{"id":424,"date":"2021-12-09T14:11:43","date_gmt":"2021-12-09T14:11:43","guid":{"rendered":"http:\/\/senermercan.com\/?page_id=424"},"modified":"2022-01-19T23:57:43","modified_gmt":"2022-01-19T23:57:43","slug":"bipolar-bozukluk-manik-depresif-bozukluk","status":"publish","type":"page","link":"http:\/\/senermercan.com\/index.php\/bipolar-bozukluk-manik-depresif-bozukluk\/","title":{"rendered":"B\u0130POLAR BOZUKLUK (MAN\u0130K DEPRES\u0130F BOZUKLUK)"},"content":{"rendered":"\n

Halk aras\u0131nda Manik Depresif veya \u0130ki U\u00e7lu Bozukluk olarak bilinir. Depresyon ve Mani olmak \u00fczere iki ucu vard\u0131r, Bu hastal\u0131\u011f\u0131n en belirgin \u00f6zelli\u011fi, ki\u015finin ruh halinin iki u\u00e7 aras\u0131nda gidip gelmesidir. Bipolar Bozukluk Mani d\u00f6nemindeyken ki\u015fi hiperaktif bir ruh haline b\u00fcr\u00fcn\u00fcr ve kendini \u00e7ok mutlu hisseder, \u00f6zg\u00fcveni y\u00fckselmi\u015f, riskli davran\u0131\u015flar\u0131 artm\u0131\u015ft\u0131r. Fakat depresyon haline b\u00fcr\u00fcnd\u00fc\u011f\u00fcnde ise ya\u015famdan zevk almaz hale gelir.<\/strong><\/strong><\/p>\n\n\n\n

<\/p>\n\n\n\n

\u0130ki u\u00e7lu bozukluk iki ayr\u0131 hastal\u0131k d\u00f6nemleriyle karakterize bir ruhsal bozukluktur. Bu hastal\u0131k d\u00f6nemlerinden bir tanesinde ta\u015fk\u0131nl\u0131k (MAN\u0130), di\u011ferinde ise \u00e7\u00f6kk\u00fcnl\u00fck (DEPRESYON) bulunmaktad\u0131r. Bu iki hastal\u0131k d\u00f6nemi yat\u0131\u015fma ve alevlenmelerle seyreder. Hastal\u0131k d\u00f6nemleri d\u0131\u015f\u0131nda g\u00fcnl\u00fck ya\u015fam\u0131 k\u0131smen etkileyen kal\u0131nt\u0131 belirtiler g\u00f6r\u00fclmekle birlikte, hastalar \u00f6zellikle d\u00fczenli takip ve tedavi alt\u0131ndayken d\u00fczelirler. <\/strong><\/strong><\/p>\n\n\n\n

Mani veya ta\u015fk\u0131nl\u0131k d\u00f6nemi duygudurumun \u00e7ok y\u00fckseldi\u011fi, hastan\u0131n a\u015f\u0131r\u0131 co\u015fkulu oldu\u011fu d\u00f6nemdir. Bu d\u00f6nemde; hastada abart\u0131l\u0131 d\u00fc\u015f\u00fcnceler veya projeler, kendini oldu\u011fundan \u00e7ok daha y\u00fcksekte hissetme, b\u00fcy\u00fckl\u00fck d\u00fc\u015f\u00fcnceleri, kendini a\u015f\u0131r\u0131 enerjik hissetme, uyku gereksiniminde azalma, sonu\u00e7lar\u0131n\u0131 d\u00fc\u015f\u00fcnmeden \u00e7ok fazla para harcama ve a\u015f\u0131r\u0131 h\u0131zl\u0131 araba kullanma gibi belirtiler s\u0131k g\u00f6r\u00fcl\u00fcr. <\/strong><\/strong><\/p>\n\n\n\n

Di\u011fer yandan depresyon veya \u00e7\u00f6kk\u00fcnl\u00fck d\u00f6nemi ise yukar\u0131da yaz\u0131lan durumun tam tersidir. Bu d\u00f6nemde hastada mutsuzluk, karamsarl\u0131k, umutsuzluk, \u00f6zg\u00fcvende azalma, de\u011fersizlik hissetme, abart\u0131l\u0131 su\u00e7luluk veya pi\u015fmanl\u0131k duygular\u0131, eskiden zevk ald\u0131\u011f\u0131 faaliyetlerden zevk alamama, i\u015ftahs\u0131zl\u0131k veya uykusuzluk gibi de\u011fi\u015fiklikler, \u00f6l\u00fcm ve intihar d\u00fc\u015f\u00fcnceleri ortaya \u00e7\u0131kabilir. (Bak\u0131n\u0131z: Major Depresyon)<\/strong><\/strong><\/p>\n\n\n\n

Bipolar bozukluk toplumda ortalama %2-3 civar\u0131nda g\u00f6r\u00fclmektedir. Erken kad\u0131n oran\u0131 benzerdir ve ortalama ba\u015flang\u0131\u00e7 ya\u015f\u0131 20\u201325 aras\u0131ndad\u0131r. <\/strong><\/strong><\/p>\n\n\n\n

Hastal\u0131\u011f\u0131n ortaya \u00e7\u0131kma nedenleri aras\u0131ndaki en \u00f6nemli neden genetik etkenlerdir ve ortalama olarak 2\/3 oran\u0131nda genetik nedenler sorumlu tutulmaktad\u0131r. Bipolar bozuklu\u011fu olan hastalar\u0131n ailelerinde hastal\u0131\u011f\u0131n g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 8-18 kat artm\u0131\u015ft\u0131r. Nedenlerden bir di\u011feri ise beyin kimyas\u0131 ve i\u015fleyi\u015findeki bozukluklard\u0131r. Bu bozukluklar beyinde iletiyi bozarak d\u00fc\u015f\u00fcnce, bellek, \u00f6\u011frenme ve duygudurumun d\u00fczenlenmesini olumsuz etkiler. <\/strong><\/strong><\/p>\n\n\n\n

\u0130ki u\u00e7lu bozuklu\u011fun seyrindeki en \u00f6nemli \u00f6zelliklerden birisi mevsimsellik g\u00f6stermesidir. \u00d6zellikle ilkbahardan yaz aylar\u0131na ge\u00e7i\u015f hastalar\u0131n alevlenmesi a\u00e7\u0131s\u0131ndan en riskli d\u00f6nem gibi g\u00f6r\u00fcnmektedir. Hastalar\u0131n yakla\u015f\u0131k d\u00f6rtte biri bu mevsimsel \u00f6zellik nedeniyle ilkbahar\u0131n son g\u00fcnleri, yaz\u0131n ilk g\u00fcnlerinde k\u00f6t\u00fcle\u015firler. <\/strong><\/strong><\/p>\n\n\n\n

\u0130ki u\u00e7lu bozuklu\u011fun tedavisinde ila\u00e7 tedavileri \u00f6nem ta\u015f\u0131maktad\u0131r. Hastal\u0131\u011f\u0131n ilk on y\u0131l\u0131nda ortalama bir insanda g\u00f6r\u00fclen atak say\u0131s\u0131 d\u00f6rtt\u00fcr. \u0130lk on y\u0131l\u0131n ard\u0131ndan, atak d\u00f6nemleri aras\u0131nda ortalama s\u00fcre yakla\u015f\u0131k 1\u20132 y\u0131ld\u0131r. En \u00e7ok g\u00f6r\u00fclen durum, hastal\u0131\u011f\u0131n ilk y\u0131llar\u0131nda hastal\u0131k d\u00f6nemleri aras\u0131nda s\u00fcre uzun iken, ilerleyen y\u0131llarda bu s\u00fcre giderek k\u0131salma e\u011filimi g\u00f6sterir. <\/strong><\/strong><\/p>\n\n\n\n

Bozukluk tedavi edilmezse, ortalama bir mani d\u00f6nemi birka\u00e7 ay s\u00fcrebilir. Tedavi edilmeyen depresyon d\u00f6neminin s\u00fcresi ise en az 6 ayd\u0131r. \u0130ki u\u00e7lu tedavisinde ila\u00e7 tedavisi yan\u0131 s\u0131ra ya\u015fam\u0131n d\u00fczene sokulmas\u0131, k\u00f6t\u00fc beslenme ve alkol \u2013 madde kullan\u0131m al\u0131\u015fkanl\u0131klar\u0131ndan uzakla\u015fma, pozitif d\u00fc\u015f\u00fcnme ve davranma becerilerini geli\u015ftirme, stresle ba\u015fa \u00e7\u0131kma stratejilerini \u00f6\u011frenme, hastal\u0131\u011f\u0131n seyri konusunda ayr\u0131nt\u0131l\u0131 bilgiye sahip olma (psikoe\u011fitim) bulunmaktad\u0131r. <\/strong><\/strong><\/p>\n\n\n\n

\u0130la\u00e7 tedavisi olarak tercih edilen ila\u00e7lar\u0131n ba\u015f\u0131nda lityum gelirken, antiepileptikler ve antipsikotikler de kullan\u0131labilmektedir. \u0130ki u\u00e7lu bozuklu\u011fun tedavisinde hastal\u0131k d\u00f6nemlerinin tedavi edilmesi kadar, hastan\u0131n yeniden hastalanmas\u0131n\u0131 engellemek ad\u0131na koruyucu tedavi de planlanmaktad\u0131r. Hastalara g\u00fcnl\u00fck hayatlar\u0131 i\u00e7in baz\u0131 \u00f6nerilerde bulunmak gerekebilmektedir. Hastan\u0131n yak\u0131n \u00e7evresine de psikoe\u011fitim verilerek onlar\u0131n da hastal\u0131\u011f\u0131 fark etmeleri sa\u011flanabilir. <\/strong><\/strong><\/p>\n\n\n\n

Kaynak: T\u00fcrkiye Psikiyatri Derne\u011fi<\/strong><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Halk aras\u0131nda Manik Depresif veya \u0130ki U\u00e7lu Bozukluk olarak bilinir. Depresyon ve Mani olmak \u00fczere iki ucu vard\u0131r, Bu hastal\u0131\u011f\u0131n en belirgin \u00f6zelli\u011fi, ki\u015finin ruh halinin iki u\u00e7 aras\u0131nda gidip gelmesidir. Bipolar Bozukluk Mani d\u00f6nemindeyken ki\u015fi hiperaktif bir ruh haline b\u00fcr\u00fcn\u00fcr ve kendini \u00e7ok mutlu hisseder, \u00f6zg\u00fcveni y\u00fckselmi\u015f, riskli davran\u0131\u015flar\u0131 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"http:\/\/senermercan.com\/index.php\/wp-json\/wp\/v2\/pages\/424"}],"collection":[{"href":"http:\/\/senermercan.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/senermercan.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/senermercan.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/senermercan.com\/index.php\/wp-json\/wp\/v2\/comments?post=424"}],"version-history":[{"count":2,"href":"http:\/\/senermercan.com\/index.php\/wp-json\/wp\/v2\/pages\/424\/revisions"}],"predecessor-version":[{"id":670,"href":"http:\/\/senermercan.com\/index.php\/wp-json\/wp\/v2\/pages\/424\/revisions\/670"}],"wp:attachment":[{"href":"http:\/\/senermercan.com\/index.php\/wp-json\/wp\/v2\/media?parent=424"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}