Kodi inuyo kapena munthu wina amene mumamudziwa ali ndi matenda a bipolar ? Ngati ndi choncho, mwina munakumanapo nawo. Nthawi zina mumakhala osangalala kwambiri, okondwa, komanso amphamvu. Koma nthawi zina mumakhala okhumudwa kwambiri moti simungathe kuchita chilichonse, okhumudwa kwambiri, komanso okhumudwa. Ngakhale kuti nthawi zambiri pamakhala nthawi yokhazikika pakati pa maganizo awiriwa, kwa anthu ena kusinthaku kumachitika mwachangu kwambiri, kangapo pachaka chimodzi. Ndicho chimene timachitcha "Rapid Cycling" mu zamankhwala. Tiyeni tikambirane za izi momveka bwino komanso momveka bwino lero.
Mwachidule, kodi Rapid Cycling ndi chiyani?
Kuthamanga kwa Rapid Cycling ndi mtundu wa matenda a bipolar. Si matenda osiyana. Mwachidule, ngati munthu amene ali ndi matenda a bipolar akumana ndi kusintha kwa maganizo kosachepera kanayi kapena kuposerapo (magawo) pachaka , timatcha vutoli kuti Rapid Cycling. Zochitika izi zitha kukhala kusokonezeka maganizo kwambiri, kusokonezeka maganizo pang'ono, kapena kuvutika maganizo kwambiri.
Taganizirani ngati nyengo. Tsiku lina kuli dzuwa, tsiku lotsatira kuli mphepo yamkuntho ndipo mvula yamphamvu. Patatha masiku angapo kuli dzuwa kachiwiri. Kenako kukugwanso mvula. Apa ndi pomwe kusintha kwa malingaliro kumachitika. Izi zitha kuchitika kwa aliyense amene ali ndi vuto la bipolar, pamlingo uliwonse wa matendawa. Ndipo si chinthu chomwe "chimakonzedwa" kwamuyaya. Ndi chithandizo choyenera, izi zitha kulamulidwa komanso kutha pakapita nthawi.
Ndani amene ali ndi mwayi waukulu wokumana ndi vutoli?
Matenda a bipolar angakhudze aliyense. Pafupifupi 2.5% ya anthu aku America, kapena pafupifupi anthu 6 miliyoni, ali ndi vuto linalake la matendawa. Mwa iwo, pakati pa 10% ndi 20% akhoza kukhala ndi vuto la kuthamanga kwa magazi mwachangu. Kafukufuku wasonyeza kuti akazi ndi anthu omwe ali ndi vuto la bipolar II ali ndi mwayi wokwera pang'ono wothamanga kwa magazi mwachangu.
Kwa anthu ambiri, zizindikiro za bipolar zimayamba ali aang'ono, ali ndi zaka zapakati pa 18-25. Komanso, ngati wachibale wapafupi (amayi, abambo, m'bale) ali ndi matenda a bipolar, chiopsezo chimakhala chachikulu pang'ono kuposa cha ena.
Kodi vuto la bipolar disorder limayambitsa mavuto aakulu otani?
Ndikofunikira kwambiri kumvetsetsa izi momveka bwino, chifukwa mu Rapid Cycling, malingaliro awa amasintha mwachangu. Tiyeni tiwone izi padera.
| Gawo la Maganizo | Kufotokozera |
|---|---|
| Kupusa Kwambiri | Iyi ndi nthawi yosangalala kwambiri , kusangalala, komanso mphamvu . Zili ngati injini yayatsidwa m'thupi lanu. Mwina simungathe kugona, kugwira ntchito mosalekeza, kulankhula kwambiri, kuchita zinthu mosasamala, komanso kugwiritsa ntchito ndalama zambiri. Izi zimatha kwa masiku osachepera 7 . |
| Hypomania | Iyi ndi nthawi yoti munthu amve kusangalala pang'ono komanso kukhala ndi mphamvu zambiri , osati yovuta kwambiri monga kusokonezeka maganizo. Mukhoza kugwira ntchito yanu bwino komanso kukhala ochezeka. Koma ndi nthawi yabwino kwambiri kuposa yachibadwa. Imatenga masiku osachepera 4. Anthu ambiri saganiza kuti izi ndi matenda, poganiza kuti ndi "nthawi yabwino chabe." |
| Kuvutika Maganizo Kwakukulu | Munthawi imeneyi, mukumva chisoni kwambiri, mulibe kanthu, komanso mukukhumudwa . Mumataya chidwi ndi zinthu zomwe munkakonda kale. Mulibe mphamvu, chizolowezi chanu chogona ndi kudya chimasintha, mumadzimva chisoni, ndipo mumataya chiyembekezo m'moyo. |
Chofunika kwambiri n'chakuti, anthu ambiri omwe ali ndi vuto la kuthamanga kwa magazi nthawi zambiri amakhala ndi vuto la kuvutika maganizo. Kusokonezeka maganizo kapena kusokonezeka maganizo nthawi zambiri kumachitika kawirikawiri komanso kwa kanthawi kochepa. Ichi ndichifukwa chake anthuwa nthawi zambiri amaganiziridwa molakwika kuti ali ndi "kuvutika maganizo kwa unipolar."
Kodi dokotala amazindikira bwanji Rapid Cycling?
Monga tanenera kale, Rapid Cycling si matenda enaake, koma ndi mawu omwe amafotokoza za momwe matenda a bipolar amachitikira. Dokotala adzazindikira matendawa atamvetsera mosamala zizindikiro zanu. Ngati zatsimikiziridwa kuti muli ndi matenda a Mania, Hypomania, kapena Depression anayi kapena kuposerapo mkati mwa chaka chimodzi, amatchedwa Rapid Cycling pattern.
Koma nthawi zina zimakhala zovuta kuzindikira izi. Chifukwa ngakhale gawo limodzi likhoza kukhala lofala pang'ono kapena lochepa. N'zovuta kudziwa ngati ndi magawo anayi osiyana kapena limodzi lokha. Komanso, chifukwa wodwalayo salankhula za nthawi ya hypomania, dokotala amangoona kuvutika maganizo komwe kukupitirira. Chifukwa chake, kulemba dayalo la kusintha kwa malingaliro anu kungakhale kothandiza kwambiri kuti dokotala akumvetseni.
Kodi izi zimachiritsidwa bwanji?
Cholinga chachikulu cha chithandizo cha kuthamanga kwa magazi mwachangu ndikukhazikitsa mtima wabwino, makamaka kuwongolera kuvutika maganizo komwe kukuchitika komanso kupewa zochitika zatsopano.
Chenjezo lofunika kwambiri: Zokhudza mankhwala oletsa kuvutika maganizo
Mankhwala oletsa kuvutika maganizo omwe nthawi zambiri amaperekedwa kwa odwala matenda a kuvutika maganizo, monga fluoxetine (Prozac), paroxetine (Paxil), ndi sertraline (Zoloft), nthawi zambiri sali oyenera anthu omwe ali ndi vuto la bipolar. Kafukufuku wasonyeza kuti mankhwalawa amatha kuwonjezera kuchuluka kwa zochitika. Chifukwa chake, madokotala amapewa kupatsa odwalawa mankhwala oletsa kuvutika maganizo, makamaka kwa nthawi yayitali.
Chithandizo chachikulu: Zolimbitsa Maganizo
Chithandizo chachikulu cha vutoli ndi mankhwala ochepetsa kusinthasintha kwa malingaliro.
Zitsanzo zake ndi izi:
- Carbamazepine (Tegretol)
- Lamotrigine (lamotrigine (Lamictal))
- Lithiamu (lithiamu (Lithobid))
- Valproate ( Depakote )
Kawirikawiri, mankhwala amodzi okha sangalamulire izi mwachangu. Zikatero, dokotala angasankhe kupereka mankhwala awiri kapena angapo pamodzi. Kuphatikiza apo, mankhwala ena oletsa matenda amisala, monga `olanzapine (Zyprexa)` kapena `quetiapine (Seroquel),` amagwiritsidwanso ntchito kukhazika mtima pansi.
Chithandizochi chiyenera kupitilizidwa ngakhale mutakhala kuti mulibe zizindikiro ndipo mukumva bwino. Umu ndi momwe mungapewere zochitika zina mtsogolo. Musasiye kumwa mankhwala anu kapena kusintha mlingo musanalankhule ndi dokotala wanu kaye.
Kodi ndi zoopsa ziti zazikulu zomwe zimadza chifukwa cha kuyenda mofulumira?
Chiwopsezo chachikulu komanso chomvetsa chisoni chomwe chimabwera chifukwa cha vutoli ndi kudzipha. Anthu omwe ali ndi vuto la bipolar ali ndi mwayi wodzipha nthawi 10-20 kuposa anthu onse. Mwatsoka, pakati pa 8% ndi 20% ya odwala bipolar pamapeto pake amafa ndi kudzipha.
Chiwopsezochi chingakhale chachikulu kwambiri kwa iwo omwe ali ndi kayendedwe ka liwiro la njinga.Amagonekedwa m'chipatala pafupipafupi, ndipo zizindikiro zawo zimakhala zovuta kuzilamulira.
Koma nkhani yabwino ndi yakuti chiopsezochi chingachepe kwambiri ngati munthu alandira chithandizo choyenera. Makamaka, kugwiritsa ntchito mankhwala monga lithiamu kwa nthawi yayitali kwawonetsedwa kuti kumachepetsa chiopsezo chodzipha.
Kuphatikiza apo, kugwiritsa ntchito mankhwala osokoneza bongo molakwika n’kofala pakati pa odwala matenda a bipolar. Pafupifupi 60% ya odwala amakumana ndi vutoli. Kugwiritsa ntchito mankhwala osokoneza bongo molakwika kumawonjezera matendawa ndipo kumakhala kovuta kuwasamalira.
Uthenga Wopita Nawo Kunyumba
- Kusinthasintha kwa maganizo mwachangu kumachitika nthawi zinayi kapena kuposerapo mkati mwa chaka chimodzi. Ichi ndi chizolowezi cha matenda a bipolar, osati matenda enaake.
- Kuvutika maganizo ndi chizindikiro chofala kwambiri pa vutoli, kotero nthawi zambiri kumaganiziridwa molakwika ngati kuvutika maganizo kwachibadwa.
- Chithandizo chachikulu apa ndi 'zolimbitsa maganizo', ndipo mankhwala oletsa kuvutika maganizo nthawi zambiri angapangitse vutoli kukhala loipa kwambiri.
- Uwu ndi matenda aakulu omwe ali ndi chiopsezo chachikulu chodzipha. Chifukwa chake, simuyenera kusiya kapena kusintha chithandizo chanu popanda upangiri wa dokotala.
- Ngati inu kapena munthu amene mumamudziwa akukumana ndi zizindikirozi kapena akuganiza zodzipha, chonde funsani upangiri wa dokotala nthawi yomweyo. Mukalandira chithandizo choyenera, mutha kukhala ndi moyo wabwino.
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