Iinkcazo zichaze ngakumbi uhlobo okanye inkqubo yesifo somntu
Izicwangciso zandiso kwi-diagnostic ecacisa ngakumbi inkambo, ubunzima, okanye iimpawu ezikhethekileyo zesifo okanye ukugula.
Izichaso zeengxaki zoMoya
I-Diagnostic & Statistical Manual of Disabilities (DSM-5) isebenza ngokucacileyo ekuxilongeni kwezifo zengqondo. Naliphi inani lamacandelo asebenzayo angasetyenziswa kwisiganeko esifanayo.
Ukukhathazeka kwe-bipolar , kukho iindidi ezimbini zabakwi-specifiers: ezo zokuchaza isiqendu sesiganeko samanje okanye esandula, kunye nezo malunga nekhosi yezihlandlo eziphindaphindiweyo, okanye ukuphinda ziphindwe.
Icandelo lokuqala, ukuchaza iipasiti zamanje okanye ezizayo, ziquka izinto ezixubekileyo , uxinzelelo oluxhalabileyo, iimpawu ezincibilikisayo, iimpawu ze- atypical, iimpawu ze- psychotic kunye neempawu ze- cataton .
Icandelo lesibini, ukuchaza iziqwenga eziphindaphindiweyo, kubandakanya ukuhamba ngokukhawuleza, ukuhamba kwe- peripartum, kunye nephethini yonyaka.
Iinkcukacha ezixubileyo
Ingxaki ye-bipolar eneendlela ezixubekileyo kuthetha ukuba unempawu zomntu / i-hypomanic kunye neempawu ezidandathekileyo kwisiqhelo esifanayo, kunokuba omnye okanye omnye. Ukufunyaniswa ngolu xwebhu, iziqendu zakho zengqondo (nokuba zichazwe njengeyomntu, i-hypomanic okanye ixinzelelo) kufuneka zihlangabezane nazo zonke iikhrayitheriya zaloo nxalenye kwaye ubuncinane iimpawu ezintathu ezinobunye obufanayo.
Ngoko, umzekelo, ukuba unesiqhelo seemeko esihambelana nayo yonke imilinganiselo yesicatshulwa somntu / isiqhelo, kodwa kwakhona ubuncinane iimpawu ezintathu zesiganeko esixinezelekileyo, le nkcazo iya kufana nawe.
Inkxalabo yokuxhalabisa
I-bipolar disorder nexinezelekile ithetha ukuba isiqhelo sakho sengqondo sibandakanya ubuncinane iimpawu ezimbini zokuxhalabisa.
Ezi zimpawu zingabinakho ukungazinzi, ukungabikho kwengxinano, ukukhathazeka, ukuziva, kunye nokwesaba ukulahlekelwa ngumlawuli.
Iimpawu zeMelancholic Specifier
I-bipolar eneempawu ezincibilikisayo ngokuqhelekileyo zenzeka xa unempawu ezinzima zoxinzelelo. Ichazwa njengengcinezelo enzima ebandakanya iimpawu ezinjengezivakalelo ezimbi nakusasa, ukulahleka kwesisindo kunye / okanye ukungafuni ukutya, ukulahlekelwa yimincili kwimisebenzi owaye uyayinandipha, ukuvusa kusasa, kunye necala lokuthobeka.
I-Atypical Features Specifier
I-bipolar disorder enezinto ezinobungqina obubonisa ukuba unempawu ezibonakalayo zokulala kakhulu, ukwanda kwondlo, uvakalelwa njengezandla kunye nemilenze yakho inzima, ukukhathazeka ngokunyanisekileyo ukulahlwa kunye nokukwazi ukuziva ubuncinane xa ufumana into entle.
Iimpawu zengqondo zecactic
Ingxaki ye-bipolar eneempawu zengqondo ingabandakanya i- mood-congruent okanye i-mood-incongruent features. Iimpawu zengqondo zibandakanya ukuhlaziywa kunye / okanye ukukhohlisa .
Izixhobo zeCatatonic Specifier
I-bipolar eneempawu ze-cataton zifunyaniswa ukuba ufumana i catatonia kunye neengqungquthela zakho zengqondo. Izimpawu zaseCatatonia ziquka ukungaziphenduli nantoni na, kungenako ukukwazi kunye / okanye ukuthanda ukuthetha, iintlungu ezinzima, ukuphinda okuthethwa ngumnye umntu, ukuguquka, ukuhambela ngaphandle kwenjongo, nokuchasa ukunyakaza.
I-Rapid Cycling Specifier
I-specifier esheshayo yokuhamba ngebhayisiki kuthetha ukuba iziganeko zakho zeziganeko zenzeke ubuncinci bamaxesha amane kunyaka odlulileyo. Phakathi kweengqungquthela zengqondo, kufuneka ube nomoya ozinzileyo okanye uguqule ngokuthe ngqo kwiimeko eziphambene neemeko zezifo (umzekelo, ukusuka kwi-hypomanic ukuya kwixinzelelo).
I-Specific Pattern Pattern
I-speciferential pattern pattern yexesha lexesha iboniswe ukuba iziganeko zakho zengqondo zenzeke ngexesha elithile lonyaka, zivame ukuwa kunye / okanye ubusika. Oku kunokwenzeka ngenxa yokunyuka kokukhanya.
I-Peripartum Onset Specifier
Ukuqala kwe-Peripartum kunokuthi ufumaneke ukuba isiqendu sakho, ngokuqhelekileyo usizi, senziwa ngexesha lokukhulelwa okanye kwiiveki ezine emva kokubeleka.
Ezi ziqendu zinokuhamba kunye nokuxhalaba okanye ukuphazamiseka.
Imithombo:
> Cutler, JL Psychiatry: Udidi lwesithathu . I-Oxford University Press, eNew York, NY, 2014.
UJanicak PG, u-Esposito J. (uNovemba 2015). Isihlaziya kwiNgcaciso kunye noPiliso lwe-Bipolar Disorder. Itheyibhile 1: Bipolar Specifiers. Ixesha leengqondo.