Uzizwa sengathi isimo sakho sengqondo sinjengesiphepho? Ngezinye izinsuku uzizwa ujabule kakhulu, ujabule, futhi sengathi unganqoba umhlaba? Kodwa ngezinye izinsuku, ngaphandle kwesizathu, uzizwa unesithukuthezi ngokuphelele, udabuke, futhi ucindezelekile? Lolu hlobo lokushintshashintsha kwesimo sengqondo luwuphawu oluyinhloko lwesifo sengqondo esibizwa ngokuthi i-bipolar. Namuhla, sikhuluma ngesimo esithile esibizwa ngokuthi i-Bipolar II Disorder.
Kalula nje, iyini i-Bipolar II Disorder?
Igama elithi bipolar lisho "izinsika ezimbili." Lisho izinto ezimbili eziphambene, njengenyakatho neningizimu. Ku-bipolar disorder, lezi zinto ezimbili eziphambene yinjabulo/injabulo enkulu kanye nokudabuka/ukucindezeleka okukhulu.
Kuhlobo lwesibili lwe-bipolar, lokhu kuthokoza akukhuphuki kube yi-mania egcwele. Kunalokho, kukhona izinga lokujabula elingalawuleki kangako. Ngokwezokwelapha lokhu sikubiza ngokuthi i-hypomania . Kodwa-ke, abantu abaningi abanalesi simo bachitha isikhathi sabo esiningi ezikhathini zokucindezeleka okukhulu .
Umuntu onesifo sohlobo lwesibili se-bipolar uke waba nengxenye eyodwa ye- hypomania kanye nengxenye eyodwa yokucindezeleka okukhulu empilweni yakhe.
Ingabe zikhona yini izici ezithile eziyingozi zalesi simo?
Akukho sizathu esisodwa salokhu. Noma ubani angahlakulela lesi simo. Kodwa-ke, izici ezithile zingandisa ingozi.
- Umlando womndeni: Uma othile emndenini wakho oseduze (umama, ubaba, umfowenu noma udadewabo) enesifo sokuphazamiseka kwengqondo, nawe usengozini enkulu yokuba naso.
- Ubudala: Izimpawu zivame ukuqala lapho umuntu eseneminyaka engu-20 noma ekuqaleni kweminyaka engu-20. Iningi labantu abanalesi simo liba nalesi simo ngaphambi kokuba bafinyelele eminyakeni engu-50.
- Izinguquko zamakhemikhali ebuchosheni: Ukungalingani kwama-neurotransmitter ebuchosheni nakho kungabangela lokhu.
Ungayibona kanjani? Ziyini izimpawu?
Kuhlobo lwesibili lwe-bipolar, kunezimo ezimbili eziyinhloko zesimo sengqondo ezishintshashintshayo. Ake sibheke lezi ngokwehlukana.
| Isikhathi sesimo sengqondo | Izici ezibonakalayo |
|---|---|
| 1. I-Hypomania - isimo sokwethaba okukhulu |
|
| 2. Ukucindezeleka - isimo sokudabuka okukhulu |
|
Uma ubheka umuntu osesimweni sokungalali kahle, ubonakala ejabule kakhulu futhi enamandla. Bangaba "impilo yephathi," behlekisana nawo wonke umuntu, futhi benobungane kakhulu. Ngakho-ke ungase ucabange, "Pho yini engalungile ngalokho?"
Okubaluleke kakhulu, uma kungelashwa, i-hypomania ingaholela ekuziphatheni okungenangqondo, okungenampilo, nokuyingozi. Isibonelo, ukuqala ibhizinisi elikhulu ngaphandle kwemali, ukusebenzisa imali ngokunganaki, kanye nokuzibandakanya ekuziphatheni okuyingozi ngokocansi.
Yiziphi izindlela zokwelapha lokhu?
Uhlobo lwesibili lwe-bipolar luyisimo esingalawulwa kahle ngokwelashwa okufanele.Isimo. Kunemigomo emibili eyinhloko yokwelapha. Eyokuqala ukwelapha isiqephu samanje se-hypomania noma ukucindezeleka. Enye ukuvimbela izigameko zesikhathi esizayo. Udokotela wakho angase ancome izindlela ezahlukene zokwelapha lokhu.
Imithi
Izinhlobo eziningana zemithi zisetshenziswa kakhulu kulokhu. Into ebaluleke kakhulu ukungasebenzisi noma ukuyeka noma yimiphi yale mithi ngaphandle kweseluleko sikadokotela.
- Izinzinzisi Zemizwa: Lezi yingxenye eyisisekelo yokwelashwa. Zisiza ukulawula ukushintshashintsha kwemizwelo. Izibonelo: I-Lithium, i-Valproate, i-Lamotrigine, i-Carbamazepine.
- Ama-antipsychotics: Le mithi isetshenziselwa ukulawula i-hypomania kanye nokucindezeleka ngezinye izikhathi. Izibonelo: `Olanzapine`, `Quetiapine`, `Risperidone`.
- Ama-antidepressant: Lawa anikezwa izigameko zokucindezeleka. Kodwa-ke, ama-antidepressant avame ukunikezwa umuntu onesifo sokuphazamiseka kwengqondo kanye nomuthi oqinisa imizwa. Lokhu kungenxa yokuthi ama-antidepressant ewodwa ngezinye izikhathi angabangela i-hypomania.
- Ama-Benzodiazepine: Le mithi inikezwa isikhathi esifushane ukulawula izinto ezifana nokungalali kahle kanye nokungahlaliseki. Izibonelo: `Diazepam`, `Lorazepam`.
Udokotela wakho uzonquma umuthi kanye nomthamo ofanele wena. Kungathatha isikhathi ukuthola inhlanganisela efanele yemithi. Ungakhathazeki ngakho. Kubalulekile ukuba nesineke ngokwelashwa kwakho.
Amanye amaqiniso ambalwa mayelana nezidakamizwa
- Imiphumela emibi: Njenganoma yimuphi umuthi, imiphumela emibi efana nokucanuzela kwenhliziyo, ukukhuluphala, ukozela, kanye nokuthuthumela ingase ivele. Iningi lale miphumela iyanyamalala zingakapheli izinsuku ezimbalwa. Uma iqhubeka , khuluma nodokotela wakho ngokushesha.
- Ukuyeka ukwelashwa: Ungayeki ukuphuza imithi yakho ngokuzumayo ngoba nje uzizwa ungcono. Lokhu kungaba yingozi kakhulu. Izimpawu zakho zingase zibuye futhi zibe zimbi kakhulu. Udokotela wakho kuphela onganquma ukuthi uzoyeka imithi yakho noma ashintshe umthamo.
Ukwelapha ngengqondo
Kanye nemithi, ukwelashwa ngenkulumo nakho kubaluleke kakhulu. Ngalokhu, ungakwazi:
- Qonda kahle isimo sakho sezokwelapha.
- Qaphela izimpawu zokuqala zokuthi izimpawu zingase zibuye.
- Lawula ukucindezeleka.
- Qinisa ubudlelwano nomndeni nabangane.
- Qonda ukubaluleka kokuthatha imithi ngendlela efanele.
Izindlela ezifana ne-Cognitive Behavioral Therapy (CBT) zisebenza kahle kakhulu kulokhu.
Uyini umehluko phakathi kwe-bipolar I ne-bipolar II?
Lena indawo lapho abantu abaningi bedideka khona. Ake sicacise nalokhu.
| Isici | I-Bipolar I | I-Bipolar II |
|---|---|---|
| Isikhathi esijabulisayo | Isimo sokuhlanya okugcwele . Kuthinta kakhulu impilo yomphakathi kanye nomsebenzi. Kungadinga ngisho nokulaliswa esibhedlela. | Isimo esijabulisayo kancane ( hypomania ). Asibi sibi njenge-mania. Sibonakala njengenjabulo noma amandla amaningi. |
| Ukucindezeleka | Izigameko zokucindezeleka okukhulu zingenzeka, kodwa azinakugwenywa. | Izigameko zokucindezeleka ezinzima nezihlala isikhathi eside zivamile. |
| Umthelela jikelele | Iziqephu ze-Mania zinomthelela omkhulu empilweni. | Iziqephu zokucindezeleka zisongela kakhulu impilo, ngakho-ke lokhu akunakubhekwa njengohlobo "oluncane" lwe-Bipolar I. |
Umlayezo Wokuya Nawe Ekhaya
- Uhlobo lwesibili lwe-bipolar aluyona inkinga noma ubuthakathaka bakho. Yisimo sezokwelapha esingaphathwa kahle ngokwelashwa.
- Uma usola ukuthi wena noma othile omaziyo unalezi zimpawu, sicela ubonane nodokotela ofanelekayo, ikakhulukazi udokotela wezifo zengqondo.
- Kubaluleke kakhulu ukuphuza imithi yakho njengoba uyalelwe futhi ulandele imiyalelo kadokotela wakho. Ungayeki ukuphuza imithi yakho ngaphandle kweseluleko sikadokotela nganoma yisiphi isizathu.
- Awuwedwa. Kunezinkulungwane zabantu emhlabeni wonke abaphila ngempumelelo nalesi simo. Ngokusekelwa nokwelashwa okufanele, nawe ungaphila impilo ezinzile nejabulisayo.
- Uma ucabanga ukuzibulala, tshela umuntu oseduze nawe ngokushesha, bona udokotela wakho, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
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