Ède dzesii kpɔ be xɔ̃wò, ƒometɔ, alo ame nyanyɛ aɖe trɔ zi ɖekaa? Ðewohĩ woƒoa nu wu alesi wònɔna ɖaa, wowɔa dɔ zã bliboa katã, alo wogblɔa nya gãwo be yewoate ŋu aɖu xexeame dzi. Alo ɖewohĩ wodoa dziku vevie le nu suesuesuewo ta. Le ɣeyiɣi siawo tɔgbe me la, míesusuna be, "Ðewohĩ nuteɖeamedzi koe le wo ŋu." Gake ɣeaɖewoɣi la, esia ate ŋu anye ŋutinya si de to wu ƒe gɔmedzedze. Emae nye nusi nye mania.
Kpuie ko la, nukae nye alɔ̃madɔmadɔ sia?
Bu eŋu ale: Aɖaʋadzedze nye ɣeyiɣi si me wò seselelãme, seselelãme, kple ŋusẽ si dzi ɖena kpɔtɔna le mɔ si mesɔ o nu, si dzi màte ŋu aɖu o. Menye dzidzɔkpɔkpɔ alo nuwɔwɔ vi aɖe ƒe seselelãme koe wònye o. Enye tɔtrɔ gã aɖe si to vovo kura tso wò nuwɔna si sɔ gbɔ eye ame bubuwo dzena nyuie.
Mina míase alesi nuwɔna "si mesɔ o" sia le gɔme kple kpɔɖeŋu aɖe. Tsɔe be kasia susua va su asiwò be yeadze asitsadɔ aɖe si xɔ ŋkɔ le Sri Lanka gɔme to nuɖuɖu ƒomevi yeye aɖe wɔwɔ me. Èsusu be to susu sia dzi la, àte ŋu azu gatɔ miliɔnla le zã ɖeka me. Gake le nyateƒe me la, mèɖo afɔ nuɖaƒe heɖa nu nyuie kpɔ o, mènya naneke tso asitsatsa ŋu o, eye ga hã mele asiwò nàtsɔ awɔe o. Gake dzi dzɔa wò ɖe susu sia ŋu ale gbegbe be èzãa alɔ̃madɔmadɔ tsɔ nɔa ɖoɖo wɔm ɖe eŋu, xlẽa nu tso eŋu na amesiame, eye nèxɔe se vevie be woate ŋu awɔ esia ŋutɔŋutɔ.
Le kpɔɖeŋu me, mèlɔ̃ ɖe nya aɖe si ame aɖe gblɔ le hadomenyatakakadzraɖoƒewo dzi o. Le esi teƒe be nàƒo nu tso eŋu ko la, èŋlɔa nyati si me nya akpe ɖeka le, dia nyatakakadzraɖoƒe ɖesiaɖe si do ƒome kple ame ma, eye nèdaae ɖe wo dometɔ ɖesiaɖe dzi. Togbɔ be nusiawo adze abe nusi ame dzɔdzɔe awɔ ene hã la, amesi ŋu alɔ̃madɔmadɔ le zãa ɣeyiɣi kple ŋusẽ si gbɔ eme ɖe nusiawo ŋu. Woƒe agbe bliboa ƒoa xlã nu ɖeka ma le ɣeyiɣi ma me.
Ðe alɔ̃madɔmadɔ dzɔna abe tagbɔdɔléle bubu ƒe akpa aɖe enea?
Ẽ, zi geɖe la. Ne ame aɖe ƒe tagbɔ gblẽ la, zi geɖe la, enyea tagbɔdɔ bubu ƒe dzesi. Wokpɔa esia zi geɖe le bipolar I dɔlélea gome . Gake alɔ̃madɔmadɔ ate ŋu adzɔ le nɔnɔme bubu geɖe hã me.
- Bipolar I disorder: Esiae nye nɔnɔme vevitɔ kple esi bɔ wu si me wokpɔa alɔ̃madɔmadɔ le.
- Seasonal affective disorder: Tagbɔdɔ si dzɔna ne yame ƒe nɔnɔme trɔ.
- Vidzidzi megbe tagbɔdɔléle: Tagbɔdɔ sesẽ aɖe si ate ŋu adzɔ ɖe vidadawo dzi le vidzidzi megbe.
- Tagbɔdɔléle: Nɔnɔme si ɖea tagbɔdɔléle kple seselelãme ƒe dɔléle siaa ƒe nɔnɔmewo fiana.
- Cyclothymia ƒe dɔléle:Tagbɔdɔléle si nu sẽ wu, si mesẽ boo o.
Nu vevitɔe nye be ne èkpɔ manic episode zi ɖeka gɔ̃ hã la, wobua eŋu be enye susu ƒe lãmesẽnya. Eyata ele vevie be míadi atikewɔlawo ƒe aɖaŋuɖoɖo.
Eyata nukae nye bipolar I dɔléle?
Kpuie ko la, bipolar nye nɔnɔme si me ame ƒe seselelãme, ŋusẽ ƒe agbɔsɔsɔ, dɔwɔna, kple tamebubu ƒe ŋutete nɔa tɔtrɔm le nu eve siwo gbɔ eme dome. Ele abe roller coaster dodo ene. Le akpa ɖeka la , ɣeyiɣi si me nètsia dzodzodzoe, esime nèkpɔa dzidzɔ ŋutɔ, ŋusẽ le ŋuwò, eye nèdoa vevie nu. Le go bubu me la , blanuiléle ƒe ɣeyiɣi aɖe li, esime nèléa blanui vevie, léa blanui, eye mètsɔa ɖeke le naneke me o.
Be woakpɔe be bipolar I ƒe dɔléle le ame ŋu la, ele be ame aɖe ƒe tagbɔ gblẽ zi ɖeka ya teti. Ele be nudzɔdzɔa naxɔ ŋkeke 7 ya teti alo wòasẽ ale gbegbe be wòahiã be woaxɔ ame ɖe kɔdzi. Ame akpa gãtɔ trɔa asi le alɔ̃madɔmadɔ kple blanuiléle ŋu. Gake ɖewohĩ alɔ̃madɔmadɔ ƒe ɣeyiɣiwo koe anɔ ame aɖewo ŋu.
Ðe nu aɖewo koŋ li siwo hea alɔ̃madɔmadɔ vɛa?
Ẽ, woli. Gake susuawo to vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ne nɔnɔme sia le ŋuwò la, ele be nànye wò ŋutɔ wò ʋɔnudrɔ̃la eye nàlé ŋku ɖe wò seselelãmewo ŋu. Ne anya wɔ la, ŋlɔ "mood diary" ɖi. Ŋlɔ alesi nèse le ɖokuiwò me do ŋgɔ na manic nudzɔdzɔa kple nusiwo nɔ edzi yim ƒo xlã wò ɣemaɣi la ɖi. Azɔ hã, bia kpekpeɖeŋu tso ƒometɔwo kple xɔlɔ̃ vevi siwo dzi nèka ɖo gbɔ. Ɣeaɖewoɣi la, tɔtrɔ siwo mède dzesii o la dzena ƒã na eteƒekpɔlawo.
Ne ède dzesi nu siawo siwo hea dɔlélea vɛ la, àte ŋu axe mɔ ɖe manic episode nu alo aɖe eƒe ŋusẽkpɔɖeamedzi dzi akpɔtɔ.
| Nusiwo ʋãa ame zi geɖe | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Nuto si doa ŋusẽ ame ŋutɔ | Le kpɔɖeŋu me, toɣliɖeɖe sesẽwo, akaɖi siwo klẽna, teƒe siwo amewo sɔ gbɔ ɖo (abe kplɔ̃ɖoƒewo, haƒoƒo ƒe kɔnsɛtwo ene). |
| Tɔtrɔ gãwo le agbe me | Nuwo abe srɔ̃ɖeɖe, srɔ̃gbegbe, dɔ ge le ame si, ame vevi aɖe ƒe ku ene. |
| Alɔ̃madɔmadɔ | Esia nye susu sẽŋu aɖe ŋutɔ. Ŋkeke eve alo etɔ̃ ƒe alɔ̃madɔmadɔ nyuie gɔ̃ hã ate ŋu ana ame nazu alɔ̃madɔmadɔ. |
| Atike vɔ̃ɖi alo aha sesẽ zazã | Esiawo ate ŋu ahe tagbɔdɔ vɛ elabena wokpɔa ŋusẽ ɖe ahɔhɔ̃a ƒe dɔwɔwɔ dzi tẽ. |
Nukawoe nye alɔ̃madɔmadɔ ƒe dzesiwo?
Woate ŋu akpɔ dzesi vovovowo le alɔ̃madɔmadɔ ƒe nɔnɔme me. Woate ŋu ama esiawo ɖe hatsotso vevi eve me.
| Manic Episode ƒe Dzesiwo | |
|---|---|
| Dzesi siwo bɔ | |
| Ŋusẽ/dɔwɔwɔ si lolo | Dɔwɔwɔ le mɔ si mebɔ o nu, si mete ŋu nɔa teƒe ɖeka o. |
| Dzidzɔkpɔkpɔ/dzidzɔkpɔkpɔ si gbɔ eme | Dzidzɔ kple dzidzɔ si gbɔ eme ƒe seselelãme le susu aɖeke manɔmee. Sese le ɖokuiwò me be xexeame katã nye tɔwò. |
| Mehiã be wòadɔ alɔ̃ o | Sese le eɖokui me be yegbɔ ɖe eme ŋutɔ, le alɔ̃dɔdɔ gaƒoƒo ʋɛ aɖewo ko megbe gɔ̃ hã. |
| Kakaɖeamedzi si gbɔ eme | Sese le ɖokuiwò me be yemate ŋu aɖu ye dzi o, abe ɖe yeate ŋu awɔ nusianu ene. |
| Nuƒoƒo madzudzɔmadzudzɔe | Nuƒoƒo kabakaba kple nuƒoƒo madzudzɔmadzudzɔe wu alesi wònɔna ɖaa. Mɔɖeɖe na ame bubuwo gɔ̃ hã be woati kpo age ɖe eme o. |
| Duɖimekeke ƒe susuwo | Tamesusu geɖe siwo ku ɖe nyati vovovowo ŋu vaa susu me nam le ɣeyiɣi ɖeka me. Titri tso susu ɖeka dzi yi bubu dzi kabakaba. Wogayɔa esia be (susuwo ƒe dzodzo) . |
| Eƒe susu nɔa nu ŋu bɔbɔe | Toléle ɖe nusiwo mele vevie o kple esiwo mehiã o ŋu. |
| Nuwɔna siwo me afɔku le | Nuwɔwɔ ŋumaɖɔɖotɔe. Le kpɔɖeŋu me, ga geɖe zazã ɖe nuwo ŋu zi ɖeka, gbɔdɔdɔ ƒe nuwɔna siwo me afɔku le, kple gadede asi bometsitsitɔe. |
| Tagbɔdɔléle ƒe dzesi sesẽwo | |
| Ameflunyawo gbɔgblɔ | Esiawo nye alakpadzixɔse siwo ŋu kpeɖodzi mele o. Le kpɔɖeŋu me, nuwo abe "amesiame le yonyeme," alo "Mele gbedasi tɔxɛwo xɔm le TV dzi" dzixɔxɔse. |
| Susumenuwo ƒe susumenuwo | Nusiwo mele afima ŋutɔŋutɔ o kpɔkpɔ, sese, seselelãme, ʋeʋẽ, alo wo ɖɔɖɔ. Le kpɔɖeŋu me, gbewo sese le afisi ame aɖeke mele o, nusiwo mele afima o kpɔkpɔ. |
Ɣeyiɣi didi kae alɔ̃madɔmadɔ ƒe akpa aɖe nɔa anyi?
Hafi manic episode nadze egɔme la, prodromal ƒe dzesiwo ate ŋu anɔ anyi tso kwasiɖa geɖe va ɖo ɣleti geɖe. Ne womewɔ atike nɛ o la, alɔ̃madɔmadɔ ate ŋu anɔ anyi tso ɣleti 3 va ɖo 6. Gake ne woda dɔa nyuie la, zi geɖe la, woate ŋu aɖu dɔlélea dzi le ɣleti 3 me.
Aleke wodaa alɔ̃madɔmadɔe?
Mania nye dɔléle si woate ŋu akpɔ dzidzedzetɔe to atikewɔwɔ me. Atikewɔwɔ vevi geɖewo li na esia. Ðo ŋku edzi be wò ɖɔktae nɔa te ɖe wò nɔnɔmea dzi ɖoa atikewɔwɔ siawo.
1. Atikewo zazã
Wozãa atike vovovowo tsɔ léa alɔ̃madɔmadɔ nu.
- Nusiwo nana ame ƒe seselelãme nɔa te: Esiawoe nye atike siwo wozãna wu na tagbɔdɔléle. Kpɔɖeŋu aɖewoe nye lithium, valproate, kple carbamazepine.
- Tagbɔdɔlékuiwutikewo: Esiawo kpena ɖe ame ŋu wòɖua alɔ̃madɔmadɔ ƒe dzesi sesẽwo dzi, vevietɔ susumenuwo kple susumenuwo. Kpɔɖeŋuwo: Olanzapine, Risperidone.
- Ɣeaɖewoɣi la, wozãa blanuilélenutsitikewo hã, gake ele be woawɔ esia nyuie ŋutɔ, elabena ɣeaɖewoɣi la, woate ŋu ana ame natsi dzodzodzoe.
Vevietɔ ŋutɔ: Ele be woano atike siawo katã ne ɖɔkta ɖo aɖaŋu na wo ko . Mègadze atike siawo ƒe agbɔsɔsɔ gɔme, adzudzɔ, alo atrɔ woƒe agbɔsɔsɔme le ɖokuiwò si gbeɖe o. Esia ate ŋu anye afɔku.
2. Tagbɔdɔléle ƒe atikewɔwɔ
Abe atike ene la, susuŋutinunya ƒe aɖaŋuɖoɖo hã le vevie ŋutɔ le mɔzɔzɔ sia me.
- Sidzedze ƒe Nuwɔna Ŋuti Dɔdamɔnu (CBT): Atikewɔwɔ sia kpena ɖe ŋuwò nèdea dzesi wò tamebubu kple nuwɔna gbegblẽwo eye nètrɔa wo.
- Ƒome ƒe atikewɔwɔ: Esia le vevie ŋutɔ. Ekpena ɖe wò ƒomea ŋu wosea nɔnɔmea gɔme eye wosrɔ̃a alesi woakpe ɖe ŋuwòe.
- Kpekpeɖeŋunahawo: Nuƒoƒo na ame siwo si nuteƒekpɔkpɔwo sɔ kple tɔwò tɔ kple susuwo gbɔgblɔ na amewo anye ŋusẽtsoƒe gã aɖe na wò.
3. Atikewɔwɔ bubuwo
Le dɔléle siwo nu sẽ ŋutɔ siwo mewɔa dɔ ɖe atikewɔwɔ bubuwo dzi o me la, ɖɔktawo ate ŋu abu atikewɔwɔwo abe elektrikŋusẽ ƒe dɔwɔwɔ (ECT) ene hã ŋu . Esia nye atikewɔwɔ si le dedie si wowɔna le atike si naa alɔ̃dɔdɔ ame me.
Nukae mate ŋu awɔ esime mele agbe kple alɔ̃madɔmadɔ?
Tsɔ kpe ɖe atikewɔwɔ xɔxɔ ŋu la, tɔtrɔ suesuesuewo wɔwɔ le wò agbenɔnɔ me ate ŋu akpe ɖe ŋuwò ŋutɔ le nɔnɔme sia dzi ɖuɖu me.
- Lé ɖoɖowɔɖi si nèwɔna edziedzi me ɖe asi: Mlɔ anyi, nyɔ, ɖu nu, eye nàde kame le ɣeyiɣi ɖeka me. Esia akpe ɖe ŋuwò nàɖɔ wò ŋutilã ƒe gaƒoɖokui ɖo.
- Ƒo asa na teƒe siwo doa ŋusẽ ame fũu akpa: Ne èse le ɖokuiwò me be yeage ɖe manic phase me la, te ɖa le teƒe siwo amewo sɔ gbɔ ɖo eye toɣliɖeɖe le. Dze agbagba nànɔ teƒe si tomefafa le eye nàɖe dzi ɖi.
- He nyametsotso gãwo wɔwɔ ɖe megbe:Mègawɔ agbemenyametsotso gãwo abe ga gbogbo aɖewo dede, dɔ ƒe tɔtrɔ, alo srɔ̃ɖeɖe le ɣeyiɣi si me ame ƒe tagbɔ gblẽ ene o.
- Te ɖa le ahanono kple atike muamewo ŋu kura: Esiawo ate ŋu ana wò nɔnɔmea nagagblẽ ɖe edzi.
- Tsɔ wò gadzikpɔkpɔ de asi na ame aɖe si dzi nèka ɖo: Be nàƒo asa na gazazã madzemadzee le aɖaʋawɔwɔ me la, àte ŋu atsɔ wò ganyawo ade asi na ame aɖe si dzi nèka ɖo hena ɣeyiɣi aɖe.
Ne èsusui kpɔ be yeagblẽ nu le ye ɖokui ŋu la, taflatse mègayi edzi wò ɖeka o. Gblɔe na ƒometɔ aɖe, xɔ̃wò aɖe, wò ɖɔkta enumake, alo ƒo ka na Sri Lanka ƒe Dukɔa ƒe Tagbɔdɔléle Ŋuti Kpekpeɖeŋunaƒe le 1926. Wole klalo gaƒoƒo 24 gbesiagbe be yewoakpe ɖe ŋuwò.
Gbedasi si Wotsɔ Yi Aƒeme
- Menye dzidzɔkpɔkpɔ ƒe seselelãme dzro aɖe koe mania nye o. Enye susumedɔléle sesẽ aɖe si hiã be woawɔ atike nɛ.
- Wokpɔa nɔnɔme sia zi geɖe le bipolar I dɔlélea me.
- Ne dzesiwo abe ŋusẽ si nu sẽ, alɔ̃madɔmadɔ nyuie, nuƒoƒo madzudzɔmadzudzɔe, kple nuwɔna siwo me afɔku le ene le ŋuwò la, mègabu eŋu nu tsɛe o.
- Togbɔ be alɔ̃madɔmadɔ nye agbemedɔ hã la, woate ŋu akpɔ egbɔ dzidzedzetɔe ŋutɔ ne wozã atike, susumedɔdada, kple agbenɔnɔ ƒe tɔtrɔ.
- Ne dzesi siawo le wò alo ame aɖe si nènya ŋu la, yi ɖɔkta bibi gbɔ enumake. Zi alesi wodze atikewɔwɔ gɔme kaba la, zi nenemae emetsonua nyonae.
- Menye wò ɖeka koe le mɔzɔzɔ sia me o. Xɔ kpekpeɖeŋu tso ƒometɔwo, xɔlɔ̃wo, kple ɖɔktawo gbɔ.
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