Kodi chimwemwe ndi chisoni zimagwirizana mu matenda a bipolar? Tiyeni tikambirane za 'Mixed Features' (Bipolar Episodes with Mixed Features)

Kodi munayamba mwamvapo chisangalalo chachikulu, mphamvu zambiri, komanso nthawi yomweyo, chisoni chachikulu komanso kusakhala ndi chochita? Kapena kodi pali munthu amene mumamudziwa amene wakhala akusangalala nthawi ina kenako mwadzidzidzi n’kuyamba kulira popanda chifukwa china? Izi zingakhale zovuta kuzimvetsa komanso zosokoneza. Lero tikulankhula za 'zinthu zosiyanasiyana' zomwe zingachitike ndi matenda a bipolar . Izi ndizofala kwambiri kuposa momwe mungaganizire.

Kodi 'Mixed Features' ya matenda a bipolar ndi chiyani?

Mwachidule, matenda a bipolar ndi vuto lomwe maganizo a munthu amasinthasintha pakati pa zinthu ziwiri zoopsa. Chimodzi choopsa ndi kusangalala kwambiri, komwe ndi nthawi ya chisangalalo chachikulu, mphamvu zambiri, ndi zochita zambiri. Chinanso choopsa ndi kuvutika maganizo, komwe ndi nthawi ya chisoni chachikulu, mphamvu zochepa, ndi kukhumudwa ndi moyo. Zinthu ziwirizi nthawi zambiri zimasinthasintha.

Koma mu vuto lotchedwa 'Mixed Features', zizindikiro za zonsezi zimachitika nthawi imodzi, tsiku lomwelo, kapena mkati mwa nthawi yomweyo. Taganizirani ngati kuponda accelerator ndi brake ya galimoto nthawi imodzi. Maganizo anu akamayesa kupita mbali imodzi, amakukokerani pansi mbali inayo. Izi ndi zosokoneza kwambiri komanso zopweteka.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Zizindikiro zosiyanasiyana zimapezeka kawirikawiri pakati pa anthu omwe ali ndi matenda a bipolar . Malinga ndi kafukufuku wina, pafupifupi theka la odwala matenda a bipolar amakhala ndi zizindikiro zina za mania panthawi yawo ya kuvutika maganizo.

• Zaka: Nthawi zambiri, zizindikiro za matenda a bipolar disorder zimayamba kuonekera mwa achinyamata , azaka zapakati pa 15 ndi 25. Anthu omwe amayamba matendawa ali ndi zaka zimenezi amakhala ndi zizindikiro zosiyanasiyana. N'zosowa kwambiri kuti munthu adwale matenda a bipolar disorder koyamba akakwanitsa zaka 50.
• Mbiri ya banja: Ngati wina m'banja mwanu (makolo, abale ndi alongo) ali ndi matenda a bipolar , muli pachiwopsezo chachikulu chotenga matendawa.
• Anthu omwe ali ndi vuto la kuvutika maganizo kokha: Nthawi zina, munthu amene sanapezeke ndi matenda a bipolar koma ali ndi vuto lalikulu la kuvutika maganizo angasonyezenso zizindikiro zina za kusokonezeka maganizo komanso kuvutika maganizo. Izi zimatchedwa 'depression episode with mixed features'.

Kodi makhalidwe a 'Mixed Episode' ndi otani?

Izi ndi kuphatikiza kwa zizindikiro za kusokonezeka maganizo ndi kuvutika maganizo. Pali kusiyana kwakukulu pakati pa momwe munthu amamvera mumtima mwake ndi momwe thupi limagwirira ntchito.

Mwina mukuganiza kuti, "Zinthu ziwirizi zingachitike bwanji pamodzi?" Izi n'zotheka. Tangoganizirani wina akulira mokweza nati, "Sindinakhalepo ndi chisangalalo chonchi m'moyo wanga." Kapena mwina mwadzidzidzi angasangalale kwambiri ndipo mphindi yotsatira adzakhala atagona pansi akulira ndi ululu. Mavuto amenewa amatha kwa masiku, milungu, kapena miyezi popanda chithandizo.

Kodi zoopsa za kukhala ndi 'Mixed Features' ndi ziti?

Chiwopsezo chachikulu komanso chomvetsa chisoni kwambiri chomwe tiyenera kukambirana pano ndi kudzipha.Anthu omwe ali ndi vuto la bipolar ali ndi mwayi wodzipha nthawi 10-20 kuposa anthu onse.

Izi zili choncho chifukwa chisoni chachikulu, kusowa chiyembekezo, ndi kudzimva wopanda pake chifukwa cha kuvutika maganizo zimaphatikizidwa ndi mphamvu zambiri, kusakhazikika, komanso kusokonezeka maganizo. Kuphatikiza koopsa kumeneku kumapanga mphamvu ndi chilimbikitso chochita zinthu motsatira malingaliro ofuna kudzipha.

Chiwopsezo chachikulu china ndi kuledzera ndi mankhwala osokoneza bongo . Anthu ena angayambe kugwiritsa ntchito mankhwala osokoneza bongo pofuna kuthawa mavuto ndi ululu wosapiririkawu. Izi sizimangowonjezera vutoli, komanso zimapangitsa kuti chithandizo chikhale chovuta.

Ngati muli ndi maganizo amenewa, chonde musavutike nokha . Lankhulani ndi mnzanu kapena pitani kwa dokotala nthawi yomweyo. Ngati kuli kofunikira, musazengereze kupita ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.

Kodi mankhwala ochizira izi ndi otani?

Nkhani yabwino ndi yakuti pali mankhwala ochizira vutoli. Komabe, likhoza kukhala lovuta pang'ono kulithetsa kuposa mkhalidwe wabwinobwino wa kusangalala kapena kuvutika maganizo. Njira zingapo zazikulu zochizira zimagwiritsidwa ntchito.

Zolimbitsa Maganizo

Mankhwalawa amalamulira kukwera ndi kutsika kumeneku m'maganizo.

• Lithium: Mankhwala othandiza kwambiri omwe akhala akugwiritsidwa ntchito kwa zaka zambiri pochiza matenda a bipolar. Komabe, sangakhale othandiza kwambiri pakakhala zinthu zosiyanasiyana.
• Valproic acid (Depakote): Ichi chimathandizanso kuchepetsa nkhawa. Kafukufuku wina wasonyeza kuti chimagwira ntchito bwino kuposa lithiamu pa matenda a 'zosakaniza'.
• Mankhwala ena: Kuwonjezera pa izi, mankhwala monga `(Carbamazepine)` ndi `(Lamotrigine)` amagwiritsidwanso ntchito.

Mankhwala oletsa matenda amisala

Mankhwalawa amaperekedwanso okha kapena pamodzi ndi zinthu zolimbitsa mtima kuti athetse vuto la 'Mixed Features'. Zitsanzo zikuphatikizapo mankhwala monga `(Aripiprazole)`, `(Olanzapine)`, `(Quetiapine)`, `(Risperidone)`.

Chithandizo cha Kutsekeka kwa Magazi (ECT)

Dzinali likhoza kuopseza anthu ena, koma ECT ndi mankhwala othandiza kwambiri komanso otetezeka , makamaka pazochitika zoopsa pomwe mankhwala ena sanagwire ntchito, komanso pomwe chiopsezo chodzipha chili chachikulu kwambiri.

Chenjezo lapadera lokhudza mankhwala oletsa kuvutika maganizo!

Cholakwika chachikulu chomwe anthu ambiri amachita apa ndikugwiritsa ntchito mankhwala oletsa kuvutika maganizo omwe amaperekedwa kwa anthu omwe ali ndi vuto la kuvutika maganizo, poganiza kuti ndi achisoni. Mwachitsanzo, `(Fluoxetine)`, `(Sertraline)`. Komabe, ngati mankhwalawa agwiritsidwa ntchito pamene pali 'Mixed Features', m'malo mochepetsa kuvutika maganizo, amatha kukulitsa zizindikiro za kusokonezeka maganizo. Chifukwa chake, muyenera kupewa kugwiritsa ntchito mankhwala otere popanda upangiri wa katswiri.

Matenda a bipolar nthawi zambiri amakhalapo kwa moyo wonse. Chifukwa chake, ngakhale zizindikiro zitatha, ndikofunikira kupitiliza kulandira chithandizo chosamalira monga momwe dokotala wanu wanenera kuti mupewe kubwereranso.