Bipolar Disorder (Kukhumudwa Kwa Manic)

Zamkati

• Kodi Zizindikiro Zake Ndi Ziti?
• Mitundu ya Bipolar Disorder
• Bipolar Woyamba
• Maganizo II
• Matenda a Bipolar Osatchulidwapo (BP-NOS)
• Matenda a Cyclothymic (Cyclothymia)
• Kuthamanga Kwabipolar Bipolar
• Kuzindikira Bipolar Disorder
• Kuchiza Matenda a Bipolar
• Chiwonetsero

Kodi Kusokonezeka Maganizo N'kutani?

Bipolar disorder ndi vuto lalikulu laubongo pomwe munthu amakumana ndimasinthidwe akulu pakuganiza, malingaliro, ndi machitidwe. Matenda a bipolar nthawi zina amatchedwa matenda a manic-depression kapena manic depression.

Anthu omwe ali ndi vuto losinthasintha zochitika nthawi zambiri amakhala ndi nkhawa kapena mania. Amathanso kusintha kosiyanasiyana m'malingaliro.

Vutoli silofanana ndi munthu aliyense amene ali nalo. Anthu ena atha kukhala ndi nkhawa kwambiri. Anthu ena atha kukhala ndi magawo azamisala. Zitha kuthekanso kukhala ndi zodandaula komanso zofananira nthawi imodzi.

Opitilira 2% aku America amadwala matenda osinthasintha zochitika.

Kodi Zizindikiro Zake Ndi Ziti?

Zizindikiro za matenda ochititsa munthu kusinthasintha zochitika zimakhala ndi kusintha kwa malingaliro (nthawi zina kumakhala kovuta kwambiri) komanso kusintha kwa:

• mphamvu
• magwiridwe antchito
• magonedwe
• makhalidwe

Munthu amene ali ndi matenda ochititsa munthu kusinthasintha zochitika sakhala ndi nkhawa nthawi zina. Amathanso kukhala ndi nthawi yayitali yosakhazikika. Anthu omwe alibe matenda ochititsa munthu kusinthasintha zochitika amakhala ndi nkhawa komanso amakhala osasangalala. Kusintha kwamalingaliro komwe kumachitika chifukwa cha matenda ochititsa munthu kusinthasintha zochitika kumasiyana kwambiri ndi "zotumphukira ndi zovuta" izi.

Matenda a bipolar nthawi zambiri amapangitsa kuti ntchito isamagwire bwino, mavuto kusukulu, kapena kuwononga ubale. Anthu omwe ali ndi vuto lalikulu kwambiri, osachiritsidwa la matenda ochititsa munthu kusinthasintha zochitika nthawi zina amadzipha.

Anthu omwe ali ndi matenda a maganizo ochititsa munthu kusinthasintha zochitika amadziona kuti ndi osasangalala.

Zizindikiro zakukhumudwa zitha kuphatikizira izi:

• kudzimva wopanda pake kapena wopanda pake
• kutaya chidwi pazinthu zokondweretsa kamodzi monga kugonana
• kusintha kwamakhalidwe
• kutopa kapena mphamvu zochepa
• mavuto osinkhasinkha, kupanga zisankho, kapena kuyiwala
• kusakhazikika kapena kukwiya
• kusintha kwa kadyedwe kapena kagonedwe
• malingaliro ofuna kudzipha kapena kuyesa kudzipha

Kumbali ina yakutali kwazoyeserera kuli magawo azamunthu. Zizindikiro za mania zimatha kuphatikiza:

• nthawi yayitali yachisangalalo chachikulu, chisangalalo, kapena chisangalalo
• kukwiya kwambiri, kukwiya, kapena kumverera kukhala "wired" (kulumpha)
• kusokonezedwa mosavuta kapena kusakhazikika
• kukhala ndi malingaliro othamanga
• kuyankhula mwachangu kwambiri (nthawi zambiri mwachangu ena samatha kutsatira)
• kutenga ntchito zatsopano kuposa zomwe munthu sangakwanitse (kuwongolera cholinga)
• osowa tulo pang'ono
• zikhulupiriro zosatheka za kuthekera kwa munthu
• kutenga nawo mbali pamakhalidwe osaganizira kapena oopsa monga kutchova juga kapena kuwononga ndalama, kugonana mosatetezeka, kapena kupanga ndalama zopanda nzeru

Anthu ena omwe ali ndi matenda osinthasintha zochitika amatha kukhala ndi hypomania. Hypomania amatanthauza "under mania" ndipo zizindikilo zake ndizofanana kwambiri ndi mania, koma zochepa. Kusiyanitsa kwakukulu pakati pa ziwirizi ndikuti zizindikiro za hypomania sizimasokoneza moyo wanu. Magawo a Manic atha kubweretsa kuchipatala.

Anthu ena omwe ali ndi vuto la kusinthasintha zochitika amakhala ndi "malingaliro osakanikirana" momwe zizindikilo zachisoni ndi zamankhwala zimakhalira limodzi. M'malo osakanikirana, munthu nthawi zambiri amakhala ndi zizindikilo monga:

• kubvutika
• kusowa tulo
• kusintha kwakukulu pakulakalaka
• Maganizo ofuna kudzipha

Munthuyo nthawi zambiri amadzimva wamphamvu pomwe akukumana ndi zisonyezo zomwe zili pamwambapa.

Zizindikiro za matenda ochititsa munthu kusinthasintha zochitika nthawi zambiri zimaipiraipira popanda chithandizo. Ndikofunika kwambiri kuti muwone omwe amakupatsani chithandizo choyambirira ngati mukuganiza kuti mukukumana ndi zizindikilo za matenda ochititsa munthu kusinthasintha zochitika.

Mitundu ya Bipolar Disorder

Bipolar Woyamba

Mtunduwu umadziwika ndi manic kapena magawo osakanikirana omwe amakhala pafupifupi sabata limodzi. Muthanso kukhala ndi zisonyezo zazikulu za manic zomwe zimafunikira chisamaliro chachipatala mwachangu. Ngati mukumva zovuta, nthawi zambiri zimatha milungu iwiri. Zizindikiro zakukhumudwa komanso kukhumudwa ziyenera kukhala zosiyana kwambiri ndi zomwe munthu amachita.

Maganizo II

Mtunduwu umadziwika ndi zochitika zodandaula zosakanikirana ndi ma hypomanic episodes omwe alibe "manic" (kapena osakanikirana).

Matenda a Bipolar Osatchulidwapo (BP-NOS)

Mtunduwu nthawi zina umapezeka munthu akakhala ndi zizindikilo zomwe sizikugwirizana ndi matenda a bipolar I kapena bipolar II. Komabe, munthuyo amakumanabe ndi kusintha kwa malingaliro kosiyana kwambiri ndi machitidwe awo abwinobwino.

Matenda a Cyclothymic (Cyclothymia)

Matenda a cyclothymic ndi mtundu wofatsa wa matenda ochititsa munthu kusinthasintha zochitika omwe munthu amakhala ndi kupsinjika pang'ono kosakanikirana ndimagawo azachisoni kwa zaka zosachepera ziwiri.

Kuthamanga Kwabipolar Bipolar

Anthu ena amathanso kupezeka ndi matenda omwe amadziwika kuti "kuthamanga kwambiri panjinga." Pasanathe chaka chimodzi, odwala omwe ali ndi vutoli amakhala ndi magawo anayi kapena kupitilira apo:

• kukhumudwa kwakukulu
• chiwawa
• hypomania

Ndizofala kwambiri kwa anthu omwe ali ndi matenda ochititsa munthu kusinthasintha zochitika komanso omwe adapezeka ali ndi msinkhu woyambirira (nthawi zambiri pakati pazaka mpaka kumapeto kwa zaka za 20), ndipo amakhudza azimayi ambiri kuposa amuna.

Kuzindikira Bipolar Disorder

Matenda ambiri a bipolar amayamba munthu asanakwanitse zaka 25. Anthu ena amatha kukhala ndi zizindikilo zawo zoyambirira ali mwana kapena, mosachedwa, mochedwa m'moyo. Zizindikiro zaipipala imatha kukhala yamphamvu kuchokera pakukhumudwa mpaka kukhumudwa kwambiri, kapena hypomania mpaka mania. Nthawi zambiri zimakhala zovuta kuzindikira chifukwa zimayamba pang'onopang'ono ndipo zimakula pang'onopang'ono pakapita nthawi.

Wopereka chisamaliro choyambirira nthawi zambiri amayamba ndikukufunsani mafunso okhudzana ndi zizindikilo zanu komanso mbiri yazachipatala. Afunanso kudziwa zakumwa kwanu mowa kapena mankhwala osokoneza bongo. Amathanso kuyesa mayeso a labotale kuti athetse vuto lina lililonse lazachipatala. Odwala ambiri amangopeza thandizo panthawi yachisoni, chifukwa chake ndikofunikira kuti omwe amakupatsani chithandizo choyambirira azitha kuwunika asanapeze matenda amisala. Ena opereka chisamaliro choyambirira amatha kupita kwa akatswiri azamisala ngati akuganiza kuti ali ndi vuto losinthasintha zochitika.

Anthu omwe ali ndi vuto losinthasintha zochitika ali pachiwopsezo chachikulu cha matenda ena amisala ndi thupi, kuphatikiza:

• post-traumatic stress disorder (PTSD)
• matenda ovutika maganizo
• chikhalidwe cha anthu
• ADHD
• migraine mutu
• matenda a chithokomiro
• matenda ashuga
• kunenepa kwambiri

Mavuto ogwiritsira ntchito mankhwala osokoneza bongo nawonso amapezeka pakati pa odwala omwe ali ndi vuto losinthasintha zochitika.

Palibe chifukwa chodziwika cha matendawa, koma chimakonda kuthamanga m'mabanja.

Kuchiza Matenda a Bipolar

Matenda a bipolar sangachiritsidwe. Amaonedwa kuti ndi matenda osachiritsika, monga matenda ashuga, ndipo amayenera kusamalidwa bwino ndikuchiritsidwa pamoyo wanu wonse. Chithandizochi chimaphatikizapo mankhwala ndi zochiritsira, monga chidziwitso chazidziwitso. Mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala ndi awa:

• zolimbitsa mtima monga lithiamu (Eskalith kapena Lithobid)
• mankhwala osokoneza bongo monga olanzapine (Zyprexa), quetiapine (Seroquel), ndi risperidone (Risperdal)
• Mankhwala olimbana ndi nkhawa monga benzodiazepine nthawi zina amagwiritsidwa ntchito pachimake
• Mankhwala oletsa kulanda (omwe amadziwikanso kuti anticonvulsants) monga divalproex-sodium (Depakote), lamotrigine (Lamictal), ndi valproic acid (Depakene)
• Anthu omwe ali ndi matenda osinthasintha zochitika nthawi zina amapatsidwa mankhwala opatsirana pogonana kuti athetse vuto la kukhumudwa, kapena zinthu zina (monga vuto la nkhawa). Komabe, nthawi zambiri amayenera kukhala olimba mtima, chifukwa chopewera kupsinjika chokha chitha kuwonjezera mwayi wamunthu wokhala manic kapena hypomanic (kapena kukulitsa zizindikilo za kupalasa njinga mwachangu).

Chiwonetsero

Matenda a bipolar ndimachiritso kwambiri. Ngati mukukayikira kuti muli ndi matenda ochititsa munthu kusinthasintha zochitika, ndikofunikira kuti mupange nthawi yokumana ndi omwe amakuthandizani ndikuwunika. Zizindikiro zosachiritsidwa za matenda ochititsa munthu kusinthasintha zochitika zimangoipiraipira. Akuti pafupifupi anthu 15 pa anthu 100 alionse amene ali ndi matenda ochititsa munthu kusinthasintha zochitika amadzipha.

Kupewa kudzipha:

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.