Ko DSM-5 yakasiyana sei neDMM-IV?
Bhuku Rekuongorora uye Statistical of Mental Disorders ibhuku rinopa mazano kune vanachiremba mukuongorora zvirwere zvepfungwa. Chirwere chimwe nechimwe chepfungwa chinongororwa uye chinopiwa zvidimbu zvakajeka izvo zvinofanirwa kusangana kuti hutachiona hugadzirwe.
Shanduro yemazuva ano, inowanzozivikanwa saDMM-5 , yakabudiswa neAmerican Psychiatric Association musi waMay 18, 2013, pamusangano wayo wegore negore muSan Francisco.
Yakatsiva DSM-IV , iyo yave ichishandiswa kubvira muna 1994.
Sezvakangoitika kune rimwe nerimwe shanduro yeDMM , kune dzimwe shanduko dzakagadzirirwa kuongororwa kwezvimwe zvirwere, kusanganisira kuora mwoyo kuongororwa. Zvimwe zvinetso zvakave zvabviswawo zvachose, asi mamwe matambudziko matsva akawedzerwa.
Ndezvipi Matambudziko Etsva Emafungiro Akave Akawedzerwa?
Chimwe chinzvimbo chikuru chekushandura mu DSM-5 ndiko kuwedzerwa kwezvinhu zviviri zvitsva zvinoderedza; kushungurudza mafungiro ekuderedza chirwere uye premenstrual dysphoric disorder
Kuvhiringidza mafungiro ekudengenyeka kwezvirwere kuongororwa kunochengeterwa vana pakati pemakore matanhatu nemakore gumi nematanhatu anoratidza kusagadzikana kusagadzikana uye zviitiko zvekare zvekunze kwekutonga. Izvi zvitsva zvinowedzera kuwedzerwa kugadzirisa zvinetso zvekuti bipolar chirwere muvana chakanga chisingazivikanwi.
Premenstrual dysphoric disorder (PMDD), yakamboonekwa muAmbendi B yeDMM-IV pasi pe "Zvigadziriswa Setsiti uye Mazano Anopiwa Zvimwe Zvidzidzo." MuDMM-5, PMDD inowanikwa mune chikamu chekuora mwoyo.
PMDD inonyanya kuipa yepremenstrual syndrome (PMS), iyo inoratidzirwa nesimba zvakasimba zviratidzo zvakadai sokuora mwoyo, kuzvidya mwoyo, kufara, uye kusagadzikana.
Dysthymia Yakabviswa
Imwe nzvimbo yekushandura ndeyokuti maitiro akawandisa ekudengenyeka anonzwisisika uye anosiyaniswa nekuora mwoyo mupfungwa.
Chimwe chaimbova chinonzi dysthymia- kana chirwere cheyysthymic-ikozvino chakabatanidzwa pasi pemaambura ekuramba achishungurudza chirwere (PDD).
Kuramba kuora mwoyo kunetseka kunosanganisirawo kusingaperi kunetseka kukuru. Izvi zvakawedzerwa nokuti vatsvakurudzi vakanga vasingakwanisi kuwana kusiyana kwakakwana kwakapakati pakati peysthymia uye isingaperi kuora mwoyo kukuru.
Major Depression Disorder Remains Zvimwe Same
Hapana kuchinja kwakanyanya kwakagadzirwa kuhutano hwekuongororwa kwehukuru hwekuora mwoyo chirwere . Zviratidzo zvepfungwa, pamwe chete nezvinodiwa kuti zviratidzo zvave zvichitora kwevhiki mbiri, zvichengetedze.
Kuregererwa Kwekutsvaga Kwakabviswa
I -DSM-5 yakabvisa izvo zvaizivikanwa sekushungurudzwa kunze kwezviitiko zvikuru zvekuora mwoyo. Munguva yakapfuura, chero humwe hukuru hwekudengenyeka hunotevera hupenyu hwomunhu waidiwa hwakagara pasi pemwedzi miviri hwakanga husingatauri sechisimba chikuru chinokonzera.
Nokusiya kunze kwekuregererwa uku, shanduro itsva ye DSM inobvuma kuti hapana chikonzero chesayenzi chakakosha chekuita chirongwa chekushungurudzika zvakasiyana nedzimwe dambudziko rinogona kukonzera kuora mwoyo kwechiitiko.
Uyezve, inobvuma kuti zviratidzo zvekufirwa zvinogona kugara kwenguva refu kupfuura mwedzi miviri.
Kutaura zvazviri, kurasikirwa nemunhu waunoda kunogona kutungamirira kune kuora mwoyo zviratidzo zvinopera kwemakore.
Mukuda kwekufirwa kwekuregererwa, shanduro itsva inosanganisira mutsara unotsanangurwa wepamusoro kuti ubatsire vanachiremba vanosiyanisa pakati pekushungurudzika kwemazuva ose uye chiitiko chikuru chekuora mwoyo kuitira kuti vagone kuita chisarudzo chakanaka pamusoro pekuti munhu chaiye angabatsirwa nekurapa.
Apo dambudziko guru rekuora mwoyo rinokonzerwa nekufirwa, rinogona kutarisana nekurapa kwakafanana nezvimwe zviitiko zvekuora mwoyo. Therapy uye / kana mishonga inogona kubudirira mukuderedza zviratidzo.
Zvitsva Zvitsva Zvekuora Mwoyo Zvakawedzerwa
Iyo DSM-5 yakawedzera mamwe matsva ekutsanangura mberi kujekesa zvirwere:
- Ne Mixed Features - Iyi mutsva inogona kuvapo mu bipolar uye kuora mwoyo kunetseka. Iyo inobvumira kuvapo kwemararamiro evanhu sechikamu chekuora mwoyo kuongororwa nevarwere vasingatauri zvakakwana zvinoshandiswa pane manic episode .
- Nekutambudzika Kunetseka - Izvi zvinotsanangurwa zvakawedzerwa nekuda kwekuti kuvapo kwekuzvidya mwoyo kunogona kukanganisa kufungidzira, kusarudzwa kwemishonga, uye mhinduro yemurwere kwavari.
Mukuwedzera, kutungamirirwa kwakapiwa kuvakiriniki kuongororwa kwekuzviuraya, zvirongwa, uye njodzi dzinoita kuti vaone zviri nani kuti kudzivirira kunodzivirira kuzviuraya kunofanira kutamba sei mukurapa kweumwe murwere.
> Sources:
> Kuongorora uye nhamba yehuwandu hwehutano hwepfungwa: DSM-5 . Washington: American Psychiatric Publishing; 2014.
> "Pfungwa dzeZvirevo kubva ku DSM-IV-TR kusvika DSM-5". American Psychiatric Association . May 17, 2013.