Maʻi maʻi Schizoaffective

ʻO ka maʻi Schizoaffective kahi ʻano noʻonoʻo e hiki ai i ka lilo ʻana o ka pilina me ka ʻoiaʻiʻo (psychosis) a me nā pilikia ʻano (kaumaha a mania paha).

ʻAʻole maopopo ke kumu kūpono o ka maʻi schizoaffective. Hiki ke hoʻololi i nā hoʻololi i nā gen a me nā kemika i ka lolo (neurotransmitters).

Manaʻo ʻia ʻo ka maʻi Schizoaffective ʻoi aku ka liʻiliʻi ma mua o ka schizophrenia a me nā maʻi maʻi. Loaʻa paha i nā wahine ke ʻano ma mua o nā kāne. Kūleʻa ka maʻi Schizoaffective i nā keiki.

ʻOkoʻa nā ʻōuli o ka maʻi schizoaffective i kēlā me kēia kanaka. ʻO ka pinepine, ʻimi ka poʻe me ka maʻi schizoaffective i ka lāʻau no nā pilikia me ka naʻau, ka hana o kēlā me kēia lā, a i ʻole nā ​​manaʻo ʻano ʻole.

Hiki ke hana i nā pilikia psychosis a me ke ʻano i ka manawa like a i ʻole iā lākou iho. Pili paha ka maʻi i nā pōʻaiapuni o nā ʻōuli koʻikoʻi a ukali ʻia e ka hoʻomaikaʻi.

Hiki i nā ʻōuli o ka maʻi schizoaffective ke hoʻopili pū me:

• Hoʻololi i ka makemake a me ka ikaika
• ʻ speechlelo kūpono ʻole i kūpono ʻole
• Nā manaʻoʻiʻo wahaheʻe (hoʻopunipuni), e like me ka noʻonoʻo ʻana e hoʻāʻo ana kekahi e hana ʻino iā ʻoe (paranoia) a i ʻole ka noʻonoʻo ʻana e hūnā ʻia nā leka kūikawā i nā wahi maʻamau (kuhi hewa o ke kūmole)
• Ka nele o ka hopohopo me ka hoʻomaʻemaʻe a me ke kāhiko ʻana
• ʻOi aku ka maikaʻi o ka naʻau, a kaumaha paha a hoʻonāukiuki paha
• Pilikia hiamoe
• Nā pilikia me ka noʻonoʻo nui
• Kaumaha a me ka manaʻolana ʻole
• Ke ʻike a lohe nei paha i nā mea ʻaʻole ma laila (hallucination)
• Hoʻokaʻawale ka nohona
• Ke ʻōlelo wikiwiki nei ʻaʻole hiki i nā poʻe ʻē aʻe ke keʻakeʻa iā ʻoe

ʻAʻohe hoʻokolohua olakino e hōʻoia ai i ka maʻi schizoaffective. E hana ka mea mālama ola i kahi loiloi olakino noʻonoʻo e ʻike e pili ana i ka lawena a ke kanaka a me nā hōʻailona. E nīnau ʻia paha kahi psychiatrist e hōʻoia i ka ʻike.

E ʻike ʻia me ka maʻi schizoaffective, he ʻōuli ko ke kanaka o ka psychotic a me ka maʻi maʻi. Eia hou, pono i ke kanaka nā hōʻailona psychotic i ka manawa o ke ʻano maʻamau no 2 mau pule.

ʻO ka hui pū ʻana o nā hōʻailona psychotic a me ke ʻano i ka maʻi schizoaffective hiki ke ʻike ʻia i nā maʻi ʻē aʻe, e like me ka maʻi bipolar. ʻO ka haunaele loa i ka naʻau kahi mea nui o ka maʻi schizoaffective.

Ma mua o ka hōʻoia ʻana i ka maʻi schizoaffective, e kāpae ka mea hāʻawi i nā kūlana olakino a pili i ka lāʻau. ʻO nā maʻi noʻonoʻo ʻē aʻe i kumu i nā psychotic a i ʻole nā ​​ʻōuli o ke ʻano e pono hoʻi e kāpae ʻia. ʻO kahi laʻana, hiki i nā hōʻailona psychotic a i ʻole ʻano maʻi i loko o ka poʻe i:

• E hoʻohana i ka cocaine, amphetamines, a i ʻole phencyclidine (PCP)
• Loaʻa i nā maʻi hopu
• E lawe i nā lāʻau steroid

Hiki ke hoʻololi i ka mālama ʻana. Ma ka laulā, e kauoha ana kāu mea hāʻawi i nā lāʻau e hoʻomaikaʻi ai i kou naʻau a mālama iā psychosis:

• Hoʻohana ʻia nā lāʻau antipsychotic e mālama i nā hōʻailona psychotic.
• Hiki ke kuhikuhi ʻia nā lāʻau Antidepressant, a i ʻole nā ​​mea hoʻopaʻa i ka naʻau e hoʻomaikaʻi i ke ʻano.

Hiki ke kōkua i ka therapy therapy me ka hoʻokumu ʻana i nā hoʻolālā, ka hoʻoponopono ʻana i nā pilikia, a me ka mālama ʻana i nā pilina.Hiki i ka hui pūʻulu ke kōkua me ka hoʻokaʻawale nohona.

Kākoʻo paha ka hoʻomaʻamaʻa ʻana a me ka hana no ka mākau hana, ka pilina pili, ka mālama kālā ʻana, a me nā kūlana noho.

ʻOi aku ka manawa o ka poʻe me ka maʻi schizoaffective ʻoi aku ka manawa kūpono o ka hoʻi ʻana i kā lākou pae o ka hana ma mua o ka poʻe me nā maʻi psychotic ʻē aʻe. Akā makemake pinepine ʻia ka mālama wā lōʻihi, a ʻokoʻa nā hopena i kēlā me kēia kanaka.

Kūlike nā pilikia me nā mea no ka schizophrenia a me nā maʻi ʻano nui. Pākuʻi ʻia kēia mau mea:

• Hoʻohana lāʻau
• Nā pilikia ma hope o ka lapaʻau ʻana a me ka hoʻōla
• Nā pilikia ma muli o ka hana manic (e laʻa me ka hoʻolilo ʻana i nā sprees, ka moekolohe nui ʻana)
• Ka hana Suicidal

Kāhea i kāu mea hāʻawi inā ʻoe a i ʻole kekahi mea āu e ʻike nei e ʻike nei i kekahi o kēia mau mea:

• Kaumaha me nā manaʻo o ka manaʻolana a me ka kōkua ʻole
• ʻAʻole hiki ke mālama i nā pono pilikino pilikino
• Hoʻonui i ka ikehu a me ke komo ʻana i ka hana weliweli i hiki koke ʻole a maʻamau iā ʻoe (e laʻa, e hele ana i nā lā me ka hiamoe ʻole a me ka manaʻo ʻole no ka hiamoe)
• Nā manaʻo ʻano ʻē a ʻano ʻē paha
• Nā hōʻailona e hōʻino a maikaʻi ʻole paha me ka lāʻau
• Nā manaʻo o ka pepehi kanaka a i ʻole ka hōʻino ʻana i kekahi poʻe

Maʻi pūnana - maʻi schizoaffective; Psychosis - maʻi schizoaffective

• Maʻi maʻi Schizoaffective

ʻAhahui Psychiatric ʻAmelika. Pākuʻi Schizophrenia a me nā maʻi psychotic ʻē aʻe. I: ʻAmelika Psychiatric Association, ed. Nānā Diagnostic a me Statistics o nā maʻi noʻonoʻo. 5th lā. Arlington, VA: Ka hoʻopuka Psychiatric ʻAmelika; 2013: 87-122.

Freudenreich ʻO, Brown HE, Holt DJ. Psychosis a me schizophrenia. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 28.

ʻO Lyness JM. Nā maʻi psychiatric i ka hana olakino. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 369.