Cyclothymia imhando yebipolar disorder. Inobatwa sebipolar disorder nemishonga, kusanganisira mood stabilizers, uye psychotherapy.

tsananguro

Cyclothymia kana cyclothymic hunhu i (yakapfava) chimiro chebipolar disorder. Inofanana nekuvapo kweanenge makore maviri inosvika hafu yenguva yakawanda yemazuva mashoma kana mavhiki panguva iyo zviratidzo zve hypomanic (yakanyanyisa mafungiro asi yakaderedzwa kana ichienzaniswa nezviratidzo zvemanic) iripo uye nguva dzakawanda panguva iyo zviratidzo zvekuora mwoyo zviripo. mumaitiro ekuora mwoyo kukuru. Zvinokonzera kutambura kana matambudziko ehunyanzvi, magariro kana emhuri maitiro. 

Zvinonzi: 15 kusvika 50% ye cyclothymic disorders inofambira mberi kusvika kune I kana II bipolar disorders. 

Zvinokonzera 

Zvikonzero zve cyclothymia uye bipolar disorder mune zvese hazvizivikanwe. Chatinoziva ndechekuti bipolar disorder imhaka yekudyidzana pakati pezvinhu zvipenyu (zvisina kujairika mukugadzirwa uye kutapurirana kwevaneurotransmitters uye hormonal abnormalities) uye zvakatipoteredza (kushungurudzika muhuduku, kunetseka, nezvimwewo).

Pane fungidziro yemhuri kune bipolar disorder. 

chirwere

Kuongororwa kwe cyclothymia kunoitwa nenyanzvi yepfungwa kana munhu aine hypomanic nguva uye nguva yekuora mwoyo kweanenge makore maviri asi pasina maitiro eiyo bipolar disorder (rinenge gore rimwe chete muvana nevechiri kuyaruka), kana matambudziko aya asina kukonzerwa kunwa mushonga (cannabis, ecstasy, cocaine) kana mushonga kana chirwere (hyperthyroidism kana kushomeka kwekudya semuenzaniso). 

Vanhu vane hanya 

Cyclothymic disorders inobata 3 kusvika 6% yevanhu. Kutanga kwe cyclothymic kusagadzikana kunoonekwa muvechiri kuyaruka kana vechidiki vakuru. Mukuenzanisa, mhando I bipolar disorder inobata 1% yevanhu. 

Zvinhu zvinotyisa 

Kuve nevanhu vane bipolar disorder mumhuri yako ingozi yekuvandudza cyclothymia. Zvimwe zvinokonzeresa kuita bipolar kusagadzikana zvinosanganisira cyclothymia kushandisa zvinodhaka kana kudhakwa, zvinosuwisa kana zvinofadza zviitiko zvinoshungurudza (kurambana, kufa kwemudiwa, kuzvarwa, nezvimwewo) kana mararamiro asina kugadzikana (kukanganisika kurara, basa rehusiku ...)

Zviratidzo zve cyclothymia ndezviya zvebipolar disorder asi zvishoma zvakanyanya. Chirwere ichi chinoratidzwa nekutsinhana kwezvikamu zvekuora mwoyo uye manic episode.

Depressive episodes…

Kuora mwoyo kwezviitiko zve cyclothymic munhu kunoratidzwa nekurasikirwa kwesimba, kunzwa kwekusakosha uye kurasikirwa kwechido muzvinhu zvinowanzopa mafaro (kubika, zvepabonde, basa, shamwari, zvinokuvaraidza). Vamwe vanhu vane cyclothymia vanofunga nezverufu uye kuzviuraya.

... kuchinjana nezvimiro zvemanic

Zviitiko zveHypomanic zvinoratidzwa nekunzwa kusingajairike kwekufara, kushatirwa, kumhanyisana, kutaura, kumhanyisa pfungwa, kuwedzeredza kuzvikoshesa, kushaikwa kwekutarisa, kushaya kutonga, kumhanyisa uye chishuwo chekupedza mari zvakanyanyisa.

Aya madhiri anokonzeresa kusagadzikana uye matambudziko muhupenyu hwehunyanzvi uye hwemhuri.

Cyclothymia, kufanana nedzimwe bipolar disorder, inorapwa nemishonga: mood stabilizers (Lithium), antipsychotics, uye anti-convulsants. 

Psychotherapy (psychoanalysis, behavioral and cognitive therapies-CBT, family-centered therapy -TCF, inopedza kutonga kwezvinodhaka. Izvi zvinotarisirwa kubatsira zviri nani kugadzirisa mamiriro ake, kuita zvakanaka kune zvinokonzera. , kutsigira murwere.

Psychoeducation zvikamu zvinovavarira kuita kuti varwere vanzwisise zviri nani uye vazive chirwere chavo uye kurapwa (kuziva zvinokonzeresa zvemanic uye kuora mwoyo episode, kuziva mishonga, kugadzirisa kushushikana, kutanga mararamiro enguva dzose….) kuderedza zviratidzo zvavo uye kuwanda.

Zvinogoneka kukwidziridza kudzivirira kwekudzoka kubva kune manic kana kuora mwoyo episode. 

Chekutanga pane zvese zvakakosha kudzivirira mamiriro ekushungurudza uye kudzidza kuzorora (nekudzidzira kufungisisa kana yoga semuenzaniso).

Kurara zvakanaka kwakakosha. Kusawana hope dzakakwana zvechokwadi kunokonzeresa chiitiko chemunhu. 

Zvinokurudzirwa kurega kunwa kana kuderedza kunwa doro nekuti doro rakawandisa rinogona kukonzera manic kana kuora mwoyo episode. Kushandiswa kwezvinodhaka kunorambidzwa zvakasimba nokuti chero mushonga unogona kukonzera bipolar episodes. 

Kuchengeta diary yemood kunobatsira iwe kunyevera nezvechiitiko che hypomania kana kuora mwoyo uye kutora matanho ekudzivirira.