Ukudideka KweCotard kanye ne-Walking Corpse Syndrome

-Delile

• Ziyini izimpawu?
• Ubani otholayo?
• Kutholakala kanjani?
• Ilashwa kanjani?
• Kungadala izinkinga?
• Ukuphila nenkohliso yeCotard

Kuyini ukukhohlisa kweCotard?

Ukukhohliswa kwe-Cotard yisimo esingajwayelekile esimakwe yinkolelo yamanga yokuthi wena noma izitho zomzimba wakho zifile, ziyafa, noma azikho. Imvamisa kwenzeka ngokudangala okukhulu kanye nokuphazamiseka okuthile kwengqondo. Ingahambisana nezinye izifo zengqondo nezimo zezinzwa. Ungase futhi uyizwe ibizwa ngokuthi yi-walking isidumbu syndrome, i-Cotard's syndrome, noma i-nihilistic delusion.

Ziyini izimpawu?

Esinye sezimpawu eziyinhloko zokukhohliswa kweCotard yi-nihilism. I-Nihilism yinkolelo yokuthi akukho lutho olunenani noma incazelo. Kungafaka futhi inkolelo yokuthi akukho lutho olukhona ngempela. Abantu abanokukhohliswa kweCotard bazizwa sengathi bafile noma bayabola. Kwezinye izimo, bangazizwa sengathi abakaze babe khona.

Ngenkathi abanye abantu bezizwa ngale ndlela ngawo wonke umzimba wabo, abanye bazizwa kuphela maqondana nezitho ezithile, izitho noma umphefumulo wabo.

Ukudangala kuhlobene kakhulu nokukhohliswa kweCotard. Ukubuyekezwa kocwaningo olukhona olumayelana nokukhohliswa kweCotard ngo-2011 kuthi ama-89% wamacala abhaliwe afaka ukucindezeleka njengophawu.

Ezinye izimpawu zifaka:

• ukukhathazeka
• ukusangana
• hypochondria
• icala
• ukukhathazeka ngokuzilimaza noma ukufa

Ubani otholayo?

Abaphenyi abaqiniseki ukuthi yini ebangela ukukhohliswa kweCotard, kodwa kunezici ezimbalwa ezingaba yingozi. Ucwaningo oluningi lukhombisa ukuthi isilinganiso seminyaka yabantu abane-Cotard delusion cishe singama-50. Kungenzeka futhi ezinganeni nasebusheni. Abantu abangaphansi kweminyaka engama-25 abanokukhohliswa kweCotard bavame ukuba nokudangala kwe-bipolar. Abesifazane nabo babonakala benamathuba amaningi okuthuthukisa inkohliso yeCotard.

Ngaphezu kwalokho, ukukhohliswa kweCotard kubonakala kwenzeka kaningi kubantu abacabanga ukuthi izici zabo zomuntu siqu, hhayi imvelo yabo, zibangela ukuziphatha kwabo. Abantu abakholelwa ukuthi imvelo yabo ibanga indlela abaziphethe ngayo kungenzeka babe nesimo esifana nalesi esibizwa ngeCapgras syndrome. Lesi sifo senza abantu bacabange ukuthi umndeni wabo nabangane bathathelwe indawo ngabakhohlisi. Ukudukiswa kweCotard ne-Capgras syndrome nakho kungavela ndawonye.

Ezinye izimo zempilo yengqondo ezingakhuphula ubungozi bothile bokuthuthukisa inkohliso yeCotard zifaka:

• ukuphazamiseka kwengqondo okuguquguqukayo
• ukucindezeleka kwangemva kokubeletha
• i-catatonia
• ukuphazamiseka komuntu
• isifo sokuhlukaniswa
• ukucindezeleka kwengqondo
• schizophrenia

Ukukhohliswa kweCotard futhi kubonakala kuhlotshaniswa nezimo ezithile zezinzwa, kufaka phakathi:

• izifo zobuchopho
• izicubu zobuchopho
• ukuwohloka komqondo
• isithuthwane
• migraines
• i-multiple sclerosis
• Isifo sikaParkinson
• unhlangothi
• ukulimala okubuhlungu ebuchosheni

Kutholakala kanjani?

Ukuthola ukukhohlisa kweCotard kuvame ukuba nzima ngoba izinhlangano eziningi azikuboni njengesifo. Lokhu kusho ukuthi alukho uhlu oluhleliwe lwemibandela esetshenziselwe ukwenza ukuxilongwa. Ezimweni eziningi, kutholakala kuphela ngemuva kokuthi ezinye izimo ezingakhishelwa ngaphandle.

Uma ucabanga ukuthi ungahle ube nenkohliso yeCotard, zama ukugcina incwadi yezimpawu zakho, uqaphele ukuthi zenzeka nini nokuthi zihlala isikhathi esingakanani. Lolu lwazi lungasiza udokotela wakho anciphise izimbangela, kufaka phakathi ukukhohliswa kweCotard. Khumbula ukuthi ukuduka kweCotard kuvame ukuhambisana nezinye izifo zengqondo, ngakho-ke ungathola ukuxilongwa okungaphezu kokukodwa.

Ilashwa kanjani?

Ukukhohliswa kweCotard kuvame ukuvela nezinye izimo, ngakho-ke izinketho zokwelashwa zingahluka kakhulu. Kodwa-ke, ukubuyekezwa kuka-2009 kwathola ukuthi i-electroconvulsive therapy (ECT) iyindlela yokwelashwa esetshenziswa kakhulu. Futhi ukwelashwa okuvamile kokudangala okukhulu. I-ECT ifaka ukudlulisa imisinga yamandla kagesi emincane ebuchosheni bakho ukudala ukuqubuka okuncane ngenkathi ungaphansi kwe-anesthesia ejwayelekile.

Kodwa-ke, i-ECT inezingozi ezithile ezingaba khona, kufaka phakathi ukulahleka kwememori, ukudideka, isicanucanu, nobuhlungu bemisipha. Lokhu yingxenye yokuthi kungani kuvame ukucatshangelwa ngemuva kokuzama ezinye izindlela zokwelashwa, kufaka phakathi:

• imishanguzo
• ama-antipsychotic
• okusimamisa imizwa
• ukwelashwa kwengqondo
• ukwelashwa kokuziphatha

Kungadala izinkinga?

Ukuzizwa sengathi usuvele ushonile kungaholela ezinkingeni eziningana. Isibonelo, abanye abantu bayayeka ukugeza noma ukuzinakekela, okungadala ukuthi labo abasondelene nabo baqale ukuziqhelelanisa. Lokhu kungaholela emizweni eyengeziwe yokudangala nokuzihlukanisa. Kwezinye izimo, kungaholela ezinkingeni zesikhumba namazinyo.

Abanye bayeka ukudla nokuphuza ngoba bakholelwa ukuthi umzimba wabo awudingi. Ezimweni ezimbi kakhulu, lokhu kungaholela ekungondlekeni nasendlaleni.

Imizamo yokuzibulala nayo ivamile kubantu abanenkohliso yeCotard. Abanye bakubona kuyindlela yokufakazela ukuthi sebefile ngokukhombisa ukuthi ngeke baphinde bafe. Abanye bazizwa bevaleleke emzimbeni nasempilweni engabonakali njengeyangempela. Banethemba lokuthi impilo yabo izobangcono noma iyeke uma befa futhi.

Ukuphila nenkohliso yeCotard

Ukukhohliswa kweCotard ukugula okungavamile kodwa okubucayi kwengqondo. Yize kungaba nzima ukuthola ukuxilongwa nokwelashwa okulungile, imvamisa iphendula kahle ekuxubeni kokwelapha nemithi. Abantu abaningi badinga ukuzama imithi eminingi, noma inhlanganisela yayo, ngaphambi kokuba bathole okuthile okusebenzayo. Uma kungekho okubonakala kusebenza, i-ECT ivame ukwelashwa okusebenzayo. Uma ucabanga ukuthi unenkohliso yeCotard, zama ukuthola udokotela obonakala evulekile ukulalela izimpawu zakho futhi asebenze nawe ukuxilonga noma ukubhekana nanoma yiziphi ezinye izimo ongaba nazo.