Bipolar Disorder (Manic Kushungurudzika)

Zvemukati

• Ndezvipi Zviratidzo?
• Mhando dzeBipolar Disorder
• Bipolar I
• Bipolar II
• Bipolar Dambudziko Kwete Zvikasarondedzerwa (BP-NOS)
• Cyclothymic Dambudziko (Cyclothymia)
• Kurumidza-Kutenderera Bipolar Dambudziko
• Kuongorora Bipolar Disorder
• Kurapa Bipolar Disorder
• Outlook

Chii Chinonzi Bipolar Disorder?

Bipolar kusagadzikana chirwere chakakomba chehuropi umo munhu anowana kusiyana kwakanyanya mukufunga, manzwiro uye maitiro. Bipolar kusagadzikana inowanzonziwo manic-depression chirwere kana manic depression.

Vanhu vane bipolar kusagadzikana vanowanzo pfuura panguva dzekushushikana kana mania. Ivo vanogona zvakare kusangana nekugara kuchinjika mune mamood.

Mamiriro acho haana kufanana kumunhu wese anayo. Vamwe vanhu vanogona kusangana zvakanyanya kushushikana nyika. Vamwe vanhu vanogona kunge vane manic phase. Zvinogona kutokwanisika kuve nezvose zviri zviviri kushushikana uye manic zviratidzo panguva imwe chete.

Vanopfuura 2 muzana yevaAmerica vanozoita bipolar disorder.

Ndezvipi Zviratidzo?

Zviratidzo zve bipolar kusahadzika zvinosanganisira kushanduka kwemanzwiro (dzimwe nguva zvakanyanyisa) pamwe neshanduko mu:

• simba
• zviitiko zvezviitiko
• maitiro ekurara
• hunhu

Munhu ane bipolar kusagadzikana anogona asingawanzo kusangana nedambudziko kana manic episode. Ivo vanogona zvakare kusangana nenguva refu dzekusadzikama mamoods. Vanhu vasina bipolar kusagadzikana vanowanzo sangana ne "high and low" mumamiriro avo ekufunga. Kuchinja kwemanzwiro kunokonzerwa nedambudziko rebipolar kwakasiyana zvakanyanya neizvi “zvepamusoro neremberi.”

Bipolar kusagadzikana kazhinji kunoguma nekusaita basa mushe, kunetsekana kuchikoro, kana kukanganisa hukama. Vanhu vane zvakakomba kwazvo, zvisina kurapwa kesi dzebipolar kusagadzikana dzimwe nguva vanozviuraya.

Vanhu vane bipolar disorder vanonzwa zvakanyanya mamiriro emanzwiro anonzi "episodes episodes."

Zviratidzo zvekushushikana kwepfungwa episode zvinogona kusanganisira:

• kunzwa kwekusava nebasa kana kusava nebasa
• kurasikirwa nekufarira mune kamwechete zvinonakidza zviitiko senge bonde
• hunhu hunoshanduka
• kuneta kana kushaya simba
• matambudziko nekufungisisa, kutora sarudzo, kana kukanganwa
• kusagadzikana kana kutsamwa
• shanduko pakudya kana pakurara
• kuzviuraya pfungwa kana kuedza kuzviuraya

Kune rimwe divi rakanyanyisa remitambo pane manic episodes. Zviratidzo zvemania zvinogona kusanganisira:

• nguva refu yemufaro wakanyanya, mufaro, kana mufaro
• kutsamwa kwakanyanya, kushungurudzika, kana kunzwa kweku "wired" (kusvetuka)
• kutsauswa nyore nyore kana kusagadzikana
• kuva nepfungwa dzekumhanya
• kutaura nekukurumidza zvakanyanya (kazhinji nekukurumidza vamwe havakwanise kuenderera)
• kutora mapurojekiti mazhinji matsva kupfuura anogona kuitirwa (zvakanyanyisa chinangwa chakanangiswa)
• kushaya hope shoma
• kutenda kusiri kwechokwadi nezve kugona kwemunhu
• kutora chikamu mune zvisina kujairika kana zvine njodzi zvakanyanya maitiro sekubhejera kana kushandisa mari, bonde risina njodzi, kana kuita mari dzisina kuchenjera.

Vamwe vanhu vane bipolar kusagadzikana vanogona kusangana hypomania. Hypomania zvinoreva "pasi pe mania" uye zviratidzo zvakafanana zvakanyanya nemania, asi zvishoma zvakanyanya. Musiyano mukuru pakati pezviviri ndezvekuti zviratidzo zvehomanomania kazhinji hazvisi kukanganisa hupenyu hwako. Manic episodes inogona kutungamira kuchipatara.

Vamwe vanhu vane bipolar kusagadzikana vanowana "kusanganiswa kwemamiriro ezvinhu" umo kuora mwoyo uye manic zviratidzo zvinogara pamwe chete. Mune yakasanganiswa mamiriro, munhu anowanzo kuve nezviratidzo zvinosanganisira:

• kusagadzikana
• kushaya hope
• kuchinja kwakanyanya mukuda
• kuzviuraya

Munhu wacho anowanzo kunzwa achisimbiswa pavanenge vachiona zvese zvepamusoro zviratidzo.

Zviratidzo zve bipolar kusagadzikana zvinowanzo kuwedzera zvakanyanya pasina kurapwa. Izvo zvakakosha kuti uone wako wekutanga wekutarisira mupi kana iwe uchifunga kuti uri kusangana nezviratidzo zve bipolar kusagadzikana.

Mhando dzeBipolar Disorder

Bipolar I

Rudzi urwu runoratidzwa nemanic kana yakavhenganiswa zvikamu zvinogara kweinenge vhiki rimwe. Iwe unogona zvakare kuona zvakakomba manic zviratidzo zvinoda kurapwa kuchipatara nekukasira. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona. Zviratidzo zvekushungurudzika uye mania zvinofanirwa kunge zvakanyanyisa kusiyana nehunhu hwemunhu.

Bipolar II

Rudzi urwu runoratidzwa neyakajairika yezvikamu zvekushungurudzika zvakasanganiswa ne hypomanic episodes iyo isina "yakazara-inopepereswa" manic (kana yakavhenganiswa) episheni.

Bipolar Dambudziko Kwete Zvikasarondedzerwa (BP-NOS)

Rudzi urwu dzimwe nguva runoonekwa kana munhu aine zviratidzo zvisingaenderane nehutano hwakazara hwebipolar I kana bipolar II. Nekudaro, munhu wacho achiri kusangana neshanduko yemamiriro ezvinhu akasiyana zvakanyanya nehunhu hwavo chaihwo.

Cyclothymic Dambudziko (Cyclothymia)

Cyclothymic kusagadzikana inzira yakapfava yebipolar kusagadzikana umo munhu ane hunyoro kushushikana kwakasanganiswa ne hypomanic episodes kweanenge makore maviri.

Kurumidza-Kutenderera Bipolar Dambudziko

Vamwe vanhu vanogona kuwanikwa vaine inozivikanwa se "kukurumidza-kuchovha bipolar kusagadzikana." Mukati megore rimwe chete, varwere vane chirwere ichi vane zvikamu zvina kana kupfuura zve:

• kushungurudzika kukuru
• mania
• hypomania

Izvo zvinowanzoitika kune vanhu vane zvakanyanya bipolar kusagadzikana uye kune avo vakawanikwa vari pazera rapfuura (kazhinji pakati pevachipera makore ekuyaruka), uye zvinokanganisa vakadzi vazhinji kupfuura varume.

Kuongorora Bipolar Disorder

Kazhinji zviitiko zve bipolar kusagadzikana zvinotanga munhu asati asvika makore makumi maviri nemashanu ekuberekwa. Vamwe vanhu vanogona kusangana nezviratidzo zvavo zvekutanga muhudiki kana, neimwe nzira, kunonoka muhupenyu. Zviratidzo zveBipolar zvinogona kutangira mukusimba kubva pakadzika pfungwa kusvika pakuora moyo zvakanyanya, kana hypomania kusvika kune mania yakaoma. Zvinowanzo kunetsa kuongorora nekuti zvinouya zvishoma nezvishoma uye zvishoma nezvishoma zvichitowedzera nekufamba kwenguva.

Wako wekutanga wekutarisira anowanzo kutanga nekukubvunza iwe mibvunzo nezve ako zviratidzo uye nhoroondo yekurapa. Ivo zvakare vachada kuziva nezve rako doro kana kushandisa zvinodhaka. Ivo vanogona zvakare kuita marabhoritari bvunzo kutonga kunze chero imwe yehutano mamiriro. Vazhinji varwere vanongotsvaga rubatsiro panguva yekuora mwoyo episode, saka zvakakosha kune wako wekutanga wekutarisira kuti aite yakakwana kuongorora chirwere usati waita bipolar disorder. Vamwe vanopa rubatsiro rwekutanga vanozotaura kune vezvepfungwa kana kuongororwa kwebipolar kusagadzikana kuchifungidzirwa.

Vanhu vane bipolar kusagadzikana vari panjodzi yakakwira yehuwandu hwedzimwe hutano hwepfungwa uye hwepanyama, kusanganisira:

• post-traumatic kusagadzikana kwepfungwa (PTSD)
• kushungurudzika kwepfungwa
• nzanga phobias
• ADHD
• migraine misoro
• chirwere chetachiona
• chirwere cheshuga
• kufutisa

Zvinetso zvekushungurudza zvinodhaka zvakajairika pakati pevarwere vane bipolar kusagadzikana.

Iko hakuna kuzivikanwa chikonzero che bipolar kusagadzikana, asi kunowanzo kumhanya mumhuri.

Kurapa Bipolar Disorder

Bipolar kusagadzikana hakugone kurapwa. Iyo inofungidzirwa sechirwere chisingaperi, seshuga, uye inofanira kunyatso chengetwa uye kurapwa mukati mehupenyu hwako hwese. Kurapa kazhinji kunosanganisira zvese zviri zviviri mishonga uye ekurapa, senge kugona kuziva maitiro ekurapa. Mishonga inoshandiswa mukurapa kwe bipolar kusagadzikana inosanganisira:

• mafungiro ekudzikamisa senge lithiamu (Eskalith kana Lithobid)
• atypical antipsychotic mishonga yakadai seolanzapine (Zyprexa), quetiapine (Seroquel), uye risperidone (Risperdal)
• anti-kunetseka mishonga yakadai se benzodiazepine dzimwe nguva inoshandiswa muchikamu chakakomba chemania
• anti-seizure mishonga (inozivikanwawo seanticonvulsants) senge divalproex-sodium (Depakote), lamotrigine (Lamictal), uye valproic acid (Depakene)
• Vanhu vane bipolar disorder dzimwe nguva vanonyorerwa antidepressants kuti vabate zviratidzo zvekushungurudzika kwavo, kana mamwe mamiriro (senge kuwirirana-kunetseka kusagadzikana). Zvisinei, ivo kazhinji vanofanira kutora mamiriro ekudzikamisa, seanodzvinyirira ega anogona kuwedzera mikana yemunhu yekuva manic kana hypomanic (kana yekuvandudza zviratidzo zvekukurumidza kuchovha).

Outlook

Bipolar disorder chirwere chinorapika zvikuru. Kana iwe uchifungidzira kuti une bipolar disorder zvakakosha zvikuru kuti iwe uite musangano nemupi wako wekutanga wekutarisira uye kuti uongororwe. Zviratidzo zvisina kurapwa zvebipolar disorder zvinongowedzera. Inofungidzirwa kuti ingangoita zvikamu gumi nezvishanu zvevanhu vane chirwere chebipolar chisina kurapwa vanozviuraya.

Kudzivirira kuzviuraya:

Kana iwe uchifunga kuti mumwe munhu ari pangozi yekuzvikuvadza kana kukuvadza mumwe munhu:

• Fonera 911 kana yako yemuno emergency emergency.
• Gara nemunhu kusvika rubatsiro rwasvika.
• Bvisa chero pfuti, mapanga, mishonga, kana zvimwe zvinhu zvinogona kukuvadza.
• Teerera, asi usatonga, kukakavara, kutyisidzira, kana kupopota.