Catatonic schizophrenia chirwere chakakomba neurological kana mupfungwa mumamiriro ayo maitiro maviri emitemo inowanzoratidzwa: kunyanya uye motokari kugadzikana kana kufara. Apo vanhu vanoona kusagadzikana kana kusava nehanya, havagone kutaura, kupindura kana kunyange kutama. Mune dzimwe nguva, vanhu vacharatidza kufara kwakasimba kana mania. Avo vane ruzivo rwechi cataton vacharatidza mafambiro evanhu akadai sokutamba kana kutaura pasina.
Vaya vanotambura nekutora catatonic vanoramba vari munharaunda iyi isingaverengeki kwenguva yakareba.
Maitiro Anowirirana
Iyo catatonic schizophrenic uchapupu husingazivikanwi nzvimbo uye kufamba-famba, kana nguva dzenguva dzisinganyunyuti. Anogona kugara munzvimbo dzisina kunaka-dzinotarisa kwenguva refu. Anodzivisawo kuedza kuzvitsiva zvakare mune dzimwe nzvimbo dzakanaka kana kuti zvisikwa.
Mukuwedzera pakushaiwa kwekufamba, catatonic schizophrenic inogona kuratidza kufamba kwakanyanya. Mumamiriro ezvinhu apo vanhu vanoona kusununguka sechiratidzo, vanogona kufamba nenzira isina kukodzera uye yakanyanyisa. Kuchengetedza nenzira yakadzokorora uye kuita kukurudzira kukuru kunogona kuitika zvakare. Izvi zviito hazvina chinangwa uye hazvipinduri kune zvinokonzera zvakatipoteredza kana chiitiko.
Vanhu vane chirwere ichi vanogonawo kuva nezvimwe zviratidzo zvechichichiphrenia kusanganisira kukanganisa, kukanganisa, zvinetso zvekufunga, kusununguka kwevanhu, kuputika kwehasha, kusava nehutano hwehutano, nyaya dzevanhu, uye kusakwanisa kuratidza manzwiro.
Kuziva
Catatonic schizophrenia inowanzoongororwa kuburikidza nehuwandu hwekuongororwa kwechiremba uye kuongororwa kwepfungwa. Varwere vanowana kuongororwa kwechiremba kuti vaongorore hutano hwakakwana. Kuongororwa ropa kunowanzopiwa kutarisa kuvapo kwezvinodhaka uye doro. MRIs uye EEG zvingazoshandiswa kuongorora uropi hunoita uye kutarisa mutsara chero upi zvawo kana humwe hutachiona hwepfungwa dzepfungwa.
Panguva yekuongorora kwepfungwa, murwere achabvunzwa mibvunzo pamusoro pemafungiro avo nemafambiro avo. Mumwe chiremba wepfungwa achaedza kuziva kuti kwenguva refu murwere ave achiona zviratidzo zviri mubvunzo. Mune zvimwe zviitiko apo murwere ari mune catatonic stupor, iye angave asingakwanisi kupa ruzivo rwakadaro. Mune zviitiko zvakadaro, chiremba achaongorora zviratidzo zvakadaro uye anogona kubvunzurudza nhengo dzemhuri nezvehutano hwekare hwemurwere.
Misdiagnosis
Nemhaka yokuti rudzi urwu rwechichichiphrenia runoratidzwa nemotokari zviratidzo, dzimwe nguva rinokanganisa nehutano hwepfungwa hwepfungwa.
Saizvozvowo, catatonic schizophrenic dzimwe nguva ingaratidza kupesana kwemaziso, kushamwaridzana kwechimiro chisina kujairika, kana kuti zvisikwa zvisingawanzo muviri, uye pane ini ivo dzimwe nguva vanofungidzirwa zvisina kuongororwa ne chirwere chinonzi tardive dyskinesia.
Catatonic schizophrenia inowanzozivikanwa ne echolalia (kudzokorora zvinotaurwa nevamwe uye echopraxia (kuenzanisa kufamba kwemumwe munhu), iyo dzimwe nguva inogona kukonzera kusakanganiswa kwe Tourette's syndrome.
Kurapa
Catatonic schizophrenia inorarama upenyu hwose, husingaperi. Kunyange kana murwere asingaratidzi zviratidzo zvechirwere ichi, ivo vachiri schizophrenic uye vanoda chirwere chinoramba chiripo kudzivirira kudzoka kwezviratidzo.
Mishonga
Mishonga ndiyo nzira yakakurumbira yekurapa kwechichichiphrenia.
Benzodiazepines ndiyo imwe nzira inowanzoshandiswa pakurapa. Iyi mishonga inoita sezvinodzvinyirira pamusoro penheyo yenheyo, ndicho chikonzero iyo inowanzoshandiswa kurapa kushushikana. Nemhaka yokuti mishonga iyi inokurumidza-kuita, inogona kugadzirisa zviratidzo zve catatoni nokukurumidza. Zvisinei, vanogona kuva tsika-kugadzira, kunyanya kana pavanoshandiswa sechirwere chenguva refu.
Zvimwe zvinodhaka zvakadai sebarbiturates, antidipressants, uye antipsychotics dzimwe nguva zvinoshandiswa kurapa catatonic schizophrenia, asi haisi yepamhizha se benzodiazepines.
ECT
Electroconvulsive therapy (ECT) , kana kushungurudzwa, dzimwe nguva yakashandiswa kurapa catatonic schizophrenia. Iyi nzira inosanganisira kutumira ikozvino magetsi kuburikidza neuropi. Sezvo ECT ichikakavhiringidza uye inogona kuunza zvakakomba migumisiro yakadai sekuyeuka mupfungwa, inowanzoshandiswa mumamiriro ezvinhu akaoma apo varwere vasina kupindura mishonga, vakaora mwoyo, uye vari pangozi yekuzviuraya.
Psychotherapy
Kunyange zvazvo mishonga inowanzova nzira yokutanga yekurapa, inowanzobatanidzwa nehana yepfungwa . Psychotherapists vanobatsira varwere zviri nani kunzwisisa manzwiro avo, maitiro, uye mhinduro. Vanhu vari muchipatara vanodzidza hutano hwakasiyana-siyana uye vanowana nzira itsva dzekutarisana nezviitiko zvinotambudza muupenyu hwavo.
Nekurapa kwakakodzera, munhu anotambura ne catatonic schizophrenia anogona kuwana zororo kubva kune zviratidzo zvavo. Kurapwa kunogona kubatsirawo varwere kudzivisa zvakawanda zvezvinetso zvinokuvadza zvinosangana nedambudziko iri kusanganisira kushandisa zvinodhaka, nyaya dzemhuri, uye kuzviuraya.