Paranoid schizophrenia: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Zomwe zingayambitse
• Momwe mankhwalawa amachitikira

Schizophrenia ndimatenda amisala momwe munthu amasiya kwathunthu kapena pang'ono pang'ono kuti athe kulumikizana ndi zenizeni zenizeni, ndipo ndizofala kuti iwo awone, amve kapena kumva kulira komwe kulibeko.

Paranoid schizophrenia ndiye gawo lofala kwambiri la schizophrenia, momwe kunyenga kwazunzo kapena mawonekedwe a anthu ena ndizofala, zomwe nthawi zambiri zimapangitsa munthuyo kukhala wokayikitsa, wankhanza komanso wachiwawa.

Matendawa alibe mankhwala, koma amatha kuwalamulira limodzi ndi wodwala matenda amisala, zamaganizidwe komanso kugwiritsa ntchito mankhwala. Dziwani mitundu ina ya schizophrenia.

Zizindikiro zazikulu

Anthu omwe ali ndi paranoid schizophrenia ali ndi zizindikiro zazikulu izi:

• Kukhulupirira kuti akuzunzidwa kapena kuperekedwa;
• Kumva kuti muli ndi mphamvu zoposa;
• Ziwerengero, monga kumva mawu kapena kuwona china chake chomwe sichili chenicheni;
• Kupsa mtima, kupsa mtima komanso chizolowezi chochita zachiwawa.

Ngakhale izi ndi zizindikiro zofala kwambiri za kachilombo ka schizophrenia, zizindikiro zina zimatha kuchitika, ngakhale kangapo, monga zovuta zokumbukira, kusasunthika kapena kudzipatula pagulu, mwachitsanzo.

Momwe mungatsimikizire matendawa

Kuti apeze matenda a schizophrenia, katswiri wazamisala amayesa, kudzera pamafunso azachipatala, zizindikilo ndi zizindikilo zomwe zimaperekedwa ndi munthuyo, kuphatikiza pazidziwitso zoperekedwa ndi abale kapena othandizira, mwachitsanzo.

Nthawi zina, amathanso kulimbikitsidwa kuti apange mayeso monga computed tomography kapena imaginous resonance imaging, mwachitsanzo, kupatula matenda ena omwe angayambitse zofananira, monga chotupa chaubongo kapena matenda amisala, mwachitsanzo, popeza pakadali pano mulibe labotale mayeso omwe amalola kupeza matendawa.

Zomwe zingayambitse

Sizikudziwika bwinobwino chomwe chimayambitsa schizophrenia, koma akuganiza kuti ndi matenda omwe amakhudzidwa ndi majini, omwe amawonjezera pazinthu zachilengedwe, monga matenda a ma virus panthawi yomwe ali ndi pakati, atha kukopa kukula kwa ubongo ndikupangitsa kuti izi ziwonekere chisokonezo. Kuphatikiza apo, mawonekedwe a schizophrenia atha kukhala okhudzana ndikusintha kwamankhwala am'magazi.

Palinso chiopsezo chowonjezeka chokhala ndi schizophrenia mwa anthu omwe adakumana ndi zovuta zamaganizidwe, nkhanza zakugonana kapena nkhanza zina.

Momwe mankhwalawa amachitikira

Paranoid schizophrenia sichitha, koma chithandizo chofunikira chimayenera kuchitidwa kuti muchepetse kukulirakulira kwa matendawa.

Nthawi zambiri, munthuyo amakhala limodzi ndi katswiri wazamisala, ndipo amathanso kuphatikizidwa mgulu la akatswiri azamisala, wogwira ntchito zachitukuko komanso namwino omwe ndi akatswiri mu schizophrenia, omwe angathandize kukonza moyo wamunthu kudzera pama psychotherapy, kuwunika tsiku ndi tsiku ntchito ndi kupereka chithandizo ndi chidziwitso chokhudzana ndi matendawa kwa mabanja.

Mankhwala omwe dokotala amakupatsani nthawi zambiri ndi antipsychotic, omwe amathandiza kuchepetsa zizindikilo za matendawa. Zomwe zimaperekedwa ndi adotolo ndi mankhwala achiwerewere achiwiri, chifukwa ali ndi zovuta zochepa, monga aripiprazole (Abilify), olanzapine (Zyprexa), paliperidone (Invega), quetiapine (Seroquel) kapena risperidone (Risperdal), mwachitsanzo.

Ngati sangayankhe mankhwala omwe adokotala akuwauza, dokotala wazachipatala amatha kuwonetsa magwiridwe antchito amagetsi a electroconvulsive, omwe amatchedwanso ECT. Ndikofunika kudziwitsa achibale kapena omwe akuwasamalira za matendawa, chifukwa maphunziro amisala angathandize kuchepetsa kubwereranso komanso kukonza moyo wamunthuyo.