Uzizwa unamandla futhi ujabule kangangokuthi unganqoba umhlaba ngezinye izinsuku? Kodwa ngezinye izinsuku, uzizwa udabukile futhi ungenalutho kangangokuthi awukwazi ngisho nokuvuka embhedeni? Siyazi ukuthi kunzima kangakanani ukuphila nezinguquko ezinkulu kangaka zemizwa. Namuhla, sizokhuluma ngesimo esibizwa ngokuthi i-bipolar disorder , okukhulunywa ngaso kodwa esingaqondwa ngokugcwele ngabantu abaningi, nokuthi udokotela angasixilonga kanjani ngokunembile.
Yini ebaluleke kakhulu ekuxilongweni?
Ngokuvamile sicabanga ukuthi ukuze sithole isifo, sidinga okuthile okufana nokuhlolwa kwegazi noma ukuskena. Kodwa-ke, uma kukhulunywa ngokuthola isifo sokuphazamiseka kwengqondo, indaba ihlukile kancane. Eqinisweni, ithuluzi elibaluleke kakhulu nelinamandla onalo lokuthola lesi simo ingxoxo evulekile nodokotela wakho.
Uma uthembekile futhi ukhululekile kudokotela wakho mayelana nokushintshashintsha kwemizwa yakho, izindlela zakho zokuziphatha, izinguquko zokulala, kanye nemikhuba yokuphila, kulapho ukuxilongwa kwakho kuzoba okunembile khona. Nakuba ukuhlolwa ngokomzimba kungakunikeza umbono wempilo yakho jikelele, udokotela wakho uzofunda ngezimpawu zesifo sokuphazamiseka kwengqondo okuguquguqukayo kuwe.
Yini ngempela udokotela afuna ukuyazi?
Ukuxilongwa kwe -bipolar akuyona into eyenziwa ngobusuku obubodwa. Ukuthi nje ushintshashintsha imizwa usuku nosuku akusho ukuthi unesifo se-bipolar. Udokotela uzosixilonga ngokutadisha ngokucophelela ubukhali bezimpawu zakho, ukuthi zihlala isikhathi esingakanani, nokuthi zivela kangaki .
Kalula nje, udokotela ubheka izinto ezinjengalezi:
- I-Mania noma i-Hypomania: Phakathi nalezi zikhathi, isimo sakho sengqondo singase sibe phezulu ngendlela engavamile. Ungase futhi uzizwe ucasukile noma ungahlaliseki. Ungase futhi ube namandla akhuphukile, ubuthongo obunciphile, kanye nesivinini sokucabanga nokukhuluma.
- Ukucindezeleka : Phakathi nalezi zikhathi, uzizwa udabuke kakhulu, uphelelwe yithemba, ulahlekelwe yisithakazelo kunoma yini, kanye nokulahlekelwa amandla ngokuphelele.
Ukuze bahlole ngokunembile lezi zimpawu, odokotela bezifo zengqondo basebenzisa incwadi ekhethekile yokuqondisa evela kwi-American Psychiatric Association (Diagnostic and Statistical Manual of Mental Disorders - DSM-5).
Ngaphezu kwalokho, udokotela uzokubuza nakanjani ngalezi zinto:
- Umlando wakho siqu: izinto ezenzekile empilweni yakho, ubudlelwano bakho, umsebenzi wakho , njll.
- Umlando wezokwelapha womndeni:Ngenxa yokuthi isifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder singase sibe nokuxhumana kwezakhi zofuzo, kubalulekile ukuthola ukuthi kukhona yini emndenini wakho onalesi simo, ukucindezeleka, noma ezinye izifo zengqondo. (Kodwa khumbula, akubona bonke abantu abanesifo sokuphazamiseka kwengqondo abanomlando womndeni walesi simo.)
Zikhona yini ezinye izimo ezibukeka njenge-bipolar disorder?
Yebo, impela. Kunezinye izimbangela eziningi zokushintshashintsha kwemizwelo kanye nokuziphatha okungaguquki. Lezi ezinye zezimo ezingaphambaniswa nesifo sokuphazamiseka kwengqondo okuguquguqukayo.
| Isimo / Imbangela | Incazelo elula |
|---|---|
| Ezinye izifo zengqondo | Ukushintshashintsha kwemizwa kungabangelwa nezinkinga zokusebenzisa kabi izidakamizwa, ukuphazamiseka kobuntu obuseduze, ukuphazamiseka kokunaka (ADHD), kanye nezifo ezihlobene nokukhathazeka njenge-post-traumatic stress disorder (PTSD). |
| Ezinye izifo zomzimba | Izimpawu zokutheleleka okufana nesifo se-thyroid, i-lupus, i-HIV, kanye ne-syphilis ngezinye izikhathi zingafana nezimpawu zesifo sokuphazamiseka kwengqondo okuguquguqukayo. |
| Eminye imithi | Cabanga nje, imithi yama-steroid efana ne-prednisone, esetshenziselwa ukwelapha izifo ezifana ne-asthma kanye ne-rheumatoid arthritis, ingabangela ukushintshashintsha okukhulu kwemizwa kwabanye abantu. |
Yingakho udokotela ecabanga ngazo zonke lezi zinto, enze izivivinyo ezidingekayo, futhi akhiphe zonke lezi zinto ngaphambi kokuthola ukuthi unesifo sokuphazamiseka kwengqondo esibizwa ngokuthi yi-bipolar disorder.
Ulungiselela kanjani ngaphambi kokuya kudokotela?
Uma ulungiselela kancane ngaphambi kokuba uhlangane nodokotela, kuzoba lula kakhulu kuwe nakudokotela.
Ngezinye izikhathi, labo abasizungezile bangabona izinguquko ekuziphatheni kwethu kangcono kunathi. Ngakho-ke kungumqondo omuhle ukuletha umngane noma ilungu lomndeni omethembayo nawe ekuhlolweni kukadokotela.
Kungaba kuhle uma ungabhala lezi zinto encwadini:
- Bhala phansi izimpawu zakho: imizwa yenjabulo enkulu, ukudabuka okukhulu, izinguquko emandleni, izinguquko ebuthongweni , kanye nezinguquko endleleni okhuluma ngayo.
- Ukuziphatha okungajwayelekile: Izinto ozenzile owazicabanga kamuva futhi wazibuza ukuthi "kungani ngenze lokho" (isib. ukuchitha imali eningi ngokuzumayo, ukwenza izinqumo eziphuthumayo).
- Umlando wezokwelapha womndeni: Njengoba kushiwo ngaphambili, buza ukuthi ukhona yini emndenini wakho oke waba nomlando wokugula ngengqondo.
- Imithi oyithathayo: Letha yonke imithi oyithathayo njengamanje (kufaka phakathi leyo yezinye izimo), amavithamini, kanye nemikhiqizo yamakhambi ukuze ubonise udokotela wakho.
- Thembeka ngemikhuba yakho yokuphila: kungakhathaliseki ukuthi uyavivinya umzimba, ukudla okudlayo, ukubhema, utshwala noma ukusebenzisa ezinye izidakamizwa.
- Ukucindezeleka empilweni: Khuluma ngezimo ezicindezelayo emsebenzini, emshadweni, nasebudlelwaneni.
- Imibuzo onayo: Bhala phansi konke ofuna ukukwazi nge-bipolar bese ubuza udokotela wakho.
Lokhu akukwazi yini ukutholakala ngokuskena kobuchopho?
Lona umbuzo abantu abaningi abawubuzayo. Njengamanje, akukho ukuhlolwa kobuchopho (i-MRI, i-CT scan) noma ukuhlolwa kwegazi okungaqinisekisa ukuphazamiseka kwengqondo okuguquguqukayo.
Kodwa-ke, ngezinye izikhathi udokotela angase acele ukuhlolwa okufana nalokhu. Akukhona ukuqinisekisa isifo se-bipolar. Kuwukunquma ukuthi esinye isimo sezinzwa, njengesimila sobuchopho noma isifo sohlangothi, siyimbangela yezimpawu zakho.
Nakuba ucwaningo luqhubeka okwamanje ukuthola ulwazi mayelana nesifo sokuphazamiseka kwengqondo okuguquguqukayo ngokusebenzisa izivivinyo zomsebenzi wobuchopho ezifana ne-EEG kanye ne-MRI, lokhu kusewukuxilongwa kwezokwelapha okusekelwe kakhulu ezimpawini kanye nengxoxo nesiguli.
Wenzani uma usola ukuthi umuntu oseduze nawe une-bipolar?
Uma ubona lolu hlobo lwezinguquko ekuziphatheni komuntu omthandayo, kungaba yinto ebuhlungu kakhulu. Nazi ezinye izinto ongazenza:
1. Khuluma nayo: Khuluma nayo ngalokho okusengqondweni yakho kanye nezinguquko ozibonayo, ngothando, ngomusa, nangokungagxeki.
2. Usizo: Buza ukuthi ungakwazi yini ukuhlela i-aphoyintimenti yokubona udokotela. Yisho ukuthi ungathanda ukuhamba naye.
3. Bhala phansi imininingwane: Ngaphambi kokukhuluma nodokotela, bhala phansi noma yiziphi izinguquko ekuziphatheni (injabulo eningi, intukuthelo, ukudabuka), izinguquko zobuntu, kanye nokusetshenziswa kwezidakamizwa okubonile.
4. Ngitshele ngomuthi:Nikeza udokotela imininingwane ngayo yonke imithi ayisebenzisayo.
Khumbula, ukwesekwa kwakho nokuqonda kwakho kungamandla amakhulu anawo ngalesi sikhathi.
Umlayezo Wokuya Nawe Ekhaya
- Isifo se-bipolar asitholakali ngokuhlolwa kwegazi noma ngokuskena, kodwa ngengxoxo ejulile nevulekile phakathi kwakho nodokotela wakho.
- Ukukhuluma ngokwethembeka ngezimpawu zakho, ukuziphatha kwakho, kanye nomlando womndeni kubalulekile ukuze uthole ukuxilongwa okunembile.
- Ukuhlolwa okuphelele kwezokwelapha kubalulekile, njengoba ezinye izifo zomzimba kanye nemithi kungabangela izimpawu ezifana nesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder.
- Ukulungiselela ngaphambi kokuya kudokotela (ukubhala phansi ulwazi, ukuletha othandekayo) kungenza inqubo yokuxilonga ibe lula.
- Uma ukuxilongwa nokwelashwa okufanele, isifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar singaphathwa ngempumelelo futhi siphile impilo enhle. Ngakho-ke ungesabi ukufuna usizo.
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