Kodi mumadzimva kuti muli ndi mphamvu komanso chisangalalo chochuluka moti mungathe kugonjetsa dziko lapansi masiku ena? Koma masiku ena, kodi mumadzimva chisoni komanso opanda kanthu moti simungathe ngakhale kudzuka pabedi? Tikudziwa momwe zimakhalira zovuta kukhala ndi kusintha kwakukulu kwa malingaliro. Lero, tikambirana za matenda otchedwa bipolar disorder , omwe amakambidwa koma anthu ambiri samvetsetsa bwino, komanso momwe dokotala angawadziwire molondola.
Kodi chinthu chofunikira kwambiri pa matenda ndi chiyani?
Nthawi zambiri timaganiza kuti kuti tipeze matenda, timafunika chinthu monga kuyezetsa magazi kapena kujambulidwa. Komabe, pankhani yopeza matenda a bipolar, nkhaniyi ndi yosiyana pang'ono. Ndipotu, chida chofunikira komanso champhamvu chomwe muli nacho kuti muzindikire matendawa ndi kukambirana momasuka ndi dokotala wanu.
Mukakhala oona mtima komanso omasuka ndi dokotala wanu za kusintha kwa malingaliro anu, machitidwe anu, kusintha kwa tulo, ndi zizolowezi za moyo wanu, matenda anu adzakhala olondola kwambiri. Ngakhale kuti kuyezetsa thupi kungakupatseni lingaliro la thanzi lanu lonse, dokotala wanu adzaphunzira za zizindikiro za matenda a bipolar kuchokera kwa inu.
Kodi dokotala akufuna kudziwa chiyani kwenikweni?
Kuzindikira matenda a bipolar si chinthu chomwe chimachitika mwadzidzidzi. Kungoti mumakhala ndi kusintha kwa maganizo tsiku ndi tsiku sizitanthauza kuti muli ndi matenda a bipolar. Dokotala adzazindikira matendawa mwa kuphunzira mosamala kuopsa kwa zizindikiro zanu, nthawi yomwe zimathera, komanso kangati .
Mwachidule, dokotala amafufuza zinthu monga:
- Kusokonezeka maganizo kapena Hypomania: Pa nthawi imeneyi, maganizo anu angakhale okwera kwambiri. Mungakhalenso okwiya kapena osakhazikika. Mungakhalenso ndi mphamvu zambiri, tulo tochepa, komanso kuganiza ndi kulankhula mofulumira.
- Kuvutika maganizo : Munthawi zimenezi, mumamva chisoni chachikulu, kutaya mtima, kutaya chidwi ndi chilichonse, komanso kutaya mphamvu kwathunthu.
Kuti aone bwino zizindikiro zimenezi, madokotala a matenda amisala amagwiritsa ntchito buku lapadera lotsogolera kuchokera ku American Psychiatric Association (Diagnostic and Statistical Manual of Mental Disorders - DSM-5).
Kuphatikiza apo, dokotala adzakufunsani mafunso awa:
- Mbiri yanu: zinthu zomwe zachitika m'moyo wanu, maubwenzi anu, ntchito yanu , ndi zina zotero.
- Mbiri yachipatala ya banja:Popeza matenda a bipolar angakhale ndi ubale wa majini, ndikofunikira kudziwa ngati pali aliyense m'banja mwanu amene ali ndi vutoli, kuvutika maganizo, kapena matenda ena amisala. (Koma kumbukirani kuti si aliyense amene ali ndi matenda a bipolar amene ali ndi mbiri ya m'banjamo ya matendawa.)
Kodi pali matenda ena omwe amaoneka ngati bipolar disorder?
Inde, ndithudi. Pali zifukwa zina zambiri zomwe zimayambitsa kusintha kwa maganizo ndi khalidwe losakhazikika. Izi ndi zina mwa matenda omwe angaganizidwe ngati matenda a bipolar.
| Mkhalidwe / Choyambitsa | Kufotokozera kosavuta |
|---|---|
| Matenda ena amisala | Kusintha kwa maganizo kungayambitsidwenso ndi mavuto okhudzana ndi kugwiritsa ntchito mankhwala osokoneza bongo, vuto la umunthu wa m'malire, vuto la kusachita zinthu mopitirira muyeso (ADHD), ndi matenda okhudzana ndi nkhawa monga matenda a post-traumatic stress disorder (PTSD). |
| Matenda ena akuthupi | Zizindikiro za matenda monga matenda a chithokomiro, lupus, HIV, ndi syphilis nthawi zina zimatha kufanana ndi zizindikiro za matenda a bipolar. |
| Mankhwala ena | Tangoganizirani, mankhwala a steroid monga prednisone, omwe amagwiritsidwa ntchito pochiza matenda monga mphumu ndi nyamakazi, angayambitse kusintha kwakukulu kwa maganizo mwa anthu ena. |
Ndicho chifukwa chake dokotala amaganizira zonsezi, amachita mayeso ofunikira, ndipo amakana zonsezi asanapeze matenda a bipolar .
Kodi mumakonzekera bwanji musanapite kwa dokotala?
Ngati mukonzekera pang'ono musanakumane ndi dokotala, zidzakhala zosavuta kwa inu ndi dokotala.
Nthawi zina, anthu otizungulira angaone kusintha kwa khalidwe lathu kuposa ife. Choncho ndi bwino kubweretsa mnzanu wodalirika kapena wachibale wanu kukaonana ndi dokotalayu.
Zingakhale bwino ngati mungalembe zinthu izi m'buku:
- Lembani zizindikiro zanu: kumva chisangalalo chachikulu, chisoni chachikulu, kusintha kwa mphamvu, kusintha kwa tulo , ndi kusintha kwa momwe mumalankhulira.
- Makhalidwe osazolowereka: Zinthu zomwe munachita zomwe pambuyo pake munaziganizira ndikudabwa kuti "ndichifukwa chiyani ndinachita zimenezo" (monga kugwiritsa ntchito ndalama zambiri mwadzidzidzi, kupanga zisankho mopupuluma).
- Mbiri ya matenda a m'banja: Monga tanenera kale, funsani ngati pali aliyense m'banja mwanu amene wakhalapo ndi matenda amisala.
- Mankhwala omwe mukumwa: Bweretsani mankhwala onse omwe mukumwa panopa (kuphatikizapo omwe ali ndi matenda ena), mavitamini, ndi mankhwala azitsamba kuti muwonetse dokotala wanu.
- Khalani oona mtima pa makhalidwe anu a moyo: kaya mumachita masewera olimbitsa thupi, zakudya zanu, kusuta fodya, kumwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo.
- Kupsinjika maganizo m'moyo: Kambiranani za mavuto kuntchito, m'banja, komanso m'maubwenzi.
- Mafunso omwe muli nawo: Lembani zonse zomwe mukufuna kudziwa zokhudza matenda a bipolar ndipo funsani dokotala wanu.
Kodi izi sizingadziwike pogwiritsa ntchito ma scan a ubongo?
Funso limene anthu ambiri amafunsa ndi ili. Pakadali pano, palibe kusanthula ubongo (MRI, CT scan) kapena kuyezetsa magazi komwe kungatsimikizire matenda a bipolar.
Komabe, nthawi zina dokotala angakupatseni scan yotereyi. Sikuti ndi kutsimikizira matenda a bipolar. Ndi kuchotseratu vuto lina la mitsempha, monga chotupa cha muubongo kapena sitiroko, ngati chifukwa cha zizindikiro zanu.
Ngakhale kuti kafukufuku akuchitika panopa kuti apeze chidziwitso chokhudza matenda a bipolar kudzera mu mayeso a ubongo monga EEG ndi MRI, izi zikadali matenda ochizira matenda makamaka potengera zizindikiro ndi kukambirana ndi wodwalayo.
Kodi mumatani ngati mukuganiza kuti munthu amene ali pafupi nanu ali ndi vuto la bipolar?
Ngati muwona kusintha kumeneku mu khalidwe la wokondedwa wanu, kungakhale kowawa kwambiri. Nazi zina zomwe mungachite:
1. Lankhulani naye: Lankhulani naye za zomwe zili m'maganizo mwanu ndi kusintha komwe mukuona, mwachikondi, mokoma mtima, komanso mosamuneneza.
2. Thandizo: Funsani ngati mungathe kukonza nthawi yoti mukaonane ndi dokotala. Nenani kuti mukufuna kupita naye limodzi.
3. Lembani tsatanetsatane: Musanalankhule ndi dokotala, lembani kusintha kulikonse kwa khalidwe (chimwemwe chopitirira muyeso, mkwiyo, chisoni), kusintha kwa umunthu, ndi kugwiritsa ntchito mankhwala osokoneza bongo komwe mwaona.
4. Ndiuzeni za mankhwala:Uzani dokotala tsatanetsatane wa mankhwala aliwonse omwe amagwiritsa ntchito.
Kumbukirani, thandizo lanu ndi kumvetsetsa kwanu ndiye mphamvu yayikulu yomwe ali nayo panthawiyi.
Uthenga Wopita Nawo Kunyumba
- Matenda a bipolar amapezeka makamaka osati kudzera mu kuyezetsa magazi kapena kusanthula, koma kudzera mu kukambirana mozama komanso momasuka pakati pa inu ndi dokotala wanu.
- Kulankhula moona mtima za zizindikiro zanu, makhalidwe anu, ndi mbiri ya banja lanu ndikofunikira kuti mudziwe matenda molondola.
- Kuyezetsa dokotala kwathunthu n'kofunika, chifukwa matenda ena akuthupi ndi mankhwala angayambitse zizindikiro zofanana ndi matenda a bipolar.
- Kukonzekera musanapite kwa dokotala (kulemba zambiri, kubweretsa wokondedwa) kungathandize kuti njira yodziwira matenda ikhale yosavuta.
- Ngati matenda a bipolar atapezeka ndi kuchiritsidwa bwino, matendawa amatha kuthetsedwa bwino ndikukhala ndi moyo wabwino. Choncho musaope kupempha thandizo.
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