Miedzo yeBipolar Disorder

Zvemukati

• Chii chinonzi kuongorora bipolar kusagadzikana senge?
• Muenzaniso mibvunzo kubva kubvunzo yekuongorora bipolar kusagadzikana
• Ndeapi mamwe mabvunzo auchazoda kutora?
• Ndeipi mhedzisiro inogona kuvepo yekuongorora bipolar kusagadzikana?
• Ndedzipi nzira dzekurapa dze bipolar kusagadzikana?
• Mishonga
• Dzimwe nzira dzekurapa
• Psychotherapy
• Kurapa kwepamba
• Tora woenda nazvo

Mhedziso

Bipolar kusagadzikana kwaimbove kunzi manic-kuora mwoyo kusagadzikana. Iko kusagadzikana kwehuropi kunokonzeresa kuti munhu awane kukwirisa kwakanyanya, uye mune zvimwe zviitiko, akanyanyisa kudzikama mune mweya. Aya mashifiti anogona kukanganisa kugona kwemunhu kuita mabasa ezuva nezuva.

Bipolar kusagadzikana ndeyeyakareba-mamiriro ezvinhu anowanzo kuongororwa mukupera kwekuyaruka kana kutanga munhu mukuru.

Sekureva kweNational Institute of Mental Health, 4.4 muzana vakuru veAmerica nevana vachasangana nedambudziko rebipolar pane imwe nguva muhupenyu hwavo. Nyanzvi hadzina chokwadi chaizvo chinokonzera bipolar kusagadzikana. Nhoroondo yemhuri inogona kuwedzera njodzi yako.

Zvakakosha kuti uone nyanzvi yehutano kana iwe uchifungidzira kuti unogona kunge uchiratidza zviratidzo zve bipolar disorder. Kuita izvi kuchakubatsira iwe kunyatso kuongororwa uye kurapwa kwakakodzera.

Verenga pamusoro kuti uone kuti vanopa nezvehutano uye nyanzvi dzehutano hwepfungwa vanoona sei chirwere ichi.

Chii chinonzi kuongorora bipolar kusagadzikana senge?

Ikozvino kuongororwa bvunzo dzebipolar kusagadzikana hakuiti mushe. Chirevo chakajairika ndeyeMood Disorder Questionnaire (MDQ).

Mune ongororo ye2019, mhedzisiro yakaratidza kuti vanhu vakawana zvibodzwa paMDQ vaigona kunge vaine borderline hunhu hunhu sezvo ivo vaizove nebipolar kusagadzikana.

Unogona kuedza kumwe kuongorora kwepamhepo kana iwe uchifungidzira kuti une bipolar disorder. Aya maedzo ekuongorora anozokumbira iwe akasiyana mibvunzo kuti uone kana uri kusangana nezviratidzo zvemanic kana kushungurudzika episodes. Zvisinei, zvizhinji zvezviridzwa zvekuongorora izvi "zvakakura kumba" uye zvinogona kunge zvisiri zviyero zvine musoro zvebipolar kusagadzikana.

Zviratidzo zvekuchinja mune zvepfungwa zvinosanganisira:

Aya maedzo haafanire kutsiva hunyanzvi kuongororwa. Vanhu vari kutora bvunzo yekuongorora vanowanzo kuve vachiona zviratidzo zvekushushikana pane manic episode. Nekuda kweizvozvo, bipolar kusagadzikana kuongororwa kunowanzo kufuratirwa kuongororwa kwekuora mwoyo.

Izvo zvinofanirwa kucherechedzwa kuti kuongororwa kwe bipolar 1 kusagadzikana kunongoda manic episode. Munhu ane bipolar 1 anogona kana anogona kusamboona chiitiko chikuru chekushungurudzika. Munhu ane bipolar 2 anozove neiyo hypomanic episode yakatangira kana kuteverwa neakanyanya kushushikana episode.

Tsvaga kurapwa kwekukurumidzira ipapo kana iwe kana mumwe munhu ari kusangana nehunhu hungatungamira mukuzvikuvadza kana kukuvadza kune vamwe, kana kuva nepfungwa dzekuzviuraya.

Muenzaniso mibvunzo kubva kubvunzo yekuongorora bipolar kusagadzikana

Mimwe mibvunzo yekuongorora ichasanganisira kubvunza kana iwe wakambove nezvikamu zvemania uye kushushikana, uye nemabatiro avakaita zviitiko zvako zvezuva nezuva:

• Mukati mevhiki mbiri dzekupedzisira, wanga wakashushikana zvakanyanya zvekuti wanga usingakwanise kushanda kana kushanda chete nekutambudzika uye uchinzwa kanokwana kana pane anotevera?
  • kurasikirwa kwechido muzviitiko zvakawanda
  • chinja mukuda kana uremu
  • kunetseka kurara
  • kugumbuka
  • kuneta
  • kusava netariro uye kusabatsira
  • kunetseka kutarisa
  • pfungwa dzekuzviuraya
• Iwe une shanduko yemanzwiro anotenderera pakati pemakore epamusoro uye akaderera, uye nguva dzino dzinogara kwenguva yakareba sei? Kusarudza kuti zvikamu izvi zvinopedzisira zvakadii danho rakakosha rekuziva kuti munhu ari kusangana zvechokwadi bipolar kusagadzikana kana kusagadzikana kwehunhu, senge muganho wemunhu dambudziko (BPD).
• Munguva yezvikamu zvako zvakakwirira, iwe unonzwa uine simba kana kushushikana kupfuura zvawaizoita panguva dzekujairika here?

Nyanzvi yezvehutano inogona kupa yakanakisa ongororo. Vachatarisawo nguva yezviratidzo zvako, chero mishonga yauri kutora, zvimwe zvirwere, uye nhoroondo yemhuri kuti uongororwe.

Ndeapi mamwe mabvunzo auchazoda kutora?

Kana uchinge wawana kuongororwa kwe bipolar disorder, iyo yakajairwa nzira ndeyekutanga kutonga kunze kweumwe mamiriro ehutano kana kusagadzikana.

Mubatsiri wako wehutano acha:

• ita bvunzo dzepanyama
• odha bvunzo kuti utarise ropa rako uye weti
• bvunza nezve ako mamoods uye maitiro ehutano hwepfungwa

Kana mupi wako wezvehutano akasawana chinokonzeresa chekurapa, vanogona kukuendesa kune nyanzvi yehutano hwepfungwa, senge chiremba wepfungwa. Nyanzvi yehutano hwepfungwa inogona kupa mishonga yekurapa mamiriro acho.

Iwe unogona zvakare kuendeswa kune wezvepfungwa uyo anogona kukudzidzisa iwe matekiniki ekubatsira kuziva uye kugadzirisa mashifts mune ako manzwiro.

Maitiro ebipolar kusagadzikana ari muchinyorwa chitsva cheDiagnostic uye Statistical Manual yeMental Disorders. Kuwana kuongororwa kunogona kutora nguva - kunyangwe zvikamu zvakawanda. Zviratidzo zve bipolar kusagadzikana zvinowanzoenderana neizvo zveimwe hutano hwepfungwa.

Nguva yenguva yebipolar yekuchinja haisi kugara ichitarisirwa. Muchiitiko chekukurumidza kuchovha bhasikoro, mamoods anogona kuchinja kubva mania kuenda mukushushikana kana kana kupfuura pagore. Mumwe munhu anogona zvakare kunge ari kusangana ne "yakavhenganiswa episode," uko zviratidzo zvemania uye kushushikana zviripo panguva imwe chete.

Kana manzwiro ako achienda kune mania, unogona kusangana nekudzikiswa kamwe kamwe kwezviratidzo zvekushushikana kana kamwe kamwe unonzwa kusimba kwakanaka uye nesimba. Asi pachave nekujeka shanduko mune manzwiro, simba, uye zviitiko zvezviitiko. Shanduko idzi hadziwanzo kungoerekana dzaitika, uye dzinogona kuitika mukati memavhiki akati wandei.

Kunyangwe mune yekukasira kuchovha bhasikoro kana yakavhenganiswa zvikamu, bipolar kuongororwa inoda kuti mumwe munhu awane:

• vhiki yeiyo episode yemania (chero nguva kana muchipatara)
• Mazuva mana echikamu che hypomania
• chiitiko chakapindirana chekupererwa nezano chinotora kwemavhiki maviri

Ndeipi mhedzisiro inogona kuvepo yekuongorora bipolar kusagadzikana?

Kune mhando ina dze bipolar kusagadzikana, uye nzira yeimwe neimwe yakati siyanei. Nyanzvi yako yepfungwa, murapi, kana chiremba wepfungwa anozokubatsira kuti uzive kuti ndeupi rudzi rwawawana pabvunzo dzavo.

Zvimwe zvakatsanangurwa uye zvisina kuzivikanwa bipolar uye zvinetso zvinoenderana ndeimwe mhando yebipolar kusagadzikana. Unogona kuve nerudzi urwu kana zviratidzo zvako zvikasasangana nematatu akanyorwa pamusoro.

Ndedzipi nzira dzekurapa dze bipolar kusagadzikana?

Nzira yakanakisa yekugadzirisa bipolar kusagadzikana uye zviratidzo zvacho kurapwa kwenguva refu. Vanopa hutano vanowanzopa musanganiswa wemishonga, kurapwa kwepfungwa, uye kurapwa kumba.

Mishonga

Mimwe mishonga inogona kubatsira nekudzikamisa mamoods. Izvo zvakakosha kuti utaure kudzoka kazhinji kune vako vanopa hutano kana iwe uchinge wawana chero mhedzisiro kana usingaone chero kugadzikana mune ako mamoods. Mimwe mishonga inowanzo kupihwa inosanganisira:

• mafungiro ekudzikamisa, senge lithiamu (Lithobid), valproic acid (Depakene), kana lamaotrigine (Lamictal)
• antipsychotic, senge olanzapine (Zyprexa), risperidone (Risperdal), quetiapine (Seroquel), uye aripiprazole (Abilify)
• mishonga yekudzvinyirira, vakadai saPaxil
• antidepressant-antipsychotic, senge Symbyax, mubatanidzwa we fluoxetine uye olanzapine
• anti-kunetseka mishonga, senge benzodiazepines (semuenzaniso, valium, kana Xanax)

Dzimwe nzira dzekurapa

Kana mishonga ikasashanda, nyanzvi yako yehutano hwepfungwa inogona kukurudzira:

• Electroconvulsive Therapy (ECT). ECT inosanganisira magetsi emagetsi ari kupfuudzwa kuburikidza nehuropi kuti akonzere kubatwa, izvo zvinogona kubatsira nezvose mania uye kushushikana.
• Transcranial magnetic kukurudzira (TMS). TMS inodzora manzwiro kune vanhu vasiri kupindura kune anodzvinyirira, zvisinei iko kushandiswa mu bipolar kusagadzikana kuchiri kuchinja uye zvimwe zvidzidzo zvinodiwa.

Psychotherapy

Psychotherapy zvakare chikamu chakakosha chekurapa bipolar kusagadzikana. Inogona kuitiswa mune yakasarudzika, mhuri, kana boka kumisikidzwa.

Mamwe ma psychotherapies anogona kubatsira anosanganisira:

• Kufungisisa maitiro ekurapa (CBT). CBT inoshandiswa kubatsira kutsiva pfungwa dzakashata uye maitiro neakanaka, dzidza maitiro ekurarama nezviratidzo, uye nani kugadzirisa kusagadzikana.
• Psychoeducation. Psychoeducation inoshandiswa kukudzidzisa zvakawanda nezve bipolar disorder kuti ikubatsire kuita sarudzo dziri nani pamusoro pekuchengetwa kwako uye kurapwa.
• Kupindirana uye yemagariro mutinhimira kurapwa (IPSRT). IPSRT inoshandiswa kukubatsira iwe kugadzira inoenderana yezuva nezuva maitiro ekurara, kudya, uye kurovedza muviri.
• Taura kurapa. Kutaura kurapa kunoshandiswa kukubatsira iwe kuratidza manzwiro ako uye kukurukura nyaya dzako takatarisana kumeso kumisidzana.

Kurapa kwepamba

Dzimwe shanduko dzemararamiro dzinogona kudzikisira kusimba kwemood uye kuwanda kwebhasikoro.

Shanduko dzinosanganisira kuyedza ku:

• kurega doro uye zvinodhaka zvinowanzoshandiswa zvisizvo
• dzivisa hukama husina hutano
• tora maminitsi makumi matatu ekurovedza muviri pazuva
• tora angangoita maawa manomwe kusvika mapfumbamwe ekurara husiku humwe
• idya chikafu chine hutano, chakadzikama chine michero nemiriwo

Tora woenda nazvo

Taura nemupi wako wezvehutano kana yako mishonga uye ekurapa asiri kubvisa zviratidzo zvako. Mune zvimwe zviitiko, antidepressants anogona kuita kuti zviratidzo zve bipolar disorder zviwedzere.

Kune mimwe mishonga yekurapa uye yekubatsira kubata mamiriro acho. Mubatsiri wako wehutano anogona kukubatsira kuti ugadzire chirongwa chekurapa chinoshanda zvakanaka kwauri.