Ðe nèsena le ɖokuiwò me be yeƒe seselelãme le abe ʋuʋudedi enea? Gbe aɖewo la, èsena le ɖokuiwò me be dzi dzɔa wò ŋutɔ, dzi dzɔa wò, eye abe ɖe yeate ŋu aɖu xexeame dzi enea? Gake le ŋkeke bubuwo dzi la, le susu aɖeke manɔmee la, ɖe wòsena le ɖokuiwò me be nu tea ɖeɖi ŋuwò keŋkeŋ, léa blanui, eye nèléa blanui? Seselelãme ƒe tɔtrɔ sia ƒomevie nye susumedɔléle aɖe si woyɔna be bipolar ƒe dzesi vevitɔ. Egbea la, míele nu ƒom tso nɔnɔme aɖe koŋ si woyɔna be Bipolar II Disorder ŋu.
Kpuie ko la, nukae nye Bipolar II Disorder?
Nya bipolar gɔmee nye "kpo eve." Efia nu eve siwo tsi tre ɖe wo nɔewo ŋu siwo gbɔ eme, abe dziehe kple anyiehe ene. Le bipolar disorder me la, nu eve siawo siwo gbɔ emee nye dzidzɔkpɔkpɔ/dzidzɔkpɔkpɔ si gbɔ eme kple blanuiléle/blanuiléle si gbɔ eme.
Le bipolar type 2 me la, dzidzɔkpɔkpɔ sia megava zua alɔ̃madɔmadɔ blibo o. Ke boŋ dzidzɔkpɔkpɔ ƒe agbɔsɔsɔ si mebɔ o, si dzi woate ŋu aɖu wu la li. Míeyɔa esia le atikewɔwɔ me be hypomania . Gake amesiwo ŋu dɔléle sia le dometɔ geɖe zãa woƒe ɣeyiɣi akpa gãtɔ le blanuiléle sesẽ ƒe ɣeyiɣiwo me .
Ame si ŋu bipolar type 2 le la to hypomania ƒe ɣeyiɣi ɖeka ya teti me eye blanuiléle sesẽ ƒe ɣeyiɣi ɖeka ya teti le eƒe agbenɔɣi.
Ðe afɔku aɖewo koŋ li siwo ate ŋu ahe nɔnɔme sia vɛa?
Nu ɖeka aɖeke meli si gbɔ esia tso o. Amesiame ate ŋu axɔ nɔnɔme sia. Gake nu aɖewo ate ŋu ana afɔkua nadzi ɖe edzi.
- Ƒome ŋutinya: Ne ame aɖe si le wò ƒometɔ kplikplikpli me (dada, fofo, nɔviwò) ŋu la, ke èle afɔku gã aɖe me be wò hã nàxɔe.
- Ƒe: Zi geɖe la, dzesiawo dzea egɔme tso ƒewuiwo ƒe nuwuwu alo ƒe 20-awo ƒe gɔmedzedze, eye dɔlélea ƒe akpa gãtɔ dzɔna hafi woxɔa ƒe 50.
- Dzɔdzɔmeŋusẽŋununya ƒe tɔtrɔ le ahɔhɔ̃a me: Ahɔhɔ̃mekawo ƒe dadasɔmasɔ le ahɔhɔ̃a me hã ate ŋu ahe esia vɛ.
Aleke woawɔ ade dzesii? Nukawoe nye dzesiawo?
Le bipolar type 2 me la, seselelãme ƒe nɔnɔme vevi eve li siwo trɔna. Mina míalé ŋku ɖe esiawo ŋu ɖe vovo.
| Seselelãme ƒe ɣeyiɣi | Nusiwo woate ŋu akpɔ |
|---|---|
| 1. Hypomania - dzidzɔkpɔkpɔ si gbɔ eme ƒe nɔnɔme |
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| 2. Blanuiléle - blanuiléle si gbɔ eme ƒe nɔnɔme |
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Ne èlé ŋku ɖe ame aɖe si le hypomanic nɔnɔme me ŋu la, edze abe dzi dzɔnɛ ŋutɔ eye ŋusẽ le eŋu ene. Woate ŋu anye "kplɔ̃ɖoƒea ƒe agbenɔnɔ," fefewɔwɔ kple amesiame, kple xɔlɔ̃wɔwɔ ŋutɔ. Eyata ɖewohĩ ànɔ eŋu bum be, "Ekema nukae gblẽ le ema ŋu?"
Vevietɔ wu la, ne womewɔ atike na hypomania o la, ate ŋu ana woawɔ nu ŋumaɖɔɖotɔe, si me lãmesẽ mele o, eye afɔku le eme. Le kpɔɖeŋu me, asitsaha gã aɖe gɔmedzedze ga aɖeke manɔmee, gazazã ŋumaɖɔɖotɔe, kple gomekpɔkpɔ le gbɔdɔdɔ ƒe nuwɔna siwo me afɔku le me.
Nukawoe nye atike siwo wozãna na esia?
Bipolar type 2 nye dɔléle si dzi woate ŋu aɖu nyuie ne wodae nyuie.Nᴐnᴐme. Taɖodzinu vevi eve le atikewɔwɔ ŋu. Ðekae nye be woada hypomania alo blanuiléle ƒe nudzɔdzɔ si li fifia. Bubue nye be woaxe mɔ ɖe nudzɔdzɔ siwo ava dzɔ le etsɔme nu. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ atike vovovowo na esia.
Atikewo
Atike ƒomevi geɖe koŋue wozãna na esia. Nu vevitɔe nye be màgazã atike siawo dometɔ aɖeke alo adzudzɔ atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o.
- Nusiwo Naa Seselelãme Lia: Esiawoe nye atikewɔwɔ ƒe akpa vevitɔ kekeake. Wokpena ɖe ame ŋu wòɖua seselelãme ƒe tɔtrɔ dzi. Kpɔɖeŋuwo: Lithium, Valproate, Lamotrigine, Carbamazepine.
- Tagbɔdɔlékuiwutikewo: Wozãa atike siawo tsɔ léa hypomania kple ɣeaɖewoɣi blanuiléle nu. Kpɔɖeŋuwo: `Olanzapine`, `Quetiapine`, `Risperidone`.
- Blanuilélenutsitikewo: Wonaa esiawo na blanuiléle ƒe ɣeyiɣiwo. Gake zi geɖe la, wonaa blanuilélenutsitikewo amesi ŋu tagbɔdɔléle le tsɔ kpe ɖe atike si nana ame ƒe seselelãme nɔa te ŋu. Esia le alea elabena blanuilélenutsitikewo ɖeɖe ate ŋu ana ame ƒe susu nagbɔdzɔ ɣeaɖewoɣi.
- Benzodiazepines: Wonaa atike siawo ɣeyiɣi kpui aɖe be woatsɔ aɖu nuwo abe alɔ̃madɔmadɔ kple dzimaɖitsitsi ene dzi. Kpɔɖeŋuwo: `Diazepam`, `Lorazepam`.
Wò ɖɔkta atso nya me le atike nyuitɔ kple agbɔsɔsɔme si nàzã ŋu. Ðewohĩ axɔ ɣeyiɣi aɖe hafi woake ɖe atike siwo wotsɔ tsaka nyuitɔ ŋu. Mègatsi dzi ɖe eŋu o. Ele vevie be nàgbɔ dzi ɖi le wò atikewɔwɔa ŋu.
Nyateƒenya ʋɛ bubuwo tso atike vɔ̃ɖiwo ŋu
- Nusiwo wògblẽna le ame ŋu: Abe alesi wòle le atike ɖesiaɖe gome ene la, nugbegblẽ le ame ŋu abe ʋuʋudedi, lolo, alɔ̃dɔdɔ, kple ʋuʋudedi ene ate ŋu ado mo ɖa. Esiawo ƒe akpa gãtɔ nu yina le ŋkeke ʋɛ aɖewo ko megbe. Ne woyi edzi la , ƒo nu kple wò ɖɔkta enumake.
- Atikewɔwɔ dzudzɔ: Mègadzudzɔ wò atikewo nono kpata le esi wò lãme sẽ ta ko o. Esia ate ŋu anye afɔku gã aɖe. Wò dzesiwo ate ŋu atrɔ ava eye woagagblẽ ɖe edzi. Wò ɖɔkta koe ate ŋu atso nya me nenye be yeadzudzɔ wò atikewo zazã alo atrɔ atikeawo zazã.
Tagbɔdɔléle ƒe atikewɔwɔ
Tsɔ kpe ɖe atikewo zazã ŋu la, nuƒoƒo ƒe atikewɔwɔ hã le vevie ŋutɔ. Ne èzã esia la, àte ŋu:
- Se wò atikewɔwɔ ƒe nɔnɔmea gɔme nyuie.
- De dzesi dzesi siwo dzena kaba be dzesiawo ate ŋu atrɔ ava.
- Kpɔ nuteɖeamedzi dzi.
- Do ŋusẽ ƒomedodo kple ƒometɔwo kple xɔlɔ̃wo.
- Se atikewo nono nyuie ƒe vevienyenye gɔme.
Mɔnuwo abe Cognitive Behavioral Therapy (CBT) ene wɔa dɔ ŋutɔ na esia.
Vovototo kae le bipolar I kple bipolar II dome?
Esia nye teƒe si ame geɖe tɔtɔna le. Mina míana esia hã me nakɔ.
| Nɔnɔme si le ame ŋu | Nu eve ƒe susu ƒe dɔwɔwɔ I | Bipolar II |
|---|---|---|
| Ɣeyiɣi dodzidzɔname aɖe | Nɔnɔme si me alɔ̃dɔdɔ blibo le. Ekpɔa ŋusẽ ɖe hadomegbenɔnɔ kple dɔwɔƒe ƒe agbenɔnɔ dzi vevie. Ðewohĩ abia be woaxɔ ame ɖe kɔdzi gɔ̃ hã. | Dzidzɔkpɔkpɔ fafɛ ( hypomania ) ƒe nɔnɔme. Menye nusi nu sẽ abe alɔ̃madɔmadɔ ene o. Edzena abe dzidzɔ alo ŋusẽ si gbɔ eme ene. |
| Teteɖeanyi | Blanuiléle sesẽwo ate ŋu adzɔ, gake menye nusi womate ŋu aƒo asa na o. | Blanuiléle sesẽ kple esiwo nɔa anyi didi bɔ. |
| Ŋusẽkpɔɖeamedzi bliboa | Mania ƒe nudzɔdzɔwo kpɔa ŋusẽ ɖe agbe dzi wu. | Blanuiléle ƒe nudzɔdzɔwo dea ame ƒe agbe afɔku me wu, eyata womate ŋu abu esia be enye Bipolar I ƒe ƒomevi "fafɛ" o. |
Gbedasi si Wotsɔ Yi Aƒeme
- Bipolar type 2 menye gbɔdzɔgbɔdzɔ alo wò vodada o. Enye atikewɔwɔ ƒe nɔnɔme si dzi woate ŋu akpɔ nyuie to atikewɔwɔ me.
- Ne èsusu be dzesi siawo le ye ŋu alo ame aɖe si nènya la, taflatse yi ɖɔkta bibi aɖe gbɔ, vevietɔ tagbɔdɔdala.
- Ele vevie ŋutɔ be nàno wò atikewo abe alesi woŋlɔe ene eye nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi. Mègadzudzɔ wò atikewo nono atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee le susu aɖeke ta o.
- Menye wò ɖeka koe o. Ame akpe geɖe le xexeame godoo siwo le agbe nɔm dzidzedzetɔe kple nɔnɔme sia. Ne wodo alɔ wò nyuie hewɔ atike na wò la, àte ŋu anɔ agbe si li ke eye dzidzɔ le.
- Ne ameɖokuiwuwu ƒe susu le ŋuwò la, gblɔe na ame aɖe si te ɖe ŋuwò enumake, yi wò ɖɔkta gbɔ, alo yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU).
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