Kukho iintsuku ezithile, akunjalo? Xa uvuka kusasa, uziva wonwabile kakhulu kwaye ugcwele amandla. Uziva ngathi ungaloyisa lonke ihlabathi. Kodwa ngokuhlwa, ngaphandle kwesizathu, uziva ukruqukile lihlabathi liphela, kwaye awufuni kwenza nto, kwaye uzive ulusizi kancinci. Ngaba uhlala uhlangabezana nezinto ezinje? Oku akusiyonto yahlukileyo nje, mhlawumbi isizathu sale nto yimeko yengqondo ebizwa ngokuba yiCyclothymia. Ungakhathazeki, masithethe ngale nto ngokulula nangokuneenkcukacha.
Yintoni iCyclothymia?
Ngamafutshane, i-cyclothymia luhlobo oluncinci kodwa oluhlala ixesha elide lwesifo sengqondo esiguquguqukayo. Njengesifo sengqondo esiguquguqukayo, imeko yakho yeemvakalelo itshintsha ngokukhawuleza, kodwa hayi kakhulu njengesifo sengqondo esiguquguqukayo.
Cinga nge-bipolar njenge-tsunami enkulu. I-Cyclothymia ifana nothotho lwamaza amancinci afikayo adlule, kodwa angabi mandundu kangako. La maza ahlala efika kwaye anokuphazamisana nokukwazi kwakho ukuphila ubomi bakho ngendlela eqhelekileyo.
Kule meko, uza kufumana utshintsho olukhulu phakathi kweemeko ezimbini:
1. I-Hypomania: Kule nqanaba, uziva wonwabile kakhulu, unamandla, kwaye usebenza.
2. Uxinzelelo Oluncinci: Kule nqanaba, uziva ulusizi, ungenathemba, kwaye uphelelwe ngumdla ebomini.
Olu tshintsho lunokwenzeka ngokukhawuleza kakhulu, ngamanye amaxesha kungekapheli nosuku. Ngamanye amaxesha isimo sakho sengqondo sinokuba sesiqhelekileyo (euthymia), kodwa elo xesha lingaphantsi kweeveki ezisibhozo. Le meko idla ngokuqala xa ufikisa.
Ziziphi iimpawu ze-cyclothymia?
Kule meko, ngokucacileyo kukho iimpawu zokutshintsha kwemood (hypomania) kunye nokudakumba. Makhe sijonge ezi mpawu ngokwahlukeneyo. Ezi zisenokuba ziqhelekile kuwe.
| Iimpawu zeHypomania | Iimpawu zoxinzelelo oluphantsi |
|---|---|
| Ukuziva unamandla kwaye unamandla ngendlela engaqhelekanga. Ubuthongo obuncinci kakhulu. Ukuziva ngathi usele ngokwaneleyo nangona sele ulele iiyure ezimbalwa. | Ukudinwa nokunganamandla ngalo lonke ixesha. Ukuphelelwa ngumdla kwizinto obukade uzonwabela. |
| Ukuthetha ngokukhawuleza kakhulu. Uziva ngathi iingcinga ziphuma engqondweni yakho. Utsiba ukusuka kwenye into uye kwenye ngokukhawuleza. | Iimvakalelo zosizi, ukuphelelwa lithemba, kunye nokungabi nanto. Iimvakalelo zokuziva unetyala okanye ukungabi naxabiso. |
| Ukuphazamiseka lula. Ukutsiba-tsiba, ukungakwazi ukugqiba umsebenzi omnye ngokufanelekileyo. | Ubunzima bokugxila nokwenza izigqibo. Inkumbulo nayo ibuthathaka kancinci. |
| Ukugxila kakhulu kwiinjongo (umsebenzi, umsebenzi wesikolo, imisebenzi yoluntu) Ukuqalisa imisebenzi emininzi kakhulu ngaxeshanye. | Utshintsho kwiindlela zokulala. Nokuba kukungakwazi ukulala (ukungalali) okanye ukulala kakhulu (hypersomnia). |
| Ukuzithemba okukhulu. Ukuziva ngathi ungenza nantoni na. | Utshintsho kwindlela yokutya. Nokuba kukulahlekelwa ngumdla wokutya okanye kukutya kakhulu. |
| Ukuzibeka emngciphekweni ngaphandle kokuqwalasela iziphumo ezimbi. Umzekelo, ukuchitha imali ngokungxama, ukwenza izigqibo zoshishino ngokungxama. | Ukuzama ukuhlala kude noluntu. Ukukhetha ukuba wedwa, kude nabahlobo nosapho. |
Into ebalulekileyo kukuba kwi-cyclothymia, ezi mpawu azikho mbi njengakwi-major depression okanye kwi-peak ye-bipolar disorder (mania). Kodwa olu tshintsho lungaqhubeka nokuba nefuthe elikhulu kubomi bakho bemihla ngemihla, kubudlelwane, nasemsebenzini.
Kutheni oku kusenzeka?
Izazinzulu azikayazi kakuhle ukuba kutheni oku kusenzeka, kodwa zikholelwa ukuba zininzi izinto ezinokubangela oku.
- Uqhagamshelo lwemfuza: Kukwacingelwa ukuba oku kusenokusebenza kwiintsapho. Oku kuthetha ukuba ukuba umntu kusapho lwakho unesifo se-bipolar okanye uxinzelelo, usemngciphekweni omncinci wokuba nale meko.
- Izinto ezibangela imeko-bume: Iziganeko ezibuhlungu ebomini okanye uxinzelelo olude zinokubangela imeko kwabanye abantu. Umzekelo, ukugula kakhulu, ukuqhawuka kobudlelwane, okanye iingxaki emsebenzini.
Ungazi njani ngokuqinisekileyo ukuba le yi-cyclothymia?
Le meko inokuba nzima ukuyifumanisa kuba iimpawu zayo ziyafana nezezinye izifo zengqondo ezininzi. Umzekelo:
- Ingxaki enkulu yokudakumba
- Isifo seBipolar II
- Ingxaki yokuxhalaba ngokubanzi
- Iingxaki zobuntu
Ngoko ke, ukuba unale mpawu, kubaluleke kakhulu ukubonana nogqirha ofanelekileyo . Uza kulandela amanyathelo aliqela ukuze afumanise ngokuchanekileyo imeko.
1. Ukubuza ngeempawu zakho: Ugqirha uza kukubuza malunga nokuba uziva njani, ixesha elide kangakanani unazo, kunye nendlela ezichaphazela ngayo ubomi bakho.
2. Imbali epheleleyo yezonyango: Kubalulekile nalapha ukwazi ukuba kukho umntu kusapho lwakho onezifo zengqondo.
3. Uvavanyo lomzimba: Uvavanyo lwegazi lwenziwa ukujonga ezinye iimeko zomzimba (umz. i-hyperthyroidism) ezinokubangela ezi mpawu.
4. Uvavanyo lwempilo yengqondo: Ugqirha wakho angakuthumela kwingcali yempilo yengqondo, njengogqirha wengqondo okanye ingcali yezengqondo.
Ugqirha uya kuyifumanisa le nto njenge-cyclothymia ukuba ezi mfuno zilandelayo ziyafezekiswa:
* Ukuba ungumntu omdala, kufuneka ube nezi mpawu zokudakumba nokuxhalaba ubuncinane i-50% yexesha ubuncinane iminyaka emibini. Kubantwana nakubantu abancinci, eli xesha liyiminyaka enye.
* Ngeli xesha, akunakuba sele ungenazo iimpawu kangangeenyanga ezingaphezu kwezimbini ezilandelelanayo.
* Ezi mpawu akufuneki zibangelwe kukusetyenziswa kwezinye iziyobisi okanye yimeko ethile yomzimba.
* Kwakhona, ezi mpawu kufuneka zibangele uxinzelelo olukhulu okanye ukuphazamiseka kubomi bakho bemihla ngemihla.
Zithini iindlela zonyango zoku?
Abantu abaninzi abafuni unyango kuba iimpawu zabo zincinci. Nangona kunjalo, ukufumana unyango kunokwenza ubomi bakho bube lula kakhulu. Kukho iintlobo ezimbini eziphambili zonyango.
1. Unyango lwengqondo
Olu lolona hlobo luphambili lonyango. Kalula nje, lubandakanya ukuthetha ngeengxaki zakho kunye neemvakalelo zakho nomcebisi wezempilo yengqondo . Ngale ndlela, ungenza oku kulandelayo:
- Uza kukwazi ukuchonga nokulawula iimpawu zakho.
- Ungafunda indlela yokujongana noxinzelelo.
- Ungazitshintsha iindlela ezimbi ocinga noziphethe ngazo.
- Ungaluphucula ulwalamano lwakho nabanye abantu.
I-Cognitive Behavioral Therapy (CBT), ngakumbi, ifunyenwe isebenza kakhulu kwi-cyclothymia.
2. Amayeza
Akukho mayeza athile avunyiweyo e-cyclothymia. Nangona kunjalo, kwezinye iimeko, ugqirha wakho unokukunika izithinteli zeemvakalelo ukunceda ukulawula utshintsho olukhawulezayo lweemvakalelo zakho. Imizekelo ibandakanya i-valproate, i-lamotrigine, kunye ne-lithium.
Kubaluleke kakhulu: Ngugqirha wakho kuphela onokugqiba ukuba akunike eli yeza, akunike ntoni, kwaye uza kulinika ixesha elingakanani. Ungaze uwasebenzise la mayeza wedwa okanye njengoko omnye umntu ekuxelela.
Liza kuba njani ikamva kule meko?
Ukuphila nale meko kunokuba nzima. Ukutshintshatshintsha kweemvakalelo rhoqo kunokwenza kube nzima ukugcina ubudlelwane obuhle nosapho, abahlobo, abantu osebenza nabo, kunye namaqabane.
Nangona kunjalo, xa kuthelekiswa nabantu abanesifo sengqondo esibizwa ngokuba yi-bipolar disorder, abantu abane-cyclothymia:
- Inani labantu abalaliswa esibhedlele liyancipha.
- Inani leentsuku endingenakukwazi ukuya emsebenzini liyancipha.
- Ungaqhubeka nomsebenzi wakho ngokuthe chu.
Eyona nto ingcono onokuyenza kukubona iimpawu kwangethuba uze ufumane unyango. Ukuba wenza njalo, unganciphisa kakhulu impembelelo ebomini bakho kwaye uphile ubomi obuphumelelayo nobonwabisayo.
Ukuba unale mpawu, musa ukubandezeleka wedwa. Asilotyala lakho. Bona ugqirha uze uthethe naye. Khumbula ukuba oogqirha kunye nabantu obathandayo bakhona ukukunceda.
Umyalezo Wokuya Ekhaya
- I-Cyclothymia luhlobo oluncinci lwesifo se-bipolar, esibonakaliswa kukutshintshatshintsha kweemvakalelo rhoqo.
- Oku kuquka amaxesha okutshintshatshintshana okuziva uphezulu kwaye unamandla (Hypomania) kunye nokudakumba okuncinci kunye nokulahlekelwa ngumdla (Depression).
- Ukuba unale mpawu, musa ukuzityeshela njengesiqhelo. Musa ukoyika. Ngokuqinisekileyo bonana nogqirha kwaye ufumane ingcebiso.
- Ngonyango olufanelekileyo (thetha ngonyango kunye namayeza ukuba kuyimfuneko), ungayilawula kakuhle le meko kwaye uphile ubomi obuqhelekileyo nobunempilo.
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