
rogalakshana asooya

rogiyaaya asooya, odhello syndrome allengil bhrant asooya ennum ariyappedunna paatholajikkal asooya, oru vyakthi avarude pankaaliyo laingika pankaaliyo yadhaartha thelivukalonnumillaathe avishwasthatha pulartthunnu enna chinthayil earppedunna oru maanasika vaikalyamaan, oppam eee chinthakalumaayi bandhapetta saamoohikamaayi asweekaaryamo asaadhaaranamo aaya perumattavum. rogiyaaya asooyayil ettavum saadhaaranamaayi udharichirikkunna psychopathology roopangal vyaamohangalum abhiniveshangalumaanu. ithu oru upatharathilulla vyathiyaanamaayi kanakkaakkappedunnu.
yukthiyude paridhikkappurathu rogi pinthudarunna sveekaaryavum manassilakkaavunnathumaaya oru ashayam" ennu nirvachikkappedunna oru ashayathe amithamaayi vilamathikkuka. eee ashayathe athirkkunnilla, ithu oru vyaamohamallengilum, pankaaliyude vishwasthathayekkurichu anweshikkunnathinum nilanirthunnathinum valia vyakthiparamaaya poraaymayilum pankaaliyude durithatthilum rogi savisheshamaayi valareyadhikam praadhaanyam nalkunnu. vyakthiyude swantham chinthakalil nilanilkkunna, ahambhaavamullathaayirikkunnathu amithamoolyamulla aashayangalude savisheshatha; athaayath ashayangal vyakthiyude ahankaarathinte aagrahangalumaayum lakshyangalumaayum poruthappedunna perumattangal, moolyangal, vikarangal enniva avatharippikkunnu, allengil vyakthiyude aadarshaparamaaya svayam prathichaayayumaayi poruthappedunnu, ashayangalum nyaayavaadam cheyyaan anuyojyamaanu, pakshe avaye prathirodhikkunnilla.
nirvachanam.
oru vyakthi saadhaaranayaayi avarude pankaaliyo laingika pankaaliyo nissaaramo kuranjatho thelivukalillaathatho aaya adisthaanathil, avarude avakaashavaadangale pinthunaykkaan palappozhum saadhaarana allengil dainamdina sambhavangalo vasthukkalo udharichu avishwasthanaanennu aavarthichu aaropikkumbozhaanu eee takaraar sambhavikkunnath.
mattu midhyaadhaaranakalil ninnu vyathyasthamayi, eee takaraar anubavikkunna aalukalkk pinthudaruka, cyberstacking, attimari allengil akramam ennivayumaayi sakthamaaya bandhamund. schisophreniayudeyum bipolar desorder polulla vyaamohangaludeyum pashchaathalatthil ithu kandethaam, ennaal madyapaanavum laingika pravarthanakshamathayumillaathu bandhappettirikkunnu, koodaathe neurological rogathinu sesham report cheyyappettittund (athaayath.iii. paarkkinsans).
shakespeareude naadakamaaya odhellooyile kathaapaathrathil ninnaan odhello syndrome enna peru vannath, aval avishwasthayaanenna thettaaya vishwaasathinte falamaayi bharya kollunnu. aduthide, chila manasshaasthranjarum cycatristukalum desdemona vishwaasavanchanayekkuricha vanjikkunnathinupakaram odhello vanchikkappettuvennum athinaal 'odhello syndrome' illennum vaadichu.
kaaranagal.
manashaasthraparamaaya.
rogiyaaya asooyaykkoppam niravadhi maanasika kaaranangalum undu. chila aalukal rogiyaaya asuya oru midhyaadhaaranayumaayi thaarathamyam cheiyunnu. anyamanassukal illaathe anyamathathinte midhyaadhaaranakal nilanilkkunnu, ithu 'shudhamaaya' roopathil (kingham gorden) rogavasthayulla asooyayaayi kanakkakkaam. rogiyaaya asooya undaakunnathin oraalude oormmakal upabodhamanassode maarukayum avarude pankaaliyude pravartthanangal thettayi vyaakhyaanikkukayum pankaaliyil ninnulla vanjanayekkurichu vyakthikk poornnamaayum bodhyappedukayum cheiyunnu. chila mastishka vaikalyangal polum oduvil vanchanayude vyaamohangalilekku nayichekkaamennu karuthappedunnu. ellaatharam cerebral apamaanathino parikkino oppam rogiyaaya asooya undakam" ennum cob (1979) rekhappeduthiyittundu." "laingika pravartthanam kurayunnathinodu prathikarikkunnathil rogiyaaya asooya undaakaamenn abhipraayappettittund". oru ilaya bharya thripthippeduthaan laingikashakthikal kurayunna prayamaaya purushanilekku cob (1979) shradha aakarshichu.
rogiyaaya asooya naalu savisheshathakalumaayi bandhappettirikkunnave mullan (1990) kanakkakki
vyakthithvam.
valare arakshitharo bhayappedunnavaro aaya aalukal utkandaakularaakaano avarumaayulla pankaaliyude prathibaddhathaye chodyam cheyyaano kooduthal saadhyathayund. arakshithamaaya attaachment shaili borderline pezhsanaalitti disorderumaayi shakthamayi bandhappettirikkunnu" (kingham gorden).
paristhithi.
rogaavasthayil asooyayulla oraalkk mayakkumarunnu nalkappedukayo avarude laingika shakti kurachekkaavunna eathenkilum tharatthilulla padaartham nalkukayo cheiyunnuvennu samshayikkaano allengil avarude pradhana mattoraalkk enganeyo laingikamaayi pakaruna rogamundennu thonnano polum chila aalukal vishwasikkunnu.
epidemiology.
rogavasthayulla asooyayude vyaapanam ariyappedunnilla; nilavil vyakthikalil athinte nilanilpp tracucheyyunna community sarway illa. sameepakaalath ithu oru apoorva sambhavamaayi kanakkaakkappedunnu. ennittum, pala kaunsilarmaarum rogikalaaya asooyayude kesukal neridunnu. asooyayulla vyakthiyil kooduthal shradha aavasyamulla mattu prabalamaaya manorogangal kaaranam chila chikilsakarkku eee avastha chikilsikkaan kazhinjekkilla.
rogikalaaya asooyayude kaaryatthil sthreekalum purushanmaarum naadakeeyamaayi vyathyaasappettirikkunnu. rogavasthayulla asooya anubavikkunna purushanmaar sthreekalekkaal akramam nadathaanulla saadhyatha kooduthalaanu, koodaathe moorchayulla oru vasthuvinekkaal kaikal kondu upadravikkaano collano ulla saadhyatha kooduthalaanu. maruvashathu, sthreekal akramam upayogikkumbol moorchayulla vasthuvo kathiyo upayogikkunnu. avar bhayappedunna asooyayude bheeshaniyude kaaryatthil purushanmaar ethiraaliyude sthaanathilum vibhavangalilum shradha kendreekarikkunnu. ethiraaliyude yuvathvathinum shaareerika aakarshanathinum saadhyathayulla bheeshaniyekkurichu sthreekal kooduthal asooyappedunnu.
triggerukal.
purushanmaare sambandhichidatholam ettavum sakthamaaya prachodanam laingika vishwaasavanchanayum sthreekale sambandhichidatholam ettavum sakthamaaya prachodanam vaikaarika vishwaasavanchanayumaanu. pankaaliyumaayi bandhapetta akramangal avishwasthatha sambhavikkunnath thadayunnillengil, purusha inaykku pakaram chilappol aathmahathya cheyyaam. rogiyaaya asooyaykkullile avishwasthatha thadayunnathinulla avasana maarggam pankaaliye kolluka ennathaanu. svayam prathirodhatthilallenkil sthreekal avarude pankaaliye kollaanulla saadhyatha valare kuravaanu. vittumaaraatha madyapaanam, madyam ozhikeyulla padaarthangalodulla asakti (athaayath.iii. kokkeyn, amphetamines.), oorgaanik braine disordezhs (i.iii. paarkkinsans, huntingtons), schisophrenia, neurosis, affective disturbanses allengil vyakthithva vaikalyangal.
anubandha mayakkumarunnu, madyam upayogam.
madyathinteyum mayakkumarunninteyum durupayogathinu rogiyaaya asooyayumaayi nannayi amgeekarikkappetta bandhamund. rund padanangalil, madyapaana sevanangalil ninnu recruit cheyyappetta purushanmaaril yathaakramam 27 sathamaanavum 34 sathamaanavum rogikalaaya asooya undaayirunnu" (shreshtayum mattullavarum).", 1985; maikkal" thudangiyavar.", 1995). amphettaamainum kokkeynum madyapaanam nirthiyathinushesham thudaraan kazhiyunna vishwaasavanchanayude saadhyatha vardhippikkunnu. (sheppered, 1961).
vilayiruthal.
oru vyakthiyude rogavasthayulla asuya upadeshikkaano chikilsikkaano ulla shramathil, sariyaayathum samagravumaaya vilayiruthal nadatthanam. eee sameepanam vishalamaaya swabhaavamullathaanengilum rogiyaaya asooyayulla oru chalanathmaka vyakthiyude nashtaparihaarathinu sahayikkunna mathiyaya vivarangal nalkendathu aavasyamaanu. thudakkathil, saadhyamenkil rund pankaalikaludeyum shradhaapoorvamaaya charithram edukkanam; verittathum orumichu. asooyayulla pankaaliykku poornnavum vishadamaayathumaaya maanasika charithravum maanasikavastha parisodhanayum rekhappeduthendathu anivaaryamaan; angane cheiyunnathu asooya vaikaarikamaano atho vyaamohamaano ennu thirichariyaan oraale praaptharaakkum. valareyadhikam praadhaanyam nalkappetta oru chinthayude falamaayirikkaam asooya ennum saadhyathayund. asooya valare sookshumamaaya oru prashnamaanennu kanakkiledukkumbol, athinekkurichu paraamarsikkunna eathoru paraamarshavum shradhaapoorvvam sameepikkanam. asooyayulla vyakthi avarude prashnangalude kuttam avarude pankaaliyethireyum avarude swantham perumaattathinu virudhamaayi avarude avishwasthathayethireyum maattimarikkunnundaam ennathu oormmikkendathaanu. prasakthamo anubandhamo aaya maanasikarogathinteyum laharivasthukkalude durupayogathinteyum enthengilum charithram undengil athu oru sambhavanayo sahaayamo aayirikkam ennathinaal athu sradhikkendathaanu. prashnangalekkurichu mikacha dhaarana nedunnathinum nalla purogathi aarambikkunnathinum, vaivaahika bandham vilayiruthunnathin onniladhikam abhimukhangal nadatthanam.
vilayiruthal poortthiyaakkiya sesham, bandhatthile rund vyakthikalumaayum apakadasaadhyathayekkurichulla vivarangal nalkunnathaanu nallath. rahasyathmakatha kaaranam, mattoru vyakthikk apakadasaadhyathayundengil athu gurutharavum udanadi ullathumallengil eee vivarangal pankidaan rogi sammatham nalkanam. rahasyathmakatha asaadhuvaaya oreyoru cases ithaanu. eee vishayathil adhikaarikalkk munnariyipp nalkendivannekkaamennath manassil vachukondu irayaakaanulla saadhyathayundennu urappakkaan aavashyamaaya ellah nadapadikalum sweekarichittundennu professional urappaakkanam. thangaludeyo mattoru vyakthiyudeyo dosham sambhavikkanulla saadhyatha kooduthalaanennu professionalinu vishwasikkaan kaaranamundengil, rogiyaaya asooyayulla vyakthiye ethrayum vegam ashupathriyil praveshippikkanam, athil ulppedunna eathenkilum kakshikalkk prathikoola phalangal undakaathirikkaan.
maanejment.
rogiyaaya asooya vividha maanasikaavasthakale ulkkollunnu, chikitsa sameepikkaanulla ettavum nalla maargam vyakthiyil kaanapedunna lakshanangale aasrayichirikkunnu. athinaal, roganirnayavum phalangalum oro vyakthikkum vyathyasthamaan, ithu nireekshikkappedunna paraspara bandhangalude saahacharyatheyum sankeernathakaleyum aasrayichirikkunnu. koodaathe, asooya niranja perumaattam srishtikkunna paristhithiyude nishedhaathmaka vashangal vashalaakkunna mattu prashnangalum nashtapariharam aarambhikkunnathin abhisambodhana cheyyendathundu. udaaharanathinu, rogiyaaya asooyayulla vyakthiyude perumaattatthil madyapaanam oru punk vahikkunnundenkil, avarude asakthiye chikilsikkunnathu avarude asooya swabhaavam maattaan sramikkunnathil avarude purogathiye kriyaathmakamaayi badhikkum. rogikalaaya asooyayulla vyakthikale chikilsikkunnathinulla phalapradamaaya maarggam cycotherapyanenkilum, avarude rogathinte swabhaavam kooduthal gurutharamaakumbol athu paryaapthamalla. nilavil labhyamaya ellah chikilsaareethikalekkaalum mikacha oru chikilsaareeti undennu parayaan kazhiyilla. ithu shariyaanenkilum, cognitive behavioural theraappiyaan ettavum phalapradamaanennu theliyikkapetta chikitsa.
medical
manashaasthraparamaaya
saamoohikam
bandhapetta apakadasadhyathakal.
sthireekarana perumattangal.
pankaaliyude vishwasthathayekkurichulla samshayangal uyarnnuvarumbol, avaa vegathil chinthikkappedunnavayi maarunnu. pankaaliye chodyam cheyyuka, jolisthalathekku aavarthichulla telephone kolukal, apratheekshitha sandarshanangal, pinthudarunna perumaattam, veettilo jolisthalatho recording upakaranangal sajjeekarikkuka, allengil pankaaliye pinthudaraan oru swakaarya dittakteevine niyamikkuka thudangiya chila perumattangal yadhaarthathil avishwasthathayundo atho athu manassilaakkiyittundo ennu nirnnayikkaan sramikkunnathil saadhaaranamaanu. asooyayulla vyakthikal pankaaliyude vasthrangalum vasthukkalum thirayuka, dayarikalum mattu ashayavinimaya reethikalum (imeyil, tekst sandeshamayakkal) parisodhikkuka, allengil laingika pravartthanatthinte thelivinaayi bedd sheettukal, adivasthrangal, jananendriyangal enniva polum parisodhikkuka thudangiya kadutha nadapadikal kaikkollam.
svayam upadravikkal.
rogaavasthayilulla asooyayil aathmahathyaa chinthakal saadhaaranamaanu, prathyekichu vishaadavum mayakkumarunnu upayogavumaayi bandhappettirikkunnathil.
mattullavarkk apakadasaadhyatha.
asooya kalarnna eathoru bandhatthilum, saadhaarana allengil rogiyaaya asooyayil akramam sambhavikkam. 1994ll mullan martinum aduthide nadatthiya oru padanatthil, 15 sathamaanam purushanmaarum sthreekalum chila samayangalil "asooyayulla pankaaliyude kaiyil ninnu shaareerika athikramathinu vidheyaraakkappettathaayi" report cheythu.saamskaarikamaayi, asooya" pankaalikalkkethiraaya akramathe nyaayeekarikkan polum upayogichekkaam.oru narahathyakkesile irakal sthreekalilum purushanmaarilum nilavilullavaro muun pankaalikaloo aayirikkan saadhyathayund.
oru pankaali aavarthichu avishwasthatha nishedhikkumbol, ithu kopatthinum kadutha akramathinum kaaranamaayekkam. maruvashathu, kashtappedunna pankaali upekshikkukayum thettaaya kuttasammatham nadathukayum cheythekkaam, ithu asooyayulla vyakthiyil kopam ulavaakkum. yuu. eiii. yill.ezz. bhrant pidicha 20 pankaalikalil ninnu oru sample eduthu. 19 perr purushanmaaraanennum 13 perr thangalude vishwaasavanchana kaaranam pankaaliye kollumennu bheeshanippeduthiyathaayum silva (1998) kandethi. 13 purushanmaaril onpathu perr yadhaarthathil avarude pankaaliye aakramichu. 20 peril moonnu perr oru ayudham upayogikkukayum 12 perr avarude pankaaliye upadravikkukayum cheythu. 
bhranthamaaya vyaamohangalude saannidhyavum pankaaliykku parukkettathinte midhyaadhaaranakalum palappozhum akramavumaayi bandhappettirikkunnu. akramatthil earppedunna midhyaadhaarana asooya anubavikkunna vyakthikal maanasika prathibhasangalaal maathram nayikkappedumennu ithu soochippikkunnu. aakramanathinulla uyarnna apakadasaadhyatha madyapaanavumaayi bandhappettirikkunnu.
kuttikalkk apakadasaadhyatha.
rogikalaaya asooya anubavikkunna maathapithaakkalodoppam oru veettil thamasikkunna kuttikal maathaapithaakkal cheiyunna pravartthanangalude nerittulla falamaayi vaikaarikavum koodaathe/allengil shaareerikavumaaya durupayogam anubhavichekkaam. kuttikal abadhathil tharkkangal kelkkukayo maathaapithaakkal thammilulla shaareerika athikramangalkk saakshyam vahikkukayo cheythekkaam. akramanangalil avarkk abadhathil parikkelkkaan polum saadhyathayund. rogiyaaya asooyayulla maathaapithaakkalkk mattoru maathaapithaakkale chaarappani cheyyaan oru kutty allengil onniladhikam kuttikale niyamichekkaam. maathaapithaakkal irayaayirikkunnidathu oru kutty oru kolapaathakatthino aathmahathyaykko saakshyam vahikkunnath prashnamalla.

