Gbe aɖewo la, èsena le ɖokuiwò me be yekpɔ dzidzɔ si mexɔ se o, ŋusẽ le ye ŋu... abe ɖe yeate ŋu awɔ nusianu ene. Gake ŋkeke bubuwo la, èléa blanui ale gbegbe be màte ŋu afɔ tso aba dzi gɔ̃ hã o, eléa blanui ale gbegbe be mèdi be yeawɔ naneke oa? Seselelãme eve siwo tsi tre ɖe wo nɔewo ŋu dome ʋuʋu sia ƒomevi ate ŋu anye tagbɔdɔ si woyɔna be tagbɔdɔléle ƒe dzesi . Egbea, míele nu ƒom tso esia ŋu, vevietɔ alesi wògblẽa nu le nyɔnuwo ŋui, le mɔ bɔbɔe ŋutɔ kple xɔlɔ̃wɔwɔ nu.
Kpuie ko la, nukae nye tagbɔdɔléle?
Bipolar disorder nye susumedɔléle si ƒe dzesi enye tɔtrɔ kpata le ame ƒe seselelãme me. Nu vevi eve siwo gbɔ eme le esi.
1. Mania: Esiae nye dzidzɔ kple ŋusẽ si gbɔ eme ƒe ɣeyiɣi si ŋu meƒo nu tsoe va yi. Le ɣeyiɣi sia me la, àte ŋu ase le ɖokuiwò me be yemate ŋu awɔ naneke o. Ðewohĩ màte ŋu adɔ alɔ̃ o, àte ŋu anɔ dɔ wɔm madzudzɔmadzudzɔe, àte ŋu anɔ nu ƒom kabakaba ŋutɔ, eye àte ŋu anɔ nyametsotsowo wɔm kpata (e.g. gazazã geɖe zi ɖeka). Esiae nye kɔkɔƒe.
2. Blanuiléle : Esiae nye nu bubu si gbɔ eme. Enye blanuiléle vevie, mɔkpɔkpɔbuɖeame, kple ɖekematsɔleme ɖe naneke ŋu ƒe ɣeyiɣi. Mèdi gɔ̃ hã be yeafɔ tso aba dzi o, ɖeɖi tea ŋuwò ɣesiaɣi, eye mèdina gɔ̃ hã be yeawɔ nu siwo doa dzidzɔ na wò tsã o. Esiae nye teƒe si bɔbɔ wu.
Dɔléle sia ƒe nɔnɔmee nye be seselelãmea trɔna yia ŋgɔ kple megbe le nu eve siawo siwo gbɔ eme dome. Le ame aɖewo gome la, nɔnɔme siawo ate ŋu asẽ ŋutɔ.
Ðe nɔnɔme sia gblẽa nu le nyɔnuwo ŋu le mɔ bubu nua?
Ɛ̃. Togbɔ be ŋutsuwo kple nyɔnuwo siaa ate ŋu axɔ dɔléle sia hã la, vovototo aɖewo le alesi nyɔnuwo kpɔnɛ me.
Numekukuwo ɖee fia be nyɔnuwo te ŋu léa blanui wu alɔ̃madɔmadɔ , eye be nyɔnuwo ƒe lãmetsiŋusẽwo kple vidzidzi ƒe dɔwɔwɔ ate ŋu akpɔ ŋusẽ ɖe dɔléle sia ƒe nɔnɔme kple edada dzi tẽ.
Aleke lãmetsiŋusẽwo kpɔa ŋusẽ ɖe wo dzii?
Lãmetsiŋusẽ ƒe agbɔsɔsɔ trɔna le nyɔnu ƒe agbenɔnɔ ƒe akpa vovovowo. Mina míalé ŋku ɖe alesi tɔtrɔ siawo kpɔa ŋusẽ ɖe tagbɔdɔléle si nye bipolar disorder dzii ŋu.
- Dzinukpɔkpɔ: Numekuku aɖewo ɖee fia be nyɔnu siwo ŋu tagbɔdɔléle le ate ŋu akpɔ dzesi siwo nu sẽ wu do ŋgɔ na dzinukpɔkpɔ (PMS). Gake numekukuwo ɖee fia be nyɔnu siwo wowɔ atike na nyuie la ƒe seselelãmewo nɔa te le woƒe dzinukpɔkpɔ katã me.
- Dzinukpɔkpɔ : Le lãmetsiŋusẽ ƒe tɔtrɔ gã siwo dzɔna le dzinukpɔkpɔ ƒo xlãe kple emegbe ta la, nyɔnu aɖewo ate ŋu akpɔ tagbɔdɔléle ƒe dzesiwo zi gbãtɔ. Le amesiwo ŋu dɔlélea le xoxo gome la, dzesiawo hã ate ŋu agblẽ ɖe edzi le ɣeyiɣi sia me.
- Fufɔfɔ Kple Vidzidzi megbe Ɣeyiɣi:Esiae nye ɣeyiɣi vevitɔ kekeake si me afɔku le wu . Ne nyɔnu si ŋu tagbɔdɔléle le la fɔ fu alo dzi vi la, afɔku si le eme be eƒe nɔnɔmea nagblẽ ɖe edzi eye wòahiã be woaxɔe ɖe kɔdzi la sɔ gbɔ wu nyɔnu bubuwo zi gbɔ zi adre . Anɔ eme hã be eƒe dzesiwo nagatrɔ avae zi gbɔ zi eve.
Eyata ne tagbɔdɔléle le ŋuwò la, ele vevie ŋutɔ be nàdzro esia me kple wò ɖɔkta hafi abu vidzidzi ŋu.
Nukawoe nye atikewɔmɔnu siwo woate ŋu azã?
Taɖodzinu vevitɔ si le susu ƒe dɔmawɔmawɔ nyuie dada ŋue nye be woana seselelãme nali ke. Eyae nye be woaɖu nɔnɔme kɔkɔ (manic) kple low (blanuiléle) siaa dzi. Zi geɖe la, esia nyea atikewɔwɔ le eƒe agbemeŋkekewo katã me.
Atikewo kple nuƒoƒo ƒe atikewɔwɔ koŋue wozãna abe atike ene.
Atike siwo ɖɔktawo ŋlɔna na amewo dometɔ aɖewoe nye atike siwo nana ame ƒe seselelãme nɔa te kple atike siwo tsia tagbɔdɔléle nu.
| Atikea ƒe ŋkɔ si wozãna le mɔ gbadza nu | Adzɔnu ƒe ŋkɔ siwo wozãna zi geɖe |
|---|---|
| Lithium si woyɔna be lithium | Lithobid ƒe agbalẽ |
| Valproic Acid / Divalproex Sodium ƒe ʋuʋudedi | Depakote, Depakene, Stavzor, kple ame bubuwo |
| Lamotrigine si woyɔna be Lamotrigine | Lamictal ƒe nya |
| Carbamazepine ƒe atike | Tegretol, si nye Carbatrol, si woyɔna be Carbatrol |
| Olanzapine, Quetiapine, Risperidone, Aripiprazole ƒe atike | Zyprexa, Seroquel, Risperdal, Abilify ƒe lãmesẽnyawo gbɔ kpɔkpɔ |
Vevietɔ: Nuxlɔ̃ame aɖe le atike siawo dometɔ aɖewo ŋu be woate ŋu ana ameɖokuiwuwu ƒe susu alo nuwɔna ƒe afɔkua nadzi ɖe edzi vie, vevietɔ le ɖeviwo kple sɔhɛ tsitsiwo gome. Eyata , ele be nàgblɔ dzesi yeye alo esi le sesẽm ɖe edzi, seselelãme ƒe tɔtrɔ si mebɔ o, alo ameɖokuiwuwu ƒe susu ɖesiaɖe na wò ɖɔkta enumake ne èdze atikewɔwɔ gɔme.
Ele be woakpɔ egbɔ etɔxɛe le atikewɔwɔ me le fufɔɣi.
Esia nye nyati vevi aɖe na nyɔnuwo. Ele vevie be woayi atikewɔwɔ dzi le fufɔɣi, elabena ne wodzudzɔ atikewɔwɔ ate ŋu ana dɔlélea nagagblẽ ɖe edzi eye wòagblẽ nu le vidadaa kple vidzĩa siaa ŋu. Gake ele vevie hã be woabu ŋusẽ si atikeawo ate ŋu akpɔ ɖe vidzĩa dzi ŋu.
Eyata nusi ɖɔktawo wɔnae nye be woɖea afɔku si le vidzĩa ŋu dzi kpɔtɔna esime wole vidadaa dam. Esia nye nusi dzi wòle be woakpɔ nyuie ŋutɔ.
Atike siwo le dedie eye afɔku le wo me le fufɔɣi
- Atike siwo wobu be wole dedie wu: Zi geɖe la, ɖɔktawo lɔ̃a atike xoxowo abe `Lithium` kple `Haloperidol (Haldol)` elabena nyatakaka siwo xɔa ɣeyiɣi didi kple dedienɔnɔ ŋuti nyatakaka geɖe wu le wo si.
- Atike siwo me afɔku le: Wokpɔe be atike siwo nye `Valproic acid` kple `Carbamazepine` gblẽa nu le vidzĩ si le dɔ me ŋu eye woate ŋu awɔ akpa aɖe le vidzidzi ƒe gbɔdzɔgbɔdzɔwo me. Ne èkpɔ be yefɔ fu esime nèle `Valproic acid` nom la, wò ɖɔkta atrɔ atikeawo enumake alo atrɔ asi le eƒe agbɔsɔsɔme ŋu eye wòaŋlɔ folic acid na wò be wòaxe mɔ ɖe vidzidzi ƒe gbɔdzɔgbɔdzɔ siwo ku ɖe vidzĩa ƒe ahɔhɔ̃ kple aklã ƒe tsitsi ŋu nu.
- Atike siwo wona le fufɔfɔ ƒe ɣleti etɔ̃ mamlɛa me: Ne èno atikewo abe `Aripiprazole (Abilify), `Risperidone (Risperdal),` kple `Quetiapine (Seroquel)` le fufɔfɔ ƒe ɣleti etɔ̃ mamlɛawo me la, vidzĩa ateŋu akpɔ dzesi aɖewo le edzidzi megbe. Woyɔa esiawo be `extrapyramidal dzesiwo (EPS).`
Dzesi siwo ɖevia ate ŋu akpɔ:
- Dzimaɖitsitsi
- Lãmetsiwo ƒe tete alo woƒe tete si mesɔ o
- Alɔ̃dɔdɔ fũ akpa
- Gbɔgbɔ sesẽ kple no nana
- Lãmetsiwo ƒe tete alo ʋuʋu le wo ɖokui si
Le vidzĩ aɖewo gome la, dzesi siawo nu ayi le wo ɖokui si le gaƒoƒo alo ŋkeke ʋɛ aɖewo megbe, gake ahiã be woaxɔ bubuwo ɖe kɔdzi be woalé ŋku ɖe wo ŋu alo awɔ atike na wo.
Nya tɔxɛ bubuwo na nyɔnuwo
Valproic Acid kple PCOS
Ele be woado nyɔnuvi kple ɖetugbui siwo le atike si nye valproic acid nom kpɔ le atikewɔƒe edziedzi. Esia le alea elabena togbɔ be ƒã hã la, atike sia ate ŋu ana ŋutsu ƒe lãmetsi si nye testosterone ƒe agbɔsɔsɔ nadzi ɖe edzi, si ate ŋu ana woaxɔ polycystic ovary syndrome (PCOS) . PCOS nye dɔléle si gblẽa nu le azigolowo ŋu eye wònana lolo akpa, ŋutilã me fuwo tsina fũ akpa, eye dzinukpɔkpɔ medzɔna edziedzi o.
Lithium ƒe nugbegblẽ le ame ŋu
Lithium zazã ate ŋu ana thyroid hormone ƒe agbɔsɔsɔ naɖiɖi le ame aɖewo me. Esia ate ŋu akpɔ ŋusẽ ɖe tagbɔdɔléle ƒe dzesiwo hã dzi. Ne edzɔ alea la, ate ŋu ahiã be woazã thyroid hormone ƒe atike. Tsɔ kpe ɖe eŋu la, nugbegblẽ le ame ŋu abe alɔ̃dɔdɔ, aɖuɖɔɖɔɖɔ enuenu, kple taɖuame ene ate ŋu ado mo ɖa.
Elektrikŋusẽ ƒe ʋuʋu ƒe atikewɔwɔ (ECT) .
Le dzesiawo ƒe nɔnɔme siwo nu sẽ ŋutɔ me la, woate ŋu azã elektrikŋusẽ ƒe atikewɔwɔ (ECT) abe atike bubu si le dedie wu ene, vevietɔ le fufɔɣi. Le afisia la, ɖɔktawo léa ŋku ɖe vidzĩa ƒe dzi ƒe tsotso kple oxygen ƒe agbɔsɔsɔ ŋu ɣesiaɣi, ale be woate ŋu ada kuxi ɖesiaɖe enumake.
Gbedasi si Wotsɔ Yi Aƒeme
- Tagbɔdɔléle si nye tagbɔdɔléle si nana ame ƒe seselelãme trɔna kpata. Ate ŋu agblẽ nu le nyɔnuwo ŋu le mɔ bubu nu wu ŋutsuwo.
- Nyɔnuwo ƒe lãmetsiŋusẽ ƒe agbɔsɔsɔ, vevietɔ le dzinukpɔkpɔ, fufɔfɔ, kple dzinukpɔkpɔ me kpɔa ŋusẽ ɖe dzesiawo dzi.
- Ne tagbɔdɔléle le ŋuwò eye nèle mɔ kpɔm na vidzĩ la, ele vevie ŋutɔ be nàdzro atikewɔwɔ ƒe ɖoɖo aɖe me kple wò ɖɔkta ahawɔe hafi nàfɔ fu.
- Atikewɔwɔ dzudzɔ le fufɔɣi ate ŋu anye afɔku. Wò ɖɔkta atia mɔ nyuitɔ si dzi wòato ada vidadaa esime wòle afɔku si le vidzĩa ŋu dzi ɖem kpɔtɔ.
- Mègadzudzɔ wò atikewo nono alo atrɔ atikeawo ƒe agbɔsɔsɔme gbeɖe atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o. Ƒo nu kple wò ɖɔkta tso nusianu si ŋu nètsi dzi ɖo ŋu.
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