Ese wumva ufite imbaraga n'ibyishimo ku buryo ushobora gutsinda isi mu minsi imwe? Ariko se mu yindi minsi, wumva ubabaye kandi wihebye ku buryo udashobora no kuva mu buriri? Tuzi ukuntu bigoye kubaho mu mpinduka zikomeye mu byiyumvo. Uyu munsi, tugiye kuvuga ku ndwara yitwa bipolar disorder , ivugwaho ariko abantu benshi ntibayisobanukirwa neza, n'uburyo umuganga ashobora kuyisuzuma neza.
Ni ikihe kintu cy'ingenzi cyane mu gusuzuma indwara?
Ubusanzwe dutekereza ko kugira ngo dupime indwara, dukeneye ikintu nk'ikizamini cy'amaraso cyangwa isuzuma. Ariko, iyo bigeze ku gusuzuma indwara ya bipolar, inkuru itandukanye gato. Mu by'ukuri, igikoresho cy'ingenzi kandi gikomeye ugomba gukoresha kugira ngo umenye iyi ndwara ni ikiganiro gifunguye na muganga wawe.
Uko urushaho kuba inyangamugayo no kuvugana na muganga wawe ku bijyanye n'ihindagurika ry'ibyiyumvo byawe, imyitwarire yawe, impinduka zo gusinzira, n'imyitwarire yawe, niko indwara yawe izarushaho kuba nziza. Nubwo isuzuma ry'umubiri rishobora kuguha ishusho y'ubuzima bwawe muri rusange, muganga wawe azamenya ibimenyetso bya indwara ya bipolar.
Ni iki mu by'ukuri umuganga ashaka kumenya?
Gusuzuma indwara ya bipolar si ikintu gifatwa mu ijoro rimwe. Kuba ufite ihindagurika ry'amarangamutima umunsi ku wundi ntibivuze ko ufite indwara ya bipolar. Muganga azayisuzuma yitonze akareba uburemere bw'ibimenyetso byawe, igihe bimara, n'inshuro bikunze kugaragara .
Mu magambo make, muganga ashakisha ibintu nk'ibi:
- Mania cyangwa Hypomania: Muri ibi bihe, amarangamutima yawe ashobora kuba menshi cyane. Ushobora kandi kumva urakaye cyangwa udafite amahoro. Ushobora kandi kugira imbaraga nyinshi, kugabanuka kw'ibitotsi, no kwihuta mu gutekereza no kuvuga.
- Ihungabana : Muri ibi bihe, wumva ufite agahinda gakabije, wihebye, utakaza inyungu mu kintu icyo ari cyo cyose, ndetse utakaza imbaraga burundu.
Kugira ngo basuzume neza ibyo bimenyetso, abaganga b'indwara zo mu mutwe bakoresha igitabo cyihariye cy'ubuyobozi cyavuye mu Ishyirahamwe ry'Abanyamerika ryita ku ndwara zo mu mutwe (Diagnostic and Statistical Manual of Mental Disorders - DSM-5).
Byongeye kandi, muganga azababaza ibi bintu:
- Amateka yawe bwite: ibintu byabayeho mu buzima bwawe, imibanire yawe, akazi kawe , nibindi.
- Amateka y'ubuzima bw'umuryango:Kubera ko indwara ya bipolar ishobora kuba ifite isano mu ngirabuzimafatizo, ni ngombwa kumenya niba hari umuntu wo mu muryango wawe ufite iyi ndwara, ihungabana, cyangwa izindi ndwara zo mu mutwe. (Ariko ibuka ko atari abantu bose bafite iyi ndwara bafite amateka yo mu muryango wabo.)
Ese hari izindi ndwara zisa n'indwara ya bipolar?
Yego rwose. Hari izindi mpamvu nyinshi zitera impinduka mu byiyumvo no kugira imyitwarire idahwitse. Izi ni zimwe mu ndwara zishobora kwitiranywa n'indwara ya bipolar.
| Imiterere / Impamvu | Ibisobanuro byoroshye |
|---|---|
| Izindi ndwara zo mu mutwe | Guhindagurika kw'amarangamutima bishobora guterwa n'ibibazo byo gukoresha ibiyobyabwenge mu buryo bukabije, indwara yo mu mutwe iterwa n'imibanire y'abantu, indwara yo kudakora neza mu mutwe (ADHD), n'indwara ziterwa no guhangayika nka PTSD. |
| Izindi ndwara z'umubiri | Ibimenyetso by'indwara nka tiroyide, lupus, virusi itera SIDA, na syphilis rimwe na rimwe bishobora gusa n'ibimenyetso by'indwara ya bipolar. |
| Imiti imwe n'imwe | Tekereza gato, imiti ya steroid nka prednisone, ikoreshwa mu kuvura indwara nka asima na rubagimpande, ishobora gutera impinduka zikomeye mu byiyumvo bya bamwe. |
Niyo mpamvu umuganga atekereza kuri ibi byose, agakora ibizamini bikenewe, hanyuma akabikuraho byose mbere yo gusuzuma indwara ya bipolar .
Witegura ute mbere yo kujya kwa muganga?
Iyo witeguye gato mbere yo kubonana na muganga, bizakoroha cyane kuri wowe no kuri muganga.
Hari igihe abantu batuzengurutse bashobora kubona impinduka mu myitwarire yacu kurusha uko twe tubibona. Rero ni byiza kuzana inshuti cyangwa umuntu wo mu muryango wawe wizewe kuri uyu muganga.
Byaba byiza cyane uramutse ushoboye kwandika ibi bintu mu gitabo:
- Andika ibimenyetso byawe: kumva wishimye cyane, agahinda gakabije, impinduka mu mbaraga, impinduka mu bitotsi , n'impinduka mu buryo uvuga.
- Imyitwarire idasanzwe: Ibintu wakoze nyuma watekerejeho ukibaza uti "kuki nabikoze" (urugero: gukoresha amafaranga menshi mu buryo butunguranye, gufata ibyemezo bihubutse).
- Amateka y'ubuzima bw'umuryango: Nkuko byavuzwe mbere, baza niba hari umuntu wo mu muryango wawe wigeze kugira uburwayi bwo mu mutwe.
- Imiti urimo gufata: Zana imiti yose urimo gufata (harimo n'iyo mu zindi ndwara), vitamine, n'ibikomoka ku bimera kugira ngo wereke muganga wawe.
- Vuga ukuri ku mibereho yawe: waba ukora siporo, imirire yawe, kunywa itabi, inzoga cyangwa ibindi biyobyabwenge.
- Imihangayiko mu buzima: Vuga ku bibazo bihangayikisha ku kazi, mu bashakanye no mu mibanire.
- Ibibazo ufite: Andika ibyo wifuza kumenya byose ku ndwara ya bipolar hanyuma ubaze muganga wawe.
Ese ibi ntibishobora kumenyekana hakoreshejwe uburyo bwo gupima ubwonko?
Iki ni ikibazo abantu benshi bibaza. Muri iki gihe, nta gupima ubwonko (MRI, CT scan) cyangwa gupima amaraso bishobora kwemeza indwara ya bipolar.
Ariko, hari igihe muganga ashobora gutegeka ko upimwa nk'iyi. Ntabwo ari ukugira ngo yemeze indwara ya bipolar. Ahubwo ni ukugira ngo hamenyekane ko nta yindi ndwara y'imitsi, nk'ikibyimba cyo mu bwonko cyangwa indwara yo gucika kw'imitsi, ari yo mpamvu y'ibimenyetso byawe.
Nubwo ubushakashatsi burimo gukorwa kugira ngo haboneke amakuru yerekeye indwara ya bipolar binyuze mu bipimo by’imikorere y’ubwonko nka EEG na MRI, iki ni isuzuma rishingiye cyane cyane ku bimenyetso no ku biganiro n’umurwayi.
Wakora iki iyo ukeka ko umuntu wawe wa hafi afite indwara ya bipolar?
Ubonye impinduka nk'izi mu myitwarire y'umuntu ukunda, bishobora kukubabaza cyane. Dore bimwe mu bintu ushobora gukora:
1. Ganira na byo: Biganireho ku byo utekereza n'impinduka ubona, mu rukundo, mu bugwaneza, kandi mu buryo butari ubwo gushinja.
2. Ubufasha: Baza niba ushobora gufata gahunda yo kubonana na muganga. Vuga ko wifuza kujyana na we.
3. Andika ibisobanuro birambuye: Mbere yo kuvugana na muganga, andika impinduka zose mu myitwarire (ibyishimo bikabije, uburakari, agahinda), impinduka mu miterere y'umuntu, n'ikoreshwa ry'ibiyobyabwenge wabonye.
4. Mbwira ibijyanye n'umuti:Ha muganga ibisobanuro birambuye ku miti yose akoresha.
Wibuke ko inkunga yawe n'uburyo umwumva ari byo mbaraga zikomeye afite muri iki gihe.
Ubutumwa bwo kujyana mu rugo
- Indwara ya Bipolar iterwa ahanini n’ibipimo by’amaraso cyangwa isuzuma, ahubwo iterwa n’ibiganiro byimbitse kandi bifunguye hagati yawe na muganga wawe.
- Kuvugana ukuri ku bimenyetso byawe, imyitwarire yawe, n'amateka y'umuryango wawe ni ingenzi kugira ngo umenye neza indwara.
- Gusuzuma byuzuye kwa muganga ni ingenzi, kuko izindi ndwara z’umubiri n’imiti bishobora gutera ibimenyetso bisa n’indwara ya bipolar.
- Kwitegura mbere yo kujya kwa muganga (kwandika amakuru, kuzana uwo ukunda) bishobora koroshya igikorwa cyo gusuzuma indwara.
- Iyo umuntu asuzumwe neza kandi akavurwa neza, indwara ya bipolar ishobora gukemurwa neza kandi ikabaho neza. Ntutinye rero gushaka ubufasha.
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