Iwe kana mumwe munhu waunoziva ane chirwere chebipolar here? Kana zvakadaro, pamwe wakambosangana nacho. Dzimwe nguva unonzwa kufara zvikuru, uchifara, uye uine simba. Asi pane dzimwe nguva paunonzwa wakasuruvara zvekuti haugone kuita chero chinhu, wakasuruvara, uye wakaora mwoyo. Kunyangwe kazhinji paine nguva yekugadzikana pakati pemafungiro maviri aya, kune vamwe vanhu shanduko iyi inoitika nekukurumidza, kakawanda mugore rimwe chete. Ndizvo zvatinodaidza kuti "Rapid Cycling" mukurapa. Ngatitaurei nezvazvo zviri nyore uye zvakajeka nhasi.
Zvichitaurwa zviri nyore, chii chinonzi Rapid Cycling?
Kufamba netsoka nekukurumidza (Rapid Cycling) imhando yechirwere chepfungwa chinonzi bipolar disorder. Hachisi chirwere chakasiyana. Zvichitaurwa zviri nyore, kana munhu ane chirwere chepfungwa chinonzi bipolar disorder akasangana nekuchinja-chinja kwemafungiro kanenge kane kana kupfuura mugore , tinochidaidza kuti Rapid Cycling. Zviitiko izvi zvinogona kuva kushamisika kwakanyanya, kushamisika kushoma, kana kushushikana kwakanyanya.
Funga nezvazvo semamiriro ekunze. Rimwe zuva kune zuva, rinotevera kune dutu uye mvura inonaya zvakanyanya. Mazuva mashoma gare gare kune zuva zvakare. Zvadaro kune mvura zvakare. Apa ndipo panoitika kuchinja kwemafungiro. Maitiro aya anogona kuitika kune chero munhu ane chirwere chebipolar, chero padanho ripi zvaro rechirwere. Uye hachisi chinhu "chinogadziriswa" nekusingaperi. Nekurapwa kwakakodzera, maitiro aya ekukurumidza anogona kudzorwa uye kutopera nekufamba kwenguva.
Ndiani anonyanya kusangana nedambudziko iri?
Dambudziko reBipolar rinogona kukanganisa chero munhu. Vanhu vanosvika 2.5% vekuAmerica, kana kuti vanhu vanosvika mamiriyoni matanhatu, vanotambura nechirwere ichi. Pavanhu ivavo, vari pakati pe10% ne20% vanogona kusangana nedambudziko rekukurumidza kufamba kwemakumbo. Ongororo dzakaratidza kuti vakadzi nevanhu vane dambudziko reBipolar II vane mukana wekukurumidza kufamba kwemakumbo.
Kune vanhu vazhinji, zviratidzo zvebipolar zvinotanga pavanenge vachiri vadiki, vane makore ari pakati pe18-25. Uyewo, kana nhengo yemhuri yepedyo (amai, baba, munin'ina kana hanzvadzi) ine bipolar disorder, njodzi yacho inenge yakakwira zvishoma pane yevamwe.
Ndezvipi chaizvo zvinonyanya kukonzera chirwere chebipolar?
Zvakakosha kunzwisisa izvi zvakajeka, nekuti muRapid Cycling, mafungiro aya anochinja nekukurumidza. Ngatizvitarisei zvakasiyana.
| Chikamu cheManzwiro | Tsananguro |
|---|---|
| Mania | Ino inguva yekunzwa kufara kusingawanzoitiki, kufara, uye simba . Zvinoita sekuti mota yakabatidzwa mumuviri wako. Ungasakwanisa kurara, kushanda usingamiri, kutaura zvakawanda, kuita zvisina hanya, uye kushandisa mari yakawanda. Mamiriro aya anogara kwemazuva manomwe . |
| Kushaya simba remuviri (Hypomania) | Iyi inguva yekunzwa kufara zvishoma uye simba rakawanda , kwete zvakanyanya semapengo. Unogona kuita basa rako zvakanaka uye kuva neushamwari. Asi zvinopfuura zvakajairika. Zvinotora mazuva mana . Vanhu vazhinji havafungi nezveizvi sechirwere, vachifunga kuti "inguva yakanaka chete." |
| Kuora Mwoyo Kukuru | Munguva iyi, unonzwa kusuruvara zvikuru, usina chinhu, uye wakaora mwoyo . Unorasikirwa nehanya nezvinhu zvawaimbofarira. Hausisina simba, tsika dzako dzekurara nekudya dzinochinja, unonzwa kusafara nezvako, uye unorasikirwa netariro muhupenyu. |
Chinonyanya kukosha ndechekuti vanhu vazhinji vane chirwere chepfungwa chinokurumidzira vanopedza nguva yakawanda vari mukuora mwoyo. Mania kana hypomania hazviwanzoitiki uye zvinogara kwenguva pfupi. Ndosaka vanhu ava vachiwanzoonekwa zvisirizvo sevanhu vane "unipolar depression."
Chiremba anoongorora sei Rapid Cycling?
Sezvambotaurwa, Rapid Cycling haisi chirwere chakasiyana, asi izwi rinotsanangura nzira yebipolar disorder. Chiremba achaiongorora mushure mekunyatsoteerera zviratidzo zvako. Kana zvikaonekwa kuti une zviitiko zvina kana kupfuura zveMania, Hypomania, kana Depression mukati megore, inonzi Rapid Cycling pattern.
Asi zvinogona kuoma kuziva izvi dzimwe nguva. Nekuti kunyange chikamu chimwe chete chinogona kuitika kakawanda. Zvakaoma kuziva kana chiri zvikamu zvina zvakasiyana kana chimwe chete. Zvakare, nekuti murwere haatauri nezvenguva yekushaya simba, chiremba anongoona kuora mwoyo kuri kuenderera mberi. Saka, kuchengeta dhayari yekuchinja-chinja kwemafungiro ako kunogona kubatsira zvikuru chiremba kuti akunzwisise.
Izvi zvinorapwa sei?
Chinangwa chikuru chekurapa chirwere chekukurumidza kutenderera makumbo ndechekudzikamisa mafungiro, kunyanya kudzora kushushikana kuripo uye kudzivirira zviitiko zvitsva.
Yambiro inonyanya kukosha: Nezvemishonga inorwisa kuora mwoyo
Mishonga yekuderedza kushungurudzika inowanzopihwa varwere vane dambudziko rekushungurudzika, yakaita sefluoxetine (Prozac), paroxetine (Paxil), uye sertraline (Zoloft), kazhinji haina kukodzera vanhu vane dambudziko rekukurumidza cycling bipolar. Ongororo dzakaratidza kuti mishonga iyi inogona kuwedzera kuwanda kwezviitiko. Nokudaro, vanachiremba vanodzivisa kupa varwere ava mishonga yekuderedza kushungurudzika, kunyanya kwenguva refu.
Kurapa kukuru: Zvinosimbisa Mafungiro
Mushonga mukuru wechirwere ichi mishonga inosimbisa mafungiro.
Mienzaniso yazvo ndeiyi:
- Carbamazepine (Tegretol)
- Lamotrigine (lamotrigine (Lamictal))
- Lithium (lithium (Lithobid))
- Valproate ( Depakote )
Kazhinji, mushonga mumwe chete haugone kudzora maitiro aya ekukurumidza. Kana zvakadaro, chiremba anogona kusarudza kupa mishonga miviri kana kupfuura iyi pamwe chete. Pamusoro pezvo, mimwe mishonga yekurapa psychotic, yakadai se `olanzapine (Zyprexa)` kana `quetiapine (Seroquel),` inoshandiswawo kudzikamisa manzwiro.
Kurapwa uku kunofanira kuenderera mberi kunyangwe usina zviratidzo uye uchinzwa zvakanaka. Iyi ndiyo nzira yaunogona kudzivirira nayo zvirwere zvinotevera. Usamborega kutora mushonga wako kana kuchinja mushonga usati watanga wataura nachiremba wako.
Ndedzipi njodzi dzakakomba dzinouya nekumhanya nekukurumidza?
Njodzi huru uye inosuwisa inobatanidzwa nechirwere ichi ndeyekuzviuraya. Vanhu vane chirwere chebipolar vane mukana wekuzviuraya wakapetwa ka10-20 kupfuura vanhu vose. Zvinosuwisa kuti pakati pe8% ne20% yevarwere vane bipolar vanozopedzisira vafa nekuzviuraya.
Njodzi iyi inogona kunge yakakura kune avo vane maitiro ekumhanya-mhanya nekukurumidza.Vanorapwa muchipatara kakawanda, uye zviratidzo zvavo zvinova zvakaoma kudzora.
Asi mashoko akanaka ndeekuti njodzi iyi inogona kuderedzwa zvakanyanya nekurapwa kwakakodzera. Kunyanya, kushandiswa kwenguva refu kwemishonga yakaita se lithium kwakaratidzwa kuderedza njodzi yekuzviuraya.
Pamusoro pezvo, kushandisa zvinodhaka zvisina kunaka kwakajairika pakati pevarwere vane bipolar. Vanenge 60% yevarwere vanosangana nedambudziko iri. Kushandisa zvinodhaka zvisina kunaka kunoita kuti chirwere ichi chiwedzere kuipa uye chisagone kurapwa.
Mharidzo Yekuenda Nayo Kumba
- Kufamba nekukurumidza kunoitika kana paine kuchinja-chinja kwemafungiro kana kupfuura mukati megore. Uku ndiko kurwara kwepfungwa kunokonzerwa nebipolar, kwete chirwere chakasiyana.
- Kuora mwoyo ndicho chiratidzo chinowanzoonekwa muchirwere ichi, saka kazhinji kacho kunogona kuonekwa zvisirizvo sechirwere chepfungwa chakajairika.
- Kurapa kukuru pano 'kunosimbisa mafungiro', uye mishonga yenguva dzose yekudzora kuora mwoyo inogona kuita kuti mamiriro acho awedzere kuipa.
- Ichi chirwere chakakomba chine njodzi huru yekuzviuraya. Saka, haufanirwe kumbomira kana kuchinja marapirwo ako usina kurairwa nachiremba wako.
- Kana iwe kana mumwe munhu waunoziva ari kuona zviratidzo izvi kana kuti ari kufunga kuzviuraya, ndapota tsvaga rubatsiro rwechiremba nekukasika. Kana ukarapwa zvakanaka, unogona kurarama hupenyu huri nani zvechokwadi.
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