Cyclothymia ndi mtundu wa matenda a bipolar. Amachizidwa ngati matenda a bipolar ndi mankhwala, kuphatikiza zolimbitsa thupi, komanso psychotherapy.

Tanthauzo

Cyclothymia kapena cyclothymic personality ndi mtundu (wochepa) wa matenda a bipolar. Zimafanana ndi kukhalapo kwa zaka zosachepera ziwiri osachepera theka la nthawi zambiri za masiku kapena masabata angapo pamene zizindikiro za hypomanic (kutengeka maganizo koma kuchepetsedwa poyerekeza ndi zizindikiro za manic) zimakhalapo komanso nthawi zambiri zomwe zizindikiro zachisokonezo zimakhalapo. muzolinga za kuvutika maganizo kwakukulu. Zimayambitsa kuvutika kapena mavuto a ntchito, chikhalidwe kapena banja. 

Ndiko kuti: 15 mpaka 50% ya matenda a cyclothymic amapita ku mtundu wa I kapena II matenda a bipolar. 

Zimayambitsa 

Zomwe zimayambitsa cyclothymia ndi bipolar disorder sizidziwika bwino. Zomwe tikudziwa ndikuti matenda a bipolar amayamba chifukwa cha kugwirizana pakati pa zinthu zamoyo (zosazolowereka pakupanga ndi kupatsirana kwa ma neurotransmitters ndi zovuta za mahomoni) ndi chilengedwe (kuvulala kwaubwana, kupsinjika maganizo, ndi zina zotero).

Pali chizoloŵezi cha m'banja ku matenda a bipolar. 

matenda

Kuzindikira kwa cyclothymia kumapangidwa ndi katswiri wa zamaganizo ngati munthu wakhala ndi nthawi ya hypomanic ndi nthawi ya kuvutika maganizo kwa zaka zosachepera ziwiri koma popanda njira ya bipolar disorder (osachepera chaka chimodzi mwa ana ndi achinyamata), ngati matendawa sali chifukwa cha kumwa mankhwala (chamba, ecstasy, cocaine) kapena mankhwala kapena matenda (hyperthyroidism kapena kuchepa kwa zakudya mwachitsanzo). 

Anthu okhudzidwa 

Matenda a Cyclothymic amakhudza 3 mpaka 6% ya anthu. Kuyamba kwa matenda a cyclothymic kumadziwika mwa achinyamata kapena achikulire. Poyerekeza, matenda amtundu wa I bipolar amakhudza 1% ya anthu. 

Zowopsa 

Kukhala ndi anthu omwe ali ndi vuto la bipolar m'banja mwanu ndi chiopsezo choyambitsa cyclothymia. Zina zomwe zimayambitsa matenda ochititsa munthu kusinthasintha zochitika kuphatikizapo cyclothymia ndi kugwiritsa ntchito mankhwala osokoneza bongo kapena kumwa mowa mwauchidakwa, zokhumudwitsa kapena zosangalatsa (kusudzulana, imfa ya wokondedwa, kubadwa, ndi zina zotero) kapena moyo wosakhazikika (kusokonekera, kugwira ntchito usiku ...)

Zizindikiro za cyclothymia ndi matenda a bipolar koma ocheperako. Matendawa amadziwika ndi kusinthana kwa zochitika zachisokonezo ndi zochitika za manic.

Magawo okhumudwa…

Matenda ovutika maganizo a munthu wa cyclothymic amadziwika ndi kutaya mphamvu, kudzimva kuti ndi wopanda pake komanso kutaya chidwi ndi zinthu zomwe nthawi zambiri zimapereka chisangalalo (kuphika, kugonana, ntchito, abwenzi, zokonda). Anthu ena omwe ali ndi cyclothymia amaganiza za imfa ndi kudzipha.

… kusinthasintha ndi ma manic episode

Zochitika za Hypomanic zimakhala ndi chisangalalo chachilendo, kukwiya, kuchita zinthu mopambanitsa, kulankhula mothamanga, kulingalira mothamanga, kudziona kuti ndiwe wofunika, kusayang'ana mozama, kusaganiza bwino, kuchita zinthu mopupuluma komanso kufuna kuwononga ndalama mopambanitsa.

Kusokonezeka maganizo kumeneku kumayambitsa kusapeza bwino komanso zovuta m'moyo waukatswiri ndi banja.

Cyclothymia, monga matenda ena ochititsa munthu kusinthasintha zochitika, amachiritsidwa ndi mankhwala: zolimbitsa thupi (Lithium), antipsychotics, ndi anti-convulsants. 

Psychotherapy (psychoanalysis, khalidwe ndi chidziwitso chamankhwala-CBT, chithandizo chokhazikika cha banja -TCF, chimamaliza kasamalidwe ka mankhwala. Izi cholinga chake ndi kuthandiza kusamalira bwino matenda ake, kuchitapo kanthu moyenera ndi zomwe zimayambitsa. , kuthandiza wodwalayo.

Maphunziro a Psychoeducation amayesetsa kuti odwala amvetse bwino komanso adziwe matenda awo ndi chithandizo chawo (kuzindikira zomwe zimayambitsa manic ndi kupsinjika maganizo, kudziwa mankhwala, momwe angasamalire kupsinjika maganizo, kukhazikitsa moyo wokhazikika ....) kuti achepetse zizindikiro zawo komanso nthawi zambiri.

Ndizotheka kukhathamiritsa kupewa kuyambiranso kuchokera ku manic kapena kukhumudwa. 

Choyamba ndikofunikira kupewa zovuta komanso kuphunzira kupumula (mwakuchita kusinkhasinkha kapena yoga mwachitsanzo).

Kugona bwino ndikofunikira. Kusagona mokwanira ndizomwe zimayambitsa zochitika za manic. 

Ndikoyenera kusiya kumwa kapena kuchepetsa kumwa mowa chifukwa mowa wambiri ukhoza kuyambitsa manic kapena kupsinjika maganizo. Kugwiritsa ntchito mankhwala osokoneza bongo kumaletsedwa kwambiri chifukwa mankhwala aliwonse amatha kuyambitsa matenda a bipolar. 

Kulemba zolemba zakukhosi kumakuthandizani kuchenjeza za vuto la hypomania kapena kupsinjika maganizo komanso kutenga njira zopewera.