheshe wezempilo yengqondo njalo ukuze ulawule lesi simo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami mayelana nesifo sengqondo ?

• Ingabe nginesifo sokuzwela esibangelwa yi-schizophrenic affective disorder noma isifo sokuzwela esibangelwa yi-schizophrenic affective disorder?
• Ucabanga ukuthi izimpawu zami zizohlala isikhathi esingakanani?
• Hlobo luni lochwepheshe okufanele ngilubone?
• Ngingaya emsebenzini/esikoleni?
• Ingabe ngidinga ukuhlala esibhedlela?
• Hlobo luni lwemithi oluncomayo?

I-Schizophrenia ingaba yisimo esesabekayo nesicindezelayo kuwe nakubantu obathandayo. Uma ucabanga ukuthi ungaba nezimpawu ze -schizophrenia noma i-psychosis, kubalulekile ukukhuluma nodokotela ngokushesha okukhulu. Umsebenzi wabo ukukusiza. Odokotela - ikakhulukazi labo abangochwepheshe ezimweni zempilo yengqondo - baqeqeshwe ukukusiza ngendlela engakukwenzi uzizwe wahlulelwe, unamahloni, noma unamahloni.

Othandekayo wakho unezimpawu ezifana ne-schizophrenia.Uma ucabanga ukuthi babhekene nezimpawu zokuphazamiseka kobuntu, bakhuthaze ukuba bafune usizo lwezokwelapha ngendlela emnene nesekelayo. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungenza umehluko omkhulu ekululameni nasekuphathweni kwalesi simo.

Umlayezo Wokuya Nawe Ekhaya

Isifo i-Schizophreniform yisimo lapho umuntu elahlekelwa khona ukuxhumana neqiniso isikhathi esifushane ngenxa yokushintsha kwendlela acabanga ngayo. Akuhlali isikhathi eside njenge-schizophrenia, futhi izimpawu zingaphela zingakapheli izinyanga eziyi-1-6.

Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha nje lapho ubona lezi zimpawu. Ukwelashwa kusenesikhathi kwandisa amathuba akho okululama ngokugcwele. Awuwedwa, futhi kunezindlela zokuthola usizo. Ngokusekelwa odokotela, abelaphi, umndeni, nabangane, ungasiphatha kahle lesi simo. Ungesabi, ungabi namahloni, cela usizo.

Isifo se - Schizophreniform , Impilo Yengqondo, I-Psychosis, Ukungaboni Ngaso Linye, Izinkolelo-ze, Izimpawu Zengqondo