Ese hari igihe wumva udashobora kwifata neza mu marangamutima yawe? Wenda uhura n'ibihe wumva uri hejuru y'isi, hanyuma izo mbaraga zigahita zigwa mu byiyumvo byimbitse kandi bidashobora gukemurwa byo kwiheba? Kubaho mu bihe bikomeye byo mu marangamutima bishobora kugorana cyane. Uyu munsi, turimo kuvuga ku bwoko bw'imiti ishobora kukubera ihinduka rikomeye: Imiti itera imbaraga mu marangamutima .
Ibitera imbaraga mu mibanire y'abantu (Mood Stabilizers) ni iki?
Muri make, imiti igabanya ibyiyumvo ni imiti yagenewe kugufasha kugumana ibyiyumvo byawe biringaniye kandi bihamye. Abaganga bakunze kuyitanga ku ndwara nka Bipolar Disorder .
Indwara ya Bipolar irangwa no kugira amarangamutima menshi cyane:
- Ibihe by'amarangamutima (Highs): Muri ibi bihe, ushobora kumva ufite imbaraga zidasanzwe, udatuje, cyangwa udatsindwa. Ushobora gukenera gusinzira gake cyane, ubwenge bwawe bushobora kwiruka mu bitekerezo, kandi ushobora no gukora imyitwarire itunguranye cyangwa iteza akaga. Ukumva nk'aho ubwenge bwawe buri kwiruka nta feri igufashe.
- Ibihe byo Kwiheba (Ibyihebe): Ibinyuranye n'ibyo, ushobora kumva ufite agahinda gakomeye, wihebye, cyangwa se ugatakaza burundu ubushake bwo kubaho. Ndetse n'imirimo yoroheje nko kubyuka mu buriri ishobora kukugora cyane.
Ibikoresho bigabanya amarangamutima bikora kugira ngo bikureho ibi bintu bikomeye, bifasha mu kugabanya amarangamutima yawe kugira ngo wumve ufite ubushobozi bwo kuyagenzura. Kuri benshi, ibi bituma ubuzima bwiza burushaho kuba bwiza kandi bigatuma badakunze kujya mu bitaro .
Uretse indwara ya Bipolar, abaganga bashobora kandi gutanga imiti ituma umuntu agira ibyiyumvo bihindagurika ku zindi ndwara zo mu mutwe , harimo:
- Indwara y'imibanire y'abantu ku mipaka
- Indwara ya Schizoaffective
- Ihungabana rikomeye (cyane cyane iyo ubundi buryo bwo kuvura butagize icyo bugeraho)
Ni gute ibintu bitera gutuza ibyiyumvo bikora?
Nubwo siyansi igoye, tekereza ko ubwonko bwawe bufite umuyoboro w'itumanaho ucungwa n'intumwa za shimi zitwa Neurotransmitters . Izi shimi zigenga ibyishimo byawe, agahinda, n'uburakari—nk'uko intumwa nto zitanga amabwiriza mu bwenge bwawe.
Ibikoresho bigabanya amarangamutima bikora neza bigabanya ibimenyetso by’ubwonko . Iyo hari imiti igabanya amarangamutima ikora cyane, iyi miti ifasha gutuza; iyo idakora neza, ifasha kongera imbaraga zayo. Mu gushyira iyi miti mu buryo buringaniye, iyi miti ifasha kugabanya kudahagarara neza mu byiyumvo.
Igihe kingana iki kugira ngo batangire gukora?
Abantu bose babyitwaramo mu buryo butandukanye. Ushobora kutabona itandukaniro rikomeye nyuma yo gutangira. Hari igihe bishobora gufata ibyumweru byinshi kugira ngo ubone impinduka zikomeye. Impinduka za mbere akenshi ziba zitagaragara neza. Ikintu cy'ingenzi ni ugukoresha buri gihe nk'uko muganga yabigutegetse. Gira kwihangana kandi uhe umubiri wawe umwanya wo kumenyera.
Ntukihutire. Reka umubiri wawe ugire igihe ukeneye kugira ngo umenyere uburyo bwo kuvurwa.
Ni ubuhe bwoko bw'ibintu bitera ibyiyumvo guhagarara neza buboneka?
Hari ibyiciro bitatu by'ingenzi by'ibintu bigabanya ibyiyumvo, kandi muganga wawe ashobora kukwandikira kimwe cyangwa ibivanze.
1. Lithiyumu
Lithium ni ikintu gisanzwe cyakoreshejwe nk'ikintu gifasha mu kubungabunga ibyiyumvo kuva mu myaka ya 1970. Amazina asanzwe y'ibirango arimo Eskalith® na Lithobid®.
Icy'ingenzi ni uko niba ufata lithium, ugomba kugenzura urugero rw'amaraso yawe buri gihe.Kunywa byinshi bishobora kuba uburozi, bityo muganga wawe azagukorera gahunda yo gupima amaraso buri gihe kugira ngo amenye neza ko uri mu rwego rwiza kandi ruvura.
2. Imiti igabanya ububabare
Iyi miti yakozwe mbere kugira ngo ivure igicuri, nyuma byagaragaye ko ifite akamaro kanini mu kugabanya ihindagurika ry’amarangamutima ku bantu bafite indwara ya Bipolar.
Ingero zisanzwe zirimo:
- Aside Valproic (urugero, Depakote®)
- Lamotrigine (urugero, Lamictal®)
- Carbamazepine (urugero, Tegretol®)
- Oxcarbazepine (urugero, Oxtellar®, Trileptal®)
3. Imiti igabanya ubukana bw'indwara zo mu mutwe
Hari imiti imwe n'imwe igabanya ubukana bw'indwara zo mu mutwe ishobora no gukora nk'imiti igabanya ubukana bw'ibyiyumvo, cyane cyane mu kuvura ibihe by'amarangamutima. Hari igihe iyi miti ikoreshwa yonyine, cyangwa ishobora kongerwa ku yindi miti igabanya ubukana bw'ibyiyumvo kugira ngo igenzurwe neza.
Muganga wawe ashobora kandi gutekereza ku yindi miti, nka benzodiazepines (ivura gushyuha cyangwa gusinzira cyane) cyangwa imiti igabanya ubukana bw'indwara zo kwiheba (ivura indwara zo kwiheba), nubwo iyi miti igomba kwitabwaho cyane kugira ngo wirinde gutera indwara yo gucika intege.
Ingaruka mbi ni izihe?
Nk’uko bimeze ku muti uwo ari wo wose, ingaruka mbi zirashoboka, ariko ziratandukanye bitewe n’umuti. Akenshi, ingaruka mbi zigabanuka uko umubiri wawe umenyera umuti.
Ingaruka mbi zisanzwe zishobora kuba zirimo:
- Gusinzira
- Kuzungera
- Kongera ibiro
- Isesemi cyangwa kubabara mu nda
- Gutigita kw'amaboko
- Kubura ituze
Niba izi ngaruka mbi zikomeje cyangwa zikabangamira ubuzima bwawe bwa buri munsi, buri gihe vugana na muganga wawe. Bashobora guhindura ingano y'umuti wawe cyangwa bagashaka ubundi buryo.
Ese ibintu bitera gutuza ibyiyumvo by'umuntu biramubabaza?
Ibiyobyabwenge bigabanya amarangamutima ntibiba imbata nk'uko ibiyobyabwenge bikoreshwa mu kubikoresha nabi; ntibitera irari cyangwa ngo bitume umuntu abyikoresha nabi ku bushake.
Ariko, kubera ko iyi miti ikunze gufatwa igihe kirekire, ubwonko bwawe buramenyera kuyikoresha. Guhagarika bitunguranye bishobora gutuma urwara indwara yo kuyireka cyangwa gusubira mu buzima bwawe. Ntugahagarike gufata imiti yawe wenyine; buri gihe ganira n'umuganga wawe ku gahunda yo kugabanya buhoro buhoro.
Namenya nte ko mbikeneye?
Iki ni icyemezo umuganga wujuje ibisabwa gusa ashobora gufata. Umuganga wawe azasuzuma:
- Isuzuma ryawe ryihariye n'uburemere bw'ibimenyetso byawe.
- Amateka yawe y'ubuvuzi bwa kera.
- Izindi ndwara (urugero, gutwita cyangwa konsa).
Niba ukeka ko amarangamutima yawe agira ingaruka ku bushobozi bwawe bwo kubaho ubuzima buringaniye, gisha inama umuhanga kugira ngo akusuzume neza.
Nzakenera Kuzifata Igihe Kingana Iki?
- Ku ndwara ya Bipolar: Kubera ko indwara ya Bipolar ari indwara ibaho ubuzima bwose, isa na diyabete, abantu benshi bakeneye kwitabwaho igihe kirekire hamwe n'imiti ituma umuntu yumva ameze neza kugira ngo ibimenyetso bikomeze kugaragara.
- Ku zindi ndwara: Iyo ikoreshejwe ku zindi ndwara zo mu mutwe, muganga wawe ashobora kuyikoresha mu gihe runaka gusa.
Wibuke ko iyi miti idakuraho impinduka zose mu marangamutima, ariko ifasha mu gutuma ibyiyumvo bibi n'ibitotsi bigabanuka cyane. Ntugahagarike kuyifata kuko wumva idakora ako kanya. Niba ufite impungenge, vugana na muganga wawe nta mpungenge.
Ibintu by'ingenzi byakunzwe
Ibikoresho bifasha mu kubungabunga amarangamutima ni ingenzi cyane mu kugira ubuzima bwiza mu byiyumvo.
- Kurikiza amabwiriza ya muganga wawe neza.
- Wihangane; bifata igihe kugira ngo ubuvuzi bukore.
- Ntugatinye ingaruka mbi—inyinshi muri zo zishobora gukemuka cyangwa zikaba iz'igihe gito.
- Ntugahagarike gufata imiti yawe utabanje kugisha inama muganga wawe.
Ntabwo uri wenyine muri ibi. Uramutse witabwaho neza kandi ugaterwa inkunga na Nirogi Lanka n'itsinda ry'abaganga bawe, ushobora kubaho ubuzima bwiza kandi bufite ireme.
Amagambo ahinnye: Ituma amarangamutima adahindagurika, Bipolar, ubuzima bwo mu mutwe, imiti, ubuvuzi, lithium, kwiheba
