Cyclothymia

Zamkati

• Kodi Zizindikiro za Cyclothymia Ndi Ziti?
• Kodi Cyclothymia imadziwika bwanji?
• Kodi Chithandizo cha Cyclothymia Ndi Chiyani?
• Kodi Chiyembekezo cha Cyclothymia Ndi Chiyani?

Kodi Cyclothymia N'chiyani?

Cyclothymia, kapena cyclothymic disorder, ndi matenda ofatsa amisala omwe ali ndi zizindikilo zofananira ndi bipolar II disorder. Matenda onse a cyclothymia ndi bipolar amachititsa kukhumudwa, kutsika kwamanic mpaka kukhumudwa.

Cyclothymia imadziwika ndikusintha kwazizindikiro zakuchepa kwakanthawi kochepa komanso nthawi ya mania wofatsa (hypomania). Zizindikiro ziyenera kukhalapo kwa zaka zosachepera zaka ziwiri asanakumane ndi matenda a cyclothymia (chaka chimodzi mwa ana). Kusintha kwamalingaliro uku kumakonda kuchitika mozungulira, kufikira kukwera ndi kutsika. Pakati pazitali izi ndi zotsika, mutha kumva kuti malingaliro anu ndi okhazikika.

Kusiyanitsa kwakukulu pakati pamavuto awiriwa ndikulimba. Kusinthasintha kwamalingaliro komwe kumachitika chifukwa cha cyclothymia sikowopsa ngati komwe kumadza ndi matenda ochititsa munthu kusinthasintha zochitika: Omwe ali ndi vuto la kusinthasintha zochitika amakhala ndi zizindikilo zazikulu zomwe zimakwaniritsa njira zakuchipatala za matenda a mania ndi kukhumudwa kwakukulu, pomwe iwo omwe ali ndi cyclothymia amakhala ovuta "kutsika ndi kutsika," amafotokozedwa ngati hypomania komanso kupsinjika pang'ono. Ngati sanalandire chithandizo, cyclothymia imatha kuwonjezera chiopsezo chanu chokhala ndi matenda osokoneza bongo.

Chikhalidwe chimakonda kukula. Anthu omwe ali ndi matendawa nthawi zambiri amawoneka kuti amagwira ntchito bwino, ngakhale atha kuwoneka ngati "okhumudwa" kapena "ovuta" kwa ena. Nthawi zambiri anthu sadzafuna chithandizo chifukwa kusinthaku sikuwoneka kovuta. Anthu omwe ali ndi cyclothymia nthawi zina amatha kukhala opindulitsa.

Malinga ndi Diagnostic and Statistical Manual of Mental Disways (DSM-V) yaposachedwa, cyclothymia imasiyanitsidwa ndi matenda a bipolar chifukwa ilibe vuto lokwanira, kupsinjika, kapena vuto losakanikirana. Komabe, anthu ena omwe ali ndi cyclothymia amatha kudwala bipolar I kapena bipolar II pambuyo pake m'moyo.

Kodi Zizindikiro za Cyclothymia Ndi Ziti?

Anthu omwe ali ndi cyclothymia nthawi zambiri amakhala ndi vuto la kukhumudwa pang'ono pamasabata kenako amatsatiridwa ndi gawo lofatsa lomwe limatha masiku angapo.

Zizindikiro zakukhumudwa za cyclothymia zitha kuphatikizira izi:

• kupsa mtima
• ndewu
• kusowa tulo kapena hypersomnia (kugona kwambiri)
• kusintha kwa njala
• kuonda kapena phindu
• kutopa kapena mphamvu zochepa
• chilakolako chogonana ndi ntchito
• kudzimva wopanda chiyembekezo, kudziona ngati wopanda pake, kapena kudzimva waliwongo
• kusasamala, kusasamala, kapena kuiwala
• zizindikiro zosadziwika bwino

Zizindikiro zamanic za cyclothymia zitha kuphatikizira izi:

• kudzidalira kwambiri
• kuyankhula kwambiri kapena kuyankhula mwachangu kwambiri, nthawi zina mwachangu ena zimawavuta kutsatira zomwe munthuyo akunena
• malingaliro othamanga (osokonezeka ndi osokonekera)
• kusowa chidwi
• kusakhazikika komanso kusakhazikika
• nkhawa yowonjezera
• kupita masiku osagona pang'ono kapena osagona (osatopa)
• wokonda kukangana
• chiwerewere
• wonyalanyaza kapena wopupuluma

Odwala ena amakhala ndi "nthawi zosakanikirana," momwe kuphatikiza kwa manic komanso kukhumudwa kumachitika nthawi yayitali kwambiri - imodzi imatsatiridwa nthawi yomweyo.

Kodi Cyclothymia imadziwika bwanji?

Ochita kafukufuku sakudziwa chomwe chimayambitsa kapena kuyambitsa zizindikiro za cyclothymia. Vutoli limadziwika kuti limayendetsedwa m'mabanja.

Munthu alibe cyclothymia ngati samva chizindikiro kwa miyezi yopitilira iwiri. Pofuna kusiyanitsa cyclothymia ndi kusinthasintha kwanthawi zonse, dokotala wanu adzafanizira zizindikilo zanu ndi izi:

• Nthawi zambiri zakusintha (hypomania) ndi kukhumudwa kwa zaka zosachepera ziwiri (chaka chimodzi mwa ana ndi achinyamata) zikuchitika osachepera theka la nthawi
• nyengo zokhazikika zosatha miyezi iwiri
• Zizindikiro zomwe zimakhudza moyo wanu watsiku ndi tsiku - kusukulu, kuntchito, ndi zina zambiri.
• zizindikiro zomwe sizikugwirizana ndi vuto la kusinthasintha zochitika, kukhumudwa kwakukulu kapena vuto lina lamaganizidwe
• Zizindikiro zomwe sizimayambitsidwa ndi kugwiritsa ntchito mankhwala osokoneza bongo kapena matenda ena

Dokotala wanu adzakambirana nanu za zidziwitso zanu komanso mbiri yazachipatala. Angakufunseni mafunso zakugwiritsa ntchito kwanu mankhwala osokoneza bongo kapena mowa.

Mayeso a labu amathanso kuchitidwa kuti athetse mavuto ena azachipatala omwe angayambitse zizindikilozo.

Kodi Chithandizo cha Cyclothymia Ndi Chiyani?

Cyclothymia ndi matenda osatha omwe angafunike chithandizo chamoyo wonse. Mukasiya kumwa mankhwala - ngakhale munthawi yakukhululukidwa - zizindikiro zanu zidzabweranso.

Chifukwa cyclothymia imatha kukhala matenda osokoneza bongo, ndikofunikira kuti mulandire chithandizo choyenera. Mowa komanso kugwiritsa ntchito mankhwala osokoneza bongo kumawonjezeranso zizindikiro zanu.

Mitundu yayikulu yamankhwala omwe amagwiritsidwa ntchito pochizira cyclothymia ndi awa:

• zolimbitsa mtima monga lithiamu
• Mankhwala oletsa kulanda (omwe amadziwikanso kuti anticonvulsants) amaphatikizapo divalproex sodium (Depakote), lamotrigine (Lamictal), ndi valproic acid (Depakene)
• mankhwala oletsa antipsychotic monga olanzapine (Zyprexa), quetiapine (Seroquel) ndi risperidone (Risperdal) atha kuthandiza odwala omwe samvera mankhwala olimbana ndi kulanda
• mankhwala oletsa nkhawa monga benzodiazepine
• Mankhwala opatsirana pogonana ayenera kugwiritsidwa ntchito limodzi ndi zolimbitsa thupi chifukwa zimatha kuyambitsa ziwopsezo zamankhwala zikamadzitengera zokha

Psychotherapy imawerengedwa kuti ndi gawo lofunikira pochiza cyclothymia. Mitundu iwiri yayikulu ya psychotherapy yomwe imagwiritsidwa ntchito pochizira cyclothymia ndimachiritso amachitidwe azachipatala komanso chithandizo chamankhwala abwino.

Chidziwitso chamakhalidwe abwino chimayang'ana kwambiri kuzindikira zikhulupiriro kapena zikhalidwe zosayenera ndikuzisintha ndi zabwino kapena zathanzi. Itha kukuthandizaninso kuthana ndi kupsinjika ndikupanga njira zothanirana ndi mavuto.

Thandizo laumoyo limayang'ana pakukonzanso moyo wonse m'malo mokonza zidziwitso zamaganizidwe. Kafukufuku wina waposachedwa wazachipatala wapeza kuti kuphatikiza kwa chithandizo chamaganizidwe ndi chithandizo chamankhwala kumabweretsa kusintha kwakukulu m'miyoyo ya odwala cyclothymia.

Mitundu ina yamankhwala yomwe ingapindulitse odwala ikuphatikiza kuyankhula, mabanja, kapena chithandizo chamagulu.

Kodi Chiyembekezo cha Cyclothymia Ndi Chiyani?

Palibe mankhwala a cyclothymia, koma pali mankhwala omwe angakuthandizeni kuthana ndi matenda anu. Dokotala wanu adzakuthandizani kupanga dongosolo lamankhwala lomwe lingaphatikizepo kuphatikiza mankhwala ndi mankhwala.

Zitha kukhala zokopa kusiya kumwa mankhwala anu kapena kupita nawo kuchipatala munthawi yamatenda a hypomania. Koma ndikofunikira kuti musunge ndondomeko yanu yamankhwala.