Ngaba wena okanye umntu omaziyo unesifo se-bipolar ? Ukuba kunjalo, mhlawumbi ukhe wadibana naso. Ngamanye amaxesha uziva wonwabile kakhulu, unomdla, kwaye ugcwele amandla. Kodwa ke kukho amaxesha apho uziva uphantsi kangangokuba awukwazi ukwenza nto, ulusizi, kwaye udandathekile. Nangona kuhlala kukho ixesha lokuzinza phakathi kwezi meko zimbini, kwabanye abantu olu tshintsho lwenzeka ngokukhawuleza, amaxesha amaninzi ngonyaka omnye. Yiloo nto siyibiza ngokuba yi-"Rapid Cycling" kwezonyango. Masithethe ngale nto ngokulula nangokucacileyo namhlanje.
Kalula nje, yintoni iRapid Cycling?
I-Rapid Cycling yindlela ye-bipolar disorder. Ayisosifo esahlukileyo. Ngamafutshane, ukuba umntu onesifo se-bipolar ufumana ubuncinane utshintsho lweemvakalelo ezine okanye ngaphezulu ngonyaka , loo meko siyibiza ngokuba yi-Rapid Cycling. Ezi ziqendu zinokuba yi-mania egqithisileyo, i-mania encinci, okanye ukudakumba okukhulu.
Cinga ngayo njengemozulu. Ngolunye usuku ilanga likhanya, ngolunye usuku likhanya kwaye lina kakhulu. Emva kweentsuku ezimbalwa ilanga likhanya kwakhona. Emva koko lina kwakhona. Kulapho ke kwenzeka khona utshintsho lweemvakalelo. Le ndlela inokwenzeka nakubani na onesifo sengqondo esibizwa ngokuba yi-bipolar disorder, nakweliphi na inqanaba lesi sifo. Kwaye ayisiyonto "elungiswa" ngonaphakade. Ngonyango olufanelekileyo, le ndlela ikhawulezayo inokulawulwa kwaye iphele ngokuhamba kwexesha.
Ngubani onokuthi abe nale meko?
Isifo se-bipolar sinokuchaphazela nabani na. Malunga ne-2.5% yabemi baseMelika, okanye phantse abantu abazizigidi ezi-6, banesifo esithile sale ngxaki. Kwabo, phakathi kwe-10% kunye ne-20% banokufumana isifo se-rapid cycling. Izifundo zibonise ukuba abafazi kunye nabantu abanesifo se-bipolar II banamathuba amancinci okuba bafumane isifo se-rapid cycling.
Kwabaninzi abantu, iimpawu ze-bipolar ziqala xa besebancinci, malunga neminyaka eli-18 ukuya kwengama-25. Kwakhona, ukuba ilungu losapho elisondeleyo (umama, utata, umntakwenu okanye udadewenu) linesifo se-bipolar, umngcipheko uphezulu kancinci kunabanye.
Zithini kanye kanye iimeko eziphambili zesifo se-bipolar?
Kubaluleke kakhulu ukuyiqonda ngokucacileyo le nto, kuba kwiRapid Cycling, ezi meko zitshintsha ngokukhawuleza. Masizijonge ngokwahlukeneyo.
| Isiqendu seMood | Inkcazo |
|---|---|
| I-Mania | Eli lixesha lokuziva wonwabile ngendlela engaqhelekanga, uchulumancile, kwaye unamandla . Kufana nokuba injini ivuliwe emzimbeni wakho. Usenokungakwazi ukulala, ukusebenza ungayeki, ukuthetha kakhulu, ukwenza ngokungakhathali, nokuchitha imali eninzi. Eli meko lihlala ubuncinane iintsuku ezisi-7 . |
| I-Hypomania | Eli lixesha lokuziva wonwabile kancinci kwaye unamandla ngakumbi , kungekhona nzima njenge-mania. Ungawenza kakuhle umsebenzi wakho kwaye ube nobuhlobo ngakumbi. Kodwa kungaphezulu kunesiqhelo. Kuthatha ubuncinane iintsuku ezi-4 . Abantu abaninzi abacingi ngale nto njengengxaki yempilo, becinga ukuba "lixesha elimnandi nje." |
| Uxinzelelo Olukhulu | Ngeli xesha, uziva ulusizi kakhulu, ungenanto, kwaye udanile . Uphelelwa ngumdla kwizinto obukade uzonwabela. Awunawo amandla, imikhwa yakho yokulala nokutya iyatshintsha, uzive kakubi ngawe, kwaye ulahlekelwa lithemba ebomini. |
Okubalulekileyo kukuba, abantu abaninzi abanesifo sokuhamba ngebhayisekile ngokukhawuleza bachitha ixesha elininzi bekwimeko yokudakumba. I-Mania okanye i-hypomania ayisoloko isenzeka kwaye ihlala ixesha elifutshane. Yiyo loo nto aba bantu besoloko bechongwa gwenxa ngokuba "bane-unipolar depression."
Ugqirha uyixilonga njani iRapid Cycling?
Njengoko bekutshiwo ngaphambili, iRapid Cycling ayisosifo esahlukileyo, kodwa ligama elichaza indlela ye-bipolar disorder. Ugqirha uya kuyixilonga emva kokumamela ngenyameko iimpawu zakho. Ukuba kuqinisekiswa ukuba uneziganeko ezine okanye ngaphezulu zeMania, Hypomania, okanye Depression kungekapheli nonyaka, ibizwa ngokuba yiRapid Cycling pattern.
Kodwa kunokuba nzima ukukubona oku ngamanye amaxesha. Kuba nesiqendu esinye sinokuba sixhaphake kancinci okanye sincinci. Kunzima ukufumanisa ukuba ziziqendu ezine ezahlukeneyo okanye esinye kuphela. Kwakhona, kuba isigulana asithethi ngexesha le-hypomania, ugqirha ubona kuphela ukudakumba okuqhubekayo. Ke ngoko, ukugcina idayari yokutshintsha kweemvakalelo zakho kunokuba luncedo olukhulu kugqirha ukuba akuqonde.
Iphathwa njani le nto?
Injongo ephambili yonyango lokujikeleza ngokukhawuleza kukuzinza kweemvakalelo, ngakumbi ukulawula ukudakumba okuqhubekayo kunye nokuthintela iziganeko ezintsha.
Isilumkiso esibalulekileyo: Malunga namayeza okudakumba
Amayeza okudakumba adla ngokumiselwa abantu abanesifo sokudakumba, njenge-fluoxetine (Prozac), i-paroxetine (Paxil), kunye ne-sertraline (Zoloft), awafanelekanga kubantu abane-bipolar disorder. Izifundo zibonise ukuba la mayeza anokunyusa amaxesha okudakumba. Ke ngoko, oogqirha bayakuphepha ukunika aba baguli amayeza okudakumba, ingakumbi ixesha elide.
Unyango oluphambili: Izinzisa iMood
Unyango oluphambili lwale meko ngamayeza okulungisa imeko yengqondo.
Imizekelo yazo yile:
- ICarbamazepine (iTegretol)
- I-Lamotrigine (i-lamotrigine (i-Lamictal))
- I-Lithium (i-lithium (i-Lithobid))
- I-Valproate ( iDepakote )
Amaxesha amaninzi, iyeza elinye lodwa alinakulawula le ndlela ikhawulezayo. Kwimeko enjalo, ugqirha unokugqiba ekubeni anike amayeza amabini okanye ngaphezulu kunye. Ukongeza, amanye amayeza okulwa nesifo sengqondo, anjenge-'olanzapine (Zyprexa)` okanye i-`quetiapine (Seroquel),` nawo asetyenziselwa ukuzinzisa imeko yeemvakalelo.
Olu nyango kufuneka luqhubeke nokuba awunazo iimpawu kwaye uzive uphilile. Le yindlela onokuthintela ngayo iziganeko ezizayo. Ungaze uyeke ukuthatha amayeza akho okanye utshintshe umthamo ngaphandle kokuthetha nogqirha wakho kuqala.
Zeziphi iingozi ezinkulu eziza nokukhwela ibhayisekile ngokukhawuleza?
Eyona ngozi inkulu nebuhlungu enxulunyaniswa nale meko kukuzibulala. Abantu abanesifo sengqondo esibizwa ngokuba yi-bipolar disorder banamathuba aphindwe kalishumi ukuya kwamashumi amabini okuzibulala kunabantu ngokubanzi. Okubuhlungu kukuba, phakathi kwe-8% kunye ne-20% yezigulana ezine-bipolar ekugqibeleni ziyafa ngokuzibulala.
Lo mngcipheko unokuba mkhulu nangakumbi kwabo banendlela yokujikeleza ngebhayisikile ekhawulezayo.Bahlala belele esibhedlele rhoqo, kwaye iimpawu zabo ziba nzima ukuzilawula.
Kodwa iindaba ezimnandi zezokuba le ngozi ingancitshiswa kakhulu ngonyango olufanelekileyo. Ngokukodwa, ukusetyenziswa ixesha elide kwamayeza afana ne-lithium kuye kwabonakala kunciphisa umngcipheko wokuzibulala.
Ukongeza, ukusetyenziswa gwenxa kweziyobisi kuxhaphakile phakathi kwabantu abane-bipolar. Malunga nama-60% ezigulana zijongene nale ngxaki. Ukusetyenziswa gwenxa kweziyobisi kwenza esi sifo sibe sibi kakhulu kwaye singalawuleki.
Umyalezo Wokuya Ekhaya
- Ukujikeleza ngokukhawuleza kukwenzeka kotshintsho lweemvakalelo ezine okanye ngaphezulu kunyaka omnye. Olu luphawu lwesifo sengqondo esibizwa ngokuba yi-bipolar disorder, asisosifo esahlukileyo.
- Ukudakumba lolona phawu luqhelekileyo kule meko, ngoko ke kunokwenzeka ukuba kuthathwe gwenxa njengoxinzelelo oluqhelekileyo.
- Unyango oluphambili apha 'zizinto ezizinzisa imeko yengqondo', kwaye amayeza okudakumba aqhelekileyo anokubangela ukuba imeko ibe mandundu.
- Esi sisifo esinzulu esinomngcipheko omkhulu wokuzibulala. Ngoko ke, akufuneki uyeke okanye utshintshe unyango lwakho ngaphandle kwengcebiso kagqirha wakho.
- Ukuba wena okanye umntu omaziyo uhlangabezana nezi mpawu okanye ucinga ngokuzibulala, nceda ufune ingcebiso kagqirha ngokukhawuleza. Ngonyango olufanelekileyo, ngokuqinisekileyo ungaphila ubomi obungcono.
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