Hamuna dambudziko rakafanana here? Ngatitaurei nezve bipolar disorder.

Dzimwe nguva unonzwa kufara kamwe kamwe, asi mangwana unonzwa kusuruvara uye kufinhwa nehupenyu here? Kana kuti pane mumwe munhu waunoziva akambosangana neizvi here? Izvi hazvisi zvimwe chete, pamwe chikonzero cheizvi idambudziko rebipolar. Nhasi, tichataura nezvazvo nenzira iri nyore, nenzira yaunogona kunzwisisa.

Chii chinonzi Bipolar Disorder?

Zvichitaurwa zviri nyore, bipolar disorder chirwere chepfungwa chinogara kwenguva refu . Chaimbonzi "manic-depression illness" kana kuti "manic depression." Chinoratidzwa nekuchinja kwakamwe kamwe, kwakakura mumafungiro ako, simba, mafungiro, uye maitiro. Kuchinja uku kunogona kugara kwemaawa, mazuva, mavhiki, kana mwedzi. Kunogonawo kukanganisa kugona kwako kushanda zvakanaka.

Dambudziko reBipolar rinoratidzwa nekuchinja-chinja kwemafungiro kukuru maviri: manic episodes kana hypomanic episodes uye depression episodes. Zvisinei, izvi hazvirevi kuti munhu ane bipolar disorder anogara ari mune chimwe chezviitiko izvi zviviri. Vanewo nguva dzemanzwiro akajairika. Tinozvidaidza kuti "euthymia."

Sei zita rekuti "chirwere chekushungurudzika mupfungwa" risisashandiswi?

Pane zvikonzero zvinoverengeka zveizvi:

• Kare, vanachiremba vaishandisa izwi rekuti "manic depression" kureva zvirwere zvakasiyana-siyana zvepfungwa. Iye zvino, sezvo masisitimu ekupatsanura zvirwere zvepfungwa, akadai se "Diagnostic and Statistical Manual of Mental Disorders" (DSM) , ashanduka, kushandisa zita rekuti "bipolar disorder" kunoita kuti kuongororwa kwacho kuve pachena.
• Mashoko ekuti "manic" uye "mania" ane zvakawanda zvinorehwa nerusarura uye zvisina kunaka munharaunda, kunyanya mazwi akadai sekuti "maniac." Saizvozvowo, vanhu vanoshandisa izwi rekuti "depression" kutsanangura kusuruvara kwakajairika, kunyangwe kusiri kushungurudzika kwepfungwa . Zita rekuti "bipolar disorder" rinobva pamashoko maviri aya.
• "Bipolar disorder" izwi rekurapa uye rekurapa kupfuura "manic depression." Rine mutoro mudiki wemanzwiro.
• Zita rekuti "manic depression" haritauri nezve cyclothymic kana hypomanic (yakadai se bipolar II disorder) yechirwere ichi.

Ndezvipi zviratidzo zvikuru zvebipolar disorder?

Ngationei zvinoitika munguva idzi dzekunyanya kupenga uye kuora mwoyo.

Zvikamu zveManic

Dambudziko reBipolar IVanhu vane chirwere chepfungwa chinonzi bipolar disorder vanogona kusangana nezviitiko izvi zvekushungurudzika. Apa ndipo panowanzo nyanya kukwira, dzimwe nguva kutotsamwa zvikuru. Panguva imwe chete, manzwiro ako, pfungwa, simba, kutaura, uye maitiro ako zvese zvinochinja zvikuru. Simba iri rakakwirira uye maitiro akasiyana zvikuru nezvawagara uchiita, uye zvinoonekwa nevamwe.

Pavanenge vachitya, vamwe vanhu vanogona kuita zvinhu zvinovakuvadza mumuviri, mumagariro evanhu, kana mune zvemari. Semuenzaniso, vanogona kungoerekana vashandisa mari yakawanda, kubhejera, kana kutyaira vasina hanya. Dzimwe nguva , zviratidzo zvepfungwa , zvakaita sekufungidzira uye kuona zvinhu zvisipo, zvinogonawo kuitika. Izvi zvinogona dzimwe nguva kuita kuti zviome kusiyanisa chirwere chebipolar nezvimwe zvirwere, zvakaita seschizophrenia.

Semuenzaniso, mune mamwe marudzi echirwere chebipolar, vanhu vane Bipolar II Disorder vanowana chirwere chinonzi hypomania . Ichi chiitiko chisina kunyanya kuoma uye chisina kusimba kupfuura mania. Hachigari kwenguva yakareba semanic episodes uye hachikanganisi mashandiro ezuva nezuva zvakanyanya.

Zvikamu zvinoshungurudza

Munguva yekushungurudzika, unogona kunzwa kusuruvara zvikuru uye kushaya tariro. Unogonawo kurasikirwa nehanya nezvinhu zvawaimbofarira. Zvimwe zviratidzo zvekushungurudzika zvinogonawo kuoneka:

• Kuneta, kuneta.
• Kuchinja kwechido (kuwedzera kana kudzikira).
• Kunzwa usina maturo chiratidzo chekushaya tariro.
• Kusakwanisa kuita chero chinhu.
• Ndinonzwa kuda kuchema.

Ndeapi marudzi echirwere chebipolar?

Kune mhando ina huru dzechirwere chebipolar:

1. Bipolar I Disorder: Vanhu ava vakambosangana nedambudziko rimwe chete kana kupfuura remanic episodes. Vanhu vazhinji vane dambudziko remanic neredepression episodes, asi unogona kuonekwa uine bipolar I kana uine dambudziko remanic chete usina dambudziko redepression episodes. Dambudziko redepression rinowanzo gara kwemavhiki maviri. Kuti uongororwe uine chirwere chebipolar I, dambudziko rako remanic episodes rinofanira kugara kwemazuva manomwe kana kuti rakakomba zvekuti rinoda kugara muchipatara. Vanhu ava vanogonawo kuva nezviitiko zvakasiyana-siyana , izvo zvinoratidza zviratidzo zvemanic neredepression.

2. Bipolar II Disorder: Vanhu ava vanosangana nezviitiko zvekushungurudzika uye hypomanic episodes. Asi havambosangana nezviitiko zvese zvekushungurudzika zvinoonekwa mu bipolar I. Kunyangwe hypomania isinganyanyi kukanganisa semania, bipolar II disorder dzimwe nguva inogona kushungurudza kupfuura bipolar I. Izvi zvinodaro nekuti chronic depression inowanikwa zvakanyanya mu bipolar II.

3.Dambudziko reCyclothymic (Cyclothymia): Vanhu ava vane mafungiro asina kugadzikana nguva dzose. Vanochinjana pakati pekushaya simba uye kuora mwoyo kudiki kwemakore maviri. Vanogona kuva nenguva pfupi yekushaya simba, asi nguva idzi hadzisi pasi pemavhiki masere.

4. Mamwe marwere epfungwa anotsanangurwa uye asina kutaurwa nezvawo ane chekuita nepfungwa iyi: Kana munhu asingasvike padanho rekuti aite chirwere chepfungwa chinonzi bipolar I, II, kana cyclothymia, asi aine dambudziko repfungwa risingawanzoitiki, anowira muchikamu ichi.

Ndeupi musiyano uripo pakati peBorderline personality disorder (BPD) neBipolar disorder?

Dambudziko reBorderline Personality Disorder (BPD) nebipolar disorder zvinogona kuvhiringidzika nekuti zvine zvimwe zviratidzo zvakafanana. Zvisinei, zvirwere zviviri zvakasiyana.

BPD inoratidzwa nekuchinja kwenguva refu kwemanzwiro, maitiro, uye maonero emunhu pachake . Izvi zvinowanzokonzerwa nekusawirirana muhukama nevamwe. BPD inobatanidzwa nehuwandu hwakawanda hwekuzvikuvadza pasina kuzviuraya, izvo zvisingawanzoitiki mu bipolar disorder.

Dambudziko reBipolar rakasiyana neBPD nekuti rinosanganisira zviitiko zvakajeka uye zvinogara kwenguva refu zvemania/hypomania uye/kana kuora mwoyo . Zviitiko izvi zvemania kana kuora mwoyo zvinogona kukonzerwa nezvinhu zvakasiyana-siyana. Semuenzaniso, kusagadzikana kwehope, kushushikana, uye kushandiswa kwemishonga nemimwe mishonga.

Ndiani anowana chirwere chebipolar?

Inogona kukura mune chero munhu. Inowanzotanga pazera remakore makumi maviri nemashanu. Asi kashoma, inogona kutanga uri mudiki, kana kunyangwe uri mumakore ekuma40 kana makumi mashanu.

Zvinobata vakadzi nevarume zvakaenzana, asi panogona kunge paine mutsauko mudiki munzira yazvinovabata nayo.

• Vakadzi vane chirwere chebipolar disorder vanogona kuva nekuchinja-chinja kwemafungiro nekukurumidza. Kana uine zviitiko zvina kana kupfuura zvekupenga kana kuora mwoyo mugore, zvinonzi "kukurumidza cycling." Kuchinja kwemazinga emahormone epabonde uye mahormone ethyroid , pamwe nekuwanda kwemishonga inorwisa kuora mwoyo muvakadzi, zvinogona kukonzera chirwere ichi che "kukurumidza cycling".
• Vakadzi vanogonawo kusangana nezviitiko zvekushungurudzika zvakanyanya kupfuura varume.

Dambudziko reBipolar rakajairika zvakadii?

Vanhu vakuru vanosvika mamiriyoni mashanu nemazana manomwe muUnited States, kana kuti 2.6% yevanhu, vane chirwere ichi. Chirwere ichi chinogona kuonekwawo muSri Lanka.

Ndezvipi zviratidzo zvebipolar disorder?

Chiratidzo chikuru chechirwere chebipolar I chirwere chekushungurudzika kwepfungwa chinogara kwevhiki imwe chete . Vanhu vane chirwere chebipolar II kana kuti cyclothymia vanowana zviitiko zvehypomanic.

Asi vanhu vazhinji vane chirwere chepfungwa chinonzi bipolar disorder vanosangana nezviitiko zvepfungwa chinonzi manic/hypomanic uye depression. Kuchinja-chinja uku kwemafungiro hakuwanzoitika nenzira imwe chete. Chiitiko chepfungwa chinonzi manic hachiwanzo tevera chiitiko chepfungwa chinonzi depression. Munhu anogona kuva nemafungiro akafanana (semuenzaniso, mania) kakawanda, uye anogonawo kubva pakuva nemafungiro akajairwa (euthymia) kuenda kune rimwe divi (depression).

Kuchinja uku kwemanzwiro kunogona kugara kwemavhiki, mwedzi, kana kunyange makore.

Chinhu chakakosha ndechekuti shanduko idzi dzemanzwiro dzisave dzakajairika uye kuti shanduko yacho inogara kwenguva refu . Mukuda zvinhu zvinonetsa, zvinogona kugara kwemazuva kana mavhiki, uye mukuora mwoyo, zvinogona kugara kwemavhiki kana mwedzi.

Kuoma kwezviitiko zvekushungurudzika uye zvepfungwa zvinogona kusiyana kubva pamunhu kusvika pamunhu, uye kunyange nekufamba kwenguva mumunhu mumwe chete.

Zviratidzo zveManic Episodes

Vamwe vanhu vanotambura nepfungwa yekudhakwa kana kuti hypomania kakawanda muhupenyu hwavo. Vamwe vanotambura nepfungwa iyi kashoma.

Zviratidzo zvechiitiko chekushungurudzika ndeizvi:

• Kunzwa mufaro mukuru, tariro, uye kufara.
• Kuchinja kwakakomba kwemanzwiro kamwe kamwe. Semuenzaniso, kubva pakufara zvikuru kusvika pakungoerekana watsamwa kana kuvenga.
• Kusagadzikana.
• Kutaura nekukurumidza, kufunga zvakawanda.
• Kuwedzerwa simba, kudzikira kwekuda kurara.
• Kuwedzera kuzvidzora, kuita zvisarudzo zvakaipa. Semuenzaniso, kungoerekana warega basa.
• Kuronga zvinhu zvikuru zvisingagoneke.
• Maitiro asina hanya uye ane njodzi. Semuenzaniso, kushandisa zvinodhaka nedoro zvisina kunaka, bonde risina kuchengetedzeka.
• Kunzwa kukosha kusingawanzoitiki, tarenda, kana simba.
• Kufunga nezvepfungwa - Kuona zvinhu zvisipo uye kufungidzira muzviitiko zvakanyanya zvekupenga.

Kazhinji, vanhu vari mumamiriro ezvinhu ekushungurudzika kwepfungwa havazivi nezvemigumisiro yakaipa yezviito zvavo. Njodzi yekuzviuraya inogara iripo muchirwere chepfungwa chinopa simba. Vamwe vanhu vanoedzwa kuzviuraya panguva yekushungurudzika kwepfungwa, kwete chete panguva yekushungurudzika kwepfungwa.

Kana munhu ari mumamiriro ezvinhu akaomarara ekutya, kunyanya kana aine zviroto uye pfungwa dzisina kururama, angangoda kuendeswa kuchipatara kuti azvidzivirire iye nevamwe kubva mukukuvadzwa.

Zviratidzo zveHypomania

Vamwe vanhu vanowana zviratidzo zvakafanana nepfungwa yekupenga, asi zvishoma. Izvi zvinonzi hypomania . Munguva iyi, unogona kunzwa zvakanaka uye kunzwa sekunge unogona kuita zvakawanda. Vanhu vari mumamiriro ezvinhu ekupenga vanowanzo shanda zvakanaka munharaunda kana kubasa.

Munguva ye hypomanic episode, ungasanzwa sekuti pane chakaipa. Asi mhuri yako neshamwari vanogona kuona shanduko mumafungiro ako nemaitiro ako, uye vanogona kufunga kuti hazviwanzoitika kwauri. Unogonawo kunzwa kuora mwoyo kwakanyanya mushure me hypomanic episode.

Zviratidzo zvezviitiko zvekushungurudzika

Zviratidzo zvezviitiko zvekushungurudzika mupfungwa muchirwere chebipolar zvakafanana nezviratidzo zvepfungwa yekuora mwoyo kukuru . Zvinosanganisira:

• Kunzwa kusuruvara kusingatsungiririki.
• Kushaya simba, kuneta.
• Kushaya chido chekuita chero chinhu.
• Kuora mwoyo, kunzwa seusina maturo.
• Kusawana mufaro nezvinhu zvaifadza kare.
• Kuomerwa nekuisa pfungwa pachinhu, kuita zvisarudzo.
• Kuchema zvisingadzoreki.
• Hasha.
• Kuda kurara zvakanyanya.
• Kushaya hope kana kurara zvakanyanya.
• Kudzikira kwehuremu kana kuwedzera huremu nekuda kwekuchinja kwechido chekudya.
• Pfungwa pamusoro perufu kana kuzviuraya ( Suicidal Ideation ).

Kana uri kufunga zvekuzviuraya, unofanira kutsvaga rubatsiro nekukasika. MuSri Lanka, fonera sangano rakaita seSumithrayo (0112692909), kana kuti enda kuchipatara chiri pedyo.

Hunhu hweChikamu Chakasanganiswa

Muzviitiko zvakasiyana-siyana, zviratidzo zvekupenga uye zvekuora mwoyo zvinoitika pamwe chete. Munguva iyi, une manzwiro asina kunaka nepfungwa dzinouya nekuora mwoyo, asi unonzwawo kunetseka, kusagadzikana, uye simba rakawanda.

Vanhu vanosangana nezviitiko zvakasiyana-siyana vanowanzoti ndicho chikamu chakaipisisa chebipolar disorder.

Ndezvipi zvinokonzera chirwere chebipolar?

Masayendisiti haasati aziva kuti chii chinokonzera izvi.

Asi vanotenda kuti pane hukama hwakasimba pakati pemajini (genetic/inherent) . Bipolar disorder ndeimwe yezvirwere zvepfungwa zvakajairika. Vanhu vanopfuura zvikamu zviviri muzvitatu vane bipolar disorder vane hama yeropa inewo chirwere ichi. Asi kungoti hama yako yeropa ine bipolar disorder hazvirevi kuti uchava nayo.

Zvimwe zvinhu zvinotendwa nemasayendisiti kuti zvinobatsira pakukura kwechirwere chebipolar zvinosanganisira:

• Kuchinja muuropi hwako: Vaongorori vakawana shanduko dzisinganzwisisike muhukuru hwakajairika kana mashandiro emamwe maumbirwo europi muvanhu vane chirwere chebipolar. Asi chirwere ichi hachigone kuonekwa nekuongorora uropi.
• Zvinhu zvinokanganisa nharaunda, zvakaita sekushungurudzika uye kushushikana: Chiitiko chinoshungurudza, senge kufa kwemudiwa, chirwere chakakomba, kurambana, kana matambudziko emari, zvinogona kukonzera kushushikana kana kuora mwoyo. Nokudaro, kushushikana uye kushungurudzika zvinogonawo kubatsira mukukudziridza chirwere chebipolar.

Masayendisiti ari kuferefeta kuti zvinhu izvi zvine chekuita nebipolar, kuti zvingabatsira sei kudzivirira chirwere ichi, uye kuti zvinokanganisa sei kurapwa.

Dambudziko reBipolar rinoonekwa sei?

Chiremba wako anogona kushandisa zvinhu zvakasiyana-siyana kuongorora izvi:

• Kuongororwa kwemuviri.
• Nhoroondo yakazara yezvekurapa (kubvunza nezvezviratidzo zvako, zvakaitika muhupenyu hwako, uye nhoroondo yemhuri).
• Miedzo yekurapa,Kufanana nekuongororwa kweropa. Izvi zvinoitirwa kutarisa zvimwe zvirwere zvinogona kukonzera zviratidzo zvako (semuenzaniso, hyperthyroidism ).
• Kuongororwa kwehutano hwepfungwa. Chiremba wako anogona kuita izvi, kana kuti anogona kukutumira kuna chiremba wepfungwa, akadai sechiremba wepfungwa.

Kuti uongororwe kuti une chirwere chebipolar disorder, unofanira kunge wakasangana nedambudziko rimwe chete remanic kana hypomanic . Nyanzvi dzehutano hwepfungwa dzinoshandisa Diagnostic and Statistical Manual of Mental Disorders (DSM) kuti dzikubatsire kuona kuti ndeapi rudzi rwechirwere chebipolar chaungave nacho.

Kuti aone kuti une chirwere chebipolar chipi, chiremba wako achaongorora maitiro ezviratidzo zvako uye kuti zvinokanganisa sei hupenyu hwako kana zvanyanya kuipa.

Vanhu vane chirwere chepfungwa chinonzi bipolar disorder vanowanzova nematambudziko aya:

• Kuzvidya mwoyo.
• Dambudziko reKushaya Kunyatsoteerera/Kushaya Simba (ADHD).
• Dambudziko rePost-Traumatic Stress Disorder (PTSD).
• Matambudziko Ekushandisa Zvinhu Zvisina Kunaka.

Nekuda kweizvi, uye nekuti vanhu vangasayeuka vachisangana nazvo nekuti ndangariro dzavo dzinenge dzisina kunaka panguva yekushungurudzika, dzimwe nguva zvinogona kuomera vanachiremba kuti vaongorore vanhu vane bipolar nemazvo.

Murwere ane bipolar ari muchiitiko chakanyanya chekushungurudzika kwepfungwa ane zvinhu zvisipo anogona kuonekwa zvisizvo se schizophrenia . Zvinokwanisikawo kuonekwa zvisizvo se borderline personality disorder (BPD) .

Saka, zvakakosha zvikuru kuva akatendeseka uye akakwana nezvezviratidzo zvako zvese nezvawakasangana nazvo paunenge uchitaura nachiremba wako. Zvinogonawo kubatsira kusanganisira mudiwa wako muhurukuro dzako nachiremba wako uyo anogona kukupa rumwe ruzivo nezvenhoroondo yehutano hwako hwepfungwa.

Dambudziko reBipolar rinorapwa sei?

Kurapwa kunogona kubatsira vanhu vazhinji, kunyangwe avo vane chirwere chebipolar chakanyanya. Chirongwa chekurapa chinobudirira chinowanzo sanganisira musanganiswa wezvinotevera:

• Kurapa Nepfungwa / Kurapa Nehurukuro.
• Mishonga.
• Maitiro ekuzvidzora, semuenzaniso, kudzidza nezvechirwere, kuziva zviratidzo zvechirwere pakutanga, uye kuziva zvinokonzera.
• Maitiro ekurarama ane hutano, akadai sekurovedza muviri, yoga, uye kufungisisa, anogona kutsigira kurapwa, asi haasi kutsiva.
• Kurapa neElectroconvulsive Therapy (ECT) kunoshandiswa kana mamwe marapirwo asingapindure zvakanaka nemishonga, kana kana zviratidzo zvichifanira kudzorwa nekukurumidza kudzivirira kukuvara.

Dambudziko reBipolar chirwere chinogara kwenguva refu, saka kurapwa chinhu chinogara kwenguva refu . Zvinogona kutora mwedzi kana makore kuti iwe nachiremba wako muwane nzira yekurapa inoshanda kwamuri. Kunyangwe izvi zvichigona kunetsa, zvakakosha kuti murambe muchirapwa.

Zviitiko zvekushungurudzika mupfungwa uye zvekushungurudzika zvinodzoka nekufamba kwenguva. Vanhu vazhinji vane chirwere chebipolar vanonzwa kusununguka kwekuchinja-chinja kwemanzwiro avo panguva yezviitiko, asi vamwe vanogona kunge vaine zvimwe zviratidzo zvasara. Kurapwa kwenguva refu kunogona kubatsira kudzora zviratidzo izvi.

Kana uine zvimwe zvirwere zvepfungwa (semuenzaniso, kuzvidya mwoyo, ADHD) pamwe chete nebipolar, kurapa zvirwere izvozvo kunogona kutonyanya kuoma. Semuenzaniso, mishonga inorwisa kushushikana kwepfungwa ye obsessive-compulsive disorder (OCD) uye mishonga inosimudzira ADHD inogona kuwedzera zviratidzo zvebipolar uye kutokonzera manic episodes.

Zvisinei, kunyange zvazvo kurapa zvirwere izvi kuchigona kuoma, hazvigoneki. Zvipire pakutsvaga nzira yekurapa inoshanda kwauri.

Ndeapi marudzi ekurapa anoshandiswa pakurapa bipolar disorder?

Kurapa kwepfungwa, kunozivikanwawo se "talk therapy," kunogona kuva chikamu chakakosha chechirongwa chekurapa vanhu vane bipolar disorder.

Kurapa kwepfungwa inzira dzakasiyana-siyana dzekurapa dzinokubatsira kuona nekushandura manzwiro, pfungwa, uye maitiro anonetsa. Kushanda nenyanzvi yehutano hwepfungwa , senge chiremba wepfungwa, kunogona kukupa iwe nemhuri yako rutsigiro, dzidzo, uye gwara.

Mhando dzakasiyana dzemishonga yekurapa bipolar disorder:

• Dzidzo yepfungwa: Apa ndipo apo nyanzvi dzehutano hwepfungwa dzinodzidzisa vanhu nezvezvirwere zvavo zvepfungwa. Nekuti bipolar chirwere chakaoma kunzwisisa, kudzidza nezvacho uye kuti chinokanganisa sei hupenyu hwako kunogona kukubatsira iwe nevadikanwi vako kuti vazvigadzirise zviri nani.
• Kurapa Nekubatana Kwevanhu Uye Kushamwaridzana Nevanhu (IPSRT): Kurapa uku kwakagadzirirwa kukubatsira kunzwisisa nekushanda nemaitiro ako emuviri uye emagariro evanhu kuti uvandudze mafungiro ako. IPSRT mushonga unoshanda kune vanhu vane chirwere chebipolar nedzimwe matambudziko emanzwiro. Unotarisa pakutevedzera mishonga, kugadzirisa zviitiko zvinoshungurudza muhupenyu, uye kuderedza kukanganiswa kwemaitiro emagariro evanhu (kuchinja kwemaitiro ezuva nezuva). IPSRT inokudzidzisa hunyanzvi hunogona kukubatsira kudzivirira zviitiko zvemangwana zvekupenga kana kuora mwoyo.
• Kurapa Kwakatarisana Nemhuri: Uku kurapa kwevakuru nevana vane chirwere chebipolar pamwe nevanovachengeta. Mukurapa uku, vadikanwi vako vanoshanda newe kuti vadzidze nezvebipolar, vawedzere hunyanzvi hwekutaurirana, uye vadzidze kugadzirisa matambudziko.
• Kurapa Nemaitiro Ekufunga Nezvepfungwa (CBT): Iyi imhando yekurapa yakarongeka, inotarisa pachinangwa. Murapi wako anokubatsira kutarisa zvakadzama pfungwa dzako nemanzwiro ako. Uchadzidza kuti pfungwa dzako dzinopesvedzera sei zviito zvako. Kuburikidza neCBT, unogona kudzidza kurega pfungwa dzakaipa nemaitiro uye kugadzira mafungiro netsika dzakanaka.

Ndeipi mishonga inoshandiswa pakurapa bipolar disorder?

Mimwe mishonga inogona kubatsira kudzora zviratidzo zvebipolar. Ungangoda kuedza mishonga yakasiyana-siyana uchitungamirirwa nachiremba wako kuti uwane inoshanda zvakanyanya kwauri.

Mishonga inowanzo shandiswa yekurapa chirwere chebipolar inosanganisira:

• Zvinosimbisa Mafungiro.
• Varwere verudzi rwechipiri ("vasingawanzoitiki") vane neuroleptics (vanonziwo antipsychotics).
• Mishonga yekuora mwoyo.

Kana uri kutora mushonga webipolar disorder, yeuka zvinhu izvi:

• Taura nachiremba wako kuti unzwisise njodzi, migumisiro, uye mabhenefiti emushonga.
• Udza chiremba wako nezvemimwe mishonga (yakanyorwa nachiremba, isina kunyorerwa chiremba, kana kuti yekuwedzera hutano) yauri kutotora.
• Kana ukasangana nematambudziko anokonzera kurwara, taurira chiremba wako nekukasika. Vanogona kuchinja mushonga kana kukupa mumwe mushonga.
• Yeuka kuti mushonga webipolar unofanira kutorwa nguva dzose, sezvakarairwa.

Zvinosimbisa Mafungiro eBipolar

Vanhu vane chirwere chebipolar vanowanzoda mishonga inosimbisa mafungiro avo kuti vararame manic episodes kana hypomanic episodes.

Mhando dzezvinosimbisa mafungiro uye mazita adzo:

• Lithium ( Eskalith®, Lithobid®, Lithonate®)
• Valproic acid (Depakene®)
• Divalproex sodium (Depakote®)
• Carbamazepine (Tegretol®, Equetro®)
• Lamotrigine (Lamictal®)

Lithium ndeimwe yemishonga inonyanya kunyorerwa uye inonyanya kudzidzwa yechirwere chebipolar. Lithium munyu unowanikwa nenzira yechisikigo. Inoderedza zviratidzo zvemanic mukati memavhiki maviri ekutanga kurapwa, asi zvinogona kutora mavhiki kana mwedzi kuti zviratidzo zvemanic zvidzorerwe zvizere. Nekuda kweizvi, vanachiremba vanowanzo nyora mimwe mishonga, yakadai semishonga yekurwisa pfungwa kana mishonga yekuora mwoyo, kubatsira kudzora zviratidzo.

Lithium dzimwe nguva inogona kukonzera matambudziko ethyroid neitsvo . Saka chiremba wako anogara achiongorora mashandiro ethyroid neitsvo dzako, pamwe nemazinga e lithium muropa rako, nekuti mazinga e lithium anogona kukwira zvakanyanya.

Chero chipi zvacho chinoderedza huwandu hwe sodium mumuviri wako — zvakaita sekuchinja kudya kushoma, kudikitira zvakanyanya, fivha, kurutsa, kana manyoka — zvinogona kukonzera kuti lithium iungane kusvika pahuwandu hune chepfu mumuviri wako. Ziva nezvezvirwere izvi kana uri kutora lithium, uye udza chiremba wako kana zvikaitika.

Izvi zviratidzo zve lithium chepfu/kudarika mwero . Kana uine chimwe chezvizvi , fonera chiremba wako nekukasika kana kuenda kuchipatara chiri pedyo newe:

• Kuona kusina kujeka kana kuona kaviri.
• Kurova kwemoyo kusina kurongeka.
• Kurova kwemoyo kunokurumidza kana kuti kunononoka.
• Kutadza kufema zvakanaka.
• Kuvhiringidzika, dzungu.
• Kudedera kwakanyanya kana kuti pfari.
• Kuita weti zvakanyanya.
• Kufamba-famba kwemaziso kusingadzoreki.
• Kukuvara kana kubuda ropa zvisina kujairika.

Mishonga yeNeuroleptic yeBipolar Disorder

Vanachiremba vanowanzopa mishonga yerudzi rwechipiri kana kuti isina kujairika yeneuroleptics (antipsychotics) pamwe chete neinogadzirisa mafungiro evanhu vane chirwere chebipolar. Mishonga iyi inobatsira pamatambudziko epfungwa nepfungwa.

Mishonga mina chete iyi ndiyo inotenderwa neUS Food and Drug Administration (FDA) kurapa kushushikana kwepfungwa kunokonzerwa nepfungwa:

• Cariprazine (Vraylar®)
• Lurasidone (Latuda®)
• Musanganiswa weOlanzapine-fluoxetine (Symbyax®)
• Quetiapine (Seroquel®)

Zvisinei, mimwe mishonga yakaita seOlanzapine (Zyprexa®), Risperidone (Risperdal®), uye Aripiprazole (Abilify®) inowanzo nyorwawo.

Mishonga yekuderedza kushushikana kwepfungwa yebipolar disorder

Dzimwe nguva vanachiremba vanopa mishonga yekuora mwoyo kurapa kuora mwoyo muvanhu vane chirwere chebipolar. Zvisinei, kudzivirira manic episodes, vanopawo mishonga inogadzirisa mafungiro pamwe chete nemushonga wekuora mwoyo.

Mishonga yekuora mwoyo haimboshandiswi semushonga wega webipolar disorder, sezvo kutora mushonga wekuora mwoyo wega kunogona kukonzera manic episode.

Ndeipi migumisiro yemishonga yebipolar?

Migumisiro yemishonga yebipolar inowanzoonekwa, uye inosiyana zvichienderana nemishonga. Zvakakosha kutaura nachiremba wako nezvezvaunotarisira kubva kumushonga wauri kutora. Zvakakoshawo kuvaudza kana uine migumisiro.

Usamborega kutora mishonga kunze kwekunge chiremba wako akuudza kuti udaro. Kurega mishonga kamwe kamwe kunogona kukonzera migumisiro yakaipa uye kutungamira kuzvirwere zvakakomba.

Migumisiro yakajairika yemishonga yebipolar ndeiyi:

• Kuwedzera uremu.
• Kusashanda zvakanaka kwemetabolism, kusanganisira mazinga asina kujairika ema lipids (dyslipidemia) , BP (BP) , uye shuga yakakwira muropa (hyperglycemia) .
• Kurara.
• Akathisia - Kunzwa kusagadzikana, kusagadzikana, uye kuda kufamba-famba, kuzununguka, kana kufamba-famba.

Ndedzipi dzimwe nzira dzekurapa dzinoshandiswa pakurapa bipolar?

Dzimwe nzira dzekurapa nachiremba wako dzingashandiswa kurapa chirwere chebipolar dzinosanganisira:

• Kurapa neElectroconvulsive Therapy (ECT): Izvi zvinosanganisira kutumira magetsi mapfupi kuburikidza nemusoro wako kuenda kuuropi hwako, zvichikonzera pfari. Izvi zvinowanzoshandiswa kune vanhu vane kuora mwoyo kwakanyanya. ECT yakachengeteka uye inoshanda kune kuora mwoyo kusingapindure nemishonga kana mania yakanyanya, inotyisidzira hupenyu. Ndiyo nzira yakanakisisa yekurapa mania kana uine pamuviri. ECT inoitirwa pasi peanesthesia, saka unenge wakarara panguva yese yekuvhiyiwa uye hauzonzwi kurwadziwa.
• Kukurudzira Magnetic muCranial (TMS): Izvi zvinosanganisira kutumira magetsi kuburikidza ne coil pfupi ye electromagnetic kuuropi hwako. Dzimwe nguva vanachiremba vanoshandisa izvi kurapa kushungurudzika kusingapindure nemishonga. Ndiyo imwe nzira yekurapa panzvimbo yeECT. TMS hairwadzi uye haidi anesthesia.
• Mishonga yethyroid: Mishonga iyi inogona kushanda senzira dzekugadzirisa manzwiro. Ongororo dzakaratidza kuti inoshanda mukuderedza zviratidzo zvechirwere chebipolar muvakadzi vane dambudziko re "bipolar" rakaoma kurapa.
• Kurapa Ketamine: Dosi shoma dzeketamine inopinzwa mutsinga (IV) dzakaratidzwa kuti dzine simba rekukurumidza rekuderedza kushushikana uye rekudzivirira kuzviuraya kune vanhu vane chirwere chebipolar.
• Kurapwa muchipatara: Iyi isarudzo yekukurumidzira yekurapwa kwebipolar. Inodiwa kana munhu ari mudambudziko guru rekushungurudzika kana remanic uye ari pangozi yekukurumidza kwaari kana kune vamwe.

Kuchinja mararamiro kunobatsira here pakuchinja mafungiro emunhu ane bipolar?

Chikwata chenyu chezvekurapa chingangokurudzirai kuti mushandure mararamiro enyu kuti zvikubatsirei kurega maitiro anoita kuti zviratidzo zvenyu zvebipolar zviwedzere kuipa. Zvimwe zvekuchinja uku kwemararamiro zvinosanganisira:

• Rega kushandisa doro, zvinodhaka, nefodya: Zvakakosha kurega kushandisa doro nezvinodhaka (kusanganisira fodya) sezvo izvi zvinogona kukanganisa mishonga yauri kutora, kuwedzera dambudziko rako rebipolar, uye kuwedzera njodzi yako yekuva nechirwere ichi.
• Chengeta dhayari kana chati yemanzwiro ezuva nezuva: Kunyora zvaunofunga zuva nezuva, manzwiro, uye maitiro ako zvinogona kukubatsira kuona kuti kurapwa kwako kuri kushanda sei uye kuona zvinokonzera zvinogona kutungamira muzviitiko zvekupenga kana kuora mwoyo.
• Ramba uine purogiramu yekurara ine hutano:Bipolar inogona kukanganisa zvikuru maitiro ako ekurara, uye kuchinja maitiro ekurara kunogona kukonzera kurwara. Ita kuti zvive zvakakosha kuva nepurogiramu yekurara nguva dzose, senge kuenda kunorara uye kumuka panguva imwe chete zuva nezuva.
• Kurovedza muviri: Kurovedza muviri kwakaratidzwa kuti kunovandudza mafungiro uye hutano hwepfungwa. Nokudaro, kunogonawo kubatsira kudzora zviratidzo zvebipolar. Mhedzisiro yakajairika yemishonga yebipolar kuwedzera uremu. Nokudaro, kurovedza muviri kunogonawo kubatsira kudzora uremu.
• Kufungisisa: Kufungisisa kwakaratidzwa kuti kunobatsira pakuvandudza kuora mwoyo, uko kuri chikamu chebipolar disorder.
• Gadzirisa kushushikana uye chengetedza hukama hwakanaka: Kushushikana uye kuzvidya mwoyo zvinogona kuwedzera zviratidzo zvevanhu vazhinji vane chirwere chebipolar. Zvakakosha kudzora kushushikana kwako nenzira ine hutano uye kubvisa zvinokushungurudza kana zvichibvira. Chikamu chikuru cheizvi kuchengetedza hukama hwakanaka neshamwari nemhuri dzinokutsigira, uye kurega hukama hune chepfu hunowedzera kushushikana muhupenyu hwako.

Chii chinonzi fungidziro yechirwere chebipolar?

Maonero echirwere chebipolar anowanzova asina kunaka kana chikasarapwa zvakanaka. Zvisinei, kana vanhu vazhinji vane chirwere chebipolar vanogona kurarama hupenyu hunogutsa uye hune zvibereko.

Dambudziko reBipolar rinopfupisa makore ekurarama nemakore mapfumbamwe. Munhu mumwe chete pavanhu vashanu vane chirwere cheBipolar anozviuraya. Zvinofungidzirwa kuti vanhu vanosvika 60% vane chirwere cheBipolar vanopindwa muropa nezvinodhaka kana doro.

Ndosaka zvichikosha kuti varwere vane bipolar vatsvage mazano echiremba uye vazvipire kurapwa.

Kushandisa mishonga nguva dzose kunogona kubatsira kuderedza zviitiko zvekupenga uye kuora mwoyo. Kana ukakwanisa kuona zviratidzo uye zvinokonzera zviitiko izvi, une mukana uri nani wekuwana mishonga inobudirira uye nzira dzekugadzirisa nadzo dzinogona kudzivirira kurwara kwenguva refu, kugara muchipatara, uye kuzviuraya.

Dambudziko reBipolar rinogona kudzivirirwa here?

Zvinosuwisa kuti, nekuda kwekuti masayendisiti haazivi chikonzero chaicho chebipolar, hapana nzira inozivikanwa yekudzivirira nayo.

Zvisinei, zvakakosha zvikuru kuziva zviratidzo zvebipolar disorder uye kutsvaga rubatsiro rwechiremba nekukurumidza (Early Intervention) .

Unofanira kuona chiremba rini nezve bipolar?

Kana wakamboonekwa uine chirwere chebipolar disorder, uchafanira kusangana nechikwata chako chekurapa nguva nenguva muhupenyu hwako hwese kuti uve nechokwadi chekuti kurapwa kwako kuri kushanda zvakanaka kwauri. Chikwata ichi chinogona kusanganisira:

• Mupi wehutano wako mukuru.
• Chiremba wepfungwa.
• Nyanzvi yepfungwa kana Murapi.
• Chiremba wetsinga.

Varwere vane bipolar vanofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana uine mamiriro ezvinhu akadai,Zvakakosha kufonera 1990 nekukasika (Sri Lanka's emergency ambulance service) kana kuenda ku emergency room iri pedyo:

• Pfungwa pamusoro perufu kana kuzviuraya.
• Pfungwa kana zvirongwa zvekuzvikuvadza kana kukuvadza vamwe.
• Kuona zvinhu zvisipo uye kufungidzira.
• Zviratidzo zve chepfu ye lithium/kudarika mwero , zvakaita sekusvotwa zvakanyanya uye kurutsa, kudedera kwakanyanya kwemaoko, kuvhiringidzika, uye kuchinja kwekuona.

Pakupedzisira, yeuka (Mharidzo Yekuenda Kumba)

Dambudziko reBipolar chirwere chinogara kwenguva refu. Asi kurapwa kwenguva refu, kwakadai semishonga uye kutaura, kunogona kukubatsira kudzora zviratidzo zvako uye kurarama hupenyu hune hutano uye hune chinangwa. Zvakakosha kusangana nechikwata chako chehutano nguva nenguva kuti utarise hurongwa hwako hwekurapa nezviratidzo. Yeuka kuti vanachiremba nevadikanwi vako varipo kuti vakutsigire. Usatya kukumbira rubatsiro.

Bipolar , kushushikana kwepfungwa, mania, kuora mwoyo, hutano hwepfungwa, matambudziko emanzwiro, kurapwa