I-Catatonia yindawo apho umntu afumana khona ukuphazamiseka kwimisebenzi yomsebenzi. Nangona ngokuqhelekileyo kucinga ukuba kuncitshiswe inxaxheba kunye nomsebenzi, kungabonakalisa njengempawu ezigqithisileyo okanye ezizodwa.
Uphi ukuxinezeleka kweCatatonic?
I-Catatonia inokuba yinxalenye yesinye isifo sengqondo okanye imeko yonyango okanye ingawela kwisigaba "esingachazwanga." I-catatonia engacacisiwe ifaka zonke iimeko apho kungekho nzo ingqondo enkulu, ingxaki okanye ingxaki yezokwelapha ezinokufunyanwa.
Ukudakumba kweCataton kunokuba nje xa i-catatonia ivela ngokufanayo kunye nokudandatheka.
Ukuxineka kweCatatonic kuyafana kangakanani?
I-Catatonia ngokwayo ayiqhelekanga. Nangona iingxelo zihluka, malunga neepesenti ezili-10 zezigulane zengqondo kumazwe asentshona ziye zaxelwa ukuba zibonise le meko. Kodwa akunqabile kwizigulane ezineengxaki ezinkulu zokudandatheka . Xa kwenzeka ngexinzelelo, ngokuqhelekileyo kwimeko yokugula kwengqondo . Uninzi lwazo zonke izigulane zengqondo ezine-catatonia ezine-bipolar disorder ezilandelwa yi-schizophrenia.
Yintoni eyenza iCatatonia?
Ngeli xesha lingaziwa kakuhle oko kubangela i-catatonia, inani leembono liye lafakwa, kubandakanywa oku kulandelayo:
- Ukusilela kwi-gamma-aminobutyric acid (GABA)
- Ukutshatyalaliswa kwe-glutamate
- Ukutshatyalaliswa kwintlupheko kwi- dopamine
- Ukungaqhelekanga kwe-metabolism kwi-thalamus kunye ne-lobes yangaphambili
Mhlawumbi inqaku elincomekayo kakhulu, nangona kunjalo, libonisa ukuba i-catatonia inokubangelwa yindlela yokwenza ukwesaba okukhulu.
Oku kunokwenzeka, ezi zenzululwazi zibonisa, ukuba ookhokho bethu bokuqala, abaye bahlala bejongana nezidlo, bahlakulela ukuhlala behlala ixesha elide ukwenzela ukuphepha ukufumana izilwanyana eziyingozi. I-Catatonia, bathi, mhlawumbi le ndlela yokukhusela yasendulo ibangela ukuba isenzo sinoyiko olomeleleyo.
Ziziphi iimpawu zeCatatonia?
I-Catatonia yi-syndrome equka imiqondiso nempawu ezininzi ezahlukileyo, ezinye zazo zizininzi ngokubanzi. Uluhlu olulandelayo lubonisa ezinye zeendlela ezibonakalayo:
- Stupor - Mhlawumbi isibonakaliso esibonakalayo sisigxina. I-Stupor ibonakalisa ukungabikho kokuhamba nokuthetha.
- Ukuthunyelwa - Abantu abane-catatonia banako ukuhlala kwindawo efanayo kunye nexesha elide.
- Ukuguquguquka kwemvelo - Uliniki ohlola isigulane sekatiaton uyakwazi ukubeka isigulane kwizinto eziqhelekileyo ezingabonakali kakuhle ukuba isiguli siya kuqhubeka silondoloze ixesha elide.
- I-Negativism - Xa umntu ehlola isigulane ezama ukuhambisa esinye sezigulane zomzimba, ugqithwa ngokuchasana nokulingana kwamandla asetyenziswayo.
- Ukuthobela ngokuzenzekelayo - Isigulane sithobela yonke imiyalelo enikwe ngumhloli.
- Ambitendency - Isigulane sitshintsha phakathi kokubambisana nemiyalelo yomhloli kunye nokuchasa.
- Umsila weengqondo - Isigulane silala nentloko intsikitha ezimbalwa ngaphezu kwebhedi, phantse njengoko kukho umlotha ongabonakali uhlala phantsi kwentloko yakhe . Esi sikhundla sinokugcinwa kwithuba elongezelelweyo lexesha.
- Ukubamba iqhosha - Isigulana ngokuphindaphindiweyo kwaye sinyanzele isandla somhloli xa sinikelwa.
- Ukuvalwa - Izigulane ziyeka ngokukhawuleza phakathi kwentshukumo ngaphandle kwesizathu esibonakalayo sokwenza njalo.
- I-Echopraxia - Isigulane sichaza izenzo zomntu othetha naye.
- I-Aversion - Isigulane siphenduka xa uthethwa kuso.
- Amanqanaba - Isigulane senza ukunyakaza okuphindaphindiweyo, okunenjongo (umz.
- Iintlobo - Iigulane zenza iminyango ephindaphindiweyo, engekho injongo (umz.
- Ukunyamezela ngemoto - Isigulane siyaqhubeka senza intsebenzo ethile nangemva kokuba ilahlekelwe ukufaneleka kwayo kwangaphambili.
- Inomdla - Isigulane senza umsebenzi ogqithisileyo kwaye ongenamsebenzi ongeke uqhutywe ngumntu ongaphandle.
- Intetho engafanelekanga - Intetho yesigulana ingabonakalisa iintsilelo ezithile, ezifana nokuphindaphinda oko abanye abantu abakuthethayo okanye ukuthetha ngokuzithemba.
I-Catatonia Ilandelwa Njani?
I-Benzodiazepines kunye nonyango lwe-electroconvulsive (ECT) yilezi zimbini zonyango eziphambili kwi-catatonia, nangona ezinye iindlela zonyango, ezinjengezinye i-antipsychotics zonyango, zingasetyenziswa.
- I-Benzodiazepines - I-Benzodiazepines yinto yokuqala yokukhetha ukhathalela i-catatonia. Basebenza ngokunyusa imiphumo yeGABA ye-neurotransmitter. Olu hlobo lonyango luyakwazi ukubonelela ngokukhawuleza iimpawu ezifana nokuxhalaba, ukulala, ukuphazamiseka kunye nezidumbu ze-muscle. Phantse iipesenti ezingama-70 zabantu abane-catatonia benza kakuhle nge-benzodiazepine ebizwa ngokuthi i-lorazepam.
- Ukwelashwa kwe-Electroconvulsive - I-ECT yonyango oluchanekileyo olufumaneka kwi-catatonia. Isebenza malunga neepesenti ezingama-85 zezigulane. I-Benzodiazpines ngokubanzi iyalingwa kuqala. Ezi zimbini zonyango zidibene.
Ukuqatshelwa kokukhawuleza kunye nokonyango ekuqaleni kwemeko ye-cataton kubalulekile kwiziphumo ezilungileyo.
Imithombo:
UBhati, Mahendra T., uCatherine J. Datto noJohn P. O'Reardon. "Ukubonakaliswa kwezonyango, ukuxilongwa, kunye neZonyango zoButhambo eCatatonia." Psychiatry . 4.3 (2007): 46-52
Brasic, uJames Robert. "I-Catatonia: Yenza Izinto Eziyimfuneko." Medscape. USelim Benbadis, oyiNtloko Ed. Ukuhlaziywa: Agasti 21, 2013. WebMD, LLC.
UDhossche, Dirk M. "Intsha entsha ye-DSM-5 'i-catatonia engachazwanga' iyomeleza i-catatonia yabantwana: uphando kunye neengxelo zeengxelo. Neuropsychiatry . 3.4 (2013): 401-410.
Sienaert, Pascal, Dirk M Dhossche kunye noGabor Gazdag. "I-catatonia yabantu abadala: i-etiopathogenesis, i-diagnostic kunye nonyango." Neuropsychiatry. 3.4 (2013): 391-399.
Rajagopa, Sundararajan. "I-Catatonia." Ukuqhubela phambili kwiZonyango zengqondo . 13 (2007): 51-59.