Isifo seSchizoaffective

Isifo seSchizoaffective yisimo sengqondo esidala ukulahleka kokuxhumana neqiniso (psychosis) nezinkinga zemizwelo (ukudangala noma imania).

Imbangela ngqo yesifo se-schizoaffective ayaziwa. Izinguquko zofuzo namakhemikhali ebuchosheni (ama-neurotransmitters) angadlala indima.

Isifo seSchizoaffective kucatshangwa ukuthi asivamile kangako kune-schizophrenia nokuphazamiseka kwemizwelo. Abesifazane bangaba nalesi simo kaningi kunabesilisa. Isifo seSchizoaffective sithambekele ekungajwayelekile ezinganeni.

Izimpawu zesifo se-schizoaffective zihlukile kumuntu ngamunye. Imvamisa, abantu abanesifo se-schizoaffective bafuna ukwelashwa ngezinkinga zemizwa, ukusebenza kwansuku zonke, noma imicabango engajwayelekile.

Izinkinga zengqondo nezemizwa zingenzeka ngasikhathi sinye noma ngokwazo. Lesi sifo singafaka imijikelezo yezimpawu ezinzima ezilandelwa ukuthuthuka.

Izimpawu zesifo se-schizoaffective zingabandakanya:

• Izinguquko kokudla namandla
• Inkulumo engahlelekile engenangqondo
• Izinkolelo zamanga (ukukhohlisa), njengokucabanga ukuthi othile uzama ukukulimaza (i-paranoia) noma ukucabanga ukuthi imilayezo ekhethekile ifihliwe ezindaweni ezivamile (ukukhohlisa kwezethenjwa)
• Ukungakhathazeki ngenhlanzeko noma ukuzilungisa
• Imood enhle kakhulu, noma icindezelekile noma icasukile
• Izinkinga zokulala
• Izinkinga ngokugxila
• Ukudabuka noma ukuphelelwa yithemba
• Ukubona noma ukuzwa izinto ezingekho (ukusangana)
• Ukuzihlukanisa emphakathini
• Ukukhuluma ngokushesha okukhulu kangangokuba abanye abakwazi ukukuphazamisa

Azikho izivivinyo zokwelashwa zokuthola isifo se-schizoaffective. Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa kwezempilo yengqondo ukuthola mayelana nokuziphatha nezimpawu zomuntu. Kungabhekwa udokotela wezifo zengqondo ukuze aqinisekise ukutholakala kwesifo.

Ukuze kutholakale ukuthi unesifo se-schizoaffective, lo muntu unezimpawu zombili zokuphazamiseka kwengqondo nokuphazamiseka kwemizwelo. Ngaphezu kwalokho, umuntu kufanele abe nezimpawu ze-psychotic ngesikhathi semizwa ejwayelekile okungenani amasonto ama-2.

Ukuhlanganiswa kwezimpawu zengqondo nezemizwa ku-schizoaffective disorder kungabonakala kwezinye izifo, njengesifo se-bipolar. Ukuphazamiseka okukhulu kwemizwa kuyingxenye ebalulekile yesifo se-schizoaffective.

Ngaphambi kokuthola isifo se-schizoaffective, umhlinzeki uzokhipha imibandela yezokwelapha nezidakamizwa. Okunye ukuphazamiseka kwengqondo okubangela izimpawu zengqondo noma zemizwelo nakho kufanele kukhishwe. Isibonelo, izimpawu zokuphazamiseka kwengqondo noma imood zingenzeka kubantu:

• Sebenzisa i-cocaine, i-amphetamines, noma i-phencyclidine (i-PCP)
• Unenkinga yokuquleka
• Thatha imithi ye-steroid

Ukwelashwa kungahlukahluka. Ngokuvamile, umhlinzeki wakho uzokunika imithi yokuthuthukisa imizwa yakho nokwelashwa kwengqondo:

• Imithi elwa ne-antipsychotic isetshenziselwa ukwelapha izimpawu zengqondo.
• Imithi elwa nokudangala, noma izivikeli zemizwa, ingahle inikezwe ukuthuthukisa imizwa.

Ukwelashwa kokukhuluma kungasiza ekwakheni izinhlelo, ukuxazulula izinkinga, nokugcina ubudlelwano.Ukwelashwa kweqembu kungasiza ngokuzihlukanisa nomphakathi.

Ukusekelwa nokuqeqeshwa komsebenzi kungasiza kumakhono okusebenza, ubudlelwano, ukuphathwa kwemali, nezimo zokuphila.

Abantu abanesifo se-schizoaffective banethuba elikhulu lokubuyela ezingeni lomsebenzi wabo wangaphambilini kunabantu abanezinye izifo eziningi zengqondo. Kepha ukwelashwa kwesikhathi eside kuyadingeka, futhi imiphumela iyahluka kuye ngomuntu nomuntu.

Izinkinga zifana nalezo ze-schizophrenia kanye nokuphazamiseka okukhulu kwemizwelo. Lokhu kufaka phakathi:

• Ukusetshenziswa kwezidakamizwa
• Izinkinga kulandela ukwelashwa nokwelashwa
• Izinkinga ngenxa yokuziphatha komuntu (ngokwesibonelo, ukusebenzisa imali, ukusebenzisa kakhulu ucansi)
• Ukuziphatha kokuzibulala

Shayela umhlinzeki wakho uma wena noma othile omaziyo ehlangabezana nokulandelayo:

• Ukudangala ngemizwa yokuphelelwa yithemba noma yokungabi nalusizo
• Ukwehluleka ukunakekela izidingo zomuntu siqu eziyisisekelo
• Khulisa amandla nokubandakanyeka ekuziphatheni okuyingozi okungazelelwe nokungajwayelekile kuwe (ngokwesibonelo, ukuhamba izinsuku ungalalanga futhi ungezwa sidingo sokulala)
• Imicabango noma imibono eyinqaba noma engajwayelekile
• Izimpawu eziba zimbi kakhulu noma ezingathuthuki ngokwelashwa
• Imicabango yokuzibulala noma yokulimaza abanye

Ukuphazamiseka kwemizwelo - isifo se-schizoaffective; Isifo se-Psychosis - schizoaffective

• Isifo seSchizoaffective

I-American Psychiatric Association. I-Schizophrenia spectrum nezinye izifo zengqondo. Ku: American Psychiatric Association, ed. Incwajana Yokuhlola Nezibalo Yezinkinga Zengqondo. Umhlaka 5. I-Arlington, VA: Ukushicilelwa Kwe-Psychiatric yaseMelika; 2013: 87-122.

UFreudenreich O, uBrown HE, uHolt DJ. I-Psychosis ne-schizophrenia. Ku: Stern TA, Fava M, Wilens TE, Rosenbaum JF, ama-eds. IMassachusetts General Hospital Comprehensive Clinical Psychiatry. Okwesibili. IPhiladelphia, PA: Elsevier; 2016: isahluko 28.

ULyness JM. Ukuphazamiseka kwengqondo kwezokwelapha. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 369.