Dysphoric Mania: Zizindikiro, Chithandizo, ndi Zambiri
Zamkati
- Zizindikiro
- Zomwe zimayambitsa komanso zoopsa
- Matendawa
- Chithandizo
- Chiwonetsero
- Kodi ndingatani kuti ndisamalire matenda anga?
Chidule
Dysphoric mania ndi nthawi yakale yokhudzana ndi kusinthasintha kwa maganizo ndi zinthu zosakanikirana. Akatswiri ena azaumoyo omwe amathandizira anthu omwe amagwiritsa ntchito psychoanalysis atha kunena za vutoli ndi mawuwa.
Bipolar matenda ndimatenda amisala. Anthu pafupifupi 2.8 peresenti ku United States amapezeka ndi vutoli. Akuti mwa anthu omwe ali ndi vuto losinthasintha zochitika amapeza magawo osakanikirana.
Anthu omwe ali ndi vuto losinthasintha zochitika amakhala ndi magawo a mania, hypomania, komanso kukhumudwa nthawi yomweyo. Izi zitha kupangitsa chithandizo kukhala chovuta kwambiri. Pitirizani kuwerenga kuti mudziwe zambiri zokhudza kukhala ndi vutoli.
Zizindikiro
Anthu omwe ali ndi dysphoric mania amakumana ndi zofanananso ndimatenda a bipolar - kukhumudwa, mania, kapena hypomania (mtundu wofatsa wamania) - nthawi yomweyo. Anthu omwe ali ndi mitundu ina ya matenda ochititsa munthu kusinthasintha zochitika amakhala ndi nkhawa kapena kupsinjika padera, osati nthawi imodzi. Kukumana ndi kupsinjika mtima ndi mania kumawonjezera chiopsezo chamakhalidwe oyipa.
Anthu omwe ali ndi zinthu zosakanikirana amakhala ndi zizindikilo ziwiri kapena zinayi za mania komanso chizindikiro chimodzi chokha cha kukhumudwa. M'munsimu muli zina mwazizindikiro za kukhumudwa ndi mania:
Zizindikiro zakukhumudwa | Zizindikiro za Mania |
kuchulukitsa magawo akulira popanda chifukwa, kapena nthawi yayitali yachisoni | kudzikokomeza kudzidalira komanso kusinthasintha |
nkhawa, kukwiya, kupsa mtima, mkwiyo, kapena kuda nkhawa | kuchulukitsa kukwiya komanso kuchita zinthu mwankhanza |
kusintha kwakukulu pogona ndi njala | angafunike kugona pang'ono, kapena sangatope |
Kulephera kupanga zisankho, kapena zovuta kwambiri kupanga chisankho | kupupuluma, kusokonezedwa mosavuta, ndipo atha kuwonetsa kusalingalira bwino |
kudzimva wopanda pake kapena kudziimba mlandu | angasonyeze kudzidalira kwakukulu |
alibe mphamvu, kapena kutopa | amachita zinthu mosasamala |
kudzipatula pagulu | zonyenga ndi kuyerekezera zinthu m`maganizo zingachitike |
kupweteka kwa thupi | |
malingaliro odzivulaza, kudzipha, kapena kufa |
Ngati muli ndi zinthu zosakanikirana, mutha kuwoneka osangalala kwinaku mukulira. Kapena malingaliro anu atha kuthamanga pamene mukumva kuti mulibe mphamvu.
Anthu omwe ali ndi vuto lodana ndi chiopsezo ali pachiwopsezo chowonjezeka chodzipha kapena kuchitira nkhanza anzawo. Ngati mukuganiza kuti wina ali pachiwopsezo chodzivulaza kapena kukhumudwitsa wina:
- Imbani 911 kapena nambala yanu yadzidzidzi yakomweko.
- Khalani ndi munthuyo mpaka thandizo litafika.
- Chotsani mfuti, mipeni, mankhwala, kapena zinthu zina zomwe zitha kuvulaza.
- Mverani, koma osaweruza, kutsutsana, kuopseza, kapena kufuula.
Ngati inu kapena munthu wina yemwe mumamudziwa akuganiza zodzipha, pezani thandizo kuchokera ku nthawi yovuta kapena njira yodzitchinjiriza. Yesani National Suicide Prevention Lifeline pa 800-273-8255.
Zomwe zimayambitsa komanso zoopsa
Matenda a bipolar samamveka bwino, ndipo palibe chifukwa chimodzi chomwe chadziwika. Zomwe zingayambitse ndi izi:
- chibadwa
- kusalinganika kwamankhwala am'magazi
- kusamvana kwa mahomoni
- zinthu zachilengedwe monga kupsinjika kwamaganizidwe, mbiri yakuzunzidwa, kapena kutayika kwakukulu
Kugonana sikuwoneka kuti sikutenga gawo pakudziwitsa omwe adzapezeke ndi vuto losinthasintha zochitika. Amuna ndi akazi amapezeka mofanana. Anthu ambiri amapezeka azaka zapakati pa 15 mpaka 25.
Zina mwaziwopsezo ndizo:
- Kugwiritsa ntchito mankhwala opatsa mphamvu, monga chikonga kapena caffeine, kumawonjezera ngozi ya mania
- mbiri yabanja yokhudzana ndi kusinthasintha zochitika
- zizolowezi zosagona bwino
- zizolowezi zopatsa thanzi
- kusagwira ntchito
Matendawa
Ngati muli ndi zizindikilo za mania kapena kukhumudwa, pikirani nthawi yokaonana ndi dokotala. Mutha kuyamba ndikulankhula ndi adotolo oyambira kapena kufikira mwachindunji kwa akatswiri azaumoyo.
Dokotala wanu adzafunsa mafunso okhudzana ndi zizindikilo zanu. Pakhoza kukhalanso ndi mafunso okhudza zakale, monga komwe mudakulira, momwe ubwana wanu udaliri, kapena za ubale wanu ndi anthu ena.
Mukamusankha, dokotala akhoza:
- ndikupemphani kuti mumalize kufunsa mafunso okhudza kusangalala
- funsani ngati muli ndi malingaliro ofuna kudzipha
- onaninso mankhwala omwe alipo pakadali pano kuti muwone ngati akuyambitsa matenda anu
- onaninso mbiri yaumoyo wanu kuti muwone ngati mavuto ena angayambitse matenda anu
- kuyitanitsa kukayezetsa magazi kuti muwone ngati pali hyperthyroidism, yomwe imatha kuyambitsa matenda ngati mania
Chithandizo
Dokotala wanu angakulimbikitseni kupita kuchipatala kwakanthawi ngati zizindikiro zanu zili zazikulu kapena ngati muli pachiwopsezo chodzivulaza nokha kapena ena. Mankhwala amathandizanso kuchepetsa zizindikilo zowopsa. Mankhwala ena atha kukhala:
- psychotherapy payekha kapena pagulu
- otonthoza monga lithiamu
- Mankhwala a anticonvulsant monga valproate (Depakote, Depakene, Stavzor), carbamazepine (Tegretol), ndi lamotrigine (Lamictal)
Mankhwala owonjezera omwe angagwiritsidwe ntchito ndi awa:
- aripiprazole (Limbikitsani)
- asenapine (Saphris)
- haloperidol
- risperidone (Risperdal)
- ziprasidone (Geodon)
Dokotala wanu angafunikire kuphatikiza mankhwala angapo. Mwinanso mungafunike kuyesa mitundu ingapo musanapeze china chomwe chimagwira ntchito kwa inu. Aliyense amayankha mosiyana mosiyanasiyana ndi mankhwala, kotero dongosolo lanu lamankhwala limatha kukhala losiyana ndi dongosolo lamankhwala la wachibale kapena mnzanu.
Malinga ndi a, chithandizo chabwino kwambiri cha dysphoric mania ndikuphatikiza mankhwala amisala amisala ndi okhazikika m'maganizo. Mankhwala opatsirana pogonana nthawi zambiri amapewa ngati njira yothandizira anthu omwe ali ndi vutoli.
Chiwonetsero
Matenda a bipolar okhala ndi zinthu zosakanikirana ndimachiritso. Ngati mukuganiza kuti muli ndi vutoli, kapena matenda ena amisala, kambiranani ndi dokotala wanu. Matenda amisala amatha kuyendetsedwa ndi chithandizo, koma muyenera kugwira ntchito ndi dokotala.
Kufunafuna thandizo ndi gawo loyamba lofunikira pochiza matenda anu. Muyeneranso kukumbukira kuti ngakhale mutha kuthana ndi zizindikilo, izi ndizamoyo wanu wonse. Onani zina apa.
Kodi ndingatani kuti ndisamalire matenda anga?
Ganizirani zolowa nawo gulu lothandizira. Maguluwa amapanga malo omwe mutha kugawana zakukhosi kwanu ndi ena omwe ali ndi zikhalidwe zofananira. Gulu limodzi lothandizalo ndi Depression and Bipolar Support Alliance (DBSA). Tsamba la DBSA lili ndi chidziwitso chambiri chothandizira kudziphunzitsa nokha ndi ena omwe akuzungulirani.