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ICapgras syndrome, ebizwa nangokuthi 'yiCapgras delusion' ukuphazamiseka kwengqondo lapho umuntu eqala ukukholelwa ukuthi umuntu (ikakhulukazi othandekayo wakhe) noma iqembu labantu lithathelwe indawo ngabakhohlisi ababukeka njengabo noma kabili.
Leli fomu lama-syndromes okungaqondakali okungaqondakali alivamile kakhulu futhi lingahlotshaniswa nezimo ezithile zengqondo nezengqondo ezazikhona ngaphambili njenge-Lewy dementia yomzimba, imicimbi ye-cerebrovascular noma ukusetshenziswa kwezidakamizwa ezingekho emthethweni. [1]
ICapgras syndrome ibizwa kanjalo njengoba yachazwa okokuqala nguJoseph Capgras. Futhi, lesi simo sidlange kakhulu ezinkingeni eziningi zengqondo yesiqephu sokuqala. Ucwaningo lukhombisile ukuthi iCapgras syndrome itholakala kakhulu kubantu besifazane, abamnyama nakuma-schizophrenics. [okubili]
Kulesi sihloko, sizoxoxa ngemininingwane ngeCapgras syndrome, izimbangela zayo kanye nokwelashwa kwayo. Bheka.
Izimbangela ZeCapgras Syndrome: Case Study
1. Ucwaningo lwamacala lukhuluma ngomfelokazi oneminyaka engama-69 ubudala one-Capgras syndrome. Ngemuva kwesonto ebuyile eholidini, wazivimba efulethini lakhe njengoba ayesola abantu abaseduze kwakhe. Owesifazane ubebase umlilo omncane endlini yakhe futhi wenqaba ukuvumela abacimi bomlilo bethi ababona bangempela, kodwa bangamakhohlisi.
Kwathi ngelinye ilanga wathela ibhakede lamanzi eqenjini labesifazane asebekhulile, ethi nabo ababona omakhelwane bakhe bangempela. Ngenkathi etholakala, kwatholakala ukuthi unesifo sofuba esidala i-arthrodesis edolweni lakhe langakwesobunxele. Okuxakayo ukuthi izimo zakhe zempilo yengqondo ezinjengememori nokuqonda zijwayelekile. Wabe eselashwa ngemithi ye-neuroleptic futhi walulama kahle. [3]
2. Olunye ucwaningo lwamacala lukhuluma ngowesifazane oneminyaka engama-74 owayelawula i-insulin ngenxa yesifo sikashukela. Ngenxa ye-insulin eyeqile emzimbeni wakhe, ushukela wegazi lakhe wehle kakhulu wabangela iziqephu eziningana ze-hypoglycemic.
Ezinyangeni eziyishumi nanhlanu ngaphambi kokuhlolwa kwalesi sifo, waba nesiqephu sokuqala lapho ahluleka khona ukubona umyeni wakhe. Ukuvama kweziqephu kukhuphuke kancane kancane ngemuva kwezinyanga ezithile, kulandelwa ukwehla kwenkumbulo yakhe.
Wayeqale ukubeka izinto ngokungafanele, eshiya abapheki bevutha bakhohlwa ukucisha ompompi. Ngemuva kokuxilongwa, watholakala enokukhubazeka kwenkumbulo yesikhashana, ukwahlulela nokucabanga okungaqondakali. Futhi, kwakukhona i-atrophy emincane (ukulahleka kwama-neuron) kanye noshintsho lwe-microvascular (ushintsho emithanjeni yegazi elincane ebuchosheni) olwaludale ukuqala okungazelelwe kweCapgras syndrome.
Ukwelashwa okufanele, ukuhlolwa okujwayelekile nokuphathwa kwesifo sikashukela kuye kwasithuthukisa isimo. Kodwa-ke, ngemuva kweminyaka emithathu yokuqala, wayeseba nokuwohloka komqondo okunzima.
3. Ezinye izimbangela zeCapgras syndrome zingabandakanya ukubona izinto ezingekho emqondweni, ukukhubazeka kokucabanga, inkumbulo kanye nokukhubazeka okubukwayo, [4] Ukuwohloka komqondo komzimba kaLeyy kanye nemibono ebonakalayo nokukhathazeka. [5]
ICapgras Syndrome Nodlame
Abantu abane-Capgras syndrome eyinhloko (iminyaka yobudala engama-32) bavame ukuthukuthela kakhulu noma babe nobudlova kumkhohlisi ngenxa yokusola nokuphambana. Ucwaningo luthi ingozi yobudlova iphezulu kakhulu kwabesilisa abanalesi simo, uma kubhekwa ukuthi iCapgras syndrome idlange kakhulu kubantu besifazane.
Lolu cwaningo luphinde luthi abantu abakhombise isenzo sodlame, nabo bakhombisile ukuzihlukanisa nokuziyeka emphakathini ngaphambi kwalesi senzo.
Uchungechunge lwamacala olususelwa ezigulini eziyisishiyagalombili lubalula ngokuziphatha kwabo okunodlame njengokubulala, ukusongela ngesikele, ukubamba ummese emqaleni, ukulimaza ngembazo, ukugwazwa, ukushiswa nokunye ukulimala emzimbeni okusongela impilo. Lokhu kusikisela ukuthi ukukhonjwa nokwelashwa kwalesi sifo kusenesikhathi kubaluleke kakhulu. [6]
Ukwelashwa KweCapgras Syndrome
ICapgras syndrome yelashwa kakhulu ngemithi yezinzwa noma yezengqondo njengoba iningi lamacala eCapgras syndrome ahlotshaniswa nolunye uhlobo lokuphazamiseka kwempilo yengqondo.
Ngakho-ke, ukuxilongwa okufanele (kokubili ngokomzimba nangokwengqondo) kwenziwa ukwazi imbangela ngqo futhi ngokufanele, kunikezwa imithi.
Ucwaningo lukhuluma ngokwelashwa kweziguli ze-schizophrenia ezine-clozapine, ezazinezimpawu zokukhohliswa kweCapgras.
Uma imbangela yalesi sifo kungukugula okuthile kwengqondo, kunikezwa imishanguzo yokulwa nengqondo noma imishanguzo yokulwa nokudangala noma i-mood-stabilizer isikhathi esithile bese imiphumela iyahlolwa. [7]
Abantu abane-Capgras syndrome ngenxa yokusebenzisa izidakamizwa, ukuphuza ngokweqile noma ukudakwa kwezidakamizwa banikezwa imishanguzo yokuhlanganiswa efana ne-Aripiprazole ne-Escitalopram ukuxazulula izimpawu ezifana nokukhathazeka. [8]
Imibuzo evame ukubuzwa
1. Ngabe iCapgras syndrome ikwiDSM 5?
Cha, yize iCapgras syndrome inezimbangela eziningi nobubanzi bezimpawu ezahlukahlukene kusuka ezimweni zomzimba kuya kwezengqondo, ayichazwanga ikakhulukazi kwi-DSM 5. Kodwa-ke, njengoba luhlobo lokuphazamiseka kokukhohlisa, lungakhonjwa njengophawu lokuthi isimo.
2. Ngabe iCapgras ingalapheka?
Ukukhohliswa kweCapgras ikakhulu kungenxa yesimo esithile sezempilo yengqondo. Ukuxilongwa ngesikhathi, ukwelashwa kanye nokuphathwa kwalesi simo kunganciphisa iziqephu zeCapgras futhi kusize ekuthuthukiseni ikhwalithi yempilo.
3. Ziyini izimpawu zeCapgras syndrome?
Ezinye zezimpawu zeCapgras syndrome zibandakanya ukubona izinto ezingekho emqondweni, izimpawu zengqondo kanye nemibono yasesomatic.
