Iwe kana mumwe munhu waunoziva ane chirwere chebipolar here? Saka unoziva kuti zvakaoma sei kuchengeta pfungwa dzako dziri panzvimbo imwe chete. Rimwe zuva unonzwa kufara uye kufara zvikuru (tinoti izvi ndezvemapenzi). Zuva rinotevera unonzwa kusuruvara uye kuora mwoyo zvekuti haudi kurarama munyika. Kukwira nekudzika uku kunogona kuita kuti hupenyu huvhiringidze zvikuru. Nhasi tichataura nezvekuora mwoyo kunoitika panguva yechirwere ichi chebipolar, kureva, bipolar depression . Ngatitaurei nezvekurapa kweizvi nenzira iri nyore yaunogona kunzwisisa.
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Ndeapi marapirwo makuru ekuderedza kushushikana kwepfungwa (bipolar depression)?
Kare, zvirwere izvi zvairapwa nemishonga yaikonzera hope dzakanyanya uye yaiva nemigumisiro yakawanda. Asi izvozvo hazvichaitiki. Sainzi yezvekurapa yafambira mberi zvakanyanya. Nhasi, zvinogadzirisa mafungiro ndizvo zvinonyanya kushandiswa pakurapa chirwere chebipolar.
Zvichitaurwa zviri nyore, mishonga iyi inobatsira kudzora kushanduka-shanduka kwemafungiro uye kuchengetedza mafungiro ako akadzikama. Kunyange zvazvo ichidzora nguva dzekushungurudzika, inobatsirawo kudzivirira nguva dzekushungurudzika.
Yeuka, zviitiko zvekushungurudzika zvakanyanya kupfuura zviitiko zvekushungurudzika mupfungwa muchirwere chebipolar, saka zvakakosha kurapa izvi nemazvo.
Mamwe emhando huru dzemishonga inosimbisa mafungiro ayo vanachiremba vanowanzokurudzira ndeaya:
- Lithium
- Lamotrigine
- Valproate
- Carbamazepine
Dzimwe nguva, chiremba wako anogona kushandisa mishonga iyi 'isina zita rekuti', kunyangwe isiri mvumo yepamutemo yebipolar depression. Izvi zvinoreva kuti mushonga unotenderwa kune imwe chirwere unoshandiswa kana ruzivo rwachiremba neruzivo rwake zvichiratidza kuti wakakodzera chirwere ichi. Vamwe varwere vanogona kudzora mamiriro avo nechinhu chimwe chete chinogadzirisa mafungiro . Asi kana izvozvo zvisina kukwana, chiremba anogona kusarudza kuwedzera chimwe chinogadzirisa mafungiro kana mushonga kubva kune imwe mhando yemishonga.
Mishonga yekuora mwoyo inoshandiswa here pakuita izvi? Izvi zvakaoma zvishoma!
Uyu mubvunzo unobvunzwa nevanhu vazhinji. Kunyange zvazvo mishonga yekuora mwoyo inoshanda zvikuru pakurapa kuora mwoyo kwemunhu mumwe chete, inoshandiswa nekungwarira kukuru mukuderedza kuora mwoyo kwebipolar.
Fungidzira, kana ukapa munhu ane chirwere chepfungwa chinodzvinyirira chirwere chisina mushonga unogadzirisa mafungiro, zvinogona kukonzera chirwere ichocho chinoshungurudza. Kureva kuti, vanogona kubva pakuora mwoyo kusvika pakuva munhu anopenga kusvika pakuva munhu anopenga. Nekuda kwenjodzi iyi, vanachiremba havambopi mushonga unodzvinyirira chete wechirwere chepfungwa chinodzvinyirira.
Chimwe chezvakawanikwa muongororo huru inonzi STEP-BD yakaitwa neNational Institute of Mental Health (NIMH) muUnited States ndechekuti kuwedzera mushonga wekuderedza kushungurudzika mupfungwa hakuna kuchinja zvakanyanya mhedzisiro. Izvi zvakaita kuti tione kukosha kwekutsvaga mamwe marapirwo ekuderedza kushungurudzika kwepfungwa.
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Check Availability →Mishonga yekurwisa psychotic inobatsira sei?
Ongororo dzichangobva kuitwa dzakaratidza kuti mimwe mishonga yekurapa chirwere chepfungwa inoshanda zvikuru pakurapa kushushikana kwepfungwa kunokonzerwa nepfungwa kunokonzera kushushikana kwepfungwa. Iyi inonzi 'Atypical Antipsychotics'.
Zvichitaurwa zviri nyore, mishonga iyi inoshanda nekuchinja makemikari (neurotransmitters) muuropi hwedu anodzora mafungiro nemaitiro. Chiremba wako achaongorora zvakanakira nezvakaipira zvemushonga wega wega uye achasarudza mushonga wakanakira iwe wekukunda kuora mwoyo kwako pasina njodzi yekupenga.
Mimwe mishonga yekurapa chirwere chepfungwa inoshandiswa pakurapa kushushikana kwepfungwa kunokonzerwa nepfungwa (bipolar depression) yakanyorwa patafura iri pazasi.
| Zita remushonga (muenzaniso) | Mashandisirwo |
|---|---|
| Lumateperone, Quetiapine | Inoshandiswa yoga semushonga wenguva pfupi wepfungwa yekushungurudzika kwepfungwa. |
| Olanzapine neFluoxetine | Mishonga iyi miviri inoshandiswa pamwe chete. |
| Lurasidone | Inoshandiswa yoga kana pamwe chete neLithium/Valproate. |
| Cariprazine | Kunyangwe iri mushonga unotenderwa webipolar mania, unogona kushandiswawo senzira isina kunaka yekuderedza kushungurudzika. |
Ngatidzidzeiwo nezvemishonga inodzvinyirira CNS.
Boka iri rinosanganisira mishonga inonzi benzodiazepines. Mienzaniso inosanganisira mishonga yakaita seClonazepam, Lorazepam, uye Alprazolam.
Izvi zvinoshandiswa chete pazvirwere zvakakomba zvakaita sekusagadzikana kwakanyanya, kuzvidya mwoyo, uye kushaya hope. Iyi haisi mishonga yakanaka yekushandisa kwenguva refu. Inewo njodzi huru yekupindwa muropa . Saka, inoshandiswa kwenguva pfupi chete, pasi pekutarisirwa kwakasimba kwachiremba.
Kurapa ne electroconvulsive therapy (ECT) chinhu chekutya here?
Kurapa neElectroconvulsive Therapy (ECT) kunogona kutyisa vamwe vanhu, asi chaizvoizvo mushonga unoshanda uye wakachengeteka wekuderedza kushungurudzika kwakanyanya kwebipolar.
Inonyanya kukodzera varwere vane zviratidzo zvepfungwa kana avo vari panjodzi huru yekuzviuraya . ECT mushonga wakachengeteka uye unoshanda kune vakadzi vane bipolar depression kana mania panguva yekuzvitakura, pasina kukuvadza mwana.
Mishonga chete haina kukwana here? Kukosha kwekurapa kwepfungwa
Izvi zvakakosha zvikuru. Pakurapa kushushikana kwepfungwa, mishonga ingori divi rimwe chete. Rimwe divi nderekurapa kwepfungwa .
Izvi zvichakubatsira kuti ugone kudzora hukama hwako nevanhu zviri nani, kunwa mishonga yako sezvawakarairwa, uye kuronga maitiro ako ezuva nezuva (nguva dzekurara, kumuka, kudya, uye kunwa).
Chimwe chinhu chakawanikwa muchidzidzo cheSTEP-BD chataurwa ndechekuti kana kurapa kwepfungwa kwakarongwa kukabatanidzwa nemishonga, mwero wekupora unowedzera neinenge 150%!
Kune nzira dzakawanda dzekurapa psychotherapy dzinoshandiswa pakurapa uku:
- Kurapa Kwepfungwa Nemaitiro (CBT): Kunokubatsira kuona nekuchinja mafungiro ako asina kunaka nemaitiro ako.
- Kurapa Nekubatana Kwevanhu Uye Kushamwaridzana Nevanhu (IPSRT): Kunokubatsira kuchengetedza mafungiro akagadzikana nekuvandudza maitiro ako ezuva nezuva uye hukama hwako nevamwe.
- Kurapa Kunotarisisa Mhuri: Nzira yekurapa inosanganisira mhuri yako uye inovabatsira mukuita izvi nerutsigiro rwavo.
Mharidzo Yekuenda Nayo Kumba
- Kuora mwoyo kweBipolar chirwere chinorapika. Usamborega. Nekurapwa kwakakodzera, unogona kurarama hupenyu hwakajairika.
- Chikamu chikuru chekurapa mishonga inosimbisa mafungiro. Shandisa mishonga iyi sezvakakurudzirwa nachiremba wako, muchiyero chakakodzera uye kwenguva yakakodzera.
- Mishonga yekuora mwoyo inofanira kushandiswa nokungwarira kukuru. Usambofa wakaishandisa usina kutarisirwa nachiremba.
- Kurapa kwepfungwa kwakakosha sekurapa. Kana izvi zviviri zvikabatana, mhedzisiro yacho yakanaka kwazvo.
- Kana muine mibvunzo, zvinokunetsai, kana migumisiro yakaipa nezvekurapa kwenyu, kurukurai pachena nachiremba wenyu. Musavanza chero chinhu kwamuri.
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