Ngaba wena okanye umntu omaziyo unesifo se-bipolar? Ngoko uyazi ukuba kunzima kangakanani ukugcina ingqondo yakho ikwindawo enye. Ngolunye usuku uziva wonwabile kwaye uchulumancile kakhulu (sikubiza oku ngokuba yi-mania). Ngosuku olulandelayo uziva ulusizi kwaye udandathekile kangangokuba awufuni ukuhlala emhlabeni. Ezi ngxaki zinokubangela ukuba ubomi budideke kakhulu. Namhlanje siza kuthetha ngoxinzelelo oluvela ngexesha lesi sifo se-bipolar, oko kukuthi, uxinzelelo lwe-bipolar . Makhe sithethe ngonyango lwale nto ngendlela elula onokuyiqonda.
Ziziphi iindlela eziphambili zonyango lokudakumba kwengqondo okuguquguqukayo?
Ngaphambili, ezi meko zazinyangwa ngamayeza abangela ukozela kakhulu kwaye aneziphumo ebezingalindelekanga ezininzi. Kodwa oko akusekho njalo. Isayensi yezonyango ihambele phambili kakhulu. Namhlanje, izinto ezizinzisa iimvakalelo zezona ziphambili kunyango lwe-bipolar disorder.
Ngamafutshane, la mayeza anceda ukulawula olu tshintsho lweemvakalelo kwaye agcine imo yakho izinzile. Nangona elawula iziganeko zokudakumba, akwanceda ukuthintela iziganeko zokudakumba.
Khumbula, iziganeko zokudakumba zixhaphake kakhulu kuneziganeko ze-manic kwi-bipolar disorder, ngoko ke kubalulekile ukunyanga oku ngokufanelekileyo.
Ezinye zezona ntlobo ziphambili zezinto ezizinzisa imeko yengqondo ezicetyiswa ngoogqirha zezi:
- I-Lithium
- I-Lamotrigine
- I-Valproate
- I-Carbamazepine
Ngamanye amaxesha, ugqirha wakho angasebenzisa la mayeza 'angekho kwileyibhile', nangona engavunywanga ngokusemthethweni kwi-bipolar depression. Oku kuthetha ukuba amayeza avunyiweyo kwesinye isifo ayasetyenziswa ukuba amava nolwazi lukagqirha lubonisa ukuba afanelekile kwesi sifo. Ezinye izigulana zinokuyilawula imeko yazo nge -mood stabilizer enye kuphela. Kodwa ukuba oko akwanelanga, ugqirha angagqiba ekubeni ongeze enye i-mood stabilizer okanye iyeza elivela kudidi olwahlukileyo lwamayeza.
Ngaba amayeza okudakumba asetyenziswa koku? Oku kunzima kancinci!
Lo ngumbuzo abantu abaninzi abawubuzayo. Nangona amayeza okudakumba esebenza kakhulu ekunyangeni uxinezeleko lwe-unipolar, asetyenziswa ngononophelo olukhulu kwi-bipolar depression.
Khawucinge nje, ukuba unika umntu onesifo se-bipolar disorder i-antidepressant engenaso isithinteli sengqondo, oko kunokubangela eso siganeko se-manic. Oko kukuthi, banokutshintsha ukusuka ekubeni noxinzelelo ukuya ekubeni ngumntu ophambanayo ukuya ekubeni ngumntu ophambanayo. Ngenxa yale ngozi, oogqirha abaze banike i-antidepressant yodwa kwisifo se-bipolar.
Enye yezinto ezifunyenweyo kuphando olukhulu olubizwa ngokuba yi-STEP-BD olwenziwe yiNational Institute of Mental Health (NIMH) eMelika kukuba ukongeza iyeza lokudakumba kwi-mood stabilizer akwenzanga mahluko mkhulu kwisiphumo. Oku kusenze saqonda ukubaluleka kokufumana ezinye iindlela zonyango lokudakumba kwe-bipolar.
Amayeza okulwa nesifo sengqondo anceda njani?
Izifundo zakutshanje zibonise ukuba amanye amayeza okulwa nesifo sengqondo asebenza kakhulu kwi-bipolar depression. La abizwa ngokuba yi-'Atypical Antipsychotics'.
Ngamafutshane, la mayeza asebenza ngokuchaphazela izithunywa zamakhemikhali (ii-neurotransmitters) ezingqondweni zethu ezilawula imo kunye nokuziphatha. Ugqirha wakho uza kuvavanya izinto ezilungileyo nezingalunganga zonyango ngalunye aze akukhethele unyango olungcono kakhulu lokoyisa ukudakumba kwakho ngaphandle komngcipheko we-mania.
Amanye amayeza okulwa nesifo sengqondo asetyenziselwa ukudakumba kwengqondo okuguquguqukayo adweliswe kwitheyibhile engasezantsi.
| Igama lesiyobisi (umzekelo) | Kusetyenziswa kwanjani |
|---|---|
| I-Lumateperone, iQuetiapine | Isetyenziswa yodwa njengonyango lwexesha elifutshane lokudakumba kwengqondo. |
| I-Olanzapine kunye neFluoxetine | La mayeza mabini asetyenziswa njengendibaniselwano. |
| I-Lurasidone | Isetyenziswa yodwa okanye xa idibene neLithium/Valproate. |
| I-Cariprazine | Nangona liyeza elivunyiweyo le-bipolar mania, lingasetyenziswa njengokhetho olungekho kwileyibhile yokudakumba. |
Masifunde nangezinto ezibangela ukudakumba ze-CNS.
Eli qela liquka amayeza abizwa ngokuba yi-benzodiazepines. Imizekelo ibandakanya amayeza afana neClonazepam, iLorazepam, kunye neAlprazolam.
Ezi zisetyenziswa kuphela kwiimeko ezibukhali ezifana nokungaphumli kakhulu, ixhala, kunye nokungalali. Ezi azingomayeza alungileyo okusetyenziswa ixesha elide. Zikwanomngcipheko omkhulu wokulutha . Ke ngoko, zisetyenziswa ixesha elifutshane kakhulu, phantsi kweliso elibukhali likagqirha.
Ngaba unyango lwe-electroconvulsive (ECT) luyinto yokoyika?
Unyango lwe-Electroconvulsive Therapy (ECT) lunokoyikisa abanye abantu, kodwa eneneni lunyango olusebenzayo nolukhuselekileyo lokudakumba okukhulu kwe-bipolar.
Ifanelekile ngokukodwa kwizigulana ezineempawu zengqondo okanye abo basengozini enkulu yokuzibulala . I-ECT ikwalunyango olukhuselekileyo nolusebenzayo kubafazi abanesifo sokudakumba okukhulu okanye i-mania ngexesha lokukhulelwa, ngaphandle kokulimaza umntwana.
Ngaba amayeza odwa awanele? Ukubaluleka konyango lwengqondo
Oku kubaluleke kakhulu. Xa kunyangwa uxinzelelo lwe-bipolar, amayeza akwicala elinye kuphela. Elinye icala yi -psychotherapy .
Oku kuya kukunceda ulawule ngcono ubudlelwane bakho nabantu, usele amayeza akho njengoko kuyalelwe, kwaye uhlele imisebenzi yakho yemihla ngemihla (ukulala, ukuvuka, ukutya, kunye namaxesha okusela).
Enye into efunyenweyo kuphononongo lwe-STEP-BD olukhankanyiweyo apha ngasentla kukuba xa unyango lwengqondo olucwangcisiweyo ludityaniswe namayeza, izinga lokuchacha liyanda malunga ne-150%!
Kukho iindlela ezininzi ze-psychotherapy eziphumelelayo ezisetyenzisiweyo koku:
- Unyango Lokuziphatha Oluqondayo (i-CBT): Lukunceda uchonge kwaye utshintshe iingcinga zakho ezingalunganga kunye nokuziphatha.
- Unyango lwe-Interpersonal and Social Rhythm (IPSRT): Lukunceda ugcine isimo sengqondo esizinzileyo ngokulungelelanisa imisebenzi yakho yemihla ngemihla kunye nobudlelwane bakho nabantu.
- Unyango olujolise kusapho: Indlela yonyango ebandakanya usapho lwakho kwaye ilubandakanye kwinkqubo ngenkxaso yalo.
Umyalezo Wokuya Ekhaya
- Ukudakumba kweBipolar yimeko enokunyangeka. Ungaze unikezele. Ngonyango olufanelekileyo, ungaphila ubomi obuqhelekileyo.
- Eyona nto iphambili kunyango ngamayeza okulawula imeko yeemvakalelo. Sebenzisa la mayeza kanye njengoko ugqirha wakho ecebisa, ngokwemilinganiselo echanekileyo nangexesha elifanelekileyo.
- Amayeza okudakumba kufuneka asetyenziswe ngononophelo olukhulu. Ungaze uwasebenzise ngaphandle kweliso likagqirha.
- Unyango lwengqondo lubaluleke kakhulu njengamayeza. Xa ezi zinto zimbini zihambelana, iziphumo ziba zintle kakhulu.
- Ukuba unemibuzo, iinkxalabo, okanye iziphumo ebezingalindelekanga malunga nonyango lwakho, thetha ngazo ngokukhululekileyo nogqirha wakho. Musa ukufihlwa nantoni na.
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