Wakambonzwa kufara zvikuru, kuzara nesimba, uye panguva imwe chete, kusuruvara kukuru uye kusava nechinhu mukati? Kana kuti pane mumwe munhu waunoziva akambofara zvakadaro pane imwe nguva uye akabva atanga kuchema pasina chikonzero chinotevera here? Izvi zvinogona kuva chiitiko chinovhiringidza uye chakaoma kunzwisisa. Nhasi tiri kutaura nezve 'zvinhu zvakasiyana-siyana' izvi zvinogona kuitika nebipolar disorder. Izvi zvakajairika kupfuura zvaungafunga.
Ndezvipi 'Zvinhu Zvakasiyana-siyana' zvechirwere chebipolar?
Zvichitaurwa zviri nyore, bipolar disorder chirwere apo manzwiro emunhu anochinja-chinja pakati pezvinhu zviviri zvakanyanyisa. Chimwe chakanyanya ipfungwa yekusuwa, inova nguva yemufaro wakanyanya, simba rakawanda, uye kuita zvinhu. Chimwe chakanyanya ipfungwa yekuora mwoyo, inova nguva yekusuwa kwakanyanya, simba rakaderera, uye kushungurudzika nehupenyu. Zvinhu zviviri izvi zvakanyanyisa zvinowanzochinjana.
Asi kana uri mumamiriro ezvinhu anonzi 'Mixed Features', zviratidzo zveizvi zvose zvinonyanya kuitika panguva imwe chete, pazuva rimwe chete, kana mukati mechikamu chimwe chete. Funga nezvazvo sekutsika pa accelerator nebhureki yemotokari panguva imwe chete. Pfungwa dzako padzinenge dzichida kukwira kune rimwe divi, dzinokudhonzera pasi kune rimwe divi. Ichi chiitiko chinovhiringidza uye chinorwadza.
Ndiani anonyanya kubatwa nechirwere ichi?
Zvinhu zvakasiyana-siyana zvinowanikwa muvanhu vane chirwere chebipolar . Sekureva kwezvimwe zvidzidzo, inenge hafu yevarwere vane bipolar vanonzwa zvimwe zvinhu zvinoshungurudza panguva yekuzvimba kwavo.
- Zera: Kazhinji, zviratidzo zvebipolar disorder zvinotanga kuonekwa muvechidiki , vari pakati pemakore gumi nemashanu nemakumi maviri nemashanu. Vanhu vanotanga chirwere ichi pazera iri vanowanzova nezviratidzo zvakasiyana-siyana. Hazviwanzoitiki kuti munhu awane bipolar disorder kekutanga mushure memakore makumi mashanu.
- Nhoroondo yemhuri: Kana mumwe munhu wemumhuri yako yepedyo (vabereki, vanun'una kana hanzvadzi) aine chirwere chebipolar , uri panjodzi huru yekubata chirwere ichi.
- Vanhu vane kuora mwoyo chete: Dzimwe nguva, munhu asina kunyatsoonekwa kuti ane chirwere chebipolar asi aine chirwere chekuora mwoyo chikuru anogonawo kuratidza zviratidzo zvemania zvisina kunaka pamwe chete nekuora mwoyo. Izvi zvinonzi 'depression episode ine zvinhu zvakasiyana-siyana'.
Ndezvipi zvinhu zvinoitwa ne'Mixed Episode'?
Izvi zvinosanganisa zviratidzo zvekupenga zvakanyanya uye kuora mwoyo. Pane musiyano mukuru pakati pemanzwiro ari mupfungwa nekushanda kwemuviri.
| Zviratidzo zvepfungwa | Zviratidzo zvekushungurudzika |
|---|---|
| Kunzwa simba rakawandisa, kugara uchifamba-famba usingazorori | Kunzwa kusuruvara kusingatsungiririki, kusuruvara, uye kusava nechinhu |
| Pfungwa dzinomhanya-mhanya uye kutaura | Kurasikirwa nehanya nezvinhu zvawaimbofarira |
| Kutsamwa, kukurumidza kutsamwa kunyange pazvinhu zvidiki diki | Kunzwa kushaya simba, kuneta nguva dzose |
| Kushanda nesimba zvisina kujairika, kusakwanisa kugara panzvimbo imwe chete | Kunzwa uine mhosva pamusoro pako, pfungwa dzekusakosha |
| Muedzo wekuita zvinhu zvine njodzi (semuenzaniso, kushandisa mari yakawandisa) | Pfungwa dzekuzviuraya |
Ungave uchifunga kuti, "Zvinhu zviviri izvi zvingaitika sei pamwe chete?" Izvi zvinogoneka. Fungidzira mumwe munhu achichema zvikuru achiti, "Handisati ndambonzwa kufara kwakadaro muhupenyu hwangu." Kana kuti vangangoerekana vafara zvikuru uye pasekondi inotevera vachange vakarara pasi vachichema nekurwadziwa. Mamiriro ezvinhu aya anogona kugara kwemazuva, mavhiki, kana mwedzi pasina kurapwa.
Ndeipi njodzi dzekuva ne'Mixed Features'?
Njodzi yakakomba uye inosuruvarisa yatinofanira kutaura nezvayo pano ndeyekuzviuraya .Vanhu vane chirwere chebipolar vane mukana wekuzviuraya wakapetwa ka10-20 kupfuura vanhuwo zvavo.
Tsvagiridzo yakaratidza kuti njodzi yekuzviuraya muzviitiko zvine 'zviratidzo zvakasiyana-siyana' yakakura kupfuura muzviitiko zvekuora mwoyo kwakajairika.
Izvi zvinodaro nekuti kusuruvara kukuru, kushaya tariro, uye kunzwa kwekushaya maturo kwekuora mwoyo zvinosanganiswa nesimba rakawandisa, kushaya zororo, uye kushaya simba kwekuda kuita chimwe chinhu. Musanganiswa uyu une njodzi unogadzira simba nekukurudzira kuita chimwe chinhu nekuda kwekufunga kuzviuraya.
Dambudziko guru rinotevera kupindwa muropa nezvinodhaka nedoro . Vamwe vanhu vanogona kushandisa zvinodhaka senzira yekutiza nhamo iyi isingatsungiririki nekurwadziwa. Izvi hazvingoiti kuti chirwere chacho chiwedzere kuipa, asi zvinoitawo kuti kurapwa kuome.
Kana uine pfungwa idzi, ndapota usazvidya mwoyo uri wega . Taura neshamwari yako kana kuona chiremba wako nekukasika. Kana zvichidikanwa, usazeza kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
Ndezvipi zvinorapwa izvi?
Mashoko akanaka ndeekuti kune mishonga yekurapa chirwere ichi. Zvisinei, chinogona kuoma zvishoma kugadzirisa pane mamiriro ezvinhu akajairwa ekutya kana kuora mwoyo. Nzira dzakawanda dzekurapa dzinoshandiswa.
Zvinosimbisa Mafungiro
Mishonga iyi inodzora kukwira nekudzika kwepfungwa.
- Lithium: Mushonga unoshanda zvikuru wave uchishandiswa kwemakumi emakore pakurapa chirwere chebipolar. Zvisinei, ungasashanda zvakanyanya kana paine zvinhu zvakasiyana-siyana.
- Valproic acid (Depakote): Iyi inoderedzawo manzwiro. Dzimwe ongororo dzakaratidza kuti inoshanda kupfuura lithium pazvirwere zve 'mixed features'.
- Mimwe mishonga: Pamusoro peizvi, mishonga yakaita se `(Carbamazepine)` uye `(Lamotrigine)` inoshandiswawo.
Mishonga inorwisa pfungwa
Mishonga iyi inopihwawo yoga kana pamwe chete nezvinosimbisa mafungiro kuti idzore mamiriro e'Mixed Features'. Mienzaniso inosanganisira mishonga yakaita se `(Aripiprazole)`, `(Olanzapine)`, `(Quetiapine)`, `(Risperidone)`.
Kurapa neElectroconvulsive Therapy (ECT)
Zita iri rinogona kutyisa vamwe vanhu, asi ECT mushonga unoshanda uye wakachengeteka , kunyanya muzviitiko zvakakomba apo mimwe mishonga isina kushanda, uye apo njodzi yekuzviuraya yakanyanya.
Yambiro inokosha nezvemishonga inorwisa kuora mwoyo!
Chikanganiso chikuru chinoitwa nevanhu vazhinji pano ndechekushandisa mishonga inorwisa kushushikana kwepfungwa inonyorerwa vanhu vanoshungurudzika, vachifunga kuti vakasuruvara. Semuenzaniso, `(Fluoxetine)`, `(Sertraline)`. Zvisinei, kana mishonga iyi ikashandiswa kana paine 'Mixed Features', pachinzvimbo chekuderedza kushushikana, inogona kuwedzera zviratidzo zvepfungwa. Saka, unofanira kurega kushandisa mishonga yakadaro pasina kurayirwa nenyanzvi.
Bipolar chirwere chinowanzo gara kwenguva refu. Saka, kunyangwe zviratidzo zvadzorwa, zvakakosha kuti urambe uchitora mishonga yekuchengetedza sezvakarairwa nachiremba wako kuti udzivise kudzokera shure.
Mharidzo Yekuenda Nayo Kumba
- 'Mixed Features' zvinoreva kuitika panguva imwe chete kwezviratidzo zvemufaro wakanyanya uye kusuruvara mu bipolar disorder.
- Mamiriro ezvinhu aya anovhiringidza zvikuru, uye njodzi yekuzviuraya yakakura kwazvo.
- Kana iwe kana mumwe munhu waunoziva aine zviratidzo izvi, usaedza kutsvaga mhinduro wega. Tsvaga mazano kubva kuna chiremba ane hunyanzvi nekukasika.
- Dzivisa kutora mishonga yekuora mwoyo, kunyanya iyo yekuderedza kushungurudzika, usina kupiwa mazano nachiremba. Inogona kuwedzera dambudziko racho.
- Kana ukarapa zvakanaka (zvinosimbisa mafungiro, mishonga yekurwisa pfungwa) uye kurapwa kwenguva refu, dambudziko iri rinogona kudzorwa zvinobudirira uye hupenyu hwakanaka hunogona kuraramwa.
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