Matenda osokoneza bongo

Matenda a bipolar ndimavuto amisala momwe munthu amasinthira kwakukulu kapena mwamphamvu. Nthawi zakumva chisoni komanso kupsinjika zimatha kusinthana ndi nthawi yachisangalalo chachikulu komanso yochita zinthu kapena kuwoloka kapena kukwiya.

Matenda a bipolar amakhudza amuna ndi akazi mofanana. Nthawi zambiri imayamba pakati pa zaka 15 ndi 25. Zomwe zimayambitsa sizidziwika, koma zimachitika kawirikawiri mwa abale a anthu omwe ali ndi vuto losinthasintha zochitika.

Mwa anthu ambiri omwe ali ndi vuto losinthasintha zochitika, palibe chifukwa chomveka chokhalira ndi nthawi (magawo) achisangalalo chachikulu komanso ntchito yayikulu kapena mphamvu (mania) kapena kukhumudwa ndi zochitika zochepa kapena mphamvu (kukhumudwa). Zotsatirazi zitha kuyambitsa zochitika zamankhwala:

• Kubereka
• Mankhwala, monga antidepressants kapena steroids
• Nthawi zosagona (kusowa tulo)
• Kugwiritsa ntchito mankhwala osokoneza bongo

Gawo lamanic limatha kukhala masiku mpaka miyezi. Zitha kuphatikizira izi:

• Zosokonezeka mosavuta
• Kuchita zambiri pazinthu
• Kufunika kochepa kogona
• Kusazindikira bwino
• Kulephera kupsa mtima
• Kulephera kudziletsa komanso kuchita zinthu mosasamala, monga kumwa kapena kugwiritsa ntchito mankhwala osokoneza bongo mopitirira muyeso, kukhala ndi chiwerewere chowonjezeka komanso chowopsa, kutchova juga, kugwiritsa ntchito ndalama kapena kupereka ndalama zambiri
• Maganizo okwiya kwambiri, malingaliro othamanga, kuyankhula zambiri, ndi zikhulupiriro zabodza za kudzikonda kapena kuthekera kwanu
• Mawu ofulumira
• Zokhudzidwa ndi zinthu zomwe sizowona (zonyenga)

Gawo lokhumudwitsali lingaphatikizepo izi:

• Kutsika kapena kukhumudwa tsiku ndi tsiku
• Mavuto okhazikika, kukumbukira, kapena kupanga zisankho
• Kudya mavuto monga kusowa kwa njala ndi kuonda kapena kudya mopitirira muyeso ndi kunenepa
• Kutopa kapena kusowa mphamvu
• Kudzimva wopanda pake, wotaya mtima, kapena kudziimba mlandu
• Kutaya chisangalalo muzochita zomwe zidasangalalapo
• Kutaya ulemu
• Malingaliro a imfa kapena kudzipha
• Kuvuta kugona kapena kugona kwambiri
• Kukoka kwa anzanu kapena zochitika zomwe kale zinkasangalatsidwa

Anthu omwe ali ndi vuto losinthasintha zochitika ali pachiwopsezo chachikulu chodzipha. Atha kumwa mowa kapena zinthu zina. Izi zitha kupangitsa kuti matenda a bipolar awonjezeke ndikuwonjezera chiopsezo chodzipha.

Magawo okhumudwa ndiofala kuposa magawo amisala. Chitsanzocho sichiri chofanana kwa anthu onse omwe ali ndi vuto losinthasintha zochitika:

• Matenda okhumudwa ndi mania amatha kuchitika limodzi. Izi zimatchedwa dziko losakanikirana.
• Zizindikiro zimathanso kuchitika atangomaliza kumene. Izi zimatchedwa kupalasa njinga mwachangu.

Pofuna kupeza matenda a bipolar, wothandizira zaumoyo atha kuchita zina kapena izi:

• Funsani ngati achibale ena ali ndi matenda osinthasintha zochitika
• Funsani zakusintha kwanu kwaposachedwa komanso kuti mwakhala nawo bwanji
• Chitani mayeso oyeserera ndi kuyitanitsa ma lab kuti muyang'ane matenda ena omwe atha kukhala omwe akuyambitsa zizindikilo zomwe zimafanana ndi matenda osinthasintha zochitika
• Lankhulani ndi abale anu za matenda anu komanso thanzi lanu lonse
• Funsani za mavuto aliwonse azaumoyo omwe muli nawo komanso mankhwala omwe mumamwa
• Onetsetsani khalidwe lanu ndi malingaliro anu

Cholinga chachikulu cha chithandizo ndi:

• Pangani magawo kukhala ochepa komanso owopsa
• Kukuthandizani kugwira ntchito bwino ndikusangalala ndi moyo wanu kunyumba ndi kuntchito
• Pewani kudzivulaza komanso kudzipha

MANKHWALA

Mankhwala ndi gawo lofunikira pochiza matenda ochititsa munthu kusinthasintha zochitika. Nthawi zambiri, mankhwala oyamba omwe amagwiritsidwa ntchito amatchedwa otonthoza. Amakuthandizani kupewa kusinthasintha kwamaganizidwe ndi kusintha kwakukulu pamachitidwe ndi mphamvu.

Ndi mankhwala, mutha kuyamba kumva bwino. Komabe, kwa anthu ena, zizindikilo za mania zimatha kukhala zabwino. Anthu ena amakhala ndi zovuta zina chifukwa cha mankhwala. Zotsatira zake, mutha kuyesedwa kuti musiye kumwa mankhwala anu kapena kusintha momwe mumamwe. Koma kuletsa mankhwala anu kapena kuwagwiritsa ntchito molakwika kungayambitse zizindikiro kuti zibwererenso kapena kukulirakulira. Osasiya kumwa kapena kusintha mlingo wa mankhwala anu. Lankhulani ndi omwe amakupatsani ngati muli ndi mafunso okhudzana ndi mankhwala anu.

Funsani abale anu kapena abwenzi kuti akuthandizeni kumwa mankhwala moyenera. Izi zikutanthauza kutenga mlingo woyenera panthawi yoyenera. Angathandizenso kuwonetsetsa kuti magawo andulo ndi kukhumudwa azichiritsidwa mwachangu.

Ngati zolimbitsa thupi sizikuthandizani, omwe akukuthandizani atha kupereka mankhwala ena, monga ma antipsychotic kapena anti-depressants.

Muyenera kupita pafupipafupi ndi asing'anga kuti mukalankhule za mankhwala anu komanso zovuta zake. Kuyezetsa magazi nthawi zambiri kumafunikanso.

CHithandizo CHINA

Electroconvulsive therapy (ECT) itha kugwiritsidwa ntchito pochiza gawo lamankhwala kapena lachisoni ngati silikugwirizana ndi mankhwala.

Anthu omwe ali pakatikati pamavuto akulu kapena achisoni angafunike kukhala mchipatala mpaka atakhazikika ndipo machitidwe awo ali m'manja.

MUZITHANDIZA NDONDOMEKO NDIPONSO KULANKHULA

Kulowa m'gulu lothandizira kungakuthandizeni inu ndi okondedwa anu. Kuphatikiza mamembala ndi omwe akukusamalirani pakuthandizira kwanu kumatha kuchepetsa mwayi wazizindikiro zobwerera.

Maluso ofunikira omwe mungaphunzire pamapulogalamuwa ndi monga:

• Kulimbana ndi zizindikilo zomwe zikupitilira ngakhale mukumwa mankhwala
• Muzigona mokwanira komanso musamamwe mankhwala osokoneza bongo
• Imwani mankhwala moyenera ndikuthana ndi zotsatirapo
• Yang'anirani kubwerera kwa zizindikiro, ndipo mudziwe zoyenera kuchita akabwerera
• Pezani zomwe zimayambitsa magawowa ndikupewa izi

Kulankhula ndi othandizira odwala matenda amisala kungakhale kothandiza kwa anthu omwe ali ndi vuto losinthasintha zochitika.

Nthawi zakukhumudwa kapena mania zimabwerera mwa anthu ambiri, ngakhale atalandira chithandizo. Anthu amathanso kukhala ndi vuto lakumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo. Angakhalenso ndi mavuto ndi maubwenzi, sukulu, ntchito, komanso ndalama.

Kudzipha kuli pachiwopsezo chenicheni panthawi yamankhwala komanso kukhumudwa. Anthu omwe ali ndi vuto la kupuma komwe amaganiza kapena kulankhula zodzipha amafunikira chisamaliro nthawi yomweyo.

Funani thandizo moyenera ngati:

• Khalani ndi zizindikilo za mania
• Khalani ndi mtima wofuna kudzivulaza kapena kuvulaza ena
• Khalani opanda chiyembekezo, mantha, kapena othedwa nzeru
• Onani zinthu zomwe sizikupezeka
• Mukumva kuti simungathe kuchoka panyumbapo
• Simungathe kudzisamalira

Imbani wothandizira ngati:

• Zizindikiro zikukulirakulira
• Muli ndi zovuta zoyipa zamankhwala
• Simukumwa mankhwala m'njira yoyenera

Kukhumudwa kwa Manic; Matenda osokoneza bongo; Matenda a maganizo - bipolar; Matenda okhumudwitsa a Manic

• Matenda osokoneza bongo

Msonkhano wa American Psychiatric. Bipolar ndi zovuta zina. Mu: American Psychiatric Association. Kusanthula ndi Buku Lophatikiza la Mavuto Amisala. 5th ed. Arlington, VA: Kusindikiza kwama Psychiatric ku America; 2013: 123-154.

Perlis RH, Ostacher MJ. Matenda osokoneza bongo. Mu: Stern TA, Fava M, Wilens TE, Rosenbaum JF, olemba. Chipatala cha Massachusetts General Hospital Comprehensive Clinical Psychiatry. Wachiwiri ed. Philadelphia, PA: Elsevier; 2016: chap 30.