Kunezinsuku ezithile, akunjalo? Uma uvuka ekuseni, uzizwa ujabule kakhulu futhi ugcwele amandla. Uzizwa sengathi unganqoba umhlaba wonke. Kodwa kusihlwa, ngaphandle kwesizathu, uzizwa unesithukuthezi ngomhlaba wonke, futhi awufuni ukwenza lutho, futhi uzizwa udangele kancane. Ingabe uvame ukubhekana nezinto ezinjengalezi? Lokhu akuyona nje into ehlukile, mhlawumbe isizathu salokhu yisimo sengqondo esibizwa ngokuthi i-Cyclothymia. Ungakhathazeki, ake sixoxe ngalokhu kalula nangokuningiliziwe.
Kuyini i-Cyclothymia?
Kalula nje, i-cyclothymia uhlobo oluthambile kodwa oluhlala isikhathi eside lwesifo sokuphazamiseka kwengqondo esiguquguqukayo. Njengesifo sokuphazamiseka kwengqondo esiguquguqukayo, isimo sakho sengqondo siyashintsha ngokushesha, kodwa hhayi kakhulu njengesifo sokuphazamiseka kwengqondo esiguquguqukayo.
Cabanga nge-bipolar njenge-tsunami enkulu. I-Cyclothymia ifana nochungechunge lwamagagasi amancane afika adlule, kodwa angabi mabi kangako. Lawa magagasi ayaqhubeka nokuza futhi angaphazamisa ikhono lakho lokuphila impilo yakho ngendlela evamile.
Kulesi simo, uzobhekana nokushintshashintsha okukhulu phakathi kwemizwa emibili:
1. I-Hypomania: Kulesi sigaba, uzizwa ujabule kakhulu, unamandla, futhi usebenza.
2. Ukucindezeleka Okuncane: Kulesi sigaba, uzizwa udangele, ungenathemba, futhi ulahlekelwe yisithakazelo empilweni.
Lezi zinguquko zingenzeka ngokushesha okukhulu, ngezinye izikhathi zingakapheli usuku. Ngezinye izikhathi isimo sakho sengqondo singase sibe sesijwayelekile (euthymia), kodwa leso sikhathi singaphansi kwamasonto ayisishiyagalombili. Lesi simo sivame ukuqala ebusheni.
Ziyini izimpawu ze-cyclothymia?
Kulesi simo, kusobala ukuthi kunezimpawu zokushintshashintsha kwemizwelo (hypomania) kanye nokucindezeleka. Ake sibheke ukuthi lezi zimpawu ziyini ngokwehlukana. Lezi zingase zibe zijwayelekile kuwe.
| Izimpawu ze-Hypomania | Izimpawu Zokucindezeleka Ezincane |
|---|---|
| Ukuzizwa unamandla futhi unamandla ngendlela engavamile. Ukungalali kahle. Ukuzizwa sengathi uphuze ngokwanele ngisho nangemva kwamahora ambalwa ulele. | Ukuzizwa ukhathele futhi ungenawo amandla ngaso sonke isikhathi. Ukulahlekelwa isithakazelo ezintweni obuzijabulela. |
| Ukukhuluma ngokushesha okukhulu. Ukuzizwa sengathi imicabango igeleza engqondweni yakho. Ukugxuma kusuka kwesinye isihloko uye kwesinye ngokushesha. | Imizwa yokudabuka, ukuphelelwa yithemba, kanye nokungabi nalutho. Imizwa yecala noma ukungabi nalutho. |
| Ukuphazamiseka kalula. Ukugxumagxuma, awukwazi ukuqeda umsebenzi owodwa kahle. | Ubunzima bokugxilisa ingqondo nokwenza izinqumo. Inkumbulo nayo ibuthakathaka kancane. |
| Ukugxila kakhulu emigomweni (umsebenzi, umsebenzi wesikole, imisebenzi yomphakathi) Ukuqala imisebenzi eminingi kakhulu ngesikhathi esisodwa. | Izinguquko ezindleleni zokulala. Kungaba ukungakwazi ukulala (ukungalali) noma ukulala ngokweqile (i-hypersomnia). |
| Ukuzethemba okukhulu. Umuzwa wokuthi ungenza noma yini. | Izinguquko emikhubeni yokudla. Kungaba ukulahlekelwa yisifiso sokudla noma ukudla ngokweqile. |
| Ukuthatha izingozi ngaphandle kokucabangela imiphumela emibi. Isibonelo, ukusebenzisa imali ngokuphamazela, ukwenza izinqumo zebhizinisi ngokuphamazela. | Ukuzama ukuhlala kude nomphakathi. Ukhetha ukuba wedwa, kude nabangani nomndeni. |
Into ebalulekile ukuthi ku-cyclothymia, lezi zimpawu azibi kakhulu njengasekucindezelekeni okukhulu noma esicongweni se-bipolar disorder (mania). Kodwa lezi zinguquko ezincane zingaqhubeka nokuba nomthelela omkhulu empilweni yakho yansuku zonke, ebudlelwaneni, nasemsebenzini.
Kungani lokhu kwenzeka?
Ososayensi abakakazi kahle ukuthi kungani lokhu kunjalo, kodwa bakholelwa ukuthi kunezici eziningana ezingase zibe nomthelela kukho.
- Isixhumanisi sezakhi zofuzo: Kucatshangwa nokuthi lokhu kungase kwenzeke emindenini. Lokhu kusho ukuthi uma othile emndenini wakho enesifo sokucindezeleka noma i-bipolar disorder, nawe unengozi encane yokuba nalesi simo.
- Izici Zemvelo: Izehlakalo ezibuhlungu empilweni noma ukucindezeleka okuhlala isikhathi eside kungabangela lesi simo kwabanye abantu. Isibonelo, ukugula okungathi sína, ukuwohloka kobudlelwano, noma izinkinga emsebenzini.
Wazi kanjani ukuthi lokhu kuyi-cyclothymia?
Lesi simo kungaba nzima ukusithola ngoba izimpawu zaso zifana nezezinye izifo eziningi zengqondo. Isibonelo:
- Isifo sokucindezeleka okukhulu
- Isifo se-Bipolar II
- Isifo sokukhathazeka esijwayelekile
- Ukuphazamiseka kobuntu
Ngakho-ke, uma unalezi zimpawu, kubaluleke kakhulu ukubona udokotela oqeqeshiwe . Uzolandela izinyathelo eziningana ukuze ahlole lesi simo ngokunembile.
1. Ukubuza ngezimpawu zakho: Udokotela uzokubuza ukuthi uzizwa kanjani, ukuthi usunesikhathi esingakanani unazo, nokuthi zithinta kanjani impilo yakho.
2. Umlando ophelele wezokwelapha: Kubalulekile futhi lapha ukwazi ukuthi kukhona yini emndenini wakho onezifo zengqondo.
3. Ukuhlolwa komzimba: Ukuhlolwa kwegazi kwenziwa ukuze kuhlolwe ezinye izimo zomzimba (isib. i-hyperthyroidism) ezingase zibangele lezi zimpawu.
4. Ukuhlolwa kwempilo yengqondo: Udokotela wakho angakudlulisela kuchwepheshe wezempilo yengqondo, njengodokotela wezifo zengqondo noma isazi sokusebenza kwengqondo.
Udokotela uzokuthola lokhu njenge-cyclothymia uma kuhlangatshezwana nezindinganiso ezilandelayo:
* Uma ungumuntu omdala, kumele ube nalezi zimpawu zokucindezeleka nokukhathazeka okungenani u-50% wesikhathi okungenani iminyaka emibili. Kubantwana kanye nabantu abasha, lesi sikhathi singunyaka owodwa.
* Phakathi nalesi sikhathi, awukwazi ukuthi ube ungenazo izimpawu isikhathi esingaphezu kwezinyanga ezimbili zilandelana.
* Lezi zimpawu akufanele zibangelwe ukusetshenziswa kwezinye izidakamizwa noma isimo somzimba.
* Futhi, lezi zimpawu kumele zibangele ukucindezeleka okukhulu noma ukuphazamiseka empilweni yakho yansuku zonke.
Yiziphi izindlela zokwelapha lokhu?
Abantu abaningi abafuni usizo lwezokwelapha ngoba izimpawu zabo zincane. Kodwa-ke, ukuthola ukwelashwa kungenza impilo yakho ibe lula kakhulu. Kunezinhlobo ezimbili eziyinhloko zokwelapha.
1. Ukwelapha ngokwengqondo
Lolu uhlobo oluyinhloko lokwelashwa. Kalula nje, luhilela ukukhuluma ngezinkinga zakho nemizwa yakho nomeluleki wezempilo yengqondo . Ngale ndlela, ungakwazi:
- Uzokwazi ukubona nokuphatha izimpawu zakho.
- Ungafunda ukuthi ungabhekana kanjani nokucindezeleka.
- Ungashintsha amaphethini amabi endleleni ocabanga ngayo noziphatha ngayo.
- Ungathuthukisa ubudlelwano bakho nabanye.
I-Cognitive Behavioral Therapy (CBT), ikakhulukazi, itholakale isebenza kahle kakhulu kwi-cyclothymia.
2. Imithi
Ayikho imithi ethile evunyelwe i-cyclothymia. Kodwa-ke, kwezinye izimo, udokotela wakho angase akunike izithambisi-ndlela zokuzinzisa isimo sengqondo ukusiza ukulawula ukushintshashintsha kwesimo sakho sengqondo ngokushesha. Izibonelo zifaka phakathi i-valproate, i-lamotrigine, ne-lithium.
Kubaluleke kakhulu: Udokotela wakho kuphela onganquma ukuthi uzokunika lo muthi, uzokunika ini, nokuthi uzowunikeza isikhathi esingakanani. Ungalokothi usebenzise le mithi wedwa noma njengoba omunye umuntu ekutshelile.
Liyoba njani ikusasa ngalesi simo?
Ukuphila nalesi simo kungaba yinselele. Ukushintshashintsha kwemizwa njalo kungenza kube nzima ukugcina ubuhlobo obuhle nomndeni, abangane, osebenza nabo kanye nomlingani wakho.
Kodwa-ke, uma kuqhathaniswa nabantu abanesifo sokuphazamiseka kwengqondo, abantu abane-cyclothymia:
- Inani labantu abalaliswa esibhedlela liyancipha.
- Inani lezinsuku engingakwazi ukuya emsebenzini liyancipha.
- Ungaqhubeka nomsebenzi wakho kancane kancane.
Into engcono kakhulu ongayenza ukuqaphela izimpawu kusenesikhathi bese ucela ukwelashwa. Uma wenza kanjalo, unganciphisa kakhulu umthelela empilweni yakho futhi uphile impilo ephumelelayo nejabulisayo.
Uma unalezi zimpawu, ungahlupheki wedwa. Akulona iphutha lakho. Bona udokotela bese ukhuluma naye. Khumbula ukuthi odokotela nabathandekayo bakho bakhona ukukusiza.
Umlayezo Wokuya Nawe Ekhaya
- I-Cyclothymia uhlobo oluncane lwesifo sokuguquguquka kwengqondo, esibonakala ngokushintshashintsha kwemizwelo njalo.
- Lokhu kuhilela ukushintshana kwezinkathi zokuzizwa uphezulu futhi unamandla (i-Hypomania) kanye nokudabuka okuncane kanye nokulahlekelwa isithakazelo (Ukucindezeleka).
- Uma unalezi zimpawu, ungazinaki njengokujwayelekile. Ungesabi. Qiniseka ukuthi ubonana nodokotela bese uthola iseluleko.
- Ngokwelashwa okufanele (ukwelashwa ngokukhuluma kanye nemithi uma kudingeka), ungasilawula kahle lesi simo futhi uphile impilo evamile nenempilo.
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