Zviratidzo uye zvinetso zve catatonia ye bipolar disorder
Kuita katikoni kunotyisa bipolar disorder vane vanotambura kuti vawane. Kune avo vanoona chiitiko, zvakakosha kunzwisisa kuti catatonia chii, uye kuti ungapindura sei ma catatonic zviratidzo. Catatonia inovhiringidzika mupfungwa kubva kune iyo inosanganisira zvepfungwa uye muviri kana motokari. Inogona kuve yakaratidzwa nekuderera kwechiratidzo mukati, kuwedzera mukati, kana yega motokari yekuita.
Mentally, kutaura kwaro kunogona kubva pane kusateerera kutambudzika.
Catatonia Kuziva uye Kuwanda
Catatonic inowanzoitika kakawanda mu schizophrenia , schizoaffective disorder , uye zvimwe zvakafanana, asi zvinogona kuitika neBipolar spectrum disorders uye chikuru chekuora mwoyo. Mune zvimwe zviitiko, catatonia inogonawo kunge yakanyanyisa kuipa kwemishonga kana kuratidzwa kweimwe chirwere chezvehutano . Kutsvakurudza kunoratidza vanopfuura 50% yevanhu vanoona zviitiko zve catatoni vane bipolar disorder, uye inenge 28 muzana yevariyo yeBipolar vane catatonia yakavaita mumafungiro akavhengana enyika ekuderedza mwoyo uye mania panguva imwecheteyo.
Nokuda kwechikonzero ichi, masayendisiti anotenda chero kupi zvako kubva 20 muzana kusvika ku30 muzana yevanorwara bipolar vachawana catatonia munguva yavo yekurwara. Hakuna tepi kana kliniki yekuedzwa kuti uone catatonia. Pane kudaro, zviyero zvekutsika zvinoshandiswa. Izvi zvinosanganisira Bräunig-Catatonia Rating Scale, Bush-Francis Catatonia Kuchengeta Chigadzirwa, Bush-Francis Catatonia Kuyera Chikoro, Rogers Scale, Northroff Scale uye Catatonia Rating Scale.
Uyezve, varwere vari kuongororwa ku catatonia vanogona kubvunzwa nezvemhuri yavo yezvokurapa, vane zviratidzo zvavo zvinokosha, uye vanozviisa pasi pekuongorora kwepfungwa.
Mhando mbiri dzeCatatonic Episodes
Catatonia inowanikwa nenzira mbiri: chimwe chema delirium inofadza uye chimwe chekunyengedzera kunoratidzirwa nenzira isingateereri iyo inoita kuti murwere ave mbeveve, asina simba uye anoteerera kungova kurwadziwa kana kuonekwa.
Zvingaita zviratidzo zveKatatonia
- Stupor: kushayikwa kwekupindura kune zvinokonzera kunze - semuenzaniso, hapana mhinduro kune inotaurirwa kana kuendeswa.
- Catalepsy: muscular rigidity, kuitira kuti mitezo igare mumamiriro ose aanoiswa.
- Kupfurikidza motokari yemitambo isina chinangwa.
- Extreme negativism: kushora kufamba kana kurairirwa.
- Mutism: kusakwanisa kana kusada kutaura.
- Inappropriate postures uye grimacing.
- Echolalia: kudzokorora puroti yezwi kana kuti mutsara unongotaurwa nemumwe munhu.
- Echopraxia: kudzokororazve kudzokorora kweumwe munhu.
Zvinokonzera Matambudziko eCatatonia
- Kusadya zvakakwana
- Kuneta
- Ropa rinovhara
- Kuputsika kwemisumbu
- Kuzvikuvadza kunorwadza
Catatonia Treatment
Ikoko hakuna mushonga we catatonia, zvisinei, mishonga uye magetsi ekugadzirisa (ECT) inogona kushandiswa kurapa zviratidzo zvekatonia. Zvinodhaka zvakadai se benzodiazepines, kusuruvara kwemasimba, zvinodhaka mwoyo, uye neuroleptics zvose zvakashandiswa kurapa zviratidzo zve catatoni. Vanhu vanoona zviratidzo zve catatoni vanogonawo kubvumirwa kune zvepfungwa, zvechiremba, kana zvehutano mukucherechedza uye kurapwa kwepfungwa. Kushanyirwa kushanyira nguva dzose kunogona kukurudzirwa kuti urambe uchienda mberi pane zvikamu zve catatonic kana kuti uone kutizve kuregererwa hakubvumirwi nemurwere.
Mumatambudziko akaoma, catatonia varwere vanogona kuiswa mune imwe nhengo huru yekuchengetedza.
Kusaziva kuti catatonia yakaoma inogona kuuraya. Kusakwanisa kukurukurirana uye kugamuchira, pamwe nekusava kudya pamwe chete nekwanisi yekuita zvechisimba, ICU inzvimbo inodzivirira inogona kupiwa murwere uye kuchengeteka kwevamwe pamwe nekudya kwakagadzikana panguva yechikamu che catatonic. Kana iwe uri bipolar, iva nechokwadi chokuti iwe unodzidzisa shamwari dzako dzepedyo uye vadikanwa pamusoro pekuti catatonia inogona kukukanganisa sei.