जटिल बन्दैछ मेनिया रोग

;'lgtf sIff !) ls 5fqf x'g . PSsf;L plgdf lgs} kmúlt{ b]lvg nfUof] . plg lgs} v';L b]lvg yflng, lgs} l;u/ k6f/df Wog lbg nflug /fd|f] /fd|f] n'uf nufpg] zf]v a9b} uof] . cfkmúnfO{ c?eGbf 7únf] 7fGg ylng cfkmgf] ljrf/ ;a}n] dfGg'  k5{ . cfkmúdf c?n] ug{ g;Sg] sfd klg ug{ ;Sg] u'0f 5 plg af/Daf/ eGg yflng cfkmú lgs} /fd|f] ePsf]n] lgs} cs{if0f s]6fn] klg cfkmúnfO{ rfxG5g . eg] pgsf] dgdf nfU5 . pgn] eg]sf] gdGg] ljlQs} 3/s] cfdf afa' / bfh'efO{ ;+u cfTofGt} l/;fpg nflug plgx? b]lv af/Daf/ ;+sf ;'Gb/L  x' eGg] 3d0* a9g a:Yof] . /flt lgb|f sd} ;'t]klg c k'UbYof] .plg lgs} ´u8f algg, ;fgf] s'/fdf klg ´u8f ub} 3/ kl/jf/sf dG5]nfO{ lk6g] cofgs cgSs l/;fpg] eof] . :sún hfg klg g;Sg] eOg pgnfO{ c:ktfn NofOof] plg lgs} rsf]{ lvf/ s/fO{ /x]ls lyOg dnfO{ s]lx ePsf 5}g, lolgx?n] dnfO{ To;} NofP . !% lbgsf] pkrf/ kl5 plg /fd|f] cj:yfdf cfOg, cfkmún] u/]sf] 3d08nfO{ cfkmú To; j]nf lj/fdL /x]5' eGg] yfx kfOg . 

                                                          

 To:t} /df !^ jif{ s]l6 x'g . plg sIff ( df k9l5g\ . ut !) lbg b]lv plg km/s b]lvPls l5g . cfhsn plg al9 af]ln/xlG5g . plg l5§} l/;fpFl5g . plg lgs} l;Fuf/ k6f/ ul5{g . plg elG5g æd # lbg leq k|wfg dGqL jGg]5' .Æ plg cfkm'nfO{ km"lt{nf], l;kfn', hf]l;nf] /fd|L 7flG5g . plgdf t8s e8s lgs} 5 . ljjfx ug]{ s'/f k6s k6s ul5{g . Pp6f sfd g;Sb} csf]{sfd ;'? ul5{g . pgn] eg]sf] gdfg]df lk6\l5g . /ftL @–# 306f ;'t]kl5 p7\l5g, /]l8of], l6=eL=x]l5{g / c?nfO{ l8:6j{ ul5{g . plg ld7f] vfg]s'/f / k};f dflu/xlG5g . clg cfkm' wlg ePsf] km"lt{ p8fpl5g .

             pgsf] nIf0f ;dodf yfxf ePg t/ h'g pgsf] nIf0f j9'b} uof] pgnfO{ dfgl;s /f]u nfu]sf] yfx eof] . pgsf] c:ktfndf pkrf/ eO{ /x]sf] 5 / lgsf] x'+b} 5 . o:tf] /f]unfO{ Mania elgG5 . Ps k6s Mania ePsf] lj/fdL csf]{k6s of] /f]u bf]xl/g] ;d:of *)Ü /xG5 . o;/L bf]x/LPsf] cj:yfnfO{ Bipolar affective disorder elgG5 . slxn] Mania / depressive symptoms  b]lvG5g\ .slxn] ^ dlxgfdf slxn] #—$ jif{df bf]xf]l/g] u5{ .d]lgof o:tf] /f]u xf] h;df lj/fdL ukmf8L, emu8fn', pQ]lht b]lvG5 . lj/fdL k|;:t s'/f ul//xg], km"lt{nf], xfFl;nf], 3d08L b]lvG5 . o:tf] cj:yfdf lj/fdL Pp6} s'/fdf l:y/ /xb}g Pp6f sfd ;Sg gkfpFbf csf]{ sfd yfN5 . lj/fdL cfglGb s'/fdf lbg ljtfpF5 . d /fhf jG5', d k|wfgdGqL jG5' d g]tf jG5' eG5 . k};f jfF8\g], s'/f j9fO{ r9fO jf]Ng], /ftL @,# 306f dfq ;'Tg], lut ufpg],  English jf]nL jf]Ng], /ftf] kxF]nf] /+lug n'uf nufpg ?rfpg] . lj/fdL j9L Talent b]lvG5 . eg]sf] gdfg] s'6\g yfN5 .

Hypomania eg]sf] s] xf] Mania h:tf] nIf0f ePsf] t/ mania htL j9L pQ]lht gePsf] cj:yf xf] . of] /f]u k6s k6s bf]xf]l/g] ePsf] x'gfn] /fd|f] ljrf/ k'¥ofpg h?/L 5 .

        o:tf 36gFx? ;dfhdf k6s k6s b]lv/xG5g . t/ /f]u nfu]/ o:tf] ePsf] s'/f z'?df yfx kfOb}g, h;af6 lj/fdL jf lj/fdLsf] kl/jf/df cg]sf}+] 36g 36g ;S5g\ .

d]lgof /f]usf nIf0fx?

·         3d08L aGg], a9L kmútL{ nufO{ s'/f ug]{ .

·         w]/} v'zL x'g] t/ eg]sf] gdfg] ´6Ss l/;ffpg] .

·         j9L cfzjfbL x'g] ;Dej gx'g] s'/f klg ug{ ;S5' eGg] .

·        dL7f] vfg]s'/f dfu ug]{, /fd|f] /fd|f] /+lug n'uf nufpg] .

·         j9L k};f dfUg] jf vr{ ug]{ .

·        k6s k6s P]gf x]/L /xg] .

·         @-# 306f ;'t] klg lgb| k'Ug]] .

·        o}FgdF a9L ?lr x'g] .

·         Pp6f sfd z'? ug{ gkfpb} csf]{ yfNg] jf 56k6 x'g] .

·        c? b]lv ;+sf ug]{ .

 of] /f]u l8k|];gsf] pN6f] ?k dflgG5 . k6s k6s bf]xfl/g kg]{ ;S5, slxn]sfxL csf]{k6s l8k|];g x'g klg ;S5 .             of] /f]udf k?; o}Ffg 6«fG;ld6]8 l8lhh / dlxnfdf ue{ /xg] vt/f /xG5 .

pkrf/

 /f]usf] ;+sf nfu] kl5 , lj/fdLnfO{ l/; p7g] lsl;dsf] Jofjfxf/ gug]{ c:ktfn nuL ;DalGwt ljif]z1sf] ;/;Nnfx lnO{ pkrf/ ug]{ .

of] /f]u Psk6s z'? eP kl6 csf]{ k6s bf]xf]l/g] ;d:of &)-*)% /xG5 . To;}n] o;nfO{ hl6n dfgl;s /f]u dflgG5 . csf]{ k6s bf]xl/bf slxn] klxn]s} nIf0fx? bf]xf]l/G5g\ t slxn] pN6f] vfnsf] jf l8k|];g x'g] h:t} lbSs x'g] ?g] d5Ú{ eGg], /ftL lgbfpg ufxf] x'g]_ b]lvG5 . of] /f]u k6s k6s bf]xf]l/g] ePsf]n] of] /f]u af/] /fd|f] hfgsf/L x'g' clt cfjZos 5 .

d]lgof /f]ujf/] hfGg}kg]{ s"/f

·        d]lgof /f]usf lj/fdL 3d08L x"G5g . pgLx? cfkm'nfO{ lj/fdL eGg ?rfpb}gg\ lj/fdL, cfkm'n] eg]sf] geP ´u8f ug]{ c?nfO{ lk6\g] u5{g . To;}n] o:tf lj/fdL ;+u cgfjZos afbljjfb ug"{ x"b}g . gd| eP/ s"/f ug"{ k5{ .

·        d]lgof /f]u a9\bf lj/fdLn] cf}iflw lng dfGb}gg . To:tf] a]nf t"?Gt c:ktfn n}hfg" k5{ . slt lj/fdLnfO[ o:tf] a]nf OGh]S;g lbPkl5 dfq /fd|f] x"G5 .

·        d]lgof /f]u lgsf] eO;s]kl5 klg k6s k6s alN´g ;S5 .

·        ;a}eGbf klxn] /ftL lgb|f kb}{g . To;f] eP ;bf nfUg] cf}iflw tTsfn lbg" k5{ . jf c:ktfndf ;Dks{ ug"{ k5{ .

·        lnlyod lnPsf d]lgofsf lj/fdLn] jfGtf u/] jf ´f8fkvfn, nfu]df of] cf}iflw jGb ul/ csf]{ cf}iflw lbg'k5{ . h;af6 lnlyod Toxicity af6 arfpg ;lsG5 .

·        d]lgof /f]u s8f dfgl;s /f]u ePsfn] cf}iflw nfdf] ;do;Dd vfg kg{ ;S5 . To;}n] cf}iflw 8fFS6/sf] ;Nnfxaf6 dfq 5f8\g"k5{ .

8f l; kL ;]8fO{

gzf tyf  dgf]/f]u laz]if1