Catatonia inyika umo munhu anowana kuvhiringidzwa kwakakosha mumagetsi. Kunyange zvazvo kazhinji inofungidzirwa sechibvumirano chakagadziriswa uye basa, rinogona kuratidzawo sezvipupuriro zvakawandisa kana zvinoshamisa zvemotokari.
Chii chinonzi Catatonic Kuora mwoyo?
Catatonia inogona kuva chikamu cheimwe chirwere chepfungwa kana chirwere chezvoutano kana chinogona kuwira muboka re "zvisingazivikanwi." Izvo zvisingazivikanwi catatonia inosanganisira zvose zviitiko umo hakuna chirwere chepfungwa chinokanganisa, chinokanganisa kana chirwere chinogona kuonekwa.
Kuora mwoyo kweCataton kunongowanikwa apo catatonia inowanikwa panguva imwe chete nekuora mwoyo.
Inonyanya Kuita Sei Catatonic Kuora Mwoyo?
Catatonia pachayo haisi isiri. Kunyange zvazvo mishumo yakasiyana, inenge 10 muzana yevarwere vechirwere chepfungwa mumadokero kwenyika vakamboudzwa kuratidzira izvi. Asi hazvishamisi kune varwere vane dambudziko guru rekuora mwoyo . Kana zvikaitika nekuora mwoyo, kazhinji zviri mumamiriro ekutenda bipolar disorder . Ruzhinji rwevarwere vose vepfungwa vane catatonia vane bipolar disorder inotevera schizophrenia.
Chii Chinokonzera Catatonia?
Kunyange zvazvo zvisingazivikanwi izvo zvinokonzera catatonia, nhamba dzakawanda dzedzidziso dzave dzakaiswa, kusanganisira zvinotevera:
- Kushayikwa mu gamma-aminobutyric acid (GABA)
- Dysregulation in glutamate
- Dysregulation in dopamine
- Kuipa kwemasabetism mu thalamus uye frontal lobes
Zvichida nyanzvi inofadza zvikuru, zvisinei, ndeyeyo inoratidza kuti catatonia inogona kunge yakakonzerwa nekunyanyisa kwekutya kwekutya.
Zvinogoneka, ava masayendisiti anoratidza, kuti madzitateguru edu, avo vaifanira kugara vachitarisana nezvikara, vakashandura kukwanisa kuramba vakanyanya kwenguva refu kuitira kuti vasadzivirire nemhuka dzine ngozi. Catatonia, vanoti, inogona kunge iri nzira yekuzvidzivirira yekare yakakonzerwa kuita chiito nekutya kwakasimba kwekutya.
Ndezvipi Zviratidzo zveKatatonia?
Catatonia chirwere chinosanganisira zviratidzo zvakawanda nezviratidzo, zvimwe zvayo zvakanyanyisa. Inotevera rondedzero rinotsanangura zvimwe zvezviratidzo zvinogona kuitika:
- Stupor - Zvichida chiratidzo chakakurumbira chinonyanya. Stupor inoratidzirwa nekushaikwa kwekufamba uye kutaura.
- Kunyora - Vanhu vane catatonia vanokwanisa kuramba vari mumamiriro akafanana kwenguva yakareba.
- Waxy flexibility - Chiremba uyo ari kuongorora murwere wek catatonic anokwanisa kuisa murwere mune izvo zvingawanzove zvisina kunetseka zvinoita izvo murwere acharamba achichengetedza kwenguva yakareba.
- Negativism - Kana mumwe munhu achiongorora murwere achiedza kuendesa imwe yemitezo yomuviri, anorasikirwa nekudzivisa akaenzana nehuwandu hwemasimba ari kushandiswa.
- Kuteerera kwakakwana - Murwere anoteerera zvose mirairo inopiwa nemuongorori.
- Chibvumirano - Murwere anoshandura pakati pekushanda pamwe nemirairo yemuongorori nekudzivisa.
- Psychological pillow - Murwere anorara pasi nemusoro wake masendimita mashoma pamusoro pemubhedha, zvinenge sokuti kune mhiri isingaoneki ichizorora pasi pomusoro wake . Iyi nzvimbo inogona kuchengetwa kwenguva yakareba.
- Kumanikidzwa kubata - Murwere anoramba achidzosa ruoko rwemuongorori kana achikumbira.
- Kuvhiringidzika - Varwere vanomira kamwe kamwe pakati peboka pasina chero chikonzero chaicho chekuita saizvozvo.
- Echopraxia - Murwere anofanidza zviito zvomunhu anotaura naye.
- Kuvhiringidzika - Murwere anotendeuka paanenge ataurwa.
- Maitiro - Murwere anoita zvinowanzoitika, zvinokonzera kufamba (semukwazisa).
- Nzira dzezvematongerwo enyika - Murwere anoita zvakadzokorora, zvisingave zvinokonzera kufamba (sekutengesa).
- Motokari kutsungirira - Murwere anoenderera mberi kuita sangano rimwechete kunyange mushure mekunge rarasikirwa nehutano hwepakutanga.
- Mufaro - Murwere anoshanda mune zvakanyanya uye zvisina chazvinobatsira basa risingafambidzwi nekunze kwechikonzero.
- Kutaura kusinganzwisisiki - Hurukuro yemurwere inogona kuratidza zvimwe kusakanganiswa, zvakadai sekudzokorora kwezvimwe zvinotaurwa nevamwe kana kutaura zvisingatauriki.
Ko Catatonia Inotorwa Sei?
Benzodiazepines uye electroconvulsive therapy (ECT) ndiyo mishonga miviri mikuru ye catatonia, kunyange zvazvo dzimwe mishonga, dzakadai semamwe anypical antipsychotics, inogona kushandiswa zvakare.
- Benzodiazepines - Benzodiazepines ndiyo sarudzo yekutanga yekurapa catatonia. Vanoshanda kuburikidza nekuwedzera migumisiro yeGrace neurotransmitter. Mhando iyi yemishonga inokwanisawo kukurumidzira kupa ruzivo rwezviratidzo zvakadai sokuzvidya mwoyo, kusarara, kushungurudzika uye kusvibiswa kwemisimba. Inenge 70 muzana yevanhu vane catatonia vanoita zvakanaka ne benzodiazepine inonzi lorazepam.
- Electroconvulsive therapy - ECT ndiyo mushonga unonyanya kushandiswa kune catatonia. Inoshanda kune vanenge 85 muzana yevarwere. Benzodiazpines inowanzoedzwa kutanga. Zvirwere zviviri izvi zvinogona kusanganiswa.
Kuziva nokukurumidza uye kurapwa pakutanga kwekutora catatonic kunokosha pamigumisiro yakanaka.
Sources:
Bhati, Mahendra T., Catherine J. Datto naJohn P. O'Reardon. "Zviratidzo zveKliniki, Kuongororwa, uye Empirical Treatments for Catatonia." Psychiatry . 4.3 (2007): 46-52
Brasic, James Robert. "Catatonia: Practice Essentialals." Medscape. Selim R. Benbadis, Chief Ed. Yakavandudzwa: August 21, 2013. WebMD, LLC.
Dhossche, Dirk M. "Nhengo itsva DSM-5 'isingazivikanwi catatonia' inokurudzira vana vekutakura catatonia: kudzokorora uye nyaya dzenyaya." Neuropsychiatry . 3.4 (2013): 401-410.
Sienaert, Pascal, Dirk M Dhossche naGabor Gazdag. "Adult catatonia: etiopathogenesis, kuongororwa uye kurapwa." Neuropsychiatry. 3.4 (2013): 391-399.
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