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Schizophrenia is not only treated with drugs, surgery can also fill the gap of drugs

Time:2022-12-03 05:46:20 source:psychiatricethics.com author:Emergency treatment Read:207次
Schizophrenia is not only treated with drugs, surgery can also fill the gap of drugs

Original article, the 40-year-old Mr. Wang has been sensitive to interpersonal relationships for a long time, unable to maintain a stable job, gradually retreating at home and talking to himself. After his family took him to a doctor, the doctor diagnosed him with schizophrenia, but he lacked medical knowledge He was often reluctant to take medicines, resulting in aggravated auditory hallucinations and delusional symptoms, and even attacked his family members. One time he went out of town due to auditory hallucinations. He was forced to go to the doctor because of his strange behavior and loose speech. He was treated with antipsychotic drugs for 3 months. Later, because the symptoms did not improve significantly, the family members requested to be discharged from the hospital and brought back to the local psychiatric outpatient clinic for long-term treatment. The drug efficacy was poor.

Most onset in 20-30 years old, depression and interpersonal withdrawal are early symptoms

Common symptoms of schizophrenia include auditory hallucinations, Delusions, disorganized or rigid behavior, and negative symptoms such as less talk, less social interaction, lack of motivation to do things, and poor self-care ability. Most of the patients develop the disease at the age of 20 to 30 years, but there are also many people who develop the disease earlier or later. Before the onset of the disease, patients often have prodromal symptoms, such as depression, interpersonal withdrawal, and poor cognitive ability. People around them may begin to feel that the patient has become strange. After the onset of the disease, the patient may have acute auditory hallucinations, delusions, etc. Period symptoms are generally most likely to be brought to the doctor at this time. If the medication is not taken regularly, the patient may experience several acute episodes, making the symptoms more severe and the ability deteriorating; with timely and stable treatment, patients with schizophrenia can work stably or maintain daily life.

Medical treatment alone is not effective, surgery can fill the gap of drug treatment

WHO survey shows that for intractable schizophrenia, drugs for the first 3 years after onset The effective rate of treatment is about 70%, and it drops to 30% in the fifth year. After that, the curative effect declines year by year and the function declines continuously. A large number of case data prove that minimally invasive surgery has become the preferred standard of treatment for refractory schizophrenia who have been taking 2 drugs continuously and have not improved for more than 3-5 years. So what is the reason for psychosurgery? Surgical treatment of mental illness is mainly through brain stereotaxic neuromodulation to adjust the lesion area. The cingulate gyrus, the forelimb of the internal capsule, and the amygdala are three important points for emotion and emotion regulation. Based on the sub-nucleus theory, the theory of transmitter regulation in the pathogenesis of psychosis, the theory of receptor hyperfunction, and previous clinical practice, Selective neuromodulation can effectively control symptoms. Surgery can not only block the abnormal information transmission between the emotional circuit and the center, but also make it achieve a new balance, thus achieving the purpose of treating mental illness. This medical breakthrough has also received very good results, which is a relief to the patient's family members, and has obtained high-tech evaluations from the medical and scientific circles. In early 2021, Mr. Wang and his family went to the functional neurology department of Shanghai Dongfang Hospital for surgical treatment. After the operation, Mr. Wang's intractable mental symptoms such as auditory hallucinations, delusions of persecution, sensitivity and suspicion, strange behavior, and violent impulses disappeared, and he was able to communicate peacefully with his family. You can express your thoughts, admit that you are ill and need treatment, and cooperate with medical staff for follow-up physical examination and drug treatment. Now, Mr. Wang seems to be a different person. He can help his parents with some simple housework. He can take care of himself in daily life. There is no problem in communicating with the people around him. So far, his condition has not recurred. In fact, long-term hospitalization and medical treatment are not the only solutions to the treatment of mental illness. With the development of modern medical technology, the emergence of surgery has provided another effective way of treatment for many intractable schizophrenia patients, allowing them to get rid of the stubborn disease and return to a normal life.

To our readers:

Hello, I am Dr. Wu Jingwen, and I would like to thank you all for reading my article. If you have a disease and consult me, you can contact me through the platform "private message". You can also leave a message under the article, and I will answer your questions as soon as possible.

Related reading

Surgery for negative symptoms of schizophrenia may be more effective than drugs "Delusional, violent, profligate" surgery to precisely eliminate intractable symptoms of schizophrenia

(责任编辑:Leisure vacation)

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