Ngati muli ndi matenda a bipolar disorder , mwina mumakumana ndi nthawi ya chisangalalo chachikulu (mania) ndi nthawi yachisoni chachikulu (depression). Koma kodi munayamba mwamvapo zonse ziwiri nthawi imodzi, tsiku lomwelo? Zili ngati kumva mphamvu kwambiri pamene mukumva chisoni kwambiri komanso opanda kanthu. Ndicho chimene timachitcha dysphoric mania mu zamankhwala. Anthu ena amachitchanso "mkhalidwe wosakanikirana." Ngakhale kale unkaonedwa ngati vuto losowa, tsopano tikudziwa kuti izi zimachitika kawirikawiri mwa anthu pafupifupi 40% omwe ali ndi matenda a bipolar disorder.
Kodi zizindikiro zimenezi ndi ziti?
Dysphoric mania ndi kuphatikiza kwa zizindikiro za kusokonezeka maganizo ndi zizindikiro za kuvutika maganizo, kapena zimasinthasintha mofulumira kwambiri. Zizindikirozi zimatha kupezeka tsiku lonse, pafupifupi tsiku lililonse, kwa sabata imodzi kapena ziwiri kapena kuposerapo.
Ingomvetsani, onani kusiyana pakati pa makhalidwe awiriwa.
| Zizindikiro za Mania | Zizindikiro za Kuvutika Maganizo |
|---|---|
| Kumva chisangalalo chachikulu kapena chisangalalo. | Kumva chisoni, nkhawa, kapena kudziona kuti ndi wopanda pake. |
| Mkwiyo wachangu, kukwiya. | Kufooka kwa thupi, kumva ngati sukufuna kuchita chilichonse. |
| Kumva mphamvu kwambiri komanso kuchita zinthu mwachangu. | Kusakhazikika, kulephera kukhala pamalo amodzi. |
| Maganizo othamanga. | Kuvuta kuganizira, kupanga zisankho. |
| Kulankhula mwachangu kwambiri, kulumpha kuchokera ku mutu kupita ku mutu. | Kulankhula pang'onopang'ono, kuiwala. |
| Kulakalaka kwambiri zinthu monga chakudya, zakumwa, ndi kugonana. | Kutaya chidwi ndi zinthu zomwe munkakonda kale. |
| Kuganiza kuti munthu ndi wofunika kwambiri, waluso, komanso wamphamvu. | Kudzimva wopanda pake komanso wopanda chiyembekezo pa moyo. |
| Kusowa tulo kochepa kwambiri. | Mavuto ogona, monga kusowa tulo kapena kugona mopitirira muyeso. |
Kodi izi zimamveka bwanji?
Tangoganizani kuti mukumva mphamvu zambiri m'thupi lanu, koma nthawi yomweyo, chisoni chosatha komanso nkhawa zimachokera mkati mwanu. Maganizo ambirimbiri akukudutsani m'mutu mwanu, ndipo simungathe kugona . Koma nthawi yomweyo, mumadzimvera chisoni, ndipo moyo ukuwoneka wopanda tanthauzo. Ichi ndi chochitika chovutitsa kwambiri, chovuta kumvetsetsa, komanso chosokoneza.
Banja lanu ndi anzanu angaone mosavuta kusintha kumeneku mwa inu. Angakhalenso ndi vuto loti akumvetseni.
Chifukwa chakuti mumamva zinthu zambiri nthawi imodzi, mungamve kutopa kwambiri mumtima.
Kodi ndi zinthu ziti zomwe tiyenera kuziganizira?
Iyi ndi gawo lofunika kwambiri m'nkhaniyi.
Chiwopsezo chachikulu cha dysphoric mania ndi chiopsezo chowonjezeka cha malingaliro ofuna kudzipha . Izi zili choncho chifukwa muli ndi chiyembekezo cha kuvutika maganizo pamodzi ndi mphamvu zambiri za mania. Izi zingapangitse kuti muchite zinthu mopupuluma.
Kotero ngati muli ndi maganizo omwe amakupangitsani kumva ngati mukutopa ndi moyo, chonde musavutike nokha. Pitani kwa dokotala nthawi yomweyo. Kapena lankhulani ndi munthu amene mumamudalira za izi. Matendawa akhozanso kukhudzana ndi mavuto ena monga nkhawa ndi kugwiritsa ntchito mankhwala osokoneza bongo.
Kodi mankhwala ochizira izi ndi otani?
Pali mankhwala othandiza pa vutoli. Choncho musadandaule. Dokotala wanu adzakupatsani mankhwala othandiza kuthetsa vutoli. Nthawi zambiri, izi zimaphatikizapo kuphatikiza mankhwala amodzi kapena angapo, monga mankhwala oletsa kusokonezeka maganizo ndi mankhwala oletsa matenda amisala .
Ndikofunikanso kwambiri kugwiritsa ntchito mankhwala olankhula pamodzi ndi mankhwala.
Mankhwala ena
Ngati n’kovuta kulamulira ndi mankhwala okha, dokotala angakutumizireni njira zina zochiritsira.
- Chithandizo cha Electroconvulsive Therapy (ECT): Izi zimaphatikizapo kukuikani pansi pa mankhwala oletsa ululu ndikutumiza ma pulse ang'onoang'ono kwambiri ku ubongo wanu. Ichi ndi chithandizo chotetezeka kwambiri komanso chogwira ntchito mwachangu .
- Kubwerezabwereza kwa Kulimbikitsa Magnetic Transcranial Magnetic (rTMS): Chithandizo chomwe chimagwiritsa ntchito mafunde a maginito kuti chilimbikitse maselo amitsempha muubongo.
- Kulimbikitsa Mitsempha ya Vagus (VNS): Njira yomwe chipangizo chofanana ndi pacemaker chimayikidwa m'thupi ndikutumiza zizindikiro zamagetsi ku ubongo.
- Kulimbikitsa Ubongo Kwambiri (DBS): Njira yopangira opaleshoni yoika ma electrode m'malo enaake muubongo kuti azitha kuwongolera ntchito yolakwika ya ubongo.
Zinthu zomwe mungachite nokha
Mukakhala mukulandira chithandizo , pali zinthu zingapo zomwe mungachite kuti muchepetse vutoli.
- Lankhulani ndi munthu wina: Musamalimbana ndi zinthuzi nokha. Lankhulani ndi mnzanu kapena wachibale amene mumamukhulupirira. Ndi lingaliro labwino kulowa nawo gulu lothandizira anthu omwe ali ndi matenda a bipolar ngati inu. Kulankhula ndi katswiri wa zamaganizo kungakhale njira yabwino yokuthandizani kuthana ndi vuto lanu.
- Dziwani izi: Dziwani vutoli. Werengani nkhani zodalirika komanso ma blog pa intaneti. Mukamvetsetsa zambiri za vutoli, zimakhala zosavuta kukhala nalo.
- Yambani "buku la malingaliro": Izi ndizofunikira kwambiri. Pezani buku ndikulemba zomwe mukumva tsiku ndi tsiku, momwe mukumvera, ndi zizindikiro zanu. Pakapita nthawi, mudzamvetsa zomwe zimayambitsa malingaliro anu ndi zizindikiro zomwe muli nazo musanayambe. Kudzidziwitsa nokha mwanjira imeneyi ndi njira yabwino yowongolera zizindikiro zanu .
Uthenga Wopita Nawo Kunyumba
- Dysphoric mania ndi vuto lomwe zizindikiro za kusokonezeka maganizo ndi kuvutika maganizo zimachitika limodzi mu matenda a bipolar. Izi zimachitika kawirikawiri.
- Mu mkhalidwe uwu, pamene mukumva mphamvu zambiri, mungamvenso chisoni chachikulu, nkhawa, komanso kutaya mtima.
- Chiwopsezo cha maganizo ofuna kudzipha n'chokwera. Ngati mukumva choncho, pitani kwa dokotala nthawi yomweyo kapena lankhulani ndi munthu amene mumamudalira.
- Vutoli lingathe kuthetsedwa bwino ndi mankhwala, mankhwala olankhula, ndi njira zina zamakono zochiritsira.
- Kulemba momwe mukumvera mu 'buku la momwe mukumvera' kungathandize kwambiri polimbana ndi matendawa.
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