Matenda okhumudwa

Zamkati

• Kodi Zizindikiro Zokhudzana ndi Kukhumudwa Kwamisala Ndi Ziti?
• Nchiyani Chimayambitsa Kukhumudwa Kwamaganizidwe?
• Kodi Zowopsa Zotani za Kusokonezeka Maganizo?
• Kodi Kusokonezeka Maganizo Kumadziwika Bwanji?
• Kodi Ndizovuta Zotani za Kukhumudwa Kwamaganizidwe?
• Kodi Matenda Ovutika Maganizo Amathandizidwa Bwanji?
• Mankhwala
• Thandizo la Electroconvulsive Therapy (ECT)
• Kodi Chiyembekezo cha Anthu Omwe Ali Ndi Matenda Ovutika Maganizo Ndi Chiyani?
• Kupewa kudzipha

Kodi Kusokonezeka Maganizo Ndi Chiyani?

Malinga ndi National Alliance on Mental Illness (NAMI), akuti pafupifupi 20 peresenti ya anthu omwe ali ndi vuto lalikulu la kukhumudwa alinso ndi zizindikilo zama psychotic. Kuphatikizaku kumatchedwa kukhumudwa kwa psychosis. Mayina ena a vutoli ndi awa:

• kukhumudwa kwachinyengo
• kukhumudwa kwa psychotic
• Matenda akulu okhumudwitsa omwe ali ndi mawonekedwe amisala
• Kusokonezeka kwakukulu kwazovuta zam'mutu zosagwirizana ndi malingaliro

Vutoli limakupangitsani kukhala ndi zisonyezo zama psychotic kuphatikiza chisoni komanso kusowa chiyembekezo chokhudzana ndi kukhumudwa. Izi zikutanthauza kuwona, kumva, kununkhiza, kapena kukhulupirira zinthu zomwe sizili zenizeni. Matenda okhumudwa ndi owopsa makamaka chifukwa chinyengo chimatha kupangitsa anthu kudzipha.

Kodi Zizindikiro Zokhudzana ndi Kukhumudwa Kwamisala Ndi Ziti?

Munthu amene amakhala ndi vuto la kupsinjika kwamaganizidwe amakhala ndi nkhawa yayikulu komanso zizindikilo za psychotic. Kukhumudwa kumachitika mukakhala ndi malingaliro omwe amakhudza moyo wanu watsiku ndi tsiku. Maganizo awa atha kuphatikiza:

• chisoni
• kusowa chiyembekezo
• liwongo
• kupsa mtima

Ngati muli ndi vuto lachipatala, mutha kusintha kusintha pakudya, kugona, kapena mphamvu.

Zitsanzo za matenda amisala ndi monga:

• zonyenga
• kuyerekezera zinthu m'maganizo
• paranoia

Malinga ndi Journal of Clinical Psychiatry, kunyengedwa kwa psychosis ya psychose kumakonda kukhala kodzidzimutsa, kodzidzimutsa, kapena kokhudzana ndi thupi lako. Mwachitsanzo, mutha kunyengedwa kuti tiziromboti timadya matumbo anu ndipo mukuyenera chifukwa mumakhala "oyipa" kwambiri.

Nchiyani Chimayambitsa Kukhumudwa Kwamaganizidwe?

Matenda okhumudwa alibe chifukwa chodziwika. Kwa anthu ena, amaganiza kuti kusamvana kwamankhwala muubongo ndichinthu china. Komabe, ofufuza sanapeze chifukwa chenicheni.

Kodi Zowopsa Zotani za Kusokonezeka Maganizo?

Malinga ndi NAMI, kukhumudwa kwa psychosis kumatha kukhala ndi chibadwa. Ngakhale ofufuza sanazindikire jini lenileni, amadziwa kuti kukhala ndi wachibale wapafupi, monga amayi, abambo, mlongo, kapena mchimwene, kumawonjezera mwayi wanu wokhala ndi vuto lama psychotic. Amayi amakhalanso ndi vuto lama psychotic kuposa amuna.

Malinga ndi magazini ya BMC Psychiatry, achikulire ali pachiwopsezo chachikulu cha kupsinjika kwamisala. Akuti pafupifupi 45 peresenti ya omwe ali ndi vuto la kupsinjika amakhala ndi mawonekedwe amisala.

Kodi Kusokonezeka Maganizo Kumadziwika Bwanji?

Dokotala wanu akuyenera kukupezani kuti muli ndi vuto lalikulu la kupsinjika ndi psychosis kuti mukhale ndi psychosis yachisoni. Izi zitha kukhala zovuta chifukwa anthu ambiri omwe ali ndi vuto la kupsinjika kwamaganizidwe amatha kuwopa kugawana zomwe akumana nazo.

Muyenera kukhala ndi vuto lokhumudwitsa lomwe limatenga milungu iwiri kapena kupitilira apo kuti mupezeke ndi vuto lakukhumudwa. Kupezeka kuti muli ndi vuto la kukhumudwa kumatanthauzanso kuti muli ndi zizindikiro zisanu kapena zingapo zotsatirazi:

• mukubwadamuka kapena kuyendetsa galimoto pang'onopang'ono
• kusintha kwa njala kapena kulemera
• wokhumudwa
• zovuta kukhazikika
• kumva liwongo
• kusowa tulo kapena kugona kwambiri
• kusachita chidwi kapena kusangalala ndi zochitika zambiri
• mphamvu zochepa
• malingaliro a imfa kapena kudzipha

Kuphatikiza pa malingaliro awa okhudzana ndi kukhumudwa, munthu yemwe ali ndi matenda opsinjika mtima amakhalanso ndi zisonyezo zama psychotic, monga zonyenga, zomwe ndi zikhulupiriro zabodza, komanso kuyerekezera zinthu m'maganizo, zomwe ndi zinthu zomwe zimawoneka ngati zenizeni koma zomwe kulibe. Kukhala ndi kuyerekezera zinthu m'maganizo kungatanthauze kuti mumatha kuwona, kumva, kapena kununkhiza kanthu komwe kulibe.

Kodi Ndizovuta Zotani za Kukhumudwa Kwamaganizidwe?

Kupsinjika kwamaganizidwe nthawi zambiri kumawonedwa ngati vuto lamisala chifukwa muli pachiwopsezo chachikulu chofuna kudzipha komanso machitidwe, makamaka ngati mumva mawu akukuuzani kuti mudzipweteke. Itanani 911 nthawi yomweyo ngati inu kapena wokondedwa wanu muli ndi malingaliro ofuna kudzipha.

Kodi Matenda Ovutika Maganizo Amathandizidwa Bwanji?

Pakadali pano, palibe chithandizo chamankhwala achisoni omwe amavomerezedwa ndi FDA. Pali mankhwala ochiritsira kukhumudwa ndi psychosis, koma palibe kwenikweni makamaka kwa anthu omwe ali ndi zinthu zonsezi nthawi imodzi.

Mankhwala

Dokotala wanu akhoza kukuthandizani chifukwa cha vutoli kapena angakutumizireni kwa katswiri wazamisala yemwe ali ndi vuto logwiritsa ntchito mankhwala amtunduwu.

Othandizira amisala atha kupatsa mankhwala kuphatikiza ma anti-depressants ndi antipsychotic. Mankhwalawa amakhudza ma neurotransmitters muubongo omwe nthawi zambiri amakhala osakhazikika mwa munthu amene ali ndi vutoli.

Zitsanzo za mankhwalawa zimaphatikizapo serotonin reuptake inhibitors (SSRIs), monga fluoxetine (Prozac). Izi zitha kuphatikizidwa ndi antipsychotic, monga:

• Olanzapine (Zyprexa)
• quetiapine (Seroquel)
• risperidone (Risperdal)

Komabe, mankhwalawa amatenga miyezi ingapo kuti akhale othandiza kwambiri.

Thandizo la Electroconvulsive Therapy (ECT)

Njira yachiwiri yothandizira ndi mankhwala a electroconvulsive therapy (ECT). Mankhwalawa amachitikira kuchipatala ndipo amakupangitsani kugona ndi dzanzi.

Katswiri wanu wazamisala adzayendetsa mafunde amagetsi pamiyeso yolamulidwa kudzera muubongo. Izi zimapangitsa kulanda komwe kumakhudza magulu anu amitsempha yamaubongo. Mankhwalawa amakhala ndi zovuta zina, kuphatikizapo kukumbukira kwakanthawi kochepa. Komabe, akuganiza kuti amagwira ntchito mwachangu komanso moyenera kwa anthu omwe ali ndi malingaliro ofuna kudzipha komanso zizindikiritso zama psychotic.

Katswiri wazamisala akhoza kukambirana izi ndi inu ndi banja lanu kuti mudziwe njira yabwino yothandizira matenda anu. Chifukwa kubwereranso ndikotheka, wazamisala yanu angakulimbikitseni kumwa mankhwala pambuyo pa ECT.

Kodi Chiyembekezo cha Anthu Omwe Ali Ndi Matenda Ovutika Maganizo Ndi Chiyani?

Kukhala ndi nkhawa yamaganizidwe kumatha kumveka ngati nkhondo yanthawi zonse. Ngakhale zizindikiro zanu zili m'manja, mwina mungakhale ndi nkhawa kuti abwerera. Anthu ambiri amasankhanso kuchipatala kuti athe kuthana ndi zizolowezi komanso kuthana ndi mantha.

Mankhwala amathandizira kuchepetsa malingaliro amisala komanso kukhumudwa, koma atha kukhala ndi zovuta zawo. Izi zikuphatikiza:

• kuiwala kwakanthawi kochepa
• Kusinza
• chizungulire
• kuvuta kugona
• kusintha kwa kulemera

Komabe, mutha kukhala ndi moyo wathanzi komanso watanthauzo ndi mankhwalawa kuposa momwe mungathere popanda izi.

Kupewa kudzipha

Ngati mukuganiza kuti wina ali pachiwopsezo chodzivulaza kapena kukhumudwitsa wina:

• Imbani 911 kapena nambala yanu yadzidzidzi yakomweko.
• Khalani ndi munthuyo mpaka thandizo litafika.
• Chotsani mfuti, mipeni, mankhwala, kapena zinthu zina zomwe zitha kuvulaza.
• Mverani, koma osaweruza, kutsutsana, kuopseza, kapena kufuula.

Ngati mukuganiza kuti wina akufuna kudzipha, pezani thandizo kuchokera pamavuto kapena njira yodziletsa yodzipha. Yesani National Suicide Prevention Lifeline pa 800-273-8255.

Magwero: National Suicide Prevention Lifeline ndi Kugwiritsa Ntchito Mankhwala Osokoneza bongo ndi Ntchito Zoyang'anira Zaumoyo