Kodi muli ndi mnzanu kapena wachibale amene, pamodzi ndi mavuto awo amisala, ali ndi nkhawa kwambiri, akuvutika maganizo, kapena akukwiya, komanso ali ndi vuto la mowa kapena mankhwala ena osokoneza bongo? Nthawi zina timamva ngati zinthu ziwirizi zimagwirizana. Ndipotu, mu zamankhwala, timaona vutoli ngati mavuto awiri ofanana kwambiri . Pali dzina lapadera la izi lotchedwa "Dual Diagnosis". Izi zikutanthauza kuti munthu ali ndi vuto la thanzi lamisala komanso vuto la kugwiritsa ntchito mankhwala osokoneza bongo molakwika. Tiyeni tikambirane za izi mozama lero.
N’chifukwa chiyani mavuto a thanzi la maganizo ndi zizolowezi zimenezi zimachitikira pamodzi?
Funso ili ndi lofunika kwambiri. Mwachidule, munthu amene ali ndi vuto limodzi mwa matenda awiriwa ali pachiwopsezo chachikulu chotenga lina. Kafukufuku wasonyeza kuti anthu oposa 60% omwe ali ndi vuto limodzi mwa matenda awiriwa ali ndi matenda onse awiriwa.
Taganizirani izi motere. Munthu ali ndi chibadwa kapena chikhalidwe chofuna kukhala ndi vuto linalake la maganizo. Izi zikutanthauza kuti thupi lake ndi ubongo wake zimakhudzidwa pang'ono ndi vutolo. Panthawi ngati iyi, ngati munthuyo ayamba kumwa mowa kapena mankhwala enaake, vuto la maganizo lobisikalo likhoza kuwonekera mwadzidzidzi.
Izi zikutanthauza kuti, m'malo mokhala mankhwala omwe amayambitsa matenda atsopano amisala, zili ngati kudzutsa chimphona chogona. Mankhwalawa ndi omwe amachititsa vutoli (tr IgGer ) .
Nthawi zina njira ina imachitika. Munthu akalephera kuthana ndi mavuto a tsiku ndi tsiku, kusungulumwa, chisoni, ndi nkhawa, amayamba kumwa mowa kapena mankhwala osokoneza bongo kuti achepetse malingaliro amenewo kwakanthawi, kutanthauza kuti, "kudzipatsa mankhwala." Ngakhale kuti poyamba angayambe ndi kugwiritsa ntchito pang'ono, pakapita nthawi amakhala chizolowezi chosalamulirika.
Kodi vuto la maganizo limabwera poyamba? Kuledzera?
Izi zili ngati funso lakuti "Ndi chiyani chinayamba, nkhuku kapena dzira?" Nthawi zina zimakhala zovuta kudziwa.
- Mavuto azaumoyo wamaganizo amayamba: Anthu ena amamva kuti akusowa mkati, "kusowa kanthu" kapena nkhawa yosalekeza. Chifukwa cha izi chingakhale matenda amisala omwe sakudziwa. Mwachitsanzo, vuto monga "Bipolar Disorder". Anthuwa akamagwiritsa ntchito mankhwala osokoneza bongo, amamva "bwino" kwakanthawi, "bwinobwino". Izi zili choncho chifukwa mankhwalawa amaletsa mankhwala ena muubongo, " Neurotransmitters ".Chifukwa zimasintha momwe zimagwirira ntchito. Mukangozolowera kumva "kwabwino" kumeneku, mumayesedwa kuti mupitirize kukufunani.
- Chizolowezi chimayamba: Anthu ena amayamba kugwiritsa ntchito mankhwala osokoneza bongo kuti asangalale, kukakamizidwa ndi anzawo, kapena kufuna kudziwa zambiri. Koma akagwiritsidwa ntchito mosalekeza pakapita nthawi, mankhwalawa amatha kusintha momwe ubongo umagwirira ntchito ndikuyambitsa matenda atsopano amisala (monga kuvutika maganizo, nkhawa).
Pakadali pano, kafukufuku wapeza kuti pali mgwirizano waukulu pakati pa matenda otchedwa ``Bipolar Disorder`` ndi kuledzera ndi mowa. Pa vutoli, malingaliro a munthu amasinthasintha pakati pa zinthu ziwiri zazikulu. Tiyeni tiwone motere.
| Nthawi Yokonda Kwambiri (Mania) | Kuvutika maganizo |
|---|---|
| Kukhala wosangalala kwambiri kapena wokwiya. | Kumva chisoni chosatha, kutaya mtima. |
| Kusowa tulo. | Kugona mopitirira muyeso kapena kusowa tulo. |
| Maganizo osintha mofulumira, kulankhula mosalekeza. | Kudzimva wolakwa, kudzimva wolakwa. |
| Khalidwe losasamala, loopsa (kuwononga ndalama mopitirira muyeso, kugwiritsa ntchito mankhwala osokoneza bongo). | Kumva kutopa ndi moyo, kukhala ndi maganizo ofuna kudzipha. |
| Akuganiza kuti alibe mavuto. | Kulephera kuyang'ana pa chilichonse. |
Munthu amene ali ndi vuto la bipolar ngati limeneli nthawi zambiri amayamba kugwiritsa ntchito mankhwala osokoneza bongo popanda kuwaganizira, makamaka nthawi ya kusangalala kwambiri.
Ndiye ndi chithandizo chiti chabwino kwambiri pa izi?
Iyi ndi gawo lofunika kwambiri. Popeza pali mavuto awiri, chithandizo chiyenera kuperekedwa kwa onse awiri nthawi imodzi. Kuchiza limodzi lokha sikungathandize.
Tangoganizani kuti munthu amene ali ndi vuto la mankhwala osokoneza bongo ali ndi vuto la maganizo. Ngati titamupatsa chithandizo cha kuchotsa poizoni m'thupi kuti asiye mankhwala osokoneza bongo, akhoza kukhala ndi mavuto aakulu m'maganizo pambuyo pake. Ayenera kulimbana ndi malingaliro ake yekha. Kenako, popeza sangathe kupirira kupsinjika maganizo, nthawi zambiri amayambanso kugwiritsa ntchito mankhwala osokoneza bongo.
"Munthu ngati uyu akasiya kugwiritsa ntchito mankhwala osokoneza bongo , timakhala ndi nthawi yochepa kwambiri yowongolera maganizo ake. Ngati sayamba kulandira chithandizo mkati mwa nthawi imeneyo, akhoza kubwerera ku njira zawo zakale."
Ichi ndichifukwa chake njira yabwino kwambiri yothandizira masiku ano imaonedwa kuti ndi "Njira Yothandizira Anthu Awiri." Izi zikutanthauza kuti, pamene akulandira chithandizo cha mankhwala osokoneza bongo, vuto la thanzi la maganizo la wodwalayo limazindikirika ndikuchiritsidwa nthawi imodzi. Izi zikutanthauza kuti wodwalayo amalandira chithandizo cha mavuto awo onse awiri pamalo amodzi, kuchokera ku gulu limodzi.
Kodi aliyense angalandire chithandizochi?
Mwatsoka, malo ochiritsira oterewa sanafike pofala m'dziko lathu. Koma sitiyenera kutaya mtima. Chinthu chabwino kwambiri choti tichite ndikugwirizanitsa chithandizo cha wodwalayo.
Izi zikutanthauza kukhazikitsa kulankhulana kwabwino pakati pa dokotala amene akuchiritsa thanzi la maganizo la wodwalayo ndi dokotala (kapena mlangizi) amene akuchiritsa chizolowezicho. Kutenga nawo mbali kwa banja ndikofunikira kwambiri pankhaniyi. Ngati onse awiri akudziwa zambiri za wodwalayo komanso momwe chithandizocho chikuyendera, ndikugwira ntchito limodzi, zotsatira zabwino kwambiri zitha kupezeka.
Kodi mungachite chiyani ngati mutayambiranso kumwa mankhwalawa?
Ichi ndi chinthu chomwe anthu ambiri amaopa. Koma kumbukirani, kubwereranso kuchipatala mukalandira chithandizo si kulephera. Kungakhale gawo la ulendo wochira. Chofunika kwambiri sikuti mulole kuti chikulepheretseni, koma yesaninso.
Yankho labwino kwambiri pa izi ndikumanga ubale wodalirika komanso wowona mtima pakati pa wodwalayo ndi dokotala (mgwirizano wochiritsira). Wodwalayo ayenera kukhala wokhoza kulankhula ndi dokotala za momwe alilidi, malingaliro ake, ndi chilakolako chake chogwiritsanso ntchito mankhwala osokoneza bongo popanda mantha kapena kukayikira kulikonse.
Ngati zimenezo zitachitika, dokotala akhoza kuzindikira kubwereranso kwa matendawa kusanachitike ndikuchitapo kanthu kofunikira. Mwina angapeweretu.
Uthenga Wopita Nawo Kunyumba
- Mavuto amisala ndi kugwiritsa ntchito mankhwala osokoneza bongo ndi zinthu ziwiri zomwe nthawi zambiri zimakhalapo (Dual Diagnosis).
- Chimodzi mwa ziwirizi chingayambitse kapena kuipitsa china. Iyi ndi njira yoipa yomwe imagwira ntchito mbali zonse ziwiri.
- Popeza pali mavuto awiri, kuchiza limodzi lokha sikungapambane. Mavuto onsewa ayenera kuthetsedwa nthawi imodzi.
- Ngati inu kapena munthu amene mumamudziwa akuvutika ndi vutoli, pitani kwa dokotala wodziwa bwino ntchito nthawi yomweyo. Ndikofunikira kwambiri kukhazikitsa mgwirizano pakati pa madokotala omwe amachiritsa matenda amisala ndi zizolowezi.
- Kubwereranso mu nthawi ya chithandizo si kulephera. Chofunika ndikulankhula moona mtima ndi dokotala wanu, kupempha thandizo, ndikubwerera mumsewu wochira.
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