Kuwonongeka kwa Cotard ndi Walking Corpse Syndrome

Zamkati

• Zizindikiro zake ndi ziti?
• Ndani amachipeza?
• Kodi amapezeka bwanji?
• Amachizidwa bwanji?
• Kodi zingayambitse mavuto?
• Kukhala ndi chinyengo cha Cotard

Kodi chinyengo cha Cotard ndi chiyani?

Chinyengo cha makotoni ndichizolowezi chodziwika ndi chikhulupiriro chabodza chakuti inu kapena ziwalo za thupi lanu mwamwalira, mukufa, kapena mulibe. Nthawi zambiri zimachitika ndikumakhumudwa kwambiri komanso matenda amisala. Itha kutsatana ndi matenda ena amisala ndi minyewa. Mutha kumvanso kuti amatchedwa matenda a mtembo woyenda, Cotard's syndrome, kapena kunyenga kwachinyengo.

Zizindikiro zake ndi ziti?

Chimodzi mwazizindikiro zazikulu zakusokeretsa kwa Cotard ndi kuchimwa. Nihilism ndichikhulupiriro choti palibe chilichonse chopindulitsa kapena tanthauzo. Zitha kuphatikizanso kukhulupirira kuti kulibe chilichonse. Anthu omwe ali ndi chinyengo cha Cotard amamva ngati amwalira kapena akuola. Nthawi zina, amatha kumverera ngati sanakhaleko.

Ngakhale anthu ena amamva motere ndi thupi lawo lonse, ena amangomva za ziwalo, ziwalo, kapena ngakhale moyo wawo.

Matenda okhumudwa amagwirizananso kwambiri ndi chinyengo cha Cotard. Kuwunikanso kwa 2011 pazakafukufuku wakale wonena za chinyengo cha Cotard akuti 89% ya milandu yolembedwa imaphatikizapo kukhumudwa ngati chizindikiro.

Zizindikiro zina ndizo:

• nkhawa
• kuyerekezera zinthu m'maganizo
• hypochondria
• liwongo
• kutanganidwa ndi kudzivulaza kapena kufa

Ndani amachipeza?

Ochita kafukufuku sakudziwa chomwe chimayambitsa chinyengo cha Cotard, koma pali zochepa zomwe zingayambitse ngozi. Kafukufuku angapo akuwonetsa kuti zaka zapakati pa anthu omwe ali ndi chinyengo cha Cotard ndi pafupifupi 50. Zitha kukhalanso mwa ana ndi achinyamata. Anthu omwe sanakwanitse zaka 25 ndi chinyengo cha Cotard amakhalanso ndi vuto la kupuma. Amayi amawonekeranso kuti atha kukhala ndi mwayi wopusitsa Cotard.

Kuphatikiza apo, chinyengo cha Cotard chimawoneka kuti chimachitika kawirikawiri mwa anthu omwe amaganiza zikhalidwe zawo, osati chilengedwe chawo, zimayambitsa machitidwe awo. Anthu omwe amakhulupirira kuti chilengedwe chawo chimayambitsa machitidwe awo atha kukhala ndi vuto lofananira lotchedwa Capgras syndrome. Matendawa amachititsa anthu kuganiza kuti abale awo ndi abwenzi asinthidwa ndi onyenga. Chinyengo cha Cotard ndi matenda a Capgras amathanso kuwonekera limodzi.

Mavuto ena amisala omwe angawonjezere chiopsezo cha munthu kukhala ndi chinyengo cha Cotard ndi awa:

• matenda ochititsa munthu kusinthasintha zochitika
• Kukhumudwa pambuyo pobereka
• katatonia
• Kusokonezeka maganizo
• matenda osagwirizana
• kukhumudwa kwa psychotic
• schizophrenia

Chinyengo cha Cotard chikuwonekeranso kuti chikugwirizana ndi minyewa ina, kuphatikizapo:

• matenda aubongo
• zotupa zaubongo
• matenda amisala
• khunyu
• mutu waching'alang'ala
• matenda ofoola ziwalo
• Matenda a Parkinson
• sitiroko
• zoopsa kuvulala kwaubongo

Kodi amapezeka bwanji?

Kuzindikira chinyengo cha Cotard nthawi zambiri kumakhala kovuta chifukwa mabungwe ambiri samazindikira kuti ndi matenda. Izi zikutanthauza kuti palibe mndandanda wazovomerezeka womwe ungagwiritsidwe ntchito kuti upeze matenda. Nthawi zambiri, amapezeka kokha pambuyo poti matenda ena atha.

Ngati mukuganiza kuti mutha kukhala ndi chinyengo cha Cotard, yesetsani kusunga zolemba zanu, powona kuti zimachitika liti komanso zimatenga nthawi yayitali bwanji. Izi zitha kuthandiza dokotala wanu kuti achepetse zomwe zingayambitse, kuphatikiza chinyengo cha Cotard. Kumbukirani kuti chinyengo cha Cotard nthawi zambiri chimachitika limodzi ndi matenda ena amisala, chifukwa chake mutha kulandira kangapo matenda.

Amachizidwa bwanji?

Chinyengo cha mwana wamwamuna nthawi zambiri chimachitika ndimikhalidwe ina, chifukwa chake njira zamankhwala zimatha kusiyanasiyana. Komabe, kafukufuku wa 2009 adapeza kuti mankhwala a electroconvulsive therapy (ECT) ndi omwe amagwiritsidwa ntchito kwambiri. Ndi machiritso ofala pamavuto akulu. ECT imaphatikizapo kudutsa mafunde ang'onoang'ono amagetsi kudzera muubongo wanu kuti mupangitse khunyu kakang'ono mukadwala.

Komabe, ECT imakhala ndi zoopsa zina, kuphatikizapo kukumbukira kukumbukira, kusokonezeka, kunyoza, ndi kupweteka kwa minofu. Ichi ndichifukwa chake nthawi zambiri amangoganiziridwa pambuyo poyesera njira zina zamankhwala, kuphatikizapo:

• mankhwala opatsirana pogonana
• mankhwala opatsirana
• zolimbitsa mtima
• chithandizo chamankhwala
• chithandizo chamakhalidwe

Kodi zingayambitse mavuto?

Kumva ngati wamwalira kale kumatha kubweretsa zovuta zingapo. Mwachitsanzo, anthu ena amasiya kusamba kapena kudzisamalira, zomwe zimatha kupangitsa kuti omwe ali nawo pafupi ayambe kudzipatula. Izi zitha kubweretsa kukhumudwa kwina ndikudzipatula. Nthawi zina, zimatha kubweretsanso mavuto akhungu ndi mano.

Ena amasiya kudya ndi kumwa chifukwa amakhulupirira kuti thupi lawo silikuwafuna. Zikakhala zovuta kwambiri, izi zimatha kubweretsa kuperewera kwa zakudya m'thupi ndi njala.

Kuyesera kudzipha kumakhalanso kofala kwa anthu omwe ali ndi chinyengo cha Cotard. Ena amawona ngati njira yotsimikizira kuti adamwalira kale powonetsa kuti sangathe kufa. Ena amamva kuti atsekeredwa m'thupi ndi m'moyo zomwe sizikuwoneka zenizeni. Amayembekezera kuti moyo wawo udzakhala wabwino kapena adzaleka akamwaliranso.

Kukhala ndi chinyengo cha Cotard

Chinyengo cha Cotard ndi matenda osowa koma owopsa amisala. Ngakhale zimakhala zovuta kupeza matenda oyenera komanso chithandizo chamankhwala, nthawi zambiri amathandizidwa ndi mankhwala ndi mankhwala. Anthu ambiri amafunika kuyesa mankhwala angapo, kapena kuphatikiza, asanapeze china chomwe chimagwira. Ngati palibe chomwe chikuwoneka chikugwira ntchito, ECT nthawi zambiri imathandizira. Ngati mukuganiza kuti muli ndi chinyengo cha Cotard, yesani kupeza dokotala yemwe akuwoneka kuti akumvera zomwe akukumana nazo ndikugwira nanu ntchito kuti mupeze zovuta zina zomwe mungakhale nazo.