I-catatonic schizophrenia yimeko ebalulekileyo yengqondo okanye yengqondo apho iindidi ezimbini zokuziphatha zibonakaliswa: i-stupor ne-motor rigidity or excitement. Xa abantu beva ubunzima okanye bengazi, bayakwazi ukuthetha, baphendule okanye bahambe. Kwezinye iimeko, abantu baya kubonisa umdlalo okanye imania. Abo bafumana umdlalo we-cataton baya kubonisa iimpawu zomntu ezifana nokubetha okanye ukuthetha ngokungahambiyo.
Abo baphethwe yi-catatonic stupor bahlala kwimeko engapheliyo ixesha elide.
Iimpawu eziqhelekileyo
Ubungqina be-catatonic schizophrenic ubungqina obuqhelekileyo kunye nokunyakaza, okanye ixesha elide lokungahambi. Unako ukuhlala kwiindawo ezikhangelekayo ezinokubakho ixesha elide. Kananjalo uyabalalisa iinzame zokuzibeka endaweni ekhululekile okanye ezendalo.
Ukongezelela ukungabikho kokuhamba, i-catatonic schizophrenic ingabonisa ukunyakaza okugqithiseleyo. Kwiimeko apho abantu bafumana ukukhutshulwa njengempawu, banokuhamba ngendlela ephosakeleyo neyingozi. I-Pacing iphethini ephindaphindiweyo kwaye ukuvakalisa okukhulu kunokwenzeka. Ezi ntshukumo azisebenzisanga injongo kwaye aziphendulanga kummandla okanye kwimeko.
Abantu abanalolu daba bangaphinda babe nezinye iimpawu ze-schizophrenia ezibandakanya i-hallucinations, iingcamango, iingxaki zokuqonda, ukukhutshwa kwezenhlalakahle, ukuvutha komsindo, ukucoceka kobuthakathaka, imicimbi yoluntu kunye nokungakwazi ukuveza iimvakalelo.
Ukuxilongwa
I-catatonic schizophrenia ngokuqhelekileyo ifunyaniswe ngoluhlu lweemviwo zonyango kunye nokuhlolwa kwengqondo. Izigulane zifumana uvavanyo lwezonyango ukuvavanya impilo jikelele. Uvavanyo lwegazi luvame ukunikezelwa ukuhlola ukuba khona kweziyobisi kunye notywala. I-MRIs kunye ne-EEG ingasetyenziselwa ukuqwalasela ukusebenza kwengqondo kunye nokujonga nayiphi na i-lesion okanye i-pattern ye-wave wave engqondweni.
Ngexesha lokuphonononga kwengqondo, isiguli siya kubuzwa imibuzo malunga neengcamango zabo nezenzo zabo. Isifo sengqondo siya kuzama ukubona ukuba isigulane siye safumana ixesha elingakanani iimpawu. Kwezinye iimeko apho isigulane sise-catatonic stupor, angenakho ukubonelela ngolwazi olunjalo. Kwiimeko ezinjalo, ugqirha uya kuhlola iimpawu ezinjalo kwaye aphendule amalungu omndeni malunga nokuziphatha kwangaphambili kwesigulane.
I-Misdiagnosis
Ngenxa yokuba olu hlobo lwe-schizophrenia lubonakaliswa yimpawu zeemoto, ngamanye amaxesha ziphosakele ngengxaki yesifo sengqondo.
Ngokufanayo, i-catatonic schizophrenic ngamanye amaxesha ingabonakalisa izibambano zobuso, ukunyakaza kwamalungu omzimba, okanye izikhundla ezingavamile, kwaye zikhona mna ngamanye amaxesha, ngezinye iinkcukacha ezingenakucatshulwa ngengxaki eyaziwa ngokuba yi-tardive dyskinesia.
I-catatonic schizophrenia iphinda ibhalwe nge-echolalia (ukuphinda okuthethwa ngabanye kunye ne-echopraxia (ukukopisha ukuhamba komnye umntu), ngezinye izihlandlo ekukhokelela kwi-diagnosis ye-Tourette's syndrome.
Unyango
I-catatonic schizophrenia iyimeko engapheliyo, engapheliyo. Nangona isigulane singabonakali iimpawu zengxaki, zihlala zi-schizophrenic kwaye zifuna unyango oluqhubekayo ukukhusela ukubuyela kweempawu.
Amachiza
Imithi yindlela eqhelekileyo yonyango ye-schizophrenia.
I-Benzodiazepines mhlawumbi iyindlela eqhelekileyo yokunyango. Ezi zi yobisi zisebenza njengengcinezelo kwinkqubo yesistim ephakathi, yingakho ihlala isetyenziswa ukuphatha uxhalaba. Ngenxa yokuba ezi ziyobisi zisebenza ngokukhawuleza, ziyakwazi ukukhulula iimpawu ze-cataton ngokukhawuleza. Nangona kunjalo, bangaba ngumkhwa, ngokukodwa ukuba xa besetyenziswe njengonyango lwexesha elide.
Ezinye iziyobisi ezifana ne-barbiturates, anti-depressants, kunye ne-antipsychotics zivame ukusetyenziswa ekuphatheni i-catatonic schizophrenia, kodwa ayisebenzisi njenge-benzodiazepines.
ECT
Ukwelashwa kwe-Electroconvulsive (ECT) , okanye unyango lokuxhatshazwa, ngamanye amaxesha lisetyenziselwa ukuphatha i-catatonic schizophrenia. Le nqubo ibandakanya ukuthumela okwangoku ugesi ngokusebenzisa ubuchopho. Ekubeni i-ECT iphikisana kwaye ingavelisa imiphumo emibi efana nokulahleka kweememori, ngokuqhelekileyo isetyenziselwa kwiimeko ezinzima apho izigulane zingaphenduliyo kwiyeza, zixinezeleke kakhulu kwaye zisengozini yokuzibulala.
Psychotherapy
Ngelixa unyango luqhelekileyo lendlela yokuqala kunyango, idla ngokudibanisa ne- psychotherapy . Iingcali ze-Psychotherapists zinceda izigulane zingcono ukuqonda iimvakalelo zabo, ukuziphatha kunye neempendulo. Abantu abakwicandelo bafunde iindlela ezahlukeneyo zokujamelana nokufumana iindlela ezintsha zokujongana neziganeko ezixinzelelekileyo ebomini babo.
Xa unyango olufanelekileyo, umntu obandezelekayo nge-catatonic schizophrenia unokufumana ukukhululeka kwiimpawu zabo. Unyango lunokukunceda izigulane ziphephe ezininzi iingxaki ezinobungozi ezinxulumene nale disorder kuquka ukusetyenziswa kakubi kweziyobisi, iintsapho kunye nokuzibulala.