Boloetse ba Schizoaffective

Boloetse ba Schizoaffective ke boemo ba kelello bo bakang ho lahleheloa ke kamano le 'nete (psychosis) le mathata a maikutlo (khatello ea maikutlo kapa ho hlanya).

Ha ho tsejoe hore na sesosa sa 'nete sa lefu la schizoaffective ke eng. Liphetoho liphatseng tsa lefutso le lik'hemik'hale bokong (li-neurotransmitters) li ka bapala karolo.

Ho nahanoa hore lefu la Schizoaffective ha le tloaelehe haholo ho feta schizophrenia le mathata a maikutlo. Basali ba ka ba le bothata khafetsa ho feta banna. Boloetse ba Schizoaffective bo ba teng hangata ho bana.

Matšoao a lefu la schizoaffective a fapane ho motho ka mong. Khafetsa, batho ba nang le lefu la schizoaffective ba batla kalafo bakeng sa mathata a maikutlo, ts'ebetso ea letsatsi le letsatsi, kapa menahano e sa tloaelehang.

Mathata a kelello le maikutlo a ka hlaha ka nako e le 'ngoe kapa a le mong. Boloetse bona bo ka kenyelletsa matšoao a mangata a matla a lateloang ke ntlafatso.

Matšoao a lefu la schizoaffective a ka kenyelletsa:

• Liphetoho takatso ea lijo le matla
• Puo e sa hlophisehang e sa utloahaleng
• Litumelo tse fosahetseng, tse kang ho nahana hore motho e mong o leka ho u ntša kotsi (paranoia) kapa ho nahana hore melaetsa e khethehileng e patiloe libakeng tse tloaelehileng (lithetso tsa litšupiso)
• Ho se tsotelle taba ea bohloeki kapa boitlhopho
• Feto-fetoha e ntle haholo, kapa e tepelletse maikutlo kapa e tenehang feela
• Mathata a ho robala
• Mathata a ho tsepamisa mohopolo
• Ho hlonama kapa ho felloa ke tšepo
• Ho bona kapa ho utloa lintho tse sieo (hallucinations)
• Ho behellwa thoko ha batho
• Ho bua kapele hoo ba bang ba ke keng ba u sitisa

Ha ho na liteko tsa bongaka tsa ho fumana lefu la schizoaffective. Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea bophelo bo botle ba kelello ho fumana boits'oaro le matšoao a motho eo. Ngaka ea mafu a kelello e ka botsoa ho netefatsa hore na e fumanoa joang.

Ho fumanoa hore o na le lefu la schizoaffective, motho o na le matšoao a ho ba le kelello le lefu la maikutlo. Ntle le moo, motho o tlameha ho ba le matšoao a psychotic nakong ea maikutlo a tloaelehileng bonyane libeke tse 2.

Motsoako oa matšoao a psychotic le mood in schizoaffective disorder o ka bonoa maloetseng a mang, joalo ka lefu la ho ferekana kelellong. Pherekano e fetelletseng maikutlong ke karolo ea bohlokoa ea lefu la schizoaffective.

Pele a fumana lefu la schizoaffective, mofani oa thepa o tla tlosa maemo a amanang le bongaka le lithethefatsi. Mathata a mang a kelello a bakang matšoao a kelello kapa maikutlo a tlameha ho tlosoa. Mohlala, matšoao a lefu la kelello kapa a maikutlo a ka hlaha ho batho ba:

• Sebelisa k'hok'heine, amphetamine kapa phencyclidine (PCP)
• E-na le mathata a ho akheha
• Nka meriana ea steroid

Kalafo e ka fapana. Ka kakaretso, mofani oa hau o tla fana ka meriana ho ntlafatsa maikutlo a hau le ho phekola psychosis:

• Meriana ea antipsychotic e sebelisetsoa ho alafa matšoao a kelello.
• Meriana ea ho imeloa kelellong, kapa li-stabilizers tsa maikutlo, e ka laeloa ho ntlafatsa maikutlo.

Phekolo ea lipuo e ka thusa ka ho theha meralo, ho rarolla mathata le ho boloka likamano.Phekolo ea sehlopha e ka thusa ka ho itšehla thajana.

Ts'ehetso le koetliso ea mosebetsi li ka thusa bakeng sa boiphihlelo ba mosebetsi, likamano, taolo ea chelete le maemo a bophelo.

Batho ba nang le lefu la schizoaffective ba na le monyetla o moholo oa ho khutlela maemong a bona a pele ho feta batho ba nang le mathata a mang a mangata a kelello. Empa kalafo ea nako e telele hangata ea hlokahala, mme liphetho li fapana ho ea ka batho.

Mathata a tšoana le a schizophrenia le mathata a maholo a maikutlo. Tsena li kenyelletsa:

• Tšebeliso ea lithethefatsi
• Mathata a latelang kalafo le kalafo
• Mathata a bakoang ke boits'oaro ba monna (mohlala, ho senya chelete, boitšoaro bo hlephileng ba thobalano)
• Boitšoaro ba ho ipolaea

Bitsa mofani oa hau haeba uena kapa motho eo u mo tsebang a e-na le tse ling tsa tse latelang:

• Ho sithabela maikutlo ka ho hloka tšepo kapa ho hloka thuso
• Ho sitoa ho hlokomela litlhoko tsa mantlha tsa botho
• Eketsa matla le ho nka karolo boitšoarong bo kotsi bo sa lebelloang ebile bo sa tloaelehang ho uena (mohlala, ho qeta matsatsi u sa robala le ho ikutloa u sa hloke ho robala)
• Menahano kapa mehopolo e makatsang kapa e sa tloaelehang
• Matšoao a mpefalang kapa a sa ntlafatseng kalafo
• Menahano ea ho ipolaea kapa ea ho utloisa ba bang bohloko

Boloetse ba maikutlo - lefu la schizoaffective; Pherekano - lefu la schizoaffective

• Boloetse ba Schizoaffective

Mokhatlo oa Amerika oa mafu a kelello. Schizophrenia spectrum le mathata a mang a kelello. Ka: Mokhatlo oa American Psychiatric Association, ed. Buka ea Tlhatlhobo le Lipalopalo tsa Mathata a Kelello. La 5th. Arlington, VA: Khatiso ea Psychiatric ea Amerika; 2013: 87-122.

Freudenreich O, Brown HE, Holt DJ. Psychosis le schizophrenia. Ka: Stern TA, Fava M, Wilens TE, Rosenbaum JF, bahlophisi. Sepetlele sa Massachusetts General Comprehensive Clinical Psychiatry. Lekhetlo la bobeli. Philadelphia, PA: Elsevier; 2016: khaolo ea 28.

Mofumahali Lyness JM. Mathata a kelello kalafong ea bongaka. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 369.