Is it possible to completely cure schizophrenia in adults and children?
Contents:
- Treatment Treatment of paranoid schizophrenia
- therapy techniques in febrile form
- Catatonic Schizophrenia Schizophrenia
- childhood
- forecast
Schizophrenia is the most serious of all mental illnesses. Diagnosis of patients should be made only on the basis of clinical criteria of pathology. At the time of diagnosis, various mental disorders are excluded: dementia, depression, mania, etc. In the case of establishing a diagnosis of schizophrenia, how to treat a pathology is determined by a psychiatrist.
Factors that contribute to the onset of the disease have not been sufficiently studied. Psychiatrists assume participation in the pathogenesis of the disease a number of internal and external causes. Therefore, the diagnosis is based on a clinical examination. Specific laboratory tests for determining schizophrenia do not exist yet.
Treatment of
Before curing schizophrenia, determine the form of the disease by characteristic manifestations. Patients require hospitalization in a psychiatric clinic in the case where the manifest severe symptoms of the disease, or the patient may cause damage to others and yourself. In the acute stage of the disease, antipsychotic drugs and medications that reduce anxiety and headache are used in treatment. During the remission period, patients are treated at home.
treatment of paranoid schizophrenia
most common form - paranoid schizophrenia to be treated in an acute form begins with detoxification therapy. Usually pathology develops at a young age and in people older than 25 years. The paranoid form is characterized by hallucinations, delusions, which arise with clear consciousness.
Patients are prescribed neuroleptics( Triftazine, Aminazine) and antidepressants. Manic-paranoid seizures can be stopped by β-blockers( Propranolol).In adolescence, to prevent the rise of negative disorders used insulin-therapy, prescribed antipsychotics in small doses( Rispolet).For maintenance therapy, antipsychotic drugs of prolonged action are used( Moditen-Depot, Fluansol-Depot).If the patient has signs of psychosis, lithium carbonate is prescribed.
Tactics of treatment are based on the prevailing symptom of a mental disorder. Therapy with neuroleptics begins with caution, so as not to complicate the course of pathology. With the patients' resistance to the drugs, the biological method of treatment is used - electroconvulsive therapy( ECT).In this case, prolonged antipsychotics are used.
Note! It is worth noting that the use of ECT promotes memory failures.
therapy methods febrile form
febrile schizophrenia Treatment depends on the severity of physical condition of the patients. To date, the tactics of treatment have been developed, which includes:
- appointment of antipsychotics;
- intensive somatic treatment;
- correction of somatic disorders.
In the period of exacerbation with pronounced motor excitement, high( up to 40 degrees) temperature, increasing exhaustion of the body and progressive insomnia, the neuroleptic Aminazine is prescribed in large doses. If therapy is ineffective, electroconvulsive therapy is indicated. Patients are assigned no more than 6 ECT sessions.
To stabilize vascular tone and reduce intoxication, prescribe corticosteroid drugs( Dexamethasone) in combination with adrenomimetics( Mezaton, Noradrenalin).For the purpose of prevention of brain edema shown diuretics( Lasix, Furosemide), antihistamines( Pipolphenum, Tavegil) and ascorbic acid.
As during the exacerbation period, the temperature may rise to critical figures in patients, prescribe antipiritic drugs and methods of regional hypothermia( ice bladders in the inguinal and axillary regions).During the period of disintoxication therapy, the patient is shown plenty of drink. In the case when the patient does not eat, special nutritional formulas are prescribed.
Catatonic schizophrenia
Treatment of catatonic schizophrenia performs the following tasks:
- cupping of stupor;
- motor excitation therapy.
Patients are prescribed in increasing doses of tranquilizers( droperidol), since antipsychotics in exacerbation can lead to a chronic course of symptoms. Patients need constant monitoring of the physical condition. The ECT method is effective. In the case of motor excitement, neuroleptics( haloperidol, aminazine) are prescribed. If the patient begins to increase temperature, he is transferred to the intensive care unit.
Patients with a catatonic form of pathology need constant supervision of medical personnel, especially with a prolonged seizure. In the malignant course of the disease, muscle relaxants and dopamine agonists are prescribed. The cases of the effectiveness of Amantadine and Memantine drugs, which are related to antiparkinsonian agents, have been described.
Schizophrenia in childhood
Pediatric schizophrenia refers to severe illnesses. Violation of the psyche in children manifests itself as delusions, hallucinations, mania, and behavioral disorders. When identifying childhood schizophrenia, treatment is prescribed taking into account the characteristics of the child's organism and predisposing factors. The complex therapy includes:
- medications;
- family-friendly individual therapy;
- is a specialized adaptation and recovery program.
Depending on the individual characteristics of the child, the doctor prescribes medications( antipsychotics or antipsychotics).In each individual case, the psychiatrist selects a treatment package aimed at reducing symptoms. During the exacerbation, the child's hospitalization is necessary. After the doctors stabilize the patient's condition, individual psychotherapy is shown.
Since it is not possible to completely get rid of schizophrenia for a number of reasons, it is necessary to work with parents. For families with a child suffering from schizophrenia, there is family psychotherapy, which helps to cope with the symptoms and in time to identify signs of exacerbation.
Prognosis for
Can schizophrenia be cured? Despite the emergence of new drugs, a complete cure for this disease does not occur. The course of schizophrenia and persistent remission often depend on the treatment of the first episode of the disease. With prolonged untreated illness, the prognosis for the patient is unfavorable.
Prolonged and adequate treatment of the first episode of the disease prevents the development of adverse dynamics of the pathology and reduces the risk of seizures. The key factor is to prevent exacerbations. Patients are prescribed permanent therapy with tableted antipsychotic drugs. Patients should understand that the cessation of permanent treatment will certainly cause an aggravation that worsens the prognosis of the disease.
write the question in the form below:



