Ubunzima be-mania buhluka phakathi kweentlobo ze-bipolar
Ingxaki ye-bipolar yimeko yempilo yengqondo echazwe ngamaxesha (eyaziwayo njengeziqendu) zokuphazamiseka komdaka. Ngelixa usenokuba wazi le nyaniso, mhlawumbi awukwazi ukuba kukho ezimbini iintlobo zesifo sokuphazamiseka kwengqondo:
- Bipolar I disorder
- Ingxaki yeBipolar II
Ngokutsho kweNcwadana yokuHlola kunye neSatistim of Distress mentals , eyapapashwa nguMbutho we-Psychiatric Association, ukuba unentsholongwane ye-bipolar I-disorder, uneziqulatho ze-mania kunye nokudandatheka.
Ukuba unesifo sengqondo se-bipolar II, uneziqulatho zokudakumba, kunye nesimo esincinci se-mania esibizwa ngokuba yi-hypomania.
Hypomania vs Mania
Uhlobo oluphambili phakathi kwezi zimbini zeengxaki ze-bipolar kukuba umntu one-bipolar I ineziqephu zamanxeba, ngelixa umntu onentsholongwane ye-bipolar II eneengqungquthela ze-hypomanic. Ngoko, ngamanye amazwi, yinkxalabo ye-mania eyahlula ezi ntlobo ezimbini.
I-Hypomania kwi-Bipolar II Disorder
Kwi-hypomania ye-bipolar II disorder, umntu unemiqondo ephakamileyo ephakamileyo (ephakanyisiwe), eninzi (enkulu, ephakamileyo), okanye ekhungathekileyo. Le mood kufuneka ihluke ngokucacileyo kwisimo sayo sengqondo xa ingaxinzekanga.
Imizekelo yezibonakaliso ze-hypomanic ziquka:
- Ayifuni ukulala kakhulu , kodwa engakhathali
- Ukuba namandla amaninzi kunexesha eliqhelekileyo
- Ukuziphatha okunobungozi, ezifana nokuchitha ngokungenasiphelo
- Igrandiosity , intetho ephosakeleyo kunye / okanye iingcamango zokugijima
Ngokomzekelo, uHank, xa eneengqungquthela ze-hypomanic, evuya kakhulu, ufuna kuphela ukulala kweeyure ezintathu kwiindawo eziqhelekileyo ezisixhenxe, uchitha imali engaphezulu kunokuba ayifanele, kwaye uthetha ngokukhawuleza ngaphezu kokuqhelekileyo.
Nangona kukho abantu abathobekileyo abafuna ukulala okuncinci, bachithe kakhulu, kwaye bathetha ngokukhawuleza abangenayo i-bipolar disorder, le ndlela iziphatha ngokucacileyo kwiimeko zakhe ezizinzile. Ngoko nangona kungavumelekanga kuHank, akukho ngaphandle kweendlela zokuziphatha eziqhelekileyo ngokubanzi.
Kwakhona kubalulekile ukuqaphela ukuba i-hypomania inokuphazamisa isilinganiselo kunye nokusebenza kwansuku zonke, kodwa kungekho nzima.
Ngokomzekelo, uHank unokulangazelela ukuthatha izifundo ezindizayo ngelixa i-hypomanic, kodwa ukuba uyayenza, uwathatha ngexesha elifanelekileyo xa engenazo ezinye izibophelelo.
Kwakhona, isiqephu se-hypomania asiqhubi ukuya kwindawo ekufuneka umntu adlale ngayo esibhedlele , okungenzeka ntoni nomntu ofumana imania-ngakumbi xa ebeka ingozi kwabanye kunye / okanye ngokwabo.
Mania kwi-Bipolar I Disorder
Kwi-mania, isimo sengqondo somntu siqheleke kakhulu kwaye sidibaniswe nomsebenzi okwandisiweyo okanye amandla angaphili.
Ngokomzekelo, umhlobo kaHank uRobert, ophethe izigcawu zamadoda, ulawulo olungonwabiyo, nangona kwimeko yeziganeko ezinzulu (wayekhe wabuya ehleka ngokukhahlazeka ngexesha lomngcwabo). Ngesinye isikhathi, wagijima ngaphandle ngaphandle kobusuku ebememeza ukuba wayebathanda njani bonke abamelwane bakhe. Ukuziphatha okungaqhelekanga kunoma ubani.
Ngokungafani ne-hypomania, ubomi bemihla ngemihla yomntu one-mania bubunzima. Ngokomzekelo, uRobert waphonsa intlanganiso ebalulekileyo yezoqoqosho ngenxa yesigqibo sokuthatha izifundo ezindizayo.
Ukongeza, i-mania ingabandakanya iimpawu zengqondo - ukukhohliswa okanye i- hallucinations- kodwa i-hypomania ayifuni. Umzekelo, ngamanye amaxesha uRobert ukholelwa ngokuqinisekileyo ukuba ngu dolophu edolophu yakhe waza wazisa abantu ngokufanayo, ebaxelela malunga nezicwangciso ezithile kunye nezihlandlo ezimangalisayo azifumanayo ekuphuculeni iinkonzo kunye nezibonelelo.
Amapango xa Uchonga uhlobo lwe-Bipolar Disorder
Kukho ezimbini izibonda ezibalulekileyo ezingaphinde zenze inkqubela kwinkqubo yokwahlula ezimbini iintlobo zeengxaki ze-bipolar.
Enye kukuba ukuba nangona iimpawu zeengqondo zikhona enye yezinto ezihlukanisa i-bipolar I mania kwi-bipolar II hypomania, umntu onentsholongwane ye-bipolar II unokufumana i-hallucinations okanye ukunyelisa ngexesha leentlungu ezixinzelelekileyo ngaphandle kokuxilongwa kwesifo sengqondo.
Okwesibini kukuba umntu onentsholongwane ye-bipolar I-disorder angaba nayo i-hypomanic episodes. Enyanisweni, bahlala besenza. Kodwa, umntu onentsholongwane ye-bipolar II akaze abe nesiqhelo somntu .
Ukuba isiqhelo somntu senzeke kumntu onesifo sengqondo se-bipolar II, ukuxilongwa kuya kutshintshwa.
Ukufana phakathi kwe-Bipolar I kunye ne-Bipolar II Disorder
Nangona kukho umahluko omkhulu xa kuziwa kwi-mania kwiintlobo ezimbini zokuphazamiseka kwe-bipolar, kukho ukufana okumbalwa.
Okwesinye, ukufumanisa i-bipolar II disorder, enye okanye ngaphezulu kweepisodes ezidityanisiweyo kufuneka zenzeke. Kwi-bipolar I-disorder, isiqhelo esicinezelayo (esinye okanye ngaphezulu) sivame ukuvela, kodwa akudingeki.
Iimpawu eziqhelekileyo ezivela kwisiqhelo esicinezelekileyo ziquka:
- Ukuqhawula okanye i-hypersomnia
- Ukukhala okungachaziyo okanye okungalawulwayo
- Ukukhathala okukhulu
- Ukulahlekelwa ngumdla kwizinto ezigulisa isiguli ngexesha le-euthymia
- Iingcinga eziphindaphindiweyo zokufa okanye ukuzibulala
Okwesibini, kuzo zombini izifo, kukho umgangatho ophakathi, obizwa ngokuba yi- euthymia - i-symptom-free or "ejwayelekile".
Ekugqibeleni, ngenjongo yokufumanisa ukukhubazeka kwe-bipolar (kungakhathaliseki uhlobo), iimpawu zomntu azikwazi ukubhetele ngakumbi ngenye ingqondo yokugula kwengqondo, njengengxaki yesifo , i- schizophrenia , i-disorderal disorder, okanye i-schizophreniform disorder.
Iintlobo ze-Bipolar Disorder zikhubaza
Ekubeni i-hypomania ayinamandla kunokuba i-mania eyenzeka kwi-bipolar I-disorder, i-bipolar II idlalwa ngokuthi "inamandla" kunokuba i-bipolar I - kodwa oku akunjalo. Ngokuqinisekileyo, abantu abane-bipolar I ndingabonakalisa iimpawu ezinzulu ngexesha le-mania, kodwa i-hypomania isesimo esibi kakhulu esinokuba nemiphumo yokuguqula ubomi.
Ukongezelela, uphando lubonisa ukuba i-bipolar II disorder ilawulwa ziziganeko ezidlulileyo zexesha lokudakumba. Enyanisweni, ekuhambeni kwexesha, abantu abane-bipolar II ababa nzima ukuba babuyele ekusebenzeni ngokuqhelekileyo phakathi kweepisodes.
Olunye uphando luye lwagqiba ngokugqithiseleyo ukuba uhlobo lwe-bipolar II lwaluhlanganiswe nomgangatho obuthathaka obunempilo obunxulumene nohlobo I-oku kwahlala kuyiyo nangona ixesha elide le-euthymia.
Ngaloo ndlela, iingcali zikholelwa ukuba i-bipolar II ingxaki (ngokungekho ngaphezulu) ikhubaza njengengqondo yokuphazamiseka kwentsholongwane ngenxa yokuba bayagula ngokuphindaphindiweyo, babe neentsuku zokuphila ezidlulileyo, kwaye ayenzi ngokubanzi phakathi kweepisodes.
ILizwi
Ingxaki ye-bipolar iyinkathazo yengqondo edibeneyo. Ukuba ukhathazekile kukuba wena okanye umthandayo unempawu zesiganeko sokuphazamiseka kwengqondo, nceda ufune unyango malunga nokuhlolwa kweengqondo ezifanelekileyo. Iindaba ezilungileyo kukuba ngamachiza afanelekileyo kunye nenkxaso, le meko yengqondo engapheliyo ingaphathwa.
> Imithombo
> I-American Psychiatric Association. (2013). I-Diagnostic and Statistical Manual of Disabilities, I-5 Edition (DSM-5).
> LaBouff L. (2016). Indlela iBipolar II eyahlukileyo ngayo. Psych Central .
> Maina G et al. Ubomi obunxulumene nempilo yobomi kwizifo ezibangelwa yi-bipolar disorder disease: ukungafani phakathi kwe-bipolar I ne-II subtypes. J Clin Psychiatry . 2007 Feb; 68 (2): 207-12.
> Swartz HA, Thase ME. I-Pharmacotherapy ukwenzela unyango lwe-bipolar II yokudandatheka: ubungqina obunje. J Clin Psychiatry . Ngo-2011 uMar; 72 (2): 356-66.
> Isebe lezeMpilo laseMelika kunye neNkonzo zoLuntu, (ngo-Apreli 2016). Isiko seSizwe seMpilo yengqondo: I-Bipolar Disorder.