{"id":2235,"date":"2020-01-14T13:28:43","date_gmt":"2020-01-14T12:28:43","guid":{"rendered":"https:\/\/shizofrenija.si\/javno\/?page_id=2235"},"modified":"2025-12-19T08:04:50","modified_gmt":"2025-12-19T07:04:50","slug":"klinicni-potek-bolezni","status":"publish","type":"page","link":"https:\/\/shizofrenija.si\/javno\/klinicni-potek-bolezni\/","title":{"rendered":"Klini\u010dni potek bolezni"},"content":{"rendered":"\n<div class=\"wp-block-rea-inpage-nav-rea-inpage-nav-block rea-inpage-nav-block front has-margin\"><div class=\"rea-inpage-nav-block__image\" style=\"background-image: url(https:\/\/shizofrenija.si\/javno\/wp-content\/uploads\/2019\/03\/wooden.png)\"><img decoding=\"async\" class=\"inpage-nav-background\" alt=\"\" src=\"https:\/\/shizofrenija.si\/javno\/wp-content\/uploads\/2019\/03\/wooden.png\"><\/div><div class=\"rea-inpage-nav-block__content\"><div class=\"rea-inpage-nav-block__content--wrapper\"><div class=\"text-wrapper\"><h2 class=\"inpage-nav-title\">Klini\u010dni potek bolezni<\/h2><ul class=\"inpage-nav-list\"><li>Klini\u010dni profil shizofrenije je razli\u010den, odvisen od posameznika in stopnje razvoja du\u0161evne motnje. Z natan\u010dno opredelitvijo faze du\u0161evne motnje je mogo\u010de poiskati najbolj\u0161e zdravljenje in pristop k obvladovanju.<\/li><\/ul><\/div><div class=\"section-nav\"><h4 class=\"section-nav--title\">V tem razdelku<\/h4><div class=\"section-nav--nav-items js-inpage-nav-items\"><\/div><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-title-rea-title-block rea-title-block front\"><div class=\"rea-title-block__content\"><h3 id=\"strongfazestrongsupstrong12strongsup\" class=\"content-title \"><strong>Faze<\/strong><sup><strong>1-2<\/strong><\/sup><\/h3><h4 class=\"content-subtitle rea-hidden\"><\/h4><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-paragraph-rea-paragraph-block rea-paragraph-block front\"><div class=\"rea-paragraph-block__content\"><p class=\"content-text\">Ker se shizofrenija ne razvija po vnaprej dolo\u010denem vzorcu, je njen potek najbolje opisati s <em>fazami<\/em>.<br>Obstajajo tri glavne faze \u2013 <em>prodromalna<\/em>, akutna in stabilna.<sup>1, 2<\/sup><br>Izraz \u00bbprodromalno\u00ab se nana\u0161a na obdobje pred prvo akutno epizodo. Prodromalna faza se nana\u0161a na obdobje pred prvo epizodo psihoze in lahko traja od nekaj dni do 18\u00a0mesecev. V tej fazi lahko oseba s shizofrenijo izvaja nekatera nenavadna dejanja ali se nekoliko nenavadno vede, ima dolo\u010dene te\u017eave s spominom, koncentracijo ali komunikacijo ali pa se te\u017eko pridru\u017ei dru\u017ebenim dejavnostim.<sup>2<\/sup><br>Prodromalni fazi obi\u010dajno sledi akutna. V tem \u010dasu lahko ima oseba s shizofrenijo ve\u010d pozitivnih simptomov, kot so prisluhi ali blodnje, zaradi \u010desar je v veliki stiski. Akutna epizoda se obi\u010dajno pozdravi s farmakolo\u0161ko in psiholo\u0161ko podporo, simptomi pa se bodo zmanj\u0161ali ali v ve\u010dini primerov popolnoma izginili. Nekateri negativni simptomi so \u0161e lahko prisotni (na primer: zmanj\u0161ano zanimanje za vsakodnevne dejavnosti ali dru\u017eabne dogodke). Ta faza lahko traja ve\u010d let in jo imenujemo stabilna faza.<sup>2<\/sup><br>Nekateri ljudje lahko vse \u017eivljenje trpijo za akutno fazo \u2013 to je prav tako mogo\u010de obvladovati z zdravili in psiholo\u0161ko podporo.<\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-illustration-rea-illustration-block rea-illustration-block front\"><img class=\"illustration-bg\" alt=\"\"><div class=\"rea-illustration-block__content\"><div class=\"rea-illustration-block__image image-wrapper\"><a href=\"https:\/\/shizofrenija.si\/javno\/wp-content\/uploads\/2021\/07\/K009_01_1366px_SI.png\" rel=\"noopener noreferrer\" target=\"_blank\" class=\"\"><img decoding=\"async\" class=\"illustration center\" alt=\"Primer \u010dasovnega napredovanja faz shizofrenije.\" src=\"https:\/\/shizofrenija.si\/javno\/wp-content\/uploads\/2021\/07\/K009_01_1366px_SI.png\" style=\"max-width: 100%\"><img decoding=\"async\" class=\"rea-mobile illustration-mobile\" alt=\"Primer \u010dasovnega napredovanja faz shizofrenije.\" src=\"https:\/\/shizofrenija.si\/javno\/wp-content\/uploads\/2021\/07\/K009_01_1366px_SI.png\"><\/a><\/div><p class=\"rea-site__caption caption-text align-center\">Slika 1: Primer \u010dasovnega napredovanja faz shizofrenije. (Prirejeno po Lieberman in First, 2018.)<\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-separator-rea-separator-block rea-separator-block front\"><div class=\"rea-separator-block__content\"><hr class=\"rea-separator-block__separator\"><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-title-rea-title-block rea-title-block front\"><div class=\"rea-title-block__content\"><h3 id=\"strongvzorecstrongsupstrong12strongsup\" class=\"content-title \"><strong>Vzorec<\/strong><sup><strong>1-2<\/strong><\/sup><\/h3><h4 class=\"content-subtitle rea-hidden\"><\/h4><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-paragraph-rea-paragraph-block rea-paragraph-block front\"><div class=\"rea-paragraph-block__content\"><p class=\"content-text\">Na podlagi faz se morda zdi, da je vzorec shizofrenije zelo predvidljiv \u2013 \u017eal pa je potek bolezni precej edinstven, vzorci epizod in vrste simptomov pa so pri vsakem posamezniku lahko zelo razli\u010dni. Pri nekaterih ljudeh so akutne epizode s pozitivnimi simptomi lahko zelo kratke, pri drugih pa lahko trajajo nekaj let. Pri nekaterih osebah jasnega prodromalnega obdobja sploh ni \u2013 diagnoza se postavi \u0161ele po prvi, nenadni akutni epizodi.<sup>2<\/sup><br>Na spodnji sliki lahko vidite, na kak\u0161en na\u010din se oseba s shizofrenijo uvr\u0161\u010da v katerega koli od teh vzorcev bolezni. Pri enem od petih ljudi se simptomi po eni akutni epizodi ne bodo pojavili nikoli ve\u010d v \u017eivljenju. Pri \u0161tirih od petih pa se bo v prihodnje pojavljalo ve\u010d akutnih epizod. To ne pomeni, da bodo vse prihodnje akutne epizode enako intenzivne, med njimi pa lahko prete\u010de tudi precej \u010dasa.<\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-illustration-rea-illustration-block rea-illustration-block front\"><img class=\"illustration-bg\" alt=\"\"><div class=\"rea-illustration-block__content\"><div class=\"rea-illustration-block__image image-wrapper\"><a href=\"https:\/\/shizofrenija.si\/javno\/wp-content\/uploads\/2021\/07\/G03_03_1366px_SI.png\" rel=\"noopener noreferrer\" target=\"_blank\" class=\"\"><img decoding=\"async\" class=\"illustration center\" alt=\"Shepherd, M. The Natural History of Schizophrenia: A Five-Year Follow-up Study of Outcome and Prediction in a Representative Sample of Schizophrenics\" src=\"https:\/\/shizofrenija.si\/javno\/wp-content\/uploads\/2021\/07\/G03_03_1366px_SI.png\" style=\"max-width: 100%\"><img decoding=\"async\" class=\"rea-mobile illustration-mobile\" alt=\"Shepherd, M. The Natural History of Schizophrenia: A Five-Year Follow-up Study of Outcome and Prediction in a Representative Sample of Schizophrenics\" src=\"https:\/\/shizofrenija.si\/javno\/wp-content\/uploads\/2021\/07\/G03_03_1366px_SI.png\"><\/a><\/div><p class=\"rea-site__caption caption-text align-center\">Slika 2: Shepherd, M. The Natural History of Schizophrenia: A Five-Year Follow-up Study of Outcome and Prediction in a Representative Sample of Schizophrenics, Psychological Medicine Monograph, supplement 15, 1989.<\/p><\/div><\/div>\n\n\n\n<div class=\"wp-block-rea-references-rea-references-block rea-references-block front\"><div class=\"rea-references-block__references\"><p class=\"references-title\">Viri<\/p><ol class=\"references-list\"><li>AIPC Overview of Schizophrenia. https:\/\/www.aipc.net.au\/articles\/an-overview-of-schizophrenia\/ [Accessed July 2019]<\/li><li>CPA Schizophrenia: A journey to recovery. https:\/\/www.schizophrenia.ca\/docs\/RoadtoRecoveryschzhioph-web.pdf [Accessed July 2019]<\/li><li>Lieberman and First. N Engl J Med. 2018;379:270-80<\/li><li>Shepherd et al. Psychol Med Monogr Suppl. 1989;15:1-46<\/li><\/ol><\/div><\/div>\n\n\n\n\n<div class=\"wp-block-rea-title-rea-title-block rea-title-block front rea-share-block\" style=\"margin-bottom:30px;text-align:center;\">\n\t\t<div class=\"\">\n\t\t\t<span style=\"display:block;margin-bottom:10px;font-size:20px;\">Share<\/span>\n\t\t\t<a href=\"https:\/\/www.facebook.com\/sharer\/sharer.php?u=https:\/\/shizofrenija.si\/javno\/wp-json\/wp\/v2\/pages\/2235\" class=\"facebook-share\" target=\"_blank\"><\/a>\n\t\t\t<a href=\"https:\/\/www.linkedin.com\/shareArticle?mini=true&#038;url=https:\/\/shizofrenija.si\/javno\/wp-json\/wp\/v2\/pages\/2235\" class=\"linkedin-share\" target=\"_blank\"><\/a>\n\t\t<\/div>\n\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Share<\/p>\n","protected":false},"author":1,"featured_media":1145,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-fullwidth.php","meta":{"_acf_changed":false,"rea_page_title_signed_in_meta_block_field":"Kako poteka razvoj shizofrenije?","rea_page_title_signed_out_meta_block_field":"Kako poteka razvoj shizofrenije?","rea_page_description_signed_in_meta_block_field":"Ker se shizofrenija ne razvija po vnaprej dolo\u010denem vzorcu, je njen potek najbolje opisati s fazami. Obstajajo tri glavne faze \u2013 prodromalna, akutna in stabilna.","rea_page_description_signed_out_meta_block_field":"Ker se shizofrenija ne razvija po vnaprej dolo\u010denem vzorcu, je njen potek najbolje opisati s fazami. Obstajajo tri glavne faze \u2013 prodromalna, akutna in stabilna.","rea_page_footer_id_meta_block_field":"","rea_page_footer_date_meta_block_field":"","footnotes":""},"class_list":["post-2235","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/shizofrenija.si\/javno\/wp-json\/wp\/v2\/pages\/2235","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shizofrenija.si\/javno\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/shizofrenija.si\/javno\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/shizofrenija.si\/javno\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/shizofrenija.si\/javno\/wp-json\/wp\/v2\/comments?post=2235"}],"version-history":[{"count":29,"href":"https:\/\/shizofrenija.si\/javno\/wp-json\/wp\/v2\/pages\/2235\/revisions"}],"predecessor-version":[{"id":3491,"href":"https:\/\/shizofrenija.si\/javno\/wp-json\/wp\/v2\/pages\/2235\/revisions\/3491"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/shizofrenija.si\/javno\/wp-json\/wp\/v2\/media\/1145"}],"wp:attachment":[{"href":"https:\/\/shizofrenija.si\/javno\/wp-json\/wp\/v2\/media?parent=2235"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}