Iimpawu kunye neengxaki ze-catatonia ngenxa yengxaki yokuguquka kwe-bipolar
Ukuziphatha kwe-Cataton kuyatshitshisa i-bipolar disorder illnessers to experience. Kwabo bavakalisa isiqendu, kubalulekile ukuqonda ukuba yiyiphi ikatoni, nendlela yokuphendula kwiimpawu ze-cataton. I-Catatonia kukuphazamiseka kwengqondo ngenxa yokuba kubandakanya ukubonakala kwengqondo kunye nokubonakala kweemoto. Inokuthi ibonakaliswe ngokuncipha okuphawulweyo, ukunyuka kuyo, okanye umsebenzi ohamba phambili wemoto.
Ngokwenene, ibinzana lalo liyakwazi ukususela ekungaphendululeni.
I-Catatonia Ukuxilongwa nokuPhelela
Iimpawu ze-Cataton zidla ngokuphindaphindiweyo kwi- schizophrenia , i- schizoaffective disorder , kunye neemeko ezifanayo, kodwa zinokubangelwa yimisipha ye-bipolar kunye ne-disorder disorder enkulu. Kwezinye iimeko, i-catatonia inokuthi ibe yiphumo elibi kakhulu lonyango okanye ukubonakaliswa kwesinye isimo sengonyango . Uphando lubonisa abangaphezu kwama-50% abantu abafumana iziganeko ze-catatonic disorder disorder, kwaye malunga neepesenti ezingama-28 zezigulane ezibangelwa yi-bipolar abafumana i-catatonia babeneziganeko ezixubileyo zokudakumba kunye ne-mania ngexesha elinye.
Ngenxa yoko, izazinzulu zikholelwa ukuba zivela kwipesenti ezingama-20 ukuya kwi-30 ekhulwini ze-bipolar izigulane ziya kubakho i-catatonia ngexesha lokugula. Akukho ibhuyibhile okanye iimvavanyo zekliniki ukuxilonga i-catatonia. Endaweni yoko, izikali zokulinganisela zokuziphatha zisetyenziselwa. Ezi ziquka iBraunig-Catatonia Rating Scale, iBush-Francis Catatonia yokuCoca, i-Bush-Francis Catatonia Rating Scale, i-Rogers Scale, i-Northroff Scale ne-Catatonia Rating Scale.
Ukongezelela, izigulane ezihlolwe i-catatonia zinokubuzwa malunga nembali yonyango lwentsapho, zibonise iimpawu zazo ezibalulekileyo, kwaye zixhomekeke ekuhlolweni kwegazi.
Iintlobo ezimbini ze-Catatonic Episodes
I-Catatonia ivela ngeendlela ezimbini: enye ye-delirium evuyayo kunye nokuziphatha okunyanisekileyo okuphawulwa ngumsebenzi ongenakuphendulela okwenza ukuba umntu onesifo abe nesilumko, angashukumiyo kwaye aphendule kuphela intlungu okanye ubonwayo.
Izimpawu ezinokwenzeka zeCatatonia
- I-Stupor: Ukungabikho kompendulo kwisisombululo sangaphandle - umzekelo, akukho mpendulo ekuthethwa kuyo okanye ekuxhaswe.
- I-Catalepsy: i-muscular rigidity, ukwenzela ukuba izitho zihlale kuyo naziphi na izikhundla ezibekwe zona.
- Umsebenzi ogqithiseleyo ongenamsebenzi.
- Ukunganyaniseki ngokubanzi: ukumelana nokuhamba okanye uqeqesho.
- I-Mutism: engakwazi okanye engafuni ukuthetha.
- Iimpawu zokungahambi ezifanelekileyo kunye nokugqithisa.
- I-Echolalia: ukuphindaphinda okufana ne-parrot yegama okanye ibinzana elithetha nje ngomnye umntu.
- Echopraxia: ukuphinda ukuxelisa ukunyakaza komnye umntu.
Iingxaki ezinokwenzeka zeCatatonia
- Ukungondleki
- Ukudinwa
- Amacwecwe egazi
- Ukuphazamiseka kwemizimba
- Ukulimala okuzimele
Unyango lweCatatonia
Akukho nonyango ye-catatonia, nangona kunjalo, amayeza kunye ne-electroconvulsive treatment (ECT) ingaqeshwa ukunyanga iimpawu ze-catatonia. Izidakamizwa ezifana ne-benzodiazepines, i-muscle relaxants, i-anti-depressants, kunye neuroleptics baye basebenziselwa ukuphatha iimpawu ze-cataton. Abantu abafumana iimpawu ze-cataton nabo banokungeniswa kwi-psychiatric, kwi-medical, okanye kwi-neurological diagnosis and treatment. Ukutyelela rhoqo ukulandelelana kunokuncongozwa ukuba uhlale phambili kwiziqephu ze-cataton okanye ukuqinisekisa ukuba ukuvuma kwakhona akuvumelekanga isigulane.
Kwiimeko ezinzima, izigulane ze-catatonia zingafakwa kwiyunithi yokunyamekela.
I-catatonia engathandabuzekiyo ingaba yingozi. Ukungabi nxibelelwano kunye nokuphendula, kunye nokungadli ngokubambisana kunye nendawo yokwenza ubundlobongela, i-ICU iyimimandla engqongqo engacetyiswa isigulane kunye nokhuseleko lwabanye kunye nesondlo esilungeleyo ngexesha lesiganeko se-cataton. Ukuba unesifo sengqondo, qiniseka ukuba ufundisa abahlobo bakho abasondeleyo kunye nabathandekayo malunga nendlela i-catatonia inokuchaphazela ngayo.