Faʻafitauli o le Schizoaffective

Schizoaffective maʻi o se tulaga o le mafaufau e mafua ai uma le leiloa o le fesoʻotaʻiga ma le mea moni (psychosis) ma faʻafitauli o lagona (faʻanoanoaga po o le mania).

O le mafuaʻaga tonu o le faʻamaʻi schizoaffective e leʻo iloaina. Suiga i kenera ma vailaʻau i le faiʻai (neurotransmitters) ono faia se sao.

O le faʻamaʻi o le Schizoaffective ua manatu e le masani ai nai lo le schizophrenia ma le le lelei o lagona. Tamaitai ono i ai le tulaga masani masani nai lo alii. O le faʻamaʻi o le Schizoaffective e foliga mai e seasea maua i tamaiti.

Faʻailoga o le schizoaffective faʻaletonu e eseese i tagata taʻitasi. E tele taimi e saili ai e tagata e maua i le faʻamaʻi schizoaffective togafitiga mo faʻafitauli ma lagona, gaioiga i aso uma, poʻo mafaufauga le masani ai.

Psychosis ma lagona faʻafitauli mafai ona tupu i le taimi e tasi pe naʻo latou lava. O le faʻaletonu ono aofia ai taamilosaga o auga faigata mulimuli ane ma le faʻaleleia atili.

O faʻailoga o le faʻamaʻi schizoaffective e mafai ona aofia ai:

• Suiga i le fiaai ma le malosi
• Tautalaga le faʻavasega e le fetaui
• Talitonuga sese (taufaasese), pei o le mafaufau o loʻo taumafai se tasi e faʻaleaga ia te oe (paranoia) poʻo le mafaufau e faʻapea o ni feau faʻapitoa e nanaina i nofoaga masani (faʻaseseina o faʻamatalaga)
• Le lava le popole i le tumama po o teuga teuga
• Lagona e sili atu le lelei, pe faʻanoanoa pe itaita
• Faʻafitauli moe
• Faʻafitauli i le uaʻi atu
• Faʻanoanoa poʻo le leai o se faʻamoemoe
• Vaʻai pe faʻalogo i mea e le o iai (faʻailoga)
• Tuʻufua toʻatasi
• Tautala vave e le mafai e isi ona faʻalavelave ia oe

E leai ni suʻega faʻafomaʻi e iloa ai le faʻamaʻi schizoaffective. O le tausi soifua maloloina o le a faia se iloiloga o le soifua maloloina faalemafaufau e saili ai e uiga i le tagata amioga ma auga. E mafai ona faʻatalanoa se fomaʻi faʻapitoa e faʻamaonia mai le faʻamaoniga.

Ia faʻamaonia e maua i le faʻamaʻi schizoaffective, e i ai i le tagata ni faʻailoga o le psychotic ma le faʻaletonu o lagona. I se faʻaopopoga, o le tagata tatau ona i ai psychotic faʻailoga i le vaitaimi o le masani lagona mo le itiiti ifo i le 2 vaiaso.

O le tuʻufaʻatasia o psychotic ma lagona faʻailoga i le schizoaffective faaletonu mafai ona vaaia i isi maʻi, pei o le bipolar faʻaletonu. O le soʻona faʻalavelave i le lagona o se mea taua o le faʻamaʻi schizoaffective.

Ae le i faʻataʻitaʻia le faʻamaʻi o le schizoaffective, o le a aveese e le kamupani tuʻuina mai tulaga faʻafomaʻi ma vailaʻau. O isi faʻalemafaufau faʻaletonu e mafua ai psychotic poʻo uiga faʻailoga e tatau foi ona le taliaina. Mo se faʻataʻitaʻiga, e mafai ona tupu faʻailoga i le mafaufau poʻo le faʻaletonu o lagona i tagata e:

• Faʻaaoga cocaine, amphetamines, poʻo phencyclidine (PCP)
• Ia faaletonu faoa
• Inu vailaau vailaʻau

Togafitiga mafai ona eseese. I se tulaga lautele, o lau kamupani o le a fautuaina vailaʻau e faʻaleleia ai ou lagona ma togafitia ai psychosis:

• Antipsychotic vailaʻau e faʻaogaina e togafitia ai faʻailoga o le mafaufau.
• Antidepressant vailaʻau, poʻo lagona stabilizers, mafai ona fautuaina e faʻaleleia atili lagona.

Talanoa togafitiga mafai ona fesoasoani i le fausiaina o fuafuaga, foʻia o faʻafitauli, ma le tausia o fegalegaleaiga.Vaega togafitiga mafai ona fesoasoani i vafealoai lautele.

Lagolago ma galuega toleniga ono fesoasoani mo galuega galuega, fegalegaleaiga, tupe puleaina, ma tulaga olaga.

O tagata e maua i le faʻamaʻi schizoaffective e tele atu le avanoa e toe foʻi ai i le latou tulaga sa i ai muamua nai lo tagata e tele isi faʻafitauli o le mafaufau. Ae o togafitiga uumi taimi e masani ona manaʻomia, ma o iʻuga e eseese mai lea tagata i lea tagata.

Faʻalavelave e tutusa ma na mo schizophrenia ma tele faʻalavelave lagona. E aofia ai:

• Faʻaogaina o vailaʻau
• Faʻafitauli mulimuli i togafitiga faʻafomaʻi ma togafitiga
• Faʻafitauli e mafua mai i amioga faʻaali manic (mo se faʻataʻitaʻiga, faʻaaluina spsp, soona fai amioga faʻafeusuaiga)
• Amio pule i le ola

Valaʻau lau tautua pe a fai o oe poʻo seisi e te iloa o loʻo feagai ma se tasi o mea nei:

• Mafatiaga ma lagona o le leai o se faamoemoe poʻo le leai o se fesoasoani
• Le mafai ona tausia mea totino manaʻomia
• Faateleina le malosi ma aofia ai i amioga le mautinoa e faafuaseʻi ma e le masani ai mo oe (mo se faʻataʻitaʻiga, alu aso e aunoa ma le moe ma lagona le manaʻomia mo le moe)
• Sese poʻo le le masani ai mafaufauga poʻo mafaufauga
• Faʻailoga e sili atu le leaga pe le faʻaleleia i togafitiga
• Mafaufauga o le pule i le ola pe o le afaina o isi

Faʻaletonu lagona - faʻaleagaina schizoaffective; Psychosis - faʻamaʻi schizoaffective

• Faʻafitauli o le Schizoaffective

American Psychiatric Association. Schizophrenia fusi ma isi faʻafitauli psychotic. I: American Psychiatric Association, ed. Tusi faʻamaonia ma Fuainumera Tusi Lesona o le Mafaufau Faʻaletonu. 5th ed. Arlington, VA: American Psychiatric Publishing; 2013: 87-122.

Freudenreich O, Brown HE, Holt DJ. Psychosis ma schizophrenia. I le: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts Falemai Aoao Falemai Maʻi Togafitiga Togafitiga. 2nd ed. Filatelefia, PA: Elsevier; 2016: mata 28.

Lyness JM. Faʻafitauli o le mafaufau i faʻafomaʻi. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 369