Iziqendu ezinezixhobo ezixubileyo
I-dysphoric mania yigama elisetyenziswe kwixesha elidlulileyo kwizinto esizibiza ngoku isiqendu izinto ezidibeneyo, nangona abanye abaqeqeshi bezempilo bangasebenzisa eli gama. Phantse ama-40 ekhulwini abantu abafumene i-bipolar disorder experience episodes ngeempawu ezixubekileyo.
Ukuqonda iDysphoria
I-Dysphoria ligama eliguqukayo ngokuphindaphindiweyo kwiincwadi ezichaza ingxaki ye-bipolar .
Ngenkcazo, i-dysphoria yimeko enzulu yokungahlali okanye ukunganeliseki ngokubanzi ngobomi. Ukusuka kwimbono yekliniki, i-dysphoria ibonisa isiqhelo esicinezelayo esihamba kunye neengqondo ze-manic (ukulahlekelwa kwezinto zangaphandle). Ngaloo ndlela, ayithathwa njengempendulo efanelekileyo kwisiganeko okanye ukuvuselela kodwa kunomxholo womjikelezo oguquka ngonaphakade onokukhokelela, ngokungaqhelekanga, kwiimeko ezinzulu zokungasebenzi kwemvakalelo.
Ukubeka nje, kukunqanyulwa kwiimvakalelo ezincinane okanye ezingahambelani nento eqhubekayo.
I-Dysphoria ayinxulumene kuphela nengxaki yokuguquguquka kwe-bipolar, inxulumene nezinye izimo zengqondo kunye nezingezizo. Ezi zibandakanya i-schizophrenia, i-dysphoria yesini, ukusetyenziswa kweziyobisi ezingekho mthethweni, kunye nokujikeleza kwangaphambili (i-dismenstrual dysphoric disorder).
Ukuchonga i-Dysphoric Mania
I-dysphoric mania ayilona ixesha esiyisebenzisa ngokuphindaphindiweyo kule ntsuku kodwa yinto enokukunceda ukucacisa indlela i-dysphoria isebenza ngayo kwi-bipolar disorder.
Ngalesi siboneko, umntu onobungozi bipolards angabonisa ngokufanayo iimpawu zeemania kunye neempawu zokudakumba. Namhlanje, oku kuchazwa njengengxube exubileyo yeengxaki ze-bipolar.
Abantu abane-dysphoric mania okanye iimpawu ezixubekileyo baya kuba nemiqondiso emithathu ye-mania kunye nesiganeko esixinezelekileyo okanye ubuncinane iimpawu ezintathu zokudandatheka kunye nesiganeko somntu okanye isiqendu.
Iimpawu zinokubanzi kodwa zigqitywa ngokuchasene kwisenzo kunye nombuso, onjengomntu okhululekile kwaye ozwakalayo nangona unesidumbu kunye nexinzelelo.
Iimpawu zeMania ziquka:
- Ukuxhaswa kunye nokuvakalelwa kwemizwa yokuzixabisa
- Iingcamango okanye iingcinga
- Iingcamango zomjikelo
- Intetho ekhawulezayo, intetho ( incoko yentetho )
- Ukungabikho komsebenzi kunye nokuziphatha kokuthatha ingozi
- Ukugxekwa okanye ukucaphuka
- Ukungafuni ukulala okanye ungakhathazeki
- Ukungenasiphelo, ngokungaqhelekanga, umsebenzi ( ukuphazamiseka kwengqondo )
Iimpawu zokudakumba , ngokuphambene, zingabandakanya:
- Ukukhala okungaqondakali okanye ixesha elide lokudabuka
- Ukulala okanye ukutya
- Iingcamango zokufa okanye ukuzibulala ( iinjongo zokuzibulala )
- Imiva yokungento okanye ityala
- Lethargy
- Ukulahlekelwa ngumdla kwimisebenzi emva kokuyithandayo
- Ukuhlaliswa koluntu
- Ukungaqiniseki okanye ukudideka
Xa ezi zigaba zeempawu zenzeke, i-state inokuthi ichazwe ngokubanzi njengesifo se-dysphoric, okanye oko esikubiza ngokuba yi-manic okanye i-hypomanic isiqendu kunye nezixhobo ezixubekileyo, okanye isiqhelo esixinekileyo kunye neenkalo ezixubekileyo.
Ukunyanga iMatic Dysphoric Mania
Kubalulekile ukukhumbula, okokuqala okokuqala, ukuba i-dysphoria ayimeko. Liyimpawu ngendlela efana neyobuhlungu (imivakalelo enzulu yolonwabo okanye inhlalakahle) iyimpawu.
Ngaloo ndlela, awuyi "ukuphatha" i-dysphoria nganye, kodwa imeko ephantsi.
Xa kuthethwa ukuba, iipasitiki ezixutywayo / ezixubekileyo zihlala kunzima ukunyanga ngenxa yokuba uninzi lweziyobisi ezisetyenziselwa ukhathaza i-bipolar disorder idilesi okanye i-mania, kungekhona zombini. Izidakamizwa ze-antipsychotic ngokwazo okanye kunye ne-lithium okanye i-anticonvulsants zingasebenza, kodwa inxaxheba yokufumana inxulunyaniso elungileyo ingathatha ixesha. Ngokuqhelekileyo, unyango luyinkqubo yesilingo kunye nephutha.
Xa i-dysphoria isebenza ngokumalunga nesiganeko esixubekileyo, umngcipheko ukuzibulala kuthethwa ngokuphakamileyo. Kubantu abanengcinga yokuzibulala okanye abo baziphatha ngendlela ephosakeleyo kunye nokunyusa, ukufunyanwa kwezibhedlele kungadingeka.
Unyango luyimfuneko
I-dysphoric mania yinkathazo ebalulekileyo efuna unyango kunye nenkxaso ngokukhawuleza. Ukuba wena okanye othandekayo ufumana iimpawu zengxubevange ye-bipolar, cela uncedo ngokukhawuleza. Ukungenelela kwangethuba kudla ngokubalulekileyo kwimpumelelo yonyango.
> Imithombo:
> Fagiolini A, uColuccia A, Maina G, et al. Ukuxilongwa, i-Epidemiology kunye noLawulo lweZizwe eziManyeneyo kwi-Bipolar Disorder. CNS Iziyobisi. 2015; 29: 725. i-doi: 10.1007 / s40263-015-0275-6.
> Hu J, uMansur R, McIntyre RS. I-Mixed Specifier ye-Bipolar Mania kunye noxinzelelo: eziphambili ze- DSM-5 iinguqu kunye neempembelelo zokuxilongwa kunye nokunyango kwi-Care Primary. Umxhasi weNkcazo yeNtloko kwiingxaki ze-CNS . 2014; 16 (2): i-PCC.13r01599. i-doi: 10.4088 / PCC.13r01599.