Xa ugqirha ekuxelela, ilungu losapho, okanye umhlobo, ukuba unesifo se-bipolar disorder , kuyinto eqhelekileyo ukuziva uxinezelekile kwaye uxhalabile. "Ndenze ntoni ngoku? Ngaba kukho unyango olufanelekileyo loku? Ngaba oku kunokunyangeka?" Usenokuba nemibuzo emininzi engqondweni yakho. Kodwa ungakhathazeki. Isifo se-bipolar sisifo esilawulekayo. Masithethe ngonyango olufumanekayo, ngalunye ngalunye, ngendlela elula kakhulu.
Amayeza aphambili asetyenziselwa isifo se-bipolar
Xa benyanga isifo se-bipolar, oogqirha bagxila kwiintlobo ezintathu eziphambili zamayeza. Ezi zizinzisa imeko yengqondo, amayeza okuthintela ingqondo, kwaye ngamanye amaxesha amayeza okudakumba. Kodwa khumbula, unyango alupheleli nje kumayeza . Ukuze ufumane iziphumo ezilungileyo, ludla ngokubandakanya indibaniselwano yeyeza elinye okanye ngaphezulu kunye nohlobo lonyango lokuthetha olubizwa ngokuba yi-psychotherapy .
Ngoku makhe sibone ukuba zeziphi ezi ziyobisi kwaye kwenzeka ntoni kuzo.
| Udidi lweziyobisi | Amayeza asetyenziswa rhoqo (imizekelo) | Ngamafutshane, wenza ntoni ngezi zinto? |
|---|---|---|
| Izinto Ezizinzisa Imvakalelo | I-Lithium Carbonate I-Valproic Acid (iDepakote) ICarbamazepine (iTegretol) I-Lamotrigine (iLamictal) | Ezi ziintsika zonyango. Zinceda ekulawuleni utshintsho lweemvakalelo phakathi kweengxaki ezinzulu zokuthanda ukungcangcazela kunye nokudakumba. Zibaluleke kakhulu ekulawuleni iziqendu zokuthanda ukungcangcazela kunye nokuthintela ukuphinda ubuye. |
| Ii-antipsychotics | I-Olanzapine (iZyprexa) I-Risperidone (iRisperdal) IQuetiapine (iSeroquel) I-Aripiprazole (Abilify) I-Lurasidone (iLatuda) | Ezi zikwanceda ekuzinziseni imeko yeemvakalelo. La mayeza anikwa ukulawula ngokukhawuleza iimpawu ze-psychosis, ezinje ngokubona izinto ezingekhoyo kunye nokuphupha izinto ezingaqhelekanga, ingakumbi ngexesha lomsebenzi omninzi (mania). Ngamanye amaxesha anikwa kunye nezinto ezizinzisa imeko yeemvakalelo. |
| Amayeza okudakumba | I-Fluoxetine NjengoSertraline... | Ezi zisetyenziswa ngononophelo olukhulu. Zinikwa ukulawula ukudakumba kwi-bipolar disorder. Nangona kunjalo, ukuba zisetyenziswa zodwa, ngamanye amaxesha zinokubangela i-mania. Ke ngoko, zihlala zinikwa kunye ne-mood stabilizer. |
Izinto ezibalulekileyo ekufuneka uzazi xa usebenzisa amayeza
Khumbula, ayingomzimba womntu wonke ofanayo. Ke ngoko, kungathatha ixesha ukufumana iyeza elifanelekileyo kunye nedosi efanelekileyo kuwe . Ugqirha wakho uza kuqala ngokukunika iyeza elinye aze abone ukuba likuchaphazela njani. Kusenokufuneka uzame amayeza ahlukeneyo. Oku kuqhelekile, ngoko ungakhathazeki.
Amanye amayeza, ingakumbi i-lithium, anokuba yityhefu xa ethathwa ngobuninzi. Yiyo loo nto ugqirha wakho eza kukucela ukuba uvavanye igazi ngamanye amaxesha . Musa ukulibazisa eli vavanyo. Kungenxa yokhuseleko lwakho.
Unyango olungelulo olusebenzisa amayeza
Amayeza yinxalenye enye yolu hambo. Kukho nezinye iindlela zonyango ezibaluleke ngokulinganayo.
Unyango lwengqondo - Unyango ngokuthetha
Ngamafutshane, le yindlela yokuthetha. Oku kubaluleke kakhulu.
- Qonda imeko yakho: Oku kuya kukunceda uqonde isizathu sokuba kwenzeke oku kunye nendlela yokuphila nayo.
- Ulawulo lweeMvakalelo: Ungafunda iindlela zokuqaphela nokulawula iimvakalelo ezifana nolonwabo olukhulu kunye nosizi olukhulu xa zivela.
- Sebenzisa amayeza ngokuchanekileyo: Abanye abantu bayayeka ukuwasela amayeza abo xa beziva bengcono. Oku kuyingozi kakhulu. Unyango lwengqondo lunokunceda ekuqiniseni imfuneko yokuqhubeka nokuwasela amayeza.
- Xhasa usapho: Oku akuncedi nje kuphela isigulana, kodwa nosapho luqonde esi sifo. Kukho iindlela ezahlukeneyo phantsi koku ezifana ne-Cognitive- behavioral therapy (CBT), i-Family Therapy.
Unyango lwe-Electroconvulsive (ECT)
Abanye abantu bayoyika xa besiva eli gama. Kuba livezwe ngolo hlobo kwiimuvi. Kodwa eneneni , i-ECT yanamhlanje lunyango olukhuselekileyo, olungenantlungu, nolusebenzayo kakhulu.
Oku kwenziwa phantsi kwe-anesthesia epheleleyo, oko kuthetha ukuba awuyi kuva nto. Kunganceda ngokukhawuleza abantu abanengxaki yokudakumba okanye i-mania, abangasabeliyo kumayeza, okanye abaneempawu eziya ziba mandundu ngexesha lokukhulelwa.
Ezinye iindlela zonyango zanamhlanje
Ukongeza koku, kukho nezinye iindlela zonyango zanamhlanje.
- I-VNS (Vagus Nerve Stimulation): Isixhobo esincinci esifakwe emzimbeni esithumela imiqondiso yombane kwimithambo-luvo ukulawula ukudakumba.
- I-TMS (Transcranial Magnetic Stimulation): Ukuvuselela iiseli ezilawula imood engqondweni kusetyenziswa i-magnetic coil.
- Unyango Lokukhanya : Abanye abantu bafumana uxinzelelo oluphezulu ngexesha leenyanga zasebusika (iSeasonal Affective Disorder). Abantu abanjalo banokunciphisa uxinzelelo lwabo ngokuchitha imizuzu engama-20-30 yonke imihla phambi kwebhokisi yokukhanya ekhethekileyo.
Ukulungisa imeko-bume yasekhaya kunye nendima yamalungu osapho
Ukuba uhlala nomntu onesifo sengqondo esibizwa ngokuba yi-bipolar disorder, inkxaso yosapho ibaluleke kakhulu. Zininzi izinto onokuzenza.
- Indawo ezolileyo: Gcina indawo yasekhaya izolile kangangoko unako. Kuphephe ukukhwaza nokulwa, ingakumbi ngexesha loxinzelelo olukhulu.
- Isiqhelo esiqhubekayo: Hlala usitya, usela, ulala, kwaye uzilolonge rhoqo. Ukulala ngokwaneleyo kubaluleke kakhulu . Ukungalali ngokwaneleyo kunokubangela isiganeko sokuphambana.
- Kuphephe ukuvuselela ingqondo ngokugqithisileyo: Izinto ezifana neepati ezinkulu, ingxolo enkulu, nokubukela iTV rhoqo kunokunyusa iimpawu ze-mania.
- Ziphephe utywala neziyobisi: Ezi zingenza iimpawu zibe zimbi ngakumbi kwaye zinciphise ukusebenza kakuhle kwamayeza.
Izinto onokuzenza ngexesha le-mania!
Ngexesha lokuphambana, isigulana sinokulahlekelwa yingcinga yokuba senza ntoni. Sisenokulingeka ukuba senze izinto eziyingozi ezifana nokuqhuba ngesantya esiphezulu, ukuzibandakanya kwimidlalo eyingozi, kunye nokuchitha imali eninzi.
Kwimeko enjalo, luxanduva lwakho njengelungu losapho ukufowunela ugqirha ngoko nangoko . Nokuba isigulana asifuni unyango, chaza imeko kwaye ucele ingcebiso kugqirha. Ukungenelela kwangoko kunokuthintela nokulaliswa esibhedlele. Nciphisa iziselo ezine-caffeine ezifana neti, ikofu, kunye ne-cola. Musa ukunika utywala konke konke.
Umyalezo Wokuya Ekhaya
- Unyango lwe-bipolar disorder ludibaniso lwamayeza kunye ne-psychotherapy, zombini ezi zinto zibaluleke ngokulinganayo.
- Kungathatha ixesha ukufumana amayeza afanelekileyo kunye nomlinganiselo ofanelekileyo kuwe. Yiba nomonde kwaye umthembe ugqirha wakho.
- Inkxaso nokuqonda kosapho lwakho kubalulekile ukuze unyango luphumelele. Babandakanye nabo kule nkqubo.
- Landela imiyalelo kagqirha ngokuchanekileyo. Yiya kwiikliniki ngemihla emiselweyo kwaye ufumane uvavanyo olufunekayo.
- Xa kuvela iimpawu ze-mania, yithathe njengengxamiseko kwaye ufune ingcebiso kagqirha ngoko nangoko.
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