Ngaba wakha waziva wonwabile kakhulu, uzele ngamandla, kwaye kwangaxeshanye, udandathekile kwaye ungenanto ngaphakathi? Okanye ngaba kukho umntu omaziyo oye wonwabe kangaka ngomzuzu othile waza ngequbuliso waqalisa ukukhala ngaphandle kwesizathu ngolandelayo? Oku kunokuba ngamava adidayo kwaye kunzima ukuwaqonda. Namhlanje sithetha ngezi 'mpawu zixutyiweyo' ezinokwenzeka kwi -bipolar disorder. Oku kuqheleke kakhulu kunokuba unokucinga.
Zithini 'iimpawu ezixutyiweyo' zesifo se-bipolar?
Ngamafutshane, isifo sengqondo esibizwa ngokuba yi-bipolar disorder sisifo apho iimvakalelo zomntu zitshintshatshintsha phakathi kwezinto ezimbini ezigqithisileyo. Esinye isifo esigqithisileyo yi-mania, ethetha amaxesha olonwabo olukhulu, amandla aphezulu, kunye nomsebenzi. Esinye isifo esigqithisileyo kukudandatheka, ethetha amaxesha osizi olukhulu, amandla aphantsi, kunye nokuphoxeka ebomini. Ezi zinto zimbini zigqithisileyo zihlala zitshintshana.
Kodwa kwimeko ebizwa ngokuba yi -'Mixed Features', iimpawu zezi meko zimbini zenzeka ngaxeshanye, ngemini enye, okanye ngaphakathi kwesiganeko esinye. Cinga ngokunyathela i-accelerator kunye ne-brake yemoto ngaxeshanye. Xa ingqondo yakho izama ukunyuka iye kwelinye icala, ikutsalela kwelinye icala. Eli liva elididayo nelibuhlungu kakhulu.
Ngubani onokuthi abe nale meko?
Iimpawu ezixutyiweyo zixhaphakile kubantu abane -bipolar disorder . Ngokwezinye izifundo, phantse isiqingatha sabantu abane-bipolar bafumana iimpawu ezithile ze-manic ngexesha lokudakumba kwabo.
- Ubudala: Amaxesha amaninzi, iimpawu zesifo sengqondo esiguquguqukayo ziqala ukubonakala kubantu abancinci , abaphakathi kweminyaka eli-15 nengama-25. Abantu abaqala esi sifo kule minyaka banamathuba amaninzi okuba neempawu ezahlukeneyo. Akuqhelekanga ukuba umntu abe nesifo sengqondo esiguquguqukayo okokuqala emva kweminyaka engama-50.
- Imbali yosapho: Ukuba umntu okwintsapho yakho esondeleyo (abazali, abantakwenu noodadewabo) unesifo sengqondo esibizwa ngokuba yi-bipolar disorder , usemngciphekweni omkhulu wokufumana esi sifo.
- Abantu abanesifo sokudakumba kuphela: Ngamanye amaxesha, umntu ongakafunyaniswanga ngokupheleleyo ukuba unesifo sokudakumba kodwa enesifo sokudakumba esikhulu unokubonisa iimpawu ze-mania ezikumgangatho ophantsi kunye nokudakumba. Oku kubizwa ngokuba 'sisiganeko sokudakumba esineempawu ezixutyiweyo'.
Zithini iimpawu ze-'Mixed Episode'?
Olu ludibaniso lweempawu zokuphambana kwengqondo kunye nokudakumba. Kukho umahluko omkhulu phakathi kweemvakalelo engqondweni kunye nokusebenza komzimba.
| Iimpawu zeManic | Iimpawu zokudakumba |
|---|---|
| Ukuziva unamandla agqithisileyo, uhambahamba rhoqo ungaphumli | Iimvakalelo zosizi olunganyamezelekiyo, intlungu, kunye nokungabi nanto |
| Iingcinga ezikhawulezayo kunye nentetho | Ukulahlekelwa ngumdla kwizinto obukade uzonwabela |
| Ukucaphuka, ukucaphuka ngokukhawuleza nangezinto ezincinci | Ukuziva ungenawo amandla, ukudinwa rhoqo |
| Ukuba ngumntu osebenza ngokungaqhelekanga, ongakwaziyo ukuhlala kwindawo enye | Iimvakalelo zokuba netyala ngawe, iingcinga zokungafaneleki |
| Isilingo sokwenza izinto ezinobungozi (umz., ukuchitha imali eninzi kakhulu) | Iingcinga zokuzibulala |
Usenokuba ucinga, "Zinokwenzeka njani ezi zinto zimbini kunye?" Oku kunokwenzeka ngokwenene. Khawucinge ngomntu okhala kakhulu esithi, "Andikaze ndizive ndonwabile kangaka ebomini bam." Okanye basenokuba ndonwabile kakhulu ngequbuliso baze emva komzuzwana olandelayo balale phantsi bekhala ngenxa yentlungu. Ezi meko zinokuhlala iintsuku, iiveki, okanye iinyanga ngaphandle konyango.
Zithini iingozi zokuba 'neMixed Features'?
Eyona ngozi inkulu nebuhlungu ekufuneka sithethe ngayo apha kukuzibulala.Abantu abanesifo sengqondo esibizwa ngokuba yi-bipolar disorder banamathuba aphindwe kalishumi ukuya kwamashumi amabini okuzibulala kunabantu ngokubanzi.
Uphando lubonise ukuba umngcipheko wokuzibulala kwiimeko 'ezineempawu ezixutyiweyo' uphezulu kunakwimeko yokudakumba ngokubanzi.
Oku kungenxa yokuba usizi olukhulu, ukuphelelwa lithemba, kunye neemvakalelo zokungabi naxabiso ngenxa yokudakumba zidityaniswe namandla agqithisileyo, ukungazinzi, kunye nokungakhathali ngenxa yokuphambana. Olu nxulunyaniswa oluyingozi ludala amandla kunye nenkuthazo yokwenza izinto ngeengcinga zokuzibulala.
Umngcipheko omkhulu olandelayo kukuxhomekeka kwiziyobisi notywala . Abanye abantu banokuguqukela kwiziyobisi njengemizamo yokubaleka le ngxaki nentlungu enganyamezelekiyo. Oku akupheleli nje ekubeni mandundu imeko, kodwa kwenza nonyango lube nzima ngakumbi.
Ukuba unale ngcinga, nceda ungabi wedwa . Thetha nomhlobo okanye ubone ugqirha wakho ngokukhawuleza. Ukuba kuyimfuneko, ungathandabuzi ukuya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Zithini iindlela zonyango zoku?
Iindaba ezimnandi zezokuba kukho unyango lwesi sifo. Nangona kunjalo, kunokuba nzima ukuyilawula kunemeko eqhelekileyo yokuphambana okanye ukudakumba. Kusetyenziswa iindlela ezininzi zonyango eziphambili.
Izinto Ezizinzisa Imvakalelo
La mayeza alawula la mahlandenyuka engqondweni.
- I-Lithium: Iyeza elisebenza kakhulu elisetyenziswe amashumi eminyaka kwisifo se-bipolar. Nangona kunjalo, lisenokungasebenzi kangako kwiimeko 'ezineempawu ezixutyiweyo'.
- I-Valproic acid (iDepakote): Le ikwayi-mood stabilizer. Ezinye izifundo zibonise ukuba isebenza ngcono kune-lithium kwiimeko 'ezixutyiweyo'.
- Amanye amayeza: Ukongeza koku, amayeza anjenge `(Carbamazepine)` kunye `(Lamotrigine)` nawo ayasetyenziswa.
Ii-antipsychotics
La mayeza anikwa ewodwa okanye edibene nezithinteli zengqondo ukulawula imeko 'yeZimpawu eziXubeneyo'. Imizekelo ibandakanya amayeza afana ne-`(Aripiprazole)`, `(Olanzapine)`, `(Quetiapine)`, `(Risperidone)`.
Unyango lwe-Electroconvulsive (ECT)
Eli gama linokubathusa abanye abantu, kodwa i-ECT lunyango olusebenzayo nolukhuselekileyo , ingakumbi kwiimeko ezinzima apho amanye amayeza engasebenzi, kwaye apho umngcipheko wokuzibulala uphezulu kakhulu.
Isilumkiso esikhethekileyo malunga namayeza okudakumba!
Impazamo enkulu eyenziwa ngabantu abaninzi apha kukusebenzisa amayeza okudakumba amiselwe ukudakumba ngokubanzi, becinga ukuba abuhlungu. Umzekelo, `(Fluoxetine)`, `(Sertraline)`. Nangona kunjalo, ukuba la mayeza asetyenziswa xa kukho 'iimpawu ezixutyiweyo', endaweni yokunciphisa ukudakumba, anokwenza iimpawu zokudakumba zibe mandundu. Ke ngoko, kufuneka ukuphephe ngokupheleleyo ukusebenzisa la mayeza ngaphandle kwengcebiso yengcali.
I-Bipolar idla ngokuba yimeko yobomi bonke. Ke ngoko, nokuba iimpawu zilawulekile, kubalulekile ukuqhubeka nokuthatha unyango olucwangcisiweyo ngugqirha wakho ukuze uthintele ukuphinda ubuye.
Umyalezo Wokuya Ekhaya
- 'Iimpawu ezixutyiweyo' zibhekisa ekuboneni ngaxeshanye iimpawu zolonwabo olugqithisileyo kunye nosizi kwisifo sengqondo esiguquguqukayo.
- Le meko iyadida kakhulu, kwaye umngcipheko wokuzibulala uphezulu kakhulu.
- Ukuba wena okanye umntu omaziyo unale mpawu, musa ukuzama ukufumana isisombululo ngokwakho. Funa ingcebiso kwingcali yezonyango efanelekileyo ngoko nangoko.
- Kuphephe ukusebenzisa amayeza okudakumba, ingakumbi lawo anceda ekudandathekeni ngokubanzi, ngaphandle kwengcebiso kagqirha. Angenza imeko ibe mandundu.
- Ngonyango olufanelekileyo (izinzisi zengqondo, amayeza okuthintela ukugula ngengqondo) kunye nolawulo lwexesha elide, le meko inokulawulwa ngempumelelo kwaye ubomi obuqhelekileyo bunokukhonzwa.
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