Yala i bɛ se ka miiri ko i bɛna nisɔndiya kosɛbɛ ani ka dusukasi kosɛbɛ waati kelen na wa? Faan dɔ fɛ, jigiya tɛ i la, i hakili bɛ boli, wa i fanga ka bon. Faan wɛrɛ fɛ, i b’a ye ko diɲɛ sɛgɛnna, i b’a ye ko foyi tɛ i la, wa i b’a miiri ko jigiya tɛ i la ɲɛnamaya ko la. Nin dusukunnata fila minnu bɛ ɲɔgɔn sɔsɔ, olu bɛ na ɲɔgɔn fɛ wa an bɛ kuma o de kan bi, o ye bana ye min bɛ wele ko bipolar disorder . Hali n’a y’a sɔrɔ nin ye barokun ye min ka gɛlɛn dɔɔnin, an ka kuma a kan cogo nɔgɔman na ani cogo la min bɛ se ka faamuya.
Bipolar disorder (bipolar disorder) taamasiɲɛ ɲagaminen jumɛnw ye?
N’an y’a fɔ cogo nɔgɔman na, bipolar disorder ye bana ye min na mɔgɔ dusukunnata bɛ Changé teliya la fɛn fila ni ɲɔgɔn cɛ. Fɛn dɔ min bɛ dantɛmɛ, o ye mania ye, o min bɛ sɔrɔ nisɔndiyaba, nisɔndiya ani fanga bonya fɛ. A dantɛmɛnen tɔ ye degun ye, o min bɛ sɔrɔ dusukasi jugumanba, dusukasi ani jigiyabaliya fɛ. A ka c’a la, o cogoya fla ninnu bɛ Kɛ ɲɔgɔn fɛ.
Nka tuma dɔw la, kojugu fila bɛɛ taamasiɲɛw bɛ se ka kɛ waati kelen na, don kelen na, walima ka ɲɔgɔn falen-falen tile damadɔ kɔnɔ. Miiri k’a filɛ, fanga caman bɛ mɔgɔ dɔ la, a tɛ lafiya, ani a bɛ miiri teliya la ka ɲɛsin hakiliɲagami ma, nka a bɛ dusukasi jugumanba, jigitigɛbaliya ani yɛrɛfaga miirili fana sɔrɔ degun na. An bɛ min wele ko Episode with Mixed Features . O bɛ i n’a fɔ ka senna-tɛgɛrɛ kɛ mobili ka teliyalan ni a ka frein fila bɛɛ kan waati kelen na. O ye ko ye min bɛ mɔgɔ hakili ɲagami kosɛbɛ ani ka mɔgɔ degun, yɔrɔ min na i tɛ se k’i hakili to yɔrɔ kelen na.
Nin bana in bɛ kɛ jɔn de la?
Bipolar disorder bɛ mɔgɔ minnu na , olu tilancɛ ɲɔgɔn bɛna taamasiɲɛ ɲagaminenw sɔrɔ waati dɔ la u ka ɲɛnamaya kɔnɔ. Mɔgɔ minnu bɛ bipolar disorder sɔrɔ u denmisɛnman, kɛrɛnkɛrɛnnenya la, a taamasiɲɛw bɛ ɲagami ɲɔgɔn na.
Ani fana, tuma dɔw la, hali mɔgɔ min tɛ bipolar ye nka degunba bɛ a la, o tigi bɛ se ka hakiliɲagami taamasiɲɛ misɛnniw sɔrɔ (misali la, dimi, miirili teliya) ka fara degun kan. O bɛ wele ko "depressive episode with mixed features."
Mɔgɔ fanba la, bipolar taamasiɲɛw bɛ daminɛ fɔlɔ san 15 ni san 25 cɛ.A man teli kosɛbɛ mɔgɔ ka bana in sɔrɔ a siɲɛ fɔlɔ la a si san 50 kɔfɛ.Ni aw ka denbaya kɔnɔ mɔgɔ dɔ (ba, fa, balimakɛ) bɛ ni bipolar disorder ye, aw bɛ se ka bana in sɔrɔ.
Mɔgɔ min ka jogo ɲagaminen don, o taamasiɲɛ ye mun ye?
Walasa k’o faamuya ka ɲɛ, an ka nin taamasiɲɛ ninnu tila tila fila ye. Nin taamasiɲɛ suguya fila bɛ se ka kɛ ɲɔgɔn fɛ walima ka kɛ ɲɔgɔn kɔ teliya la.
| Manni taamasiɲɛw | Degun taamasiɲɛw |
|---|---|
| Nisɔndiya kojugu walima dimi kojugu kun tɛ | Dusukasiba dusukunnataw, lankolonya ani jigitigɛbaliya |
| Fanga caya min tɛ deli ka kɛ, lafiyabaliya | Fɛn minnu tun ka di i ye fɔlɔ, i tɛ diya tuguni |
| Miirili teliya, kuma teliya | Fanga dɛsɛ, sɛgɛn tuma bɛɛ |
| Gɛlɛya ka to i ɲɛmajɔlen na | Ka miiri ko i man kan wala ko i ye jurumut ye |
| Sɛgɛnbaliya hali ni a ma sunɔgɔ dɔɔni | Yɛrɛfaga miiriliw |
N’a sɔrɔ i b’i yɛrɛ ɲininka o bɛ se ka kɛ cogo min na, tiɲɛ tɛ? Miiri k’a filɛ, mɔgɔ dɔ bɛ kasi k’a sɔrɔ a ma jɔ, k’a fɔ ko: “Ne ma deli ka nisɔndiya sɔrɔ ten ne ka ɲɛnamaya kɔnɔ.” Walima, u bɛ se ka nisɔndiya kosɛbɛ, ka barika sɔrɔ ka bin dusukasi fɛ, ka tila ka nisɔndiya sɔrɔ kokura. O ko ninnu bɛ se ka mɛn tile caman kɔnɔ, dɔgɔkun caman kɔnɔ, ani tuma dɔw la kalo caman yɛrɛ kɔnɔ ni u ma furakɛ .
Farati jumɛnw bɛ o jogo ɲagaminenw na?
Farati min ka bon kosɛbɛ ani min ka jugu kosɛbɛ taamasiɲɛ ɲagaminenw na, o ye yɛrɛfaga ye. A ka ca a la, bipolar disorder bɛ mɔgɔ minnu na, olu ka teli ka u yɛrɛ faga siɲɛ 10-20 ka tɛmɛ tɔw kan. Nka, sɛgɛsɛgɛliw y’a jira ko mɔgɔ minnu ka bana taamasiɲɛw tɛ kelen ye, olu farati ka bon hali ka tɛmɛ degun dɔrɔn kan.
O ye fɛn ye min farati ka bon kosɛbɛ an ka kan ka min faamu. Ni jigiyabaliya ni dusukunnata min bɛ mɔgɔ sɛgɛn ka ɲɛnamaya degun kɔnɔ, o ni fanga caman, lafiyabaliya ani hakilintanya min bɛ sɔrɔ hakiliɲagami fɛ, o farala ɲɔgɔn kan, o la, mɔgɔ bɛ se ka wale kɛ ka kɛɲɛ ni yɛrɛfaga miiriliw ye, o bɛ caya kosɛbɛ.
O la, a man ɲi abada ka nin taamasiɲɛ ninnu tigi to a kelen na. A nafa ka bon ka taa dɔgɔtɔrɔso la joona. Furakɛli ɲuman, kɛrɛnkɛrɛnnenya la furaw tali kuntaalajan i n’a fɔ `Litiyamu`, o bɛ se ka dɔ bɔ o farati la kosɛbɛ.
Ka fara o kan, bipolar disorder bɛ mɔgɔ minnu na, olu farati ka bon ka dɔrɔguta , o bɛ se ka bana juguya ani ka a kunbɛnni gɛlɛya.
A bɛ furakɛ cogo di?
Siga t’a la, furaw ka kan ka kɛ walasa ka waati ɲagaminenw kunbɛn. Nka, o bana in kunbɛnni bɛ se ka gɛlɛya dɔɔni ka tɛmɛ mankan walima degun waati cogoya kan. Fura minnu bɛ kɛ ka caya, olu ye dusukunnataw sabatili furaw ni hakiliɲagami furaw ye.
Mood Stabilizers (Mɔgɔw ka dusukunnataw sabatili).
Nin fura ninnu bɛ dɛmɛ ka nin wuli ni jigin ninnu kunbɛn hakili la ani ka dusukunnataw sabati.
- Litiyamu : Nin ye fura ye min nafa ka bon kosɛbɛ, a bɛ kɛ kabini tuma jan bipolar disorder furakɛli la. Nka, a bɛ se ka kɛ a nafa tɛ se ka kɛ taamasiɲɛ ɲagaminenw na. Ikomi a bɛ dɔgɔkun damadɔ ta walasa ka baara kɛ ka ɲɛ, a ka fisa a ka kɛ furakɛli kuntaalajan ye. Ni aw bɛ `Litiyamu` ta, aw ka kan ka joli sɛgɛsɛgɛli kɛ tuma bɛɛ walasa ka aw ka fura hakɛ lajɛ walasa ka aw tanga kɔlɔlɔw ma.
- Asidi valproiki (Depakote): Nin fana ye dusukunnataw sabatili fura ye. Kɔlɔsiliw y’a jira ko tuma dɔw la, a ka fisa ni litiyamu ye bana taamasiɲɛ ɲagaminenw kunbɛnni na.
- Fura wɛrɛw : Fura wɛrɛw i n’a fɔ ` Carbamazepine (Tegretol)` ani `Lamotrigine (Lamictal)` bɛ kɛ o baara la.
Hakilila-bana furaw
Fura kura minnu bɛ nin kalasi in na, olu caman bɛ se ka bana taamasiɲɛ ɲagaminenw kunbɛn. Misaliw ye `Olanzapine (Zyprexa), `Risperidone (Risperdal),` ani `Quetiapine (Seroquel) ye.` Olu bɛ kɛ u kelen na walima u ni dusukunnataw sabatili furaw faralen ɲɔgɔn kan.
Kuranko furakɛli (ECT) .
Hali ni o tɔgɔ bɛ se ka kɛ siranfɛn ye dɔw bolo, ECT ye furakɛli ye min farati ka bon kosɛbɛ ani min bɛ se ka kɛ bana jugumanw na minnu tɛ se ka kunbɛn ni fura ye. Nin furakɛli in bɛ se ka mɔgɔ kisi, kɛrɛnkɛrɛnnenya la ni yɛrɛfaga farati ka bon.
A nafa ka bon kosɛbɛ!
Degun furaw i n’a fɔ `Fluoxetine (Prozac)` ani `Sertraline (Zoloft)`, minnu bɛ kɛ ka degun bɛɛ lajɛlen furakɛ, olu tɛ di ni nin taamasiɲɛ ɲagaminen ninnu bɛ yen. O bɛ kɛ barisa fura ninnu bɛ se ka dɔ fara hakiliɲagami taamasiɲɛw kan (dimi, lafiyabaliya). O la, dɔgɔtɔrɔ tɛna fura ninnu di aw ma abada o waati suguw la. Fɛn fɔlɔ min ka kan ka kɛ, o ye ka bana in kunbɛn ni furaw ye minnu bɛ mɔgɔ dusukunnataw sabati walima ni hakiliɲagami furaw ye.
Ikomi bipolar disorder ye bana ye min bɛ segin ka na, a nafa ka bon ka taa a fɛ ka furakɛli ladonni kɛ walasa ka bana seginni bali, hali ni a taamasiɲɛw nɔgɔyara.
Take-Home cikan
- Bipolar disorder taamasiɲɛ ɲagaminenw ye ni i ye nisɔndiya jugumanba (mania) ni dusukasi jugumanba (depression) taamasiɲɛw sɔrɔ waati kelen na.
- O ye ko ye min bɛ mɔgɔ degun kosɛbɛ, wa a yɛrɛfaga farati ka bon kosɛbɛ.
- Ni nin taamasiɲɛ ninnu dɔ bɛ aw walima aw dɔnbaga dɔ la, aw kana aw ɲɛmajɔ o la. Aw bɛ laadilikan ɲini dɔgɔtɔrɔso baarakɛla ŋana dɔ fɛ joona.
- Fura minnu bɛ mɔgɔ dusukunnataw sabati ani hakiliɲagamifura bɛ kɛ ka nin bana in furakɛ, nka degun fura minnu bɛ kɛ tuma bɛɛ, olu man ɲi.
- Aw kana fura kofɔlenw tali dabila abada walima ka u tata hakɛ Changer ni aw ma dɔgɔtɔrɔ ka laadilikan di. Furakɛli kuntaalajan nafa ka bon kosɛbɛ.











💬 Comments (0)
Ko foyi ma bila fɔlɔ. Aw ka kuma fɔlen fara a kan yan a siɲɛ fɔlɔ la.
Aw ka kuma fɔlen fara a kan