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Umukoresha:Doc James/Indwara idahwitse

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Obsessive–compulsive disorder
Frequent, excessive hand washing occurs in some people with OCD
SpecialtyPsychiatry
IbimenyetsoFeel the need to check things repeatedly, perform certain routines repeatedly, have certain thoughts repeatedly[1]
ComplicationsTics, anxiety disorder, suicide[2][3]
Usual onsetBefore 35 years[1][2]
CausesUnknown[1]
Risk factorsChild abuse, stress[2]
Diagnostic methodBased on the symptoms[2]
Differential diagnosisAnxiety disorder, major depressive disorder, eating disorders, obsessive–compulsive personality disorder[2]
TreatmentCounseling, selective serotonin reuptake inhibitors, clomipramine[4][5]
Frequency2.3%[6]
Inyandikorugero:Ubl

Indwara ya Obsessive - ihatira ( OCD ) ni indwara yo mu mutwe aho umuntu yumva ko akeneye gukora gahunda zimwe na zimwe (bita "agahato"), cyangwa afite ibitekerezo bimwe na bimwe (bita "obsessions").[1] Umuntu ntashobora kugenzura ibitekerezo cyangwa ibikorwa mugihe kirenze igihe gito.[1] Guhatirwa bisanzwe birimo gukaraba intoki, kubara ibintu, no kugenzura niba umuryango ufunze.[1] Bamwe barashobora kugira ingorane zo guta ibintu hanze.[1] Ibi bikorwa bibaho ku buryo ubuzima bwa buri munsi bwumuntu bugira ingaruka mbi, akenshi bifata isaha irenga kumunsi.[2] Benshi mu bakuze bamenya ko imyitwarire idafite ishingiro.[1] Indwara ifitanye isano n'amayeri, ihungabana, hamwe no kwiyongera kwiyahura.[2][3]

Impamvu ntiramenyekana. Hano haribintu bimwe bigize genetike, hamwe impanga zombi zisa cyane zikunze kwibasirwa kuruta impanga zombi zidasa.[2] Ibintu bishobora guteza akaga birimo amateka yo guhohotera abana cyangwa ibindi bintu bitera guhangayika.[2] Imanza zimwe zanditse ko zibaho nyuma yo kwandura.[2] Isuzuma rishingiye ku bimenyetso kandi risaba kwirinda izindi mpamvu ziterwa n'ibiyobyabwenge cyangwa ubuvuzi.[2] Ibipimo byo gupima nka Yale - Brown Obsessive Compulsive Scale (Y-BOCS) birashobora gukoreshwa mugusuzuma uburemere. Izindi ndwara zifite ibimenyetso bisa zirimo guhangayika, ihungabana rikomeye ryo kwiheba, kurya nabi, indwara ya tic, hamwe no guhagarika umutima.[2]

Kuvura bikubiyemo ubujyanama, nka cognitive imyitwarire yubuvuzi (CBT), ndetse rimwe na rimwe imiti igabanya ubukana, nka selotonine reuptake inhibitor (SSRIs) cyangwa clomipramine.[4][5] CBT kuri OCD ikubiyemo kongera guhura nibitera ibibazo mugihe utemerera imyitwarire isubiramo.[4] Mugihe clomipramine isa nkaho ikora kimwe na SSRIs, ifite ingaruka zikomeye bityo rero ikabikwa nkumurongo wa kabiri.[4] Antipsychotics idasanzwe irashobora kuba ingirakamaro mugihe ikoreshejwe hiyongereyeho SSRI mubibazo bidashobora kuvurwa ariko kandi bifitanye isano no kwiyongera kwingaruka mbi.[5][7] Hatabayeho kuvurwa, indwara imara imyaka mirongo.[2]

Indwara ya Obsessive - ihatira abantu bagera kuri 2,3% mugihe runaka mubuzima bwabo.[6] Ibiciro mugihe cyumwaka ni hafi 1,2%, kandi bibaho kwisi yose.[2] Ntibisanzwe ko ibimenyetso bitangira nyuma yimyaka 35, kandi kimwe cya kabiri cyabantu bakagira ibibazo mbere ya [2] Igitsina gabo nigitsina gore bigira ingaruka zingana.[1] Imvugo idahwitse - guhatira rimwe na rimwe ikoreshwa muburyo budasanzwe budafitanye isano na OCD kugirango isobanure umuntu nkubwitonzi bukabije, butunganijwe, bwakiriwe, cyangwa ubundi bukosowe.[8]

Reba

[Hindura | hindura inkomoko]
  1. 1 2 3 4 5 6 7 8 9 Cite error: Invalid <ref> tag; no text was provided for refs named NIH2015
  2. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Diagnostic and statistical manual of mental disorders : DSM-5 (5 ed.). Washington: American Psychiatric Publishing. 2013. pp. 237–242. ISBN 978-0-89042-555-8.
  3. 1 2 Angelakis, I; Gooding, P; Tarrier, N; Panagioti, M (25 March 2015). "Suicidality in obsessive compulsive disorder (OCD): A systematic review and meta-analysis". Clinical Psychology Review. Oxford, England: Pergamon Press. 39: 1–15. doi:10.1016/j.cpr.2015.03.002. PMID 25875222.
  4. 1 2 3 4 Grant JE (14 August 2014). "Clinical practice: Obsessive-compulsive disorder". The New England Journal of Medicine. 371 (7): 646–53. doi:10.1056/NEJMcp1402176. PMID 25119610.
  5. 1 2 3 Veale, D; Miles, S; Smallcombe, N; Ghezai, H; Goldacre, B; Hodsoll, J (29 November 2014). "Atypical antipsychotic augmentation in SSRI treatment refractory obsessive-compulsive disorder: a systematic review and meta-analysis". BMC Psychiatry. 14: 317. doi:10.1186/s12888-014-0317-5. PMC 4262998. PMID 25432131.
  6. 1 2 Goodman, WK; Grice, DE; Lapidus, KA; Coffey, BJ (September 2014). "Obsessive-compulsive disorder". The Psychiatric Clinics of North America. 37 (3): 257–67. doi:10.1016/j.psc.2014.06.004. PMID 25150561.
  7. ↑ Decloedt EH, Stein DJ (2010). "Current trends in drug treatment of obsessive-compulsive disorder". Neuropsychiatr Dis Treat. 6: 233–42. doi:10.2147/NDT.S3149. PMC 2877605. PMID 20520787.
  8. ↑ Bynum, W.F.; Porter, Roy; Shepherd, Michael (1985). "Obsessional Disorders: A Conceptual History. Terminological and Classificatory Issues.". The anatomy of madness: essays in the history of psychiatry. London: Routledge. pp. 166–187. ISBN 978-0-415-32382-6.
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