Hypomania chirwere chezvinyamusi chinoratidzwa nenguva yekushatirwa, kuita zvinhu zvakanyanya, uye kushanduka-shanduka. Iyo haisati yaonekwa kuti yakadaro uye inoramba ichionekwa sechinguva chechimiro chakanyanya. Inowanzova kutanga kwechiitiko chekuora mwoyo kunotevera nguva ye hypomania inotungamirira kuongororwa kwechirwere. Iko kusanganiswa kwemishonga yemishonga, psychotherapy uye mararamiro ane hutano anobatsira kudzikamisa mafungiro emurwere.

Tsanangudzo ye hypomania

Hypomania chirwere chepfungwa chinoratidzwa nenguva yekugumbuka, kusagadzikana uye kushanduka kwemafungiro, kunoenderana nekukanganisa kurara. Nguva yezviratidzo izvi haipfuuri mazuva mana.

Ichi chikamu chinowanzoteverwa nechimwe, chekuora mwoyo. Isu tinobva tataura nezve bipolarity, kureva nezve manic depression, alternations of manias uye depressions.

Hypomania kazhinji isingaperi. Iro rakareruka remania. Mania chirwere chinotora kweinenge vhiki uye chinopa shanduko yakakosha mukushanda iyo inogona kutungamira muchipatara kana kutaridzika kwezviratidzo zvepfungwa - kufungidzira, kunyengera, paranoia.

Hypomania inogonawo kuvepo sechikamu chekutarisisa kushomeka kwechirwere kana pasina hyperactivity - inozivikanwa neacronym ADHD -, kana kunyangwe schizoaffective disorder, kana ichiperekedzwa nezvikamu. delusional.

Types d'hypomanies

Kune mhando imwe chete ye hypomania.

Zvikonzero zve hypomania

Chimwe chezvikonzero zve hypomania ndeye genetic. Zvidzidzo zvenguva pfupi zvinoratidza kubatanidzwa kwemajini akawanda - kunyanya pamakromosomes 9, 10, 14, 13 uye 22 - mukutanga kwechirwere. Uku kusanganiswa kwemajini, kunonzi kusiri nyore, kunoita kuti zviratidzo, uye nokudaro marapiro, asiyane kune mumwe nemumwe.

Imwe fungidziro inoisa pamberi dambudziko mukugadziriswa kwemifungo. Kunetseka uku kwaizobva mukusashanda zvakanaka kwemamwe ma neuron, izvo zvaizokonzera hyperactivity yehippocampus - nzvimbo yehuropi yakakosha kundangariro nekudzidza. Izvi zvinozokonzeresa kuvhiringika mukuita kwevanonzi neurotransmitters vachitamba basa guru mukugadzirisa pfungwa. Dzidziso iyi inotsigirwa nehukama hunobudirira hwemishonga yepsychotropic - kusanganisira mamood stabilizers - kuita pane idzi neurotransmitters.

Kuongororwa kwe hypomania

Tichifunga nezvekudzikira kwavo uye kupfupika kwavo, zvikamu zve hypomania zvinowanzoomesesa kuziva, zvichizotungamira mukusaziva kwezvikamu izvi. Vaperekedzi vanotenda kuti munhu ari munguva yakanaka kwazvo, mune chimiro chikuru. Kazhinji ndiko kutanga kwekuora mwoyo kunotevera iyi hypomanic phase inosimbisa kuongororwa.

Kuongororwa kunonoka kunowanzoitwa mukupera kwekuyaruka kana kuti munhu mukuru, panguva ichangopfuura makore 20-25.

Zvishandiso zvinoita kuti zvikwanise kunanga zvirinani fungidziro yekuvapo kwe hypomania:

• Le Mood Disorder Mubvunzo -Yekutanga vhezheni muChirungu- yakabudiswa muna 2000 muAmerican Journal of Psychiatry, inogona kuziva vanhu vanomwe kubva mugumi vane bipolar disorder - vane alternating (hypo) mania uye kuora mwoyo - uye kusefa vanhu vapfumbamwe mugumi vasina. Shanduro yekutanga yeChirungu: http://www.sadag.org/images/pdf/mdq.pdf. Shanduro yakashandurirwa muchiFrench: http://www.cercle-d-excellence-psy.org/fileadmin/Restreint/MDQ%20et%20Cotation.pdf;
• La Checklist d'hypomanie, inotarisa zvakanyanya hypomania chete, yakagadzirwa muna 1998 naJules Angst, purofesa wepfungwa dzepfungwa: http://fmc31200.free.fr/bibliotheque/hypomanie_angst.pdf.

Ngwarira, nyanzvi yezvehutano chete inogona kumisa kuongororwa kwakavimbika uchishandisa aya maturusi.

Vanhu vanobatwa ne hypomania

Hupenyu hwehuwandu hwehuwandu hwehuwandu hwe hypomania muhuwandu hwevanhu ndeye 2-3%.

Zvinhu zvinotsigira hypomania

Mhuri dzakasiyana dzezvinhu zvinokurudzira hypomania.

Zvinhu zvine chekuita nezvinoshungurudza kana zvisingakanganwike zviitiko zvehupenyu zvakaita se:

• Kushungurudzika kusingaperi - kunyanya kunowanikwa munguva yevacheche;
• Chikwereti chikuru chehope;
• Kufirwa nomudiwa;
• Kurasikirwa kana kuchinja kwebasa;
• Kufamba.

Zvinhu zvine chekuita nekushandiswa kwezvinhu zvakanangana:

• Kushandiswa kwe cannabis panguva yekuyaruka kana kuyaruka;
• Kushandiswa kwevanabolic androgenic steroids (ASA) - ine simba doping agents kune vatambi);
• Kutora tricyclic antidepressants senge desipramine, iyo inozivikanwa kuti iite kukurumidza kutenderera kana manic kana hypomanic episode.

Pakupedzisira, zvinhu zvinogarwa nhaka hazvifaniri kupedzwa. Uye njodzi yekuva ne hypomania inowedzerwa nevashanu kana imwe yehama dzedu dzekutanga dhigirii yatove nayo.

Kunyengera

Hypomania inotungamira kumagariro, nyanzvi, chikoro kana hupombwe kana kusagadzikana - kusagadzikana, pathological uye maladaptive psychomotor hyperactivity.

Kushaikwa kwekushushikana

Hypomania inokonzera kushayikwa kwekutarisa uye kutarisisa. Vanhu vane hypomania vari nyore kutsauswa uye / kana kukwezvwa kune zvisina basa kana kusakosha zvekunze zvinokurudzira.

Kutyaira panjodzi yakawedzera

Iyo hypomaniac inova inobatanidzwa muzviitiko zvinofadza, asi izvo zvinogona kuva nemigumisiro inokuvadza - semuenzaniso, munhu wacho anotanga zvisingadzoreki mukutenga kusina hanya, mufambiro wepabonde usina hanya kana mari yebhizimisi isina musoro.

Kushungurudzika kusagadzikana

Kunowanzova kutanga kwekuora mwoyo kunotevera chikamu che hyperactivity chinosimbisa kuongororwa.

Zvimwe zviratidzo

• Kuwedzera kuzviremekedza kana pfungwa dzehukuru;
• Kuwedzera;
• Euphoria;
• Kuderedza nguva yekurara pasina kuneta;
• Kuda kutaura nguva dzose, kutaurirana kukuru;
• Kutiza pfungwa: murwere anokurumidza kupfuura kubva kujongwe kuenda kudhongi;
• Kutsamwa;
• Kuzvitutumadza kana kusada.

Kurapa kwe hypomania kunowanzobatanidza marudzi akawanda ekurapa.

Zvakare, mumamiriro echiitiko che hypomania uko pasina kuchinjika kwakajeka mukushanda kwehunyanzvi, zviitiko zvemagariro, kana hukama hwevanhu, kuchipatara hazvidiwi.

Pharmacological treatment inogona kurongerwa kwenguva yakareba, kubva pamakore maviri kusvika mashanu, kana kunyange kwehupenyu hwose. Kurapa uku kunogona kusanganisira:

• A mood stabilizer - kana thymoregulator-, iyo isiri iyo inosimudzira kana sedative, uye iyo iyo 3 mikuru inonzi lithium, valproate uye carbamazepine;
• An atypical antipsychotic (APA): olanzapine, risperidone, aripiprazole uye quetiapine.

Tsvagiridzo yazvino inoburitsa kuti munguva yepakati - kwegore rimwe kana maviri - musanganiswa wemood stabilizer neAPA inzira yekurapa inopa mhedzisiro iri nani pane monotherapy.

Chenjera, zvisinei, panguva yekutanga chikamu che hypomania, ruzivo rwazvino runotikoka kuti tifarire monotherapy, kurwisa hurombo hunogona kushivirira hwemusanganiswa wemamorekuru.

Psychotherapies yakakoshawo kurapa hypomanias. Ngatitorei mashoko:

• Psychoeducation inobatsira kukudziridza nzira dzekugadzirisa kana kudzivirira manic episode nekugadzirisa kurara, kudya uye kuita basa remuviri;
• Maitiro uye kurapa kwekuziva.

Chekupedzisira, tsika dzakanaka dzekudya, kusanganisira michero nemiriwo, uye kudzora uremu zvinobatsirawo chiteshi hypomania.

Kudzivirira hypomania kana kudzoka kwayo kunoda:

• Chengetedza mararamiro ane hutano;
• Dzivisa zvinodhaka - kunze kwekunge chirevo chekare chakanga chakashanda uye chisina kukonzera kusanganiswa kwe hypomanic shift, kana kana mafungiro akaora mwoyo paanomisa antidepressant;
• Dzivisa infusions of St. John's Wort, yepanyama antidepressant;
• Usamira kurapwa - hafu yekudzokazve inokonzerwa nekumira kurapwa mushure memwedzi mitanhatu.