A Maitiro Akawedzera Manic-Kuora Mwoyo
Apo patinotaura nezvehutano hweBipolar, tinowanzofunga nezvechimwe chinhu uye chinhu chimwe chete. Asi pane, chaizvoizvo, maitiro akasiyana ehutachiona hunogona kusiyaniswa nehuwandu hwemamiriro ehupenyu uye kuoma kwezviratidzo.
Kusiyana uku kwakakosha sezvavanotibatsira kuti tione nzira yakanakisisa yekurapa kwehuwandu hwehutano. Mune dzimwe nguva, inogona kutarisirwa nekutsigirwa nekupa mazano chete.
Mune vamwe, zvinogona kuda mishonga kubatsira kubatsira kudzora zviratidzo zvechirwere.
Bipolar I disorder ndiyo iyo yakaoma kwazvo yevanhu -manzwiro ekuora mwoyo . Inotaura chikamu chikuru chezvimhosva zvekuremara muU.S. uye iye zvino ndiyo yechitanhatu chinokonzera chikonzero chekuremara pasi rese. Zvose zvakataurwa, inenge 1,1 kubva muzana yevanhu vanobatana nehutano hwehutano hweBipolar I disorder huenzaniswa ne4,5% kune mamwe marudzi ose.
Mimwe mhando inosanganisira bipolar II disorder (iyo yakaipa yehutano), cyclothymic disorder , uye yakasiyana-siyana bipolar disorder.
Zvinokonzera
Kunyange zvazvo chikonzero chinokonzera bipolar I disorder chisingazivikanwi, genetics inotendwa inotamba basa guru. Izvi zvinoratidzwa, mune chikamu, nekutsvakurudza kwemawere umo umwe kana kuti vose vakange vane bipolar I diagnosis. Muna 40 muzana yemapatya emadzimai (avo vane zvakafanana gene setsheni), mapatya maviri akawanikwa aine bipolar kana achienzaniswa ne5 muzana chete yemapatya ehama (aive nemafuta emagetsi).
Zvimwe zvipo zvinokonzera zvinosanganisira kusagadzikana muhutano hwehutano hwomunhu, kusagadzikana kwekugadzira dopamine , uye zvakatipoteredza zvinhu zvakadai sekushungurudzika kwevana kana kushungurudzwa.
Kuziva
Bipolar disorder haigoni kuongororwa sezvirwere zvepanyama apo kuongororwa ropa, X-ray, kana kuongorora mumuviri kunogona kupa tsanangudzo yakasimba.
Pane kudaro, kuongororwa kunobva pane zvakagadziriswa izvo munhu anofanira kusangana kuti aonekwe se bipolar.
Bipolar I disorder inoratidzirwa nezvinoitika pane imwe nhoroondo ye manic , kazhinji mukubatana neye kana kuti mamwe mapepa epfungwa . Chimwe chiitiko chemania chisina kuora mwoyo chinogona kukwana kuti uongororwe kwenguva refu kana pasina zvimwe zvinokonzera zviratidzo (zvakadai sekushandisa zvinodhaka, zvinetso zvepfungwa, kana mamwe matambudziko emanzwiro akafanana nehutachiona hunotambudza chirwere ).
Chirwere chinonyatsozivikanwa chinogona kusanganisira kuedza kwakananga kusabvisa zvimwe zvinokonzera. Izvi zvinogona kusanganisira chirwere chezvinodhaka, kuongorora mifananidzo (CT scan, ultrasound), electroencephalogram (EEG), uye bhati yakakwana yekuongororwa ropa.
Zvinetso zveBipolar I Diagnosis
Kunyange zvazvo zvichinyatsojeka, kuongorora kwebipolar mitemo kunonyanya kuzviremekedza. Sezvo zvakadaro, zviitiko zvinowanzosiyiwa. Chimwe chekudzidza, chakataurwa kuRoyal College yePyythatri yemusangano wegore negore muna 2009, yakashuma kuti vanopfuura 25 muzana yevanhu vane bipolar disorder vakanga vasina kuongororwa vakaongororwa uye vakabata apo vachitsvaka rubatsiro kubva kune unyanzvi hwehutano hwepfungwa.
Pane flip side, kunyanya kuongororwa kweBipolar disorder kunoshushikana, kunyanya kana miedzo isina kubviswa isina kuitwa.
Kubvunzurudzwa kwekuongorora kwechipatara muna 2013 kwakaratidza kuti bipolar chirwere chakange chisina kuongororwa chinowanikwa mu:
- 42,9 muzana yezvinodhaka zvinodhaka kushandiswa nzvimbo
- 40 muzana yevarwere vane mhirizhonga yehutano hwehutano
- 37 muzana yematambudziko apo chiremba asina ruzivo muhutano hwebipolar akaita kuti kudanwa
Pasina kuongororwa kunongororwa, mukana wekusaziva uye kushungurudzwa wakasimba. Chimwe chidzidzo chakabudiswa muna 2010 chakaratidza kuti, vevanhu 528 vakagamuchira Social Disability disability ye bipolar disorder, chete 47.6 muzana yakawana nzira yekuongorora.
Kurapa
Kurapa kweBipolar I disorder kunonyanya kuenzaniswa uye kunobva pamhando uye kuoma kwezviratidzo izvo munhu angangodaro ari kuitika.
Maitiro emagadziriro anowanzowanzotora nzira yekurapa uye inogona kusanganisira:
- lithium, chinokonzera bipolar therapy
- anticonvulsives inoshandiswa kugadzirisa mafungiro emhepo
- antipsychotics inoshandiswa kudzora zviratidzo zvepfungwa zvakadai sekunyengedza , kukanganisa , uye zvinhu zvakakomba zvevanhu
- zvinodzvinyirirwa (zvishoma zvisinganzwisisiki sezvazvinogona kuita kuti zvigadzire chiitiko chevanhu)
Mumatambudziko akaoma, electroconvulsive therapy (ECT) inogona kushandiswa kugadzira zviduku zviduku zvinogona kubatsira kubvisa mania kana kuora mwoyo kwakanyanya.
> Sources:
> Culpepper, L. "Kuziva uye Kurapwa kweBipolar Disorder: Kuita Zvisarudzo Mukutanga." Mushandi wepamweya weCSS Matambudziko. 2014; 16 (3): PCC.13r01609.
> Datto, C. "Bipolar II inofananidzwa neBipolar I disorder: baseline maitiro uye kurapwa kwechirwere kunetiapine mune zvakakonzerwa kutsvaga maitiro mashanu ekuchengetedzwa kwegadziro anokonzerwa nepipolar depression." Annals of General Psychiatry . 2016; 15: 1-12.
> Ghouse, A .; Saniki, M .; Zunta-Soares, G. "Kuongororwa kwepfungwa yeBipolar Disorder: Kubvunzurudzwa Kunokosha kweMabhuku." Scientific World Journal. 2013; 2013: 297087.