Pali masiku ena, sichoncho? Mukadzuka m'mawa, mumamva kusangalala kwambiri komanso mphamvu zambiri. Mumamva ngati mungathe kugonjetsa dziko lonse lapansi. Koma madzulo, popanda chifukwa, mumamva kutopa ndi dziko lonse lapansi, ndipo simukufuna kuchita chilichonse, ndipo mumamva chisoni pang'ono. Kodi nthawi zambiri mumakumana ndi zinthu ngati izi? Izi si zosiyana chabe, mwina chifukwa chake ndi matenda amisala otchedwa Cyclothymia. Musadandaule, tiyeni tikambirane za izi mosavuta komanso mwatsatanetsatane.
Kodi Cyclothymia ndi chiyani?
Mwachidule, cyclothymia ndi mtundu wofatsa koma wa nthawi yayitali wa matenda a bipolar. Mofanana ndi matenda a bipolar, malingaliro anu amasinthasintha mofulumira, koma osati kwambiri monga matenda a bipolar.
Ganizirani za bipolar ngati tsunami yaikulu. Cyclothymia ili ngati mafunde ang'onoang'ono omwe amabwera ndi kupita, koma si oopsa kwambiri. Mafundewa amapitirira kubwera ndipo angasokoneze luso lanu lokhala ndi moyo wabwinobwino.
Mu mkhalidwe uwu, mudzakumana ndi kusintha kwakukulu pakati pa malingaliro awiri:
1. Hypomania: Mu gawo ili, mumamva kukhala osangalala kwambiri, amphamvu, komanso otanganidwa.
2. Kuvutika Maganizo Kochepa: Pa gawo ili, mukumva chisoni, kutaya chiyembekezo, ndipo mwataya chidwi ndi moyo.
Kusintha kumeneku kungachitike mwachangu kwambiri, nthawi zina mkati mwa tsiku limodzi. Nthawi zina malingaliro anu angakhale abwinobwino (euthymia), koma nthawi imeneyo siipitirira milungu isanu ndi itatu. Matendawa nthawi zambiri amayamba muunyamata.
Kodi zizindikiro za cyclothymia ndi ziti?
Mu mkhalidwe uwu, pali zizindikiro zomveka bwino za kusintha kwa maganizo (hypomania) ndi kuvutika maganizo. Tiyeni tiwone zizindikiro izi padera. Izi mwina ndizodziwika bwino kwa inu.
| Zizindikiro za Hypomania | Zizindikiro Zochepa za Kukhumudwa |
|---|---|
| Kumva mphamvu komanso mphamvu kwambiri. Kugona pang'ono. Kumva ngati watopa ngakhale utagona maola ochepa. | Kumva kutopa komanso kusowa mphamvu nthawi zonse. Kutaya chidwi ndi zinthu zomwe munkakonda kale. |
| Kulankhula mwachangu kwambiri. Kumva ngati maganizo akutuluka m'maganizo mwanu. Kudumpha kuchokera ku nkhani ina kupita ku ina mwachangu. | Kumva chisoni, kusowa chiyembekezo, komanso kukhala wopanda pake. Kumva kudzimva wolakwa kapena wopanda pake. |
| Kusokonezeka mosavuta. Kudumphadumpha, osatha kumaliza ntchito imodzi bwino. | Kuvuta kuganizira bwino ndi kupanga zisankho. Kukumbukira nakonso kumakhala kofooka pang'ono. |
| Kuganizira kwambiri zolinga (ntchito, sukulu, zochita zachitukuko) Kuyambitsa ntchito zambiri nthawi imodzi. | Kusintha kwa kagonedwe. Kusagona tulo (kusowa tulo) kapena kugona kwambiri (hypersomnia). |
| Kukhala ndi kudzidalira kwakukulu. Kumva kuti mungathe kuchita chilichonse. | Kusintha kwa kadyedwe. Kusowa chilakolako cha chakudya kapena kudya mopitirira muyeso. |
| Kutenga zoopsa popanda kuganizira zotsatira zake zoipa. Mwachitsanzo, kugwiritsa ntchito ndalama mopupuluma, kupanga zisankho za bizinesi mopupuluma. | Kuyesa kupewa anthu. Kukonda kukhala wekha, kutali ndi abwenzi ndi abale. |
Chofunika kwambiri ndichakuti mu cyclothymia, zizindikirozi sizili zoopsa monga momwe zilili mu major depression kapena pachimake cha bipolar disorder (mania). Koma kusintha pang'ono kumeneku kungapitirire kukhala ndi zotsatirapo zazikulu pa moyo wanu watsiku ndi tsiku, maubwenzi anu, ndi ntchito yanu.
N’chifukwa chiyani izi zikuchitika?
Asayansi sakudziwabe chifukwa chake izi zili choncho, koma akukhulupirira kuti pali zinthu zingapo zomwe zingayambitse vutoli.
- Ubale wa majini: Akuganizanso kuti izi zitha kuchitika m'mabanja. Izi zikutanthauza kuti ngati wina m'banja mwanu ali ndi matenda a bipolar kapena kuvutika maganizo, muli ndi chiopsezo chochepa chotenga matendawa.
- Zinthu Zachilengedwe: Zochitika zoopsa pamoyo kapena kupsinjika maganizo kwa nthawi yayitali zingayambitse vutoli mwa anthu ena. Mwachitsanzo, matenda aakulu, kusweka kwa ubale, kapena mavuto kuntchito.
Kodi mungadziwe bwanji ngati iyi ndi cyclothymia?
Vutoli likhoza kukhala lovuta kulizindikira chifukwa zizindikiro zake zimafanana ndi za matenda ena ambiri amisala. Mwachitsanzo:
- Matenda aakulu a maganizo
- Matenda a Bipolar II
- Matenda ovutika maganizo
- Matenda a umunthu
Choncho, ngati muli ndi zizindikiro izi, ndikofunikira kwambiri kuonana ndi dokotala wodziwa bwino ntchito yake . Adzatsatira njira zingapo kuti adziwe bwino vutoli.
1. Kufunsa za zizindikiro zanu: Dokotala adzakufunsani zomwe mukumva, nthawi yomwe mwakhala nazo, komanso momwe zikukhudzira moyo wanu.
2. Mbiri yonse ya matenda: Ndikofunikanso pano kudziwa ngati wina aliyense m'banja mwanu ali ndi matenda amisala.
3. Kuyezetsa thupi: Kuyezetsa magazi kumachitika kuti aone ngati pali matenda ena (monga hyperthyroidism) omwe angayambitse zizindikirozi.
4. Kuwunika thanzi la maganizo: Dokotala wanu angakutumizireni kwa katswiri wa matenda a maganizo, monga katswiri wa zamaganizo kapena katswiri wa zamaganizo.
Dokotala adzazindikira izi ngati cyclothymia ngati zinthu zotsatirazi zakwaniritsidwa:
* Ngati ndinu wamkulu, muyenera kukhala ndi zizindikiro izi za kuvutika maganizo ndi nkhawa osachepera 50% kwa zaka zosachepera ziwiri. Kwa ana ndi achinyamata, nthawi imeneyi ndi chaka chimodzi.
* Munthawi imeneyi, simungakhale opanda zizindikiro kwa miyezi yoposa iwiri yotsatizana.
* Zizindikiro zimenezi siziyenera kuchitika chifukwa chogwiritsa ntchito mankhwala ena kapena matenda enaake.
* Komanso, zizindikiro zimenezi ziyenera kuti zimayambitsa mavuto aakulu kapena kusokoneza moyo wanu watsiku ndi tsiku.
Kodi mankhwala ochizira izi ndi otani?
Anthu ambiri safuna thandizo lachipatala chifukwa zizindikiro zawo ndi zochepa. Komabe, kupeza chithandizo kungakuthandizeni kukhala ndi moyo wosavuta. Pali mitundu iwiri ikuluikulu ya chithandizo.
1. Chithandizo cha maganizo
Uwu ndiye njira yayikulu yochizira. Mwachidule, umaphatikizapo kukambirana za mavuto ndi momwe mukumvera ndi mlangizi wa zaumoyo wamaganizo . Kudzera mu izi, mutha:
- Mudzatha kuzindikira ndikuwongolera zizindikiro zanu.
- Mungaphunzire momwe mungathanirane ndi kupsinjika maganizo.
- Mukhoza kusintha machitidwe oipa m'njira yomwe mumaganizira komanso momwe mumachitira zinthu.
- Mukhoza kukonza ubale wanu ndi ena.
Chithandizo cha Maganizo (CBT), makamaka, chapezeka kuti chimagwira ntchito bwino kwambiri pa cyclothymia.
2. Mankhwala
Palibe mankhwala enieni ovomerezeka a cyclothymia. Komabe, nthawi zina, dokotala wanu angapereke mankhwala oletsa kusinthasintha kwa maganizo kuti akuthandizeni kuwongolera kusinthasintha kwanu kwa maganizo. Zitsanzo zake ndi valproate, lamotrigine, ndi lithium.
Chofunika kwambiri: Dokotala wanu yekha ndi amene angasankhe ngati akupatseni mankhwala awa, chomwe angakupatseni, komanso nthawi yomwe mungapereke. Musagwiritse ntchito mankhwala awa nokha kapena monga momwe wina akukuuzirani.
Kodi tsogolo lidzakhala bwanji ndi vutoli?
Kukhala ndi vutoli kungakhale kovuta. Kusintha kwa maganizo nthawi zonse kungapangitse kuti zikhale zovuta kukhala ndi ubale wabwino ndi banja, abwenzi, ogwira nawo ntchito, komanso okwatirana.
Komabe, poyerekeza ndi anthu omwe ali ndi vuto la bipolar, anthu omwe ali ndi cyclothymia:
- Chiwerengero cha anthu ogonekedwa m'chipatala chachepa.
- Masiku omwe sindingathe kupita kuntchito akuchepa.
- Mukhoza kupitiriza ntchito yanu mosalekeza.
Chinthu chabwino kwambiri chomwe mungachite ndi kuzindikira zizindikiro msanga ndikupeza chithandizo. Ngati mutero, mutha kuchepetsa kwambiri zotsatira zake pa moyo wanu ndikukhala ndi moyo wopambana komanso wachimwemwe.
Ngati muli ndi zizindikiro izi, musavutike nokha. Si vuto lanu. Pitani kwa dokotala ndipo mulankhule naye. Kumbukirani kuti madokotala ndi okondedwa anu alipo kuti akuthandizeni.
Uthenga Wopita Nawo Kunyumba
- Cyclothymia ndi mtundu wochepa wa matenda a bipolar, omwe amadziwika ndi kusintha kwa maganizo pafupipafupi.
- Izi zimaphatikizapo nthawi zosiyanasiyana zodzimva kukhala ndi mphamvu komanso kukhala ndi mphamvu (Hypomania) komanso kukhala ndi chisoni pang'ono komanso kutaya chidwi (Depression).
- Ngati muli ndi zizindikiro izi, musazinyalanyaze ngati zachibadwa. Musachite mantha. Kambiranani ndi dokotala ndipo mupeze upangiri.
- Ndi chithandizo choyenera (kulankhulana ndi dokotala ndi mankhwala ngati kuli kofunikira), mutha kuwongolera vutoli bwino ndikukhala moyo wabwinobwino komanso wathanzi.
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