Ngaba ngamanye amaxesha uziva ngathi ungenza nantoni na, kwaye uzive unamandla kakhulu? Kodwa kwangaxeshanye, ngaba ngamanye amaxesha uziva ulusizi kwaye ungenabomi kangangokuba awukwazi nokuvuka ebhedini? Ukuba iimvakalelo zakho zifana nokukhwela i-roller coaster, usenokuba unesifo sengqondo esibizwa ngokuba yiBipolar I Disorder ungaqondanga. Ungoyiki ukuva oku. Asikuko ityala lakho. Masithethe ngale nto ngokukhululekileyo nangokulula.
Yintoni kanye kanye iBipolar I Disorder?
Ngamafutshane, iBipolar I Disorder yimeko yempilo yengqondo ebangela ukuphakama nokwehla okukhulu kwimo yakho yeemvakalelo, amandla, kunye nomsebenzi. Yayibizwa ngokuba yi "manic-depression disorder."
Ukuba uneBipolar I Disorder, ubuncinci ukhe waba nesiganeko esinye "se-mania" esihlala iveki okanye ngaphezulu . Isiganeko se-manic lixesha apho imo yakho yolonwabo okanye ukucaphuka ngendlela engaqhelekanga, kwaye uzive unamandla ngendlela engaqhelekanga. Indlela oziphatha ngayo itshintsha kakhulu ngeli xesha.
Abantu abaninzi abaneBipolar I Disorder banamava amaxesha " okudakumba " ukongeza kwiziganeko zabo zokudakumba. Oku kunokwenza bazive ngathi bakwimeko eguquguqukayo yeemvakalelo. Kodwa phakathi kwezi meko ziphakamileyo nezisezantsi, kukwakho namaxesha apho unokuphila ubomi obuqhelekileyo ngaphandle kweempawu.
Yintoni umahluko phakathi kweentlobo ze-bipolar?
Kukho iintlobo ezininzi eziphambili zesifo sengqondo esibizwa ngokuba yi-bipolar disorder, nganye inendlela yayo eyahlukileyo.
| Uhlobo lweBipolar | Ingcaciso elula |
|---|---|
| Isifo seBipolar I | Olu lolona hlobo lunzima kakhulu. Kukho iziganeko ezinzima 'zokudakumba' ezinokuchaphazela ubomi kakhulu. Abanye abantu banokuba noxinzelelo, kwaye abanye banokuphulukana nalo. |
| Isifo seBipolar II | Kulapho ke kwenzeka khona iziqendu zemood ephakamileyo, ezibizwa ngokuba yi-'hypomania', ezingezizo eziqatha kangako kune-mania. Ezi zitshintshana namaxesha okudakumba. |
| I-Cyclothymia | Olu lolona hlobo lulula. Nangona kukho amaxesha amade okutshintshatshintsha kweemvakalelo, akukho mania epheleleyo okanye uxinezeleko olupheleleyo. |
Zithini izizathu zale meko?
Akukho sizathu sinye esifunyenweyo soku okwangoku, kodwa abaphandi bakholelwa ukuba yindibaniselwano yezinto ezahlukeneyo.
- Ibhayoloji yoBuchongo: Ezinye izifundo zibonisa ukuba ulwakhiwo kunye nomsebenzi wobuchopho babantu abaneBipolar I Disorder wahlukile kancinci kowabanye abantu. Olu mahluko lunokuchaphazela indlela ingqondo esebenza ngayo izinto ezifana neemvakalelo kunye noxinzelelo.
- I-Genetics: Akukho "gene ye-bipolar" ethile. Nangona kunjalo, ukuba umntu kusapho lwakho, ingakumbi umzali okanye umntakwenu, unesi sifo, usemngciphekweni omkhulu wokuba naso.
- Izinto Ezichaphazela Indalo: Indawo esihlala kuyo nezinto ezenzekayo ebomini bethu zinokuchaphazela ukwenzeka kwale meko.
Ezi ngokubanzi zinokuchongwa njengezinto ezibangela umngcipheko :
- Ukuba nelungu losapho elinesifo sengqondo esibizwa ngokuba yi-bipolar disorder.
- Iziganeko ezibuhlungu ngexesha lobuntwana (umz., ukuxhatshazwa, ukungahoywa, iingxabano zosapho).
- Iziganeko ezibangela uxinezeleko olukhulu, njengokufa komntu omthandayo .
- Ukusetyenziswa kweziyobisi notywala.
- Ukuba nezinye iingxaki zempilo yengqondo ezifana nokuxhalaba nokudakumba.
Ziziphi iimpawu zeBipolar I?
Ukuba uneBipolar I Disorder, unokuba namaxesha apho iimvakalelo zakho zinamandla kakhulu kunesiqhelo. Ngeli xesha "leemeko zengqondo," unokuziphatha ngeendlela ezahlukileyo kakhulu kwindlela oziphatha ngayo. Umzekelo, ungalala kancinci kakhulu, ungasebenzi kakhulu , okanye uthathe amanyathelo anobungozi ngaphandle kokucinga ngemiphumo.
Usenokungaziboni ezi nguqu. Ezi mpawu zinokuhlala imini yonke, kangangeentsuku, iiveki, okanye iinyanga.
| Iimpawu zeSiqendu seMania | Iimpawu zoxinzelelo |
|---|---|
| Ukutsiba ngokukhawuleza ukusuka kwenye ingcamango ukuya kwenye | Ukuziva ulusizi kakhulu kwaye ungento yanto |
| Ukuthetha ngokuvakalayo okanye ngokukhawuleza kakhulu | Ukuziva ubuthathaka, udiniwe |
| Ukuziva unamandla amangalisayo emzimbeni | Ndiziva ndingakhululekanga |
| Ukunciphisa imfuneko yokulala nokutya | Ukulala kakhulu okanye ukungalali ngokwaneleyo |
| Ukuzithemba ngokugqithisileyo | Ubunzima bokukhumbula izinto nokucinga |
| Ukuchitha imali eninzi kakhulu | Ukulahlekelwa ngumdla kwizinto obukade uzonwabela |
| Iimvakalelo zesondo ezigqithisileyo | Ukuba neengcinga ngokufa okanye ukuzibulala |
Xa i-mania inzima, ngamanye amaxesha kunokuba nzima ukubona umahluko phakathi kokwenyani kunye ne-fantasy. Oku kubizwa ngokuba yi-'psychosis'.
Ngamaxesha anje,
- Ukuziva ngathi abanye bazama ukukulimaza (ukukhohlisa).
- Ukuva izinto ezingekhoyo (imibono).
- Izinto ezingekhoyo ziyabonakala.
- Bacinga ukuba banokwenza izinto ezingenakwenzeka, ezingenakwenzeka.
- Bakholelwa ukuba banamandla okanye umsebenzi okhethekileyo wobuthixo.
Indlela yokuxilonga esi sifo?
Akukho vavanyo luthile lokufumanisa iBipolar I Disorder. Ugqirha uza kuyixilonga ngokuthetha nawe aze afumane ulwazi malunga neemvakalelo zakho, amanqanaba amandla, kunye neendlela zokuziphatha.
Ugqirha wakho angalandela la manyathelo:
1. Uvavanyo Lomzimba: Okokuqala, ugqirha wakho uza kujonga ukuba kukho omnye unobangela wezi mpawu emzimbeni. Oku kungabandakanya uvavanyo lwegazi.
2. Uvavanyo lweMpilo yengqondo: Ugqirha uza kukubuza imibuzo malunga neemvakalelo zakho, iingcinga zakho kunye nokuziphatha kwakho. Baza kuzama ukuqonda indlela ezi mpawu ezichaphazela ngayo ubomi bakho bemihla ngemihla, umsebenzi kunye nobudlelwane bosapho.
3. Idayari yeemvakalelo: Ugqirha wakho angakucela ukuba ugcine idayari yeemvakalelo zakho, amanqanaba amandla akho, kunye neendlela zokulala. Oku kunokukunceda uqonde iindlela zakho.
4. Ukuthetha nosapho kunye nabahlobo: Ngemvume yakho, ugqirha angathetha nabo basondeleyo kuwe aze akubuze ngendlela oziphatha ngayo. Kuba ngamanye amaxesha asiziqondi, umahluko unokubonwa ngokucacileyo ngumntu ojonge ngaphandle.
Iphathwa njani?
Kukho unyango olusebenzayo kakhulu kwesi sifo. Ludla ngokubandakanya indibaniselwano yamayeza kunye nonyango lwengqondo.
Amayeza
Amayeza aluncedo kakhulu ekulawuleni nasekuthinteleni iziganeko ze-mania. Rhoqo, kunikwa umxube wamayeza aliqela.
- Izinzisi zeMood: Ezi zinceda ekulawuleni i-mania kunye ne-hypomania. Imizekelo: I-Lithium, i-Valproic acid, i-Carbamazepine.
- Ii-Antipsychotics: Ezi zisetyenziselwa ukuthintela nokunyanga iziqendu zokudakumba. Imizekelo: i-Olanzapine, i-Risperidone, i-Quetiapine.
- Ii-Antidepressants: Ngenxa yokuba ezi zinokubangela i-mania ukuba zisetyenziswa zodwa, oogqirha bazinika ezi kunye namayeza okulungisa imeko-bume.
Unyango olungelulo olusebenzisa amayeza
Kunye namayeza, ezi zinto zibaluleke kakhulu.
- Unyango lwengqondo: Uhlobo lonyango lokuthetha olukunceda ukuba ulawule iingcinga zakho kunye nokuziphatha kwakho kwaye ufunde ukuphila nesi sifo. Unyango lwengqondo-lokuziphatha (CBT) yenye yeendlela ezisebenzayo ezisetyenziselwa oku.
- Unyango lwe-Electroconvulsive (ECT): Unyango olukhuselekileyo nolusebenzayo kakhulu kwi-mania enzima okanye ukudakumba okungaphenduliyo kumayeza.
Ungaphila njani ngempumelelo neBipolar I?
Ukongeza kunyango, zininzi izinto onokuzenza ngokwakho.
- Bhala phantsi indlela oziva ngayo: Zinike ixesha elincinci yonke imihla ubhale phantsi indlela oziva ngayo. Ekuhambeni kwexesha, uya kuqala ukuqonda iipateni zakho.
- Chonga izinto ezibangela oku: Cinga ngezinto ezenza iimpawu zakho zibe zimbi ngakumbi. Kungaba luxinzelelo, ukungalali kakuhle, okanye utshintsho olukhulu ebomini.
- Lumka ngeempawu zokuqala: Ungabona utshintsho oluncinci ebuthongweni bakho, kwinqanaba lamandla, nakwindlela oziphatha ngayo ngaphambi kokuba kubekho imeko yeemvakalelo. Ukuba uyazi ezi mpawu zilumkiso, ungafumana uncedo ngokukhawuleza.
- Zenzele umkhwa: Ukuziqhelanisa nokutya, ukusela amayeza, kunye nokulala ngaxeshanye kuya kunceda ingqondo yakho izive izinzile ngakumbi.
- Zikhathalele: lala ngokwaneleyo, yitya ukutya okunesondlo, yenza umthambo. Fumana iindlela zokunciphisa uxinzelelo.
- Fumana inkxaso: Yakha uthungelwano losapho nabahlobo abakholelwa kuwe. Ukuba kuyimfuneko, joyina iqela lenkxaso elinabantu abaye baba namava afanayo.
- Yenza isicwangciso sexesha likaxakeka: Bhala phantsi into ekufuneka uyenze ukuba unexesha leemvakalelo, kunye namagama kunye neenombolo zefowuni zabantu ekufuneka uthethe nabo (ugqirha, usapho). Yabelana ngesi sicwangciso nabo basondeleyo kuwe.
Umyalezo Wokuya Ekhaya
- I-Bipolar I Disorder yimeko ebangela utshintsho olukhulu kwimo yeemvakalelo. Asikuko ukuba unetyala.
- Le meko inezigaba ezibini eziphambili: 'i-mania', ekuluvuyo/amandla agqithisileyo, kunye 'nokudakumba', okukulusizi olukhulu.
- Le yimeko enzima ebangelwa kukudibana kwemfuza, ibhayoloji yobuchopho, kunye nezinto ezisingqongileyo.
- Ngamayeza afanelekileyo kunye nonyango lwengqondo, le meko inokulawulwa ngempumelelo kwaye ubomi obupheleleyo nobuphumelelayo bunokuphilwa.
- Ukuba wena okanye umntu omaziyo unezi mpawu, ungathandabuzi ukubona ugqirha aze afumane ingcebiso. Leyo yeyona nto ilungileyo nekhuselekileyo onokuyenza.
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