Kodi mumamva ngati kuti maganizo anu ali ngati kugunda kwa mtima? Masiku ena mumamva ngati mukusangalala kwambiri, mukusangalala, komanso ngati mungathe kugonjetsa dziko lapansi? Koma masiku ena, popanda chifukwa, mumamva kuti simukusangalala, mukukhumudwa, komanso mukuvutika maganizo? Kusintha kwa maganizo kumeneku ndi chizindikiro chachikulu cha matenda amisala otchedwa bipolar. Lero, tikulankhula za matenda enaake otchedwa Bipolar II Disorder.
Mwachidule, kodi matenda a Bipolar II ndi chiyani?
Mawu akuti bipolar amatanthauza "mizere iwiri." Amatanthauza mizere iwiri yosiyana, monga kumpoto ndi kum'mwera. Mu matenda a bipolar, mizere iwiriyi ndi chisangalalo/chisangalalo chachikulu ndi chisoni/kukhumudwa kwambiri.
Mu matenda a bipolar type 2, chisangalalochi sichikula kwambiri mpaka kufika pa kukhala munthu wosangalala kwambiri. M'malo mwake, pali chisangalalo chosasangalatsa komanso chosavuta kuchisamalira. Malinga ndi madokotala, izi timazitcha kuti hypomania . Komabe, anthu ambiri omwe ali ndi vutoli amakhala nthawi yawo yambiri ali ndi vuto lalikulu la kuvutika maganizo .
Munthu amene ali ndi matenda a bipolar type 2 wakhala ndi vuto la hypomania kamodzi kokha komanso vuto la kuvutika maganizo kwambiri kamodzi kokha m'moyo wake.
Kodi pali zinthu zinazake zomwe zimayambitsa vutoli?
Palibe chifukwa chimodzi chokha cha izi. Aliyense akhoza kudwala matendawa. Komabe, pali zinthu zina zomwe zingawonjezere chiopsezo.
- Mbiri ya banja: Ngati wina m'banja mwanu (amayi, abambo, abale) ali ndi matenda a bipolar, inunso muli pachiwopsezo chachikulu chotenga matendawa.
- Zaka: Zizindikiro nthawi zambiri zimayamba munthu akamafika zaka za m'ma 20 kapena kumayambiriro kwa zaka za m'ma 20. Anthu ambiri omwe ali ndi vutoli amakhala ndi vutoli asanakwanitse zaka 50.
- Kusintha kwa mankhwala mu ubongo: Kusalingana kwa ma neurotransmitters mu ubongo kungayambitsenso izi.
Kodi mungazindikire bwanji? Zizindikiro zake ndi ziti?
Mu matenda a bipolar type 2, pali zinthu ziwiri zazikulu zomwe zimasinthasintha. Tiyeni tiwone izi padera.
| Nthawi ya malingaliro | Zinthu zooneka |
|---|---|
| 1. Hypomania - mkhalidwe wa chisangalalo chachikulu |
|
| 2. Kuvutika maganizo - mkhalidwe wachisoni chachikulu |
|
Mukayang'ana munthu amene ali ndi vuto la hypomanic, amaoneka ngati wosangalala komanso wamphamvu. Akhoza kukhala "moyo wa phwando," kuseka ndi aliyense, komanso kukhala wochezeka kwambiri. Kotero mwina mukuganiza kuti, "Ndiye vuto ndi chiyani ndi zimenezo?"
Chofunika kwambiri n’chakuti, ngati sichikuthandizidwa, hypomania ingayambitse makhalidwe osasamala, osathandiza, komanso oopsa. Mwachitsanzo, kuyambitsa bizinesi yayikulu popanda ndalama, kugwiritsa ntchito ndalama mosasamala, komanso kuchita zinthu zogonana zoopsa.
Kodi mankhwala ochizira izi ndi otani?
Matenda a Bipolar type 2 ndi matenda omwe angathe kuthetsedwa bwino ndi chithandizo choyenera.Matenda. Pali zolinga ziwiri zazikulu za chithandizo. Choyamba ndikuchiza vuto la hypomania kapena kuvutika maganizo lomwe lilipo panopa. Chinanso ndikupewa mavuto ena amtsogolo. Dokotala wanu angakulangizeni njira zosiyanasiyana zochizira vutoli.
Mankhwala
Mitundu ingapo ya mankhwala imagwiritsidwa ntchito kwambiri pa izi. Chofunika kwambiri ndichakuti musagwiritse ntchito kapena kusiya kugwiritsa ntchito mankhwala aliwonsewa popanda upangiri wa dokotala.
- Zolimbitsa Maganizo: Izi ndi gawo lofunikira kwambiri la chithandizo. Zimathandiza kuwongolera kusintha kwa maganizo. Zitsanzo: Lithium, Valproate, Lamotrigine, Carbamazepine.
- Mankhwala oletsa matenda amisala: Mankhwalawa amagwiritsidwa ntchito poletsa hypomania komanso nthawi zina kuvutika maganizo. Zitsanzo: `Olanzapine`, `Quetiapine`, `Risperidone`.
- Mankhwala Oletsa Kuvutika Maganizo: Awa amaperekedwa pa nthawi ya kuvutika maganizo. Komabe, mankhwala oletsa kuvutika maganizo nthawi zambiri amaperekedwa kwa munthu amene ali ndi vuto la kusinthasintha maganizo limodzi ndi mankhwala oletsa kusokonezeka maganizo. Izi zili choncho chifukwa chakuti mankhwala okhawo nthawi zina angayambitse kusokonezeka maganizo.
- Benzodiazepines: Mankhwalawa amaperekedwa kwa kanthawi kochepa kuti athetse zinthu monga kusowa tulo komanso kusakhazikika. Zitsanzo: `Diazepam`, `Lorazepam`.
Dokotala wanu adzakukonzerani mankhwala abwino komanso mlingo woyenera. Zingatenge nthawi kuti mupeze mankhwala oyenera. Musadandaule nazo. Ndikofunikira kukhala oleza mtima ndi chithandizo chanu.
Mfundo zina zingapo zokhudza mankhwala osokoneza bongo
- Zotsatirapo zake: Monga mankhwala ena aliwonse, zotsatirapo zake monga nseru, kunenepa, kugona, ndi kunjenjemera zimatha kuchitika. Zambiri mwa izi zimatha pakatha masiku ochepa. Ngati zipitirira , lankhulani ndi dokotala nthawi yomweyo.
- Kusiya kulandira chithandizo: Musasiye kumwa mankhwala anu mwadzidzidzi chifukwa choti mukumva bwino. Izi zitha kukhala zoopsa kwambiri. Zizindikiro zanu zitha kubwerera ndikukulirakulira. Dokotala wanu yekha ndi amene angasankhe ngati asiya kumwa mankhwala anu kapena kusintha mlingo.
Chithandizo cha maganizo
Kuphatikiza pa mankhwala, chithandizo cha kulankhula ndi chofunikira kwambiri. Ndi izi, mutha:
- Mvetsetsani bwino matenda anu.
- Dziwani zizindikiro zoyambirira zomwe zingasonyeze kuti zizindikirozo zikubwereranso.
- Sinthani kupsinjika maganizo.
- Limbitsani ubale ndi banja komanso abwenzi.
- Kumvetsetsa kufunika komwa mankhwala moyenera.
Njira monga Cognitive Behavioral Therapy (CBT) ndizothandiza kwambiri pa izi.
Kodi kusiyana pakati pa bipolar I ndi bipolar II ndi kotani?
Apa ndi malo omwe anthu ambiri amasokonezeka. Tiyeni tifotokoze bwino izi.
| Khalidwe | Matenda a Bipolar I | Matenda a Bipolar II |
|---|---|---|
| Nthawi yosangalatsa | Mkhalidwe wa kusokonezeka maganizo. Zimakhudza kwambiri moyo wa anthu komanso wa kuntchito. Zingafunikenso kugonekedwa m'chipatala. | Mkhalidwe wosangalatsa pang'ono ( hypomania ). Siwoopsa ngati kusangalala kwambiri. Umaoneka ngati chisangalalo kapena mphamvu zambiri. |
| Kuvutika maganizo | Zochitika zazikulu za kuvutika maganizo n'zotheka, koma sizingapeweke. | Kuvutika maganizo kwambiri komanso kwa nthawi yayitali n'kofala. |
| Zotsatira zonse | Zochitika za misala zimakhudza kwambiri moyo. | Matenda ovutika maganizo amakhala oopsa kwambiri, kotero izi sizingaganizidwe kuti ndi mtundu "wofatsa" wa Bipolar I. |
Uthenga Wopita Nawo Kunyumba
- Matenda a bipolar type 2 si vuto lanu kapena vuto lanu. Ndi matenda omwe angathe kuchiritsidwa bwino ndi chithandizo.
- Ngati mukukayikira kuti inuyo kapena munthu amene mumamudziwa ali ndi zizindikirozi, chonde pitani kwa dokotala wodziwa bwino ntchito yake, makamaka katswiri wa zamaganizo.
- Ndikofunikira kwambiri kumwa mankhwala anu monga mwalangizidwira ndikutsatira malangizo a dokotala wanu. Musasiye kumwa mankhwala anu popanda upangiri wa dokotala pazifukwa zilizonse.
- Simuli nokha. Pali anthu masauzande ambiri padziko lonse lapansi omwe akukhala bwino ndi vutoli. Ndi chithandizo choyenera komanso chithandizo, inunso mutha kukhala ndi moyo wokhazikika komanso wachimwemwe.
- Ngati mukuganiza zodzipha, uzani munthu amene ali pafupi nanu nthawi yomweyo, onani dokotala wanu, kapena pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
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