Ingxaki yeSchizoaffective

Isifo seSchizoaffective yimeko yengqondo ebangela ukuphulukana nokunxibelelana nenyani (isifo sengqondo) kunye neengxaki zemood (uxinzelelo okanye imania).

Oyena nobangela wesifo se-schizoaffective akwaziwa. Utshintsho kwimfuza nakwiikhemikhali kwingqondo (ii-neurotransmitters) zinokudlala indima.

Ingxaki yeSchizoaffective kucingelwa ukuba ayixhaphakanga kangako kune-schizophrenia kunye nokuphazamiseka kwemood. Abasetyhini banokuba nale meko rhoqo kunamadoda. Ingxaki yeSchizoaffective ihlala inqabile ebantwaneni.

Iimpawu zokuphazamiseka kwengqondo kwi-schizoaffective zahlukile kumntu ngamnye. Rhoqo, abantu abane-schizoaffective disorder bafuna unyango kwiingxaki zemood, ukusebenza kwemihla ngemihla, okanye iingcinga ezingaqhelekanga.

Iingxaki zengqondo kunye neemeko zinokwenzeka ngaxeshanye okanye ngokwazo. Ukuphazamiseka kunokubandakanya imijikelezo yeempawu ezinzima ezilandelwa luphuculo.

Iimpawu zesifo sokuchaphazeleka kunokubandakanya:

• Utshintsho kwisondlo kunye namandla
• Intetho engalungelelananga engekho sengqiqweni
• Iinkolelo zobuxoki (ukukhohlisa), njengokucinga ukuba umntu othile uzama ukukulimaza (paranoia) okanye ukucinga ukuba imiyalezo ekhethekileyo ifihliwe kwiindawo eziqhelekileyo (ukukhohlisa kwesalathiso)
• Ukungabikho kokukhathalela ucoceko okanye ukuzilungisa
• Imood nokuba intle kakhulu, okanye idandathekile okanye iyacaphuka
• Iingxaki zokulala
• Iingxaki ngoxinzelelo
• Usizi okanye ukungabi nathemba
• Ukubona okanye ukuva izinto ezingekhoyo (i-hallucinations)
• Ukubekwa wedwa koluntu
• Ukuthetha ngokukhawuleza kangangokuba abanye abanakukuphazamisa

Akukho luvavanyo lonyango lokufumanisa isifo se-schizoaffective. Umboneleli wezempilo uya kwenza uvavanyo lwempilo yengqondo ukufumanisa malunga nokuziphatha kunye neempawu zomntu. Ugqirha wezifo zengqondo usenokudibana ukuze aqinisekise isifo.

Ukuchongwa ukuba une-schizoaffective disorder, umntu uneempawu zesifo sengqondo kunye nokuphazamiseka kwemood. Ukongeza, umntu kufuneka abe neempawu zengqondo ngexesha lesimo esiqhelekileyo ubuncinci iiveki ezi-2.

Ukudityaniswa kweempawu zengqondo kunye neemvakalelo kwisifo se-schizoaffective kungabonakala kwezinye izifo, ezinje ngengxaki yokuphazamiseka kwengqondo. Ukuphazamiseka okukhulu kwiimvakalelo yinxalenye ebalulekileyo yesifo se-schizoaffective.

Phambi kokufumanisa isifo se-schizoaffective, umboneleli uya kuyilawula imeko yezonyango kunye neziyobisi. Ezinye iingxaki zengqondo ezibangela iimpawu zengqondo okanye zemood kufuneka zikhutshwe ngaphandle. Umzekelo, iimpawu zengqondo kunye nokuphazamiseka kwengqondo zinokwenzeka kubantu:

• Sebenzisa icocaine, amphetamines, okanye phencyclidine (PCP)
• Unengxaki yokuthimba
• Thatha amayeza e-steroid

Unyango luyahluka. Ngokubanzi, umboneleli wakho uya kukuyalela amayeza okuphucula imeko yakho nokunyanga isifo sengqondo:

• Amayeza antipsychotic asetyenziselwa ukunyanga iimpawu zengqondo.
• Amayeza okulwa noxinzelelo, okanye iimood stabilizers, zinokumiselwa ukuphucula imeko.

Ukuthetha ngonyango kunganceda ekwenzeni izicwangciso, ukusombulula iingxaki, kunye nokugcina ubudlelwane.Unyango lweqela lunokunceda ekuzihlukaniseni nabantu.

Inkxaso kunye noqeqesho lomsebenzi lunokuba luncedo kwizakhono zomsebenzi, ubudlelwane, ulawulo lwemali, kunye neemeko zokuhlala.

Abantu abanesifo se-schizoaffective banethuba elikhulu lokubuyela kwinqanaba lomsebenzi wabo kunangaphambili kunabantu abanezinye iingxaki zengqondo. Kodwa unyango lwexesha elide luyimfuneko rhoqo, kwaye iziphumo ziyahluka ukusuka komnye umntu ukuya komnye.

Iingxaki ziyafana nezo zengqondo kunye nokuphazamiseka kwemood. Oku kubandakanya:

• Ukusetyenziswa kweziyobisi
• Iingxaki kulandela unyango kunye nonyango
• Iingxaki ngenxa yokuziphatha komntu (umzekelo, ukuchitha imali, indlela yokuziphatha ngokwesondo)
• Indlela yokuziphatha yokuzibulala

Fowunela umboneleli wakho ukuba wena okanye umntu omaziyo ufumana oku kulandelayo:

• Uxinzelelo ngeemvakalelo zokuphelelwa lithemba okanye ukungancedi
• Ukungakwazi ukunyamekela iimfuno ezisisiseko zobuqu
• Ukonyusa amandla kunye nokuzibandakanya kwindlela yokuziphatha eyingozi ngesiquphe kwaye ayiqhelekanga kuwe (umzekelo, ukuhamba iintsuku ungalalanga kwaye ungaziva isidingo sokulala)
• Iingcinga ezingaqhelekanga okanye ezingaqhelekanga okanye umbono
• Iimpawu ziba mandundu okanye zingaphucuki kunyango
• Iingcinga zokuzibulala okanye zokonzakalisa abanye

Ukuphazamiseka kwimood-isifo se-schizoaffective; Isifo sengqondo esichaphazela isifo sengqondo

• Ingxaki yeSchizoaffective

Umbutho wezengqondo zaseMelika. Ischizophrenia spectrum kunye nokunye ukuphazamiseka kwengqondo. Ku: Umbutho wezengqondo zaseMelika, u-ed. Unyango woNyango kunye neNgcaciso yeNcwadi yokuPhazamiseka kwengqondo. Umhla we-5. IArlington, VA: Ukupapashwa kwengqondo yaseMelika; Ngo-2013: 87-122.

UFreudenreich O, uBrown HE, uHolt DJ. I-Psychosis kunye ne-schizophrenia. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ii-eds. Isibhedlele saseMassachusetts Jikelele esiBanzi seNyango yoNyango. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2016: isahluko 28.

U-Lyness JM. Ukuphazamiseka kwengqondo kunyango. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 369.