I mood chu roller coaster ang maiin i hria em? Ni engemaw zat chu rin loh takin i hlim a, i phur a, khawvel i hneh thei ang maiin i inhria em? Mahse, ni dangah chuan chhan awm lovin i bo vek em, i lungngai em em a, i lungngai em em bawk em? Hetiang mood swing hi rilru lam hriselna lama harsatna bipolar an tih chhinchhiahna ber a ni. Vawiin hian natna bik pakhat, Bipolar II Disorder tih kan sawi dawn a ni.
A awlsam zawngin, Bipolar II Disorder chu eng nge ni?
Bipolar tih thumal hi "pole pahnih" tihna a ni. Extreme inhmachhawn pahnih, hmar leh chhak ang chi tihna a ni. Bipolar disorder-ah chuan heng extreme pahnih hi hlimna/phurhna nasa tak leh lungngaihna/lungngaihna nasa tak a ni.
Bipolar type 2-ah chuan he euphoria hi full-blown mania-ah a zual lo. Chu ai chuan less-than-manic, manageable level of euphoria a awm zawk. Medical lamah chuan hei hi hypomania kan ti thin. Mahse, he natna vei tam tak chuan an hun tam zawk chu lungngaihna nasa tak neiin an hmang thin .
Bipolar type 2 vei chuan a dam chhungin hypomania episode khat tal leh major depression episode khat tal a tawk tawh a ni.
Hetiang dinhmun hi a thlen theihna tur risk factor bik a awm em?
Hei hi chhan pakhat mah a awm lo. Tu pawhin he natna hi an nei thei a ni. Mahse, thil ṭhenkhat chuan a hlauhawmna a tipung thei a ni.
- Chhungkaw chanchin: I chhungte hnai ber (nu, pa, unaupa) mi pakhatin bipolar disorder a neih chuan nang pawhin i vei theihna a sang zawk.
- Kum: A lan chhuah dan hi tleirawl tawp lam emaw, kum 20 hma lam emaw atang hian a intan fo thin. Hetiang natna vei tam zawk hian kum 50 an tlin hmain he natna hi an nei thin.
- Thluaka chemical inthlak danglamna: Thluaka neurotransmitters inthlauhna hian hei hi a thlen thei bawk.
Engtin nge kan hriat theih ang? Eng nge a lan chhuah dan?
Bipolar type 2-ah hian mood state lian pahnih a awm a, chungte chu a inthlak danglam thin. Hengte hi a hranin han thlir ila.
| Mood moment a ni | Hmuh theih thil chi hrang hrang |
|---|---|
| 1. Hypomania - rilru hah lutuk |
|
| 2. Depression - lungngaihna nasa tak awmna |
|
Hypomanic state-a awm mi i en chuan an hlim hle a, an chak hle niin a lang. "Party nun" an ni thei a, mi zawng zawng nen an fiamthu a, an inngaitlawm hle bawk. Chuvangin, "Chuti a nih chuan eng nge dik lo?"
A pawimawh ber chu, enkawl loh chuan hypomania hian ngaihtuahna fim lo, hrisel lo leh hlauhawm tak tak a thlen thei a ni. Entîr nân, sum leh pai nei lova sumdâwnna lian tak ṭan te, ngaihsak lo taka sum hman te, leh mipat hmeichhiatna lama thil hlauhawm tak tak tih te.
Hei hi eng enkawlna nge ni?
Bipolar type 2 hi enkawl dan dik a nih chuan a control tha thei hle.Dinhmun. Enkawlna kawngah hian tum lian tak pahnih a awm a. Pakhat chu tuna hypomania emaw depression emaw episode awm mek enkawl hi a ni. A dang chu nakin lawka episode lo awm tur venna tur a ni. Hemi atan hian i doctor chuan enkawlna chi hrang hrang a rawt thei ang.
Damdawi chi hrang hrang
Hemi atan hian damdawi chi hrang hrang hman a ni ber. A pawimawh ber chu damdawi lam thurawn tel lova heng damdawi te hi hman loh leh tihtawp loh hi a ni.
- Mood Stabilizers: Hengte hi enkawlna bulpui ber a ni. Mood swing control turin an pui thin. Entirnan: Lithium, Valproate, Lamotrigine, Carbamazepine te hi a ni.
- Antipsychotics: Heng damdawi te hi hypomania leh a chang chuan depression control nan an hmang thin. Entirnan: `Olanzapine`, `Quetiapine`, `Risperidone` tih te hi a ni.
- Antidepressant: Hengte hi depressive episode tan pek thin a ni. Mahse, antidepressant hi bipolar disorder nei tan chuan mood-stabilizing medication nen an pe fo thin. Hei hi a chhan chu antidepressant chauh hian a chang chuan hypomania a thlen thei a ni.
- Benzodiazepines: Heng damdawi te hi mut theih lohna leh hahdam lohna ang chi thil control nan hun rei lote chhunga pek thin a ni. Entirnan: `Diazepam`, `Lorazepam` tih te hi a ni.
I doctor chuan i tan damdawi tha ber leh a dose tha ber a ruat ang. Damdawi inzawmkhawm dik tak zawn nan hun engemaw chen a ngai mai thei. Ngaihtuah buai suh. I enkawl danah dawhtheih a pawimawh.
Ruihhlo chungchanga thudik tlemte dang
- Side effects: Damdawi dang ang bawkin side effects, luak chhuak, taksa rihna sang, mutthilh leh khur te hi a awm thei. Chung zinga a tam zawk chu ni rei lo te chhungin a bo vek. If they persist , i doctor nen inbia nghal rawh.
- Enkawlna chawlhsan: I damloh vang mai maia i damdawi ei kha titawp nghal suh. Hei hi a hlauhawm hle thei a ni. I symptoms te chu a lo let leh thei a, a na zual thei bawk. I damdawi ei kha tihtawp emaw, a hman dan tur thlak emaw chu i doctor chauhvin a rel thei ang.
Psychotherapy hmanga enkawlna
Damdawi bakah hian talk therapy pawh a pawimawh hle. Hei hmang hian i ti thei ang:
- I damdawi lam dinhmun chu uluk takin hrethiam rawh.
- Symptoms a lo lang leh thei tih chhinchhiahna hmasa berte hriat hmasak phawt ang che.
- Stress hi enkawl rawh.
- Chhungte leh thiante nena inlaichinna tihngheh.
- Damdawi dik taka ei a pawimawhzia hrethiam rawh.
Chumi atan chuan Cognitive Behavioral Therapy (CBT) ang chi method te hi a tangkai hle.
Bipolar I leh bipolar II hi eng nge an danglamna?
Hei hi mi tam tak buaina hmun a ni. Hei pawh hi tichiang ila.
| Mihring ziarang | Bipolar I tih hi a ni | Bipolar II tih a ni |
|---|---|---|
| Hun hlimawm tak a ni | A state of full mania a ni. Khawtlang leh hnathawhna nun nasa takin a nghawng. Damdawi ina dah a ngai pawh a ni thei. | Mildly euphoric ( hypomania ) dinhmun. Mania ang kha a na lo. Hlimna lutuk emaw chakna emaw angin a lang. |
| Lungngaihna | Depressive episode na tak a awm thei a, mahse pumpelh theih loh a ni lo. | Depression na tak leh rei tak a awm fo thin. |
| A pumpuiah nghawng a nei | Mania episodes hian nunah nghawng a nei nasa zawk. | Depressive episode hi nunna atana hlauhawm zawk a nih avangin hei hi Bipolar I "mild" form anga ngaih theih a ni lo . |
Take-Home Thuchah a ni
- Bipolar type 2 hi chak lohna emaw, i sualna emaw a ni lo. Damdawi lam dinhmun a ni a, enkawlna nen pawh uluk taka enkawl theih a ni.
- Nangmah emaw, i hriatte emaw hian heng symptoms hi an nei nia i rinhlelh chuan doctor thiam tak, a bik takin psychiatrist pan rawh.
- Damdawi ei tur a tih ang anga ei a, doctor thupek zawm a pawimawh hle. Damdawi lam thurawn tel lo chuan eng thil vang pawh nise i damdawi ei kha bansan suh.
- Nangmah chauh i ni lo. Khawvel hmun hrang hrangah hian hetiang dinhmun hi hlawhtling taka khawsa mek an awm a. Tanpuina leh enkawlna dik tak i neih chuan nang pawhin nun nghet leh hlim takin i nung thei a ni.
- Mahni intihhlum tumna i neih chuan i hnaih ber hnenah hrilh nghal la, i doctor hmu la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
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