Ingabe ngezinye izikhathi uzizwa sengathi ungenza noma yini, futhi uzizwa unamandla amakhulu? Kodwa ngesikhathi esifanayo, ingabe ngezinye izikhathi uzizwa udabuke kakhulu futhi ungenampilo kangangokuthi awukwazi ngisho nokuvuka embhedeni? Uma imizwa yakho ifana nokugibela i-roller coaster, ungase uhlaselwe yisifo sengqondo esibizwa ngokuthi i-Bipolar I Disorder ngaphandle kokuqaphela. Ungesabi ukuzwa lokhu. Akulona iphutha lakho. Ake sixoxe ngalokhu ngokukhululekile nangokulula.
Kuyini ngempela i-Bipolar I Disorder?
Kalula nje, i-Bipolar I Disorder yisimo sempilo yengqondo esibangela ukuphakama nokwehla okukhulu kwemizwa yakho, izinga lamandla, kanye nomsebenzi. Sasibizwa nangokuthi "isifo sokucindezeleka esibangelwa ukudabuka kwengqondo."
Uma une-Bipolar I Disorder, uke waba nesiqephu esisodwa "se-mania" esihlala isonto noma ngaphezulu . Isiqephu se-manic yisikhathi lapho isimo sakho sengqondo sijabule noma sicasukile ngendlela engavamile, futhi uzizwa unamandla ngendlela engavamile. Ukuziphatha kwakho kushintsha kakhulu ngalesi sikhathi.
Abantu abaningi abane-Bipolar I Disorder nabo babhekana nezikhathi " zokucindezeleka " ngaphezu kwezigameko zabo zokudabuka. Lokhu kungenza kube sengathi basesimweni esishintshashintshayo semizwa. Kodwa phakathi kwalezi zikhathi eziphakeme neziphansi, kunezikhathi lapho ungaphila khona impilo evamile ngaphandle kwezimpawu.
Uyini umehluko phakathi kwezinhlobo ze-bipolar?
Kunezinhlobo eziningana eziyinhloko zesifo sokuphazamiseka kwengqondo okuguquguqukayo, ngasinye sinendlela ehlukile.
| Uhlobo lwe-Bipolar | Incazelo elula |
|---|---|
| Isifo se-Bipolar I | Lolu uhlobo olubi kakhulu. Kunezigameko ezinzima 'zokuphazamiseka kwengqondo' ezingathinta kakhulu impilo. Abanye abantu bangase babe nokucindezeleka, kanti abanye bangase balahlekelwe yikho. |
| Isifo se-Bipolar II | Yilapho kuvela khona iziqephu zesimo sengqondo esiphakeme, ezibizwa ngokuthi 'i-hypomania', ezingabi zimbi kakhulu kune-mania. Lezi zishintshana ngezikhathi zokucindezeleka. |
| I-Cyclothymia | Lolu uhlobo oluthambile kakhulu. Nakuba kunezinkathi ezinde zokushintshashintsha kwemizwelo, azikho i-mania egcwele noma ukucindezeleka okuphelele. |
Yiziphi izimbangela zalesi simo?
Akukho sizathu esisodwa esitholakele salokhu okwamanje, kodwa abacwaningi bakholelwa ukuthi kuyinhlanganisela yezici eziningana.
- I-Brain Biology: Ezinye izifundo zisikisela ukuthi isakhiwo kanye nomsebenzi wobuchopho babantu abane-Bipolar I Disorder kuhlukile kancane kokwabanye abantu. Lokhu kwehluka kungathinta indlela ubuchopho obucubungula ngayo izinto ezifana nemizwa nokucindezeleka.
- Izakhi zofuzo: Akukho "zakhi zofuzo eziguquguqukayo" ezithile. Kodwa-ke, uma othile emndenini wakho, ikakhulukazi umzali noma umfowenu noma udadewenu, enalesi simo, usengozini enkulu yokuba naso.
- Izici Zemvelo: Indawo esihlala kuyo nezinto ezenzekayo ekuphileni kwethu zingathinta ukwenzeka kwalesi simo.
Lezi ngokuvamile zingabonakala njengezici eziyingozi :
- Ukuba nelungu lomndeni elinesifo sokuphazamiseka kwengqondo okuguquguqukayo.
- Izehlakalo ezibuhlungu ngesikhathi sobuntwana (isib. ukuhlukunyezwa, ukunganakwa, izingxabano zomndeni).
- Izehlakalo ezicindezela kakhulu, njengokufa komuntu omthandayo .
- Ukusetshenziswa kwezidakamizwa notshwala.
- Ukuba nezinye izimo zempilo yengqondo njengokukhathazeka nokucindezeleka.
Ziyini izimpawu ze-Bipolar I?
Uma une-Bipolar I Disorder, ungase ube nezikhathi lapho imizwa yakho inamandla kakhulu kunokujwayelekile. Phakathi nalezi "zigameko zemizwa," ungase uziphathe ngezindlela ezihluke kakhulu endleleni ovame ukuziphatha ngayo. Isibonelo, ungase ulale kancane kakhulu, ukhuthele ngokweqile , noma uthathe izinyathelo eziyingozi ngaphandle kokucabanga ngemiphumela.
Ungase ungaziboni ngisho nalezi zinguquko. Lezi zimpawu zingahlala usuku lonke, izinsuku, amasonto, noma ngisho nezinyanga.
| Izimpawu Zesiwombe Sokuhlanya | Izimpawu Zokucindezeleka |
|---|---|
| Ukugxuma ngokushesha kusuka komunye umqondo kuya komunye | Ukuzizwa udabukile kakhulu futhi ungenalutho |
| Ukukhuluma ngokuzwakalayo noma ngokushesha okukhulu | Ukuzizwa ubuthakathaka, ukhathele |
| Ukuzizwa unamandla amangalisayo emzimbeni | Ukuzizwa ungakhululekile |
| Ukuncipha kwesidingo sokulala nokudla | Ukulala kakhulu noma ukungalali ngokwanele |
| Ukuzethemba ngokweqile | Ubunzima bokukhumbula izinto nokucabanga |
| Ukuchitha imali eningi kakhulu | Ukulahlekelwa isithakazelo ezintweni obuzijabulela ngaphambili |
| Imizwa yocansi eyeqile | Ukuba nemicabango ngokufa noma ukuzibulala |
Uma ukuhlanya kukubi kakhulu, ngezinye izikhathi kungaba nzima ukubona umehluko phakathi kweqiniso nephupho. Lokhu kubizwa ngokuthi 'i-psychosis'.
Ngezikhathi ezinje,
- Ukuzizwa sengathi abanye bazama ukukulimaza (ukukhohlisa).
- Ukuzwa izinto ezingekho (ukubhula).
- Izinto ezingekho ziyabonakala.
- Bacabanga ukuthi bangenza izinto ezingenakwenzeka, ezingenakwenzeka.
- Bakholelwa ukuthi banamandla noma umsebenzi okhethekile waphezulu.
Ungasithola kanjani lesi sifo?
Akukho ukuhlolwa okuqondile kokuthola i-Bipolar I Disorder. Udokotela uzoyixilonga ngokukhuluma nawe futhi athole ulwazi mayelana nemizwa yakho, amazinga amandla, kanye nezindlela zokuziphatha.
Udokotela wakho angalandela lezi zinyathelo:
1. Ukuhlolwa Komzimba: Okokuqala, udokotela wakho uzohlola ukuze abone ukuthi kukhona yini esinye isizathu esingokomzimba salezi zimpawu. Lokhu kungafaka phakathi ukuhlolwa kwegazi.
2. Ukuhlolwa Kwempilo Yengqondo: Udokotela uzobuza imibuzo mayelana nemizwa yakho, imicabango, kanye nokuziphatha kwakho. Bazozama ukuqonda ukuthi lezi zimpawu zithinta kanjani impilo yakho yansuku zonke, umsebenzi kanye nobudlelwano bomndeni.
3. Idayari Yesimo Sengqondo: Udokotela wakho angase akucele ukuthi ugcine idayari yemizwa yakho, amazinga amandla, kanye nezindlela zokulala. Lokhu kungakusiza ukuthi uqonde izindlela zakho.
4. Ukukhuluma nomndeni nabangane: Ngemvume yakho, udokotela angakhuluma nalabo abaseduze nawe futhi abuze ngokuziphatha kwakho. Ngoba ngezinye izikhathi asiziqondi thina, umehluko ungabonakala ngokucacile ngomuntu obheka ngaphandle.
Iphathwa kanjani?
Kunezindlela zokwelapha eziphumelela kakhulu zalesi simo. Ngokuvamile zihilela inhlanganisela yemithi kanye nokwelashwa kwengqondo.
Imithi
Imithi iyasiza kakhulu ekulawuleni nasekuvimbeleni izigameko zokusangana. Ngokuvamile, kunikezwa inhlanganisela yemithi eminingana.
- Izinzinzisi Zesimo Sengqondo: Lezi zisiza ukulawula i-mania kanye ne-hypomania. Izibonelo: I-Lithium, i-Valproic acid, i-Carbamazepine.
- Ama-antipsychotics: Lawa asetshenziselwa ukuvimbela nokwelapha izigameko zokusangana. Izibonelo: I-Olanzapine, i-Risperidone, i-Quetiapine.
- Ama-antidepressant: Ngenxa yokuthi lokhu kungabangela ukusangana uma kusetshenziswa wedwa, odokotela bakunikeza lokhu kanye nomuthi oqinisa imizwa.
Ukwelashwa okungeyona imithi
Kanye nemithi, lezi zinto nazo zibaluleke kakhulu.
- Ukwelapha Ngengqondo: Uhlobo lokwelapha ngenkulumo olukusiza ukuthi uphathe imicabango yakho kanye nokuziphatha kwakho futhi ufunde ukuphila nesifo. Ukwelapha Ngokuziphatha Kokuqonda (i-CBT) kuyindlela ephumelelayo esetshenziswa kulokhu.
- Ukwelashwa Nge-Electroconvulsive (ECT): Ukwelashwa okuphephile kakhulu futhi okusebenzayo kwe-mania enzima noma ukucindezeleka okungaphenduli emithini.
Ungaphila kanjani ngempumelelo ne-Bipolar I?
Ngaphezu kokwelashwa, kunezinto eziningi ongayenza wena ngokwakho.
- Qopha imizwa yakho: Zinike isikhathi esincane nsuku zonke ukubhala phansi ukuthi uzizwa kanjani. Ngokuhamba kwesikhathi, uzoqala ukuqonda amaphethini akho.
- Thola izinto ezibangela lokhu: Cabanga ngezinto ezenza izimpawu zakho zibe zimbi kakhulu. Kungaba ukucindezeleka, ukungalali kahle, noma ushintsho olukhulu empilweni.
- Qaphela izimpawu zokuqala: Ungase uqaphele izinguquko ezincane ebuthongweni bakho, ezingeni lamandla, kanye nokuziphatha ngaphambi kokuba kwenzeke isenzakalo semizwa. Uma uzazi lezi zimpawu eziyisixwayiso, ungathola usizo ngokushesha.
- Yenza isimiso: Ukujwayela ukudla, ukuphuza imithi, nokulala ngesikhathi esifanayo kuzosiza ingqondo yakho izizwe izinzile.
- Zinakekele: lala ngokwanele, yidla ukudla okunomsoco, uvivinye umzimba. Thola izindlela zokunciphisa ukucindezeleka.
- Thola ukwesekwa: Yakha inethiwekhi yomndeni nabangane abakholelwa kuwe. Uma kudingeka, joyina iqembu lokusekelana nabantu abaye baba nokuhlangenwe nakho okufanayo.
- Yenza uhlelo oluphuthumayo: Bhala phansi lokho okudingeka ukwenze uma unesimo sengqondo esibi, kanye namagama nezinombolo zocingo zabantu okudingeka ukhulume nabo (udokotela, umndeni). Yabelana ngalolu hlelo nalabo abaseduze nawe.
Umlayezo Wokuya Nawe Ekhaya
- I-Bipolar I Disorder yisimo esibangela ukushintshashintsha okukhulu kwemizwelo. Akulona iphutha lakho.
- Lesi simo sinezigaba ezimbili eziyinhloko: 'i-mania', okuyinjabulo/amandla amaningi ngokweqile, kanye 'nokucindezeleka', okuyisizi esikhulu.
- Lesi yisimo esiyinkimbinkimbi esibangelwa inhlanganisela yezakhi zofuzo, i-biology yobuchopho, kanye nezici zemvelo.
- Ngemithi efanele kanye nokwelashwa kwengqondo, lesi simo singalawulwa ngempumelelo futhi impilo egcwele nephumelelayo ingaphilwa.
- Uma wena noma othile omaziyo enalezi zimpawu, ungangabazi ukubona udokotela bese uthola iseluleko. Leyo yinto engcono kakhulu nephephile ongayenza.
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