Ingabe nawe unezimo ezishintshashintshayo? Ake sixoxe nge-Cyclothymia!

Ingabe ngezinye izikhathi uzizwa sengathi imizwa yakho ishintsha ngokushesha? Ngomunye umzuzu usebenza ngentshiseko enkulu, kanti ngomzuzu olandelayo awufuni ukwenza lutho. Mhlawumbe nawe unesifiso sokufunda ngalesi simo esibizwa ngokuthi 'i-cyclothymia.' Nakuba lesi kuyisihloko esiyinkimbinkimbi, ake sizame ukusiqonda kalula.

Kuyini i-Cyclothymia?

Kalula nje, i-cyclothymic disorder iwuhlobo oluthambile lwe-bipolar disorder. Kodwa-ke, ingabangela nokushintshashintsha kwemizwelo njalo, njengezinkathi zenjabulo ephezulu noma ukusebenza ngokweqile (okubizwa ngokuthi i-hypomania) kanye nezinkathi zokucindezeleka okuncane.

Cishe uke wezwa nge-bipolar disorder. Kuyisimo sengqondo esihlala impilo yonke. Sibangela izinguquko ezinkulu esimweni sengqondo somuntu, amazinga amandla, ukucabanga, kanye nokuziphatha. Lezi zinguquko zingahlala izinsuku, amasonto, noma ngisho nezinyanga. Kungaphazamisa kakhulu imisebenzi yansuku zonke.

Umuntu one-cyclothymia ubhekana nezinkathi ezishintshashintshayo ze-hypomania kanye nokucindezeleka okuncane okungenani iminyaka emibili . Lokhu kushintshashintsha kwemizwelo kungenzeka ngokushesha kakhulu, nganoma yisiphi isikhathi. Isibonelo, ungase ubhekane nokushintshashintsha kwemizwelo kusukela ekuseni kuya kusihlwa ngosuku olufanayo. Ngezinye izikhathi ungase ube nesikhathi esifushane semizwelo evamile (sikubiza ngokuthi i-euthymia, okusho ukuthi akudabuki kakhulu noma akujabule kakhulu, kodwa kujwayelekile). Kodwa leso sikhathi ngokuvamile sihlala ngaphansi kwamasonto ayisishiyagalombili.

Ubani othola isifo se-cyclothymic?

Ngokuvamile, lesi simo siqala ebusheni noma ebudaleni bokuqala . Okusho ukuthi, sivame ukubonakala phakathi kweminyaka eyi-15-25.

Kuvamile kangakanani lokhu?

Kwamanye amazwe emhlabeni jikelele, isibonelo e-United States, izibalo zibonisa ukuthi phakathi kuka-0.4% no-1% wabantu banesifo se-cyclothymia.

Kodwa-ke, ngenxa yokuthi izimpawu ze-cyclothymia zifana nezezinye izifo eziningi zengqondo, abacwaningi abaningi bakholelwa ukuthi lesi simo asihlolwanga kahle. Kungenzeka futhi ukuthi asihlolwanga kahle. Kungase kube nabantu abanalesi simo eSri Lanka, kodwa kunzima ukuthola izibalo ezicacile ngaso.

Ziyini izimpawu ze-cyclothymia?

Uphawu oluyinhloko lwe-cyclothymia ukushintshashintsha kwemizwelo, okusho ukuthi ingqondo iyashintshashintsha phakathi kwezimo ezimbili ezibizwa ngokuthi 'i-hypomania' (injabulo ephezulu/injabulo) kanye 'nokucindezeleka okuncane'.

Ezinkingeni ze-bipolar I kanye ne-II, ukushintshashintsha kwemizwelo kungahlala amasonto, izinyanga, noma ngisho neminyaka. Ku-cyclothymia, lezi zinguquko zingenzeka ngokushesha kakhulu, ngezinye izikhathi zingakapheli usuku.Cabanga nje, umuntu osebenze ngamandla amakhulu nenjabulo ekuseni, kodwa kusihlwa, uzizwa edangele futhi engasafuni ukwenza lutho.

Ziyini izimpawu ze-'Hypomania' ku-cyclothymia?

I-Hypomania iyisikhathi sokuphakama okungajwayelekile kwemizwa, imizwa, amazinga amandla, kanye namazinga omsebenzi. Leli zinga lamandla aphezulu, isimo sengqondo, kanye nokuziphatha kumele kuhluke esimweni sakho esivamile futhi kubonakale kwabanye. I-Hypomania iyisiqephu esingesibi kakhulu kune-mania (ukuphakama okukhulu okubonakala kwi-bipolar disorder).

Lezi izimpawu ze-'Hypomania':

• Amandla akhuphukile kanye nesidingo esinciphile sokulala: Ngisho nangemva kwamahora ambalwa okulala ebusuku, uzizwa sengathi ungasebenza usuku lonke. Uzizwa sengathi awulali, usengenza umsebenzi owengeziwe.
• Inkulumo esheshayo kanye nokugeleza kwemicabango okusheshayo: Ukukhuluma njalo, ukucabanga ngezinye izinto ngenkathi ukhuluma, nokuzwa sengathi ingqondo yakho iyagijima. Umlaleli angase acabange, "Wow, ukhuluma ngokushesha okukhulu."
• Ukuphazamiseka kalula: Uma wenza into eyodwa, ingqondo yakho iyahamba iye kwenye into, futhi kunzima ukuhlala ugxile.
• Ukugxila emigomweni: Ukuba nesithakazelo esikhulu ezintweni ezifana nomsebenzi, umsebenzi wesikole, imisebenzi yomphakathi, njalonjalo, nokuzibandakanya njalo kuyo. Ngezinye izikhathi ukuqala amaphrojekthi amakhulu ngesikhathi esisodwa.
• Ukuzibandakanya emisebenzini eyingozi noma engenangqondo: ukuchitha imali eningi (isib., ukusebenzisa imali eningi kakhulu kumakhadi esikweletu), ukuya ocansini ngaphandle kokucabanga, noma ukwenza izinqumo zebhizinisi ngokuphamazela.
• Izinga lokuzethemba eliphakeme kunelijwayelekile: Ukuzizwa sengathi uyakwazi kakhulu nokuthi akukho lutho ongakwazi ukukwenza. Ungase ucabange izinto ezinjengokuthi, "Ngingcono kakhulu kulokho engikwenzayo."

Ziyini izimpawu zokucindezeleka ezibonakala ku-cyclothymia?

Ukucindezeleka kubonakaliswa imizwa yokuphelelwa yithemba kanye nokulahlekelwa isithakazelo ezintweni owawuzijabulela. Izimpawu zokucindezeleka ze-cyclothymia zincane kunezokucindezeleka okukhulu (kwezokwelapha), kodwa zisengaba nomthelela omkhulu empilweni yakho.

Lezi izimpawu zokucindezeleka:

• Imizwa yokuzihlukanisa nabantu, ukungabi nalutho, kanye necala: Uzizwa sengathi ufuna ukuziqhelelanisa nabantu, uzizwe ungelutho, futhi uzizwe sengathi wenze iphutha njalo. Imicabango edabukisayo efana nokuthi "Akekho ongibheka njengobalulekile."
• Izinguquko ezindleleni zokudla: ukudla kakhulu (ukudla okunethezekile), noma ukulahlekelwa yisifiso sokudla, isisindo singase sikhuphuke noma singakhuli.
• Ukungalali noma i-hypersomnia: Ukungakwazi ukulala ebusuku, noma ukuzizwa ulele emini, kanye nobunzima bokuvuka embhedeni.
• Ukukhathala noma ukulahlekelwa amandla okukhulu: Ukuzizwa sengathi awunawo amandla, awunasithakazelo sokwenza noma yini. Kuvame ukushiwo ukuthi “Ngikhathele, angifuni ukwenza lutho.”
• Ukuncipha kwekhono lokugxila: Kunzima ukugxila entweni eyodwa, kuzwakala sengathi awukwazi ukwenza lutho ngobuchopho bakho. Ngisho noma uzama ukufunda incwadi, ingqondo yakho ngeke ihambe.

Yiziphi izimbangela ze-cyclothymia?

Eqinisweni, abacwaningi abakakazi kahle ukuthi yini ebangela i-cyclothymia. Kodwa-ke, bacabanga ukuthi ingaba nokuxhumana kwezakhi zofuzo . I-Cyclothymia, ukucindezeleka, kanye nesifo sokuphazamiseka kwengqondo konke kuhamba emindenini. Lokhu kusho ukuthi kungadluliselwa ezizukulwaneni ngezizukulwane. Uma othile emndenini wakho enalesi simo, ungase ube sengozini yokuba naso.

Kwabanye abantu, i-cyclothymia ingabangelwa noma ibhebhethekiswe yizehlakalo noma okuhlangenwe nakho okubuhlungu , njengokugula okungathí sina noma izikhathi ezinde zokucindezeleka okukhulu (isib. ukucindezeleka kokuhlolwa, izinkinga zomsebenzi, izingxabano zomndeni). Kukholelwa futhi ukuthi ukungalingani kwamakhemikhali athile ebuchosheni ('ama-neurotransmitters') kungase kuhileleke.

Isifo se-cyclothymic sitholakala kanjani?

Kungaba nzima ngodokotela ukuxilonga ngoba izimpawu zaso zifana nezezinye izifo eziningi zengqondo. Isibonelo:

• Isifo sokucindezeleka okukhulu
• Isifo se-Bipolar II
• Isifo sokukhathazeka esijwayelekile
• Izinkinga ze-neurodevelopmental
• Ukuphazamiseka kobuntu

Udokotela angase asebenzise okulandelayo ukuze axilonge i-cyclothymia:

• Ukuhlolwa komzimba: Hlola impilo yakho yomzimba.
• Umlando ophelele wezokwelapha: Lokhu kuhlanganisa ukubuza ngokuningiliziwe ngezimpawu zakho, ukuthi sezinesikhathi esingakanani zikhona, okuhlangenwe nakho kwakho empilweni, nokuthi ngabe kukhona yini emndenini wakho oke waba nezimo ezifanayo.
• Ukuhlolwa kwezokwelapha: Yenza izinto ezifana nokuhlolwa kwegazi ukuze unqume ezinye izimo ezingase zibangele izimpawu zakho (njenge-hyperthyroidism noma ukusebenzisa izidakamizwa).
• Ukuhlolwa kwempilo yengqondo: Udokotela wakho angenza lokhu, noma angakudlulisela kuchwepheshe wezempilo yengqondo, njengodokotela wezifo zengqondo noma isazi sokusebenza kwengqondo.

Odokotela baxilonga i-cyclothymia uma kuhlangatshezwana nezimo ezilandelayo:

• Izimpawu zakho (okungukuthi, ukushintshana phakathi kwezimo ze-hypomanic kanye ne-depression) kumele ukuthi bezikhona okungenani iminyaka emibili, ngaphezu kuka-50% wesikhathi . Ezinganeni kanye nabantu abasha, lezi zimpawu kumele ukuthi bezikhona unyaka wonke.
• Awukwazi ukuhlala ungenazo izimpawu isikhathi esingaphezu kwezinyanga ezimbili.
• Izimpawu zakho azikwazi ukubangelwa ukusetshenziswa kwezidakamizwa noma esinye isimo somzimba.

Ngaphezu kwalokho, lezi zimpawu zibangela ukucindezeleka okukhulu empilweni yakho yansuku zonke (emsebenzini, ezifundweni, ebudlelwaneni).Noma kumelwe kube nokuphazamiseka. Kodwa-ke, izimpawu zingase zingabi zimbi ngokwanele ukuthi zingatholakala njengesifo sokucindezeleka okukhulu noma isifo sokuphazamiseka kwengqondo esiguquguqukayo.

Iphathwa kanjani i-cyclothymia?

Ngeshwa, abantu abaningi abane-cyclothymia abafuni usizo lwezokwelapha ngoba izimpawu zabo azizimbi kangako, noma abacabangi ngisho nokuthi banalesi simo.

Khumbula, abanye abantu sebejwayele kakhulu ukuphila nalezi zimo zengqondo kangangokuthi bacabanga ukuthi, ‘Bengilokhu nginje.’ Kodwa-ke, ukuthola usizo kungenza impilo yakho ibe lula kakhulu. Ungakhathazeki, kunezindlela zokwelapha lokhu.

Ukwelashwa kwengqondo kanye nemithi ngokuvamile kusetshenziswa njengokwelapha i-cyclothymia.

I-Psychotherapy yigama elijwayelekile lezinhlobo ezahlukene zokwelapha ezihilela ukukhuluma nomeluleki wezempilo yengqondo onelayisensi ukusiza ekuboneni nasekushintsheni imizwa, imicabango, kanye nokuziphatha komuntu okungenampilo.

Kunezinhlobo ezahlukene ze-psychotherapy. Izifundo zibonise ukuthi uhlobo lokwelapha olubizwa ngokuthi i-cognitive behavioral therapy (CBT) lusebenza kahle kakhulu ekwelapheni i-cyclothymia. I-CBT ikusiza ukuthi ubone amaphethini akho okucabanga futhi uqonde ukuthi athinta kanjani imizwa nokuziphatha kwakho.

Ukwelashwa kwengqondo kungakusiza ukunciphisa ukucindezeleka kwakho ngokukusiza:

• Thola, qapha, futhi uphathe izimpawu ze-cyclothymia (isb., gcina idayari yesimo sengqondo).
• Izindlela zokubhekana nezimo ezicindezelayo.
• Shintsha indlela ocabanga ngayo, indlela osabela ngayo, kanye nendlela oxazulula ngayo izinkinga.
• Thuthukisa ukuxhumana kanye nokuxhumana nabanye.

I-US Food and Drug Administration (FDA) ayizange ivume noma yimiphi imithi ethile yokwelapha i-cyclothymia. Kodwa-ke, ngezinye izikhathi odokotela bangase bakunike izithambisi-ndlela zokuzinzisa imizwa ukusiza ekunciphiseni ukushintshashintsha kwemizwa yakho. Le mithi ingafaka i-valproate, i-lamotrigine, kanye/noma i-lithium. Kubalulekile ukulandela imiyalelo kadokotela wakho ngokucophelela lapho usebenzisa le mithi.

Ingabe i-cyclothymia ingavinjelwa?

Ngeshwa, okwamanje ayikho indlela yokuvimbela i-cyclothymia, njengoba ososayensi bengayazi imbangela eqondile.

Kodwa-ke, ukufuna usizo ngokushesha nje lapho izimpawu zivela kungasiza ekunciphiseni ukuphazamiseka empilweni yakho nasebuhlotsheni bakho. Lokhu kubaluleke kakhulu. Uma kutholakala kusenesikhathi, ukwelashwa kungaqalwa futhi impilo ingenziwa ibe lula.

Iyini iphrojekthi ye-cyclothymia?

Umbono we-cyclothymia ungahluka kuye ngomuntu nomuntu.

Ngenxa yentukuthelo evame ukwenzeka, ukusabela ngokomzwelo, kanye nokungacabangi kahle, abantu abane-cyclothymia bangase bakuthole kunzima ukwakha nokugcina ubudlelwano obuhle nomndeni, abangane, osebenza nabo, kanye nabalingani bothando.

Kodwa-ke, uma kuqhathaniswa nabantu abanesifo sokuphazamiseka kwengqondo, abantu abane-cyclothymia:

• Ukulaliswa esibhedlela kungancipha.
• Inani lezinsuku zokuphumula emsebenzini lingase linciphe.
• Ungase ukwazi ukwenza imisebenzi yakho yansuku zonke kancane kancane.

Kulabo abafuna usizo lwe-cyclothymia, ukuxilongwa kusenesikhathi kanye nokwelashwa kungaholela ekuthuthukisweni okukhulu kwesikhathi eside. Uma kungelashwa, abanye abantu basengozini yokuthuthukisa lesi simo sibe yi-bipolar I noma II disorder.

Kufanele ubonane nini nodokotela mayelana ne-cyclothymia?

Uma uzizwa sengathi ushintshana phakathi kwe-hypomania (imizwa/injabulo ephezulu) kanye nokucindezeleka okuncane (ukucindezeleka okuncane), kubalulekile ukubona udokotela. Ungacabangi nje ukuthi, "Yimi kuphela lo," kodwa thola iseluleko sochwepheshe.

Uma udokotela ekuxilonga ukuthi une-cyclothymia, qiniseka ukuthi ubona udokotela wakho kanye/noma uchwepheshe wezokwelapha njalo ukuze uthole ukwelashwa.

I-Cyclothymia ivame ukuba yisimo sokuphila konke. Kodwa-ke, ukwelashwa okuqhubekayo, njengokwelashwa ngenkulumo kanye nemithi, kungakusiza ukuthi uphathe izimpawu zakho futhi uphile impilo enempilo nenenjongo. Kubalulekile ukufuna iseluleko sezokwelapha uma unezimpawu ze-cyclothymia. Khumbula ukuthi odokotela bakho nabathandekayo bakho bakhona ukukusekela.

Yimuphi umyalezo esifuna ukuwuthatha ekhaya kulesi sihloko?

Kalula nje, i-cyclothymia uhlobo oluncane lwesifo sokuphazamiseka kwengqondo esibangela izinguquko ezivamile esimweni sakho sengqondo. Uma uzizwa sengathi uya phezulu bese uphansi, ungakushayi indiva.

• Qaphela izimpawu: Ukushintshana phakathi kwamazinga aphezulu okujabula (i-hypomania) nokucindezeleka okuncane (ukucindezeleka okuncane) kuyisibonakaliso esiyinhloko. Khuthazeka uma lokhu kuthinta impilo yakho yansuku zonke.
• Cela usizo: Lokhu akulona iphutha lakho. Ukukhuluma nodokotela noma umeluleki wezempilo yengqondo kungaba impumuzo enkulu. Akukho lutho okufanele ube namahloni ngalo noma ulwesabe.
• Kunezindlela zokwelapha: Lesi simo singaphathwa kahle ngokwelashwa ngokukhuluma (`psychotherapy`), ikakhulukazi i-`CBT`, kanye nemithi uma kudingeka.
• Awuwedwa: ​​kunabantu abaningi ababhekene nalezi zimo. Ngokusekelwa nokwelashwa okufanele, nawe ungaphila impilo engcono.

Khumbula, impilo yakho yengqondo ibaluleke njengempilo yakho yomzimba, ngakho-ke yinakekele.

I- Cyclothymia, Ukushintshashintsha kwemizwa, Isifo se-Bipolar, i-Hypomania, Ukucindezeleka, Impilo Yengqondo