Matenda a Cotard: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira

Matenda a Cotard, omwe amadziwika kuti "kuyenda kwa mtembo", ndimatenda amisala omwe munthu amakhulupirira kuti wamwalira, ziwalo zina za thupi lake zasowa kapena kuti ziwalo zake zikuola. Pachifukwa ichi, matendawa amayimira chiopsezo chodzivulaza kapena kudzipha.

Zomwe zimayambitsa matenda a Cotard sizikudziwika kwenikweni, koma matendawa amayamba kulumikizana ndi zovuta zina zamaganizidwe, monga kusintha kwa umunthu, kusinthasintha kwa mapapo, schizophrenia komanso matenda okhumudwa kwakanthawi.

Ngakhale matendawa alibe mankhwala, ayenera kuthandizidwa kuti achepetse kusintha kwamaganizidwe ndikusintha moyo wa munthu. Chifukwa chake, chithandizocho chimayenera kukhala chayekha komanso chowonetsedwa ndi wazamisala.

Zizindikiro zazikulu

Zizindikiro zina zomwe zimathandiza kuzindikira vutoli ndi izi:

• Kukhulupirira kuti wamwalira;
• Onetsani nkhawa pafupipafupi;
• Kukhala ndi kumverera kuti ziwalo za thupi zikuola;
• Kumva kuti sungafe, chifukwa wamwalira kale;
• Chokani pagulu la abwenzi ndi abale;
• Kukhala munthu wotsutsa kwambiri;
• Khalani opanda chidwi ndi ululu;
• Lolani kuyerekezera kosalekeza;
• Khalani ndi chizolowezi chofuna kudzipha.

Kuphatikiza pa zizindikilozi, omwe ali ndi matendawa amathanso kunena kuti amamva kununkhira kwa nyama yovunda yomwe imatuluka mthupi lawo, chifukwa choganiza kuti ziwalo zawo zikuvunda. Nthawi zina, odwala sangadziwonekenso pagalasi, komanso sangathe kuzindikira achibale kapena anzawo.

Momwe mankhwalawa amachitikira

Chithandizo cha matenda a Cotard's chimasiyana mosiyanasiyana kuchokera kwa munthu mmodzi kupita kwina, chifukwa nthawi zambiri kumakhala kofunikira kuthana ndi vuto lamaganizidwe lomwe limayambitsa matendawa.

Komabe, nthawi zambiri, chithandizocho chimaphatikizapo kupanga magawo azidziwitso zamaganizidwe, kuphatikiza kugwiritsa ntchito mankhwala ena monga ma antipsychotic, antidepressants ndi / kapena anxiolytics. Ndikofunikanso kuti munthuyo ayang'anitsidwe pafupipafupi, chifukwa cha chiopsezo chodzivulaza komanso kudzipha.

Pazovuta kwambiri, monga kupsinjika kwa psychotic kapena kusungunuka, amathanso kulimbikitsidwa ndi adotolo kuti apange magawo amagetsi opangira magetsi, omwe amaphatikizira kugwedeza kwamagetsi kuubongo kuti akweze madera ena ndikuwongolera mosavuta zizindikiro za matendawa . Pambuyo pa magawo awa, chithandizo chamankhwala ndi psychotherapy chimachitikanso.