Wake wazizwa ujabule kakhulu, ugcwele amandla, futhi ngesikhathi esifanayo, udabukile kakhulu futhi ungenalutho ngaphakathi? Noma ingabe othile omaziyo ube jabule kangaka ngesinye isikhathi wabe eseqala ukukhala ngokuzumayo ngaphandle kwesizathu ngesinye isikhathi? Lokhu kungaba yinto edidayo kakhulu futhi enzima ukuyiqonda. Namuhla sikhuluma ngalezi 'zici ezixubile' ezingase zenzeke nge -bipolar disorder. Lokhu kuvame kakhulu kunalokho ongase ucabange.
Yiziphi 'Izici Ezixubile' Zesifo Sokuphazamiseka Kwengqondo?
Kalula nje, i-bipolar disorder yisimo lapho imizwa yomuntu ishintshashintsha khona phakathi kwezinto ezimbili ezibucayi. Esinye esibucayi yi-mania, okuyizikhathi zenjabulo enkulu, amandla aphezulu, kanye nomsebenzi. Esinye esibucayi ukucindezeleka, okuyizikhathi zokudabuka okukhulu, amandla aphansi, kanye nokukhungatheka ngempilo. Lezi zinto ezimbili ezibucayi zivame ukushintshana.
Kodwa esimweni esibizwa ngokuthi 'Izici Ezixubile', izimpawu zalezi zimo ezimbili ezinkulu zenzeka ngesikhathi esifanayo, ngosuku olufanayo, noma ngaphakathi kwesiqephu esifanayo. Cabanga ngakho njengokunyathela i-accelerator kanye ne-brake yemoto ngesikhathi esisodwa. Uma ingqondo yakho izama ukuya phezulu kolunye uhlangothi, idonswa phansi kolunye. Lokhu kuyinto edidayo kakhulu futhi ebuhlungu.
Ubani okungenzeka kakhulu ukuthi athole lesi simo?
Izici ezixubile zivamile kubantu abanesifo sokuphazamiseka kwengqondo . Ngokusho kwezinye izifundo, cishe isigamu seziguli ezine-bipolar sibhekana nezici ezithile zokusangana ngesikhathi sokucindezeleka.
- Ubudala: Ngokuvamile, izimpawu zesifo sokuphazamiseka kwengqondo okuguquguqukayo ziqala ukubonakala kubantu abasha , abaneminyaka ephakathi kuka-15 no-25. Abantu abaqala lesi sifo kule minyaka cishe banezici ezixubile. Akuvamile kakhulu ukuthi umuntu abe nesifo sokuphazamiseka kwengqondo okuguquguqukayo okokuqala ngemva kweminyaka engu-50.
- Umlando womndeni: Uma othile emndenini wakho oseduze (abazali, izingane zakini) enesifo sokuphazamiseka kwengqondo , usengozini enkulu yokuthola lesi sifo.
- Abantu abanokucindezeleka kuphela: Ngezinye izikhathi, umuntu ongakahlolwa ngokugcwele ukuthi unesifo sokucindezeleka okuguquguqukayo kodwa onesifo sokucindezeleka okukhulu angase abonise izimpawu ezithile ze-mania ezisezingeni eliphansi kanye nokucindezeleka. Lokhu kubizwa ngokuthi 'isiqephu sokucindezeleka esinezici ezixubile'.
Yiziphi izici 'zeSiqephu Esixubile'?
Lokhu kuyinhlanganisela yezimpawu zokuhlanya kanye nokucindezeleka. Kukhona umehluko omkhulu phakathi kwemizwa engqondweni kanye nokusebenza komzimba.
| Izimpawu ze-Manic | Izimpawu zokucindezeleka |
|---|---|
| Ukuzizwa unamandla amaningi ngokweqile, uhambahamba njalo ngokungaphumuli | Imizwa yokudabuka okungabekezeleleki, usizi, kanye nokungabi nalutho |
| Imicabango nenkulumo egijimayo | Ukulahlekelwa isithakazelo ezintweni obuzijabulela ngaphambili |
| Ukucasuka, ukuthukuthela ngokushesha ngisho nangezinto ezincane kakhulu | Ukuzizwa ungenawo amandla, ukukhathala okuqhubekayo |
| Ukuzikhandla ngokweqile, ukungakwazi ukuhlala endaweni eyodwa | Imizwa yecala ngawe, imicabango yokungafaneleki |
| Isilingo sokwenza izinto eziyingozi (isib., ukusebenzisa imali eningi kakhulu) | Imicabango yokuzibulala |
Ungase ucabange, "Lezi zinto ezimbili zingenzeka kanjani ndawonye?" Lokhu kungenzeka ngempela. Cabanga ngomuntu ekhala kakhulu ethi, "Angikaze ngizizwe ngijabule kangaka empilweni yami." Noma angase ajabule kakhulu ngokuzumayo bese kuthi ngomzuzwana olandelayo alale phansi ekhala ngobuhlungu. Lezi zimo zingahlala izinsuku, amasonto, noma ngisho nezinyanga ngaphandle kokwelashwa.
Yiziphi izingozi zokuba 'nezici ezixubile'?
Ingozi enkulu nedabukisa kakhulu okudingeka sikhulume ngayo lapha ukuzibulala.Abantu abanesifo sokuphazamiseka kwengqondo okuguquguqukayo banamathuba okuzibulala aphindwe kayi-10-20 kunabantu abaningi.
Ucwaningo lukhombisile ukuthi ingozi yokuzibulala ezimweni 'ezinezici ezixubile' iphakeme kunasezimweni zokucindezeleka okuvamile.
Lokhu kungenxa yokuthi ukudabuka okukhulu, ukuphelelwa yithemba, kanye nemizwa yokungabi nalutho yokucindezeleka kuhlanganiswa namandla amaningi, ukungaphumuli, kanye nokuphazama kokuphazamiseka kwengqondo. Le nhlanganisela eyingozi idala amandla kanye nesisusa sokwenza ngokuvumelana nemicabango yokuzibulala.
Ingozi enkulu elandelayo ukulutha kwezidakamizwa notshwala . Abanye abantu bangase baphendukele ezidakamizweni njengemizamo yokubalekela lesi sihlava nobuhlungu obungabekezeleleki. Lokhu akugcini nje ngokwenza isimo sibe sibi kakhulu, kodwa futhi kwenza ukwelashwa kube nzima kakhulu.
Uma unale micabango, sicela ungazihluphi wedwa . Khuluma nomngane noma ubonane nodokotela wakho ngokushesha. Uma kudingeka, ungangabazi ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Yiziphi izindlela zokwelapha lokhu?
Izindaba ezinhle ukuthi kunezindlela zokwelapha lesi simo. Kodwa-ke, kungaba nzima kancane ukusilawula kunesimo esivamile sokuhlanya noma ukucindezeleka. Kusetshenziswa izindlela eziningana zokwelapha eziyinhloko.
Izinzisi Zokuzizwa Kwengqondo
Le mithi ilawula lokhu kwehla nokwehla engqondweni.
- I-Lithium: Umuthi osebenza kahle kakhulu osetshenziswe amashumi eminyaka ekwelapheni isifo sokuphazamiseka kwengqondo. Kodwa-ke, ungase ungasebenzi kahle ezimweni 'ezinezici ezixubile'.
- I-Valproic acid (i-Depakote): Lokhu futhi kuyi-stabilizer ye-mood. Ezinye izifundo zibonise ukuthi isebenza kangcono kune-lithium ezimweni 'ezixubile'.
- Eminye imithi: Ngaphezu kwalokhu, imithi efana ne-`(Carbamazepine)` kanye ne-`(Lamotrigine)` nayo iyasetshenziswa.
Ama-antipsychotics
Le mithi inikezwa yodwa noma ihlanganiswe neziqinisi zemizwa ukulawula isimo 'sezici ezixubile'. Izibonelo zifaka phakathi imithi efana ne-`(Aripiprazole)`, `(Olanzapine)`, `(Quetiapine)`, `(Risperidone)`.
Ukwelashwa Nge-Electroconvulsive (ECT)
Leli gama lingase lesabise abanye abantu, kodwa i-ECT iyindlela yokwelapha ephumelela kakhulu futhi ephephile , ikakhulukazi ezimweni ezimbi lapho eminye imithi ingasebenzi khona, futhi lapho ingozi yokuzibulala iphezulu kakhulu.
Isexwayiso esikhethekile mayelana nemithi yokucindezeleka!
Iphutha elikhulu elenziwa abantu abaningi lapha ukusebenzisa imithi yokucindezeleka enqunyelwe ukucindezeleka okuvamile, becabanga ukuthi idabukile. Isibonelo, `(Fluoxetine)`, `(Sertraline)`. Kodwa-ke, uma le mithi isetshenziswa lapho kukhona 'Izici Ezixubile', esikhundleni sokunciphisa ukucindezeleka, ingenza izimpawu zokudabuka zibe zimbi kakhulu. Ngakho-ke, kufanele ugweme ngokuphelele ukusebenzisa imithi enjalo ngaphandle kweseluleko sikachwepheshe.
I-Bipolar ivame ukuba yisimo esihlala isikhathi eside. Ngakho-ke, ngisho nangemva kokuba izimpawu sezilawulwa, kubalulekile ukuqhubeka nokwelashwa kokunakekelwa njengoba kunqunywe udokotela wakho ukuze uvimbele ukubuyela emuva.
Umlayezo Wokuya Nawe Ekhaya
- 'Izici Ezixubile' zibhekisela ekuveleni ngasikhathi sinye kwezimpawu zenjabulo enkulu kanye nokudabuka kwisifo sokuphazamiseka kwengqondo esiguquguqukayo.
- Lesi simo siyadida kakhulu, futhi ingozi yokuzibulala iphezulu kakhulu.
- Uma wena noma othile omaziyo enalezi zimpawu, ungazami ukuthola izixazululo ngokwakho. Funa iseluleko kuchwepheshe wezokwelapha ofanelekayo ngokushesha.
- Gwema ukuthatha imithi yokucindezeleka, ikakhulukazi leyo yokucindezeleka okuvamile, ngaphandle kweseluleko sikadokotela. Ingenza isimo sibe sibi kakhulu.
- Ngokwelashwa okufanele (izinzisa imizwelo, ama-antipsychotics) kanye nokuphathwa kwesikhathi eside, lesi simo singalawulwa ngempumelelo futhi impilo evamile ingaphila.
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