Ðe kuxi ma ke mele wò hã ŋu oa? Mina míaƒo nu tso bipolar disorder ŋu.

Ðe dzi dzɔa wò zi ɖeka, gake le ŋufɔke la, èléa blanui vevie eye agbea tea ɖeɖi ŋuwòa? Alo ɖe nuteƒekpɔkpɔ sia su ame aɖe si nènya la si? Menye nu bubu aɖe koe esia nye o, ɖewohĩ nusi gbɔ esia tsoe nye susu ƒe dɔwɔwɔ ƒe dɔléle. Egbea, míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nukae Nye Bipolar Disorder?

Kpuie ko la, tagbɔdɔléle nye susumedɔléle si nɔa anyi didi . Tsã la, woyɔnɛ be "manic-depressive illness" alo "manic depression." Eƒe dzesi enye tɔtrɔ kpata siwo vaa wò seselelãme, ŋusẽ, tamebubu, kple nuwɔna me. Tɔtrɔ siawo ate ŋu anɔ anyi gaƒoƒo, ŋkeke, kwasiɖa, alo ɣleti geɖe gɔ̃ hã. Woate ŋu ado kplamatse wò ŋutete be nàwɔ dɔ nyuie hã.

Seselelãme ƒe tɔtrɔ vevi evee ɖea dzesi le tagbɔdɔléle si nye tagbɔdɔléle ŋu: manic alo hypomanic episodes kple blanuiléle ƒe ɣeyiɣiwo. Gake esia mefia be amesi ŋu tagbɔdɔléle le la nɔa nudzɔdzɔ eve siawo dometɔ ɖeka me ɣesiaɣi o. Woƒe seselelãme si sɔ hã nɔa wo ŋu. Míeyɔa esia be "euthymia."

Nukatae womegazãa ŋkɔ "manic-depressive illness" o?

Susu geɖewo tae wòle alea ɖo:

• Tsã la, ɖɔktawo zãa nya "manic depression" tsɔ fiaa tagbɔdɔléle vovovowo. Fifia, esi tagbɔdɔlélewo ƒe hatsotsowo me toto ƒe ɖoɖowo, abe "Diagnostic and Statistical Manual of Mental Disorders" (DSM) , va le tɔtrɔm la, ŋkɔ "bipolar disorder" zazã na dɔlélea didi me kɔ nyuie wu.
• Nya siwo nye "manic" kple "mania" ƒe ŋkɔ gbegblẽ kple gɔmesese gbegblẽ geɖe le hadomegbenɔnɔ me, vevietɔ nyawo abe "maniac" ene. Nenema ke amewo zãa nya "blanuiléle" tsɔ ɖɔa blanuiléle si sɔ, ne menye blanuiléle si wokpɔna le kɔdzi o gɔ̃ hã . Ŋkɔ "bipolar disorder" hea susu ɖa le nya eve siawo ŋu.
• "Bipolar disorder" nye nya si wozãna le atikewɔwɔ me, le atikewɔnyawo me wu "manic depression." Etsɔa seselelãme ƒe kpekpeme sue aɖe ko.
• Ŋkɔ "manic depression" meku ɖe cyclothymic alo hypomanic (abe bipolar II disorder) ƒomevi siwo le nɔnɔme sia ŋu o.

Nukawoe nye tagbɔdɔléle ƒe dzesi veviwo?

Azɔ na míakpɔ nusi dzɔna le alɔ̃madɔmadɔ kple blanuiléle ƒe ɣeyiɣi siawo me ɖa.

Manic ƒe nudzɔdzɔwo

Bipolar I DɔléleAnɔ eme be amesiwo ŋu tagbɔdɔléle le la akpɔ tagbɔdɔléle siawo. Esiae nye esime wò seselelãme va nɔa kɔkɔm le mɔ si mebɔ o nu, eye ɣeaɖewoɣi la, edoa dziku vevie gɔ̃ hã. Le ɣeyiɣi ma ke me la, wò seselelãmewo, tamesusuwo, ŋusẽ, nuƒoƒo, kple nuwɔna katã trɔna kpata. Ŋusẽ ƒe agbɔsɔsɔ kple nuwɔna sia si lolo la to vovo kura tso wò amenyenye si nèwɔna ɖaa gbɔ, eye ame bubuwo hã dea dzesii.

Ne ame aɖewo ƒe tagbɔ gblẽ la, woate ŋu awɔ nusiwo agblẽ nu le wo ɖokui ŋu le ŋutilã, hadome, alo ganyawo gome. Le kpɔɖeŋu me, kasia woate ŋu azã ga gbogbo aɖe, atsa tsatsa, alo aku ʋu ŋumaɖɔɖotɔe. Ɣeaɖewoɣi , tagbɔdɔléle ƒe dzesiwo , abe susumenuwo kple susumenuwo ene hã ate ŋu ado mo ɖa. Esia ate ŋu ana wòasesẽ ɣeaɖewoɣi be woade vovototo tagbɔdɔléle kple dɔléle bubuwo abe tagbɔdɔléle ene dome.

Le kpɔɖeŋu me, le tagbɔdɔléle ƒomevi aɖewo me la, amesiwo ŋu Bipolar II Disorder le la toa nɔnɔme aɖe si woyɔna be hypomania . Esia nye nudzɔdzɔ si mesẽ boo o eye wòfa wu alɔ̃madɔmadɔ. Menɔa anyi didi abe manic episodes ene o eye medoa kplamatse gbesiagbe dɔwɔwɔ nenema gbegbe o.

Blanuiléle ƒe nudzɔdzɔwo

Le blanuiléle ƒe ɣeyiɣi aɖe me la, àte ŋu alé blanui ŋutɔ eye mɔkpɔkpɔ bu ɖe wò. Ðewohĩ màgatsɔ ɖeke le nusiwo doa dzidzɔ na wò tsã hã me o. Blanuiléle ƒe dzesi bubuwo hã ate ŋu adze:

• Ðeɖiteameŋu, ɖeɖiteameŋu.
• Tɔtrɔ siwo vaa nuɖuɖudzroame (dzina ɖe edzi alo dzi ɖena kpɔtɔna).
• Sese le eɖokui me be viɖe aɖeke mele ye ŋu o nye mɔkpɔkpɔbuɖeame ƒe seselelãme.
• Ŋutete si mele ame si be wòawɔ naneke o.
• Mesena le ɖokuinye me be mafa avi.

Nukawoe nye tagbɔdɔléle ƒomevi siwo nye bipolar disorder?

Tagbɔdɔléle ƒomevi vevi enee li:

1. Bipolar I Disorder: Ame siawo to alɔ̃madɔmadɔ ƒe ɣeyiɣi ɖeka alo esi wu nenema me kpɔ. Ame geɖe ƒe tagbɔ gblẽna kple blanuiléle siaa nɔa ŋuwò, gake woate ŋu akpɔe kokoko be bipolar I le ŋuwò nenye be tagbɔdɔléle ƒe ɣeyiɣi siwo me blanuiléledɔ aɖeke mele o koe le ŋuwò. Zi geɖe la, blanuiléle ƒe ɣeyiɣiwo xɔa kwasiɖa eve ya teti. Be woakpɔe be bipolar I le ŋuwò la, ele be wò manic episode nanɔ anyi ŋkeke adre ya teti alo wòasẽ ale gbegbe be wòahiã be nàxɔ wò ɖe kɔdzi. Ame siawo ate ŋu akpɔ nudzɔdzɔ vovovowo hã , siwo nye nudzɔdzɔ siwo me alɔ̃madɔmadɔ kple blanuiléle ƒe dzesiwo siaa dzena le.

2. Bipolar II Disorder: Ame siawo kpɔa blanuiléle ƒe ɣeyiɣiwo kple hypomanic ƒe ɣeyiɣiwo. Gake womekpɔa alɔ̃madɔmadɔ blibo si bɔ ɖe bipolar I me gbeɖe o. Togbɔ be hypomania meɖea fu na ame boo o wu alɔ̃madɔmadɔ hã la, tagbɔdɔléle II ate ŋu aɖe fu na ame wu ɣeaɖewoɣi wu bipolar I. Esia le alea elabena blanuiléle si nɔa anyi didi bɔ ɖe bipolar II me wu.

3. 3. .Cyclothymic Disorder (Cyclothymia): Ame siawo ƒe seselelãme meli ke ɣesiaɣi o. Woɖɔlia wo nɔewo le hypomania kple blanuiléle si nu mesẽ o dome ƒe eve ya teti. Woate ŋu awɔ euthymia ɣeyiɣi kpui aɖe, gake ɣeyiɣi siawo mede kwasiɖa enyi o.

4. Tagbɔdɔléle bubu siwo wogblɔ kple esiwo womegblɔ o kple esiwo do ƒome kplii: Ne ame aɖe meɖo dzidzenu siwo woɖo na bipolar I, II, alo cyclothymia gbɔ tututu o, gake eƒe seselelãme ƒe kɔkɔme si mesɔ o si ɖe dzesi le atikewɔwɔ me la, wodzena le hatsotso sia me.

Vovototo kae le amenyenye ƒe dɔléle si nye borderline personality disorder (BPD) kple bipolar disorder dome?

Woate ŋu atɔtɔ Borderline Personality Disorder (BPD) kple bipolar disorder elabena woƒe dzesi aɖewo sɔ. Ke hã, nɔnɔme vovovo evee wonye.

BPD ƒe dzesi enye tɔtrɔ kpata le seselelãme, nuwɔna, kple ameɖokui ŋu . Zi geɖe la, masɔmasɔ siwo le ƒomedodo kple ame bubuwo dome gbɔe nusiawo tsona. BPD do ƒome kple nuveviwɔame ame ɖokui si menye ameɖokuiwuwu o ƒe dzidziɖedzi, si mebɔ le tagbɔdɔléle si me susu mele o me nenema gbegbe o.

Bipolar disorder to vovo na BPD le mɔ sia nu be elɔa alɔ̃madɔmadɔ/alɔ̃madɔmadɔ kple/alo blanuiléle ƒe nudzɔdzɔ siwo me kɔ, siwo nɔa anyi didi ɖe eme . Nu vovovowo ate ŋu ahe tagbɔdɔ alo blanuiléle ƒe nudzɔdzɔ siawo vɛ. Le kpɔɖeŋu me, alɔ̃madɔmadɔ, nuteɖeamedzi, kple atike kple atike aɖewo zazã.

Amekae xɔa tagbɔdɔléle si nye bipolar disorder?

Ate ŋu atsi le ame sia ame me. Zi geɖe la, edzea egɔme tso ƒe 25 lɔƒo. Gake ƒã ŋutɔ la, ate ŋu adze egɔme tso esime nèxɔ ƒe 40 alo 50 gɔ̃ hã.

Ekpɔa ŋusẽ ɖe nyɔnuwo kple ŋutsuwo dzi sɔsɔe, gake vovototo sue aɖe ate ŋu anɔ alesi wògblẽa nu le wo ŋui me.

• Nyɔnu siwo ŋu tagbɔdɔléle le ƒe seselelãme ate ŋu atrɔ kabakaba. Ne alɔ̃madɔmadɔ alo blanuiléle ƒe ɣeyiɣi ene alo esi wu nenema le ŋuwò le ƒe ɖeka me la, woyɔnɛ be "kekedodo kabakaba." Tɔtrɔ siwo vaa gbɔdɔdɔ ƒe lãmetsi kple thyroid lãmetsi ƒe agbɔsɔsɔ me, kpakple blanuilélenutsitikewo ƒe agbɔsɔsɔ si sɔ gbɔ ɖe nyɔnuwo me ate ŋu ana "kekedodo kabakaba" ƒe nɔnɔme sia nadzɔ.
• Nyɔnuwo hã ate ŋu akpɔ blanuiléledɔ geɖe wu ŋutsuwo.

Aleke gbegbee susu ƒe dɔmawɔmawɔ nyuie bɔe?

Dɔléle sia le ame tsitsi siwo ade miliɔn 5.7 ŋu le United States, alo dukɔa me tɔwo ƒe 2.6%. Woate ŋu akpɔ nɔnɔme sia le Sri Lanka hã.

Nukawoe nye susu ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo?

Tagbɔdɔléle si nye bipolar I ƒe dzesi vevitɔe nye alɔ̃madɔmadɔ si xɔa kwasiɖa ɖeka ya teti . Ame siwo ŋu bipolar II disorder alo cyclothymia le la kpɔa hypomanic episodes.

Gake ame geɖe siwo ŋu tagbɔdɔléle le la toa manic/hypomanic kple blanuiléle siaa me. Menye ɣesiaɣie seselelãme ƒe tɔtrɔ siawo dzɔna le ɖoɖo ɖeka nu o. Menye ɣesiaɣie manic episode kplɔa blanuiléle ƒe nudzɔdzɔ ɖo o. Ame ateŋu akpɔ seselelãme ɖeka (e.g., mania) zi gbɔ zi geɖe, eye ateŋu atso seselelãme si sɔ (euthymia) hã ayi akpa kemɛ (blanuiléle).

Nɔnɔme ƒe tɔtrɔ siawo ate ŋu anɔ anyi kwasiɖa geɖe, ɣleti geɖe, alo ƒe geɖe gɔ̃ hã.

Nu vevitɔe nye be seselelãme ƒe tɔtrɔ siawo to vovo na afisi nèwɔna ɖaa eye tɔtrɔa nɔa anyi ɣeyiɣi didi aɖe . Le alɔ̃madɔmadɔ me la, ate ŋu anɔ anyi ŋkeke alo kwasiɖa geɖe, eye le blanuiléle me la, ate ŋu anɔ anyi kwasiɖa alo ɣleti geɖe.

Blanuiléle kple alɔ̃madɔmadɔ ƒe sesẽme ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ, eye le ɣeyiɣi aɖe megbe gɔ̃ hã le ame ɖeka me.

Manic Episodes ƒe Dzesiwo

Ame aɖewo kpɔa alɔ̃madɔmadɔ alo tagbɔdɔléle ƒe ɣeyiɣiwo zi geɖe le woƒe agbe me. Ƒã hafi ame bubuwo hã toa wo me.

Dzesi siwo dzena le manic episode ŋue nye:

• Dzidzɔ gã, mɔkpɔkpɔ, kple dzidzɔkpɔkpɔ ƒe seselelãmewo.
• Seselelãme ƒe tɔtrɔ kpata si nu sẽ ŋutɔ. Le kpɔɖeŋu me, tso dzidzɔkpɔkpɔ gã dzi yi dzikudodo alo fuléle zi ɖeka dzi.
• Dzimaɖitsitsi.
• Nuƒoƒo kabakaba, duƒuƒu ƒe susuwo.
• Ŋusẽ si dzi ɖe edzi, alɔ̃dɔdɔ ƒe hiahiã dzi ɖe kpɔtɔ.
• Ðokuidziɖuɖu ƒe dzidziɖedzi, nyametsotso gbegblẽwo wɔwɔ. Le kpɔɖeŋu me, asiɖeɖe le dɔ ŋu zi ɖeka.
• Ðoɖo gã siwo mate ŋu adzɔ o wɔwɔ.
• Nuwɔna ŋumaɖɔɖotɔe, si me afɔku le. Le kpɔɖeŋu me, atike muamewo zazã kple aha sesẽ zazã, gbɔdɔdɔ si mele dedie o.
• Sese le eɖokui me be yele vevie, ŋutete le ye si, alo ŋusẽ le ye ŋu le mɔ si mebɔ o nu.
• Tagbɔdɔléle – Susumenuwo kple susumenuwo kpɔkpɔ le alɔ̃madɔmadɔ ƒe nɔnɔme sesẽtɔwo kekeake me.

Zi geɖe la, ame siwo ƒe tagbɔ gblẽ la menya nu gbegblẽ siwo dona tso woƒe nuwɔnawo me o. Afɔku si le ameɖokuiwuwu me nɔa ameɖokuiwuwu ƒe dɔléle me ɣesiaɣi. Ame aɖewo tea wo kpɔ be woawu wo ɖokui le alɔ̃madɔmadɔ ƒe nɔnɔmewo me, ke menye le blanuiléle ƒe nɔnɔmewo me ko o.

Ne ame aɖe ƒe tagbɔ gblẽ vevie, vevietɔ ne susumenuwo kple susumenuwo le eŋu la, ahiã be woaxɔe ɖe kɔdzi be woakpɔ wo ɖokui kple ame bubuwo ta tso nuveviwɔame me.

Hypomania ƒe dzesiwo

Ame aɖewo kpɔa dzesi siwo ɖi alɔ̃madɔmadɔ, gake wofa wu. Woyɔa esia be hypomania . Le ɣeyiɣi sia me la, àte ŋu ase le ɖokuiwò me be yeƒe lãme sẽ ŋutɔ eye wòase le ɖokuiwò me be yeate ŋu awɔ nu geɖe. Zi geɖe la, amesiwo le hypomanic nɔnɔme me te ŋu wɔa dɔ nyuie le hadome alo le dɔwɔƒe.

Le hypomanic episode me la, ɖewohĩ màse le ɖokuiwò me be naneke gblẽ o. Gake wò ƒometɔwo kple xɔlɔ̃wo ate ŋu ade dzesi tɔtrɔ le wò seselelãme kple agbenɔnɔ ŋu, eye woabui be esia mebɔ na wò o. Àte ŋu akpɔ blanuiléle sesẽ hã le hypomanic episode megbe.

Blanuiléle ƒe ɣeyiɣiwo ƒe dzesiwo

Blanuiléle ƒe ɣeyiɣiwo ƒe dzesiwo le tagbɔdɔléle ƒe dɔléle me sɔ kple blanuiléle sesẽ ƒe dzesiwo . Wo dometɔ aɖewoe nye:

• Blanuiléle si womate ŋu ado dzi atsɔ o ƒe seselelãme.
• Ŋusẽ ƒe anyimanɔmanɔ, ɖeɖiteameŋu.
• Ðekematsɔleme le naneke wɔwɔ me.
• Mɔkpɔkpɔbuɖeame, sese le eɖokui me be viɖe aɖeke mele ye ŋu o.
• Dzidzɔkpɔkpɔ tso nusiwo hea dzidzɔ vɛ tsã me o.
• Esesẽna be susu nanɔ nu ŋu, nyametsotsowo wɔwɔ.
• Avifafa si dzi womate ŋu aɖu o.
• Dziku.
• Alɔ̃dɔdɔ ƒe hiahiã si dzi ɖe edzi.
• Alɔ̃madɔmadɔ alo alɔ̃dɔdɔ fũ akpa.
• Kpekpeme dzi ɖeɖe kpɔtɔ alo dzidziɖedzi le nuɖuɖudzroame ƒe tɔtrɔ ta.
• Tamesusu siwo ku ɖe ku alo ameɖokuiwuwu ŋu ( Suicidal Ideation ).

Ne ameɖokuiwuwu ƒe susuwo le fu ɖem na wò la, ele be nàdi kpekpeɖeŋu enumake. Le Sri Lanka la, ƒo ka na habɔbɔ aɖe abe Sumithrayo (0112692909), alo yi kɔdzi si te ɖe ŋuwò wu.

Nudzɔdzɔ Siwo Tsaka ƒe Nɔnɔmewo

Le nudzɔdzɔ si wotsaka me la, alɔ̃madɔmadɔ kple blanuiléle ƒe dzesiwo siaa dzɔna ɖekae. Le ɣeyiɣi sia me la, seselelãme kple tamesusu gbegblẽ siwo dona tso blanuiléle me la nɔa mewò, gake ètsia dzimaɖi, dzimaɖitsitsi, eye ŋusẽ geɖe le ŋuwò hã.

Zi geɖe la, amesiwo toa nudzɔdzɔ vovovowo me gblɔna be enye tagbɔdɔléle ƒe akpa si vɔ̃ɖi wu.

Nukawoe hea susu ƒe dɔmawɔmawɔ nyuie vɛ?

Dzɔdzɔmeŋutinunyalawo menya nusi tututu hea esia vɛ haɖe o.

Gake woxɔe se be kadodo sẽŋu aɖe le domenyiŋusẽfianu (domenyiŋusẽfianu/domenyinyi) dome . Tagbɔdɔléle si nye tagbɔdɔléle siwo bɔ wu dometɔ ɖeka. Ame siwo ŋu tagbɔdɔléle le ƒe akpa eve le etɔ̃ me kple edzivɔ ƒe ƒometɔ aɖe le ʋu me si hã ŋu dɔlélea le. Gake esi wònye be tagbɔdɔléle le wò ƒometɔ aɖe si le ʋu me ta la, mefia be àxɔe o.

Nu bubu siwo dzɔdzɔmeŋutinunyalawo xɔ se be woawoe nana ame ƒe susu nɔa nu ŋu ƒe dɔmawɔmawɔ nyuie la dometɔ aɖewoe nye:

• Tɔtrɔ siwo vaa wò ahɔhɔ̃ me: Numekulawo kpɔ tɔtrɔ siwo menya kpɔna dzea sii bɔbɔe o le ahɔhɔ̃ ƒe wɔwɔme aɖewo ƒe lolome alo dɔwɔwɔ si sɔ me le amesiwo ŋu tagbɔdɔléle le. Gake womate ŋu atsɔ ahɔhɔ̃mekadodo akpɔ dɔlélea adze sii o.
• Nutoa me ƒe nɔnɔmewo, abe nuveviwɔame kple nuteɖeamedzi ene: Nudzɔdzɔ si tea ɖeɖi ame ŋu, abe ame vevi aɖe ƒe ku, dɔléle sesẽ aɖe, srɔ̃gbegbe, alo gakuxiwo ene ate ŋu ahe aɖaʋawɔwɔ alo blanuiléle vɛ. Eyata nuteɖeamedzi kple nuveviwɔame hã ate ŋu awɔ akpa aɖe le tagbɔdɔléle si me susu mele o ƒe dzɔdzɔ me.

Fifia dzɔdzɔmeŋutinunyalawo le numekuku wɔm tso alesi nu siawo do ƒome kple tagbɔdɔléle, alesi woate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe dɔlélea nu, kple ŋusẽ si wokpɔna ɖe atikewɔwɔ dzi ŋu.

Aleke wokpɔa tagbɔdɔléle si nye bipolar disorder?

Wò ɖɔkta ate ŋu azã nu geɖe atsɔ anya esia:

• Ŋutilãmedodokpɔ.
• Atikewɔwɔ ŋutinya blibo (biabia tso wò dzesiwo, wò agbeme nuteƒekpɔkpɔwo, kple ƒome ŋutinya ŋu).
• Atikewɔwɔ me dodokpɔwo, .Abe ʋudodokpɔ ene. Wowɔa esiawo tsɔ léa ŋku ɖe nɔnɔme bubu siwo ate ŋu ahe wò dzesiwo vɛ hã ŋu (e.g., hyperthyroidism ).
• Susu ƒe lãmesẽ ŋuti numekuku. Wò ɖɔkta ate ŋu awɔ esia, alo àte ŋu aɖo wò ɖe tagbɔdɔdala bibi aɖe, abe tagbɔdɔdala ene.

Be woakpɔe be tagbɔdɔléle le ŋuwò la, ele be nàto manic alo hypomanic episode ɖeka ya teti me . Tagbɔdɔléleŋutinunyalawo zãa Diagnostic and Statistical Manual of Mental Disorders (DSM) tsɔ kpena ɖe ŋuwò nènyaa tagbɔdɔléle ƒomevi si ate ŋu anɔ ŋuwò.

Be wò ɖɔkta nanya tagbɔdɔléle ƒomevi si le ŋuwò la, ada alesi wò dzesiawo dzenae kple alesi gbegbe wokpɔa ŋusẽ ɖe wò agbenɔnɔ dzii le nɔnɔme siwo vɔ̃ɖi wu me.

Amesiwo ŋu tagbɔdɔléle le la ate ŋu axɔ susumedɔ siawo:

• Dzitsitsi.
• Susu ƒe Dɔmawɔmawɔ nyuie/Dɔwɔwɔ fũu akpa ƒe Dɔléle (ADHD).
• Nuteɖeamedzi le Nuveviwɔame megbe (PTSD).
• Atike Vɔ̃ɖiwo Zazã ƒe Dɔlélewo.

Le esia ta, kple esi amewo mate ŋu aɖo ŋku edzi be yewoto eme le esi woƒe ŋkuɖoɖonudzi me gblẽ le alɔ̃madɔmadɔ ƒe ɣeyiɣi aɖe me ta o ta la, ate ŋu asesẽ na ɖɔktawo ɣeaɖewoɣi be woakpɔ amesiwo ŋu tagbɔdɔléle le nyuie.

Woate ŋu abu dɔnɔ si ƒe tagbɔ gblẽ le tagbɔdɔléle sesẽ aɖe si me susumenuwo le ŋu be enye tagbɔdɔléle si me susu mele o . Ate ŋu adzɔ hã be woabui vodadatɔe be enye amenyenye ƒe dɔléle si le liƒo dzi (BPD) .

Eyata ele vevie ŋutɔ be nàɖi anukware ahade blibo le wò dzesiwo kple nuteƒekpɔkpɔwo katã ŋu ne èle nu ƒom na wò ɖɔkta. Ate ŋu aɖe vi hã be nàde wò lɔlɔ̃tɔ aɖe wò numedzodzro kple wò ɖɔkta me si ate ŋu ana nyatakaka bubuwo tso wò susu ƒe lãmesẽ ŋutinya ŋu.

Aleke wodaa bipolar dɔléleae?

Atikewɔwɔ ate ŋu akpe ɖe ame geɖe ŋu, amesiwo ŋu tagbɔdɔléle sesẽtɔ kekeake le gɔ̃ hã. Zi geɖe la, atikewɔwɔ ƒe ɖoɖo si akpɔ dzidzedze la lɔ nusiwo gbɔna ƒe ƒuƒoƒo ɖe eme:

• Tagbɔdɔléle / Nuƒoƒo ƒe Dɔdamɔnu.
• Atikewo.
• Le kpɔɖeŋu me, ɖokuidziɖuɖu ƒe mɔnuwo, nusɔsrɔ̃ tso dɔlélea ŋu, dzesidede dɔléle aɖe ƒe dzesi gbãtɔwo, kple dzesidede nusiwo hea dɔlélea vɛ.
• Agbenɔnɔ si me lãmesẽ le, abe kamedede, yoga, kple ŋugbledede ene ate ŋu ado alɔ atikewɔwɔ, gake menye nusi woatsɔ aɖo eteƒe o.
• Wozãa Electroconvulsive Therapy (ECT) le nɔnɔme siwo me atike bubuwo mewɔa dɔ nyuie ɖe atikewo ŋu o, alo ne ehiã be woaɖu dzesiawo dzi kaba be woagagblẽ nu le wo ŋu o.

Tagbɔdɔléle nye dɔléle si nɔa ame ŋu le eƒe agbemeŋkekewo katã me, eyata atikewɔwɔ nye ɖokuitsɔtsɔna le eƒe agbemeŋkekewo katã me . Ate ŋu axɔ ɣleti geɖe alo ƒe geɖe gɔ̃ hã hafi mia kple wò ɖɔkta miakpɔ atikewɔwɔ ƒe ɖoɖo si awɔ dɔ na mi. Togbɔ be esia ate ŋu ate ɖe ame dzi hã la, ele vevie be woayi atikewɔwɔ dzi.

Manic kple blanuiléle ƒe nudzɔdzɔwo gadzɔna ake le ɣeyiɣi aɖe megbe. Ame akpa gãtɔ siwo ŋu tagbɔdɔléle le la ƒe seselelãmewo nu tsona le ɣeyiɣiawo me, gake dzesi aɖewo ate ŋu anɔ wo dometɔ aɖewo ŋu. Atikewɔwɔ ɣeyiɣi didi, si yia edzi ate ŋu akpe ɖe ŋuwò nàɖu dzesi siawo dzi.

Ne susumedɔléle bubuwo le ŋuwò (e.g., dzimaɖitsitsi, ADHD) tsɔ kpe ɖe bipolar ŋu la, nɔnɔme mawo dada ate ŋu asesẽ wu. Le kpɔɖeŋu me, blanuilélenutsitike siwo naa nuteɖeamedzi ƒe dɔléle (OCD) kple atike siwo doa ŋusẽ ADHD ate ŋu ana tagbɔdɔléle ƒe dzesiwo nagado gã ɖe edzi eye wòana ame ƒe susu nadze ame ŋu gɔ̃ hã.

Gake togbɔ be nɔnɔme siawo dada ate ŋu asesẽ hã la, menye nusi mate ŋu adzɔ o. Ðoe kplikpaa be yeadi atikewɔwɔ ƒe ɖoɖo si awɔ dɔ na wò.

Atikewɔwɔ ƒomevi kawoe wozãna na tagbɔdɔléle si nye bipolar disorder?

Tagbɔdɔdada, si wogayɔna be "nuƒoƒo ƒe atikewɔwɔ" ate ŋu anye atikewɔwɔ ƒe ɖoɖoa ƒe akpa vevi aɖe na amesiwo ŋu tagbɔdɔléle le.

Tagbɔdɔdada nye atikewɔwɔ vovovo siwo kpena ɖe ŋuwò nèdea dzesi seselelãme, tamesusuwo, kple nuwɔna siwo ɖea fu na wò hetrɔa wo. Dɔwɔwɔ kple susumedɔdala , abe tagbɔdɔdala ene, ate ŋu ana kpekpeɖeŋu, hehe, kple mɔfiame wò kple wò ƒomea.

Atike vovovo siwo wozãna na tagbɔdɔléle si nye bipolar disorder:

• Susuŋutinunya: Esiae nye ɣeyiɣi si me susumedɔdalawo fiaa nu amewo tso woƒe susumedɔlélewo ŋu. Esi wònye be tagbɔdɔléle nye nɔnɔme sesẽ aɖe ta la, nusɔsrɔ̃ tso eŋu kple alesi wòkpɔa ŋusẽ ɖe wò agbenɔnɔ dzi ate ŋu akpe ɖe mia kple wò lɔlɔ̃tɔwo ŋu be miakpɔ egbɔ nyuie wu ahanɔ te ɖe enu.
• Amewo Dome Kple Hadomegbenɔnɔ Ŋuti Dɔdamɔnu (IPSRT): Wotrɔ asi le atikewɔwɔ sia ŋu be wòakpe ɖe ŋuwò nàse wò nugbagbe kple hadome ɣeyiɣi ƒe didime gɔme ahawɔ dɔ kpli wo be wò seselelãme nanyo ɖe edzi. IPSRT nye atike nyui aɖe na amesiwo ŋu tagbɔdɔléle kple seselelãme ƒe kuxi bubuwo le. Eƒoa nu tso atikewo dzi wɔwɔ, agbemenudzɔdzɔ siwo tea ɖeɖi ame ŋu dzi kpɔkpɔ, kple hadomenuwɔnawo ƒe tɔtɔ (trɔtrɔ le gbesiagbedɔwo me) dzi ɖeɖe kpɔtɔ ŋu. IPSRT fia aɖaŋu siwo ate ŋu akpe ɖe ŋuwò nàƒo asa na alɔ̃madɔmadɔ alo blanuiléle ƒe nudzɔdzɔ siwo ava dzɔ le etsɔme la wò.
• Ƒomea ƒe Atikewɔwɔ: Esia nye atike na ame tsitsiwo kple ɖevi siwo ŋu tagbɔdɔléle le kple wo dzikpɔlawo. Le atikewɔwɔ sia me la, wò lɔlɔ̃tɔwo wɔa dɔ kpli wò be woasrɔ̃ nu tso tagbɔdɔléle ƒe ŋutete ŋu, woana dzeɖoɖo ƒe ŋutetewo nanyo ɖe edzi, eye woasrɔ̃ kuxiwo gbɔ kpɔkpɔ ƒe ŋutetewo.
• Sidzedze ƒe Nuwɔna Ŋuti Dɔdamɔnu (CBT): Esia nye atikewɔwɔ ƒomevi si woɖo ɖe ɖoɖo nu, si me wotu taɖodzinu ɖo. Wò atikewɔla kpena ɖe ŋuwò nèléa ŋku ɖe wò tamesusuwo kple seselelãmewo ŋu tsitotsito. Àsrɔ̃ alesi wò tamesusuwo kpɔa ŋusẽ ɖe wò nuwɔnawo dzii. To CBT dzi la, àte ŋu asrɔ̃ alesi nàɖe asi le susu kple nuwɔna gbegblẽwo ŋu eye nàtu tamebubu kple numame siwo le lãmesẽ me wu ɖo.

Atike kawoe wozãna na tagbɔdɔléle si nye bipolar disorder?

Atike aɖewo ate ŋu akpe ɖe ame ŋu wòaɖu tagbɔdɔléle ƒe dzesiwo dzi. Ðewohĩ ahiã be nàte atike vovovo geɖe kpɔ le wò ɖɔkta ƒe mɔfiafia te be nàkpɔ esi awɔ dɔ na wò wu.

Atike siwo bɔ ɖe tagbɔdɔléle si me susu nɔa nu ŋu le dometɔ aɖewoe nye:

• Nusiwo Naa Seselelãme Lia.
• Dzidzime evelia ("atypical") ahɔhɔ̃mekawo ƒe dɔlékuiwutikewo (siwo woyɔna hã be antipsychotics).
• Blanuilélenutsitikewo.

Ne èle atikewo nom na tagbɔdɔléle ƒe dɔléle la, ke nusiawo nenɔ susu me na wò:

• Ðo dze kple wò ɖɔkta be nàse afɔku siwo le atikeawo me, eƒe nugbegblẽ le ame ŋu, kple viɖe siwo le eŋu la gɔme.
• Gblɔ atike bubu ɖesiaɖe (siwo woŋlɔ na wò, esiwo womexɔna le atikedzraƒe o, alo nunyiametike siwo nèzãna xoxo) na wò ɖɔkta.
• Ne èkpɔ nugbegblẽ aɖe si ɖea fu na wò la, gblɔe na wò ɖɔkta enumake. Woate ŋu atrɔ atike ƒe agbɔsɔsɔme alo ana atike bubu wò.
• Ðo ŋku edzi be ele be woano atike siwo naa ame ƒe susu nɔa nu ŋu la atraɖii, abe alesi woŋlɔe ene.

Seselelãme Siwo Lia Nu Na Bipolar

Zi geɖe la, amesiwo ŋu tagbɔdɔléle le la hiãa atike siwo naa woƒe seselelãme nɔa te be woatsɔ akpɔ alɔ̃madɔmadɔ alo alɔ̃madɔmadɔ ƒe ɣeyiɣiwo gbɔ.

Seselelãme ƒe atike ƒomeviwo kple woƒe ŋkɔwo:

• Lithium ( Eskalith®, Lithobid®, Lithonate®) ƒe lãgbalẽ.
• Valproic acid (Depakene®) ƒe aɖi .
• Divalproex sodium (Depakote®) ƒe dɔlékuiwutikewo .
• Carbamazepine (Tegretol®, Equetro®) ƒe atike .
• Lamotrigine (Lamictal®) ƒe ʋuƒoƒo .

Lithium nye atike siwo woŋlɔna na ame wu eye wosrɔ̃a nu tso wo ŋu wu na tagbɔdɔléle ƒe dɔlélewo dometɔ ɖeka. Lithium nye dze si le dzɔdzɔme nu. Eɖea alɔ̃madɔmadɔ ƒe dzesiwo dzi kpɔtɔna le kwasiɖa eve me tso esime wòdze egɔme, gake ate ŋu axɔ kwasiɖa alo ɣleti geɖe hafi woaɖu alɔ̃madɔmadɔ ƒe dzesiwo dzi keŋkeŋ. Le susu sia ta la, zi geɖe la, ɖɔktawo ŋlɔa atike bubuwo abe tagbɔdɔlékuiwutikewo alo blanuilélenutsitikewo ene, be woakpe ɖe wo ŋu woaɖu dzesiawo dzi.

Lithium ate ŋu ahe thyroid kple ayiku ƒe kuxiwo vɛ ɣeaɖewoɣi . Eyata wò ɖɔkta alé ŋku ɖe wò lãkusi kple ayiku ƒe dɔwɔwɔ ŋu edziedzi, kpakple lithium ƒe agbɔsɔsɔ le wò ʋu me, elabena lithium ƒe agbɔsɔsɔ ate ŋu asɔ gbɔ akpa bɔbɔe.

Nusianu si aɖe wò sodium ƒe agbɔsɔsɔ dzi akpɔtɔ — abe tɔtrɔ ɖe nuɖuɖu si me sodium mesɔ gbɔ ɖo o ŋu, fifia fũ, dzoxɔxɔ, ʋuʋudedi, alo aɖuɖɔtoe ene — ate ŋu ana lithium naƒo ƒu ɖe wò ŋutilã me wòade aɖi. Nya nu tso nɔnɔme siawo ŋu ne èle lithium nom, eye nàgblɔe na wò ɖɔkta ne wodzɔ.

Esiawo nye lithium ƒe aɖi/noe wògbɔ eme ƒe dzesiwo . Ne esiawo dometɔ aɖe le ŋuwò , yɔ wò ɖɔkta enumake alo yi xɔ si te ɖe ŋuwò le dɔnɔdzikpɔƒe si te ɖe ŋuwò kpata:

• Nukpɔkpɔ si me mekɔ o alo nukpɔkpɔ eve.
• Dzi ƒe tsotso si mesɔ o.
• Dzi ƒe tsotso kabakaba ŋutɔ alo blewu ŋutɔ.
• Yagbɔgbɔ sesẽ.
• Tɔtɔ, taɖuame.
• Ʋuʋudedi alo alɔ̃madɔmadɔ sesẽwo.
• Aɖuɖɔtoe si gbɔ eme.
• Ŋku ƒe ʋuʋu si dzi womate ŋu aɖu o.
• Abi alo ʋu si dona le ame ŋu si mebɔ o.

Ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe atikewo na tagbɔdɔléle si nye bipolar disorder

Zi geɖe la, ɖɔktawo ŋlɔa ahɔhɔ̃mekawo ƒe dɔlékuiwutike siwo nye dzidzime evelia alo esiwo mebɔ o (siwo tsia tagbɔdɔléle nu) tsɔ kpe ɖe seselelãme si naa ame ƒe seselelãme nɔa te ŋu na amesiwo ŋu tagbɔdɔléle le. Atike siawo kpena ɖe ame ŋu le alɔ̃madɔmadɔ kple blanuiléle siaa me.

Atike siawo dometɔ ene koe United States ƒe Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe (FDA) da asi ɖo be woatsɔ ada blanuiléle si nana ame ƒe susu mewɔa dɔ nyuie o:

• Cariprazine (Vraylar®) ƒe atike .
• Lurasidone (Latuda®) ƒe dɔlékuiwutike .
• Olanzapine kple fluoxetine ƒe ƒuƒoƒo (Symbyax®) .
• Quetiapine (Seroquel®) ƒe atike .

Gake woŋlɔa atike bubuwo abe Olanzapine (Zyprexa®), Risperidone (Risperdal®), kple Aripiprazole (Abilify®) hã zi geɖe.

Blanuilélenutsitikewo na tagbɔdɔléle si nye bipolar disorder

Ðɔktawo ŋlɔa blanuilélenutsitikewo na ame ɣeaɖewoɣi tsɔ daa blanuiléle ƒe nudzɔdzɔwo le tagbɔdɔléle ƒe dɔléle me. Gake be woaxe mɔ ɖe alɔ̃madɔmadɔ nu la, woŋlɔa atike si nana ame ƒe seselelãme nɔa te hã kpe ɖe blanuilélenutsitikea ŋu.

Womezãa blanuilélenutsitikewo gbeɖe abe atike ɖeka kolia ene na tagbɔdɔléle ƒe dɔléle o, elabena blanuilélenutsitike nono ɖeɖe ate ŋu ana ame ƒe susu natsi.

Nukawoe nye atike siwo wozãna na tagbɔdɔléle ƒe nugbegblẽ le ame ŋu?

Tagbɔdɔléle ƒe atikewo ƒe nugbegblẽ le ame ŋu bɔ, eye wotoa vovo tso atike ɖesiaɖe gbɔ. Ele vevie be nàƒo nu kple wò ɖɔkta tso nusi nàkpɔ mɔ na tso atike si nèzãna me ŋu. Ele vevie hã be nàgblɔe na wo ne nugbegblẽ le ame ŋu le fu ɖem na wò.

Mègadzudzɔ atikewo nono gbeɖe o negbe ɖe wò ɖɔkta gblɔ na wò hafi. Ne èdzudzɔ atikewo nono zi ɖeka la, ate ŋu ahe nugbegblẽ le ame ŋu vevie eye wòahe atikewɔwɔ me nɔnɔme sesẽwo vɛ.

Nusiwo dona tso atike siwo wozãna na tagbɔdɔléle ƒe nugbegblẽ le ame ŋu si bɔ wue nye:

• Kpekpeme ƒe dzidziɖedzi.
• Lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie, si dometɔ aɖewoe nye ami ƒe agbɔsɔsɔ si mesɔ o (ʋumemi ƒe agbɔsɔsɔ si mesɔ o) , ʋusɔgbɔdɔ (ʋusɔgbɔdɔ) , kple suklidɔ si sɔ gbɔ ɖe ʋu me (suklidɔ ƒe agbɔsɔsɔ fũ) .
• Alɔ̃dɔdɔ.
• Akathisia – Seselelãme be yemeɖea dzi ɖi o, yemeɖea dzi ɖi o, eye didi vevie be yeaʋuʋu, aʋuʋu, alo aʋuʋu.

Atike bubu kawoe wozãna na bipolar?

Atikewɔwɔ bubu siwo ŋu wò ɖɔkta ate ŋu abu atsɔ ada tagbɔdɔléle si me susu nɔa nu ŋu le dometɔ aɖewoe nye:

• Elektrikŋusẽ ƒe Dɔdamɔnu (ECT): Esia bia be nàɖo elektrikŋusẽ kpui aɖe to wò taɖa me ayi wò ahɔhɔ̃ me, si ana nàxɔ alɔ̃. Wozãa esia zi geɖe na amesiwo blanuiléle sesẽ le. ECT le dedie ŋutɔ eye wòwɔa dɔ nyuie na blanuiléle si mewɔa nu ɖe ​​atikewo alo alɔ̃madɔmadɔ sesẽ si ate ŋu ade ame ƒe agbe afɔku me o la ta. Enye atike nyuitɔ kekeake na alɔ̃madɔmadɔ ne èfɔ fu. Wowɔa ECT le atike si naa alɔ̃dɔdɔ ame katã me, eyata èle alɔ̃ dɔm le dɔwɔwɔ bliboa me eye màse veve aɖeke o.
• Transcranial Magnetic Stimulation (TMS): Esia bia be nàɖo elektrikŋusẽ to elektrikŋusẽ ƒe ʋuƒo kpui aɖe dzi ayi wò ahɔhɔ̃ me. Ðɔktawo zãa esia ɣeaɖewoɣi tsɔ daa blanuiléle si mewɔa nu ɖe ​​atike ŋu o. Enye mɔnu bubu si woate ŋu azã ɖe ECT teƒe. TMS mevea ame o eye mehiã be woatsɔ atike si naa alɔ̃dɔdɔ ame o.
• Thyroid-tikewo: Atike siawo ate ŋu awɔ dɔ abe seselelãme ƒe nɔnɔme si nana ame ƒe seselelãme nɔa te ene. Numekukuwo ɖee fia be wowɔa dɔ nyuie le dzesiwo dzi ɖeɖe kpɔtɔ me le nyɔnu siwo ŋu tagbɔdɔléle sesẽ si nye "keke si zɔna kabakaba" le ŋu.
• Ketamine ƒe Atikewɔwɔ: Wokpɔe be ketamine si naa alɔ̃dɔdɔ ame ƒe agbɔsɔsɔ sue si wodona ɖe ʋuka me (IV) kpɔa ŋusẽ ɖe blanuilélenutsitike kple ameɖokuiwuwu dzi ɣeyiɣi kpui aɖe le amesiwo ŋu tagbɔdɔléle si nye tagbɔdɔléle le ŋu.
• Kɔdziyiyi: Esia nye tiatia kpata aɖe si woate ŋu azã kpata na beléle na ame si ƒe susu mewɔa dɔ nyuie o. Ehiã ne ame aɖe le blanuiléle sesẽ alo alɔ̃madɔmadɔ ƒe nɔnɔme aɖe me eye wònye ŋɔdzi na eɖokui alo ame bubuwo enumake.

Ðe agbenɔnɔ ƒe tɔtrɔwo kpena ɖe ame siwo ƒe susu mewɔa dɔ nyuie o ŋua?

Anɔ eme be wò atikewɔlawo aɖo aɖaŋu na wò be nàtrɔ agbenɔnɔ be wòakpe ɖe ŋuwò nàdzudzɔ nuwɔna siwo nana wò tagbɔdɔléle ƒe dzesiwo gagblẽna ɖe edzi. Agbenɔnɔ ƒe tɔtrɔ siawo dometɔ aɖewoe nye:

• Dzudzɔ ahanono, atike muamewo, kple atamanono: Ele vevie be nàdzudzɔ aha sesẽ kple atike vɔ̃ɖiwo (tama hã le eme) zazã elabena esiawo ate ŋu awɔ dɔ kple atike siwo nèzãna, ana wò tagbɔdɔléle ƒe nɔnɔmea nagagblẽ ɖe edzi, eye wòana dɔlélea xɔxɔ ƒe afɔkua nadzi ɖe edzi.
• Wɔ gbesiagbe ŋkekenyuigbalẽ alo seselelãme ƒe nɔnɔmetata: Wò gbesiagbe tamesusuwo, seselelãmewo, kple nuwɔnawo ŋɔŋlɔ ɖi ate ŋu akpe ɖe ŋuwò nàkpɔ alesi wò atikewɔwɔa le dɔ wɔm nyuie eye nàde dzesi nusiwo ate ŋu ana nàxɔ alɔ̃dɔdɔ alo blanuiléle ƒe ɣeyiɣi aɖewo.
• Lé alɔ̃dɔdɔ ƒe ɖoɖowɔɖi nyui me ɖe asi:Bipolar ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò alɔ̃dɔdɔ dzi, eye tɔtrɔ le alɔ̃dɔdɔ me ate ŋu ana nàdze dɔ. Tsɔe ɖo nɔƒe gbãtɔ be alɔ̃dɔdɔ ƒe ɖoɖowɔɖi nanɔ asiwò edziedzi, abe mlɔƒe yiyi kple nyɔnyrɔ̃ le ɣeyiɣi ɖeka me gbesiagbe ene.
• Kamedede: Wokpɔe be kamedede nana ame ƒe seselelãme kple susu ƒe lãmesẽ nyona ɖe edzi le goawo katã me. Eyata ate ŋu akpe ɖe ame ŋu hã be woakpɔ tagbɔdɔléle ƒe dzesiwo gbɔ. Dɔlékuiwutike siwo wozãna na tagbɔdɔléle ƒe nugbegblẽ le ame ŋu si bɔ enye lolo. Eyata kamedede hã ate ŋu akpe ɖe ŋuwò nàɖe wò lolo dzi akpɔtɔ.
• Ŋugbledede: Wokpɔe be ŋugbledede wɔa dɔ nyuie le blanuiléle, si nye tagbɔdɔléle ƒe akpa aɖe, nyona ɖe edzi me.
• Dzra nuteɖeamedzi dzi eye nàlé ƒomedodo nyui me ɖe asi: Nuteɖeamedzi kple dzimaɖitsitsi ate ŋu ana dzesiawo nagblẽ ɖe edzi le ame geɖe siwo ŋu tagbɔdɔléle le. Ele vevie be nàkpɔ wò nuteɖeamedzi gbɔ le mɔ nyuitɔ nu eye nàɖe nuteɖeamedzinuwo ɖa ne anya wɔ. Esia ƒe akpa gã aɖee nye ƒomedodo nyui me léle ɖe asi kple xɔlɔ̃wo kple ƒometɔ siwo kpena ɖe ŋuwò, kple asiɖeɖe le ƒomedodo siwo me aɖi le siwo nana nuteɖeamedzi nɔa wò agbe ŋu la ŋu.

Nukae nye tagbɔdɔléle ƒe ŋgɔdonya?

Zi geɖe la, mɔkpɔkpɔ na tagbɔdɔléle si me susu mele o menyona o ne womedae nyuie o. Gake ne wowɔ atike na ame geɖe siwo ŋu tagbɔdɔléle le la, woate ŋu anɔ agbe si me dzidzeme le, si me viɖe le.

Bipolar disorder nana ame ƒe agbenɔƒe nɔa kpuie abe ƒe enyi ene. Anɔ abe ame ɖeka le atɔ̃ ɖesiaɖe me si ŋu tagbɔdɔléle le wua eɖokui. Wobu akɔnta be atike vɔ̃ɖiwo alo ahanono zu numame na amesiwo ŋu tagbɔdɔléle le ƒe 60% lɔƒo.

Esia tae wòle vevie be tagbɔdɔlélawo nadi atikewɔlawo ƒe aɖaŋuɖoɖo eye woatsɔ wo ɖokui ana be yewoawɔ atike na wo ɖo.

Atikewo zazã edziedzi ate ŋu akpe ɖe ame ŋu be woaɖe alɔ̃madɔmadɔ kple blanuiléle ƒe ɣeyiɣiwo dzi akpɔtɔ. Ne ète ŋu de dzesi dɔléle siawo ƒe dzesiwo kple nusiwo hea nudzɔdzɔ siawo vɛ la, mɔnukpɔkpɔ geɖe wu asu asiwò be nàkpɔ atikewɔmɔnu siwo akpɔ dzidzedze kple tenɔnɔ ɖe enu ƒe mɔnu siwo ate ŋu axe mɔ ɖe dɔléle ɣeyiɣi didi, kɔdziyiyi, kple ameɖokuiwuwu nu.

Ðe woate ŋu axe mɔ ɖe bipolar disorder nua?

Nublanuitɔe la, esi dzɔdzɔmeŋutinunyalawo menya nusi tututu gbɔ bipolar tsona o ta la, mɔ aɖeke meli si wonya si dzi woato axe mɔ ɖe enu o.

Gake ele vevie ŋutɔ be nànya nu tso tagbɔdɔléle ƒe dzesiwo ŋu eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo le eƒe gɔmedzedze (Early Intervention) .

Ɣekaɣie wòle be nàkpɔ ɖɔkta le bipolar ŋu?

Ne wokpɔe be susu ƒe dɔmawɔmawɔ nyuie le ŋuwò la, ahiã be nàdo go kple wò atikewɔlawo ƒe ƒuƒoƒoa edziedzi le wò agbemeŋkekewo katã me be nàkpɔ egbɔ be wò atikewɔwɔa le dɔ wɔm nyuie na wò. Ƒuƒoƒo sia ate ŋu anye:

• Wò lãmesẽdɔwɔla vevitɔ.
• Tagbɔdɔdala.
• Susuŋutinunyala alo Atikewɔla.
• Ahɔhɔ̃ŋutinunyala.

Ɣekaɣie wòle be dɔnɔ siwo ƒe tagbɔ gblẽ nayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne nɔnɔme siawo tɔgbe le asiwò la, .Ele vevie be nàƒo ka na 1990 (Sri Lanka ƒe dɔnɔdzikpɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ) enumake alo nàyi xɔ si me wokpɔa dɔnɔwo gbɔ kpata le si te ɖe ŋuwò me:

• Tamesusu siwo ku ɖe ku alo ameɖokuiwuwu ŋu.
• Tamesusu alo ɖoɖo be yeagblẽ nu le ame ɖokui alo ame bubuwo ŋu.
• Susumenuwo kple susumenuwo kpɔkpɔ.
• Lithium ƒe aɖi/noe wògbɔ eme ƒe dzesiwo , abe ʋuʋudedi kple ʋuʋudedi sesẽ, asi ƒe ʋuʋu vevie, tɔtɔ, kple ŋku ƒe tɔtrɔ ene.

Mlɔeba la, ɖo ŋku (Take-Home Message) dzi .

Bipolar disorder nye dɔléle si nɔa ame ƒe agbemeŋkekewo katã me. Gake atikewɔwɔ ɣeyiɣi didi, si yia edzi, abe atikewo kple nuƒoƒo ƒe atikewɔwɔ ene, ate ŋu akpe ɖe ŋuwò nàɖu wò dzesiwo dzi eye nànɔ agbe si le lãmesẽ me, si ŋu taɖodzinu le. Ele vevie be nàdo go kple wò lãmesẽnyawo gbɔ kpɔha edziedzi be nàlé ŋku ɖe wò atikewɔwɔ ƒe ɖoɖoa kple dzesiwo ŋu. Ðo ŋku edzi be wò ɖɔktawo kple wò lɔlɔ̃tɔwo li be yewoado alɔ wò. Mègavɔ̃ be yeabia kpekpeɖeŋu o.

` Bipolar, manic depression, mania, blanuiléle, susu ƒe lãmesẽ, seselelãme ƒe kuxiwo, atikewɔwɔ