{"id":1292,"date":"2019-04-18T18:43:39","date_gmt":"2019-04-18T16:43:39","guid":{"rendered":"https:\/\/www.andrawis-akademie.com\/?p=1292"},"modified":"2019-05-30T15:07:34","modified_gmt":"2019-05-30T13:07:34","slug":"trouble-affectif-bipolaire","status":"publish","type":"post","link":"https:\/\/www.andrawis-akademie.com\/pl\/trouble-affectif-bipolaire\/","title":{"rendered":"Dwubiegunowe zaburzenia afektywne"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2gnoos-1048bf7ba358bcb8f44e193f1b6e2063\">\n.flex_column.av-2gnoos-1048bf7ba358bcb8f44e193f1b6e2063{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-2gnoos-1048bf7ba358bcb8f44e193f1b6e2063 av_one_full  avia-builder-el-0  avia-builder-el-no-sibling  first flex_column_div av-zero-column-padding  '     ><section  class='av_textblock_section av-jumvj8lt-bb2e96c7f0cc786138c1bf103faf5381 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><h2 style=\"text-align: center;\"><strong>Dwubiegunowe zaburzenia afektywne<\/strong><\/h2>\n<p style=\"text-align: center;\">Diagnostyka wg ICD-10 V F31.3<\/p>\n<p style=\"text-align: center;\">Mi\u0119dzynarodowa klasyfikacja zaburze\u0144 psychicznych ICD-10, rozdzia\u0142 V.<\/p>\n<p style=\"text-align: center;\">Bipolarne zaburzenia afektywne, obecnie epizod umiarkowanie depresyjny F31.3(Dilling i in. 2011).<\/p>\n<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Jak opisali Kasper i Hauk (2006), dwubiegunowe zaburzenia afektywne wykazuj\u0105 trzy objawy. S\u0105 one zr\u00f3\u017cnicowane w zale\u017cno\u015bci od ich r\u00f3\u017cnych podstaw nastroju. Pierwsza faza nazywana jest depresj\u0105 niskofazow\u0105, druga mania\/hipomania, a trzecia faza faz\u0105 normaln\u0105, w kt\u00f3rej nie ma fazy maniakalnej ani depresyjnej. Ten nastr\u00f3j mo\u017ce przychodzi\u0107 i odchodzi\u0107 niezale\u017cnie od czasu i zasi\u0119gu. Dlatego przypisanie tej choroby jest skomplikowane. Przebieg tych form charakteryzuje si\u0119 dwoma zmiennymi fazami. Nastr\u00f3j depresyjny, a nastr\u00f3j depresyjny &#8211; faza wysoka\/mania. Wygl\u0105d mo\u017ce by\u0107 r\u00f3wnie\u017c mieszanin\u0105 obu faz.<\/p>\n<p>Ta post\u0119powa forma charakteryzuje si\u0119 zmian\u0105 przynajmniej jednej fazy depresyjnej, z nast\u0119puj\u0105c\u0105 po niej siln\u0105 faz\u0105 wysok\u0105 (mania) lub form\u0105 mieszan\u0105 obu faz (tam\u017ce).<\/p>\n<h2 style=\"text-align: center;\">Schematyczna ilustracja przedstawia przegl\u0105d r\u00f3\u017cnych faz zaburze\u0144<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2826 aligncenter\" src=\"https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/2-2-300x130.jpg\" alt=\"\" width=\"300\" height=\"130\" srcset=\"https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/2-2-300x130.jpg 300w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/2-2-768x332.jpg 768w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/2-2-1030x446.jpg 1030w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/2-2-705x305.jpg 705w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/2-2-450x195.jpg 450w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/2-2.jpg 1394w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p style=\"text-align: center;\">Rys.8: Poszczeg\u00f3lne fazy choroby dwubiegunowej.<\/p>\n<p style=\"text-align: center;\">\u0179r\u00f3d\u0142o: (Kasper i Hauk 2006<\/p>\n<p>Je\u015bli faza euforii trwa co najmniej 14 dni, proces ten mo\u017cna nazwa\u0107 mani\u0105. Nie m\u00f3wi si\u0119 jednak, \u017ce pacjent mia\u0142 wcze\u015bniej depresj\u0119. Nie oznacza to jednak, \u017ce jest to kluczowe dla manii.<\/p>\n<p><strong> <img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2832 aligncenter\" src=\"https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/3-1-300x123.jpg\" alt=\"\" width=\"300\" height=\"123\" srcset=\"https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/3-1-300x123.jpg 300w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/3-1-768x314.jpg 768w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/3-1-1030x421.jpg 1030w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/3-1-1500x614.jpg 1500w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/3-1-705x288.jpg 705w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/3-1-450x184.jpg 450w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/3-1.jpg 1596w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p style=\"text-align: center;\"><strong>Rys.9: Faza II choroby dwubiegunowej.<\/strong><\/p>\n<p style=\"text-align: center;\"><strong>\u0179r\u00f3d\u0142o: (Kasper i Hauk 2006:12)<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong> <img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2838 aligncenter\" src=\"https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/image004-3-1-300x104.jpg\" alt=\"\" width=\"300\" height=\"104\" srcset=\"https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/image004-3-1-300x104.jpg 300w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/image004-3-1-768x267.jpg 768w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/image004-3-1-1030x358.jpg 1030w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/image004-3-1-1500x521.jpg 1500w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/image004-3-1-705x245.jpg 705w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/image004-3-1-1210x423.jpg 1210w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/image004-3-1-450x156.jpg 450w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/image004-3-1.jpg 1991w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p style=\"text-align: center;\"><strong>Rys.10: Zaburzenia dwubiegunowe fazy III. <\/strong><\/p>\n<p style=\"text-align: center;\"><strong>\u0179r\u00f3d\u0142o: (Kasper i Hauk 2006:13)<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h1 style=\"text-align: center;\">Terapia<\/h1>\n<p>Jak opisuj\u0105 to Ebert i Loew (2011), choroba dwubiegunowa wymaga leczenia farmakologicznego, kt\u00f3re z pewno\u015bci\u0105 b\u0119dzie trwa\u0142o d\u0142ugo, natomiast profilaktyka nawrot\u00f3w jest nieunikniona jako terapia d\u0142ugoterminowa. Dzia\u0142ania te nale\u017cy rozpocz\u0105\u0107 w ci\u0105gu roku od ust\u0105pienia objaw\u00f3w. W przypadku nawrotu choroby terapie s\u0105 powtarzane. Epizody mog\u0105 by\u0107 zredukowane i mo\u017cna osi\u0105gn\u0105\u0107 trwa\u0142y brak objaw\u00f3w (ibid.).<\/p>\n<p>Depresja jest leczona lekami psychotropowymi i antydepresyjnymi. Jak podkre\u015bli\u0142 ju\u017c Frank (2007), zaleca si\u0119 r\u00f3wnie\u017c skorzystanie z psychoterapii, ale ma to sens dopiero po fazie ostrej. W ostrym epizodzie konieczny jest pobyt w szpitalu, aby zapewni\u0107 intensywn\u0105 terapi\u0119 i zapobiec ryzyku samob\u00f3jstwa. W przypadku \u0142agodnych postaci, leczenie ambulatoryjne jest cz\u0119sto wystarczaj\u0105ce, zw\u0142aszcza je\u015bli wiarygodni krewni monitoruj\u0105 pacjenta. Sam pacjent nie powinien nara\u017ca\u0107 si\u0119 na stres zawodowy &#8211; nawet na ruch drogowy (tam\u017ce).<\/p>\n<p>Po spe\u0142nieniu kryteri\u00f3w diagnostycznych wa\u017cne jest, aby rozpocz\u0105\u0107 badania wewn\u0119trzne i neurologiczne. Jak ju\u017c opisa\u0142 Laux, ilo\u015b\u0107 krwi jest okre\u015blana w laboratorium (w\u0105troba, nerki, elektrolity, cukier we krwi, kal, warto\u015bci tarczycy, poziom witaminy B12, poziom \u017celaza w surowicy), EEG, CT, ewentualnie NMR, scyntygrafia m\u00f3zgu, SPECT, rCBF, sonografia dopplerowska. W przypadku remisji depresji nale\u017cy wykona\u0107 test dekstametazonowy. Standardowe skale oceny u\u0142atwiaj\u0105 ocen\u0119 ci\u0119\u017cko\u015bci choroby (Laux 2001).<\/p>\n<h1 style=\"text-align: center;\">Dwubiegunowe zaburzenia afektywne zwi\u0105zane z post\u0119pem choroby<\/h1>\n<p>W momencie wyja\u015bniania dwubiegunowego zaburzenia afektywnego u pacjentki by\u0142o jasne, \u017ce jej stan by\u0142 niespokojny. Wskaza\u0142a na silny niepok\u00f3j wewn\u0119trzny, kt\u00f3ry wyra\u017ca\u0142 si\u0119 r\u00f3wnie\u017c w wyra\u017anym niepokoju ruchowym, w kt\u00f3rym cz\u0119sto wstawa\u0142a z fotela w trakcie znieczulenia i chodzi\u0142a w g\u00f3r\u0119 i w d\u00f3\u0142 w pokoju. Jej my\u015bli by\u0142y przyspieszone, gadatliwe, a czasami przeskakiwa\u0142a od jednej my\u015bli do drugiej. Jej koncentracja i funkcje pami\u0119ciowe zosta\u0142y znacznie zredukowane. Nastr\u00f3j by\u0142 bardzo zr\u00f3\u017cnicowany mi\u0119dzy eufori\u0105 a irytacj\u0105. Zg\u0142osi\u0142a zaburzenia snu, z subiektywnym odczuciem, \u017ce ostatnio potrzebuje mniej snu.<\/p>\n<p>W ci\u0105gu ostatnich kilku miesi\u0119cy pacjentka nie przyjmowa\u0142a regularnie lek\u00f3w, co doprowadzi\u0142o do kolejnego wybuchu fazy maniakalnej.<\/p>\n<p>Po tym jak r\u00f3wnie\u017c kilka faz depresyjnych by\u0142o wybuchowych i znanych, ustalono rozpoznanie afektywnego zaburzenia dwubiegunowego, obecnie umiarkowanego epizodu depresyjnego F31.3.<\/p>\n<h4>Univ. Prof. DR. Andrawis<\/h4>\n<p><a href=\"https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/9.-Dwubiegunowe-zaburzenia-Pl.pdf\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-3073\" src=\"https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/download_pdf_button_png_413958-300x87.png\" alt=\"\" width=\"180\" height=\"52\" srcset=\"https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/download_pdf_button_png_413958-300x87.png 300w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/download_pdf_button_png_413958-450x130.png 450w, https:\/\/www.andrawis-akademie.com\/wp-content\/uploads\/2019\/04\/download_pdf_button_png_413958.png 520w\" sizes=\"auto, (max-width: 180px) 100vw, 180px\" \/><\/a><\/p>\n<\/div><\/section><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[52],"tags":[],"class_list":["post-1292","post","type-post","status-publish","format-standard","hentry","category-artykuly-medyczne"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - 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