Kodi nthawi zina mumamva ngati maganizo anu akusintha mofulumira? Nthawi ina mukugwira ntchito mwakhama, ndipo nthawi ina simukufuna kuchita chilichonse. Mwinanso mukufuna kudziwa za vutoli lotchedwa 'cyclothymia.' Ngakhale kuti nkhaniyi ndi yovuta pang'ono, tiyeni tiyese kuimvetsa mosavuta.
Kodi Cyclothymia ndi chiyani?
Mwachidule, matenda a cyclothymic ndi mtundu wochepa wa matenda a bipolar. Komabe, angayambitsenso kusintha kwa maganizo pafupipafupi, monga nthawi ya chisangalalo chachikulu kapena kuchita zinthu mopitirira muyeso (monga momwe madokotala amachitcha hypomania) komanso nthawi ya kuvutika maganizo pang'ono.
Mwina mwamvapo za matenda a bipolar. Ndi matenda amisala omwe amakhudza moyo wonse. Amayambitsa kusintha kwakukulu mu malingaliro a munthu, mphamvu zake, kuganiza kwake, ndi khalidwe lake. Kusintha kumeneku kumatha kwa masiku, milungu, kapena miyezi ingapo. Kungakhale kosokoneza kwambiri zochita za tsiku ndi tsiku.
Munthu amene ali ndi vuto la cyclothymia amakhala ndi nthawi yosinthasintha ya hypomania ndi kuvutika maganizo pang'ono kwa zaka zosachepera ziwiri . Kusinthaku kwa maganizo kumatha kuchitika mwachangu kwambiri, nthawi iliyonse. Mwachitsanzo, mutha kukhala ndi kusintha kwa maganizo kuyambira m'mawa mpaka madzulo tsiku lomwelo. Nthawi zina mungakhale ndi nthawi yochepa ya maganizo abwinobwino (timatcha izi euthymia, zomwe sizitanthauza chisoni kwambiri kapena chisangalalo chachikulu, koma zachibadwa). Koma nthawi zambiri nthawi imeneyo imakhala milungu yosakwana eyiti.
Ndani amadwala matenda a cyclothymic?
Kawirikawiri, vutoli limayamba munthu akamakula kapena akamakula . Izi zikutanthauza kuti, limapezeka kwambiri pakati pa zaka 15-25.
Kodi izi ndizofala bwanji?
M'mayiko ena padziko lonse lapansi, mwachitsanzo ku United States, ziwerengero zikusonyeza kuti pakati pa 0.4% ndi 1% ya anthu ali ndi cyclothymia.
Komabe, chifukwa zizindikiro za cyclothymia zimafanana ndi za matenda ena ambiri amisala, ofufuza ambiri amakhulupirira kuti vutoli silikudziwika bwino. N'zothekanso kuti silikudziwika bwino. Pakhoza kukhala anthu omwe ali ndi vutoli ku Sri Lanka, koma n'zovuta kupeza ziwerengero zomveka bwino za vutoli.
Kodi zizindikiro za cyclothymia ndi ziti?
Chizindikiro chachikulu cha cyclothymia ndi kusintha kwa maganizo, zomwe zikutanthauza kuti maganizo amasinthasintha pakati pa zinthu ziwiri zotchedwa `hypomania` (chimwemwe chachikulu/chisangalalo) ndi `kuvutika maganizo pang'ono`.
Mu matenda a bipolar I ndi II, kusintha kwa maganizo kumatha kwa milungu, miyezi, kapena zaka. Mu cyclothymia, kusintha kumeneku kumatha kuchitika mwachangu kwambiri, nthawi zina mkati mwa tsiku limodzi.Tangoganizirani, munthu amene ankagwira ntchito ndi mphamvu zambiri komanso chimwemwe m'mawa, koma madzulo, amamva chisoni ndipo sakufuna kuchita chilichonse.
Kodi zizindikiro za 'Hypomania' ndi ziti mu cyclothymia?
Hypomania ndi nthawi ya maganizo, malingaliro, mphamvu, ndi zochita zambiri zosazolowereka. Mphamvu, malingaliro, ndi khalidwe lokwerali ziyenera kukhala zosiyana ndi momwe mumakhalira nthawi zonse ndipo ziyenera kuonekera kwa ena. Hypomania ndi nthawi yochepa kwambiri kuposa mania (kukwera kwambiri komwe kumawoneka mu matenda a bipolar).
Zizindikiro za `Hypomania` ndi izi:
- Kuwonjezeka kwa mphamvu ndi kuchepa kwa kusowa tulo: Ngakhale mutagona maola angapo usiku, mumamva ngati mungathe kugwira ntchito tsiku lonse. Mumamva ngati simukugona, mutha kugwirabe ntchito yambiri.
- Kulankhula mwachangu komanso kuganiza mofulumira: Kulankhula mosalekeza, kuganizira zinthu zina pamene mukulankhula, ndikumva ngati maganizo anu akuthamanga. Womvera angaganize kuti, "Wow, akulankhula mofulumira kwambiri."
- Kusokonezeka mosavuta: Mukachita chinthu chimodzi, maganizo anu amayendayenda kupita ku china, ndipo zimakhala zovuta kukhalabe okhazikika.
- Kuyang'ana kwambiri zolinga: Kukhala ndi chidwi chochuluka ndi zinthu monga ntchito, ntchito za kusukulu, zochitika zachikhalidwe, ndi zina zotero, ndikuchita nawo nthawi zonse. Nthawi zina kuyambitsa mapulojekiti akuluakulu nthawi imodzi.
- Kuchita zinthu zoopsa kapena zosasamala: kugwiritsa ntchito ndalama zambiri (monga kugwiritsa ntchito ndalama zambiri pa makhadi a ngongole), kugonana popanda kuganiza, kapena kupanga zisankho za bizinesi mopupuluma.
- Kudzidalira kwambiri kuposa momwe zimakhalira: Kudziona kuti ndiwe waluso kwambiri ndipo palibe chomwe sungathe kuchita. Mungaganize zinthu monga, "Ndili bwino kwambiri pa zomwe ndimachita."
Kodi zizindikiro za kuvutika maganizo zimakhala bwanji mu cyclothymia?
Kuvutika maganizo kumadziwika ndi kusowa chiyembekezo komanso kutaya chidwi ndi zinthu zomwe munkasangalala nazo kale. Zizindikiro za kuvutika maganizo za cyclothymia ndizochepa poyerekeza ndi za kuvutika maganizo kwakukulu (kwachipatala), koma zimathabe kukhudza moyo wanu.
Zizindikiro za kuvutika maganizo ndi izi:
- Kudzimva kuti ndiwekha, wopanda pake, komanso wodzimva kuti ndiwe wolakwa: Umamva ngati ukufuna kudzipatula kwa anthu, kudzimva wopanda pake, komanso nthawi zonse umamva ngati walakwitsa. Maganizo achisoni monga "Palibe amene amandiona ngati wofunika."
- Kusintha kwa kadyedwe: kudya kwambiri (kudya bwino), kapena kutaya chilakolako cha chakudya, kulemera kungawonjezeke kapena kusawonjezeke.
- Kusagona tulo kapena hypersomnia: Kusagona usiku, kapena kumva tulo masana, komanso kuvutika kutuluka pabedi.
- Kutopa kapena kutaya mphamvu kwambiri: Kumva ngati ulibe mphamvu, ulibe chidwi chochita chilichonse. "Ndatopa, sindikufuna kuchita chilichonse" nthawi zambiri kumanenedwa.
- Kuchepa kwa luso loganizira zinthu: N'zovuta kuyang'ana pa chinthu chimodzi, zimamveka ngati simungathe kuchita chilichonse ndi ubongo wanu. Ngakhale mutayesa kuwerenga buku, maganizo anu sapita.
Kodi ndi zifukwa ziti zomwe zimayambitsa cyclothymia?
Ndipotu, ofufuza sakudziwabe chomwe chimayambitsa cyclothymia. Komabe, akuganiza kuti ikhoza kukhala ndi ubale wa majini . Cyclothymia, kuvutika maganizo, ndi matenda a bipolar zonse zimachitika m'mabanja. Izi zikutanthauza kuti zimatha kufalikira m'mibadwo yambiri. Ngati wina m'banja mwanu ali ndi vutoli, inunso mungakhale pachiwopsezo chotenga matendawa.
Kwa anthu ena, cyclothymia ikhoza kuyambitsidwa kapena kukulitsidwa ndi zochitika zoopsa kapena zokumana nazo, monga matenda aakulu kapena nthawi yayitali ya nkhawa yaikulu (monga kupsinjika kwa mayeso, mavuto a kuntchito, mikangano ya m'banja). Amakhulupiriranso kuti kusalinganika kwa mankhwala ena muubongo ('neurotransmitters') kungakhalepo.
Kodi matenda a cyclothymic amapezedwa bwanji?
Zingakhale zovuta kuti madokotala adziwe matenda chifukwa zizindikiro zake zimafanana ndi za matenda ena ambiri amisala. Mwachitsanzo:
- Matenda aakulu a maganizo
- Matenda a Bipolar II
- Matenda ovutika maganizo
- Matenda a neurodevelopment
- Matenda a umunthu
Dokotala angagwiritse ntchito zotsatirazi kuti adziwe matenda a cyclothymia:
- Kuyezetsa thupi: Yesani thanzi lanu.
- Mbiri yonse ya matenda: Izi zikuphatikizapo kufunsa mwatsatanetsatane za zizindikiro zanu, nthawi yomwe zakhalapo, zomwe mwakumana nazo pa moyo wanu wonse, komanso ngati pali aliyense m'banja mwanu amene wakhala ndi matenda ofanana ndi anu.
- Mayeso azachipatala: Chitani zinthu monga mayeso a magazi kuti mupewe matenda ena omwe angayambitse zizindikiro zanu (monga hyperthyroidism kapena kugwiritsa ntchito mankhwala osokoneza bongo).
- Kuwunika thanzi la maganizo: Dokotala wanu angachite izi, kapena angakutumizireni kwa katswiri wa matenda a maganizo, monga katswiri wa zamaganizo kapena katswiri wa zamaganizo.
Madokotala amazindikira cyclothymia ngati zinthu zotsatirazi zakwaniritsidwa:
- Zizindikiro zanu (monga kusinthana pakati pa hypomanic ndi depression states) ziyenera kuti zakhalapo kwa zaka zosachepera ziwiri, nthawi zoposa 50% . Kwa ana ndi achinyamata, zizindikirozi ziyenera kuti zakhalapo kwa chaka chimodzi.
- Simungakhale opanda zizindikiro kwa miyezi yoposa iwiri.
- Zizindikiro zanu sizingayambitsidwe ndi kugwiritsa ntchito mankhwala osokoneza bongo kapena vuto lina la thupi.
Kuphatikiza apo, zizindikiro izi zimayambitsa mavuto aakulu pa moyo wanu watsiku ndi tsiku (ntchito, maphunziro, maubwenzi).Kapena payenera kukhala vuto linalake. Komabe, zizindikiro zake sizingakhale zazikulu mokwanira kuti zidziwike ngati matenda aakulu a maganizo kapena matenda a bipolar.
Kodi cyclothymia imachiritsidwa bwanji?
Mwatsoka, anthu ambiri omwe ali ndi cyclothymia safuna thandizo lachipatala chifukwa zizindikiro zawo sizowopsa kwambiri, kapena saganiza kuti ali ndi vutoli.
Kumbukirani, anthu ena azolowera kukhala ndi maganizo oterewa moti amaganiza kuti, ‘Ndakhala ndili chonchi nthawi zonse.’ Komabe, kupeza thandizo kungathandize moyo wanu kukhala wosavuta. Musadandaule, pali njira zochizira izi.
Mankhwala ndi mankhwala nthawi zambiri amagwiritsidwa ntchito pochiza cyclothymia.
Chithandizo cha maganizo ndi mawu ofala a mitundu yosiyanasiyana ya mankhwala omwe amaphatikizapo kulankhula ndi mlangizi wa zaumoyo wamaganizo wovomerezeka kuti amuthandize kuzindikira ndikusintha malingaliro, malingaliro, ndi machitidwe osalimbikitsa a munthu.
Pali mitundu yosiyanasiyana ya mankhwala amisala. Kafukufuku wasonyeza kuti mtundu wa mankhwala otchedwa cognitive behavioral therapy (CBT) ndi othandiza kwambiri pochiza cyclothymia. CBT imakuthandizani kuzindikira momwe mumaganizira komanso kumvetsetsa momwe zimakhudzira malingaliro ndi khalidwe lanu.
Chithandizo cha maganizo chingakuthandizeni kuchepetsa nkhawa mwa kukuthandizani:
- Dziwani, yang'anirani, ndikusamalira zizindikiro za cyclothymia (monga kulemba tsiku ndi tsiku momwe mukumvera).
- Njira zothanirana ndi mavuto.
- Sinthani momwe mumaganizira, momwe mumachitira zinthu, komanso momwe mumathetsera mavuto.
- Limbikitsani kulankhulana ndi kuyanjana ndi ena.
Bungwe la US Food and Drug Administration (FDA) silinavomereze mankhwala aliwonse ochizira matenda a cyclothymia. Komabe, nthawi zina madokotala amatha kupereka mankhwala oletsa kusinthasintha kwa malingaliro kuti athandize kuchepetsa kusinthasintha kwa malingaliro anu. Mankhwalawa angaphatikizepo valproate, lamotrigine, ndi/kapena lithiamu. Ndikofunikira kutsatira malangizo a dokotala wanu mosamala mukamagwiritsa ntchito mankhwalawa.
Kodi cyclothymia ingapewedwe?
Mwatsoka, pakadali pano palibe njira yopewera cyclothymia, chifukwa asayansi sakudziwa chomwe chimayambitsa matendawa.
Komabe, kufunafuna thandizo zizindikiro zikangoyamba kuonekera kungathandize kuchepetsa kusokonezeka kwa moyo wanu komanso ubale wanu. Zimenezi n'zofunika kwambiri. Ngati mutazipeza msanga, mutha kuyamba kulandira chithandizo ndikupangitsa moyo wanu kukhala wosavuta.
Kodi zizindikiro za cyclothymia ndi ziti?
Chiyembekezo cha cyclothymia chingasiyane malinga ndi munthu.
Chifukwa cha mkwiyo wobwerezabwereza, momwe amamvera, komanso kusakhazikika maganizo, anthu omwe ali ndi vuto la cyclothymia angavutike kumanga ndi kusunga ubale wabwino ndi mabanja awo, anzawo, ogwira nawo ntchito, ndi okondedwa awo.
Komabe, poyerekeza ndi anthu omwe ali ndi vuto la bipolar, anthu omwe ali ndi cyclothymia:
- Kugonekedwa m'chipatala kungachepe.
- Chiwerengero cha masiku opuma pantchito chingachepe.
- Mungathe kuchita ntchito zanu za tsiku ndi tsiku mosalekeza.
Kwa iwo omwe akufuna thandizo la cyclothymia, kuzindikira msanga ndi kulandira chithandizo kungathandize kuti pakhale kusintha kwakukulu kwa nthawi yayitali. Ngati sanalandire chithandizo, anthu ena ali pachiwopsezo chotenga matendawa kukhala matenda a bipolar I kapena II.
Kodi muyenera kupita kwa dokotala liti pankhani ya cyclothymia?
Ngati mukumva ngati mukusinthana pakati pa hypomania (kusangalala kwambiri) ndi kupsinjika maganizo pang'ono (kupsinjika maganizo pang'ono), ndikofunikira kuonana ndi dokotala. Musangoganiza kuti, "Ndi ine ndekha," koma funsani upangiri wa akatswiri.
Ngati dokotala wakupezani ndi cyclothymia, onetsetsani kuti mwawonana ndi dokotala wanu ndi/kapena katswiri wa matenda nthawi zonse kuti akuthandizeni.
Matenda a Cyclothymia nthawi zambiri amakhalapo kwa moyo wonse. Komabe, chithandizo chopitilira, monga kulankhula ndi mankhwala, chingakuthandizeni kuthana ndi zizindikiro zanu ndikukhala ndi moyo wathanzi komanso wopindulitsa. Ndikofunikira kufunafuna upangiri wachipatala ngati muli ndi zizindikiro za cyclothymia. Kumbukirani kuti madokotala ndi okondedwa anu alipo kuti akuthandizeni.
Kodi uthenga umene tikufuna kutenga kuchokera m'nkhaniyi ndi wotani?
Mwachidule, cyclothymia ndi mtundu wochepa wa matenda a bipolar omwe amachititsa kusintha kwa nthawi zambiri m'maganizo mwanu. Ngati mukumva ngati mukupita pamwamba kenako pansi, musanyalanyaze.
- Dziwani zizindikiro: Kusinthana pakati pa kuchuluka kwa chisangalalo (hypomania) ndi kupsinjika maganizo pang'ono (kupsinjika maganizo pang'ono) ndiye chizindikiro chachikulu. Khalani ndi nkhawa ngati izi zikukhudza moyo wanu watsiku ndi tsiku.
- Pemphani thandizo: Si vuto lanu. Kulankhula ndi dokotala kapena mlangizi wa zaumoyo wamaganizo kungakhale mpumulo waukulu. Palibe chochita manyazi kapena mantha nacho.
- Pali mankhwala: Matendawa amatha kuthandizidwa bwino ndi mankhwala olankhula (`psychotherapy`), makamaka `CBT`, ndi mankhwala ngati pakufunika kutero.
- Simuli nokha: pali anthu ambiri omwe akukumana ndi mavuto amenewa. Ndi chithandizo choyenera komanso chithandizo, inunso mutha kukhala ndi moyo wabwino.
Kumbukirani kuti thanzi lanu la maganizo ndi lofunika kwambiri monga momwe thanzi lanu lakuthupi lilili, choncho samalirani bwino.
Kusokonezeka maganizo , Kusokonezeka maganizo, Matenda a Bipolar, Hypomania, Kukhumudwa, Thanzi la maganizo

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment