El Isifo seCotard, ekwaziwa ngokuba yi-nihilistic delusion, yinto engaqhelekanga kwaye ephazamisayo yokugula kwengqondo ecela umngeni kwimida yokuqonda unyango. Esi siphazamiso sikhokelela abantu ekubeni bakholelwe ukuba bafile, abakho, okanye amalungu emizimba yabo anyamalele okanye ayabola. Ubunzima bolu kuphazamiseka kunye nempembelelo yayo eyonakalisayo inokubonwa ngokucacileyo kumava ka Graham, isigulane esityala laso liye latsala ingqalelo yehlabathi lezenzululwazi.
Yintoni i-Cotard Syndrome?
El Isifo seCotard Yachazwa okokuqala ngo-1880 ngugqirha wemithambo-luvo waseFransi uJules Cotard, owayibiza ngokuba ".délire de negation» (ukukhanyela ukukhohlisa). Esi siphazamiso sinokuthi sithathwe njengendlela egqithisileyo ye-nihilistic okanye inkohliso yokudakumba, kwaye ichaphazela inani elincinane kakhulu labantu emhlabeni. Izigulana zikholelwa ngokoqobo ukuba zifile okanye zibanga ukuba amalungu azo akhubazekile, abola okanye azikho.
Kwiimeko ezinzima kakhulu, izigulana zinokubanga ukuba azinangqondo, njengoko kwakunjalo ngoGraham. Abanye bade babe namava iimpazamo eziviwayo, ezibonwayo okanye zokunukisa ezomeleza imbono yabo engeyiyo yobunyani. Le syndrome ihlala ihamba kunye neempawu ezinzima ukuxinezeleka, isifo sengqondo okanye iingxaki ze-neurological ezifana ne-Parkinson, i-multiple sclerosis kunye nokulimala kwentloko.
Ityala likaGraham: Ibali "labafi abaphilayo"
Ityala likaGraham lelinye lezona zidumileyo kuncwadi lwenzululwazi kwi Isifo seCotard. Emva kokuzama ukuzibulala ngokuzicima ngombane ebhafini yakhe, uGraham wavuka eqinisekile: wayefile. Wachaza ukuba wayephulukene ngokupheleleyo nemvakalelo yokungcamla, yokujoja kunye nayo nayiphi na into khuthazo ukwenza imisebenzi yemihla ngemihla enjengokuthetha, ukutya okanye ukonwaba.
«Ixesha lam ndilichithele emangcwabeni kuba yayiyeyona nto ikufutshane ekufeni.“wavuma kudliwano-ndlebe neli phephancwadi Scientist New. UGraham wade wakhankanya ukuba wayeziva ngathi ingqondo yakhe ayisekho, echaza ukuba "wayeyiqhotse" ngexesha lokuzama ukuzibulala.
Uxilongo lwezoNyango ngeNzululwazi
Uxilongo lukaGraham lwavumela oogqirha ukuba baqhubele phambili nophando ngesi sifo sinqabileyo. Zisebenzisa i<em>positron emission tomography (PET) scans, iingcaphephe zafumanisa ukuba ukusebenza kwengqondo kaGraham kwakufana ngokuphawulekayo naleyo yomntu okwimeko enkenenkene. coma, i-anesthesia okanye ubuthongo obunzulu. Ngokutsho kukaGqr Steven Laureys, we KwiYunivesithi yaseLiege, le pateni yokusebenza kwengqondo engaqhelekanga inqabile kakhulu kubantu abasezingqondweni.
Olu phando lubonisa ukuba ukwehla okukhulu kwimetabolism yobuchopho kunokuba noxanduva lwamava atshintshileyo kunye ukungakwazi ukuqiqa ngokuchanekileyo malunga nenyani ebonisa i Isifo seCotard. Nangona ingqondo kaGraham yayiphelele ngokwasemzimbeni, umbono wakhe wehlabathi wawugqwethekile ngokupheleleyo, wakhokelela kubomi obufana ne "zombie".
Izinto ezibangela i-Cotard Syndrome
Oyena nobangela we Isifo seCotard ayiqondwa ngokupheleleyo, kodwa abaphandi balatha kwindibaniselwano izinto zebhayoloji, i-neurological, psychological and social. Kwizifundo ezininzi, le meko ifunyenwe inxulunyaniswa ne:
- Ukuphazamiseka kwengqondo: Ukulimala kwengqondo, ukuxhuzula kunye nezifo ze-neurodeergenerative ezifana ne-Parkinson kunye ne-multiple sclerosis.
- Ukuphazamiseka kwengqondo: Ukudakumba okukhulu, i-schizophrenia kunye neemeko ezinzima zengqondo.
- Izinto zengqondo: Ukwenzakala okukhulu ngokweemvakalelo, iziganeko ezicinezelayo, okanye imbono egqwethekileyo yenyani.
- ukungahambi kakuhle kwengqondo: Ukunciphisa imetabolism kwimimandla yengqondo enoxanduva lokuzihlola kunye nokuzazi.
Unyango: Indibaniselwano yoNyango
Ulawulo lwe Isifo seCotard Lucelomngeni lwezonyango nengqondo. Nangona kungekho nyango lukhethekileyo, kusetyenziswa iindlela ezininzi ezibandakanya:
- Amayeza: Ii-antidepressants, i-antipsychotics kunye nezinzisi zengqondo ukunyanga iimpawu ezinxulumene nokudandatheka kunye nokukhathazeka.
- Unyango lwe-Electroconvulsive (ECT): Isetyenziswa kwiimeko ezinzima kunye nezichasayo apho olunye unyango luye lwasilela.
- Unyango lokuziphatha kwengqondo (CBT): Inceda izigulana zibuze kwaye ziguqule iinkolelo zazo ezikhohlisayo.
- Inkxaso yentlalontle: Ungenelelo lwamalungu osapho kunye namaqela enkxaso lubalulekile ekuchacheni kwesigulana.
Kwimeko kaGraham, ukudityaniswa konyango lwengqondo namayeza kuye kwamnceda ngokuthe ngcembe ukuyiphucula imeko yakhe. «Andisaziva ngathi ingqondo yam ifile, nangona ngamanye amaxesha ndibona inyaniso ngeendlela ezingaqhelekanga"watsho. Oku kubonisa ukuba, nangona ukuphuculwa kunokwenzeka, inkqubo ingaba yinde kwaye inzima.
El Isifo seCotard Ihlala isisihloko esinomdla kunye nesoyikisayo sokufunda kunyango lwengqondo lwangoku. Ibali likaGraham ligxininisa ukubaluleka kokuxilongwa kwangoko kunye nonyango olubanzi ukujongana nale meko ikhethekileyo. Njengoko inzululwazi ihambela phambili, sinokukwazi ukuqonda ngcono oonobangela be-syndrome kwaye sifumane iindlela ezintsha zokunceda abo banaso.