Puas muaj tej lub sij hawm koj tus me nyuam zoo li zoo siab thiab ua si tsis muaj laj thawj, thiab tom qab ntawd mam li npau taws, qw, thiab quaj rau tej yam me me? Thiab mam li nco dheev tu siab thiab xav ntau dhau? Ua ib tug niam txiv, pom tej kev hloov pauv ntawm tus cwj pwm no tuaj yeem yog ib qho teeb meem loj thiab ua rau koj ntshai. Tej zaum koj yuav xav tias, "Tus me nyuam no muaj teeb meem dab tsi?" Hnub no peb yuav tham txog ib qho mob hlwb uas ua rau muaj qhov xwm txheej zoo li no. Qhov ntawd hu ua Bipolar Disorder.
Hauv lwm lo lus, kev puas siab puas ntsws bipolar yog dab tsi?
Kev puas siab puas ntsws bipolar yog ib qho mob hlwb uas kav ntev mus ib txhis. Yav tas los nws hu ua mob manic-depressive. Nws yog tus yam ntxwv los ntawm kev hloov pauv sai thiab hnyav hauv tus neeg lub siab, lub zog, kev xav, thiab tus cwj pwm. Cov kev hloov pauv no tuaj yeem kav ntev li ntau teev, ntau hnub, ntau lub lis piam, lossis txawm tias ntau lub hlis. Qhov no tuaj yeem ua rau nws nyuaj rau ua tiav cov haujlwm txhua hnub.
Feem ntau, tus kab mob no raug kuaj pom thaum tseem hluas lossis laus, tab sis qee zaum cov tsos mob tuaj yeem pib tshwm sim thaum yau.
Muaj ob hom kab mob bipolar tseem ceeb.
1. Kev chim siab: Qhov no yog thaum ib tus neeg lub siab, kev xav, thiab lub zog siab dhau. Zoo li "zoo siab dhau." Qee zaum, qhov xwm txheej tsis hnyav heev hu ua hypomania kuj tuaj yeem tshwm sim.
2. Theem kev nyuaj siab: Qhov txawv tshwm sim rau theem no. Koj tu siab thiab nyuaj siab heev. Koj tsis xav ua tej yam uas koj nyiam ua yav dhau los lawm. Yog hais kom meej, nws qhia txog cov tsos mob ntawm kev nyuaj siab.
Tiam sis peb kuj yuav tsum nco ntsoov qhov no. Tus neeg uas muaj tus kab mob no tsis yog nyob hauv ib qho ntawm ob lub xeev no tas li. Nyob nruab nrab ntawm cov sijhawm ntawd, uas yog, tsis muaj teeb meem dab tsi, kuj muaj cov sijhawm uas lawv zoo li qub. Peb hu qhov ntawd tias 'euthymia'. Ntawd yog, lawv lub xeev ib txwm muaj.
Kev puas siab puas ntsws bipolar txawv li cas rau cov menyuam yaus dua li cov neeg laus?
Qhov no yog ib qho tseem ceeb heev. Thaum ib tug neeg laus muaj Bipolar Disorder, lub sijhawm ntawm 'mania' thiab 'depression' tuaj yeem sib txawv thiab txheeb xyuas tau meej. Cov sijhawm no kav ntev li ib lub lim tiam lossis ntau dua.
Tiam sis nrog cov menyuam yaus thiab cov menyuam yaus me, cov theem no tsis meej heev. Thiab kev hloov pauv ntawm ib theem mus rau lwm theem yog sai heev. Piv txwv li, xav txog tias koj tus menyuam zoo siab heev thiab tso dag tsis muaj laj thawj thaum sawv ntxov. Thaum nruab hnub, nws npau taws rau tej yam me me, qw thiab pov khoom. Thaum yav tsaus ntuj, nws nyob hauv nws chav thiab quaj tsis muaj laj thawj. Tag nrho cov no tuaj yeem tshwm sim hauv tib hnub.
Feem ntau, txhua tus menyuam yaus muaj kev hloov pauv tus cwj pwm thaum lawv muaj hnub nyoog. Tab sis Bipolar Disorder tsis yog ib qho uas pom ntau. Ntawm no, kev hloov pauv no hnyav heev, thiab feem ntau tshwm sim yam tsis muaj laj thawj. Nrog rau qhov no, koj kuj tseem yuav pom cov hauv qab no:
- Kev hloov pauv ntawm cov qauv pw tsaug zog.
- Kev hloov pauv loj hauv lub zog ntawm lub cev.
- Nyuaj siab rau kev tsom ntsoov thiab xav tau meej.
Cov tsos mob no ua rau nws nyuaj rau ib tug me nyuam kawm ntawv zoo, sib raug zoo nrog cov phooj ywg, thiab muaj teeb meem sib tham nrog tsev neeg. Qhov txaus ntshai tshaj plaws yog tias qee tus me nyuam yuav sim ua phem rau lawv tus kheej lossis tua tus kheej.
Cov menyuam yaus feem ntau muaj tus mob no ntau npaum li cas?
Kev tshawb fawb qhia tau tias muaj li ntawm 4% ntawm cov neeg hnub nyoog qis dua 18 xyoo muaj tus mob bipolar. Qee zaum, cov menyuam yaus hnub nyoog li 5 xyoos kuj raug tus mob no.
Piv rau lwm yam kab mob hlwb:
- 9.8% ntawm cov menyuam yaus muaj teeb meem kev mloog tsis taus (ADHD).
- 9.4% ntawm cov menyuam yaus muaj kev ntxhov siab.
- 4.4% ntawm cov menyuam yaus muaj kev nyuaj siab.
Qhov ntawd txhais tau tias qhov no kuj yog ib qho mob uas pom ntau heev ntawm cov menyuam yaus.
Cov tsos mob ntawm tus kab mob bipolar hauv ib tug menyuam yog dab tsi?
Cov tsos mob no muaj ob feem tseem ceeb. Cov no yog cov tsos mob ntawm tus mob 'manic' thiab cov tsos mob ntawm tus mob 'depressive'. Ib txhia menyuam yaus muaj cov tsos mob ntawm ob qho tib lub sijhawm (sib xyaw ua ke). Lwm tus hloov pauv ntawm ob qho sai heev (sai sai). Qee zaum txawm tias nyob hauv tib hnub.
Qhov tseem ceeb yog tias cov yam ntxwv no txawv ntawm tus menyuam tus cwj pwm ib txwm muaj.
Cov tsos mob ntawm tus kab mob manic episode
Es tsis txhob zoo siab thiab muaj zog zoo li cov neeg laus, cov menyuam yaus feem ntau npau taws thiab ua rau muaj kev puas tsuaj rau lub sijhawm no.
| Hom cwj pwm | Kev piav qhia |
|---|---|
| Kev xav thiab lub siab | Zoo siab thiab muaj kev cia siab ntau dhau yam tsis muaj laj thawj. Ua lus tso dag uas tsis tsim nyog rau koj lub hnub nyoog. Npau taws thiab qw txawm tias yog tej yam me me xwb los xij. |
| Qib zog thiab kev pw tsaug zog | Muaj zog heev, nquag ua ub ua no heev. Mus ntau hnub tsis tau pw tsaug zog zoo, nkees heev. |
| Zaj dab neeg thiab kev xav | Tham sai dhau, tsis pub lwm tus tham. Dhia ntawm ib lub tswv yim mus rau lwm lub. Nyuaj rau kev tsom ntsoov. |
| Kev coj cwj pwm | Tsis mloog lus cai, rhuav tshem tej yam, thiab ua tej yam txaus ntshai (piv txwv li, sib deev tsis muaj kev tiv thaiv, haus cawv). |
| Kev ntseeg siab rau tus kheej | Ntseeg tias ib tug neeg muaj hwj chim lossis peev xwm tshwj xeeb, loj heev (piv txwv li, xav tias ib tug paub txhua yam zoo dua li cov neeg laus thiab tias ib tug tswj hwm txhua yam). |
Cov tsos mob ntawm kev nyuaj siab
Lub sijhawm no, tus menyuam tu siab heev thiab muaj zog tsawg.
| Hom cwj pwm | Kev piav qhia |
|---|---|
| Kev xav thiab lub siab | Tu siab txhua lub sijhawm yam tsis muaj laj thawj, quaj txhua lub sijhawm. Tsis muaj kev txaus siab rau tej yam uas koj ib txwm nyiam ua. Raug mob txawm tias yog tej yam me me xwb los xij. |
| Qib zog thiab kev pw tsaug zog | Xav tias qaug zog, muaj teeb meem pw tsaug zog, sawv ntxov thaum sawv ntxov, lossis pw tsaug zog ntau dhau. |
| Kev sib txuas lus hauv zej zog | Xav nyob ib leeg, deb ntawm cov phooj ywg thiab cov phooj ywg kawm ntawv. |
| Kev kawm ntawv thiab kev xav | Tsis nco qab ua haujlwm hauv tsev kawm ntawv. Nyuaj rau kev tsom ntsoov thiab nco qab tej yam. Hais tej yam tsis zoo txog koj tus kheej. |
| Cov yam ntxwv ntawm lub cev | Tsis xav noj mov los yog noj ntau dhau. Pheej yws txog mob taub hau, mob plab, thiab mob lub cev. |
| Cov kev xav txaus ntshai | Tham lossis xav txog kev tuag lossis kev tua tus kheej. |
Tseem ceeb heev: Yog tias koj tus menyuam muaj cov cim qhia tias nws xav tua tus kheej lossis hais lus, mus ntsib kws kho mob tam sim ntawd. Yog tias koj xav tias koj tus menyuam muaj kev phom sij rau lub sijhawm ntawd, coj lawv mus rau Chav Kho Mob Ceev (ETU) ze tshaj plaws hauv tsev kho mob tam sim ntawd.
Dab tsi ua rau muaj kev puas siab puas ntsws Bipolar?
Cov kws tshawb fawb tseem tsis tau pom qhov ua rau qhov no, tab sis lawv ntseeg tias muaj ntau yam tseem ceeb ua lub luag haujlwm.
- Cov noob caj noob ces: Qhov no yog qhov ua rau muaj tus kab mob no. Hais yooj yim xwb, nws yog los ntawm noob caj noob ces . Ntau tshaj ob feem peb ntawm cov neeg uas muaj tus kab mob bipolar muaj ib tug neeg hauv tsev neeg (niam, txiv, kwv tij) uas muaj tus kab mob no. Txawm li cas los xij, tsis yog txhua tus neeg uas muaj tus kab mob no tsuas yog vim muaj ib tug neeg hauv tsev neeg muaj tus kab mob no xwb.
- Kev hloov pauv ntawm lub hlwb: Qee qhov kev tshawb fawb qhia tau hais tias cov menyuam yaus uas muaj tus kab mob no muaj kev hloov pauv hauv kev ua haujlwm ntawm qee qhov ntawm lub hlwb.
- Kev raug mob thiab kev ntxhov siab: Kev ntsib teeb meem loj heev, xws li kev tuag ntawm ib tug neeg hauv tsev neeg lossis kev tsim txom hnyav, kuj tseem tuaj yeem ua rau muaj tus kab mob no rau ib tus neeg uas muaj kev pheej hmoo caj ces.
Yuav ua li cas koj thiaj paub tseeb tias ib tug me nyuam muaj Bipolar Disorder?
Qhov no yog ib qho txheej txheem nyuaj me ntsis, vim tias cov tsos mob ntawm Bipolar Disorder zoo ib yam li cov kab mob ntawm ntau lwm yam kab mob uas feem ntau tshwm sim rau cov menyuam yaus, xws li ADHD (kev tsis mloog zoo), Oppositional Defiant Disorder (kev coj cwj pwm tsis xav ua), thiab Kev Nyuaj Siab Loj.
Yog li ntawd, kev pab los ntawm tus kws pab tswv yim txog kev noj qab haus huv ntawm lub hlwb (kws kho mob puas siab puas ntsws lossis kws kho mob hlwb) yog qhov tseem ceeb los txheeb xyuas qhov no.
Tus kws kho mob ua tej yam zoo li no:
- Kev kuaj mob lub cev: Tshawb xyuas lwm yam kab mob.
- Keeb kwm kev kho mob tiav: Koj thiab koj tus menyuam yuav raug nug txog koj tus menyuam cov tsos mob thiab keeb kwm kev kho mob hauv tsev neeg.
- Kev kuaj mob: Tej yam xws li kev kuaj ntshav yog ua los xyuas seb puas muaj lwm yam kab mob uas yuav ua rau muaj cov tsos mob no.
- Kev ntsuam xyuas kev noj qab haus huv ntawm lub hlwb: Qhov no yuav suav nrog kev xa mus rau tus kws kho mob hlwb tshwj xeeb. Tus menyuam, niam txiv, thiab txawm tias cov xib fwb yuav raug hais kom sau cov lus nug txog tus cwj pwm ntawm tus menyuam.
Yuav kho li cas?
Vim tias kev mob bipolar yog ib yam mob uas yuav kav mus ib txhis, kev kho mob kuj yog ib yam mob uas yuav kav mus ib txhis . Nws yuav siv sijhawm ntau lub hlis lossis txawm tias ntau xyoo los nrhiav txoj kev kho mob zoo rau koj tus menyuam. Tab sis nws yog ib qho tseem ceeb uas yuav tsum tsom ntsoov rau thiab txuas ntxiv kho mob.
Ib txoj kev npaj kho mob zoo suav nrog kev sib xyaw ua ke ntawm cov no:
- Cov tshuaj
- Kev kho mob hlwb (los yog "kev kho mob tham")
- Kev coj ua neej noj qab haus huv (kev tawm dag zog, kev xav, kev ua neej niaj hnub)
Kev kho mob hlwb
Qhov no yog ib feem tseem ceeb heev ntawm txoj kev npaj kho mob. Nws pab tus menyuam txheeb xyuas thiab tswj lawv txoj kev xav, kev xav, thiab tus cwj pwm.
- Kev kawm txog kev puas siab puas ntsws: Piav qhia meej txog tus kab mob rau tus menyuam thiab tsev neeg.
- Kev Kho Mob Uas Tsom Mus Rau Tsev Neeg (FFT): Ib txoj kev kho mob uas tus menyuam thiab tsev neeg koom ua ke. Nws pab txheeb xyuas cov tsos mob, daws teeb meem, thiab txhim kho kev sib txuas lus.
- Kev kho mob raws sijhawm: Pab tus menyuam kom muaj tus cwj pwm pw tsaug zog tas li. Lawv xyaum mus pw thiab sawv tib lub sijhawm.
Cov tshuaj
Cov tshuaj tswj kev xav thiab cov tshuaj tiv thaiv kev puas siab puas ntsws siv rau cov neeg laus kuj siv tau zoo rau cov menyuam yaus.
- Cov tshuaj tswj kev xav: Cov tshuaj xws li 'Lithium', 'Valproic acid', thiab 'Lamotrigine' pab tswj cov xwm txheej 'manic'.
- Cov tshuaj tiv thaiv kev puas siab puas ntsws: Cov no pab nrog ob qho tib si 'manic' thiab 'depressive' episodes.
Tseem Ceeb: Yog tias koj tus menyuam muaj lwm yam mob, xws li ADHD, qee cov tshuaj tuaj yeem ua rau cov tsos mob ntawm tus kab mob bipolar hnyav dua. Yog li, qhib siab nrog koj tus kws kho mob txog cov tshuaj uas koj tus menyuam noj.
Puas muaj tej yam tshwm sim ntawm cov tshuaj no?
Yog, zoo li txhua yam tshuaj, qhov no tuaj yeem muaj cov kev mob tshwm sim. Cov feem ntau yog:
- Qhov hnyav nce
- Kev tsaug zog tsis taus
- tsis so, tsis muaj peev xwm zaum twj ywm `(Akathisia)`
- Kev hloov pauv ntawm cov piam thaj hauv cov ntshav thiab cov roj cholesterol.
Kev saib xyuas tshwj xeeb txog cov tshuaj Lithium:
Lithium yog ib yam tshuaj uas feem ntau siv los kho tus kab mob bipolar. Txhua yam uas ua rau tus menyuam cov ntsev (ntses) qis dua - hws ntau dhau, kub taub hau, ntuav, raws plab - tuaj yeem ua rau muaj tshuaj lom lithium. Qhov no yog xwm txheej ceev.
| Cov Cim Ceeb Toom Txog Kev Lom Zem Lithium - Mus rau ETU Tam Sim Ntawd! | |
|---|---|
| Teeb meem pom kev | Pom kev tsis meej, pom ob sab |
| Lub plawv dhia | Lub plawv dhia tsis xwm yeem, ceev heev, lossis qeeb heev |
| Lwm yam nta | Ua pa nyuaj, tsis meej pem, kiv taub hau, tshee hnyo lossis qaug dab peg hnyav, tso zis ntau dhau |
Tsis txhob tsum tsis txhob noj tshuaj rau koj tus menyuam yam tsis tau nrog koj tus kws kho mob tham. Yog koj tsum tsis txhob noj tam sim ntawd ces yuav ua rau muaj kev phiv loj heev thiab ua rau mob hnyav zuj zus.
Ua ib tug niam txiv, kuv yuav pab tau kuv tus menyuam li cas?
Kev saib xyuas ib tug me nyuam uas muaj tus kab mob bipolar tuaj yeem yog ib qho kev paub uas ntxhov siab heev. Nws tseem ceeb heev rau kev saib xyuas koj tus kheej thiab. Koj tuaj yeem nrhiav kev pab tswv yim lossis koom nrog ib pawg neeg txhawb nqa rau cov niam txiv uas tau ntsib tib yam li ntawd.
- Txhawb koj tus menyuam: Txhawb koj tus menyuam kom tham txog lawv txoj kev xav. Ua ib tug neeg mloog zoo.
- Ua siab ntev: Kev nrhiav kev kho mob zoo yuav siv sijhawm. Ua siab ntev nrog txoj kev taug kev.
- Ua tib zoo saib xyuas koj tus menyuam txoj kev xav: Sau ib phau ntawv txog kev hloov pauv ntawm tus cwj pwm ntawm koj tus menyuam. Qhia cov ntaub ntawv no rau cov xib fwb thiab cov txheeb ze.
- Ua kom muaj kev coj ua niaj hnub hauv tsev: tshwj xeeb yog lub sijhawm pw thiab sawv tsis tu ncua.
- Pab tswj kev ntxhov siab: Qhia koj tus menyuam tej yam yooj yim xws li ua pa tob tob.
- Piav qhia txog qhov tseem ceeb ntawm kev kho mob: Piav qhia seb kev kho mob tuaj yeem txhim kho lub neej li cas, txhawb koj tus menyuam kom noj tshuaj raws sijhawm, thiab koom nrog kev kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev puas siab puas ntsws bipolar tsis yog ib tug me nyuam tus cwj pwm phem lossis kev tsis saib xyuas. Nws yog ib qho mob tiag tiag uas yuav tsum tau kho.
- Kev pab kho mob tshwj xeeb yog qhov tseem ceeb rau kev kuaj mob thiab kho tus kab mob.
- Kev kho mob yog ib txoj kev taug kev ntev, thiab ua niam txiv, koj txoj kev ua siab ntev thiab kev txhawb nqa yog qhov tseem ceeb rau koj tus menyuam.
- Yog koj tus menyuam tham txog kev tuag lossis kev ua phem rau tus kheej, tsis txhob tsis quav ntsej nws. Nrhiav kev pab kho mob tam sim ntawd.
- Koj tsis yog tib leeg xwb. Muaj cov kws kho mob, cov kws pab tswv yim, thiab cov pab pawg txhawb nqa uas tuaj yeem pab koj thiab koj tus menyuam.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus