Psychosis

Hana ʻia ka psychosis ke lilo ka pilina o ke kanaka me ka ʻoiaʻiʻo. Hiki i ke kanaka ke:

• Loaʻa i nā hilinaʻi wahaheʻe e pili ana i nā mea e hana nei, a ʻo wai paha kekahi (kuhi hewa)
• ʻIke a lohe paha i nā mea ʻaʻole ma laila (hallucination)

Nā pilikia olakino i hiki ke kumu i ka psychosis:

• ʻAlekohola a me kekahi mau lāʻau kū ʻole i ke kānāwai, i ka wā hoʻohana a i ka wā o ka haʻalele ʻana
• Nā maʻi lolo, e like me ka maʻi Parkinson, ka maʻi Huntington
• ʻO nā kūpeʻe o ka lolo a i ʻole nā ​​kōkō
• Dementia (me Alzheimer maʻi)
• ʻO ka maʻi HIV a me nā maʻi ʻē aʻe e hoʻopili i ka lolo
• ʻO kekahi mau lāʻau i kuhikuhi ʻia, e like me nā steroid a me nā mea stimulants
• Kekahi mau ʻano epilepsy
• Hahau

E loaʻa paha ka Psychosis i:

• ʻO ka hapa nui o ka poʻe me ka schizophrenia
• ʻO kekahi poʻe me ka maʻi bipolar (manic-depressive) a i ʻole kaumaha nui
• ʻO kekahi mau ʻano pilikino

Loaʻa i kekahi kanaka me psychosis kekahi o kēia mau mea:

• Ka noʻonoʻo a me ka haʻiʻōlelo Disorganised
• Nā manaʻoʻiʻo wahaheʻe ʻole i hoʻokumu ʻia i ka ʻoiaʻiʻo (kuhi hewa), ka weliweli a me ka kānalua ʻole
• Ke lohe ʻana, ka ʻike ʻana, a me ka manaʻo ʻana i nā mea ʻaʻole ma laila (hallucination)
• Nā manaʻo e "lele" ma waena o nā kumuhana pili ʻole (noʻonoʻo kuhi ʻole)

Hoʻohana ʻia ka loiloi psychiatric a me ka hoʻāʻo ʻana e kuhikuhi i ke kumu o ka psychosis.

ʻAʻole pono ka hoʻokolohua Laboratory a me ka scans o ka lolo, akā hiki i kekahi manawa ke kōkua e kuhikuhi i ka ʻike. E komo pū paha nā hoʻāʻo:

• Nā ho'āʻo koko no nā electrolyte abnormal a me nā pae hormonone
• Nā ho'āʻo koko no syphilis a me nā maʻi ʻē aʻe
• Nā pale pale lāʻau
• MRI o ka lolo

Pili ka mālama ʻana i ke kumu o ka psychosis. Pono pinepine ka mālama ʻana i kahi haukapila e hōʻoia i ka palekana o ke kanaka.

ʻO nā lāʻau Antipsychotic, ka mea e hōʻemi i nā hallucination a me nā kuhi hewa a hoʻomaikaʻi i ka noʻonoʻo a me ka lawena.

Aia ke ʻano o ke kanaka ma muli o ke kumu o ka psychosis. Inā hiki ke hoʻoponopono i ke kumu, maikaʻi pinepine ka nānā. I kēia hihia, pōkole paha ka mālama ʻana me ka lāʻau antipsychotic.

ʻO kekahi mau kūlana maʻamau, e like me schizophrenia, pono paha i kahi mālama ola āpau me nā lāʻau antipsychotic e kāohi i nā ʻōuli.

Hiki i ka Psychosis ke pale i ka poʻe mai ka hana maʻamau a me ka mālama ʻana iā lākou iho. Inā haʻalele ʻole ʻia, hiki i nā kānaka ke hana ʻino iā lākou iho a i kekahi poʻe ʻē aʻe.

Kāhea i kāu lawelawe mālama ola a i ʻole ʻoihana olakino noʻonoʻo inā ʻoe a i ʻole kekahi lālā o kou ʻohana e nalowale ana i ka launa me ka ʻoiaʻiʻo. Inā aia kekahi hopohopo e pili ana i ka palekana, lawe i ke kanaka i ka lumi pilikia e ʻike ʻia e ke kauka.

Kū ka pale i ke kumu. ʻO kahi laʻana, pale i ka waiʻona e pale i ka psychosis i hoʻokumu ʻia e ka inu ʻona.

ʻAhahui Psychiatric ʻAmelika. Pākuʻi Schizophrenia a me nā maʻi psychotic ʻē aʻe. I: ʻAhahui Psychiatric ʻAmelika. Nānā Diagnostic a me Statistics o nā maʻi noʻonoʻo. 5th lā. Arlington, VA: Ka Hoʻolaha 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.