Cyclothymia ke mofuta oa lefu la ho ferekana kelellong. E tšoaroa joalo ka lefu la ho ferekana kelellong ka meriana, ho kenyeletsoa li-mood stabilizers, le psychotherapy.

Tlhaloso

Cyclothymia kapa cyclothymic personality ke mofuta (o bobebe) oa lefu la ho ferekana kelellong. E lumellana le ho ba teng bonyane lilemo tse peli bonyane halofo ea nako ea linako tse ngata tsa matsatsi a seng makae kapa libeke nakong eo matšoao a hypomanic (maikutlo a feteletseng empa a fokotsehile ha a bapisoa le matšoao a manic) a teng le linako tse ngata tseo matšoao a khatello ea maikutlo a leng teng. litekanyetsong tsa ho tepella maikutlo ho hoholo. E baka mahlomola kapa mathata a boitšoaro ba setsebi, sechabeng kapa ba lelapa. 

E leng: 15 ho 50% ea mathata a cyclothymic a tsoela pele ho mofuta oa I kapa oa II oa lefu la ho ferekana kelellong. 

Lisosa 

Lisosa tsa cyclothymia le lefu la ho ferekana kelellong ka kakaretso ha li tsejoe hantle. Seo re se tsebang ke hore mathata a ho ferekana kelellong a bakoa ke tšebelisano pakeng tsa lintho tsa tlhaho (ho se tloaelehe ha tlhahiso le phetiso ea li-neurotransmitters le li-hormone tse sa tloaelehang) le tikoloho (ho sithabela bongoaneng, khatello ea kelello, joalo-joalo).

Ho na le tšekamelo ea lelapa ho lefu la ho ferekana kelellong. 

Diagnostic

Tlhahlobo ea cyclothymia e etsoa ke setsebi sa mafu a kelello haeba motho a e-na le linako tsa hypomanic le linako tsa ho tepella maikutlong bonyane lilemo tse peli empa a se na litekanyetso tsa lefu la ho ferekana kelellong (bonyane selemo se le seng ho bana le bacha), haeba mathata ana a sa bakoa ke ho noa lithethefatsi (cannabis, ecstasy, cocaine) kapa meriana kapa lefu (hyperthyroidism kapa khaello ea phepo e nepahetseng). 

Batho ba amehang 

Mathata a Cyclothymic a ama 3 ho 6% ea baahi. Ho qala ha lefu la cyclothymic ho fumanoa ho bacha kapa batho ba baholo. Ha ho bapisoa, mofuta oa I oa lefu la ho ferekana kelellong o ama 1% ea baahi. 

Lintho tse kotsi 

Ho ba le batho ba nang le lefu la ho ferekana kelellong lelapeng la hau ke kotsi ea ho ba le cyclothymia. Mabaka a mang a kotsi a ho ba le lefu la ho ferekana kelellong ho kenyelletsa cyclothymia ke tšebeliso e mpe ea lithethefatsi kapa tahi, liketsahalo tse bohloko kapa tse sithabetsang tse sithabetsang (tlhalo, lefu la moratuoa, tsoalo, joalo-joalo) kapa mokhoa oa bophelo o sa tsitsang ( boroko bo khathatsang, ho sebetsa bosiu ...)

Matšoao a cyclothymia ke a lefu la ho ferekana kelellong empa a fokola haholo. Lefu lena le tšoauoa ka ho fapanyetsana ha maemo a ho tepella maikutlo le liketsahalo tsa manic.

Likarolo tsa khatello ea maikutlo…

Likarolo tse sithabetsang tsa motho oa cyclothymic li khetholloa ke ho lahleheloa ke matla, boikutlo ba ho hloka thuso le ho lahleheloa ke thahasello linthong tseo ka tloaelo li fanang ka monate (ho pheha, ho kopanela liphate, mosebetsi, metsoalle, ho itlosa bolutu). Batho ba bang ba nang le cyclothymia ba nahana ka lefu le ho ipolaea.

… ho fapanyetsana le likarolo tsa manic

Liketsahalo tsa Hypomanic li khetholloa ka maikutlo a sa tloaelehang a thabo, ho teneha, ho tsitlella maikutlo, ho bua, menahano ea peiso, maikutlo a feteletseng a ho itšepa, ho hloka ho itlhahloba, ho hloka kahlolo e molemo, ho potlakela le takatso ea ho sebelisa chelete e ngata haholo.

Mathata ana a ho feto-fetoha ha maikutlo a baka ho se phutholohe le mathata bophelong ba litsebi le ba lelapa.

Cyclothymia, joalo ka mafu a mang a ho ferekana kelellong, e phekoloa ka meriana: li-mood stabilizers (Lithium), li-antipsychotics, le li-anti-convulsants. 

Psychotherapy (psychoanalysis, boitšoaro le mekhoa ea phekolo ea kelello-CBT, phekolo e amanang le malapa -TCF, e phethela tsamaiso ea lithethefatsi. Sena se ikemiselitse ho thusa ho laola boemo ba hae hantle, ho itšoara hantle ho lisosa. , ho tšehetsa mokuli.

Likopano tsa Psychoeducation li ikemiselitse ho etsa hore bakuli ba utloisise hantle le ho tseba lefu le phekolo ea bona (ho lemoha lintho tse susumetsang maikutlo a manic le ho tepella maikutlong, ho tseba meriana, ho laola khatello ea kelello, ho theha mokhoa oa ho phela kamehla ....) ho fokotsa matšoao a bona le makhetlo a mangata.

Hoa khoneha ho ntlafatsa thibelo ea ho khutlela mokhoeng oa manic kapa khatello ea maikutlo. 

Pele ho tsohle hoa hlokahala ho qoba maemo a sithabetsang le ho ithuta ho phomola (ka ho ikoetlisa ka ho thuisa kapa yoga mohlala).

Ho robala hantle ke habohlokoa. Ho se robale ka ho lekaneng ke sesosa sa ketsahalo ea bohlanya. 

Ho eletsoa ho emisa ho noa kapa ho fokotsa ho noa joala hobane joala bo bongata bo ka ba sesosa sa liketsahalo tsa manic kapa khatello ea maikutlo. Tšebeliso ea lithethefatsi e nyahamisoa haholo hobane sethethefatsi leha e le sefe se ka lebisa ho bipolar episodes. 

Ho boloka tlaleho ea maikutlo ho u thusa ho lemosa ka ketsahalo ea hypomania kapa khatello ea maikutlo le ho nka mehato ea thibelo.