He aha kāu e ʻike ai e pili ana iā Catatonia

Anter

• He aha nā ʻano catatonia?
• He aha ke kumu o ka catatonia?
• Nā Lapaʻau
• Nā kumu kūlohelohe
• He aha nā mea pilikia no catatonia?
• He aha nā hōʻailona o catatonia?
• Catatonia hauʻoli
• Catatonia malignant
• Kūlike me nā kūlana ʻē aʻe
• Pehea e ʻike ʻia ai ka catatonia?
• Pehea e mālama ai i ka catatonia?
• Nā Lapaʻau
• Electroconvulsive therapy (ECT)
• He aha ka nānā no catatonia?
• Hiki ke pale ʻia ka catatonia?

He aha ka catatonia?

ʻO Catatonia kahi maʻi psychomotor, ʻo ia hoʻi pili i ka pilina ma waena o ka hana noʻonoʻo a me ka neʻe. Hoʻopili ʻo Catatonia i ka hiki i ke kanaka ke neʻe i kahi ala maʻamau.

Hiki i nā poʻe me ka catatonia ke ʻike i nā ʻōuli like ʻole. ʻO ka hōʻailona maʻamau ka stupor, ʻo ia hoʻi ʻaʻole hiki i ke kanaka ke neʻe, ʻōlelo, a pane paha i nā stimulus. Eia nō naʻe, hiki i kekahi poʻe me catatonia ke hōʻike i ka neʻe nui a me ka lawena hoʻonāukiuki.

Hiki ke mau ʻo Catatonia ma kahi o kekahi mau hola a i mau pule, mau mahina, a mau makahiki paha. Hiki iā ia ke hana hou pinepine i mau pule i mau makahiki ma hope o ka hopena mua.

Inā catatonia kahi hōʻailona o kahi kumu i hiki ke ʻike ʻia, kapa ʻia ʻo extrinsic. Inā ʻaʻole hiki ke hoʻoholo i kahi kumu, manaʻo ʻia he intrinsic.

He aha nā ʻano catatonia?

ʻO ka paʻi hou loa o ka Diagnostic and Statistics Manual of Mental Disorder (DSM – 5) ʻaʻole i hoʻokaʻawale hou ʻia ka catatonia i mau ʻano. Eia nō naʻe, hiki i ka poʻe loea noʻonoʻo ke hoʻonohonoho pono i ka catatonia i ʻekolu mau ʻano: retarded, excited, and malignant.

ʻO catatonia retarded ka catatonia ʻano maʻamau. Hāpai ia i ka neʻe lohi. ʻO ke kanaka me ka catatonia luhi paha ke haka pono i ka lewa a ʻaʻole ʻōlelo pinepine. ʻIke ʻia kēia ʻo catatonia akinetic.

ʻO nā poʻe me ka catatonia pīhoihoi e kū "holo i luna," hoʻomaha, a hoʻonāukiuki. Hoʻopili lākou i kekahi manawa i ka hana hōʻino iā lākou iho. ʻIke ʻia kēia palapala ʻo hyperkinetic catatonia.

Hiki i nā poʻe me ka catatonia malignant ke ʻike i ka delirium. Loaʻa lākou i ke kuni. Loaʻa paha iā lākou kahi naʻau wikiwiki a me ke koko kiʻekiʻe.

He aha ke kumu o ka catatonia?

Wahi a ka DSM-5, hiki i kekahi mau ʻano kumu ke catatonia. Pākuʻi ʻia lākou:

• nā maʻi neurodevelopmental (nā maʻi e pili ana i ka ulu ʻana o ka ʻōnaehana nūhou)
• nā maʻi psychotic
• nā maʻi bipolar
• nā maʻi kaumaha
• nā kūlana olakino ʻē aʻe, e like me ka hemahema o ka cerebral folate, nā maʻi autoimmune laha ʻole, a me nā maʻi paraneoplastic laha ʻole (e pili ana i nā tumo maʻi ʻaʻai)

Nā Lapaʻau

ʻO Catatonia kahi hopena ʻaoʻao laha ʻole o kekahi mau lāʻau i hoʻohana ʻia e mālama ai i nā maʻi noʻonoʻo. Inā manaʻo ʻoe he lāʻau ka catatonia, e ʻimi koke i ka lāʻau. Kuhi ʻia kēia he pilikia olakino.

ʻO ka haʻalele ʻana mai kekahi mau lāʻau, e like me clozapine (Clozaril), hiki ke hana i ka catatonia.

Nā kumu kūlohelohe

Ua hōʻike ʻia kahi noiʻi ʻana i nā kiʻi me kekahi poʻe me ka catatonia maʻi mau e loaʻa paha i nā ʻano kīnā ʻole o ka lolo.

Manaʻo kekahi poʻe loea i ka loaʻa ʻana o ka neurotransmitters keu a i ʻole ka ʻole o ke kumu o ka catatonia. ʻO nā Neurotransmitters he kemika lolo e halihali i nā leka mai kahi neuron a i kaʻe aʻe.

ʻO kekahi kumumanaʻo ka hoʻoliʻiliʻi koke o ka dopamine, kahi neurotransmitter, ke kumu o ka catatonia. ʻO kekahi kumumanaʻo ʻo ka hoʻoliʻiliʻi o ka gamma-aminobutyric acid (GABA), kahi neurotransmitter ʻē aʻe, alakaʻi i ke ʻano.

He aha nā mea pilikia no catatonia?

ʻOi aku ka makaʻu o nā wahine i ka hoʻomohala catatonia. Hoʻonui ka makaʻi me ka makahiki.

ʻOiai ua pili ʻia ka catatonia me ka schizophrenia i ka mōʻaukala, ua hoʻohālikelike nā psychiatrist i kēia manawa i ka catatonia e like me kāna maʻi ponoʻī, i kū i ke ʻano o nā maʻi ʻē aʻe.

Kuhi ʻia he 10 pākēneka o nā mea maʻi psychiatric maʻi maʻi ʻike catatonia. Iwakālua pakeneka o nā mea maʻi catatonic i loaʻa i nā diagnose schizophrenia, ʻoiai he 45 pākēneka e loaʻa nā maʻi maʻi maʻi.

Hiki paha i nā wahine me ke kaumaha postpartum (PPD) ke ʻike i ka catatonia.

ʻO nā kumu pilikia ʻē aʻe ka hoʻohana ʻana o ka cocaine, ka paʻakai paʻakai haʻahaʻa i ke koko, a me ka hoʻohana ʻana i nā lāʻau e like me ciprofloxacin (Cipro).

He aha nā hōʻailona o catatonia?

He nui nā ʻōuli o Catatonia, ʻo ka mea maʻamau e hoʻopili ʻia:

• kūpeʻe, kahi hiki ʻole i kahi kanaka ke neʻe, ʻaʻole hiki ke ʻōlelo, a ke nānā aku nei e nānā aku ana i kahi ākea
• ke kau ʻana a i ʻole ka "waliwali waxy," kahi e noho ai ke kanaka ma ke kūlana like no kahi lōʻihi
• malnourishment a me ka make wai ʻana mai ka ʻai ʻole a me ka inu ʻole
• echolalia, kahi e pane ai kahi kanaka i ke kamaʻilio ʻana ma ka haʻi wale ʻana i nā mea a lākou i lohe ai

Hiki ke ʻike ʻia kēia mau ʻōuli maʻamau i ka poʻe me ka catatonia retarded.

ʻO nā ʻōuli catatonia ʻē aʻe:

• catalepsy, kahi ʻano o ka ʻāʻī paʻa muscular
• negativism, kahi hemahema o ka pane a kūʻē paha i ka hoʻonāukiuki kūwaho
• echopraxia, ʻo ia ka mimicking o ka neʻe ʻana o kekahi kanaka
• mutism
• ʻūhū

Catatonia hauʻoli

ʻO nā ʻōuli kikoʻī i ka catatonia pīhoihoi e komo pū me nā neʻe nui ʻole. Pākuʻi ʻia kēia mau mea:

• hoohaunaele
• hoʻomaha ʻole
• neʻe ʻaʻano ʻole

Catatonia malignant

ʻO ka catatonia malignant ke kumu o nā ʻōuli nui loa. Pākuʻi ʻia lākou:

• hoʻohoka
• fiva
• ʻoʻoleʻa
• ka houʻu ʻana

Hiki ke hoʻololi i nā hōʻailona koʻikoʻi e like me ke kahe o ke koko, ka hanu ʻana, a me ka helu puʻuwai. Pono kēia mau ʻōuli e mālama koke.

Kūlike me nā kūlana ʻē aʻe

Hoʻohā nā ʻōuli o Catatonia i nā ʻano o nā kūlana ʻē aʻe, e like me:

• psychosis huʻihuʻi
• encephalitis, a i ʻole mumū i kaʻiʻo lolo
• neuroleptic malignant syndrome (NMS), kahi ʻano laha ʻole a koʻikoʻi hoʻi i nā lāʻau antipsychotic
• kūlana kūlana nonconvulsive epilepticus, kahi ʻano o ka hopu ʻino ʻana

Pono nā kauka e kāpae i kēia mau kūlana ma mua o ka hiki iā lākou ke hōʻoia catatonia. Pono ke kanaka e hōʻike ma kahi o ʻelua mau hōʻailona catatonia aliʻi no 24 mau hola ma mua o ka hiki ʻana i ke kauka ke kuhikuhi pono i ka catatonia.

Pehea e ʻike ʻia ai ka catatonia?

ʻAʻohe hōʻike kūpono no ka catatonia. No ke kuhikuhi ʻana i ka catatonia, pono i kahi hoʻokolohua kino a me nā hoʻāʻo e haʻalele mua i nā kūlana ʻē aʻe.

ʻO ka Bush-Francis Catatonia Rating Scale (BFCRS) kahi hoʻāʻo e hoʻohana pinepine ʻia e ʻike pono i ka catatonia. Loaʻa i kēia pālākiō he 23 mau mea i helu ʻia mai 0 a 3. ʻO ka helu "0" ke kumu o ka hala ʻana o ka hōʻailona. ʻO ka helu "3" ʻo ia hoʻi aia ka ʻōuli.

Hiki i nā hōʻoia koko ke kōkua i ka pale ʻana i nā kaulike electrolyte. Hiki i kēia mau mea ke hoʻololi i ka hana noʻonoʻo. Hiki i kahi embolism pulmonary, a i ʻole ke koko i loko o nā akemāmā, hiki ke alakaʻi i nā ʻōuli catatonia.

A fibrin D-dimer blood test hiki ke pono pū kekahi. Hōʻike nā noiʻi hou e pili ana ka catatonia me nā pae D-dimer kiʻekiʻe. Eia nō naʻe, hiki i nā ʻano he nui (e like me ka pulmonary embolism) ke hoʻololi i nā pae D-dimer.

Hiki i nā scans CT a i ʻole MRI ke nānā i nā kauka i ka lolo. Kōkua kēia i ka pale aku i kahi tumo o ka lolo a i ʻole ka pehu ʻana.

Pehea e mālama ai i ka catatonia?

Hiki ke hoʻohana ʻia nā lāʻau a i ʻole electroconvulsive therapy (ECT) e mālama ai i ka catatonia.

Nā Lapaʻau

ʻO nā lāʻau lapaʻau ke ala mua e mālama ai i ka catatonia. ʻO nā ʻano o nā lāʻau i kuhikuhi ʻia e pili pū ana me nā benzodiazepines, nā mea hoʻomaha pūnana, a i kekahi mau manawa, nā tridclic antidepressants. ʻO Benzodiazepines ka mea maʻamau nā lāʻau i kauoha ʻia.

ʻO Benzodiazepines pū me clonazepam (Klonopin), lorazepam (Ativan), a me diazepam (Valium). Hoʻonui kēia mau lāʻau i ka GABA i ka lolo, ka mea e kākoʻo i ke kumumanaʻo e hoʻemi ana i ka GABA i ka catatonia. ʻO ka poʻe me nā kūlana kiʻekiʻe ma ka BFCRS e pane maʻamau i nā mālama benzodiazepine.

Nā lāʻau lapaʻau ʻē aʻe i kuhikuhi ʻia, e pili ana i ka hihia o kēlā me kēia, e hoʻopili pū me:

• amobarbital, he barbiturate
• bromocriptine (Cycloset, Parlodel)
• carbamazepine (Carbatrol, Epitol, Tegretol)
• lithium carbonate
• hōmona thyroid
• zolpidem (Ambien)

Ma hope o 5 mau lā, inā ʻaʻohe pane i ka lāʻau a i ʻole inā hōʻino nā hōʻailona, ​​hiki i ke kauka ke koi aku i nā lāʻau lapaʻau ʻē aʻe.

Electroconvulsive therapy (ECT)

ʻO kahi electroconvulsive therapy (ECT) kahi lāʻau lapaʻau kūpono no catatonia. Hana ʻia kēia ʻano lāʻau i loko o kahi haukapila ma lalo o ka nānā ʻana a ka lāʻau. He hana ʻeha ʻole ia.

Ke hoʻowalewale ʻia ke kanaka, hāʻawi kahi mīkini kūikawā i kahi haʻalulu uila i ka lolo. Hoʻokomo kēia i ka hopu ʻana i ka lolo no kahi manawa ma kahi o ka minuke.

Manaʻo ʻia ka hopu ʻana he kumu ia e hoʻololi ai i ka nui o nā neurotransmitters i ka lolo. Hiki i kēia ke hoʻomaikaʻi i nā hōʻailona catatonia.

Wahi a kahi loiloi moʻokalaleo 2018, ʻo ECT a me benzodiazepines wale nō nā lāʻau i hōʻoia ʻia e mālama pono i ka catatonia.

He aha ka nānā no catatonia?

Pane pinepine ka poʻe i nā mālama catatonia. Inā ʻaʻole pane kahi kanaka i nā lāʻau i kuhikuhi ʻia, hiki i ke kauka ke kuhikuhi i nā lāʻau ʻē aʻe a hiki i ka pau ʻana o nā ʻōuli.

ʻO ka poʻe i loaʻa iā ECT i kahi helu relaps kiʻekiʻe no catatonia. Hōʻike hou ʻia nā ʻōuli ma loko o hoʻokahi makahiki.

Hiki ke pale ʻia ka catatonia?

Ma muli o ka ʻike pinepine ʻole ʻia o ke kumu pono o ka catatonia, ʻaʻole hiki ke kāohi. Eia nō naʻe, pono ka poʻe me catatonia e hōʻalo i ka lawe ʻana i nā lāʻau neuroleptic ʻoi loa, e like me chlorpromazine. Hiki ke hōʻeha i ka lāʻau lapaʻau i nā hōʻailona catatonia.