Izizathu kunye Nezinto Ezidibanisa Iingxaki Ezimbini
Ukuba ufumanisa ukuba unengxaki yokunyanzelisa ingxaki (OCD) ayikho inzima ngokwaneleyo, cingela indlela eya kuvakalelwa ngayo xa ubhekane nengxaki eyahlukileyo yengqondo echaphazela ukukwazi kwakho ukucinga, ukuvakalelwa okanye ukuziphatha ngokufanelekileyo.
I-Schizophrenia yintlupheko yengqondo eqikelelwa ukuba iququzeleleke kwi-25 ekhulwini yabantu abahlala ne-OCD. Ezi zibini zizimeleyo ngokwazo, zombini ngenxa yesibonakaliso kunye neempawu, kodwa yabelana ngeziganeko ezibeka abantu abathile emngciphekweni omkhulu.
Ukuqonda iSchizophrenia
I-Schizophrenia yintlungu engapheliyo ebonakaliswe ukuziphatha okungavumelekanga kwentlalo kunye nobunzima bokuqonda into eyinyani kunye nezinto ezingekho. Umntu ofunyanwe nesifo schizophrenia unokufumana ezininzi iimpawu ezibandakanya iingcamango , ukukhohliswa, nokucinga nokungcolileyo.
Kukho iintlobo ezahlukahlukeneyo ze-schizophrenia , ezinye zazo ezinokuthi zifumaneke nge- paranoid eqhelekileyo kunye nezinye zikarhulumente ezingaphenduliyo (catatonic) . Abantu abane-schizophrenia bafumana ubunzima obukhulu ekusekeni nasekugcineni ubudlelwane njengoko bekulwela ukuphazamiseka kwezinto zinyani kwaye abanako ukuxhamla baxubushe ngokucokisekileyo.
Ingqikelelo yepesenti enye yabemi behlabathi iyabonwa ngokuba ne-schizophrenia. Yimbangela enkulu yokukhubazeka e-US kunye nama-85 ekhulwini abo bachaphazelekayo abangakwazi ukugcina umsebenzi. Amazinga okuzibulala aphakamileyo phakathi kwabantu abane-schizophrenia, egalela ekunciphiseni ukuhlala kwithuba lokuphila kwimizuzu engama-10 ukuya kuma-25.
OCD kunye neSchizophrenia
Nangona iimbangela zobudlelwane zihlala zingacacile, i-OCD kunye ne-schizophrenia inokwabelana ngenani lezinto ezifanayo. Ezi zimbini iziphazamiso zichaphazela amadoda nabesifazane ngokulinganayo, kwaye bobabini bavame ukubonakalisa ngeempawu ekupheleni kwexesha leshumi.
Kuyathakazelisa ukuba abantu abaye bafumanisa ukuba baneziganeko zombini baxela izimpawu ze-OCD njengokuba uphawu lwabo lokugula ngengqondo luvame ukubonakala kwiminyaka eselula.
Iingxaki zidibaniswa nokungalingani kwi-serotonin, ikhemikhali yokudlulisa umlwelana elawula yonke into esuka ekukhathazeni nasekukhunjuleni. Bakwabelana ngokunxulumene nokuguquka komzimba othile (okubizwa ngokuba yi-SLC1A1) ebeka phambili abantu abathile kwezi zifo.
Kwiphepha le-flip, ukusetyenziswa kwezidakamizwa ezithile ze- antipsychotic kuye kwaziwa ngokubangela iimpawu ze-OCD kwabanye abantu abane-schizophrenia.
Nangona kungekho nanye into enokuthi ithathelwe ingqalelo "yimbangela" ye-OCD okanye i-schizophrenia, kukholelwa ukuba ukudibanisa imfuza, imvelo, kunye neurobiological izinto, ngokwenene, zinokufaka isandla.
Ukuthelekisa ukuxhamla kunye nokuqaphela
Iingcali zenzululwazi ziye zazinzima ekumiseni ubudlelwane phakathi kwe-OCD kunye ne-schizophrenia njengoko ezininzi iimpawu zabo zihamba.
Xa kuthethwa oko, oogqirha banokukwazi ukuhlula ukuphazamiseka kweengxaki ezibangelwa kwi-schizophrenia kunye ne-obsessions ebonwe kwi-OCD.
- Ukunyanzeliswa kuchazwa njengeengcamango zobuxoki ezibanjelwe ukuba zinyani naphezu ko bungqina obuchasene noko. Amaxesha amaninzi, umntu ochaphazelekayo uya kuziva ukuba unamandla akhethekileyo, uyatshutshiswa okanye unxibelelwano oluqhelekileyo kwiziganeko, abantu okanye izinto ezingekho. Ukongezelela, abantu abanokukhohlisa baya kuthi baqaphele ukungahambisani neengcamango zabo.
- Ukuqaphela , ngokuphambene, kuyafana nokuba banengqiqo kodwa banxulumene kakhulu neengcamango zokungahlambulukanga, ukuphazamiseka, okanye i-asymmetry. Kwaye, ngokungafani neengcinga ze-schizophrenic, abantu abanomdla ngokuqhelekileyo baqaphela ukungahambi kakuhle kwaye abakwazi ukuyilawula.
Ngoxa le nto ayisoloko iyimeko, ngokuqinisekileyo, inika isakhelo esiphi na isifo sengqondo singakwazi ukubona kunye nokuphatha izimo ezimbini ezikhoyo.
> Umthombo:
> Schrimbeck F. kunye noZink, M. "I-Comorbid impawu eziphosakeleyo zokunyanzelisa i-schizophrenia: iminikelo yezinto ze-pharmacological kunye nemfuza." I- Pharmacol yangaphambili. 2013; 4:99.