Bambanci Ciwon Bipolar daga Babban Damuwa

Wadatacce

• Mahimmancin Mawuyacin Karatu
• Ta Yaya Kuke Sani Lokacin da Ciwon Ciki Yake Kyau?

Gano cutar sankarau na iya zama da wahala. Duk da yake ba shi da wahala a rarrabe tsakanin halayen halayensa guda biyu - manyan ruhohin mania da ƙananan ruhohin ɓacin rai - yana da ƙalubale in faɗi idan wani wanda ke ba da rahoton ƙarancin yanayi yana fama da rashin bacin rai ko yana cikin mawuyacin hali na bipolar rashin lafiya. Lallai, ana tabbatar da ganewar asali ne kawai, a asibiti, da zarar mai fama da baƙin ciki ya ɗanɗana aƙalla kashi ɗaya na mania.

Mania tana da yanayin ɗagawa (ko dai euphoric ko haushi), tunanin tsere, ra'ayoyi da magana, ɗaukar haɗarin da ba a ɗauka ba, matsanancin ƙarfin kuzari, da raguwar buƙatar bacci. Hypomania, ƙaramar sigar mania, ba ƙaramin nauyi ba ce kuma alama ce ta yanayin rashin lafiyar bipolar. Waɗannan alamun sun bambanta sabanin waɗanda aka dandana a lokacin ɓacin rai na ɓacin rai ko ta mutanen da ke fama da babban ɓacin rai. Amma duk da haka alamun bacin rai a cikin su iri ɗaya ne a asibiti a cikin mutanen da ke da bacin rai da kuma lokacin ɓacin rai.

Wannan matsalar bincike ta motsa masu bincike don nemo alamomin nazarin halittu masu aunawa - fannonin aikin kwakwalwa, alal misali - waɗanda na iya bambanta a cikin mawuyacin marasa lafiya da marasa lafiya a cikin mawuyacin halin rashin lafiyar bipolar, wataƙila yana sauƙaƙa ƙarin ingantaccen bincike. A yanzu an ba da rahoton nasarar farko a cikin irin wannan ƙoƙarin, wanda Mary L. Phillips, Ph.D. ke jagoranta.

Phillips da abokan aiki a Jami'ar Pittsburgh da Cibiyar Kula da Cututtuka ta Yammacin Turai da Clinic, gami da Holly A. Swartz, MD, da marubuci na farko Anna Manelis, Ph.D., sun bi alamu daga binciken da suka gabata wanda ke nuna yuwuwar bambance -bambance a cikin hanyar kwakwalwa yana shiryawa kuma yana yin ayyukan ƙwaƙwalwar ajiya a cikin mutanen da ke baƙin ciki vs. waɗanda ke cikin mawuyacin halin rashin lafiyar bipolar.

Ƙwaƙwalwar aiki tsarin da kwakwalwa ke amfani da shi don kulawa, sarrafawa, da sabunta bayanan da suka shafi ayyuka nan da nan a hannu. Lalacewa ga cibiyoyin sadarwa na jijiyoyi waɗanda ke aiki yayin ƙwaƙwalwar ajiyar aiki yana haifar da nakasa a cikin koyo, tunani, da yanke shawara waɗanda ake lura da su a wasu mutanen da ke da rikicewar yanayi, gami da ɓacin rai.

Don binciken su, ƙungiyar Phillips ta ɗauki mutane 18 da ke fama da cutar sankarau waɗanda ke cikin ɓacin rai na rashin lafiya; 23 tare da manyan cututtuka na ciki wanda suma sun kasance masu tawayar; da kulawar lafiya 23. Duk mahalarta sun karɓi sikirin-kwakwalwa gaba ɗaya tare da hoton hoton maganadisu na magnetic (fMRI), a cikin ɓangarori biyu: ɗayan da suke tsammanin aikin da ke buƙatar ƙwaƙwalwar aiki, da kuma wani wanda a zahiri suke yin aikin. An bincika kowane ɗan takara don ayyukan "sauƙin" da "wahala" ayyuka na ƙwaƙwalwar ajiya, kuma a ƙarƙashin yanayin da aka fallasa su da abubuwan motsawa na motsa jiki, daga mai kyau zuwa tsaka tsaki zuwa mara kyau.

Waɗannan abubuwan da yawa na ayyukan ƙwaƙwalwar ajiyar aiki suna nuna gaskiyar cewa mutane suna tsammanin tsammanin abin da suke buƙatar yi kafin aiwatar da aiki, kimantawa wanda zai iya dogaro da ko ana tsammanin aikin zai kasance mai ƙyalli ko matsala. Kamar yadda ƙungiyar ta ba da shawara, bambance -bambancen dabara a cikin ayyukan da'irar kwakwalwa na iya nunawa yayin da wanda ya shiga wani aiki ke tsammanin zai yi wahala ko damuwa, sabanin sauƙi da daɗi.

Sakamakon bincike na sikanin kwakwalwa ya tabbatar da hasashen cewa alamu na kunna kwakwalwa yayin tsammanin aikin ƙwaƙwalwar aiki ya bambanta gwargwadon ko aikin yana da sauƙi ko mai wahala. Bugu da ƙari, sakamakon ya ba da shawarar cewa tsammanin da aiwatar da ayyukan ƙwaƙwalwar aiki "na iya taimakawa rarrabe mutanen da ke cikin mawuyacin hali tare da naƙasasshe."

Musamman, alamu na kunnawa a gefe da sashin medial na kwakwalwar prefrontal cortex yayin tsammanin sauƙaƙe vs ayyuka masu wahala “na iya zama muhimmin alamar nazarin halittu don cutar sankarau. mujallar Neuropsychopharmacology.

Mahimmancin Mawuyacin Karatu

Ta Yaya Kuke Sani Lokacin da Ciwon Ciki Yake Kyau?