Ngaba uziva ngathi iimvakalelo zakho, nokuba lulonwabo okanye lusizi, ziyanyuka zize zihle ngesantya esimangalisayo? Ngaba uziva wonwabile kwaye unamandla namhlanje, uze uzive ulusizi kwaye ungenanto kangangokuba awukwazi nokuvuka ebhedini ngomso? Lo mjikelo ukhawulezayo weemvakalelo unokunxulunyaniswa nesifo sengqondo esibizwa ngokuba yi-bipolar disorder . Makhe sithethe ngale nto namhlanje, njengokuthetha nomhlobo.
Yintoni kanye kanye iRapid Cycling?
Ngamafutshane, i-Rapid Cycling yindlela yokutshintsha rhoqo, ngokukhawuleza kweemeko zengqondo kumntu one-Bipolar Disorder. Ngokukodwa, oogqirha bayibiza ngokuba yi-Rapid Cycling ukuba ufumana ubuncinane iziganeko ezine okanye ngaphezulu ezahlukeneyo ze-mania, i-hypomania, okanye ukudakumba ngonyaka .
Into ebalulekileyo ekufuneka uyiqonde apha kukuba esi asisosifo esahlukileyo. Luphawu lweBipolar Disorder, okanye "i-course specifier." Le ndlela inokuqala nangaliphi na ixesha, kwaye inokuphela ngokuhamba kwexesha ngonyango. Ngoko ke musa ukuyicinga njengento eza kuhlala ikhona.
Ngubani onokuba nethuba elikhulu lokufumana le meko?
Isifo se-bipolar sinokuchaphazela nabani na. Sichaphazela inxalenye enkulu yabemi behlabathi. Kwabo, phakathi kwe-10% kunye ne-20% banokuhlangabezana nokujikeleza ngokukhawuleza .
Uphando lufumanise ukuba le meko inokwenzeka kancinci kubasetyhini nakwabo baneBipolar II Disorder.
Iimpawu zesifo se-bipolar zihlala ziqala ukubonakala kubantu abancinci, malunga neminyaka eli-18 ukuya kwengama-25 ubudala. Ngokuqhelekileyo, esi sifo sifunyanwa ngaphambi kokuba sifikelele kwiminyaka engama-50 ubudala. Ukuba umntu osondeleyo kuwe (umama, utata, umntakwenu) unesifo se-bipolar, nawe usengozini yokuba nale meko.
Ziziphi iimpawu eziphambili zeBipolar Disorder?
Ngaphambi kokuba siqonde oku kujikeleza ngokukhawuleza, makhe sifunde kancinci malunga neemeko ezintathu eziphambili zengqondo zeBipolar Disorder.
| Isiqendu seMood | Kalula nje... |
|---|---|
| I-Mania | Ukuziva uchulumancile ngendlela engaqhelekanga kwaye ugcwele amandla. Le meko ihlala ubuncinane iveki. Izinto ezinje ngokungakwazi ukulala ebusuku, ukuthetha kakhulu, ukuchitha imali ngokungakhathali, kunye nokuthatha amanyathelo anobungozi zinokwenzeka ngeli xesha. |
| I-Hypomania | Le yimeko yovuyo olungenabunzima kangako, olulawulekayo. Ihlala ubuncinane iintsuku ezine. Kusekho ulonwabo namandla amaninzi ngeli xesha, kodwa ayiphazamisi ubomi bemihla ngemihla njengokuba isenza ngexesha lokuphambana. Abantu abaninzi bacinga ngeli xesha "njengexesha lemood emnandi." |
| Uxinzelelo Olukhulu | Iimvakalelo zosizi olukhulu, ukuphelelwa lithemba, kunye nokuphelelwa ngumdla kwizinto obukade uzonwabela zixhaphakile ngeli xesha. Iimpawu ezifana nokuziva udiniwe, ukudinwa rhoqo, utshintsho ebuthongweni nasekutyeni, kunye nokuphoxeka ebomini zixhaphakile. |
Kwabaninzi abantu abasebenzisa i-rapid cycling, bachitha ixesha elininzi kwiimeko zokudakumba kunakwi-mania okanye kwi-hypomania. Oku kuthetha ukuba bafumana amaxesha okudakumba rhoqo, kunye namaxesha amafutshane e-euphoria (manic/hypomanic) okanye imood eqhelekileyo.
Ugqirha ufumanisa njani ukuba uneRapid Cycling?
Oku ngamanye amaxesha kunokuba nzima ukukubona, kuba ngamanye amaxesha isiqendu esinye sisenokungapheleli ngokupheleleyo, kodwa sisenokuba sixhaphake kakhulu. Kunokuba nzima ukufumanisa ukuba ziziqendu ezine ezahlukeneyo okanye kukutshintshatshintsha nje okukodwa.
Enye yezona ngxaki zinkulu ngale nto kukufumanisa isifo ngendlela engafanelekanga . Ekubeni abantu abaninzi abaneRapid Cycling nabo bedandathekile, kusenokwenzeka ukuba bachongwe ngendlela engafanelekanga njenge "uxinzelelo oluqhelekileyo" okanye "uxinzelelo oluqhelekileyo" endaweni yesifo se-bipolar.
Cinga ngale ndlela. Uya kugqirha ukuze umxelele ngosizi lwakho olukhulu kunye nokudakumba. Kodwa awumxeleli ngengxaki ye-hypomania ngamanye amaxesha. Kuba ucinga ngayo "njengexesha elimnandi, elivuyisayo okwethutyana, xa unokwenza okuninzi," kungekhona njengophawu lokugula. Emva koko ugqirha ufumana icala elinye kuphela lebali. Yiyo loo nto engayiqondi ngokupheleleyo indlela ovakalelwa ngayo.Oko kuthetha ukuba kubaluleke kakhulu ukuthetha ngokukhululekileyo nogqirha wakho malunga nobunzima nobunzima.
Zithini iindlela zonyango zoku?
Abantu abaninzi abanesifo sokuhamba ngebhayisekile ngokukhawuleza baneempawu ezinkulu zokudakumba. Ngoko ke injongo ephambili yonyango kukuzinzisa imo yakho ('ukuzinzisa imo yakho'). Oko kukuthi, ukuthintela iziganeko ezintsha ngelixa unciphisa ukudakumba.
Ngaba kufuneka ukhathazeke ngamayeza okudakumba?
Izifundo zibonise ukuba amayeza okudakumba ngokubanzi, anjenge-fluoxetine (Prozac) kunye ne-sertraline (Zoloft), awasebenzi kakuhle ekunyangeni isifo se-bipolar esikhawulezayo. Ngamanye amaxesha angenza iziqendu zibe zimbi ngakumbi . Yiyo loo nto oogqirha abaninzi bethandabuza ukusebenzisa la mayeza kubantu abasebenzisa i-rapid cycling, ingakumbi ixesha elide.
Ngoko ke zeziphi iindlela zonyango eziphambili?
Unyango oluphambili apha ngamayeza okulungisa imeko yengqondo .
- `carbamazepine (Tegretol)`
- ` ILamotrigine (iLamictal)`
- `i-lithium (iLithobid)`
- `i-valproate (iDepakote)`
Ezi zezona zinto ziphambili kunyango. Ngamanye amaxesha, iyeza elinye lodwa lisenokunganeli ukulawula lo mjikelo ukhawulezayo. Kwimeko enjalo, ugqirha unokugqiba ekubeni anike amayeza amabini okanye ngaphezulu kunye.
Ukongeza, amanye amayeza okulwa nesifo sengqondo, anjenge-olanzapine (Zyprexa) okanye i-quetiapine (Seroquel), asetyenziselwa ukunceda ukuzinzisa imeko yeemvakalelo, nokuba kukho isifo sengqondo okanye akunjalo.
Kubaluleke kakhulu: Musa ukuyeka ukusebenzisa amayeza owanikwe ngugqirha wakho, nokuba uzive uphilile kwaye awunazo naziphi na iingxaki. Qhubeka usebenzisa la mayeza ukuze uthintele iziganeko ezizayo. Ukuba ufuna ukunciphisa okanye ukuyeka amayeza akho, yenza njalo kuphela phantsi kwengcebiso kagqirha wakho .
Zithini iingozi zokukhwela ibhayisekile ngokukhawuleza?
Le yingongoma enzima ukuthetha ngayo, kodwa kubalulekile ukuyazi. Umngcipheko omkhulu onxulunyaniswa nokujikeleza ngokukhawuleza kwi-bipolar disorder kukuzibulala . Abantu abanesifo se-bipolar banamathuba aphindwe kalishumi ukuya kwamashumi amabini okuzibulala kunabo bangenayo. Okubuhlungu kukuba, phakathi kwe-8% kunye ne-20% yabantu abanesifo se-bipolar bafa ngenxa yokuzibulala.
Lo mngcipheko unokuba phezulu nangakumbi kubantu abaneepatheni zokukhwela ibhayisekile ngokukhawuleza. Basenokufuna ukulaliswa esibhedlele rhoqo, kwaye iimpawu zabo zinokuba nzima ukuzilawula.
Nangona kunjalo, unyango olufanelekileyo lunokunciphisa kakhulu le ngozi.Ngokukodwa, ukusetyenziswa ixesha elide kwesiyobisi i-lithium kuye kwabonakala kunciphisa umngcipheko wokuzibulala.
Ukongeza, abantu abanesifo sengqondo esibizwa ngokuba yi-bipolar disorder basengozini yokuba likhoboka leziyobisi notywala. Ezi ziyobisi zinokwenza imeko ibe mandundu kwaye kube nzima ukuyilawula.
Umyalezo Wokuya Ekhaya
- I-Rapid Cycling ayisosifo esahlukileyo, kodwa yindlela ekwiBipolar Disorder. Ukuba ufumana utshintsho olucacileyo lwemood (iziqendu) ngaphezu kwezihlandlo ezine ngonyaka, isenokuba yile ndlela.
- Abantu abaninzi abanale ndlela bafumana iimpawu zokudakumba ezingaphezulu, ezinokuchongwa gwenxa njengoxinzelelo oluqhelekileyo.
- Injongo ephambili yonyango kukulawula iimvakalelo kusetyenziswa izinto ezizinzisa iimvakalelo. Ii-antidepressants zisetyenziswa ngononophelo olukhulu.
- Thetha ngokukhululekileyo nogqirha wakho malunga nexesha lakho lokuxhalaba (hypomania) kunye nokungonwabi.
- Nokuba uzive ungcono, ungayeki ukuthatha amayeza akho ngaphandle kwengcebiso kagqirha wakho. Unyango yeyona ndlela ilungileyo yokukunceda.
- Ukuba wena okanye umntu omaziyo unengxaki yokungakhululeki, musa ukuba wedwa. Bona ugqirha ngokukhawuleza uze ucele uncedo. Ngonyango olufanelekileyo, ungayilawula le meko kwaye uphile ubomi obuqhelekileyo.
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