Ngezinye iintsuku uziva wonwabile kakhulu, unamandla... ngokungathi ungenza nantoni na. Kodwa ngezinye iintsuku uziva ulusizi kangangokuba awukwazi nokuvuka ebhedini, ulusizi kangangokuba awufuni kwenza nto? Olu hlobo lokutshintshatshintsha phakathi kweemvakalelo ezimbini ezingqubanayo lunokuba luphawu lwesifo sengqondo esibizwa ngokuba yi-bipolar disorder . Namhlanje, siza kuthetha ngale nto, ingakumbi indlela ebachaphazela ngayo abafazi, ngendlela elula neyobuhlobo.
Ngamafutshane, yintoni isifo sengqondo esibizwa ngokuba yi-bipolar disorder?
Isifo sengqondo esibizwa ngokuba yi-bipolar disorder sisifo sengqondo esibonakaliswa lutshintsho olukhulu kwimo yengqondo yomntu. Sineendlela ezimbini eziphambili zokuziqhelanisa.
1. Ukuphakuzela: Eli lixesha lolonwabo olukhulu namandla endiwakhankanyileyo ngaphambili. Ngeli xesha, ungaziva ngathi awukwazi ukwenza nto. Usenokungakwazi ukulala, usenokuba usebenza ungayeki, usenokuba uthetha ngokukhawuleza, kwaye usenokuba wenza izigqibo ezingxamileyo (umz. ukuchitha imali eninzi ngaxeshanye). Eli liphezulu kakhulu.
2. Uxinzelelo : Eli lelinye ixesha eligqithisileyo. Lixesha losizi olukhulu, ukuphelelwa lithemba, kunye nokungabi namdla kuyo nayiphi na into. Awufuni nokuvuka ebhedini, uhlala udiniwe, kwaye awufuni nokwenza izinto obukade uzonwabela. Eli lelona xesha liphantsi.
Uhlobo lwesi sifo kukuba imeko itshintshatshintsha phakathi kwezi meko zimbini. Kwabanye, ezi meko zinokuba nzima kakhulu.
Ingaba le meko ichaphazela abafazi ngendlela eyahlukileyo?
Ewe. Nangona amadoda nabafazi banokuyifumana le sifo, kukho umahluko kwindlela abafazi abasifumana ngayo.
Uphando lubonisa ukuba abafazi banamathuba amaninzi okuba noxinzelelo kunokuba babe ne-mania , kwaye iihomoni zabasetyhini kunye nomsebenzi wenkqubo yokuzala zinokuchaphazela ngokuthe ngqo uhlobo kunye nonyango lwesi sifo.
Zichaphazeleka njani iihomoni?
Amanqanaba eehomoni ayatshintsha kumanqanaba ahlukeneyo obomi bomfazi. Makhe sijonge indlela olu tshintsho oluchaphazela ngayo isifo se-bipolar.
- Umjikelo Wenyanga: Ezinye izifundo zibonisa ukuba abafazi abanesifo sengqondo esibizwa ngokuba yi-bipolar disorder banokufumana iimpawu eziqatha zangaphambi kokuya exesheni (PMS). Nangona kunjalo, uphando lubonise ukuba abafazi abafumana unyango olufanelekileyo badla ngokuba neemvakalelo ezizinzileyo kulo lonke ixesha labo lokuya exesheni.
- Ukuya exesheni : Ngenxa yotshintsho olukhulu lweehomoni olusenzeka emva kokuya exesheni, abanye abafazi banokufumana iimpawu ze-bipolar okokuqala. Kwabo sele benale meko, iimpawu zinokuba mandundu ngeli xesha.
- Ukukhulelwa kunye nexesha emva kokubeleka:Eli lelona xesha libalulekileyo nelinobungozi . Ukuba umfazi onesifo sengqondo esibizwa ngokuba yi-bipolar disorder ukhulelwa okanye unomntwana, umngcipheko wokuba imeko yakhe ibe mandundu aze afune ukulaliswa esibhedlele uphindwe kasixhenxe kunabanye abafazi. Ukwanamathuba aphindwe kabini okuba iimpawu zakhe zibuye.
Ngoko ke, ukuba unesifo sengqondo esibizwa ngokuba yi-bipolar disorder, kubaluleke kakhulu ukuxoxa ngale nto nogqirha wakho ngaphambi kokuba ucinge ngokuba nomntwana.
Ziziphi iindlela zonyango?
Injongo ephambili yonyango lwe- bipolar disorder kukugcina imeko yeemvakalelo izinzile. Oko kukuthi, ukulawula imeko ephezulu (yokuxinezeleka) kunye nephantsi (yokudakumba). Olu lunyango oluhlala luqhubeka ubomi bonke.
Unyango oluphambili olusetyenziswayo ngamayeza kunye nonyango lokuthetha .
Amanye amayeza anikwa ngoogqirha aquka amayeza okulawula iimvakalelo kunye namayeza okuthintela ukuphazamiseka kwengqondo.
| Igama eliqhelekileyo lesiyobisi | Amagama eebhrendi asetyenziswa rhoqo |
|---|---|
| I-Lithium | I-Lithobid |
| I-Valproic Acid / i-Divalproex Sodium | Depakote, Depakene, Stavzor |
| I-Lamotrigine | ILamictal |
| I-Carbamazepine | I-Tegretol, iCarbatrol |
| I-Olanzapine, iQuetiapine, iRisperidone, iAripiprazole | I-Zyprexa, iSeroquel, iRisperdal, i-Abilify |
Kubalulekile: Amanye ala mayeza anesilumkiso sokuba anokunyusa kancinci umngcipheko weengcinga okanye ukuziphatha okuzibulala , ingakumbi kubantwana nakubantu abadala abancinci. Ke ngoko , kufuneka uxele ngoko nangoko naziphi na iimpawu ezintsha okanye eziya ziba mandundu, utshintsho olungaqhelekanga kwimo yengqondo, okanye iingcinga zokuzibulala kugqirha wakho emva kokuqala unyango.
Kufuneka kuthathwe ingqalelo ekhethekileyo xa kunyangwa ngexesha lokukhulelwa.
Le yingongoma ebucayi kubafazi. Kubalulekile ukuqhubeka nonyango ngexesha lokukhulelwa, njengoko ukuyeka unyango kunokubangela isifo sibe sibi kakhulu kwaye kwenzakalise umama nomntwana. Nangona kunjalo, kubalulekile nokuqwalasela iziphumo ezinokubakho zamayeza kumntwana.
Ngoko ke into eyenziwa ngoogqirha kukunciphisa umngcipheko kumntwana ngelixa benyanga umama. Le yinto ekufuneka ilawulwe ngononophelo olukhulu.
Amayeza akhuselekileyo nanobungozi ngexesha lokukhulelwa
- Amayeza athathwa njengekhuselekileyo: Oogqirha bakhetha amayeza amadala afana ne-'Lithium' kunye ne-'Haloperidol (Haldol)' kuba aneenkcukacha ezininzi zolwazi kunye nokhuseleko lwexesha elide.
- Amayeza anobungozi: Amayeza athi `Valproic acid` kunye ne`Carbamazepine` abonakalisiwe ukuba ayingozi kumntwana ongekazalwa kwaye anokuba negalelo kwiziphene zokuzalwa. Ukuba ufumanisa ukuba ukhulelwe ngelixa uthatha i-`Valproic acid`, ugqirha wakho uya kutshintsha amayeza ngoko nangoko okanye alungise umthamo aze akunike i-folic acid ukuthintela iziphene zokuzalwa ezinxulumene nophuhliso lwengqondo yomntwana kunye nomqolo.
- Amayeza anikwayo ngexesha lekota yokugqibela yokukhulelwa: Ukuba uthatha amayeza anjenge-'Aripiprazole (Abilify), 'Risperidone (Risperdal),' kunye ne-'Quetiapine (Seroquel)' kwiinyanga ezintathu zokugqibela zokukhulelwa, umntwana usenokuba neempawu ezithile emva kokuzalwa. Ezi zibizwa ngokuba yi-'extrapyramidal signs (EPS).'
Iimpawu umntwana anokuziva:
- Ukungazinzi
- Ukuqina okanye ukuqina kwemisipha okungaqhelekanga
- Ukulala kakhulu
- Ubunzima bokuphefumla nokuncancisa
- Ukushwabana kwemisipha okanye ukujija okunganyanzelekanga
Kwabanye abantwana, ezi mpawu ziyaphela zodwa kwiiyure okanye kwiintsuku ezimbalwa, kodwa abanye banokufuna ukulaliswa esibhedlele ukuze bajongwe okanye banyangwe.
Amanye amanqaku akhethekileyo kubafazi
I-Valproic Acid kunye ne-PCOS
Amantombazana kunye nabasetyhini abaselula abasebenzisa eli yeza i-valproic acid kufuneka bahlolwe rhoqo ngugqirha. Oku kungenxa yokuba, nangona kungaqhelekanga, eli yeza linokunyusa amanqanaba e-testosterone yehomoni yamadoda, nto leyo enokubangela i -polycystic ovary syndrome (PCOS) . I-PCOS yimeko echaphazela ama-ovari kwaye ibangela ukutyeba kakhulu, ukukhula kweenwele emzimbeni, kunye nemijikelezo yokuya exesheni engaqhelekanga.
Iziphumo ebezingalindelekanga ze-lithium
Ukusetyenziswa kweLithium kunokubangela amanqanaba aphantsi ehomoni ye-thyroid kwabanye abantu. Oku kunokuchaphazela neempawu ze-bipolar. Ukuba oku kuyenzeka, amayeza ehomoni ye-thyroid anokufuneka. Ukongeza, iziphumo ebezingalindelekanga ezifana nokozela, ukuchama rhoqo, kunye nentloko ebuhlungu zinokubakho.
Unyango lwe-Electroconvulsive (ECT)
Kwiimeko ezinzima kakhulu zeempawu, unyango lwe-electroconvulsive (ECT) lungasetyenziswa njengendlela ekhuselekileyo yonyango, ingakumbi ngexesha lokukhulelwa. Apha, oogqirha bahlala bejonga izinga lentliziyo yomntwana kunye namanqanaba eoksijini, ukuze naziphi na iingxaki zinyangwe ngoko nangoko.
Umyalezo Wokuya Ekhaya
- Isifo sengqondo esibizwa ngokuba yi-bipolar disorder sisifo sengqondo esibangela utshintsho olukhulu kwimo yeemvakalelo. Sinokubachaphazela abafazi ngendlela eyahlukileyo kunamadoda.
- Amanqanaba eehomoni zabasetyhini, ingakumbi ngexesha lokuya exesheni, ukukhulelwa, kunye nokuya exesheni, achaphazela iimpawu.
- Ukuba unesifo sengqondo esibizwa ngokuba yi-bipolar disorder kwaye ulindele umntwana, kubalulekile ukuba uxoxe kwaye wenze isicwangciso sonyango nogqirha wakho ngaphambi kokuba ukhulelwe.
- Ukuyeka unyango ngexesha lokukhulelwa kunokuba yingozi. Ugqirha wakho uya kukhetha eyona ndlela ilungileyo yokunyanga umama ngelixa enciphisa umngcipheko kumntwana.
- Ungaze uyeke ukuthatha amayeza akho okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha. Thetha nogqirha wakho ngayo nayiphi na into ekuxhalabisayo.
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