Kutarisirwa Kwevana Vane Bipolar Disorder
Pendauluan
Dambudziko reBipolar chirwere chepfungwa chinoratidzwa nekuchinja-chinja kwemanzwiro zvakanyanya, kubva pazviitiko zvekushungurudzika kusvika kuzviitiko zvemanic kana hypomanic. Muvakadzi, chirwere ichi chinopa matambudziko chaiwo nekuti chinowanzo batanidzwa nezvikamu zvehupenyu hwekubereka zvakaita sepamuviri, kubereka, mushure mekusununguka, uye kuyamwisa. Panyaya yekutarisirwa kwepamuviri, chirwere chebipolar chinoda kutarisirwa kwakazara uye kwekushandira pamwe nekuti chinogona kukanganisa kuchengetedzeka kwaamai, mwana ari mudumbu/mucheche, uye kunaka kwekutarisirwa uye kubatana kwaamai nemwana.
Kutarisirwa kwevananyamukuta vane chirwere chebipolar disorder hakungotaridzi chete pahutano hwepamuviri nepakusununguka, asiwo pakuongorora hutano hwepfungwa, kudzivirira kudzokera shure, kutevedzera kurapwa, rutsigiro rwemhuri, uye kutumira kune nyanzvi dzakasiyana uye kushanda pamwe chete. Vananyamukuta vanoita basa rakakosha sevashandi vehutano vari pamberi vanosangana navanaamai, zvichivabatsira kuona zviratidzo zvengozi dzepfungwa nekukurumidza.
Kuongororwa kweBipolar Disorder
Dambudziko reBipolar rine mhando dzakasiyana-siyana, kunyanya Bipolar I (inoratidzwa nezviitiko zvakasiyana zvemanic) uye Bipolar II (zvikamu zvehypomania nekuora mwoyo). Munguva yekuzvitakura, shanduko dzemahormone, maitiro ekurara, kushushikana, uye nhoroondo yezvinetso zvemanzwiro zvinogona kukonzera kudzokera shure. Njodzi inowedzera munguva yekusununguka, apo amai vanoshaya hope uye shanduko dzepfungwa.
Zviratidzo zvekunyanya kufara/kushaya simba zvinosanganisira kuwedzera simba, kusada kurara, kutaura nekukurumidza, kufunga zvinhu zvakawanda, maitiro asina kufunga, uye kuzvivimba zvakanyanya. Zviratidzo zvekuora mwoyo, kune rumwe rutivi, zvinosanganisira kusuruvara kwenguva refu, kurasikirwa nechido, kurara/kuda kudya zvisina kunaka, kunzwa mhosva, kuoma kuisa pfungwa pachinhu chimwe, uye kufunga kuzviuraya. Muzviitiko zvakakomba, zviratidzo zvepfungwa (kufungidzira zvinhu zvisipo kana kufungidzira) zvinogona kuitika, izvo zvinogona kunge zviri dambudziko rezvehutano.
Kukanganiswa kweBipolar Disorder muObstetrics
Dambudziko reBipolar rinogona kukanganisa kutevedzera kurapwa kwepamuviri, kudya zvinovaka muviri, tsika dzekusvuta/doro, uye kunyange maitiro ane njodzi panguva yekuzvimba. Munguva yekuzvimba, vanaamai vanowanzorega, havazvitarisiri, uye vari panjodzi yekushaya kudya kwakakwana kana kupererwa neropa nekuda kwekudya kusina kunaka. Zvimwe zvinogona kusanganisira matambudziko asina kunanga ekusununguka akadai sekusanyatso tarisa pamuviri, njodzi yekusununguka huremu hushoma, uye matambudziko ekubatana kwepabonde mushure mekusununguka.
Munguva yekusununguka, chirwere chebipolar chinotakura njodzi huru yepfungwa dzepashure pekusununguka, kunyanya kuna vanaamai vane nhoroondo yebipolar I. Chirwere ichi chinogona kukura nekukurumidza uye chinoda kutumirwa nekukurumidza nekuda kwenjodzi yekukuvadzwa kwemwana kana kukuvadzwa kwake. Nokudaro, vananyamukuta vanofanira kungwarira zvakanyanya, kunyanya mumavhiki maviri ekutanga ekusununguka.
Nheyo dzeKutarisira Vananyamukuta
Kutarisirwa kwevanaamai vane chirwere chebipolar kunotevedzera zvinotevera: kuchengetedzeka kwevanaamai nevana vacheche, kuonekwa kwevana nekukurumidza, kuramba vachitarisirwa, kutaurirana nevanorapa, uye kushanda pamwe chete nevanachiremba vepfungwa nevanobereka vana. Vananyamukuta vanofanirawo kuchengetedza zvakavanzika uye kudzivirira rusarura, sezvo rusarura runowanzova chipingamupinyi chikuru kumadzimai ari kutsvaga rubatsiro.
Kutaurirana kwekurapa kunoitwa nenzira yetsitsi, uchishandisa mibvunzo isina mhinduro, kuve nechokwadi chekuti amai vanonzwa vakachengeteka, uye kubatanidza mhuri senzira yekutsigira. Vananyamukuta vanofanira kuongorora mamiriro epfungwa, kusawirirana mumhuri, mhirizhonga mudzimba, uye rutsigiro rwemari, sezvo zvinhu izvi zvichigona kuwedzera zviratidzo.
Ongororo
Kuongororwa kwepamuviri kunosanganisira zvinhu zvemuviri nepfungwa. Pamuviri, izvi zvinosanganisira zviratidzo zvinokosha, mamiriro epamuviri, mamiriro emwana ari mudumbu, kudya kunovaka muviri, uye kurara. Papfungwa, izvi zvinosanganisira nhoroondo yechirwere chepfungwa chinoputika, kuwanda kwezviitiko, zvinokonzera kudzoka kwechirwere, nhoroondo yekuiswa muchipatara chepfungwa, nhoroondo yekuzvikuvadza, uye kushandisa mishonga (semuenzaniso, lithium, valproate, carbamazepine, lamotrigine, kana mishonga yekurwisa pfungwa). Nyamukuta anofanira kubvunza nezvekutevedzera mishonga pamwe nechero migumisiro.
Kuongororwa kwekuora mwoyo nekuzvidya mwoyo kunogona kuitwa uchishandisa chishandiso chiri nyore senge Edinburgh Postnatal Depression Scale (EPDS). Kunyangwe EPDS ichinyanya kutarisa pakuora mwoyo mushure mekusununguka, inobatsira pakuona zviratidzo zvekuora mwoyo zvinoda kuongororwa zvakanyanya. Kune vanhu vane mania, vananyamukuta vanogona kuona zviratidzo zvakaita sekumanikidzwa kutaura zvakanyanya, kushaya zororo, uye kusada kurara zvakanyanya. Kana zviratidzo zvengozi zvakaita sekufunga kuzviuraya, kuona zvinhu zvisipo, kana maitiro asingadzoreki zvikaonekwa, vananyamukuta vanofanirwa kutanga kutumira rubatsiro rwekukurumidzira.
Kuronga uye Kupindira
Kupindira kwevana vanozvara kunotarisa pakudzivirira kudzoka kwechirwere, kudzidzisa, kutsigira, uye kunyatsotarisa. Munguva yekusununguka, vananyamukuta vanofanirwa kugadzira hurongwa hwepamuviri hunosanganisira kushanya kakawanda, kutarisa kurara, uye dzidzo nezvemararamiro ane hutano. Vanaamai vanokurudzirwa kuchengetedza tsika yavo, kudzivirira kurara kusvika kunonoka, uye kudzora kushushikana kuburikidza nenzira dzekuzorora, kuita zvinhu zvishoma, uye rutsigiro rwevanhu.
Dzidzo yemishonga inofanira kuitwa nokungwarira. Zvimwe zvinhu zvinosimbisa mafungiro evanhu zvine njodzi kumwana ari mudumbu, zvakaita sevalproate, iyo ine chekuita nekukanganisika kwetsinga dzemutsinga. Vananyamukuta havachinje mishonga, asi vanobatsira kuona kuti vanaamai vanonzwisisa kukosha kwekubvunza chiremba wepfungwa nenyanzvi yezvekubereka nguva nenguva vasati varega kurapwa. Kungoerekana varega mishonga kunogona kukonzera kudzoka kwechirwere kune njodzi huru.
Vananyamukuta vanogonawo kukurudzira mhuri kuti iongorore zviratidzo zvekutanga zvechirwere, zvakaita sekuchinja kwemarara, kushandisa mari zvisina kurongeka, kana kuwedzera kwemabasa. Mhuri dzinofanira kuziva kuti chirwere chebipolar chirwere chehutano, kwete chikanganiso chehunhu.
Kuchengetwa Kwemwana Pamuviri (Kusununguka)
Munguva yekusununguka, vananyamukuta vanofanira kuva nechokwadi chekuti pane nzvimbo yakachengeteka, isina kushushikana zvakanyanya inotsigira nyaradzo yaamai. Vanaamai vane chirwere chebipolar vanogona kunge vachinyanya kunetseka nekuzvidya mwoyo nekurwadziwa, saka nzira dzekugadzirisa marwadzo nerutsigiro rwepfungwa zvakakosha. Munhu anogona kusarudzwa kubva pakati peavo vari pedyo naamai vanogona kunyaradza nekunzwisisa mamiriro eamai.
Kana amai vakaratidza kusagadzikana kwakanyanya, maitiro asingadzoreki, kana zviratidzo zvepfungwa, kusununguka kunofanira kutarisirwa pamwe chete nachiremba wepfungwa nechikwata chepfungwa. Mune mamwe mamiriro ezvinhu, kuchengetedzeka ndiko kunonyanya kukosha, saka kupindira kwekuwedzera kwekurapa kunogona kudiwa.
Kutarisirwa Kwemwana Mushure mekusununguka uye Kuyamwisa
Nguva yekusununguka ndiyo nguva inonyanya kukosha. Vananyamukuta vanofanira kupota vachienda kunoona vana mushure mekusununguka kakawanda, kunyanya muvhiki yekutanga neyechipiri. Kuongororwa kunofanira kusanganisira hutano hwemuviri, kubudirira kwekuyamwisa, maitiro ekurara, uye hutano hwepfungwa. Kushaikwa kwehope ndicho chikonzero chikuru chekudzokera shure kwechirwere chepfungwa, saka vananyamukuta vanogona kubatsira kugadzira nzira dzekurara, dzakadai sekugovana mabasa ekuchengeta nemhuri kana kunwa mukaka wezamu kuti amai vazorore.
Panyaya yekuyamwisa, vananyamukuta vanofanira kudzidzisa vanaamai kuti mimwe mishonga yepfungwa inogona kupinda mumukaka wemuzamu. Sarudzo yekuyamwisa inofanira kuitwa pamwe chete naamai nachiremba, vachiyera zvakanakira kuyamwisa uye njodzi dzekunwa mishonga. Kana kuyamwisa kusingagoneke, vananyamukuta vanofanira kuramba vachitsigira amai, vachidzivisa mhosva, uye vachivabatsira kusarudza dzimwe nzira dzakachengeteka dzekudya kwevana.
Vananyamukuta vanofanirawo kuongorora hukama hwaamai nemwana. Munguva yekushungurudzika, vanaamai vanogona kunzwa vasingakwanisi kutarisira vana vavo. Kupindira kunogona kusanganisira rubatsiro runoshanda, mazano ekutanga, uye kutumira kuna chiremba wekuyamwisa kana chiremba wepfungwa kana zvichidikanwa.
Njodzi dzepfungwa uye Kutumirwa kune Vamwe
Vananyamukuta vanofanira kuziva mamiriro ezvinhu enjodzi, akadai sekufunga kuzviuraya, kutyisidzira kukuvadza mwana, kusarara zvachose kwemazuva akati wandei, kuona zvinhu zvisipo, kufunga zvisiri izvo, kana hunhu hwehasha. Mumamiriro ezvinhu aya, matanho makuru ndeekuona kuchengetedzeka kwaamai nemwana, kwete kusiya amai vari vega, kubatanidza mhuri, uye kutumira amai kunzvimbo ine mabasa epfungwa nekukurumidza. Magwaro akajeka anodiwa kutsigira kuenderera mberi kwekurapwa.
Mhedziso
Kutarisirwa kwevana vane chirwere chebipolar kunoda nzira yakakwana inosanganisira zvinhu zvemuviri, zvepfungwa, uye zvemagariro evanhu. Vananyamukuta vanoita basa rakakosha mukuongororwa kwekutanga, kudzidziswa, kutariswa, kutsigirwa kwemhuri, uye kutumira varwere panguva yakakodzera. Nekutarisirwa kwakabatana uye kusina rusarura, vanaamai vane chirwere chebipolar vanogona kubata pamuviri, kusununguka, uye nguva yekusununguka zvakachengeteka uye kuvaka hukama hwakanaka nevana vavo. Kushandira pamwe kwevashandi pamwe chete kwakakosha mukuderedza njodzi yekudzoka kwechirwere uye kuvandudza hupenyu hwevanaamai nemhuri dzavo.
