Sonke sinokushintshashintsha kwemizwelo usuku nosuku, ngezikhathi ezithile, akunjalo? Lokho kujwayelekile kakhulu. Kodwa abanye abantu abakwazi ukulawula imizwelo yabo, futhi kufanele babhekane nezimo lapho ngokuzumayo bejabula kakhulu (ukuphambana) futhi ngokuzumayo bedabukile kakhulu (ukucindezeleka). Ngezinye izikhathi ezinjengalezi odokotela bakhuluma ngemithi ebizwa ngokuthi 'ama-Mood Stabilizers'. Ngakho-ke namuhla, ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.
Ziyini ngempela 'izinzinzisi zemizwa'?
Kalula nje, lezi ziyizinhlobo zemithi esiza ukulawula ukushintshashintsha kwemizwelo okukhulu, ikakhulukazi leyo enezimo ezifana nesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder .
Cabanga nje, esimweni sokuphazamiseka kwengqondo, umuntu uzizwa ejabule kakhulu, enamandla, futhi enza ngokunganaki ngaphandle kokucabanga nganoma yini (mania). Futhi, kunezinkathi zokucindezeleka okungazelelwe, lapho impilo iba buhlungu kakhulu futhi icindezeleke kangangokuthi iba nesithukuthezi. 'Izinzisa isimo sengqondo' ziyasiza ekunciphiseni ukuguquguquka phakathi kwalezi zimo ezimbili ezibucayi futhi zigcine isimo sengqondo esizinzile nesilinganiselayo.
Ngale mithi,
- Izinguquko ezisheshayo zesimo sengqondo
- Izinkinga zokungalali
- Imicabango yokugijima
- Ukuzibandakanya emsebenzini oyingozi
Kunganciphisa kakhulu izimpawu ezifana nokuthi. Kuvimbela nokuphindeka kwalezi zimpawu futhi kunciphisa isidingo sokwelashwa okungathi sína njengokulaliswa esibhedlela.
Ingabe lokhu kusetshenziselwa isifo se-bipolar kuphela?
Cha. Nakuba ikakhulukazi kunqunyelwe isifo sokuphazamiseka kwengqondo, odokotela ngezinye izikhathi basebenzisa le mithi kwezinye izimo zempilo yengqondo. Isibonelo:
- Isifo Sobuntu Esisemkhawulweni
- Isifo Sokungezwani Komzimba
- Ukucindezeleka
Lo muthi usebenza kanjani emzimbeni?
Lokhu kungokwesayensi kancane, kodwa ngizokuchaza kalula. Ubuchopho bethu bunamakhemikhali akhethekile athwala imiyalezo phakathi kwamangqamuzana ezinzwa. Siwabiza ngokuthi ama-neurotransmitter . Lawa adlala indima enkulu ekulawuleni imizwa yethu njengenjabulo, usizi, nentukuthelo.
Kwezinye izimo zempilo yengqondo, umsebenzi walaba 'badluliseli be-Neuro' uba ngongalingani. 'Abaqinisi bemizwa' balawula umsebenzi walaba makhemikhali ebuchosheni, okungukuthi, bawalinganise. Lapho izinqubo zamakhemikhali ebuchosheni zilinganisela ngale ndlela, ukuphakama nokwehla okukhulu kwemizwa kuyalawulwa.
Kuthatha isikhathi esingakanani ukuthi umuthi usebenze?
Lona umbuzo abantu abaningi abawubuzayo. 'Ama-mood stabilizers' awawona uhlobo lomuthi onikeza imiphumela esheshayo njengokuthatha i-Panadol. Kungathatha amasonto ambalwa ngaphambi kokuba uzizwe umehluko.Kungathatha isikhathi.
Ungalindeli ushintsho olukhulu ngobusuku obubodwa. Uzoqala ukubona izinguquko ezincane ekuqaleni futhi uma uqhubeka nokuphuza umuthi kuphela lapho uzobona khona imiphumela emihle.
Ngakho-ke, ungayeki ukuthatha umuthi ngemva kwezinsuku ezimbili noma ezintathu ngoba "lomuthi awusebenzi." Kubaluleke kakhulu ukuba nesineke futhi uthathe umuthi njengoba nje udokotela esho.
Yiziphi izinhlobo eziyinhloko zezinzinzisi zemizwa?
Kunezinhlobo eziningana eziyinhloko zezinzinzisi zemizwa. Udokotela wakho uzokhetha uhlobo olukufanele kakhulu, ngokusekelwe ezicini eziningi, njengesimo sakho sempilo kanye nezici zomzimba. Ake sibheke lezi zinhlobo eziyinhloko.
| Uhlobo lomuthi | Izibonelo | Izinto ezikhethekile okufanele uzazi |
|---|---|---|
| I-Lithium | I-Lithium iyisici esitholakala ngokwemvelo futhi itholakala ngaphansi kwamagama emikhiqizo afana ne-Eskalith® ne-Lithobid®. | Uma uthatha lo muthi, kufanele uhlolwe njalo amazinga e-lithium egazini lakho. Ngenxa yokuthi amazinga aphezulu e-lithium egazini angaba yingozi, kubalulekile ukuthi uhlolwe igazi njengoba udokotela wakho encoma. |
| Imithi Yokuquleka | I-Valproic acid (i-Depakote®), i-Lamotrigine (i-Lamictal®), i-Carbamazepine (i-Tegretol®) | Lezi zaqala ukwethulwa ekwelapheni izifo zokuxhuzula ezifana nesifo sokuwa. Kamuva kwatholakala ukuthi zisebenza kahle kakhulu ezimpawini ze-bipolar. |
| Ngaphezu kwezinye izinhlobo zemithi, lolu hlobo lwemithi lungasiza futhi ekuqiniseni isimo sengqondo kwezinye izimo. | Lokhu kungasetshenziswa, ikakhulukazi, ukulawula ukuhlanya kwesifo sokuphazamiseka kwengqondo okuguquguqukayo. |
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njenganoma yimuphi umuthi, izinto eziqinisa imizwa zingabangela eminye imiphumela emibi. Lokhu kuyahlukahluka kuye ngohlobo lomuthi owuthathayo. Kodwa ungakhathazeki, iningi lale miphumela emibi lizophela njengoba umzimba wakho ujwayela umuthi.
Kodwa-ke, uma le miphumela emibi iqhubeka noma iphazamisa impilo yakho yansuku zonke, ungalokothi uyeke ukuthatha imithi wedwa. Qiniseka ukuthi ukhuluma nodokotela wakho. Angase akwazi ukulungisa umthamo noma akushintshele komunye umuthi.
Ungaba umlutha wezinto eziqinisa imizwa yakho?
Lokhu futhi kuyikwesaba abantu abaningi abanakho. 'Iziqinisi zemizwa' azizona izidakamizwa 'eziluthayo' ngendlela esivame ukuzicabanga ngayo. Kodwa kukhona okufanele sikuqonde lapha.
Uma uthatha lo muthi izinyanga, mhlawumbe iminyaka, ubuchopho bakho buyawujwayela. Ngakho-ke uma uyeka ukuwuthatha ngokuzumayo, izimpawu zakho zingase zibuye. Noma ungase ube nezimpawu zokuhoxa. Ngakho-ke, ungalokothi uyeke ukuthatha umuthi wakho ngokuzumayo ngaphandle kweseluleko sikadokotela.
Ngingazi kanjani ukuthi ngiyawudinga lo muthi?
Udokotela wakho kuphela onganquma lokhu. Ukuthi udinga isiqinisi sokuzinza kwemizwa noma cha kuncike ezintweni eziningana.
- Ukuxilongwa kwakho kanye nobunzima bako: Ingabe une-bipolar noma esinye isimo? Zimbi kangakanani izimpawu?
- Imithi yangaphambilini: Wake wathatha imithi yezempilo yengqondo ngaphambili? Umzimba wakho wasabela kanjani kuyo?
- Ezinye izimo zempilo: Kubalulekile futhi ukwazi ukuthi ukhulelwe, uncelisa, noma unezinye izimo zezempilo.
Udokotela uzonquma ukwelashwa okufanele kakhulu kuwe ngemva kokucabangela konke lokhu.
Ngidinga ukuthatha lo muthi isikhathi esingakanani?
Uma unikezwe imithi yokuqinisa imizwa yesifo sokuphazamiseka kwengqondo, cishe kuzodingeka uphuze le mithi impilo yakho yonke .
Njengoba nje umuntu onesifo sikashukela edinga ukuthatha i-insulin nsuku zonke, isifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder siyisimo esihlala isikhathi eside, ngakho-ke kungadingeka ukuthi uthathe lo muthi nsuku zonke.
Kodwa-ke, uma lo muthi unikezwa ezinye izimo, njengokucindezeleka, ungase ulinganiselwe emavikini noma ezinyangeni ezimbalwa. Lokho kuzonqunywa udokotela wakho.
Okokugcina, kukhona into eyodwa ebalulekile okufanele uyisho. Ngisho noma le mithi ibizwa ngokuthi “izinzisa imizwa,” ayivimbeli ukushintshashintsha kwemizwa yakho ngo-100%. Uzozizwa udabukile noma ujabule kancane. Kodwa ngeke kube kubi kakhulu futhi kungalawuleki. Ngakho-ke, ungayeki ukuphuza imithi ucabanga ukuthi, “O, lokhu akuzange kuyilungise ngokuphelele inkinga yami.” Ngisho noma kungasebenzi ngendlela ocabanga ngayo, kungase kukusize. Uma unemibuzo noma ukukhathazeka, khuluma nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ama-mood stabilizers uhlobo lomuthi olunikezwa kakhulu ukulawula ukushintshashintsha kwemizwa okukhulu okwenzeka ezimweni ezifana nesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder.
- Kungathatha amasonto ambalwa ukuthi le mithi ibonise imiphumela, ngakho-ke kubalulekile ukuba nesineke futhi uqhubeke nokuyisebenzisa.
- Ungalokothi uyeke ukuthatha lo muthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Uma uthatha imithi ethile, njenge-lithium, kubalulekile ukuthi uhlolwe igazi njalo.
- Le mithi ayilaphi ngokuphelele isimo sakho sengqondo, kodwa ikusiza ukuthi usilawule kangcono. Lokhu kuzokusiza kakhulu ukuthi uphile impilo ephumelelayo.
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