Ungacabanga ukuthi ujabule kakhulu futhi udabuke kakhulu ngesikhathi esisodwa? Ngakolunye uhlangothi, uzizwa ungenathemba, ingqondo yakho iyagijima, futhi amandla akho aphezulu. Ngakolunye uhlangothi, uzizwa unesithukuthezi ngezwe, uzizwa ungajabule ngalutho, futhi uzizwa ungenathemba ngokuphila. Le mizwa emibili ephikisanayo iyahlangana futhi yilokho esikhuluma ngakho namuhla, isimo esibizwa ngokuthi i-bipolar disorder . Nakuba lesi kuyisihloko esiyinkimbinkimbi, ake sixoxe ngaso kalula nangendlela eqondakalayo.
Yiziphi izici ezixubile zesifo sokuphazamiseka kwengqondo esiguquguqukayo?
Kalula nje, i-bipolar disorder yisimo lapho isimo sengqondo somuntu sishintsha khona ngokushesha phakathi kwezinto ezimbili ezibucayi. Esinye esibucayi yi -mania, ebonakala ngenjabulo enkulu, injabulo, kanye namandla andayo. Esinye esibucayi ukucindezeleka, ebonakala ngokudabuka okukhulu, ukudabuka, nokuphelelwa yithemba. Lezi zimo ezimbili zivame ukwenzeka ngokushintshana.
Kodwa ngezinye izikhathi, izimpawu zazo zombili izimo ezibucayi zingavela ngesikhathi esifanayo, ngosuku olufanayo, noma zishintshane izinsuku eziningana. Cabanga nje, othile unamandla aphezulu, ukungazinzi, nokucabanga okusheshayo ngokuhlanya, kodwa futhi nokudabuka okukhulu, ukuphelelwa yithemba, kanye nemicabango yokuzibulala yokucindezeleka. Yilokho esikubiza ngokuthi iSiqephu Esinezici Ezixubile . Lokhu kufana nokunyathela kokubili i-accelerator kanye ne-brake yemoto ngesikhathi esisodwa. Kuyinto edidayo kakhulu futhi ecindezelayo, lapho ungakwazi ukugcina ingqondo yakho endaweni eyodwa.
Lesi simo sivela kubani?
Cishe ingxenye yabantu abanesifo sokuphazamiseka kwengqondo okuguquguqukayo bazobhekana nezimpawu ezixubile ngesikhathi esithile empilweni yabo. Abantu abahlakulela isifo sokuphazamiseka kwengqondo okuguquguqukayo besebancane banamathuba amaningi okuba nezimpawu ezixubile.
Futhi, ngezinye izikhathi, ngisho nomuntu ongeyena umuntu onesifo sokucindezeleka okukhulu kodwa ohlushwa ukucindezeleka okukhulu angase abe nezimpawu ezincane ze-mania (isibonelo, ukucasuka, ukucabanga okusheshayo) kanye nokucindezeleka. Lokhu kubizwa ngokuthi "isiqephu sokucindezeleka esinezici ezixubile."
Kwabaningi abantu, izimpawu ze-bipolar ziqala phakathi kweminyaka eyi-15 nengama-25. Akuvamile ukuthi umuntu abe nalesi simo okokuqala ngemva kweminyaka engama-50. Uma othile emndenini wakho (umama, ubaba, umfowenu noma udadewabo) enesifo se-bipolar, usengozini enkulu yokuthola lesi simo.
Yiziphi izimpawu zomuntu onezimpawu ezixubile?
Ukuze sikuqonde kahle lokhu, ake sihlukanise lezi zimpawu zibe yizigaba ezimbili. Lezi zinhlobo ezimbili zezimpawu zingavela ndawonye noma zishintshane ngokushesha okukhulu.
| Izimpawu ze-mania | Izimpawu zokucindezeleka |
|---|---|
| Ukujabula ngokweqile noma ukucasuka ngaphandle kwesizathu | Imizwa yokudabuka okukhulu, ukungabi nathemba, nokuphelelwa yithemba |
| Ukwanda kwamandla okungavamile, ukungaphumuli | Ukulahlekelwa isithakazelo ezintweni obuzijabulela ngaphambili |
| Ukugeleza okusheshayo kwemicabango, inkulumo esheshayo | Ukuntuleka kwamandla, ukukhathala okuqhubekayo |
| Ubunzima bokuhlala ugxile | Ukuba nemicabango yokuthi awufaneleki noma ukuthi uyisoni |
| Angizizwa ngikhathele ngisho nangemva kokulala kancane | Imicabango yokuzibulala |
Ungase uzibuze ukuthi lokhu kungenzeka kanjani, akunjalo? Cabanga ngomuntu ekhala engayeki ethi, "Angikaze ngizizwe ngijabule kangaka empilweni yami." Noma, angase ajabule kakhulu, awe ngokuzumayo ngenxa yosizi, bese ephinde azizwe ejabule. Lezi zimo zingahlala izinsuku, amasonto, futhi ngezinye izikhathi ngisho nezinyanga uma zingelashwa .
Yiziphi izingozi zalezi zici ezixubile?
Ingozi eyingozi kakhulu nengathi sína yezimpawu ezixubile ukuzibulala. Abantu abanesifo sokuphazamiseka kwengqondo okuguquguqukayo bavame ukuba namathuba okuzibulala aphindwe kayi-10-20 kunabanye. Kodwa-ke, ucwaningo luye lwabonisa ukuthi abantu abanezimpawu ezixubile basengozini enkulu nakakhulu kunalabo abanokucindezeleka kuphela.
Lena yinto eyingozi kakhulu okudingeka siyiqonde. Lapho ukuphelelwa yithemba nomuzwa wokukhathala ngempilo ekucindezelekeni kuhlanganiswa namandla aphezulu, ukungaphumuli, kanye nokungabi nandaba kokuphazamiseka kwengqondo, amathuba okwenza izinto ngemicabango yokuzibulala aphezulu kakhulu.
Ngakho-ke, akulona neze umqondo omuhle ukushiya umuntu onalezi zimpawu eyedwa. Kubalulekile ukufuna usizo lwezokwelapha ngokushesha. Ukwelashwa okufanele, ikakhulukazi ukusetshenziswa isikhathi eside kwemithi efana ne-'Lithium', kunganciphisa kakhulu le ngozi.
Ngaphezu kwalokho, abantu abanesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder basengozini enkulu yokusebenzisa kabi izidakamizwa , okungenza lesi simo sibe sibi kakhulu futhi kube nzima ukusilawula.
Iphathwa kanjani?
Imithi iyadingeka ngempela ukuze kulawulwe izigameko ezixubile. Kodwa-ke, lesi simo singaba nzima ukusilawula kunesigameko esivamile sokudabuka noma sokucindezeleka. Imithi eyinhloko esetshenziswayo izinzinzisi zemizwa kanye nemithi yokwelapha ingqondo.
Izinzisi Zokuzizwa Kwengqondo
Le mithi isiza ukulawula lokhu kwehla nokwehla kwengqondo futhi igcine isimo sengqondo sizinzile.
- I-Lithium: Lona umuthi obaluleke kakhulu osetshenziswe isikhathi eside ekwelapheni isifo sokuphazamiseka kwengqondo. Kodwa-ke, ukusebenza kwawo kungase kunganeli ezimpawini ezixubile. Njengoba kuthatha amasonto ambalwa ukusebenza ngokugcwele, kungcono ukuwusebenzisa njengokwelashwa kwesikhathi eside. Uma uthatha i-'Lithium', udinga ukuhlolwa kwegazi njalo ukuze uhlole amazinga emithi yakho ukuze ugweme imiphumela emibi.
- I-Valproic acid (i-Depakote): Lokhu futhi kuyindlela yokuzinzisa isimo sengqondo. Izifundo zikhombisile ukuthi ngezinye izikhathi isebenza kangcono kune-lithium ekulawuleni izimpawu ezixubile.
- Eminye imithi: Eminye imithi efana ne- 'Carbamazepine (Tegretol)' kanye ne-'Lamotrigine (Lamictal)' isetshenziselwa le njongo.
Ama-antipsychotics
Imithi eminingi emisha kuleli klasi iyasebenza kakhulu ekulawuleni izimpawu ezixubile. Izibonelo zifaka phakathi i-'Olanzapine (Zyprexa), i-'Risperidone (Risperdal),' kanye ne-'Quetiapine (Seroquel). Le mithi isetshenziswa yodwa noma ihlanganiswe nemithi yokuzinzisa isimo sengqondo.
Ukwelashwa Nge-Electroconvulsive (ECT)
Nakuba leli gama lingase lizwakale lesabisa kwabanye, i-ECT iyindlela yokwelapha ephephile kakhulu futhi ephumelelayo yamacala abucayi angenakulawulwa ngemithi. Lokhu kwelashwa kungasindisa impilo, ikakhulukazi uma kunengozi enkulu yokuzibulala.
Kubaluleke kakhulu!
Imithi yokucindezeleka efana ne-Fluoxetine (Prozac) kanye ne-Sertraline (Zoloft), esetshenziselwa ukucindezeleka okuvamile, ayinconywa ezimpawini ezixubile. Lokhu kungenxa yokuthi ingenza izimpawu zokudabuka (ukucasuka kanye nokungahlaliseki) zibe zimbi kakhulu. Ngakho-ke, udokotela wakho akasoze anikeze le mithi yalesi simo. Okokuqala, zama ukulawula lesi simo ngemithi yokuzinzisa imizwa noma ama-antipsychotics.
Ngenxa yokuthi isifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder siyisifo esibuyela emuva, kubalulekile ukuqhubeka nokuthola ukwelashwa ukuze kuvinjelwe ukubuyela emuva, ngisho nangemva kokuba izimpawu seziphelile.
Umlayezo Wokuya Nawe Ekhaya
- Izimpawu ezixubile zesifo sokuphazamiseka kwengqondo okuguquguqukayo zilapho uzwa izimpawu zenjabulo enkulu (i-mania) kanye nokudabuka (ukucindezeleka) ngesikhathi esisodwa.
- Lokhu kuyinto ekhathazayo kakhulu, futhi ingozi yokuzibulala iphezulu kakhulu.
- Uma wena noma othile omaziyo enanoma yiziphi zalezi zimpawu, ungazinaki. Funa iseluleko kuchwepheshe wezokwelapha ofanelekayo ngokushesha.
- Imithi yokuzinzisa isimo sengqondo kanye nemithi yokwelapha ingqondo isetshenziswa ukwelapha lesi simo, kodwa imithi yokwelapha ukucindezeleka evamile ayifaneleki.
- Ungalokothi uyeke ukuthatha imithi oyinikezwe udokotela noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho. Ukwelashwa kwesikhathi eside kubaluleke kakhulu.
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