Ese wumva amarangamutima yawe ameze nk'aho ari nk'aho ari mu kirere? Hari iminsi wumva wishimye cyane, wishimye, kandi usa n'aho ushobora gutsinda isi? Ariko ku yindi minsi, nta mpamvu, wumva urambiwe rwose, ubabaye, kandi wihebye? Ubu bwoko bw'amarangamutima ni cyo kimenyetso cy'ingenzi cy'indwara yo mu mutwe yitwa bipolar. Uyu munsi, turimo kuvuga ku ndwara yihariye yitwa Bipolar II Disorder.
Mu magambo make, indwara ya Bipolar II ni iki?
Ijambo "bipolar" risobanura "inkingi ebyiri." Risobanura ibintu bibiri bihabanye cyane, nko mu majyaruguru no mu majyepfo. Muri bipolar disorder, ibi bintu bibiri bihabanye cyane ni ibyishimo/ibyishimo bikabije n'agahinda/ihungabana rikabije.
Mu ndwara ya bipolar type 2, iyi euphoria ntiyongera ikaba mania ikomeye. Ahubwo, hari urwego rw'ibyishimo rudakabije kandi rushobora kugenzurwa. Mu buvuzi, iyi euphoria tuyita hypomania . Ariko, abantu benshi bafite iyi ndwara bamara igihe kinini mu bihe by'ihungabana rikomeye .
Umuntu urwaye indwara ya bipolar type 2 yahuye n’ikibazo cyo kudakora neza mu mubiri (hypomania) ndetse n’ikibazo cyo kwiheba cyane (stress) mu buzima bwe.
Ese hari ibintu byihariye bishobora gutera iyi ndwara?
Nta mpamvu imwe rukumbi ihari. Umuntu wese ashobora kugira iyi ndwara. Ariko hari ibintu bimwe na bimwe bishobora kongera ibyago.
- Amateka y'umuryango: Niba umuntu wo mu muryango wawe wa hafi (mama, so, umuvandimwe wawe) afite indwara ya bipolar, nawe uri mu kaga ko kuyirwara.
- Imyaka: Ibimenyetso bikunze gutangirira mu myaka ya nyuma y’ubugimbi cyangwa mu ntangiriro ya 20. Abenshi mu bantu bafite iyi ndwara barwara mbere y’imyaka 50.
- Impinduka mu bwonko: Kudahuza neza mu mikorere y'ubwonko nabyo bishobora gutera ibi.
Wabimenya ute? Ni ibihe bimenyetso?
Mu bwoko bwa 2 bwa bipolar, hari imiterere ibiri y'ingenzi y'ibyiyumvo isimburana. Reka tubirebe ukwabyo.
| Igihe cy'amarangamutima | Ibiranga bigaragara |
|---|---|
| 1. Hypomania - imimerere y'ibyishimo bikabije |
|
| 2. Kwiheba - imimerere y'agahinda gakabije |
|
Iyo urebye umuntu uri mu mimerere yo kudakora neza, asa n'uwishimye cyane kandi ufite imbaraga. Ashobora kuba "ubuzima bw'ibirori," aseka abantu bose, kandi akaba inshuti cyane. Bityo ushobora kuba utekereza uti "None se ikibazo kiri muri ibyo ni ikihe?"
Icy'ingenzi kurushaho, iyo idavuwe, hypomania ishobora gutera imyitwarire mibi, itari myiza kandi ishobora guteza akaga. Urugero, gutangiza ubucuruzi bunini nta mafaranga, gukoresha amafaranga nabi, no kwishora mu mibonano mpuzabitsina ishobora guteza akaga.
Ni ubuhe buryo bwo kuvura ibi?
Bipolar type 2 ni indwara ishobora kugenzurwa neza iyo ivuwe neza.Indwara. Hariho intego ebyiri z'ingenzi zo kuvura. Imwe ni ukuvura ikibazo cyo kubura umwuka cyangwa kwiheba. Indi ni ukwirinda ibihe bizaza. Muganga wawe ashobora kukugira inama yo kuvura ibi bitandukanye.
Imiti
Ubwoko butandukanye bw'imiti bukoreshwa cyane cyane kuri ibi. Ikintu cy'ingenzi ni ukudakoresha cyangwa guhagarika iyi miti nta nama za muganga.
- Ibitera imbaraga mu kuvura: Ibi ni byo bintu by'ibanze mu kuvura. Bifasha mu kugenzura ihindagurika ry'amarangamutima. Urugero: Lithium, Valproate, Lamotrigine, Carbamazepine.
- Imiti igabanya ubukana bw'indwara zo mu mutwe: Iyi miti ikoreshwa mu kurwanya indwara yo kubura umwuka ndetse rimwe na rimwe no kwiheba. Urugero: `Olanzapine`, `Quetiapine`, `Risperidone`.
- Imiti igabanya kwiheba: Iyi itangwa mu bihe byo kwiheba. Ariko, imiti igabanya kwiheba ikunze guhabwa umuntu urwaye indwara ya bipolar hamwe n'imiti igabanya kwiheba. Ibi biterwa nuko imiti igabanya kwiheba yonyine ishobora gutera kwiheba.
- Benzodiazepines: Iyi miti itangwa igihe gito kugira ngo igenzure ibintu nko kudasinzira no kubura umutuzo. Urugero: `Diazepam`, `Lorazepam`.
Muganga wawe ni we uzaguhitiramo umuti mwiza n'ingano ikubereye. Bishobora gufata igihe kugira ngo ubone uruvange rwiza rw'imiti. Ntugahangayike. Ni ngombwa kwihangana ku miti yawe.
Ibindi bintu bike ku biyobyabwenge
- Ingaruka mbi: Nkuko bigenda ku miti iyo ari yo yose, ingaruka mbi nko kugira isesemi, kwiyongera ibiro, gusinzira no guhinda umushyitsi zishobora kubaho. Inyinshi muri zo zirashira mu minsi mike. Iyo zikomeje , vugana na muganga wawe vuba.
- Guhagarika imiti: Ntugahagarike gufata imiti yawe mu buryo butunguranye kuko wumva umeze neza. Ibi bishobora guteza akaga gakomeye. Ibimenyetso byawe bishobora kugaruka bikarushaho kwiyongera. Muganga wawe ni we wenyine ushobora gufata icyemezo cyo guhagarika imiti yawe cyangwa guhindura ingano yayo.
Ubuvuzi bw'imitekerereze
Uretse imiti, uburyo bwo kuvura indwara zo mu mutwe nabwo ni ingenzi cyane. Ukoresheje ibi, ushobora:
- Sobanukirwa neza uburwayi bwawe.
- Menya ibimenyetso by'ibanze bigaragaza ko ibimenyetso bishobora kugaruka.
- Gucunga imihangayiko.
- Komeza umubano n'umuryango n'inshuti.
- Sobanukirwa akamaro ko gufata imiti neza.
Uburyo nka "Cognitive Behavioral Therapy" (CBT) burakora cyane kuri ibi.
Ni irihe tandukaniro riri hagati ya bipolar I na bipolar II?
Aha ni ahantu abantu benshi bahurira n'urujijo. Reka tubisobanure neza.
| Ibiranga | Bipolar I | Bipolar II |
|---|---|---|
| Igihe gishimishije | Kurwara cyane . Bigira ingaruka zikomeye ku mibereho y'abantu n'akazi. Bishobora no gusaba kujya mu bitaro. | Ibyishimo bike ( hypomania ). Ntabwo bikomeye nk'iby'amarangamutima. Bigaragara nk'ibyishimo cyangwa imbaraga zirenze urugero. |
| Ihungabana | Ibihe bikomeye byo kwiheba birashoboka, ariko ntabwo ari ngombwa. | Ibihe bikomeye kandi bimara igihe kirekire byo kwiheba ni ibisanzwe. |
| Ingaruka rusange | Ibihe by'ubumaji bigira ingaruka zikomeye ku buzima. | Ibihe byo kwiheba bishyira ubuzima mu kaga, bityo ibi ntibishobora gufatwa nk'ubwoko "bworoshye" bwa Bipolar I. |
Ubutumwa bwo kujyana mu rugo
- Bipolar type 2 si intege nke cyangwa ikosa ryawe. Ni indwara ishobora kwitabwaho neza ukoresheje imiti.
- Niba ukeka ko wowe cyangwa undi muntu uzi afite ibi bimenyetso, nyamuneka gana muganga wujuje ibisabwa, cyane cyane inzobere mu ndwara zo mu mutwe.
- Ni ingenzi cyane gufata imiti yawe uko byategetswe no gukurikiza amabwiriza ya muganga wawe. Ntugahagarike gufata imiti yawe nta nama za muganga ku mpamvu iyo ari yo yose.
- Ntabwo uri wenyine. Hari abantu ibihumbi ku isi yose babayeho neza bafite iyi ndwara. Uramutse uhawe ubufasha n'ubuvuzi bukwiye, nawe ushobora kubaho ubuzima buhamye kandi bushimishije.
- Niba ufite igitekerezo cyo kwiyahura, bwira umuntu wa hafi yawe ako kanya, reba muganga wawe, cyangwa ujye mu ishami rishinzwe ubutabazi bwihuse (ETU) ry’ibitaro biri hafi yawe.
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