Koj tus menyuam puas chim tas li? Nws puas chim sai? Qhov no yuav yog ib qho mob hu ua (DMDD)!

Koj tus me nyuam puas ib txwm npau taws? Nws puas chim rau tej yam me me? Tej zaum koj yuav xav tias, 'Au kuv tus Vajtswv, ua li cas rau tus menyuam no, nws ib txwm npau taws?' Qhov tseeb, qee tus menyuam tuaj yeem muaj hom kev npau taws hnyav, tsis tu ncua thiab chim siab ntau zaus. Niaj hnub no peb tab tom tham txog qhov mob zoo li no, uas yog Disruptive Mood Dysregulation Disorder (DMDD) .

Qhov kev puas siab puas ntsws tsis zoo no (DMDD) yog dab tsi?

Hais yooj yim xwb, qhov kev mob hlwb no, lossis DMDD luv luv, yog ib qho mob hlwb uas cuam tshuam rau cov menyuam yaus. Hauv qhov no, tus menyuam muaj kev npau taws ntev thiab chim siab heev . Lawv kuj muaj kev npau taws ntau zaus, lossis kev chim siab .

Feem ntau, cov menyuam yaus muaj lub sijhawm ua siab tawv thiab npau taws me ntsis. Qhov ntawd yog ib txwm muaj. Tab sis "(DMDD)" yog ib qho mob hnyav dua, txuas ntxiv mus . Cov kev npau taws no yog qhov hnyav heev thiab tsis sib npaug rau qhov xwm txheej thaum lub sijhawm ntawd. Qhov ntawd txhais tau tias lawv npau taws heev txawm tias yog tej yam me me, qee zaum qw, pov khoom rau hauv pem teb, lossis ntaus lwm tus.

Qhov tseem ceeb tshaj plaws, tus mob no cuam tshuam rau tus menyuam lub neej txhua hnub, kev ua haujlwm hauv tsev kawm ntawv, kev sib raug zoo nrog tsev neeg thiab cov phooj ywg . Yuav kom kuaj tau tus mob no, cov tsos mob yuav tsum tau pib ua ntej hnub nyoog 10 xyoo .

Puas yog (DMDD) zoo ib yam li (ODD) lossis (Bipolar Disorder)? Qhov txawv yog dab tsi?

Tam sim no koj yuav xav paub, qhov "(DMDD)" no puas zoo ib yam li qhov kev tsis sib haum xeeb uas peb tau hnov ​​​​txog, zoo li "(Oppositional Defiant Disorder - ODD)", lossis "(Bipolar Disorder)"? Txawm hais tias muaj qee qhov zoo sib xws ntawm cov no, muaj qhov sib txawv meej. Cia peb saib lawv yog dab tsi.

Kev Tsis Sib Haum Xeeb ntawm Kev Tawm Tsam (ODD) thiab (DMDD)

`(ODD)` yog ib qho mob uas ib tug me nyuam pheej ua tus cwj pwm tsis mloog lus, tawv ncauj, thiab qee zaum txawm tias ua phem rau cov thawj coj (piv txwv li, niam txiv, cov xib fwb) . Qee cov tsos mob ntawm `(ODD)` yuav zoo ib yam li `(DMDD)`. Txawm li cas los xij, `(DMDD)` raug suav hais tias yog ib qho mob hnyav dua. Vim tias, hauv `(DMDD)`, feem ntau muaj kev puas siab puas ntsws loj heev .

Xav txog seb, yog tias ib tug me nyuam muaj cov tsos mob ntawm ob qho tib si `(ODD)` thiab `(DMDD)`, cov kws kho mob feem ntau yuav kuaj mob rau lawv tias muaj `(DMDD)`. Qhov ntawd yog, `(DMDD)` muaj zog dua `(ODD)`.

Kev puas siab puas ntsws Bipolar thiab (DMDD)

Kev puas siab puas ntsws bipolar (BD) yog ib qho kev puas siab puas ntsws mus ib txhis uas muaj kev hloov pauv loj heev ntawm kev xav, lub zog, kev xav, thiab tus cwj pwm.Cov kev hloov no yuav kav ntev li ntau hnub, ntau lub lis piam, lossis ntau lub hlis. Lawv kuj tseem yuav cuam tshuam rau koj lub peev xwm ua tej yam txhua hnub.

Tam sim no, saib seb, tej zaum yuav muaj qee qhov zoo sib xws ntawm `(BD)` thiab `(DMDD)`. Txawm li cas los xij, cov tsos mob ntawm `(BD)` tuaj ua ntu zus, uas yog, ua daim ntawv ntawm `(DMDD)`. Txawm li cas los xij, cov tsos mob ntawm `(BD)` yog txuas ntxiv thiab tsis nres .

Ib qho ntxiv yog tias '(Bipolar Disorder)' tsis tshua muaj rau cov menyuam yaus thiab cov hluas. Tsis tas li ntawd, '(BD)' feem ntau yog ib qho mob uas yuav tshwm sim mus ib txhis. Txawm li cas los xij, ib tug menyuam uas muaj '(DMDD)' yuav muaj feem ntau dua rau kev mob xws li '(Major Depressive Disorder)' lossis '(Generalized Anxiety Disorder)' tom qab hauv lub neej, uas yog, thaum lawv loj hlob tuaj.

Qhov tseeb, ua ntej DMDD tau raug lees paub tias yog kev kuaj mob hauv xyoo 2013, ntau tus menyuam uas muaj DMDD tau raug kuaj mob tsis raug tias muaj Bipolar Disorder.

Leej twg thiaj tau DMDD? Nws muaj pes tsawg zaus?

Cov tsos mob ntawm DMDD feem ntau pib ua ntej hnub nyoog 10 xyoo. Yog li ntawd, cov kws kho mob tsis kuaj mob rau cov menyuam yaus hnub nyoog qis dua 6 xyoo lossis cov tub ntxhais hluas hnub nyoog tshaj 18 xyoo uas muaj DMDD.

Vim tias DMDD yog ib qho kev kuaj mob tshiab, tsis muaj kev tshawb fawb txaus los hais tias nws muaj ntau npaum li cas. Txawm li cas los xij, kev tshawb fawb thaum ntxov qhia tias tus mob no yuav cuam tshuam rau ntawm 2% thiab 5% ntawm cov menyuam hauv Tebchaws Meskas. Tej zaum yuav muaj cov menyuam yaus uas muaj tus mob no hauv Sri Lanka thiab, tab sis nws nyuaj rau hais tus lej tseeb.

Cov tsos mob ntawm tus mob no (DMDD) yog dab tsi?

Raws li peb tau tham txog me ntsis ua ntej lawm, cov tsos mob ntawm '(DMDD)' feem ntau pib ua ntej hnub nyoog 10 xyoo. Ib tug menyuam uas muaj '(DMDD)' yuav muaj tej yam xws li:

• Npau taws los yog chim siab feem ntau ntawm hnub, yuav luag txhua lub sijhawm. Xav txog ib tug me nyuam uas pheej npau taws thiab tsis zoo siab txij thaum sawv ntxov mus txog thaum mus pw hmo ntuj.
• Kev npau taws loj heev (los ntawm kev hais lus lossis kev coj cwj pwm) uas tsis tsim nyog rau qhov xwm txheej. Cov no feem ntau tshwm sim peb lossis ntau dua zaug hauv ib lub lim tiam. Piv txwv li, ib tug me nyuam yuav qw, quaj, dov, thiab pov khoom rau lwm tus, txawm tias rau ib yam dab tsi me me xws li khoom ua si tawg. Lawv kuj tseem yuav ntaus lawv tus kheej, tom lawv tus kheej, lossis ntaus lwm tus.
• Qhov kev chim siab no ua rau nws nyuaj rau ua haujlwm hauv ntau qhov chaw, txawm tias nyob hauv tsev, hauv tsev kawm ntawv, lossis nrog cov phooj ywg. Qhov kev chim siab no tsis yog tsuas yog nyob hauv tsev xwb. Nws kuj tseem tuaj yeem ua rau muaj teeb meem hauv tsev kawm ntawv, nrog cov xib fwb, thiab nrog cov phooj ywg.

Qhov tseem ceeb tshaj plaws yog tias yog koj xav tias koj tus menyuam muaj DMDD, nws yog ib qho tseem ceeb uas lawv mus ntsib tus kws pab tswv yim txog kev noj qab haus huv ntawm lub hlwb thiab nrhiav kev kho mob.Tseem ceeb heev. Vim tias, tus mob '(DMDD)' tuaj yeem muaj kev cuam tshuam loj rau tus menyuam lub neej zoo, kev ua haujlwm hauv tsev kawm ntawv. Nws kuj tseem tuaj yeem cuam tshuam tsis zoo rau kev sib raug zoo nrog tsev neeg thiab phooj ywg.

Dab tsi ua rau DMDD?

Vim tias DMDD yog ib qho kev kuaj mob tshiab, cov kws tshawb fawb tseem tsis tau nkag siab tag nrho tias yog dab tsi ua rau nws. Ib yam li ODD thiab BD, DMDD tej zaum yuav tshwm sim los ntawm kev sib xyaw ua ke ntawm cov yam ntxwv ntawm lub cev, caj ces, thiab ib puag ncig .

• Thaum peb tham txog cov yam ntxwv ntawm lub cev , tej zaum yuav muaj kev hloov pauv ntawm qee cov tshuaj lom neeg hauv lub hlwb (cov neurotransmitters), lossis kev hloov pauv ntawm txoj kev uas qee qhov ntawm lub hlwb ua haujlwm, cuam tshuam.
• Hais txog cov yam ntxwv ntawm caj ces , yog tias ib tug neeg hauv tsev neeg muaj cov teeb meem kev noj qab haus huv ntawm lub hlwb zoo li no, tej zaum yuav muaj kev pheej hmoo me ntsis uas tus menyuam yuav muaj cov teeb meem no thiab.
• Tej yam nyob ib puag ncig muaj xws li ib puag ncig uas tus menyuam loj hlob tuaj, kev ntxhov siab hauv tsev neeg, thiab tej yam nyuaj uas tus menyuam ntsib.

Tiamsis cov no tseem nyob rau theem tshawb nrhiav. Tseem ntxov dhau los hais tias qhov ua rau muaj qhov teeb meem no yog dab tsi.

Yuav kuaj mob DMDD li cas?

Cov kws tshaj lij kev noj qab haus huv ntawm lub hlwb kuaj mob DMDD yog tias koj tus menyuam ua tau raws li cov qauv teev tseg hauv Phau Ntawv Qhia Txog Kev Mob Hlwb thiab Kev Txheeb Xyuas Txog Kev Mob Hlwb (DSM-5), phau ntawv qhia tus qauv rau kev mob hlwb uas luam tawm los ntawm American Psychiatric Association , tsawg kawg 12 lub hlis .

Yog tias koj tus menyuam muaj cov tsos mob ntawm DMDD, lawv yuav tsum tau mus ntsib kws kho mob hlwb rau menyuam yaus thiab cov hluas lossis kws kho mob hlwb . Cov kws tshaj lij kev noj qab haus huv ntawm lub hlwb no tau tsim tshwj xeeb rau kev xam phaj thiab cov cuab yeej ntsuas. Lawv siv cov no los ntsuas seb tus menyuam puas muaj mob hlwb.

Cov kws kho mob hlwb thiab cov kws kho mob hlwb feem ntau tau txais cov ntaub ntawv los ntawm niam txiv, cov kwv tij, cov phooj ywg, thiab cov xib fwb ntawm tus menyuam kom nkag siab tag nrho txog tus cwj pwm ntawm tus menyuam.

DMDD qee zaum tuaj yeem tshwm sim nrog lwm yam mob uas cuam tshuam nrog kev chim siab. Piv txwv li, nws tuaj yeem tshwm sim nrog Kev Xav Tsis Zoo / Kev Ua Haujlwm Tsis Taus (ADHD) lossis kev ntxhov siab . Yog li ntawd, koj tus menyuam tus kws kho mob hlwb lossis kws kho mob hlwb yuav soj ntsuam koj tus menyuam kom zoo thiab muab kev kuaj mob kom raug.

Cov kev kho mob rau DMDD yog dab tsi?

Vim tias DMDD yog ib yam mob tshiab uas tau txheeb xyuas, tseem tsis tau muaj kev tshawb fawb ntau txog nws txoj kev kho mob. Cov kev kho mob tam sim no feem ntau yog raws li kev tshawb fawb uas tau ua rau lwm yam mob thaum yau uas cuam tshuam nrog kev chim siab, xws li kev ntxhov siab thiab ADHD.Qhov xov xwm zoo yog tias ntau yam kev kho mob no kuj ua haujlwm tau zoo rau DMDD.

Ob txoj kev kho mob tseem ceeb rau DMDD yog kev kho mob hlwb lossis kev kho mob tham thiab tshuaj . Feem ntau, cov kws kho mob pom zoo kom kho mob hlwb ua ntej siv tshuaj.

Kev kho mob hlwb

Kev kho mob hlwb, lossis kev kho mob tham, yog kev sib sau ua ke ntawm ntau txoj kev kho mob sib txawv uas pab ib tus neeg txheeb xyuas thiab hloov pauv kev xav tsis zoo, kev xav, thiab tus cwj pwm.

Kev kho mob hlwb no yog muab los ntawm ib tus kws tshaj lij kev noj qab haus huv ntawm lub hlwb uas tau kawm tiav thiab muaj ntawv tso cai, xws li tus kws kho mob hlwb lossis tus kws kho mob hlwb. Nws muab kev txhawb nqa, kev kawm, thiab kev taw qhia rau koj tus menyuam thiab/lossis koj tsev neeg kom daws tau DMDD.

Muaj ntau hom kev kho mob hlwb uas tuaj yeem pab nrog DMDD:

• Kev Kho Mob Txog Kev Xav (CBT): Qhov no yog ib qho ntawm cov kev kho mob hlwb uas siv ntau tshaj plaws. Hauv CBT rau DMDD, tus kws tshaj lij kev noj qab haus huv ntawm lub hlwb pab tus menyuam saib tob rau hauv lawv txoj kev xav thiab kev xav. Tus menyuam kawm paub tias lawv txoj kev xav cuam tshuam li cas rau lawv cov kev ua. Los ntawm CBT, tus menyuam tuaj yeem kawm tso tseg cov kev xav thiab kev coj cwj pwm tsis zoo, thiab tsim cov qauv kev xav thiab kev coj cwj pwm zoo dua . Tus kws tshaj lij kev noj qab haus huv ntawm lub hlwb tuaj yeem pab tus menyuam kawm kom daws tau kev ntxhov siab yam tsis muaj kev chim siab.
• Kev Kho Mob Tus cwj pwm Dialectical (DBT): DBT kuj yog raws li CBT, tab sis nws yog tsim tshwj xeeb rau cov neeg uas muaj kev xav ntau heev . DBT tuaj yeem pab koj tus menyuam kawm tswj lawv txoj kev xav thiab zam kev npau taws heev lossis ntev.
• Kev cob qhia niam txiv: Koj tus menyuam tus kws kho mob yuav pom zoo kom muaj kev cob qhia niam txiv nrog rau kev kho mob rau koj tus menyuam. Kev kho mob no qhia cov niam txiv lossis cov neeg saib xyuas yuav ua li cas teb tau zoo dua rau tus cwj pwm npau taws . Piv txwv li, los ntawm kev txheeb xyuas thiab zam cov xwm txheej uas yuav ua rau koj tus menyuam npau taws. Nws kuj tseem hais txog qhov tseem ceeb ntawm kev ua kom sib xws thiab sib xws nrog koj tus menyuam, thiab siv kev txhawb zog zoo los txo cov cwj pwm tsis xav tau thiab txhawb nqa tus cwj pwm noj qab haus huv.

Tshuaj

Tam sim no, Lub Chaw Saib Xyuas Khoom Noj thiab Tshuaj ntawm Teb Chaws Asmeskas (FDA) tsis tau pom zoo rau cov tshuaj tshwj xeeb rau kev kho mob DMDD. Txawm li cas los xij, cov kws kho mob yuav sau ntawv rau qee cov tshuaj los pab tswj cov tsos mob ntawm DMDD. Cov no suav nrog:

• Cov Tshuaj Txhawb: Cov kws kho mob feem ntau sau ntawv kom siv cov tshuaj txhawb los kho ADHD. Kev tshawb fawb qhia tau tias cov tshuaj txhawb kuj tseem tuaj yeem pab txo qhov kev chim siab rau cov menyuam yaus uas muaj ADHD.
• Cov Tshuaj Tiv Thaiv Kev Nyuaj Siab: Cov kws kho mob qee zaum sau ntawv rau cov tshuaj tiv thaiv kev nyuaj siab los kho qhov kev chim siab thiab teeb meem kev xav uas cov menyuam yaus uas muaj DMDD yuav ntsib. Ib txoj kev tshawb fawb pom tias cov tshuaj citalopram, thaum ua ke nrog methylphenidate (ib yam tshuaj txhawb zog), txo qhov kev chim siab rau cov menyuam yaus uas muaj DMDD.
• Qee cov tshuaj tiv thaiv kev puas siab puas ntsws / tshuaj kho mob hlwb uas tsis zoo li qub: Cov kws kho mob qee zaum sau cov tshuaj no los kho cov menyuam yaus uas muaj kev chim siab, npau taws heev, lossis kev ua phem. Txawm li cas los xij, cov kws kho mob tsuas yog sau cov tshuaj no rau DMDD yog tias txhua yam kev kho mob tsis ua haujlwm.

Tseem Ceeb: Txhua yam tshuaj muaj tej yam tshwm sim. Nws yog ib qho tseem ceeb heev uas yuav tsum saib xyuas koj tus menyuam kom zoo zoo rau tej yam tshwm sim thiab qhia rau koj tus menyuam tus kws kho mob yog tias muaj tej yam tshwm sim tshwm sim.

Puas tuaj yeem tiv thaiv DMDD tau?

DMDD tej zaum yuav tsis tiv thaiv tau tag nrho. Txawm li cas los xij, kev paub thiab teb rau cov tsos mob sai li sai tau thaum lawv tshwm sim tuaj yeem pab txo qhov kev ntxhov siab rau koj tus menyuam thiab tsev neeg. Nws kuj tseem tuaj yeem pab tiv thaiv ntau yam teeb meem cuam tshuam nrog tus mob. Qhov no txhais tau tias kev cuam tshuam thaum ntxov yog qhov tseem ceeb .

Yav tom ntej yuav zoo li cas rau ib tug menyuam uas muaj DMDD?

Cov menyuam yaus uas muaj DMDD tuaj yeem muaj teeb meem loj heev ntawm tsev kawm ntawv, hauv tsev, thiab hauv kev sib raug zoo hauv zej zog.

Yog tias tsis kho, cov menyuam yaus uas muaj DMDD yuav muaj feem ntau dua los ntawm kev nyuaj siab thiab/lossis kev ntxhov siab thaum lawv loj hlob tuaj. Yog li ntawd, yog tias koj tus menyuam muaj cov tsos mob ntawm DMDD, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab sai li sai tau .

Kuv yuav pab kuv tus menyuam li cas?

Yog tias koj tus menyuam muaj DMDD, ntxiv rau kev muab kev kho mob tshaj lij, muaj ntau txoj hauv kev uas koj tuaj yeem pab koj thiab koj tus menyuam:

• Kawm kom ntau li ntau tau txog DMDD: Tham nrog koj tus menyuam tus kws kho mob lossis tus kws tshaj lij kev noj qab haus huv ntawm lub hlwb. Nug cov lus nug txog cov kev xaiv kho mob thiab kev tshawb fawb tshiab txog DMDD.
• Sib tham nrog koj tus menyuam tus kws kho mob tsis tu ncua: Nws yog ib qho tseem ceeb heev uas yuav tsum ua haujlwm ze nrog koj tus menyuam tus kws kho mob kom txiav txim siab txog kev kho mob zoo tshaj plaws rau koj tus menyuam.
• Ua haujlwm nrog koj tus menyuam tus xib fwb lossis tus kws pab tswv yim hauv tsev kawm ntawv: Ua ke, nej tuaj yeem tsim cov tswv yim thiab kev pabcuam uas yuav pab koj tus menyuam ua tiav hauv tsev kawm ntawv.
• Siv sijhawm so lossis so yog tias tsim nyog:Yog koj xav tias koj ua rau qhov teeb meem nrog koj tus menyuam hnyav zuj zus es tsis zoo dua, so ib pliag thiab tawm mus. Qhov no yog ib qho piv txwv zoo rau koj tus menyuam. Yog tias koj tus menyuam txiav txim siab so kom tsis txhob muaj teeb meem loj zuj zus, txhawb nqa lawv.
• Saib xyuas koj tus kheej: Ua tej yam koj nyiam ua thiab tej yam koj nyiam ua, tswj kev ntxhov siab, thiab ua haujlwm nrog lwm tus neeg laus uas tab tom nrog koj tus menyuam ua haujlwm thiab sim nrhiav kev txhawb nqa los ntawm lawv.

Thaum twg ib tug me nyuam yuav tsum mus ntsib kws kho mob?

Yog tias koj tus menyuam tau raug kuaj pom tias muaj DMDD, thiab yog tias koj tus menyuam tus cwj pwm phem zuj zus lossis cuam tshuam rau tsev neeg lossis tsev kawm ntawv lub neej, nrog koj tus menyuam tus kws kho mob tham.

Cov menyuam yaus thiab cov menyuam yaus uas chim tas li tuaj yeem yog qhov nyuaj rau cov niam txiv. Txawm hais tias nws yog ib txwm muaj rau cov menyuam yaus thiab cov tub ntxhais hluas uas muaj kev chim siab los ntawm lub sijhawm mus rau lub sijhawm, kev coj cwj pwm tsis tu ncua thiab kev cuam tshuam tuaj yeem qhia txog tus mob hu ua '(DMDD)'.

Nws yog ib qho tseem ceeb uas yuav tsum pib kho DMDD thaum ntxov . Kauj ruam thawj zaug hauv kev kho mob yog tham nrog kws kho mob lossis tus kws pab tswv yim kev noj qab haus huv ntawm lub hlwb . Tsis txhob ntshai nug koj tus menyuam cov lus nug kws kho mob. Lawv nyob ntawd los pab koj.

Yog li ntawd, yam tseem ceeb tshaj plaws uas peb yuav tsum coj los tsev los ntawm zaj dab neeg no yog dab tsi?

Zoo, yog li kuv vam tias koj tam sim no nkag siab zoo dua txog tus mob hu ua "(DMDD)" uas peb tau tham txog hnub no. Nco ntsoov, thaum nws yog ib qho ib txwm rau txhua tus menyuam npau taws, "(DMDD)" yog ib qho mob tob dua uas cuam tshuam rau tus menyuam lub neej.

• Yog tias koj tus menyuam txoj kev npau taws thiab kev chim siab siab tshaj qhov ib txwm muaj thiab tseem muaj , thiab yog tias nws cuam tshuam rau lawv txoj haujlwm hauv tsev kawm ntawv, lub neej hauv tsev, lossis kev sib raug zoo nrog cov phooj ywg , txhawj xeeb.
• "(DMDD)" tsis yog "(ODD)" lossis "(Bipolar Disorder)," muaj ntau qhov sib txawv ntau dua li ntawd.
• Nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab los ntawm tus kws pab tswv yim txog kev noj qab haus huv ntawm lub hlwb kom kuaj mob thiab kho qhov mob no.
• Kev kho mob hlwb thiab qee zaum tshuaj yog cov kev kho mob zoo rau qhov no.
• Ua niam txiv, koj txoj kev txhawb nqa, kev nkag siab, thiab kev ua siab ntev yog qhov tseem ceeb heev rau koj tus menyuam. Nws tseem ceeb heev rau koj kom saib xyuas koj tus kheej.
• Kev txheeb xyuas qhov mob no thaum ntxov thiab pib kho yuav pab tau ntau yam rau kev pab tus menyuam kom muaj lub neej yav tom ntej zoo siab thiab noj qab nyob zoo.

Tsis txhob txhawj, muaj ntau txoj hauv kev los pab rau cov xwm txheej zoo li no. Qhov tseem ceeb tshaj plaws yog kom paub tias koj tsis nyob ib leeg thiab nrhiav kev pab uas koj xav tau.

DMDD , kev noj qab haus huv ntawm lub hlwb ntawm menyuam yaus, kev npau taws ntawm menyuam yaus, teeb meem kev coj cwj pwm, kev mob siab, kev kho mob hlwb rau menyuam yaus, kev qhia txog kev ua niam txiv