Psychosis: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira
• Zoyambitsa zazikulu

Psychosis ndimavuto amisala momwe malingaliro amunthu amasinthira, kumamupangitsa kukhala m'maiko awiri nthawi imodzi, mdziko lenileni komanso m'malingaliro ake, koma sangathe kuwasiyanitsa ndipo nthawi zambiri amaphatikizana.

Chizindikiro chachikulu cha psychosis ndichinyengo. Mwanjira ina, munthu amene ali ndi matenda amisala sangathe kusiyanitsa zenizeni ndi zongopeka, chifukwa chake, sadziwa momwe angakhalire munthawi ndi danga ndipo ali ndi magawano ambiri. Wodwala misala angaganize kuti mnansi wapafupi akufuna kumupha, ngakhale akudziwa kuti palibe amene amakhala mnyumba yapansi.

Zizindikiro zazikulu

Nthawi zambiri munthu wamisala amakhala wokwiya, wamakani komanso wopupuluma koma zizindikiro zazikulu za psychosis zimaphatikizapo:

• Zosokoneza;
• Ziwerengero monga mawu akumva;
• Kulankhula kosagwirizana, kudumphadumpha pakati pamitu yambiri yamacheza;
• Khalidwe losasokonekera, wokhala ndi nkhawa kwambiri kapena nthawi yocheperako;
• Kusintha kwadzidzidzi kwamamvedwe, kukhala wokondwa kwambiri kwakanthawi ndikukhumudwa posakhalitsa;
• Kusokonezeka maganizo;
• Zovuta zokhudzana ndi anthu ena;
• Kusokonezeka;
• Kusowa tulo;
• Kupsa mtima komanso kudzivulaza.

Psychosis nthawi zambiri imawonekera mwa achinyamata ndi achinyamata ndipo imatha kukhala kwakanthawi, kutchedwa matenda achidule amisala, kapena kukhala okhudzana ndi matenda ena amisala monga matenda a bipolar, Alzheimer's, khunyu, schizophrenia, kapena kukhumudwa, ndipo imadziwikanso kwa ogwiritsa ntchito mankhwala osokoneza bongo.

Momwe mankhwalawa amachitikira

Chithandizo cha psychosis chiyenera kuwongoleredwa ndi katswiri wazamisala ndipo chimakhala ndi kumwa mankhwala a antipsychotic ndi zotchinjiriza monga risperidone, haloperidol, lorazepam kapena carbamazepine.

Nthawi zambiri, kuwonjezera pa mankhwala, ndikofunikira kulowetsedwa kuchipatala cha amisala komwe mankhwala amathandizidwe ndi zida zamagetsi zamagetsi zamagetsi. Komabe, Unduna wa Zaumoyo umangovomereza chithandizo ichi munthawi zina monga chiopsezo chodzipha, catatonia kapena neuroleptic malignant syndrome, mwachitsanzo.

Kugonekedwa mchipatala kumatha kutenga 1 mpaka 2 miyezi mpaka munthuyo akhale bwino ndipo atha kutulutsidwa chifukwa samatha kuyika moyo wake ndi wa ena pachiwopsezo, koma kuti munthuyo azilamuliridwa, sing'anga amatha kusunga mankhwalawo zomwe zitha kutengedwa kwa zaka.

Kuphatikiza apo, magawo a sabata iliyonse ndi wama psychologist kapena psychiatrist atha kukhala othandiza kukonzanso malingaliro ndikumva bwino, bola munthuyo amwe mankhwala molondola.

Pankhani yokhudzana ndi matenda aubongo pambuyo pobereka, adotolo amatha kuperekanso mankhwala ndipo matenda amisala akaika moyo wa mwanayo pachiwopsezo, mayiyo amachotsedwa mwanayo, zomwe zimafunikira kuti agonekere kuchipatala. Kawirikawiri atalandira chithandizo, zizindikirazo zimasowa ndipo mayi amabwerera mwakale, koma pamakhala chiopsezo kuti azikhala ndi matenda amisala nthawi ina yobereka.

Zoyambitsa zazikulu

Psychosis ilibe chifukwa chimodzi, koma zinthu zingapo zogwirizana zimatha kuyambitsa kuyambika kwake. Zina mwazomwe zimathandizira pakukula kwa psychosis ndi izi:

• Matenda omwe amakhudza mitsempha yapakati monga Alzheimer's, stroke, AIDS, Parkinson's;
• Kusowa tulo kwambiri, komwe munthu amatenga masiku opitilira 7 osagona;
• Kugwiritsa ntchito zinthu za hallucinogenic;
• Kugwiritsa ntchito mankhwala osokoneza bongo;
• Nthawi yopanikizika kwambiri;
• Kukhumudwa kwakukulu.

Kuti adziwe kuti ali ndi vuto la psychosis, dotoloyu ayenera kumuwona munthuyo akuyesera kuzindikira zomwe zawonetsedwa, komanso atha kuyitanitsa kuyesa magazi, ma x-ray, tomography ndi maginito kuti ayesere kudziwa ngati pali kusintha kulikonse komwe kungayambitse psychosis kapena kusocheretsa matenda ena.