Ngaba unesifo sengqondo esibizwa ngokuba yi-bipolar disorder ? Usenokuba sele ukhulelwe, okanye usenokuba uphupha ngokuba nomntwana. Kuqhelekile ukuba nemibuzo emininzi, uloyiko, kunye nokuthandabuza engqondweni yakho ngexesha elinje. "Ngaba amayeza endiwasebenzisayo aza kuyichaphazela umntwana?", "Kuza kwenzeka ntoni kum ukuba ndiyeka ukuwasebenzisa ngequbuliso?", "Ndingaba ngumama olungileyo ngale meko?" Ezi zinto kufuneka zikukhathaze. Ungakhathazeki. Eyona nto ibalulekileyo kukwazi kakuhle oku. Masithethe ngokukhululekileyo nangendlela enobuhlobo namhlanje.
Ngaba i-Bipolar Disorder ingaba nzima ngexesha lokukhulelwa?
Enyanisweni, uphando ngesifo sengqondo esibizwa ngokuba yi-bipolar disorder kunye nonyango lwaso ngexesha lokukhulelwa lusaqhubeka. Nangona kunjalo, ngokusekelwe kulwazi lwangoku, kukho umngcipheko wokuba esi sifo sibe mandundu ngexesha lokukhulelwa. Abanye abantu bacinga ukuba ukukhulelwa lixesha lokukhuselwa kwengqondo kumfazi. Kodwa kumfazi onesifo sengqondo esibizwa ngokuba yi-bipolar disorder, akunjalo.
Olunye uphando lufumanise ukuba abafazi abakhulelweyo abane-bipolar disorder banamathuba aphindwe kasixhenxe okulaliswa esibhedlele kunabanye abafazi abakhulelweyo. Kwakhona, uphando olujonge abafazi ababeceba ukuba nomntwana baze bayeka ukuthatha amayeza abo kwiinyanga ezintandathu ngaphambi kokuba bakhulelwe lufumanise oku kulandelayo:
- Ukuba iyeza liyekiwe, umngcipheko wokuba isifo siphinde sibuye uphindaphindeka kabini.
- Ukuba ngequbuliso uyeka ukusebenzisa amayeza, nokuba uzimisele ukuwasebenzisa okanye awufuni , iimpawu ziya kubuya kwi-50% yabantu kwisithuba seeveki ezimbini.
- Abo bayeka ukusebenzisa amayeza babeneempawu ezingama-40% zokukhulelwa kwabo, ixesha elide ngokuphindwe kane kunabo baqhubeka bewasebenzisa.
Eyona nto ibalulekileyo kukuba, nokuba ukhulelwe ngequbuliso, ungaze uyeke ukuthatha amayeza akho ngaphandle kokuthetha nogqirha wakho. Ukuwayeka ngequbuliso kunokuba yingozi kuwe nakumntwana wakho ongekazalwa kunokuthatha amayeza.
Funda ngokusebenzisa amayeza e-bipolar ngexesha lokukhulelwa
Lo ngumbuzo omkhulu kubantu abaninzi. Kukho oomama abaninzi abaye bazala abantwana abasempilweni ngelixa bethatha unyango lwe-bipolar disorder. Nangona kunjalo, amanye amayeza, ingakumbi ngexesha le-trimester yokuqala yokukhulelwa, anomngcipheko omncinci wokubangela iziphene zokuzalwa.
| Iingozi zokusebenzisa amayeza | Iingozi zokungalufuni unyango |
|---|---|
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Uyabona, akunjalo? Ukungasebenzisi amayeza nako kuyingozi. Ngoko ke oku kufuneka kugqitywe kunye nogqirha wakho wokubelekisa kunye nogqirha wengqondo. Ngabo abaza kuvavanya iingozi kunye neenzuzo ngokusekwe kwimeko yakho baze benze isigqibo esifanelekileyo.
Izinto Ezizinzisa Imvakalelo
La ngamayeza aqhelekileyo anikwa abantu abanesifo sengqondo esibizwa ngokuba yi-bipolar disorder.
- I-Lithium: I-Lithium inokubangela isiphene sentliziyo esingaqhelekanga kumntwana ngexesha le-trimester yokuqala yokukhulelwa. Ngoko ke ngamanye amaxesha oogqirha bayayeka ukunika i-lithium ngeli xesha. Kodwa kwabanye abafazi, iingenelo zokuqhubeka nokuthatha i-lithium zingaphezulu kakhulu kuneengozi. Kwakhona, ukuqhubeka nokuthatha i-lithium emva kokubeleka kunokunciphisa umngcipheko wesifo ukusuka kwi-50% ukuya kwi-10%.
- Ukuba usela i-lithium: Sela amanzi amaninzi. Sebenzisa ityuwa kancinci. Jonga amanqanaba akho e-lithium rhoqo njengoko uyalelwe ngugqirha wakho. Ukuba ukrokrela ukuba i-lithium inetyhefu, yiya kwigumbi likaxakeka lesibhedlele esikufutshane (ETU) ngoko nangoko. Ungafowunela neZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
- I-Valproate (iDepakote) kunye neCarbamazepine (iTegretol):Omabini la mayeza andisa umngcipheko weziphene zemithambo-luvo ukuba athathwa kwangethuba ekukhulelweni. Ke ngoko, oogqirha badla ngokuyeka la mayeza ngokukhawuleza nje xa befumanisa ukuba bakhulelwe baze batshintshele kumayeza akhuselekileyo. Kubaluleke kakhulu ukusela iivithamini ezine-folic acid ngeli xesha.
- I-Lamotrigine/i-Lamictal: Le isenokuba yindlela ekhuselekileyo yonyango oluchazwe apha ngasentla kwabanye abafazi.
Amayeza okulwa nesifo sengqondo
La mayeza asetyenziselwa ukunyanga i-mania, ingakumbi ukubona izinto ezingekhoyo. Kukho amayeza amatsha afana ne-Aripiprazole (Abilify), i-Olanzapine (Zyprexa), kunye ne-Quetiapine (Seroquel). Ugqirha wakho unokucebisa ukuba utshintshele kumayeza amadala afana ne-Haloperidol (Haldol) ngexesha lokukhulelwa.
Amayeza okudakumba
Akukho lwazi luninzi malunga nendlela ezi zinto ezibachaphazela ngayo abafazi abakhulelweyo abane-bipolar disorder. Ukuba usela la mayeza, oogqirha badla ngokujonga indlela ovakalelwa ngayo ukuze babone ukuba ngequbuliso uziva unesifo sengqondo esigqithisileyo.
Ingaba unyango lwe-ECT (unyango lwe-electroconvulsive) lufanelekile?
Abanye abantu bayoyika xa besiva igama elithi electroconvulsive therapy (ECT). Kodwa eneneni lolunye lonyango olukhuselekileyo nolusebenzayo olufumanekayo ngexesha lokukhulelwa. Lunokuba luncedo olukhulu kubafazi abakhulelweyo abanengxaki yokudakumba okukhulu okanye i-mania. Xa benika olu nyango, oogqirha bathatha amanyathelo ambalwa ongezelelweyo:
- Isantya sentliziyo yomntwana kunye namanqanaba eoksijini zihlala zijongwa ngexesha lonyango.
- Kunikwa amayeza okuthintela i-asidi yesisu ukuba ingangeni emqaleni.
- Ukuthintela ukuzalwa ngaphambi kwexesha, kucetyiswa ukuba usele amanzi amaninzi kunye nokutya okunesondlo.
Yintoni enye onokuyenza?
Njengamayeza, indlela ophila ngayo ibaluleke kakhulu ngeli xesha.
- Lawula uxinzelelo: Gcina ingqondo yakho ikhululekile kangangoko. Zilolonge, camngca, yenza into oyithandayo.
- Gcina indlela oqhele ukwenza ngayo izinto: Lala, vuka, uze utye ngaxeshanye. Oku kuya kukunceda ulawule utshintsho olukhawulezileyo lweemvakalelo.
- Lala kakuhle: Ukulala kubalulekile ekulawuleni isifo sengqondo esibizwa ngokuba yi-bipolar disorder.
- Unyango lwengqondo: Ngeli xesha, kubaluleke kakhulu ukufuna uncedo kumcebisi othembekileyo onokuthetha naye ngeemvakalelo zakho kunye noloyiko lwakho.
Umyalezo Wokuya Ekhaya
- Ngaphandle kokubuza ugqirha wakho.Ungaze uyeke ukuthatha amayeza e-bipolar okanye utshintshe umthamo.
- Ukuba ucinga ngokuba nomntwana, thetha nogqirha wakho wezifo zabesifazane kunye nogqirha wengqondo ngaphambi kokuba ukhulelwe kwaye ucwangcise oko. Leyo yindlela ekhuselekileyo.
- Khumbula ukuba ukongeza kwiingozi zokusebenzisa amayeza, ukungafumani unyango kunokubangela iingozi ezinkulu kuwe nakumntwana wakho.
- Kukho amayeza akhuselekileyo kunye nolunye unyango, olufana ne-ECT, olufanelekileyo xa ukhulelwe. Ngoko ke ungoyiki ukufuna ingcebiso kagqirha.
- Impilo-ntle yakho yengqondo ichaphazela ngqo impilo-ntle yomntwana wakho, ngoko ke kubalulekile ukuzinyamekela ngeli xesha.
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