Nechepasi yeBipolar Disorder
Kuti kuongororwa kwebipolar disorder kuitwe, murwere anofanirwa kuva nenhau yekuda kwekutanga imwe nguva yekuora mwoyo kana kuva mune imwe nguva panguva yekuongororwa. Iko inofanirawo kunge iri nhoroondo yepo kana manic ikozvino kana hypomanic episode . Bhuku Rekuziva uye Rokusimudzira reMental Disorders (DSM-IV-TR) rine runyora rwezviratidzo zvakasiyana-siyana zvinogona kuvapo uye rinotsanangura mitemo yakawanda pamusoro pezviratidzo izvozvo.
Kutanga, zviratidzo zvinofanira kunge zvichienderera kwevhiki mbiri (zvechokwadi, dzinowanzoenderera mberi, yakareba kwenguva refu). Mukuwedzera, chimwe chezviratidzo zviviri zvokutanga zvakanyorwa pasi apa zvinofanira kuvapo; zvinenge zvishanu kana kupfuura zvezviratidzo zvinorongwa zvinofanira kuvapo.
Zviratidzo zveApress episode
Zviratidzo zvakanyorwa muDSM-IV-TR izvo chiremba wako achatarisa ndezvi:
- Kuora mwoyo kwemazuva mazhinji, zuva rimwe nerimwe, panguva yezvishoma mavhiki maviri. Manzwiro okushungurudzika, kusina tariro, kusava netariro kana kuora mwoyo, kana kuchema pasina chikonzero chaicho chinogona kuonekwa nemunhu kana nemhuri uye neshamwari. Kunyange zvazvo kutsamwa kunorondedzerwa sechiratidzo chekuora mwoyo mukati mevana asi kwete vanhu vakuru, ichiri chokwadi kuti vanhu vakuru vanogona kunge vasina kuipa-zvishoma, muchinjikwa uye vanobata.
- Kurasikirwa kwechido mune zvakawanda kana kuti zvose zvinowanzoita mabasa anofadza, kuenderera mberi kwezuva rose zuva nezuva. Somuenzaniso, mumwe munhu anoda chaizvo kutora kufamba achatanga kugara kumba; munhu anoda zvinonyanya kutaridzirwa terevhizheni anovatarisa pasina kushingaira kana kuti haasi kutenderera TV; mumwe munhu anofarira kubika ikozvino haagoni kunetseka uye anongonongedza kudya mu microwave.
Chiyeuchidzo: Chimwe chezviratidzo zviviri zvepfungwa zvakapfuura zvinofanira kuvapo nokuda kwechikonzero chikuru chekuora mwoyo kunowanikwa. Zvadaro, kuwedzera, zvitatu kusvika zvina zvezviratidzo zvinotevera zvinodawo kuvapo:
- Kuwedzera kana kuderera mukudya kwemazuva mazhinji, kana kuwedzera kukuru kana kuderedza kuyerwa kwepamwedzi kwepamwedzi (zvinopfuura 5% wehutemi hwemuviri).
- Kushushikana kana kukanganisa anenge mazuva ose (kuoma kurara, kana kurara zvakanyanya).
- Kushungurudzika kusinganzwisisiki kana kusagadzikana KANA kuva usine usimbe uye kutyisidzira uye / kana kuvhiringidzika pakutaura anenge mazuva ose ( psychomotor agitation kana psychomotor delay ).
- Kuneta kana kurasikirwa kwesimba anenge mazuva ose. Izvi zvingatora mukana wekuve wakaneta zvikuru kuita mabasa ezuva nezuva edzimba semabasa epamba, kana kuti usina simba rekuenda kushanda. Inogona kuva yakaoma uye kunyange yakaremara.
- Manzwiro okusakosha uye / kana kunzwa manzwiro ane mhosva kana kuti asingabatanidzi chinhu chipi nechipi munhu asina kuora mwoyo anganzwa aine mhosva pamusoro pake. Zvakare, izvi zvinofanira kuitika anenge mazuva ose panguva yevhiki mbiri.
- Dambudziko rinowedzera uye / kana kuita zvisarudzo anenge mazuva ose. Semuenzaniso, mushandi akaudzwa kuti aite chirongwa chekuwana boka rebasa rakaitwa ringasazokwanisa kuongorora mamiriro acho ezvinhu kana kuita chero sarudzo pamusoro paro.
- Kudzokorora pfungwa dzekufa kana yekufa; achifungidzira kuzviuraya pasina kuita urongwa ( kuzvipira kuzvipira ); kuedza kuzviuraya kana kugadzira zvirongwa zvekuzviuraya.
Zviitiko Zvinotonga kunze kwechiitiko chinotyisa
Kana murwere ane zvishanu kana kupfuura zvezviratidzo zvataurwa pamusoro apa, kusanganisira imwe yezvokutanga, kune zvimwe zvikonzero zvinogona kutonga kunze kwechiitiko chikuru chekuora mwoyo kana kuti kutungamirira kune zvakasiyana.
- Zviratidzo hazvifaniri kukonzerwa nechimwe chinhu chakadai semutemo usingabvumirwe nemutemo kana mushonga.
- Zviratidzo hazvikwanisi kukonzerwa nehutano hwehutano, hwakadai sehutachiona hwehutachiona, lupus , kana kuti vitamini kukwana.
- Zviratidzo zvepfungwa ( maitiro uye / kana kukanganisa ) zvinogona kuitika mukuora mwoyo kwakanyanya. Zvisinei, kana zviratidzo izvi zvisinganzwisisiki (zvinoreva kuti, hazvisi izvo zvine chokuita nezvose zviri muupenyu hwemunhu), chimwe chirwere chinogona kuonekwa. Mimwe yemikana iyi ndeye schizophrenia , schizoaffective disorder , schizophreniform disorder, uye chirwere chinokanganisa.
- Kana kuora mwoyo zviratidzo zviripo nguva yakawanda yenguva yemakore maviri, asi havakwanisi kukwana zvakakwana pamusoro apa zvinokonzerwa nechirwere chikuru chekuora mwoyo, murwere anogona kuonekwa ane dysthymia. Kana chirwere chepfungwa chiri dysthymic uye iye anewo hypomanic episodes, murwere anogona kuonekwa ane cyclothymia .
- Zviratidzo hazvisi nani zvinorondedzerwa nekufirwa nekuda kwekurasikirwa neshamwari.
- Zviratidzo hazvirevi zvakare izvo zvingatungamirira kugadziriswa kwechiitiko chakavhengana, icho chave chinotsanangurwa sezvinoitika chete mu bipolar I disorder uye ine zvose manic uye zvinodzvinyirira zviratidzo.
Kushungurudzika vs. Hypomanic kana Manic Episodes
Chimwe chidzidzo chakawana kuti kuora mwoyo kunowanzoita katatu kakawanda kudarika mania mu bipolar I disorder, uye imwe ongororo yakawana kuti pamusoro pemaitiro ezvakaberekwa neBipolar II disorder, nguva yakawanda yakashandiswa mukuora mwoyo yaive yakapetwa ka39 yakawanda kupfuura yakapedzwa nguva hypomania.
Sources:
American Psychiatric Association, DSM-IV-TR. 4th ed. Washington, DC: RR Donnelly & Vanakomana, 2000.
Judd LL, Akiskal HS, Schettler PJ, et al. Iyo yakareba kwenguva yakaitika nhoroondo yezvakaitika zvevhiki nevhiki ye bipolar I disorder. Arch Gen Psychiatry 2002; 59: 530-537
Judd LL, Akiskal HS, Schettler PJ, et al. A tarisiro yekutsvaga nhoroondo yezvisikwa yenguva refu yezviratidzo zvechimiro chebipolar II dambudziko. Arch Gen Psychiatry 2003; 60: 261-269