A fairly large percentage of the population in ourthe country suffers from mental illnesses. They can develop against a background of congenital pathologies or be acquired. The severity of such diseases can vary from mild to severe cases in which isolation of the patient from others is required. In this article, let's try to understand what shoe-like schizophrenia is. Symptoms, course, treatment and prognosis for this pathology will also be considered.
The essence of the disease
This type of disease is also calledparoxysmally-progredient schizophrenia. It is characterized by the alternation of acute attacks with light intervals. The effects of seizures may not be observed, and in some cases some personality changes are noticeable.
With this disease there are also this type ofexacerbations, which are called fur coats, hence the name of pathology. They necessarily influence the human psyche, carrying out a kind of "shift". The result is the appearance of a pronounced mental defect.
Clinical manifestations of a coat-like schizophrenia
For all types of schizophrenia, negativechanges in personality, with this type of disease, they begin to manifest gradually, after each attack everything is growing. Shuboobraznaya schizophrenia symptoms may initially have the following:
- There are obsessions.
- The patient begins to consider all his actions as if from the outside, he believes that they can not control them and control them.
- There are paranoid ideas that lead to the emergence of excessive suspicion, people everywhere looking for their enemies, there is a delusion of grandeur.
Subsequent symptoms appear as qualitatively new manifestations of mental disorder. Attacks of this disease have a different clinical picture. Most often it is:
- Depressive-hallucinatory conditions.
- Sharp paranoid.
- Depressive-obsessional states.
This is only a small part, in fact, the manifestations of the ailment are much broader.
Shuboobraznaya schizophrenia can have a different degree of depth of emerging mental defects. They differ not only in their variations, but also in the degree of their progress.
In some cases, this form of the diseaseis close to a malignant species and can result in schizophrenic dementia. In other situations, the progression tendencies are poorly expressed, and the disease is lethargic, the personality defects are insignificant.
Quite often happens when the coatSchizophrenia occupies an intermediate position between two variants of the course. If you ask a doctor about how often attacks occur in such patients, he will answer that almost a third of all patients with this disease can tolerate an exacerbation only once, while in others the pathology reminds itself once every few years.
The number of attacks does not directly affect personality changes. Even numerous exacerbations can not end with pronounced manifestations of mental defects.
Various forms of manifestation of the disease
And yet, what does schizophrenia look like? The form of the disease can be different. Allocate the following options:
- Schizoaffective psychosis.
- Paroxysmal-progredient form, which resembles a paranoid variety of pathology.
- Malignant form.
Let's look at each little bit more.
Schizoaffective form of schizophrenia
On the eve of the development of this form of pathologythere can be periodic mood changes that gradually become more frequent and become more pronounced. Psychotic symptoms, mania and depression develop.
In between such outbursts, it is possiblethe appearance of obsessions, hypochondriacal and hysterical disorders. If we talk about pronounced personality changes, then the shuboiform schizophrenia of this form, as a rule, has none. The defect of the psyche is more noticeable when in the period of exacerbations there are not mood disorders, but psychotic symptoms.
The bright development of the clinical picture of this formis preceded by a visible change in the character of the patient. There is already a circle of interests, emotional reactions to surrounding events are flattened. A person becomes suspicious, can express paranoid ideas.
The disease can have a continuous course orparoxysmal. In the first scenario, in the intervals between attacks, the patient retains delirium and mental disorders. If the pathology proceeds paroxysmatically, during the period of remission the psychotic symptoms are practically absent, and during exacerbations one can observe hallucinations and delusions.
Seizures can have different duration,it can be a month, and in some patients they are delayed for several years. Throughout the life of such periods can be from three or more. During exacerbations, the symptomatology is determined not only by the form of the disease, but also by the stage of its development.
You can observe the following:
- Expressed hallucinations.
- Interpretative delirium.
- The Kandinsky syndrome is Clerambo.
Even during the remission of the disease, you can observe residual mental disorders in the form of fragmentary hallucinations, delusions. Patients are not prone to a critical attitude to attacks.
For a given form of schizophrenia, more orless pronounced personality disorders, beginning with minor changes in the character and ending with the total inability of a person to exist in society.
Malignant form of the disease
Unfortunately, quite often this formA terrible illness develops in adolescents. How does the teenage schubopathic schizophrenia go? The history of the disease, as a rule, contains information about the exacerbations that can be observed throughout the year and more. At this time there is a pronounced psychotic symptomatology. During the life of exacerbations can be 3 or 4, gradually decreasing the duration of remission and the disease may acquire a continuous flow.
The manifestations of this form of the disease are sometimes quitevaried and variable. Perhaps the emergence of various symptoms, from catatonia and ending with shestopatiey. In the period between attacks, a pronounced mental defect remains.
Periodic or circular form
It is characterized by single depressive and manic attacks. It happens that there are double seizures, that is, one type of current replaces another.
If there is schizophrenia, the fur-like current in this form resembles a depressive psychosis. The very first attacks are practically indistinguishable from him. The following already occur with such symptoms:
- There are ideas of persecution.
- Fantastic delirium.
- Catatonic disorders.
- A cheerful mood can be replaced by stupid behavior and foolishness, and the desire for work is disinhibition.
Therapy of the disease may vary depending on the form of the pathology, so any decision in this regard should only be made by the doctor.
The causes of the development of fur coat schizophrenia
At present, until now, there is still nohave understood, what reasons lead to that develops a fur coat schizophrenia. Pathological genesis is not clear, but consider that development factors include:
- Genetic features.
- Features of the constitution of man.
- Belonging to a certain gender and age.
Recognize the main reason for the development of schizophrenia is difficult, but more often it is:
- Anomalies in the development of the brain.
- Hereditary predisposition.
- Exhaustion of the female body during pregnancy.
Whatever factor caused the development of thispathology, therapy should always be conducted. A competent specialist will help improve the patient's quality of life and maximally return it to a normal existence.
Symptoms of the disease
The more frequent attacks of schizophrenia, the more noticeable becomes endogenization. The condition of the patient is aggravated by the following conditions:
- motor retardation;
- ideas of guilt.
If already at this stage do not start adequatetherapy, the depression is aggravated, the person has illusions, the desire to attribute his thoughts to others. At maniacal states, expansive nonsense predominates:
- of invention.
Exacerbations can last up to three years,negative symptomatology is complicated by emotional decline right up to autism. But it should be noted that gross defects in the psyche may not manifest itself. In some cases, amidst paranoid changes, affective-delusional attacks develop. In many patients, the coat-like schizophrenia symptoms are as follows:
- delirium poisoning, intoxication;
- Depressive states, which are burdened by the idea of persecution.
Between seizures disorders canTo be present in a reduced form, the psychic changes of personality gradually become more and more noticeable. If the disease is not treated, it can acquire a continuous flow.
If you mean a child's coatschizophrenia, the case history of such patients contains information that children become non-initiative, constantly irritated, alienated. They go into opposition to others, they have a significantly reduced mental activity. Hallucinations are most often visual, and instead of crazy ideas appear delusions of fantasy. Such children often show discontent, they are capricious, there is motor disinhibition when the mood is elevated.
How the attack of schizophrenia develops
Most often, seizures with this form of the disease go through one pattern:
- The initial stage of the disease is characterized by emotional disturbances. Periods of high spirits are replaced by indifference and a negative attitude to everything around him.
- The next stage is accompanied by delirium. It seems to the patient that he is a participant in the film, and around him are actors who direct his actions. He also believes that his thoughts do not belong to him, they are put into his head by others.
- Progressing, the disease is complicated by antagonistic delirium. The patient divides all people into two opposing camps. Delirious ideas and megalomania develop.
- The peak of pathology is manifested by the canonicalviolations. The patient may not respond at all to comments, for a long time freezes in one pose. In such cases, there is a clouding of consciousness, a person begins to see fantastic visions that do not correspond to reality.
- When the regressive condition comes, the symptoms of emotional disorders again appear.
It should be noted that not always seizures are inin this order. Development can end at one stage, while others will manifest themselves in short intervals. The duration of the attack can range from several days to several months.
Features of schizophrenia
If we take into account many of theresearch, it can be concluded that in most patients who suffer from schizophrenic schizophrenia, even the periods of remission are accompanied by chronic disorders that gradually develop. The degree of the disease and the depth of the psyche can vary.
The peculiarity of the disease are fluctuationsmoods, which are most often observed before the development of the first attack. Over time, such changes become more and more noticeable, the patient may fall into severe depression, mania and psychotic symptoms appear.
In the period between attacks for a sick personcharacterized by hysterics, obsession. If we compare this type of schizophrenia with others, then it can be noted that changes in the psyche are most often minor.
We found out what a shoe-likeschizophrenia. Symptoms, the course of the ailment is also considered. It's time to stop at the treatment. Earlier it was believed that such a pathology is practically not amenable to therapy, but, given the current level of medical development, it can be argued that it is now realistic to achieve long-term remission and improve the patient's quality of life.
At the heart of therapy is the administration of neuroleptics. They eliminate not only the signs of psychosis, but also the characteristic clinical manifestations of the disease.
Most often, doctors prefer monotherapy, that is, the use of one drug, usually a new generation. This includes:
These medicines slow down the buildupsymptoms, prevent the appearance of hallucinations, delusions. A significant disadvantage of such drugs is their high cost, and treatment should be carried out long and systematically.
Types of coat-like schizophrenia are different, so the choice of drugs is also not the same. For example, in the paranoid form, the following drugs are preferred:
Treatment of malignant form is usually accompanied by a technique:
In the presence of soft forms appoint "Truksal", "Sonapaks", "Neuleptil."
Relatives of the patient should understand thatthe treatment of shoe-like schizophrenia should be performed only by a specialist, it is unacceptable to independently purchase medicines in a pharmacy - this can only aggravate a person's condition.
Not only drugs are important in the treatment of schizophrenia,psychotherapy is also necessary. It is important that the patient is supported by doctors and relatives: irritability and skepticism lead only to the emergence of aggressiveness and detachment. Only with a comprehensive therapy, the schubo shaped schizophrenia forecast will be favorable.
Treatment can be carried out not only in conditionshospital, it all depends on the degree of disease and the patient's condition. If the patient does not pose a danger to himself and others, therapy is also possible at home.
Which doctor is involved in therapy?
Neurologist and psychiatrist can help to overcome this disease. It is best if these two specialists work together. The task of doctors is as follows:
- To study how pathology manifests itself during seizures and between them.
- Analyze the patient's life history.
- Talk with the patient's family.
Only after the diagnosis is confirmed and the form of the disease is determined, the tactic of treatment is chosen.
At a modern level of development of medicine, eventhe most severe mental disorders are amenable to treatment. Maybe it will not be a 100% recovery, but the patient's quality of life can significantly improve, remissions will have a longer period. With the slightest suspicion of the pathology of the psyche, be sure to visit a specialist, only so you can not allow the aggravation of the disease.</ p>