Paranoid schizophrenia: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Izizathu ezinokubangela
• Unyango lwenziwa njani

I-Schizophrenia sisifo sengqondo apho umntu aphulukane ngokupheleleyo nokunxibelelana nenyani yenyani, kwaye kuyinto eqhelekileyo kubo ukubona, ukuva okanye ukuziva iimvakalelo ezingekhoyo ngokwenyani.

I-paranoid schizophrenia lolona hlobo luqhelekileyo lweschizophrenia, apho ubuqhetseba bentshutshiso okanye ukubonakala kwabanye abantu kuxhaphakileyo, okuhlala kumenza umntu akrokre, abe ndlongondlongo kwaye abe nogonyamelo.

Esi sifo asinanyango, kodwa sinokulawulwa ngokuhambelana nogqirha wengqondo, ugqirha wezengqondo kunye nokusetyenziswa kwamayeza. Yazi ezinye iintlobo zeschizophrenia.

Iimpawu eziphambili

Abantu abane-paranoid schizophrenia banezi mpawu zilandelayo:

• Ukukholelwa ukuba bayatshutshiswa okanye bayangcatshwa;
• Ndiva ukuba unamandla amakhulu;
• Imibono, njengokuva amazwi okanye ukubona into engeyonyani;
• Ubundlongondlongo, ukuphazamiseka kunye notyekelo lokuba nogonyamelo.

Nangona ezi zezona mpawu zixhaphakileyo zale subtype ye-schizophrenia, ezinye iimpawu zinokwenzeka, nangona zingenzeki rhoqo, njengokuphazamiseka kwimemori, ukungabikho koxinzelelo okanye ukuhlala wedwa, umzekelo.

Indlela yokuqinisekisa ukuxilongwa

Ukuchonga i-schizophrenia, ugqirha wezifo zengqondo uvavanya, ngodliwanondlebe lweklinikhi, iimpawu kunye neempawu ezivezwe ngumntu, ukongeza kulwazi olunikezwe ngamalungu osapho okanye abanonopheli, umzekelo.

Ngamanye amaxesha, kunokucetyiswa ukuba kwenziwe iimvavanyo ezinje ngecomputer tomography okanye imaging resonance imaging, umzekelo, ukukhuphela ngaphandle ezinye izifo ezinokubangela iimpawu ezifanayo, ezinje ngengqondo ithumba okanye isifo sengqondo esixhalabisayo, umzekelo, kuba okwangoku akukho labhoratri iimvavanyo ezivumela ukufumanisa isifo.

Izizathu ezinokubangela

Ayaziwa ngokuqinisekileyo ukuba yintoni ebangela i-schizophrenia, kodwa kucingelwa ukuba esi sisifo esichaphazeleka kwimfuza, esongeze kwizinto zokusingqongileyo, ezinje ngezifo zentsholongwane ngexesha lokukhulelwa, zinokuchaphazela ukukhula kwengqondo kwaye zikhokelele kwinkangeleko yale ukuphazamiseka. Ukongeza, ukubonakala kwe-schizophrenia kunokunxulumana notshintsho kumanqanaba ee-neurotransmitters.

Kukwakho nomngcipheko okhulayo wokuba nesifo schizophrenia kubantu abahlupheke ngokwasemphefumlweni, ukuxhatshazwa ngokwesondo okanye uhlobo oluthile lokuxhatshazwa emzimbeni.

Unyango lwenziwa njani

IParanoid schizophrenia ayinakunyangeka, kodwa kufuneka kwenziwe unyango oluqhubekayo ukukhusela ukuqaqanjelwa kwesi sifo.

Ngokubanzi, umntu ukhatshwa ngugqirha wezifo zengqondo, kwaye unokudityaniswa neqela elibandakanya isayikholojisti, unontlalontle kunye nomongikazi abaziingcali kwi-schizophrenia, abanokunceda ukuphucula umgangatho wobomi bomntu ngonyango lwengqondo, ukubeka iliso mihla le imisebenzi kunye nokubonelela ngenkxaso kunye nolwazi malunga nesi sifo kwiintsapho.

Amachiza aqhele ukumiselwa ngugqirha zii-antipsychotic, ezinceda ukulawula iimpawu zesi sifo. Ezo zihlala zimiselwe ngugqirha sisizukulwane sesibini se-antipsychotic, kuba baneziphumo ebezingalindelekanga ezimbalwa, ezinje nge-aripiprazole (Abilify), olanzapine (Zyprexa), paliperidone (Invega), quetiapine (Seroquel) okanye risperidone (Risperdal), umzekelo.

Kwimeko apho kungekho mpendulo kunyango oluboniswe ngugqirha, ugqirha wezifo zengqondo angabonisa ukusebenza kwonyango lwe-electroconvulsive, ekwabizwa ngokuba yi-ECT. Kubalulekile ukwazisa amalungu osapho okanye abanonopheli ngesi sifo, kuba imfundo yengqondo inokunceda ukunciphisa ukubuyela umva kunye nokuphucula ubomi bomntu.