Ingabe ukhathazekile ngokukhulelwa uma unesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder? (Isifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder in pregnancy)

Ingabe unesifo sokuphazamiseka kwengqondo ? Kungenzeka ukuthi usukhulelwe kakade, noma ungase uphuphe ngokuba nomntwana. Kuvamile ukuba nemibuzo eminingi, ukwesaba, kanye nokungabaza engqondweni yakho ngesikhathi esinjengalesi. "Ingabe imithi engiyithathayo izoyithinta ingane?", "Kuzokwenzekani kimi uma ngiyeka ukuthatha imithi ngokuzumayo?", "Ngingaba umama omuhle onalesi simo?" Lezi zinto kumele ukuthi ziyakukhathaza. Ungakhathazeki. Into ebaluleke kakhulu ukwaziswa kahle ngalokhu. Ake sixoxe ngalokhu ngokukhululekile nangendlela enobungane namuhla.

Ingabe i-Bipolar Disorder ingaba yinkimbinkimbi ngesikhathi sokukhulelwa?

Eqinisweni, ucwaningo nge-bipolar disorder kanye nokwelashwa kwayo ngesikhathi sokukhulelwa lusaqhubeka. Kodwa-ke, ngokusekelwe kudatha yamanje, kunengozi yokuthi lesi simo sibe sibi kakhulu ngesikhathi sokukhulelwa. Abanye abantu bacabanga ukuthi ukukhulelwa yisikhathi sokuvikelwa kwengqondo kowesifazane. Kodwa kowesifazane onesifo se-bipolar, akunjalo.

Ucwaningo olulodwa luthole ukuthi abesifazane abakhulelwe abanesifo sokuphazamiseka kwengqondo okuguquguqukayo banamathuba aphindwe kasikhombisa okulaliswa esibhedlela kunabanye besifazane abakhulelwe. Futhi, ucwaningo olubheke abesifazane ababehlela ukuba nomntwana futhi bayeka ukuthatha imithi yabo ezinyangeni eziyisithupha ngaphambi kokukhulelwa luthole okulandelayo:

• Uma umuthi uyekwa, ingozi yokuthi lesi sifo siphinde sivele iphindwe kabili.
• Uma uyeka ngokuzumayo ukuphuza imithi, kungakhathaliseki ukuthi uhlose noma cha , izimpawu zizobuya kubantu abangu-50% zingakapheli amasonto amabili.
• Labo abayeka ukuthatha imithi babenezimpawu zokukhulelwa okungu-40%, okungaphezu kokuphindwe kane kunalabo abaqhubeka bethatha imithi.

Funda ngokusebenzisa imithi ye-bipolar ngesikhathi sokukhulelwa

Lona ngumbuzo omkhulu kubantu abaningi. Kunomama abaningi ababelethe izingane ezinempilo ngenkathi bethatha ukwelashwa kwesifo sokuphazamiseka kwengqondo. Kodwa-ke, eminye imithi, ikakhulukazi phakathi nekota yokuqala yokukhulelwa, inengozi encane yokubangela ukukhubazeka kokuzalwa.

Uyabona, akunjalo? Ukungayisebenzisi imithi nakho kuyingozi. Ngakho-ke lokhu kufanele kunqunywe kanye nodokotela wakho wezifo zokubelethisa kanye nodokotela wezifo zengqondo. Yibo abazolinganisa izingozi nezinzuzo ngokusekelwe esimweni sakho bese benza isinqumo esingcono kakhulu.

Izinzisi Zokuzizwa Kwengqondo

Lena imithi evame kakhulu ukunikezwa yesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder.

• I-Lithium: I-Lithium ingabangela ukukhubazeka kwenhliziyo okungajwayelekile enganeni ngesikhathi sokuqala kwenyanga yokukhulelwa. Ngakho-ke ngezinye izikhathi odokotela bayayeka ukunikeza i-lithium phakathi nalesi sikhathi. Kodwa kwabanye besifazane, izinzuzo zokuqhubeka nokuphuza i-lithium zidlula kakhulu izingozi. Futhi, ukuqhubeka nokuphuza i-lithium ngemva kokubeletha kunganciphisa ingozi yesifo kusukela ku-50% kuya ku-10%.
• Uma uphuza i-lithium: Phuza amanzi amaningi. Sebenzisa usawoti kancane. Hlola amazinga akho e-lithium njalo njengoba kuqondiswe udokotela wakho. Uma usola ukuthi i-lithium inobuthi, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze (i-ETU) ngokushesha. Ungashayela ne-National Poisons Information Center e-Colombo National Hospital ukuze uthole iseluleko.

• I-Valproate (i-Depakote) kanye ne-Carbamazepine (i-Tegretol):Yomibili le mithi ikhulisa ingozi yokukhubazeka kwe-neural tube uma ithathwa ekuqaleni kokukhulelwa. Ngakho-ke, odokotela bavame ukuyeka le mithi ngokushesha nje lapho bebona ukukhulelwa bese beshintshela emithini ephephile. Kubaluleke kakhulu ukuthatha amavithamini aqukethe i-folic acid phakathi nalesi sikhathi.

• I-Lamotrigine/i-Lamictal: Lokhu kungaba yindlela ephephile yokwelapha imithi engenhla kwabanye besifazane.

Imithi Yokulwa Nezifo Zengqondo

Le mithi isetshenziselwa ukwelapha i-mania, ikakhulukazi ukubona izinto ezingekho. Kunemithi emisha efana ne-Aripiprazole (Abilify), i-Olanzapine (Zyprexa), kanye ne-Quetiapine (Seroquel). Udokotela wakho angancoma ukuthi ushintshele emithini emidala efana ne-Haloperidol (Haldol) ngesikhathi sokukhulelwa.

Imithi yokucindezeleka

Kuncane kakhulu ulwazi mayelana nokuthi lokhu kubathinta kanjani abesifazane abakhulelwe abane-bipolar disorder. Uma uthatha le mithi, odokotela bavame ukuqapha isimo sakho sengqondo ukuze babone ukuthi uhlangabezana yini nokuphazamiseka kwengqondo ngokuzumayo.

Ingabe ukwelashwa nge-ECT (ukwelashwa nge-electroconvulsive) kufanelekile?

Abanye abantu bayesaba lapho bezwa igama elithi electroconvulsive therapy (ECT). Kodwa empeleni kungenye yezindlela zokwelapha eziphephile nezisebenza kahle kakhulu ezitholakala ngesikhathi sokukhulelwa. Kungaba impumuzo enkulu kwabesifazane abakhulelwe abahlushwa ukucindezeleka okukhulu noma i-mania. Lapho benikeza lokhu kwelashwa, odokotela bathatha izinyathelo ezimbalwa ezengeziwe:

• Izinga lokushaya kwenhliziyo yengane kanye namazinga omoya-mpilo kubhekwa njalo ngesikhathi sokwelashwa.
• Imithi inikezwa ukuvimbela i-asidi yesisu ukuthi ingangeni emphinjeni.
• Ukuze kuvinjelwe ukuzalwa ngaphambi kwesikhathi, kuyalulekwa ukuthi uphuze uketshezi oluningi nokudla okunomsoco.

Yini enye ongayenza?

Njengemithi, indlela yakho yokuphila nayo ibaluleke kakhulu phakathi nalesi sikhathi.

• Lawula ukucindezeleka: Gcina ingqondo yakho ikhululekile ngangokunokwenzeka. Vivinya umzimba, cabanga, yenza into oyithandayo.
• Gcina isimiso: Lala, uvuke, bese udla ngesikhathi esifanayo. Lokhu kuzokusiza ukulawula ukushintshashintsha kwemizwelo ngokuzumayo.
• Lala kahle: Ukulala kubalulekile ekulawuleni isifo sokuphazamiseka kwengqondo okuguquguqukayo.
• Ukwelashwa Ngengqondo: Phakathi nalesi sikhathi, kubaluleke kakhulu ukufuna usizo lomeluleki omethembayo ongakhuluma naye ngemizwa yakho kanye nokwesaba kwakho.