Ukulahlekiswa kweCotard kunye nokuhamba kwesidumbu

Umxholo

• Ziintoni iimpawu?
• Ngubani oyifumanayo?
• Kufunyaniswa njani?
• Inyangwa njani?
• Ngaba kunokubangela iingxaki?
• Ukuhlala nenkohliso yeCotard

Yintoni inkohliso yeCotard?

Ukulahlekiswa kweCotard yimeko enqabileyo ephawulwe yinkolelo engeyonyani yokuba wena okanye amalungu omzimba wakho ufile, uyafa, okanye awukho. Ihlala ivela ngoxinzelelo olukhulu kunye nokuphazamiseka kwengqondo. Inokuhamba nezinye izifo zengqondo kunye neemeko zemithambo-luvo. Usenokuyiva ibizwa ngokuba kukuhamba kwesidumbu, isifo sikaCotard, okanye inkohliso.

Ziintoni iimpawu?

Olunye lweempawu eziphambili zokulahlekiswa kweCotard yi-nihilism. I-Nihilism yinkolelo yokuba akukho nto inexabiso okanye intsingiselo. Ingabandakanya inkolelo yokuba akukho nto ikhoyo ngokwenene. Abantu abanobuqhetseba beCotard baziva ngathi bafile okanye bayabola. Ngamanye amaxesha, banokuziva ngathi khange babekho.

Ngelixa abanye abantu beziva ngale ndlela ngomzimba wabo uphela, abanye baziva kuphela ngokubhekisele kumalungu athile, imilenze, okanye kwanomphefumlo wabo.

Uxinzelelo lukwanxulumene ngokusondeleyo nenkohliso yeCotard. Uphengululo luka-2011 lophando esele lukhona malunga nenkohliso yeCotard ithi ama-89% amatyala abhaliweyo abandakanya uxinzelelo njengempawu.

Ezinye iimpawu zibandakanya:

• ixhala
• nemibono
• hypochondria
• ubutyala
• ukuzixakekisa ngokuzilimaza okanye ukufa

Ngubani oyifumanayo?

Abaphandi abaqinisekanga ukuba yintoni ebangela inkohliso yeCotard, kodwa zimbalwa izinto ezinokubangela umngcipheko. Izifundo ezininzi zibonisa ukuba umndilili weminyaka yabantu abaneCotard delusion imalunga nama-50. Inokwenzeka nakubantwana nakwishumi elivisayo. Abantu abangaphantsi kweminyaka engama-25 ngokulahlekiswa yiCotard badla ngokuba noxinzelelo lwe-bipolar. Abasetyhini bakwabonakala ngathi banethuba lokuphuhlisa ukukhohlisa kweCotard.

Ukongeza, inkohliso yeCotard ibonakala ixhaphaka kakhulu kubantu abacinga ngeempawu zabo, endaweni yemeko-bume yabo, ezibangela indlela abaziphethe ngayo. Abantu abakholelwa ukuba imeko-bume yabo ibangela indlela abaziphethe ngayo kunokwenzeka ukuba babe nemeko ehambelana nayo ebizwa ngokuba yiCapgras syndrome. Esi sifo sibangela ukuba abantu bacinge ukuba usapho kunye nabahlobo bathathelwe indawo ngabakhohlisi. Ukulahlekiswa kweCotard kunye neCapgras syndrome zinokuvela kunye.

Ezinye iimeko zempilo yengqondo ezinokunyusa umngcipheko womntu wokuphuhlisa ukukhohlisa kweCotard zibandakanya:

• ukuxhuzula
• Ukudakumba emva kokubeleka
• ikatatonia
• Ukuphazamiseka kubuntu
• Dissociative ukuphazamiseka
• uxinzelelo lwengqondo
• schizophrenia

Ukulahlekiswa kweCotard kukwabonakala ngathi kunxulunyaniswa neemeko ezithile ze-neurological, kubandakanya:

• usulelo lobuchopho
• amathumba engqondo
• Isifo sengqondo esiyingozi
• ukuxhuzula
• migraines
• isifo sokugubhuka
• Isifo sikaParkinson
• ukubetha
• ukwenzakala kwengqondo ebuhlungu

Kufunyaniswa njani?

Ukuchonga inkohliso yeCotard kuhlala kunzima kuba imibutho emininzi ayisiqondi njengesi sifo. Oku kuthetha ukuba akukho luhlu lusemgangathweni lweekhrayitheriya ezisetyenziselwa ukwenza isifo. Kwiimeko ezininzi, kufunyaniswa kuphela emva kokuba ezinye iimeko ezinokubakho zikhutshelwe ngaphandle.

Ukuba ucinga unokuba nenkohliso yeCotard, zama ukugcina ingxelo yeempawu zakho, uqaphele ukuba zenzeka nini kwaye zihlala ixesha elingakanani. Olu lwazi lunokunceda ugqirha wakho anciphise oonobangela abanokubakho, kubandakanya nenkohliso yeCotard. Gcina ukhumbula ukuba ukukhohliswa kweCotard kuhlala kwenzeka kunye nezinye izifo zengqondo, ke unokufumana isifo esingaphaya kwesinye.

Inyangwa njani?

Ukulahlekiswa kweCotard kuhlala kwenzeka kunye nezinye iimeko, ke ukhetho lonyango lunokwahluka kakhulu. Nangona kunjalo, uphononongo luka-2009 lwafumanisa ukuba unyango lwe-electroconvulsive (ECT) lolona nyango lusetyenziswa kakhulu. Kwakhona unyango oluqhelekileyo lokudakumba okukhulu. I-ECT ibandakanya ukugqithisa amaza ombane amancinci ngengqondo yakho ukwenza ukubamba okuncinci ngelixa uphantsi kweanesthesia ngokubanzi.

Nangona kunjalo, i-ECT inemingcipheko ethile, kubandakanya ukulahleka kwememori, ukudideka, isicaphucaphu, kunye neentlungu zemisipha. Esi sizathu sokuba kutheni ihlala iqwalaselwa kuphela emva kokuzama ezinye iindlela zonyango, kubandakanya:

• iziyobisi
• Unyango lwengqondo
• ezizinzisayo
• Unyango ngengqondo
• unyango lokuziphatha

Ngaba kunokubangela iingxaki?

Ukuziva ngathi sele uswelekile kungakhokelela kwiingxaki ezininzi. Umzekelo, abanye abantu bayayeka ukuhlamba okanye ukuzikhathalela, ezinokubangela ukuba abo babangqongileyo baqale ukuzihlukanisa. Oku kunokukhokelela kwiimvakalelo ezongezelelweyo zokudakumba kunye nokuba wedwa. Ngamanye amaxesha, inokukhokelela kwingxaki yolusu namazinyo.

Abanye bayayeka ukutya nokusela kuba bekholelwa ukuba umzimba wabo awuyidingi. Kwiimeko ezinzima, oku kungakhokelela kukungondleki kunye nendlala.

Iinzame zokuzibulala ziqhelekile nakubantu abanenkohliso yeCotard. Abanye bakubona njengendlela yokubonisa ukuba sele befile ngokubonisa ukuba abanakufa kwakhona. Abanye baziva bevalelekile emzimbeni kwaye ubomi abubonakali buyinyani. Banethemba lokuba ubomi babo buza kubangcono okanye buyeke ukuba bayafa kwakhona.

Ukuhlala nenkohliso yeCotard

Ukulahlekiswa kweCotard yinto enqabileyo kodwa enzulu yokugula kwengqondo. Ngelixa kunokuba nzima ukufumana isifo esifanelekileyo kunye nonyango, ihlala iphendula kakuhle kumxube wonyango kunye namayeza. Abantu abaninzi kufuneka bazame amayeza aliqela, okanye indibaniselwano yawo, ngaphambi kokuba bafumane into esebenzayo. Ukuba akukho nto ibonakala isebenza, i-ECT ihlala inyango olusebenzayo. Ukuba ucinga ukuba unenkohliso yeCotard, zama ukufumana ugqirha obonakala evulekile ukumamela iimpawu zakho kwaye esebenza nawe ukuxilonga okanye ukulungisa naziphi na ezinye iimeko onokuba nazo.