Ese wumva amarangamutima yawe, yaba ibyishimo cyangwa agahinda, arimo kuzamuka no kugabanuka ku muvuduko utangaje? Ese uyu munsi wumva wishimye kandi ufite imbaraga, hanyuma ukumva ubabaye kandi wihebye ku buryo utashobora no kuva mu buriri ejo? Iyi mihindagurikire yihuse y'amarangamutima ishobora kuba ifitanye isano na indwara ya bipolar . Reka tubiganireho uyu munsi, kimwe no kuganira n'inshuti yawe.
Gusiganwa ku magare mu buryo bwihuse (Rapid Cycling) ni iki mu by'ukuri?
Muri make, Rapid Cycling ni imiterere y’impinduka zikunze kubaho kandi zihuse mu bihe by’amarangamutima ku muntu urwaye Bipolar Disorder. By’umwihariko, abaganga bayita Rapid Cycling iyo uhuye nibura n’ibihe bine cyangwa birenga by’amarangamutima, hypomania, cyangwa depression mu mwaka .
Ikintu cy'ingenzi cyo gusobanukirwa hano ni uko iyi atari indwara yihariye. Ni ikimenyetso cya Bipolar Disorder, cyangwa "icyitegererezo cy'amasomo." Iyi miterere ishobora gutangira igihe icyo ari cyo cyose, kandi ishobora no kugenda uko igihe kigenda gihita iyo umuntu avuwe. Rero ntugatekereze ko ari ikintu kizahora gihari.
Ni nde ufite amahirwe menshi yo kurwara iyi ndwara?
Indwara ya Bipolar ishobora kwibasira umuntu uwo ari we wese. Igira ingaruka ku gice kinini cy'abatuye isi. Muri abo, hagati ya 10% na 20% bashobora kugira ikibazo cy'ihindagurika ry'ikirere .
Ubushakashatsi bwagaragaje ko iyi ndwara ikunze kugaragara ku bagore no ku bafite indwara ya Bipolar II.
Ibimenyetso by'indwara ya bipolar bikunze kugaragara bwa mbere mu rubyiruko, ruri hagati y'imyaka 18 na 25. Akenshi, iyi ndwara ifatwa mbere y'imyaka 50. Iyo umuntu wa hafi (mama, so, umuvandimwe wawe) afite indwara ya bipolar, nawe uri mu kaga ko kuyirwara.
Ni ibihe bimenyetso by'ingenzi by'indwara ya Bipolar?
Mbere yuko dusobanukirwa uku kwihuta kw'imitsi, reka twige gato ku miterere itatu y'ingenzi y'indwara yo mu mutwe ya Bipolar .
| Igice cy'amarangamutima | Mu magambo make ... |
|---|---|
| Ubuhubutsi | Kumva ufite ibyishimo bidasanzwe kandi wuzuye imbaraga. Iyi mimerere imara nibura icyumweru. Ibintu nko kudashobora gusinzira nijoro, kuvuga cyane, gukoresha amafaranga nabi no gufata ingamba zishobora guteza akaga bishobora kubaho muri iki gihe. |
| Hypomania | Iki ni igihe cy'ibyishimo gito kandi gishobora kugenzurwa. Kimara nibura iminsi ine. Muri iki gihe haracyari ibyishimo byinshi n'ingufu nyinshi, ariko ntibibangamira ubuzima bwa buri munsi nk'uko bigenda mu gihe cy'amarangamutima. Abantu benshi batekereza ko iki ari "igihe cy'ibyishimo byiza." |
| Ihungabana rikomeye | Muri iki gihe, kumva ufite agahinda gakabije, kwiheba no gutakaza ubushake bwo gukora ibintu wakundaga ni ibintu bisanzwe. Ibimenyetso nko kumva ufite umunaniro uhoraho, gusinzira no kudakenera kurya, ndetse no kurambirwa ubuzima ni ibintu bisanzwe. |
Ku bantu benshi bafite ikibazo cyo kwiruka cyane mu gihe cy’ihungabana, bamara igihe kinini mu bihe byo kwiheba kurusha mu bihe byo kwiheba cyangwa kwiheba. Ibi bivuze ko bahura n’ibihe byo kwiheba kenshi, hamwe n’igihe gito cyo kwishima (manic/hypomanic) cyangwa imitekerereze isanzwe.
Ni gute umuganga amenya niba ufite Rapid Cycling?
Ibi rimwe na rimwe bishobora kugorana kubimenya, kuko rimwe na rimwe igice kimwe gishobora kudashira burundu, ariko gishobora kuba gikunze kugaragara. Bishobora kugorana kumenya niba ari ibice bine bitandukanye cyangwa ihindagurika rimwe gusa.
Kimwe mu bibazo bikomeye kuri ibi ni ukwisuzuma nabi . Kubera ko abantu benshi bafite Rapid Cycling nabo bafite agahinda, bashobora gufatwa nabi nk'"indwara yo kwiheba rusange" cyangwa "indwara yo kwiheba imwe" aho gufatwa nk'indwara ya bipolar.
Tekereza kuri ubu buryo. Ujya kwa muganga kumubwira agahinda kawe gakabije n'ihungabana ryawe. Ariko ntumubwira ikibazo cyo kubura umwuka wo mu mutwe rimwe na rimwe. Kuko ubifata nk' "igihe cyiza, cy'ibyishimo by'igihe runaka, aho ushobora kurangiza byinshi," ntabwo ari ikimenyetso cy'uburwayi. Hanyuma muganga abona uruhande rumwe gusa rw'inkuru. Niyo mpamvu atabona ishusho yuzuye y'ibyiyumvo byawe.Ibyo bivuze ko ari ingenzi cyane kuganira na muganga wawe ku bwumvikane ku bibazo n'ingaruka mbi.
Ni ubuhe buryo bwo kuvura ibi?
Abantu benshi bafite ikibazo cyo kwiruka ku magare vuba bagira ibimenyetso bikomeye byo kwiheba. Bityo rero, intego nyamukuru yo kuvura ni ukugutuza ibyiyumvo byawe ('gutuza ibyiyumvo'). Ni ukuvuga gukumira ibihe bishya mu gihe cyo kugabanya kwiheba.
Ese ugomba guhangayikishwa n'imiti igabanya ubukana bw'indwara zo mu mutwe?
Ubushakashatsi bwagaragaje ko imiti ivura indwara yo kwiheba muri rusange, nka fluoxetine (Prozac) na sertraline (Zoloft), idakora neza mu kuvura indwara ya bipolar yihuta yo gusiganwa ku magare. Hari igihe ishobora gutuma ibihe by'ihungabana birushaho kuba bibi . Niyo mpamvu abaganga benshi batinyuka gukoresha iyi miti ku bantu bafite ikibazo cyo gusiganwa ku magare yihuta, cyane cyane igihe kirekire.
None se ni ubuhe buryo bw'ingenzi bwo kuvura?
Uburyo bw'ingenzi bwo kuvura hano ni imiti igabanya ubukana bw'amarangamutima .
- `carbamazepine (Tegretol)`
- Lamotrigine (Lamictal)`
- `lithiyumu (Lithobide)`
- `valproate (Depakote)`
Ibi ni byo by'ingenzi mu kuvura. Hari igihe umuti umwe gusa ushobora kuba udahagije kugira ngo ugenzure iyi ngendo yihuta. Muri icyo gihe, muganga ashobora gufata icyemezo cyo gutanga imiti ibiri cyangwa irenga hamwe.
Byongeye kandi, imiti imwe n'imwe igabanya ubukana bw'indwara zo mu mutwe, nka olanzapine (Zyprexa) cyangwa quetiapine (Seroquel), ikoreshwa mu gufasha gutuza ibyiyumvo, haba hari uburwayi bwo mu mutwe cyangwa hatabayeho.
Icy'ingenzi cyane: Ntureke gufata imiti muganga wawe yakwandikiye, nubwo waba wumva umeze neza kandi nta kibazo ufite. Komeza gufata uyu muti kugira ngo wirinde indwara zizaza. Niba ukeneye kugabanya cyangwa guhagarika imiti yawe, bikore gusa ubanje kugirwa inama na muganga wawe .
Ni izihe ngaruka zo kwiruka ku igare ryihuse?
Iyi ngingo iragoye kuyivugaho, ariko ni ngombwa kubimenya. Ingaruka zikomeye zijyanye no kwihuta kw'igare mu ndwara ya bipolar ni ukwiyahura . Abantu bafite indwara ya bipolar bafite amahirwe menshi yo kwiyahura inshuro 10-20 kurusha abatayifite. Ikibabaje ni uko hagati ya 8% na 20% by'abantu bafite indwara ya bipolar bapfa bazize kwiyahura.
Izi ngaruka zishobora kuba nyinshi kurushaho ku bantu bafite imikorere y’amagare yihuta. Bashobora gukenera kujya mu bitaro kenshi, kandi ibimenyetso byabo bishobora kugorana kubigenzura.
Ariko, ubuvuzi bukwiye bushobora kugabanya cyane iyi ngaruka.By’umwihariko, gukoresha umuti wa lithium igihe kirekire byagaragaye ko bigabanya ibyago byo kwiyahura.
Byongeye kandi, abantu bafite indwara ya bipolar disorder bashobora kuba imbata y'ibiyobyabwenge n'inzoga. Ibi bishobora gutuma iyo ndwara irushaho kuba mbi kandi bikagorana kuyigenzura.
Ubutumwa bwo kujyana mu rugo
- Gusiganwa ku magare vuba si indwara yihariye, ahubwo ni imiterere y’indwara ya Bipolar. Niba uhura n’ihindagurika ry’amarangamutima (ibice) inshuro zirenga enye mu mwaka, bishobora kuba ari iyi miterere.
- Abantu benshi bafite iyi ndwara bagira ibimenyetso byinshi byo kwiheba, bishobora kwitwa indwara yo kwiheba rusange.
- Intego nyamukuru y'ubuvuzi ni ukugenzura amarangamutima hakoreshejwe imiti igabanya amarangamutima. Imiti igabanya kwiheba ikoreshwa witonze cyane.
- Vugana na muganga wawe mu buryo bweruye kandi buvugishije ukuri ku bijyanye n'ibihe byawe byo kugira agahinda kenshi (hypomania) n'uko umerewe nabi.
- Nubwo waba wumva umeze neza, ntugahagarike gufata imiti yawe utabanje kugirwa inama na muganga. Kuvura ni bwo buryo bwiza bwo kugufasha.
- Niba wowe cyangwa undi muntu uzi ufite ubu burwayi, ntukabe wenyine. Shaka ubufasha vuba na bwangu kwa muganga . Iyo uvuwe neza, ushobora kurwanya ubu burwayi no kubaho ubuzima busanzwe.
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