Ngaba unomhlobo okanye isalamane esixhalabile kakhulu, sidandathekile, okanye sinomsindo, kwaye sikwalikhoboka lotywala okanye ezinye iziyobisi? Ngamanye amaxesha sivakalelwa kukuba ezi zinto zimbini zihamba kunye. Enyanisweni, kwezonyango, sibona le meko njengeengxaki ezimbini ezinxulumene kakhulu . Kukho igama elikhethekileyo lale meko elibizwa ngokuba yi-"Dual Diagnosis". Oku kuthetha ukuba umntu unengxaki yempilo yengqondo kunye nengxaki yokusebenzisa iziyobisi gwenxa. Makhe sithethe ngokunzulu ngale nto namhlanje.
Kutheni le nto ezi ngxaki zempilo yengqondo kunye nokulutha kudibana?
Lo ngumbuzo obaluleke kakhulu. Ngamafutshane, umntu onenye yezi meko zimbini usemngciphekweni omkhulu wokufumana enye. Uphando lubonise ukuba abantu abangaphezu kwama-60% abahlushwa yenye yezi meko zimbini banezo zombini.
Cinga ngale ndlela. Umntu unesifo semfuza okanye sebhayoloji sokuphuhlisa ingxaki ethile yengqondo. Oko kuthetha ukuba umzimba nengqondo yakhe ziyayiva loo nto. Ngexesha elinje, ukuba loo mntu uqala ukusebenzisa utywala okanye esinye isiyobisi, loo ngxaki yengqondo efihlakeleyo inokuvela ngequbuliso.
Oko kukuthi, endaweni yokuba ibe liyeza ngokwalo elibangela isifo sengqondo esitsha, kufana nokuvusa isigebenga esileleyo. Eli chiza ngokwalo liyimbangela (tr IgGer ) ebangela ingxaki.
Ngamanye amaxesha kwenzeka ngenye indlela. Xa umntu engakwazi ukumelana neengxaki zobomi bemihla ngemihla, isizungu, usizi, kunye nokuxhalaba, ubhenela etywaleni okanye kwiziyobisi ukuze azikhulule okwethutyana kwezo mvakalelo, oko kukuthi, "ukuzinyanga." Nangona zinokuqala ngokusetyenziswa kancinci ekuqaleni, ekuhambeni kwexesha ziba ngumlutha ongalawulekiyo.
Ingaba ingxaki yengqondo iza kuqala? Umlutha?
Oku kufana nombuzo othi "Nguwuphi ofike kuqala, yinkukhu okanye liqanda?" Ngamanye amaxesha kunzima kakhulu ukuyiqonda.
- Imicimbi yempilo yengqondo iza kuqala: Abanye abantu baziva bengenalo ulwazi ngaphakathi, bengenamsebenzi okanye bexhalabile rhoqo. Isizathu soku sisenokuba sisifo sengqondo abangasaziyo. Umzekelo, imeko efana ne-"Bipolar Disorder". Xa aba bantu besebenzisa iziyobisi, baziva "belungile" okwethutyana, "beqhelekile". Oku kungenxa yokuba amayeza athintela iikhemikhali ezithile engqondweni, "ii- Neurotransmitters ".Kuba itshintsha indlela esebenza ngayo. Wakuba uyiqhelile le mvakalelo "intle", uyalingeka ukuba uqhubeke uyifuna.
- Umlutha uza kuqala: Abanye abantu baqala ukusebenzisa iziyobisi ukuze bonwabe, bacinezelwe ngoontanga, okanye bafune ukwazi. Kodwa xa zisetyenziswa rhoqo ngokuhamba kwexesha, ezi ziyobisi zinokutshintsha ibhalansi yeekhemikhali yengqondo kwaye zibangele iimeko ezintsha zempilo yengqondo (umz., ukudakumba, ixhala).
Okwangoku, uphando lufumanise ukuba kukho unxibelelwano olukhulu kakhulu phakathi kwesifo esibizwa ngokuba yi-"Bipolar Disorder" kunye nokukhotyokiswa butywala. Kule meko, imeko yomntu iyatshintshatshintsha phakathi kwezinto ezimbini ezigqithisileyo. Masiyijonge ngolu hlobo.
| Ixesha leMania (Mania) | Uxinzelelo |
|---|---|
| Ukuba nomsindo okanye uvuyo olugqithisileyo. | Ukuziva ulusizi olunganyamezelekiyo, ukuphelelwa lithemba. |
| Ukungalali ngokwaneleyo. | Ukulala kakhulu okanye ukungalali. |
| Iingcinga ezitshintsha ngokukhawuleza, uthetha rhoqo. | Ukuzisola, ukuziva unetyala. |
| Ukuziphatha okungenangqondo, okuyingozi (ukuchitha imali eninzi, ukusebenzisa iziyobisi). | Ndiziva ndikruqukile bubomi, ndicinga ngokuzibulala. |
| Becinga ukuba abanangxaki. | Ukungakwazi ukugxila kuyo nayiphi na into. |
Umntu onesifo sengqondo esibizwa ngokuba yi -bipolar disorder unethuba elikhulu lokusebenzisa iziyobisi ngaphandle kokugweba, ingakumbi ngexesha lokuphambana.
Ngoko ke loluphi unyango olungcono koku?
Le yeyona nxalenye ibalulekileyo. Ekubeni kukho iingxaki ezimbini, unyango kufuneka lunikwe zombini ngaxeshanye. Ukunyanga enye kuphela akuyi kunceda.
Khawucinge ukuba umntu oxhomekeke kwiziyobisi unengxaki yengqondo. Ukuba simnika unyango lokukhupha iziyobisi emzimbeni ukuze ayeke ukusebenzisa iziyobisi, unokuba nexesha elinzima kakhulu engqondweni emva koko. Kuya kufuneka alwe neemvakalelo zakhe eyedwa. Emva koko, engakwazi ukunyamezela uxinzelelo, kunokwenzeka ukuba abuyele kwiziyobisi kwakhona.
"Xa umntu onje eyeka ukusebenzisa iziyobisi , sinexesha elifutshane kakhulu lokulawula imeko yakhe yengqondo. Ukuba akaqali unyango ngelo xesha, angabuyela kwiindlela zakhe zakudala."
Yingakho indlela yonyango engcono namhlanje ithathwa njenge "Dual Treatment Approach." Oko kukuthi, ngelixa kusenziwa unyango ngamayeza, ingxaki yengqondo yesigulana iyachongwa kwaye inyangwe ngaxeshanye. Oku kuthetha ukuba isigulana sifumana inkxaso kuzo zombini iingxaki zaso kwindawo enye, kwiqela elinye.
Ngaba wonke umntu angalufumana olu nyango?
Ngelishwa, amaziko onyango adibeneyo awakaxhaphaki kwilizwe lethu. Kodwa akufuneki silahle ithemba. Eyona nto ingcono esinokuyenza kukulungelelanisa unyango lwesigulana.
Oko kuthetha ukuseka unxibelelwano oluhle phakathi kogqirha onyanga impilo yengqondo yesigulana kunye nogqirha (okanye umcebisi) onyanga umlutha. Ukubandakanyeka kosapho kubalulekile kule nkqubo. Ukuba omabini amaqela ayazi ulwazi lwesigulana kunye nenkqubela yonyango, kwaye asebenzisana, iziphumo ezilungileyo kakhulu zinokufumaneka.
Yintoni omawuyenze ukuba uphinda ubuye ngexesha lonyango?
Le yinto abantu abaninzi abayoyikayo. Kodwa khumbula, ukuphinda ubuye ngexesha lonyango akuyonto yokusilela. Inokuba yinxalenye yohambo lokuchacha. Into ebalulekileyo kukungavumeli ukuba ikutyhafise, kodwa kukuphinda uzame.
Eyona sisombululo silungileyo koku kukwakha ubudlelwane obuthembanayo nobunyanisekileyo phakathi kwesigulana nogqirha (umanyano lonyango). Isigulana kufuneka sikwazi ukuthetha nogqirha ngemeko yaso yokwenyani, iingcinga zaso, kunye neminqweno yaso yokusebenzisa iziyobisi kwakhona ngaphandle koloyiko okanye amathandabuzo.
Ukuba oko kuyenzeka, ugqirha angayibona imeko yokubuyela umva ngaphambi kokuba yenzeke aze athathe amanyathelo afunekayo. Mhlawumbi angakuthintela konke konke.
Umyalezo Wokuya Ekhaya
- Iingxaki zempilo yengqondo kunye nokusetyenziswa gwenxa kweziyobisi zizinto ezimbini ezihlala zikho (Dual Diagnosis).
- Enye yezi zimbini inokubangela okanye iyenze ibe mandundu enye. Lo ngumjikelo onzima osebenza macala omabini.
- Ekubeni kukho iingxaki ezimbini, ukunyanga enye kuphela akuyi kuphumelela. Zombini iingxaki kufuneka zisonjululwe ngaxeshanye.
- Ukuba wena okanye umntu omaziyo unengxaki yesi sifo, bonana nogqirha ofanelekileyo ngoko nangoko. Kubaluleke kakhulu ukumisela unxibelelwano phakathi koogqirha abanyanga izifo zengqondo kunye nokuxhomekeka.
- Ukubuyela umva ngexesha lonyango akuyonto iphosakeleyo. Into ebalulekileyo kukuthetha ngokunyaniseka nogqirha wakho, ucele uncedo, uze ubuyele endleleni eya ekuchacheni.
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