Inotsanangura zvinowedzera kutsanangura chimiro kana nzira yehutano hwemunhu
Zvinonyanya kuzivikanwa zvinowedzera kuongororwa kunowedzera kujekesa dzidzo, kuoma, kana zviitiko zvakasiyana zvechirwere kana chirwere.
Inotsanangura nezve Matambudziko eMafungiro
The Diagnostic & Statistical Manual of Mental Disorders (DSM-5) inoshandisa zvinonyanya kuzivikanwa pakuongororwa kwezvinetso zvepfungwa. Nhamba ipi neipi yezvinyorwa zvinoshandiswa zvinogona kushandiswa pachiitiko chakafanana.
Kune bipolar disorder , kune zvikamu zviviri zvehuwandu hwemashoko: Izvo zvekufananidza maitiro ezvino kana kuti mazvino munguva pfupi, uye izvo zvine chokuita nenzira yekudzoka, kana kuti kudzokorora, mafungiro epfungwa.
Chikamu chokutanga, kutsanangura zviitiko zvemazuva ano kana zviitiko zvekare, zvinosanganisira zvinhu zvakasanganiswa , kushungurudzika kunetseka , zvinonyangadza zvinoshandiswa , zvinyorwa zvemashoko, maitiro epfungwa , uye catatonic .
Chikamu chechipiri, kurondedzera zvikamu zvekare, zvinosanganisira mabhirikoro anotsvaga, kutanga kweparipartum, uye nguva yemwaka.
Mixed Features Features
Bipolar disorder ine zvinosanganiswa zvinoreva kuti iwe une zviratidzo zvemanic / hypomanic uye zvirwere zvinorwadza mupfungwa imwechete episode, pane imwe kana imwe. Kuti uongororwe nechinyorwa ichi, mafungiro ako episodes (kana akajekeswa semunhu, hypomanic kana kuora mwoyo) anofanira kusangana nezvose zvinodiwa zvechiitiko ichocho uye ane zviratidzo zvisati zviri zvitatu izvo zvinobva kune rumwe rudzi rwakasiyana.
Saka, somuenzaniso, kana iwe une mafungiro epikicha anowirirana nezvose zvinotarisirwa ne manic / hypomanic episode, asi zvakare ane zviratidzo zvinenge zvitatu zvepfungwa inoshungurudza, izvi zvinotsanangurwa zvingakufananidza newe.
Kunetseka Kunetseka Tsanangudzo
Bipolar disorder nekutambudzika kunetseka kunoreva mafungiro ako episode inosanganisira zviratidzo zviviri zvekuzvidya mwoyo.
Zviratidzo izvi zvinogona kuva kusagadzikana, kusava nekufungisisa, kushushikana, kunetseka, uye kutya kutya kurasikirwa.
Zviratidzo zveMelancholic Tsanangudzo
Bipolar nehutachiona hunowanzoitika kana iwe uine kuora mwoyo kwezviratidzo. Zvinotsanangurwa sekuora mwoyo kwakakura kunosanganisira zviratidzo zvinonzwa zvakanyanya kuipa mangwanani, kuora muviri uye / kana kusadi kudya, kurasikirwa nemufaro mumabasa awakambofarira, kumuka mangwanani, uye kuwedzera mhosva.
Atypical Features Specificer
Bipolar disorder neatypical features zvinoreva kuti une zviratidzo zvinotyisa zvekurara zvakanyanya, kuwedzerwa kuda kudya, kunzwa sekunge maoko ako nemakumbo zvakakura, kunyanya kufunga nezvekurambwa uye kukwanisa kunzwa zvakanyanya kana zviri nani kana uchinge waona chimwe chinhu chakanaka.
Psychotic Features Specifier
Bipolar disorder ne psychotic zvinogona kusanganisira mafungiro-congruent kana mafungiro-incongruent features. Mafungiro epfungwa ane chokuita nekufungidzira uye / kana kukanganisa .
Catatonic Features Specificer
Bipolar ne catatonic features inoratidzwa kana iwe ukawana catatonia pamwe nemafungiro ako ezvinyorwa. Zviratidzo zveCatatonia zvinogona kusanganisira kusapindura chero chii zvacho, kusakwanisa uye / kana kuda kutaura, kutsika kwemisungo, kudzokorora zvinotaurwa nemumwe munhu, grimacing, kufamba-famba pasina chinangwa, nekudzivisa kufamba.
Rapid Cycling Specificer
Iyo inokurumidza bhasikoro tsanangudzo zvinoreva kuti mafungiro ako ezvirwere akaitika zvishoma kana zvina mugore rapfuura. Pakati pemafungiro emafungiro, iwe unofanirwa kuva nemafungiro akachengetedza kana kushanduka zvachose kune rumwe rudzi rwakasiyana rwemashoko episodes (somuenzaniso, kubva ku hypomanic kusvika kuora mwoyo).
Nhamba yeChirongwa Chekufungidzira
Nhamba yemafungiro emwaka yenguva ino inoratidzwa kana mafungiro ako epfungwa anongowanikwa pane dzimwe nguva dzegore, kazhinji kuwira uye / kana yechando. Izvi zvinogona kuitika nekuda kwekudzivirira chiedza.
Peripartum Onset Specifier
Peripartum yose inogona kuongororwa kana iwe mafungiro epachiitiko, kazhinji kuora mwoyo, kunoitika paunenge uine pamuviri kana kusvika masvondo mana mushure mekunge musununguka.
Izvi zvikamu zvinogona kuendeswa nekuzvidya mwoyo kana kuvhunduka.
Sources:
> Cutler, JL Psychiatry: Third Edition . Oxford University Press, New York, NY, 2014.
Janicak PG, Esposito J. (November 2015). Chimwe Chiripo paKutsvaga uye Kurapwa kweBipolar Disorder. Tafura 1: Bipolar Specifiers. Psychiatric Times.