Kodi malingaliro anu amasinthasintha kwambiri? Tiyeni tikambirane za matenda a maganizo awa.

Tonsefe timakhala ndi masiku osangalala komanso achisoni m'miyoyo yathu, sichoncho? Masiku ena timaseka zinthu zazing'ono kwambiri, ndipo masiku ena timamva kutopa ndi dziko lonse lapansi. Zimenezo ndi zachilendo. Koma simukuganiza kuti nthawi zina malingaliro amenewa amafika poti simungathe kuwalamulira? Izi zikutanthauza kuti, pakakhala chisangalalo chachikulu, chimapitirira malire, ndipo pakakhala chisoni, chimapita kwambiri moti sichingatheke. Ngati izi zikukhudza ntchito yanu ya tsiku ndi tsiku, maubwenzi anu, zonsezi, ndiye kuti tiyenera kuda nkhawa pang'ono ndi izi. Lero tikulankhula za vutoli, kutanthauza 'Matenda a Maganizo'.

Mwachidule, kodi vuto la maganizo ndi chiyani?

Uwu ndi matenda amisala. Chimene chikuchitika apa ndi chakuti mkhalidwe wanu wamaganizo, kapena 'maganizo', ukukhudzidwa. Taganizirani ngati switch yomwe imalamulira malingaliro athu. Nthawi zambiri, timatha kukweza kapena kutsitsa voliyumu. Koma mu vuto la maganizo, switch iyi imataya mphamvu, ndipo voliyumu imakwera kwambiri (yosangalala kwambiri/yogwira ntchito) kapena yotsika kwambiri (yokhumudwa kwambiri/yopanda chidwi).

Matendawa sachitika mwadzidzidzi. Kuti dokotala adziwe ngati matenda, zizindikirozi ziyenera kukhalapo kwa milungu ingapo kapena kuposerapo. Izi zingakulepheretseni kuchita bwino ntchito zanu za tsiku ndi tsiku, monga ntchito, sukulu, ndi ubale ndi banja.

Matenda awiri ofala kwambiri pakati pathu ndi kuvutika maganizo ndi matenda a bipolar .

Kodi mitundu ikuluikulu ya matenda a maganizo ndi iti?

Matenda akuluakulu angapo ali m'gulu ili. Tiyeni tiwone mwachidule vuto lililonse.

• Matenda a maganizo ndi mitundu yake
• Matenda a Bipolar ndi mitundu yake
• Matenda a Premenstrual Dysphoric
• Matenda Osokoneza Maganizo Osokoneza Maganizo

Tsopano tiyeni tikambirane za mtundu uliwonse mwatsatanetsatane.

1. Kuvutika maganizo - katundu wolemera m'maganizo

Kuvutika maganizo, kapena chomwe timachitcha kuti "Clinical Depression", ndi vuto lofala kwambiri la thanzi la maganizo. Si chisoni chokha. Chimadziwika ndi kumva chisoni chachikulu, kusowa chiyembekezo, komanso kutaya chidwi ndi chilichonse. Chimakhudzanso zinthu monga kuganiza, kukumbukira, kudya, ndi kugona. Kuti dokotala atsimikizire kuti ndi kuvutika maganizo, zizindikiro ziyenera kukhalapo kwa milungu iwiri motsatizana.

Palinso mitundu yosiyanasiyana ya kuvutika maganizo:

• Kuvutika Maganizo Pambuyo pa Kubereka:Uwu ndi vuto lomwe lingachitike mwa amayi panthawi yobereka kapena atabereka. Kodi kusintha kwa mahomoni, thupi, maganizo, zachuma, ndi chikhalidwe cha anthu kumachitika bwanji m'moyo wa mayi atakhala ndi mwana? Vutoli lingachitike pamene kupsinjika komwe kumabwera ndi kusinthaku sikungatheke.
• Matenda Ovutika Maganizo Osatha: Uwu ndi matenda ovutika maganizo osatha omwe amakhalapo kwa zaka zosachepera ziwiri. Zizindikiro zake zimatha kufooka, koma zimakhalapobe. Ngakhale kuti si aakulu ngati matenda aakulu ovutika maganizo, vuto apa ndilakuti amakhalapo nthawi yayitali.
• Matenda a Nyengo (SAD): Uwu ndi matenda ovutika maganizo omwe amapezeka nthawi zina pachaka. Ndi ofala m'maiko omwe ali ndi nyengo yozizira, yamvula, komanso yamdima nthawi yozizira. Ngakhale ku Sri Lanka, anthu ena angamve kuti alibe moyo komanso achisoni nthawi yamvula yosalekeza. Kumva kumeneku kumatha dzuwa likawala ndipo nyengo ikakhala bwino.
• Kuvutika Maganizo ndi Matenda a Maganizo: Iyi ndi nthawi yovuta kwambiri ya kuvutika maganizo yokhala ndi zizindikiro zamaganizo . Izi zikutanthauza kuti mungaone zinthu zomwe ena sangaone (zilombo zolota) kapena kukhulupirira zinthu zomwe si zoona (zonyenga). Anthu omwe ali ndi vutoli ali pachiwopsezo chachikulu choganiza zodzipha.

2. Matenda a Bipolar - Kusinthasintha kwa malingaliro

Uwu ndi mkhalidwe wamaganizo wa moyo wonse womwe umayambitsa kusintha kwakukulu kwa malingaliro, mphamvu, malingaliro, ndi khalidwe. Taganizirani ngati dzanja la wotchi likugwedezeka kuchokera mbali imodzi kupita ku inzake. Chomwe chimachitika pankhaniyi ndi chakuti mwadzidzidzi malingaliro amalowa mu mkhalidwe wochita zinthu mopitirira muyeso komanso wachimwemwe (Mania kapena Hypomania), kenako mwadzidzidzi amapita mbali ina, yomwe ndi kuvutika maganizo kwambiri (Depression).

Palinso mitundu ikuluikulu ingapo ya izi:

• Matenda a Bipolar I: Anthuwa akhala ndi vuto la kusokonezeka maganizo kamodzi kokha. Panthawiyi, amakhala otanganidwa kwambiri, osagona tulo, olankhula, ndipo amapanga zisankho mopupuluma. Vuto la kusokonezeka maganizo limeneli nthawi zambiri limatsatiridwa ndi vuto la kukhumudwa kwambiri.
• Matenda a Bipolar II: Uwu ndi mtundu wa mania wosaopsa kwambiri, wotchedwa hypomania. Panthawiyi, anthu amakhala ndi mphamvu zambiri ndipo amatha kugwira ntchito, koma umasinthasintha pang'ono. Komabe, susokoneza moyo watsiku ndi tsiku monga momwe zimakhalira mu Bipolar I. Hypomania iyi imatsatiridwa ndi nthawi yovuta kwambiri ya kuvutika maganizo.
• Matenda a Cyclothymia: Anthuwa amakhala ndi kusakhazikika kwa maganizo kosalekeza kwa zaka zosachepera ziwiri. Izi zikutanthauza kuti nthawi zambiri amasinthasintha pakati pa zizindikiro zochepa za hypomanic ndi zizindikiro zochepa za kukhumudwa.

Matenda ena a maganizo

• Matenda a Premenstrual Dysphoric Disorder (PMDD):Imeneyi ndi vuto lomwe limachitika masiku 7-10 mkazi asanayambe kusamba. Ndi loopsa kwambiri kuposa PMS yachibadwa. Zizindikiro zake ndi monga kukwiya kwambiri, nkhawa, kuvutika maganizo, ndi kusowa tulo, zomwe zimatha patangopita masiku ochepa kuchokera pamene anayamba kusamba.
• Matenda a Kusokonezeka kwa Maganizo (DMDD): Uwu ndi matenda omwe amakhudza ana ndi achinyamata. Umadziwika ndi kukwiya kwambiri, kukwiya pafupipafupi, komanso kukwiya. Mkwiyo nthawi zambiri suyenera kuchitika. Zizindikiro nthawi zambiri zimayamba munthu asanakwanitse zaka 10.

Kodi zizindikiro za matenda amenewa ndi ziti?

Matenda a maganizo angagawidwe m'magulu awiri akuluakulu a zizindikiro: zizindikiro za kukhumudwa ndi zizindikiro za manic/hypomanic. Tiyeni tiwone izi padera.

N’chifukwa chiyani zinthu ngati zimenezi zimachitika?

Palibe chifukwa chimodzi chokha chomwe chimayambitsa izi. Ofufuza amakhulupirira kuti zinthu zosiyanasiyana zitha kukhala zomwe zimayambitsa izi.

• Zinthu zamoyo: Ziwalo za ubongo zotchedwa amygdala ndi orbitofrontal cortex ndizo makamaka zomwe zimalamulira malingaliro athu. Kujambula ubongo kwa anthu omwe ali ndi matenda a maganizo kwasonyeza kusintha m'zigawozi.
• Zinthu zokhudzana ndi majini: Ngati wina m'banja mwanu, monga makolo anu kapena abale anu, wakhala ndi vutoli, muli pachiwopsezo chachikulu chotenga matendawa. Izi zikutanthauza kuti lilinso ndi zotsatira za cholowa .
• Zinthu Zachilengedwe: Zochitika zoopsa pamoyo zimakhudza kwambiri kukula kwa matendawa. Mwachitsanzo, imfa ya wokondedwa, kutayika kwa ntchito, kupsinjika maganizo kwa nthawi yayitali, komanso nkhanza za ana ndi zinthu zazikulu zomwe zimayambitsa mavuto. Anthu omwe ali ndi matenda osatha monga matenda a shuga, matenda a Parkinson, ndi matenda a mtima nawonso ali pachiwopsezo chachikulu chodwala matenda a maganizo.

Kodi vutoli limapezedwa bwanji ndi kuchiritsidwa?

Choyamba ndichakuti ngati muli ndi zizindikiro izi, musaganize kuti muli ndi vuto la maganizo. Muyenera kuonana ndi dokotala wodziwa bwino ntchito kapena katswiri wa zamaganizo.

Kuzindikira matenda

Mukapita kwa dokotala, chinthu choyamba chimene angachite ndi kufufuza ngati zizindikirozi zayamba chifukwa cha matenda ena monga matenda a chithokomiro kapena kusowa kwa mavitamini. Ngati pakufunika kutero, angapemphe kuti ayesedwe magazi.

Kenako, adzakuwuzani za zizindikiro zanu, momwe mumagona komanso momwe mumadyera, komanso ngati pali wina aliyense m'banja mwanu amene wakhalapo ndi matenda amisala otere. Izi zimagwiritsidwa ntchito kuti mupeze matenda olondola.

Njira zochizira

Kawirikawiri, kuphatikiza mankhwala ndi psychotherapy (kulankhulana ndi dokotala) kumagwiritsidwa ntchito ngati chithandizo.

1. Mankhwala

• Mankhwala Oletsa Kuvutika Maganizo: Mankhwalawa amagwiritsidwa ntchito pochiza kuvutika maganizo ndi nthawi zina za kuvutika maganizo chifukwa cha matenda a bipolar. Mankhwalawa amagwira ntchito pogwirizanitsa ma neurotransmitters monga serotonin muubongo. Amatenga milungu 4-6 kuti agwire ntchito. Chifukwa chake, ndikofunikira kumwa mankhwalawo nthawi yonse monga momwe dokotala wanu wanenera.
• Mankhwala Okhazikika Maganizo: Awa ndi mankhwala omwe amaperekedwa makamaka kuti athetse kusintha kwa maganizo komwe kumachitika mu matenda a bipolar.
• Mankhwala Oletsa Kusokonezeka Maganizo: Mankhwalawa amagwiritsidwa ntchito poletsa zochitika zamisala za matenda a bipolar komanso nthawi zovuta kwambiri.

2. Chithandizo cha maganizo

Timangotcha izi kuti 'kulankhulana'. Izi zimaphatikizapo kulankhula ndi katswiri wa zamaganizo kapena wamisala wodziwa bwino ntchito kuti akuthandizeni kusintha maganizo anu ovuta, malingaliro, ndi machitidwe anu.

• Chithandizo cha Maganizo (CBT): Chithandizo cholunjika chomwe chimakuthandizani kuzindikira malingaliro anu oipa ndikuwasintha kukhala abwino.
• Chithandizo cha Makhalidwe Okhudza Kulankhula (DBT): Njira yapadera yothandizira anthu omwe ali ndi malingaliro amphamvu kwambiri kuti azitha kulamulira malingaliro awo.
• Chithandizo cha Maganizo: Njira yochiritsira yomwe imayang'ana kwambiri momwe zokumana nazo zaubwana ndi mavuto osazindikira zimakhudzira khalidwe lamakono.

3. Mankhwala ena

• Chithandizo cha Electroconvulsive Therapy (ECT): Dzinali likhoza kuopseza anthu ena, koma ndi mankhwala otetezeka komanso othandiza kwambiri pa matenda a kuvutika maganizo komanso matenda a bipolar.
• Chithandizo cha Kuwala: Njira yothandizira anthu yomwe imaphatikizapo kuwaonetsa kuwala kopangidwa, makamaka kwa iwo omwe ali ndi vuto la nyengo (SAD).

Kodi chimachitika ndi chiyani mukakhala ndi mavuto amenewa?

Ndi matenda oyamba komanso olondola komanso chithandizo choyenera, matenda ambiriwa amatha kuthandizidwa bwino ndikukhala ndi moyo wabwinobwino. Nthawi zina kuvutika maganizo ndi matenda osinthasintha maganizo zimatha kubwereranso, ndipo chithandizo cha moyo wonse chingafunike.

Ngati sichikuthandizidwa, chingayambitse mavuto aakulu monga kulephera kupita kuntchito/kusukulu, kutayika kwa maubwenzi, komanso kuledzera ndi mankhwala osokoneza bongo ndi mowa.

Choncho, ngati muli ndi zizindikiro izi, chonde pitani kwa dokotala. Zingatenge nthawi kuti mupeze njira yoyenera yothandizira, koma dziperekani kuti mupeze bwino.