Kulimbana ndi Mania

Zamkati

• Mania ndi chiyani?
• Malangizo okuthandizani kuthana ndi zochitika zamankhwala
• Fikirani ku gulu lanu lachipatala
• Pezani mankhwala omwe amathandiza
• Pewani zinthu zomwe zingayambitse vuto lanu
• Pitirizani kudya komanso kugona mokhazikika
• Onetsetsani ndalama zanu
• Khazikitsani zikumbutso za tsiku ndi tsiku
• Kuchira kuchokera pachimake
• Kupewa mania
• Kukonzekera kofunikira kuthana ndi mania
• Ndondomeko yobwezeretsa thanzi
• Malangizo pasadakhale
• Kuwombera moto
• Kupeza thandizo
• Chiwonetsero

Kodi bipolar disorder ndi mania ndi chiyani?

Matenda a bipolar ndimatenda amisala omwe angakupangitseni kukumana ndi zochitika zapamwamba kwambiri komanso zotsika kwambiri. Magawo awa amatchedwa mania komanso kukhumudwa. Kukula ndi kuchuluka kwa magawowa kudzakuthandizani omwe amakuthandizani kuti akuthandizeni kudziwa mtundu wamatenda omwe mumakhala nawo.

• Bipolar 1 Vutoli limachitika mukakhala ndi gawo limodzi lamankhwala. Mutha kukhalanso ndi vuto lalikulu lachisokonezo musanayambe kapena mutatha nthawi yamatsenga. Kuphatikiza apo, mutha kukumana ndi vuto lodzikometsera, lomwe ndi lochepa kuposa mania.
• Bipolar 2 Matendawa ndi pamene mumakhala ndi vuto lalikulu lokhalitsa lomwe limatha milungu iwiri, komanso gawo lachiwerewere lomwe limatha masiku osachepera anayi.

Pemphani kuti muphunzire zamankhwala ndi njira zothandizira kuthana nawo.

Mania ndi chiyani?

Mania ndi chizindikiro chokhudzana ndi matenda ochititsa munthu kusinthasintha zochitika 1. Mutha kuwona zotsatirazi panthawi yamankhwala:

• kusangalala modabwitsa
• kusapsa mtima mosalekeza
• kusangalala modabwitsa

DSM-5 ndichachipatala chomwe chimagwiritsidwa ntchito ndi akatswiri azaumoyo kuti athandizire kuzindikira. Malinga ndi zomwe akunenazi, kuti tiwoneke ngati gawo lamankhwala, zizindikilo zanu za mania ziyenera kukhala osachepera sabata, pokhapokha mutagonekedwa mchipatala. Zizindikiro zanu zimatha kupitirira sabata mutagonekedwa mchipatala ndikuchiritsidwa bwino.

Munthawi yamasewera, machitidwe anu ndi osiyana kwambiri ndi machitidwe abwinobwino. Ngakhale anthu ena mwachibadwa ndi olimba kuposa ena, omwe akukumana ndi mania amakhala ndi mphamvu, mphamvu, kapenanso machitidwe owongoleredwa ndi zolinga.

Zina mwazizindikiro zina zomwe mungakumane nazo munthawi yamankhwala ndi awa:

• kudzikweza ndi kudziona kuti ndiwe wofunika
• kumverera ngati simukufuna kugona, kapena kusowa tulo pang'ono
• kukhala olankhula modabwitsa
• akukumana ndi malingaliro othamanga
• kusokonezedwa mosavuta
• kuchita zinthu zowopsa, monga kugula malo ogona, zosagonana, kapena kupanga bizinesi yayikulu

Mania amatha kukupangitsani kukhala openga. Izi zikutanthauza kuti mwasiya kulumikizana ndi zenizeni.

Magawo a Manic sayenera kutengedwa mopepuka. Zimakhudza kuthekera kwanu kuchita monga mwachizolowezi kuntchito, kusukulu, ndi zochitika zina. Wina yemwe akukumana ndi vuto lamankhwala angafunike kupita kuchipatala kuti asadzipweteke.

Malangizo okuthandizani kuthana ndi zochitika zamankhwala

Zigawo za Manic zimatha kusiyanasiyana munthu ndi munthu. Anthu ena amatha kuzindikira kuti akupita kuchimake, pomwe ena angakane kukula kwa zizindikilo zawo.

Ngati mukumva kukwiya, mukutentha kwakanthawi, mwina simudzazindikira kuti mukukhala ndi gawo lamankhwala. Chifukwa chake, mwina njira yabwino kwambiri yolimbirana ndi kusangalala ndi kukonzekera pasadakhale. Nazi zina zomwe mungachite kuti mukonzekere.

Fikirani ku gulu lanu lachipatala

Choyambirira komanso chofunikira kwambiri kuchita ngati mukuganiza kuti muli ndimagawo azachimuna, ndikufikira omwe amakuthandizani. Izi zitha kuphatikizira katswiri wazamisala, namwino wamisala, mlangizi, wogwira ntchito zachitetezo, kapena akatswiri ena azaumoyo. Ngati mukuda nkhawa kuti mwatsala pang'ono kuyamba ndi manic, funsani omwe akukuthandizani mwachangu kuti mukambirane za zisonyezo zanu.

Ngati muli ndi wokondedwa wanu kapena wachibale wanu amene amadziwa bwino matenda anu, amathanso kukuthandizani kuti mulandire chithandizo.

Pezani mankhwala omwe amathandiza

Opereka chithandizo chamankhwala nthawi zambiri amathandizira magawo azovuta zamankhwala ndi mankhwala omwe amadziwika kuti antipsychotic. Mankhwalawa amatha kuchepetsa zisonyezo za manic mwachangu kuposa zolimbitsa thupi. Komabe, chithandizo chanthawi yayitali chokhala ndi zotonthoza chingathandize kupewa magawo amankhwala amtsogolo.

Zitsanzo za antipsychotic ndi izi:

• Olanzapine (Zyprexa)
• risperidone (Chowopsa
• quetiapine (Seroquel)

Zitsanzo za zolimbitsa mtima zimaphatikizapo:

• lifiyamu (Eskalith)
• divalproex sodium (Depakote
• carbamazepine (Tegretol)

Ngati munamwa mankhwalawa m'mbuyomu ndipo mumamvetsetsa momwe amakugwirirani ntchito, mungafune kulemba zidziwitsozo mu khadi la mankhwala. Kapenanso mutha kuwonjezerapo mbiri yanu yachipatala.

Pewani zinthu zomwe zingayambitse vuto lanu

Mowa, mankhwala osokoneza bongo, komanso mankhwala osokoneza bongo omwe angakuthandizeni kuti musinthe. Kupewa zinthu izi kumatha kukuthandizani kuti musamapanikizike kwambiri. Zingathandizenso kuti kuchira kukhale kosavuta.

Pitirizani kudya komanso kugona mokhazikika

Mukakhala ndi matenda osinthasintha zochitika, kukhala ndi dongosolo m'moyo wanu watsiku ndi tsiku ndikofunikira. Izi zikuphatikizapo kutsatira chakudya chopatsa thanzi komanso kupewa caffeine ndi zakudya zotsekemera zomwe zingakhudze mtima wanu.

Kugona mokwanira nthawi zonse kumathandizanso kupewa zochitika zamankhwala kapena zokhumudwitsa. Kuphatikiza apo, zitha kuthandiza kuchepetsa kuopsa kwa zigawo zilizonse zomwe zimachitika.

Onetsetsani ndalama zanu

Kupitiliza kuwononga ndalama mutha kukhala chimodzi mwazizindikiro zazikulu za mania. Mutha kuthana ndi izi pochepetsa momwe mungagwiritsire ntchito ndalama zanu mosavuta. Mwachitsanzo, sungani ndalama zokwanira kuti mukhale ndi moyo watsiku ndi tsiku kunyumba kwanu, koma musakhale ndi ndalama zowonjezera.

Mwinanso mungafune kusunga ma kirediti kadi ndi njira zina zowonongera m'malo omwe ndizovuta kugwiritsa ntchito. Anthu ena zimawawona kukhala zothandiza kupereka ma kirediti kadi kwa mnzawo wodalirika kapena wachibale, pomwe ena amapewa konse kulandira ma kirediti kadi.

Khazikitsani zikumbutso za tsiku ndi tsiku

Pangani zikumbutso zakumwa mankhwala anu ndikukhala ndi nthawi yogona. Komanso, ganizirani kugwiritsa ntchito zidziwitso pafoni kapena pamakompyuta kuti zikuthandizireni kuti muzisunga ndandanda yanu.

Kuchira kuchokera pachimake

Munthawi yobwezeretsa, ndi nthawi yoyamba kuyambiranso kuwongolera moyo wanu komanso dongosolo lanu. Kambiranani ndi omwe amakupatsani thanzi la m'maganizo komanso okondedwa anu zomwe mwaphunzira pamwambowu, monga zomwe zingayambitse. Muthanso kuyambiranso kukhazikitsa ndandanda yogona, kudya, komanso kuchita masewera olimbitsa thupi.

Ndikofunika kulingalira zomwe mungaphunzire mgawoli komanso momwe mungadzithandizire mtsogolo. Izi zikuthandizani kuti mudzayambirenso kupewa mania.

Kupewa mania

Kutsatira gawo lamankhwala, anthu ambiri amvetsetsa zomwe zingayambitse magawo awo. Zitsanzo zazomwe zimayambitsa mania ndi monga:

• kumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo
• kugona usiku wonse ndikumalephera kugona
• kucheza ndi ena omwe amadziwika kuti ndi osavomerezeka (monga omwe amayesa kukukakamizani kuti mugwiritse ntchito mowa kapena mankhwala osokoneza bongo)
• kusiya kudya kapena kuchita masewera olimbitsa thupi
• kuletsa kapena kudumpha mankhwala anu
• kudumpha magawo azithandizo

Kukhala ndi chizolowezi momwe mungathere kungathandize kuchepetsa zochitika zamankhwala. Koma kumbukirani kuti sizingawalepheretse palimodzi.

Kukonzekera kofunikira kuthana ndi mania

Ngati inu kapena wokondedwa wanu muli ndi matenda a maganizo ochititsa munthu kusinthasintha zochitika, pali zinthu zina zofunika kwambiri zomwe mungakonzekere.

Ndondomeko yobwezeretsa thanzi

A "Wellness Recovery Action Plan" imakuthandizani kuwerengera zosankha zofunika komanso anthu omwe mungafune ngati mungakhale pamavuto. National Alliance on Mental Illness imalimbikitsa mapulani ngati njira yopewa zovuta kapena kukhala ndi zinthu zosavuta kuzifikira. Zitsanzo za zinthu zomwe zikuphatikizidwa ndi izi:

• manambala a foni am'banja lanu, abwenzi, komanso / kapena othandizira azaumoyo
• manambala a foni amizere yamavuto am'deralo, malo opita pamavuto ndi National Suicide Prevention Lifeline ku 1-800-273-TALK (8255)
• adilesi yanu komanso nambala yanu yafoni
• mankhwala omwe mukumwa pakadali pano
• zoyambitsa zodziwika za mania

Muthanso kupanga mapulani ena ndi abale anu odalirika kapena okondedwa. Mwachitsanzo, pulani yanu imatha kujambula zisankho za omwe angachite zinthu zina munthawi yanthawi. Zitha kujambulitsa omwe azigwira ntchito zofunika monga kulipira ngongole zanu kapena kudyetsa ziweto zanu. Itha kulembanso omwe angayang'anire zambiri zandalama, monga kupeza ma risiti ogulitsa kapena kubwezera ngati kuwononga ndalama kumakhala vuto.

Malangizo pasadakhale

Kuphatikiza pa Ntchito Yanu Yobwezeretsa Ubwino, mutha kupanga Psychiatric Advance Directive. Chikalatachi chimasankha munthu wapabanja kapena wokondedwa kuti achitepo kanthu m'malo mwanu mukakumana ndi vuto lamankhwala kapena lokhumudwitsa. Kuchita izi kungatsimikizire kuti zofuna zanu, monga komwe mungakonde kutengeredwa ngati mukufuna kupita kuchipatala, zikuchitika ngati muli pamavuto.

Kuwombera moto

Muthanso kuganiza zakugwira "chowombera moto" munthawi yamankhwala yamtsogolo. Uku ndikufanizira komwe mumangoganiza kuti mukupita kukachitika manic. Mutha kuyeseza omwe mungawaimbire foni, ndikufunsani zomwe angachite kuti akuthandizeni. Ngati mupeza njira zomwe zikusoweka mu pulani yanu, ino ndiye nthawi yokonza.

Kupeza thandizo

Ngakhale palibe amene amakonda kuganizira zamankhwala, ndizofunika kuzizindikira ndikupempha thandizo pasadakhale. Zitsanzo zamabungwe omwe angathandize kuphatikiza National Alliance on Mental Illness (www.NAMI.org) ndi Depression and Bipolar Support Alliance (DBSAlliance.org).

Chiwonetsero

Ngati mukumva mania, mutha kuchitapo kanthu kuti muchepetse chiopsezo chanu chokhala ndi magawo, monga kutsatira dongosolo lanu la mankhwala ndikupewa zoyambitsa. Izi zitha kuthandizira kuchepetsa kuchuluka komanso kuuma kwa magawo anu.

Koma chifukwa chakuti simungalepheretse zochitika zamankhwala kwathunthu, zimathandizanso kukhala okonzeka. Khalani olumikizidwa ndi gulu lanu lazachipatala, pangani zisankho pasadakhale zochitika zamankhwala, ndipo khalani okonzeka kupeza thandizo mukafuna. Kukonzekera zochitika zamamuna zisanachitike kungakuthandizeni kusamalira matenda anu ndikukhala bwino ndi matenda osinthasintha zochitika.