Ese nawe ufite ihindagurika ry'amarangamutima? Reka tuvuge kuri Cyclothymia!

Ese hari igihe wumva amarangamutima yawe ahinduka vuba? Rimwe na rimwe urimo gukorana umwete mwinshi, hanyuma mu rindi rimwe ntugire icyo ukora. Wenda nawe ushishikajwe no kumenya iby'iyi ndwara yitwa 'cyclothymia.' Nubwo iyi ari ingingo igoye, reka tugerageze kuyisobanukirwa mu buryo bworoshye.

Cyclothymia ni iki?

Mu magambo make, indwara ya cyclothymic ni ubwoko bworoheje bw'indwara ya bipolar. Ariko, ishobora no gutuma ugira ihindagurika ry'amarangamutima kenshi, nko mu bihe by'ibyishimo byinshi cyangwa gukora cyane (byitwa hypomania) ndetse no mu bihe by'ihungabana rito.

Ushobora kuba warumvise iby’indwara ya bipolar. Ni indwara yo mu mutwe ibaho ubuzima bwose. Itera impinduka zikomeye mu byiyumvo by’umuntu, urugero rw’ingufu, imitekerereze ye n’imyitwarire ye. Izi mpinduka zishobora kumara iminsi, ibyumweru, cyangwa se amezi. Zishobora kubangamira cyane ibikorwa bya buri munsi.

Umuntu urwaye cyclothymia agira ibihe bitandukanye byo kubura umwuka no kwiheba mu gihe cy'imyaka ibiri . Ibi bihe bishobora kubaho vuba cyane, igihe icyo ari cyo cyose. Urugero, ushobora kugira ibihe bihindagurika kuva mu gitondo kugeza nimugoroba ku munsi umwe. Hari igihe ushobora kugira ibihe bigufi byo kugira ibyiyumvo bisanzwe (tubyita euthymia, bivuze ko bitababaje cyane cyangwa ngo bigire ibyishimo byinshi, ahubwo ari ibisanzwe). Ariko icyo gihe akenshi kimara igihe kitarenze ibyumweru umunani.

Ni nde urwara indwara ya cyclothymic?

Akenshi, iyi ndwara itangira mu bwana cyangwa mu bwana . Ni ukuvuga ko ikunze kugaragara hagati y'imyaka 15-25.

Ibi ni ibisanzwe gute?

Mu bihugu bimwe na bimwe ku isi, urugero nko muri Leta Zunze Ubumwe za Amerika, imibare igaragaza ko hagati ya 0.4% na 1% by'abaturage bafite cyclothymia.

Ariko, kubera ko ibimenyetso bya cyclothymia bisa n'iby'izindi ndwara nyinshi zo mu mutwe, abashakashatsi benshi bemeza ko iyo ndwara idasuzumwe neza. Birashoboka kandi ko idasuzumwe neza. Hari abantu bashobora kuba bafite iyi ndwara muri Sri Lanka, ariko biragoye kubona imibare isobanutse neza kuri yo.

Ni ibihe bimenyetso bya cyclothymia?

Ikimenyetso cy'ingenzi cya cyclothymia ni uguhindagurika kw'amarangamutima, bivuze ko ubwonko buhinduka hagati y'imiterere ibiri yitwa `hypomania` (ibyishimo byinshi/ibyishimo) na `depression yoroheje`.

Mu ndwara ya bipolar I na II, ihindagurika ry’amarangamutima rishobora kumara ibyumweru, amezi, cyangwa se imyaka. Mu ndwara ya cyclothymia, izi mpinduka zishobora kubaho vuba cyane, rimwe na rimwe mu munsi umwe.Tekereza umuntu wakoze mu gitondo afite imbaraga nyinshi n'ibyishimo, ariko nimugoroba, yumva yihebye kandi ntagire icyo akora.

Ni ibihe bimenyetso bya 'Hypomania' muri cyclothymia?

Hypomania ni igihe cy'amarangamutima menshi cyane, amarangamutima, imbaraga, n'urwego rw'ibikorwa. Uru rwego rw'ingufu, amarangamutima, n'imyitwarire bigomba kuba bitandukanye n'uko usanzwe umeze kandi bikagaragara ku bandi. Hypomania ni igihe gito cyane ugereranyije na mania (ubwinshi bukabije bugaragara mu ndwara ya bipolar).

Ibi ni ibimenyetso bya `Hypomania`:

• Ingufu nyinshi no kugabanuka k'ibitotsi: Nubwo wamaze amasaha make usinziriye nijoro, wumva ushobora gukora umunsi wose. Wumva utari usinziriye, ushobora gukora akazi kenshi.
• Imvugo yihuta n'ibitekerezo byihuta: Kuvuga buri gihe, gutekereza ku bindi bintu mu gihe uvuga, no kumva ko ubwenge bwawe burimo kwihuta. Uwumva ashobora gutekereza ati: "Wow, avuga vuba cyane."
• Kurangara byoroshye: Iyo urimo gukora ikintu kimwe, ubwenge bwawe bujya mu kindi kintu, kandi biragoye gukomeza kwibanda ku kintu runaka.
• Kwibanda ku ntego: Gushishikazwa cyane n'ibintu nk'akazi, imirimo y'ishuri, ibikorwa byo gusabana n'abandi, n'ibindi, no kubikora buri gihe. Rimwe na rimwe gutangiza imishinga minini icyarimwe.
• Gukora ibikorwa biteje akaga cyangwa bidafite ishingiro: gukoresha amafaranga menshi (urugero, gukoresha amafaranga menshi cyane ku makarita y'inguzanyo), gukora imibonano mpuzabitsina utabanje gutekereza, cyangwa gufata ibyemezo by'ubucuruzi uhubutse.
• Kwiyubaha birenze uko bisanzwe: Kumva ko ushoboye cyane kandi ko nta kintu na kimwe udashobora gukora. Ushobora gutekereza ibintu nk'ibi, "Ndi umuhanga mu byo nkora."

Ni ibihe bimenyetso by'indwara yo kwiheba bigaragara muri cyclothymia?

Ihungabana rirangwa no kumva wihebye no kubura inyungu mu bintu wakundaga. Ibimenyetso by’ihungabana rya cyclothymia ni bike ugereranyije n’iby’ihungabana rikomeye (ry’uburwayi), ariko bishobora kugira ingaruka zikomeye ku buzima bwawe.

Ibi ni ibimenyetso by'indwara yo kwiheba:

• Kumva wigunze, utitaye ku bandi, kandi wicira urubanza: Wumva ushaka kwitandukanya n'abantu, kumva nta gaciro ufite, kandi uhora wumva ko wakoze ikosa. Ibitekerezo bibabaje nka "Ntawe umpa agaciro."
• Impinduka mu mirire: kurya byinshi (kurya neza), cyangwa kugabanya ubushake bwo kurya, ibiro bishobora kwiyongera cyangwa ntibikongere.
• Kubura ibitotsi cyangwa hypersomnia: Kutabasha gusinzira nijoro, cyangwa kumva usinziriye ku manywa, no kugorwa no kuva mu buriri.
• Umunaniro cyangwa gutakaza imbaraga cyane: Kumva udafite imbaraga, nta n'ubushake bwo gukora ikintu icyo ari cyo cyose. "Ndananiwe, ndumva nta n'ubushake bwo gukora ikintu icyo ari cyo cyose" bikunze kuvugwa.
• Kugabanuka k'ubushobozi bwo kwibanda ku kintu kimwe: Biragoye kwibanda ku kintu kimwe, wumva ntacyo ushoboye gukora ukoresheje ubwonko bwawe. Nubwo wagerageza gusoma igitabo, ubwenge bwawe ntibuzigera bugenda.

Ni izihe mpamvu zitera cyclothymia?

Mu by’ukuri, abashakashatsi ntibaramenya neza icyatera cyclothymia. Ariko, batekereza ko ishobora kuba ifite isano iri hagati ya genetiki . Cyclothymia, kwiheba, na bipolar disorder byose bibera mu miryango. Ibi bivuze ko bishobora guhererekanywa mu bisekuruza. Niba hari umuntu wo mu muryango wawe ufite iyi ndwara, nawe ushobora kuba uri mu kaga ko kuyirwara.

Ku bantu bamwe, cyclothymia ishobora guterwa cyangwa ikongera imbaraga bitewe n’ibintu bibabaza cyangwa ibyababayeho, nk’indwara ikomeye cyangwa igihe kirekire cyo guhangayika cyane (urugero: imihangayiko yo mu isuzuma, ibibazo by’akazi, amakimbirane yo mu muryango). Bikekwa kandi ko hari ubusumbane mu bintu bimwe na bimwe byo mu bwonko (`neurotransmitters`).

Indwara ya cyclothymic ipimwa ite?

Bishobora kugora abaganga kubisuzuma kuko ibimenyetso byabyo bisa n'iby'izindi ndwara nyinshi zo mu mutwe. Urugero:

• Indwara ikomeye yo kwiheba
• Indwara ya Bipolar II
• Indwara yo guhangayika rusange
• Indwara z'imitsi
• Indwara z'imico

Muganga ashobora gukoresha ibi bikurikira kugira ngo apime indwara ya cyclothymia:

• Isuzuma ry'umubiri: Suzuma ubuzima bwawe bw'umubiri.
• Amateka yuzuye y'uburwayi: Ibi birimo kubaza mu buryo burambuye ibimenyetso byawe, igihe bimaze, ibyo wanyuzemo mu buzima bwawe, ndetse niba hari umuntu wo mu muryango wawe wigeze kugira ibibazo nk'ibyo.
• Ibizamini by'ubuvuzi: Kora ibintu nk'ibipimo by'amaraso kugira ngo umenye izindi ndwara zishobora gutera ibimenyetso byawe (nk'indwara ya hyperthyroidism cyangwa gukoresha ibiyobyabwenge).
• Isuzuma ry'ubuzima bwo mu mutwe: Muganga wawe ashobora kubikora, cyangwa akakohereza ku muganga w'inzobere mu buzima bwo mu mutwe, nk'inzobere mu by'indwara zo mu mutwe cyangwa inzobere mu by'imitekerereze.

Abaganga basuzuma indwara ya cyclothymia iyo bakurikije ibi bikurikira:

• Ibimenyetso byawe (ni ukuvuga, bigenda bisimburana hagati y’ibihe byo kubura umwuka n’iby’ihungabana) bigomba kuba byarabayeho nibura imyaka ibiri, inshuro zirenga 50% . Ku bana n’urubyiruko, ibi bimenyetso bigomba kuba byarabayeho umwaka umwe.
• Ntushobora kuba umaze amezi arenga abiri udafite ibimenyetso.
• Ibimenyetso byawe ntibishobora guterwa no gukoresha ibiyobyabwenge cyangwa indi ndwara y'umubiri.

Byongeye kandi, ibi bimenyetso bitera akababaro gakomeye ku buzima bwawe bwa buri munsi (akazi, amasomo, imibanire).Cyangwa hagomba kuba hari ikibazo. Ariko, ibimenyetso bishobora kuba bidakomeye bihagije ku buryo bishobora gufatwa nk'indwara ikomeye yo kwiheba cyangwa indwara ya bipolar.

Indwara ya cyclothymia ivurwa ite?

Ikibabaje ni uko abantu benshi barwaye cyclothymia batajya kwa muganga kuko ibimenyetso byabo bidakomeye cyane, cyangwa se bakaba batekereza ko badafite iyo ndwara.

Wibuke ko hari abantu bamenyereye cyane kubaho bafite ubwo bumuga ku buryo bibwira bati 'Nari meze gutya kuva kera.' Ariko, kubona ubufasha bishobora koroshya ubuzima bwawe cyane. Ntugahangayike, hari uburyo bwo kuvura ibi.

Ubusanzwe, ubuvuzi bwo mu mutwe n'imiti bikoreshwa mu kuvura cyclothymia.

Ubuvuzi bw'imitekerereze ni ijambo rusange risobanura uburyo butandukanye bwo kuvura burimo kuganira n'umujyanama wemewe mu by'ubuzima bwo mu mutwe kugira ngo afashe kumenya no guhindura amarangamutima, ibitekerezo n'imyitwarire mibi y'umuntu.

Hari ubwoko butandukanye bw'ubuvuzi bwo mu mutwe. Ubushakashatsi bwagaragaje ko ubwoko bw'ubuvuzi bwitwa ubuvuzi bw'imyitwarire yo mu mutwe (CBT) bufite akamaro kanini mu kuvura cyclothymia. CBT igufasha kumenya imiterere y'ibitekerezo byawe no gusobanukirwa uburyo bigira ingaruka ku byiyumvo byawe n'imyitwarire yawe.

Ubuvuzi bw'imitekerereze bushobora kugufasha kugabanya stress yawe bugufasha:

• Kumenya, gukurikirana, no gucunga ibimenyetso bya cyclothymia (urugero: kwandika mu ikaye y'amarangamutima).
• Uburyo bwo guhangana n'ibibazo bihangayikishije.
• Hindura uburyo utekereza, uburyo witwara, n'uburyo ukemura ibibazo.
• Kunoza itumanaho n'imikoranire n'abandi.

Ikigo gishinzwe ibiribwa n'imiti muri Amerika (FDA) nticyemeye imiti yihariye yo kuvura cyclothymia. Ariko, hari igihe abaganga bashobora kuguha imiti igabanya ibyiyumvo byawe kugira ngo igabanye imihindagurikire y'ibyiyumvo. Iyi miti ishobora kuba irimo valproate, lamotrigine, na/cyangwa lithium. Ni ngombwa gukurikiza amabwiriza ya muganga wawe witonze mu gihe ukoresha iyi miti.

Ese cyclothymia ishobora kwirindwa?

Ikibabaje ni uko nta buryo bwo kwirinda cyclothymia buhari ubu, kuko abahanga mu bya siyansi batazi impamvu nyayo.

Ariko, gushaka ubufasha vuba ibimenyetso bikigaragara bishobora kugabanya ibibazo ku buzima bwawe no mu mibanire yawe. Ibyo ni ingenzi cyane. Iyo ubifashe hakiri kare, ushobora gutangira kuvurwa no koroshya ubuzima bwawe.

Ni iki giteganyijwe ku ndwara ya cyclothymia?

Uko cyclothymia igaragara bishobora gutandukana bitewe n'umuntu ku giti cye.

Bitewe n'uburakari bukabije, ingaruka z'amarangamutima, no guhubuka, abantu barwaye cyclothymia bashobora kugorwa no kubaka no gukomeza umubano mwiza n'umuryango, inshuti, abo bakorana, ndetse n'abafatanyabikorwa bakundana.

Ariko, ugereranije n'abantu bafite indwara ya bipolar, abantu bafite cyclothymia:

• Kwinjira mu bitaro bishobora kugabanuka.
• Umubare w'iminsi y'ikiruhuko ku kazi ushobora kugabanuka.
• Ushobora kuba ushobora gukora imirimo yawe ya buri munsi mu buryo buhoraho.

Ku bashaka ubufasha ku ndwara ya cyclothymia, kuyisuzuma hakiri kare no kuyivura bishobora gutuma habaho iterambere rikomeye mu gihe kirekire. Iyo itavuwe, hari abantu bashobora kurwara indwara ya bipolar I cyangwa II.

Ni ryari wagombye kujya kwa muganga ku bijyanye na cyclothymia?

Niba wumva urimo guhinduranya hagati yo kudatekereza neza (hypomania) no kwiheba guke (slow depression), ni ngombwa kujya kwa muganga. Ntugatekereze gusa ngo "Uyu ni njyewe gusa," ahubwo shaka inama z'inzobere.

Niba umuganga agusuzumye agasanga urwaye cyclothymia, menya neza ko ujya ubonana na muganga wawe cyangwa umuvuzi wawe buri gihe kugira ngo agufashe kuvurwa.

Ubusanzwe indwara ya cyclothymia ni indwara ibaho ubuzima bwose. Ariko, uburyo bwo kuvura buri gihe, nko kuvugana n'imiti, bushobora kugufasha guhangana n'ibimenyetso byawe no kubaho ubuzima bwiza kandi bufite intego. Ni ngombwa gushaka inama kwa muganga niba ufite ibimenyetso bya cyclothymia. Wibuke ko abaganga bawe n'abakunzi bawe bariho kugira ngo bagufashe.

Ni ubuhe butumwa twifuza kujyana muri iyi nkuru?

Muri make, cyclothymia ni ubwoko bworoheje bw'indwara ya bipolar itera impinduka nyinshi mu byiyumvo byawe. Niba wumva urimo kwiyongera cyane hanyuma ukagabanuka, ntubyirengagize.

• Menya ibimenyetso: Guhinduranya hagati y'ibyishimo byinshi (hypomania) n'ihungabana rito (ihungabana rito) ni cyo kimenyetso nyamukuru. Gira impungenge niba ibi bigira ingaruka ku buzima bwawe bwa buri munsi.
• Saba ubufasha: Iri si ikosa ryawe. Kuvugana na muganga cyangwa umujyanama mu by'ubuzima bwo mu mutwe bishobora kugufasha cyane. Nta kintu na kimwe cyo kugira isoni cyangwa ubwoba.
• Hari uburyo bwo kuvura: Iyi ndwara ishobora kwitabwaho neza hakoreshejwe uburyo bwo kuvura indwara zo mu mutwe (`psychotherapy`), cyane cyane `CBT`, n'imiti iyo bibaye ngombwa.
• Ntabwo uri wenyine: ​​hari abantu benshi bahanganye n'ibi bibazo. Uramutse uhawe ubufasha n'ubuvuzi bukwiye, nawe ushobora kubaho ubuzima bwiza.

Wibuke ko ubuzima bwo mu mutwe bwawe ari ingenzi kimwe n'ubuzima bwawe bw'umubiri, bityo rero wirinde.

Cyclothymia , Uguhindagurika kw'amarangamutima, Indwara ya Bipolar, Hypomania, Ihungabana, Ubuzima bwo mu mutwe