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أنواع النوبات (Info)


يمكن تقسيم نوبات الاكتئاب العظمى على حسب شدتها، فتكون كالتالي: 

  1. نوبة خفيفة: تكون الأعراض طفيفة وينتج عنها إعاقة وظيفية غير ملحوظة أو قصور طفيف في العلاقات الاجتماعية . 
  2. نوبة متوسطة: تكون الأعراض والإعاقة متوسطة الشدة . 
  3. نوبة شديدة بدون أعراض ذهانية: تكون الأعراض شديدة وينتج عنها قصور واضح في العلاقات الوظيفية والاجتماعية . 
  4. نوبة شديدة مع أعراض ذهانية: ضلالات أو هلاوس وهي إما: 
    • متناسقة مع حالة الوجدان (Mood-Congruent): يكون محتواها الشعور بالذنب أو الرغبة في الموت، أو العدمية. 
    • غير متناسقة مع حالة الوجدان (Mood-Incongruent): لا تتضمن محتوى اكتئابيا ولكنها تكون اضطهادية أو وضع أفكار في رأسه لا تعبر عن رأيه. 
  5. نوبة في حالة هدأة جزئية أو كاملة . 
  6.  نوبة غير نوعية . 
  7.  نوبة مزمنة : إذا بقيت النوبة لمدة عامين متواصلين . 
  8.  نوبة النوع الميلانخولي (Melancholic): ويتم تشخيص هذا النوع بخمسة أعراض على الأقل:
    • يكون الاكتئاب في أشد حالاته في الصباح الباكر . 
    • عدم الاكتراث أو الاستمتاع بأي نشاط تقريبا . 
    • التبلد الحركي أو الفوران الداخلي (Agitation).
    • عدم التفاعل مع المثيرات الباعثة على السعادة . 
    • الأرق في الصباح الباكر . 
    • فقدان الشهية المرضي أو فقدان الوزن لأكثر من  5% من وزن الجسم في مدة شهر . 
    • تحسن ملحوظ لأنواع معينة من العلاجات مثل أدوية المضادة للاكتئاب أو الصدمات الكهربائية المحدثة للتشنجات 
Source: wikipedia.org
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