Paranoid schizophrenia: kuyini, izimpawu kanye nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Izimbangela ezingaba khona
• Yelashwa kanjani

ISchizophrenia yisifo sengqondo lapho umuntu elahlekelwa ngokuphelele noma ingxenye yokuxhumana neqiniso lempokophelo, futhi kujwayelekile kubo ukubona, ukuzwa noma ukuzwa imizwa engekho ngokoqobo.

I-Paranoid schizophrenia iyinhlayiya ejwayelekile kakhulu ye-schizophrenia, lapho ukukhohliswa kokushushiswa noma ukubonakala kwabanye abantu kudlangile, okuvame ukwenza umuntu asole, abe nolaka futhi abe nodlame.

Lesi sifo asinakho ukwelashwa, kodwa singalawulwa ngokuhambisana nodokotela wezifo zengqondo, isazi sokusebenza kwengqondo nokusetshenziswa kwemithi. Yazi ezinye izinhlobo ze-schizophrenia.

Izimpawu eziyinhloko

Abantu abane-paranoid schizophrenia banezimpawu eziyinhloko ezilandelayo:

• Ukukholelwa ukuthi bayashushiswa noma bayakhashelwa;
• Ukuzwa ukuthi unamandla amakhulu;
• Ukusangana, njengokuzwa amaphimbo noma ukubona into engelona iqiniso;
• Ulaka, ukuyaluza kanye nokuthambekela ekubeni nodlame.

Yize lezi kuyizimpawu ezivame kakhulu zale subtype ye-schizophrenia, ezinye izimpawu zingavela, yize zingajwayelekile, njengokuphazamiseka kwememori, ukungabi bikho kokuhlushwa noma ukuhlukaniswa komphakathi, ngokwesibonelo.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuthola i-schizophrenia, udokotela wezifo zengqondo uhlola, ngokusebenzisa ingxoxo yomtholampilo, izimpawu nezimpawu ezilethwa ngumuntu, ngaphezu kolwazi olunikezwa amalungu omndeni noma abanakekeli, isibonelo.

Kwezinye izimo, kunganconywa futhi ukuthi kwenziwe izivivinyo ezifana ne-computed tomography noma i-magnetic resonance imaging, ngokwesibonelo, ukukhipha ezinye izifo ezingadala izimpawu ezifanayo, njenge-tumor ebuchosheni noma ukuwohloka komqondo, ngokwesibonelo, ngoba okwamanje azikho i-laboratory izivivinyo ezivumela ukuxilonga lesi sifo.

Izimbangela ezingaba khona

Akwaziwa ngokuqinisekile ukuthi yini ebangela i-schizophrenia, kepha kucatshangwa ukuthi lesi yisifo esithonywe ufuzo, esengeze ezintweni zemvelo, njengokutheleleka ngegciwane ngesikhathi sokukhulelwa, kungathonya ukukhula kwengqondo futhi kuholele ekuveleni kwalokhu ukuphazamiseka. Ngaphezu kwalokho, ukubonakala kwe-schizophrenia kungahle kuhlobane noshintsho emazingeni ama-neurotransmitters.

Kukhona nengozi eyengeziwe yokuthola i-schizophrenia kubantu abaye bahlukunyezwa ngokwengqondo, ukuhlukunyezwa ngokocansi noma uhlobo oluthile lokuhlukunyezwa ngokomzimba.

Yelashwa kanjani

I-paranoid schizophrenia ayelapheki, kepha ukwelashwa okuqhubekayo kufanele kwenziwe ukuvimbela ukukhula kwesifo.

Ngokuvamile, umuntu uhambisana nodokotela wezifo zengqondo, futhi angahlanganiswa nethimba eliqukethe isazi sokusebenza kwengqondo, usonhlalonhle kanye nomhlengikazi abangochwepheshe be-schizophrenia, abangasiza ekwenzeni ngcono impilo yomuntu ngokusebenzisa ukwelashwa kwengqondo, ukuqapha nsuku zonke imisebenzi nokuhlinzeka ukwesekwa kanye nolwazi mayelana nalesi sifo emindenini.

Imithi evamise ukunikezwa udokotela ngama-antipsychotic, asiza ukulawula izimpawu zesifo. Lokho okuvame ukubekwa ngudokotela ama-antipsychotic esizukulwane sesibili, ngoba anemiphumela engemihle efana ne-aripiprazole (Abilify), olanzapine (Zyprexa), paliperidone (Invega), quetiapine (Seroquel) noma i-risperidone (Risperdal), isibonelo.

Uma kwenzeka kungekho mpendulo ekwelashweni okuboniswe ngudokotela, udokotela wezifo zengqondo angakhombisa ukusebenza kwe-electroconvulsive therapy, ebizwa nangokuthi i-ECT. Kubalulekile ukwazisa amalungu omndeni noma abanakekeli ngalesi sifo, ngoba imfundo ye-psychoeducation ingasiza ekwehliseni ukubuyela emuva futhi ithuthukise impilo yomuntu.