I-Cotard's syndrome: kuyini, izimpawu nokwelashwa
-Delile
ICotard's syndrome, edume kakhulu ngokuthi "i-walking corpse syndrome", isifo esingajwayelekile kakhulu lapho umuntu ekholelwa ukuthi ufile, ukuthi izingxenye ezithile zomzimba wakhe sezinyamalele noma ukuthi izitho zakhe ziyabola. Ngalesi sizathu, lesi sifo simele ingozi enkulu yokuzilimaza noma yokuzibulala.
Izimbangela zesifo sikaCotard's azaziwa ncamashi, kepha lesi sifo sivame ukuhambisana nokunye ukuphazamiseka kwengqondo, njengokushintsha kobuntu, ukuphazamiseka kwengqondo okuguquguqukayo, ischizophrenia kanye namacala okudangala isikhathi eside.
Yize lesi sifo singelona ikhambi, ukwelashwa kufanele kwenziwe ukunciphisa izinguquko ezingokwengqondo nokwenza ngcono impilo yomuntu. Ngakho-ke, ukwelashwa kufanele kube okwehlukile futhi kukhonjiswe ngudokotela wezifo zengqondo.
Izimpawu eziyinhloko
Ezinye izimpawu ezisiza ukukhomba lesi sifo yilezi:
- Ukukholelwa ukuthi ufile;
- Khombisa ukukhathazeka njalo;
- Ukuba nomuzwa wokuthi izitho zomzimba ziyabola;
- Ukuzizwa ukuthi awukwazi ukufa, ngoba usuvele wafa;
- Suka eqenjini labangane nomndeni;
- Ukuba umuntu ongemuhle neze;
- Yiba nokuzwela ezinhlungwini;
- Bhekana nemibono eqhubekayo;
- Yiba nomkhuba wokuzibulala.
Ngaphezu kwalezi zimpawu, labo abaphethwe yilesi sifo bangabika nokuthi banuka inyama ebolile ephuma emzimbeni wabo, ngenxa yomqondo wokuthi izitho zabo ziyabola. Kwezinye izimo, iziguli kungenzeka ukuthi aziziboni esibukweni, futhi azikwazi ukukhomba umndeni noma abangane, ngokwesibonelo.
Yelashwa kanjani
Ukwelashwa kwe-Cotard's syndrome kungahluka kakhulu komunye umuntu kuye komunye, ngoba imvamisa kuyadingeka ukwelapha inkinga yezengqondo ebangela ukuqala kwezimpawu zesifo.
Kodwa-ke, ezimweni eziningi, ukwelashwa kubandakanya ukufaka amaseshini we-psychotherapy engqondweni-yokuziphatha, ngaphezu kokusebenzisa eminye imithi efana ne-antipsychotic, antidepressants kanye / noma i-anxiolytics. Kubaluleke kakhulu futhi ukuthi umuntu abhekwe njalo, ngenxa yengozi yokuzilimaza nokuzibulala.
Ezimweni ezibucayi kakhulu, njengokucindezeleka kwengqondo noma ukudangala komzimba, kunganconywa futhi ngudokotela ukuthi enze izikhathi zokwelashwa kwe-electroconvulsive, okubandakanya ukufaka amandla kagesi ebuchosheni ukukhuthaza izifunda ezithile nokulawula kalula izimpawu zesifo . Ngemuva kwalezi zikhathi, ukwelashwa ngemithi nange-psychotherapy nakho kuyenziwa.