Ingabe wena noma othile omaziyo unesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder ? Uma kunjalo, kungenzeka ukuthi uke wabhekana naso. Ngezinye izikhathi uzizwa ujabule kakhulu, unentshiseko, futhi ugcwele amandla. Kodwa-ke kunezikhathi lapho uzizwa uphansi kangangokuthi awukwazi ukwenza lutho, udabukile futhi ucindezelekile. Nakuba ngokuvamile kunesikhathi sokuzinza phakathi kwalezi zimo ezimbili, kwabanye abantu lolu shintsho lwenzeka ngokushesha kakhulu, izikhathi eziningana ngonyaka owodwa. Yilokho esikubiza ngokuthi "i-Rapid Cycling" kwezokwelapha. Ake sixoxe ngalokhu kalula nangokucacile namuhla.
Kalula nje, kuyini i-Rapid Cycling?
I-Rapid Cycling iyisibonelo se-bipolar disorder. Akusona isifo esihlukile. Kalula nje, uma umuntu onesifo se-bipolar ebhekana nokushintshashintsha kwemizwelo okungenani okune noma ngaphezulu ngonyaka , leso simo sisibiza ngokuthi i-Rapid Cycling. Lezi ziqephu zingaba yi-mania extreme, i-mania encane, noma ukucindezeleka okukhulu.
Cabanga ngesimo sezulu. Ngolunye usuku libalele, ngakusasa libalele futhi lina kakhulu. Ezinsukwini ezimbalwa kamuva libalele futhi. Bese lina futhi. Yilapho ukushintshashintsha kwemizwelo kwenzeka khona. Le ndlela ingenzeka kunoma ubani onesifo sokuphazamiseka kwengqondo, kunoma yisiphi isigaba sokugula. Futhi akuyona into "elungisekayo" unomphela. Ngokwelashwa okufanele, le ndlela esheshayo ingalawulwa futhi iphele ngokuhamba kwesikhathi.
Ubani okungenzeka kakhulu ukuthi abhekane nalesi simo?
Isifo se-bipolar singathinta noma ubani. Cishe u-2.5% wabantu baseMelika, noma abantu abacishe babe yizigidi eziyisithupha, bahlushwa uhlobo oluthile lwalesi sifo. Kulabo, phakathi kuka-10% no-20% bangase babe nesifo sokujikeleza ngokushesha. Izifundo zibonise ukuthi abesifazane nabantu abanesifo se-bipolar II banamathuba amancane okuba nesifo sokujikeleza ngokushesha.
Kwabaningi, izimpawu ze-bipolar ziqala lapho besebancane, cishe eminyakeni eyi-18-25. Futhi, uma ilungu lomndeni eliseduze (umama, ubaba, umfowabo noma udadewabo) linesifo se-bipolar, ingozi iphakeme kancane kunakwabanye.
Yiziphi ngempela izimo eziyinhloko zesifo sokuphazamiseka kwengqondo okuguquguqukayo?
Kubaluleke kakhulu ukuqonda lokhu ngokucacile, ngoba ku-Rapid Cycling, lezi zimo zengqondo zishintsha ngokushesha. Ake sibheke lezi ngokwehlukana.
| Isiqephu Sesimo Sengqondo | Incazelo |
|---|---|
| Ukuhlanya | Lesi isikhathi sokuzizwa ujabule ngendlela engavamile, ujabule futhi unamandla . Kufana nokuthi injini ivuliwe emzimbeni wakho. Ungase ungakwazi ukulala, ukusebenza ungayeki, ukukhuluma kakhulu, ukwenza ngokunganaki, nokusebenzisa imali eningi. Lesi simo sihlala okungenani izinsuku eziyi-7 . |
| I-Hypomania | Lesi yisikhathi sokuzizwa ujabule kancane futhi unamandla kakhudlwana , hhayi esinzima njengokuphazamiseka kwengqondo. Ungawenza kahle umsebenzi wakho futhi ube nobudlelwano nabantu. Kodwa kungaphezu kokujwayelekile. Kuthatha okungenani izinsuku ezi-4 . Abantu abaningi abacabangi ngalokhu njengesifo sezokwelapha, becabanga ukuthi "yisikhathi esihle nje." |
| Ukucindezeleka Okukhulu | Phakathi nalesi sikhathi, uzizwa udabuke kakhulu, ungenalutho, futhi ukhungathekile . Ulahlekelwa yisithakazelo ezintweni obuzijabulela. Awusenawo amandla, imikhuba yakho yokulala neyokudla iyashintsha, uzizwa kabi ngawe, futhi ulahlekelwa yithemba empilweni. |
Okubalulekile, abantu abaningi abanesifo sokucindezeleka okusheshayo bachitha isikhathi sabo esiningi becindezelekile. I-Mania noma i-hypomania ayivamile futhi ihlala isikhathi esifushane. Yingakho laba bantu bevame ukuhlonzwa kabi ngokuthi "bane-unipolar depression."
Udokotela uhlonza kanjani i-Rapid Cycling?
Njengoba kushiwo ngaphambili, i-Rapid Cycling akuyona isifo esihlukile, kodwa igama elichaza indlela yesifo se-bipolar. Udokotela uzosixilonga ngemva kokulalela ngokucophelela izimpawu zakho. Uma kuqinisekiswa ukuthi uneziqephu ezine noma ngaphezulu ze-Mania, i-Hypomania, noma i-Depression phakathi nonyaka, kubizwa ngokuthi iphethini ye-Rapid Cycling.
Kodwa kungaba nzima ukukubona lokhu ngezinye izikhathi. Ngoba ngisho nesiqephu esisodwa singaba sivame kakhulu noma sincane. Kunzima ukubona ukuthi yiziqephu ezine ezihlukene noma esisodwa nje. Futhi, ngenxa yokuthi isiguli asikhulumi ngesikhathi se-hypomania, udokotela ubona kuphela ukucindezeleka okuqhubekayo. Ngakho-ke, ukugcina idayari yokushintshashintsha kwemizwa yakho kungaba usizo olukhulu kudokotela ukuze akuqonde.
Kuphathwa kanjani lokhu?
Umgomo oyinhloko wokwelashwa kokujikeleza okusheshayo ukuzinza kwemizwa, ikakhulukazi ukulawula ukucindezeleka okuqhubekayo nokuvimbela izigameko ezintsha.
Isixwayiso esibaluleke kakhulu: Mayelana nemithi yokucindezeleka
Ama-antidepressant avame ukunqunyelwa ukucindezeleka, njenge-fluoxetine (Prozac), i-paroxetine (Paxil), kanye ne-sertraline (Zoloft), awavamile ukuba afanele abantu abane-rapid cycling bipolar disorder. Izifundo zibonise ukuthi le mithi ingandisa imvamisa yeziqephu. Ngakho-ke, odokotela bayakugwema ukunikeza laba ziguli ama-antidepressant, ikakhulukazi isikhathi eside.
Ukwelashwa Okuyinhloko: Izinzinzisi Zemizwa
Ukwelashwa okuyinhloko kwalesi simo imithi yokuqinisa imizwa.
Izibonelo zazo yilezi:
- I-Carbamazepine (i-Tegretol)
- I-Lamotrigine (i-lamotrigine (i-Lamictal))
- I-Lithium (i-lithium (i-Lithobid))
- I-Valproate ( i-Depakote )
Ngokuvamile, umuthi owodwa kuphela awukwazi ukulawula le ndlela esheshayo. Uma kunjalo, udokotela angase anqume ukunikeza emibili noma ngaphezulu yale mithi ndawonye. Ngaphezu kwalokho, eminye imithi yokulwa nesifo sengqondo, njenge-'olanzapine (Zyprexa)' noma i-'quetiapine (Seroquel),' nayo isetshenziselwa ukuzinzisa isimo sengqondo.
Lokhu kwelashwa kufanele kuqhubeke noma ngabe awunazo izimpawu futhi uzizwa uphilile. Lena yindlela ongazivimbela ngayo izigameko zesikhathi esizayo. Ungalokothi uyeke ukuthatha imithi yakho noma ushintshe umthamo ngaphandle kokukhuluma nodokotela wakho kuqala.
Yiziphi izingozi ezinkulu kakhulu ezihambisana nokuhamba ngebhayisikili ngokushesha?
Ingozi enkulu nebuhlungu kakhulu ehambisana nalesi simo ukuzibulala. Abantu abanesifo sokuphazamiseka kwengqondo banamathuba okuzibulala ngokuphindwe kayi-10-20 kunabantu abaningi. Ngokudabukisayo, phakathi kuka-8% no-20% weziguli ezine-bipolar bagcina befa ngokuzibulala.
Le ngozi ingaba nkulu nakakhulu kulabo abanephethini yokujikeleza okusheshayo.Balaliswa esibhedlela kaningi, futhi izimpawu zabo ziba nzima ukuzilawula.
Kodwa izindaba ezinhle ukuthi le ngozi ingancishiswa kakhulu ngokwelashwa okufanele. Ikakhulukazi, ukusetshenziswa isikhathi eside kwemithi efana ne-lithium kuye kwabonakala kunciphisa ingozi yokuzibulala.
Ngaphezu kwalokho, ukusetshenziswa kabi kwezidakamizwa kuvamile phakathi kweziguli ezine-bipolar. Cishe ama-60% eziguli abhekene nale nkinga. Ukusebenzisa kabi izidakamizwa kwenza lesi sifo sibe sibi kakhulu futhi singalawuleki.
Umlayezo Wokuya Nawe Ekhaya
- Ukujikeleza okusheshayo kwenzeka ngokushintshashintsha kwemizwelo okune noma ngaphezulu phakathi nonyaka. Lokhu kuyindlela yokuphazamiseka kwengqondo okuguquguqukayo, hhayi isifo esihlukile.
- Ukucindezeleka kuyisibonakaliso esivame kakhulu kulesi simo, ngakho-ke kungenzeka kakhulu ukuthi kuhlonzwe kabi njengokucindezeleka okuvamile.
- Ukwelashwa okuyinhloko lapha 'izinzisa isimo sengqondo', futhi imithi yokucindezeleka evamile ingenza isimo sibe sibi kakhulu.
- Lesi yisimo esibucayi esinobungozi obukhulu bokuzibulala. Ngakho-ke, akufanele uyeke noma ushintshe ukwelashwa kwakho ngaphandle kweseluleko sikadokotela wakho.
- Uma wena noma othile omaziyo ebhekene nalezi zimpawu noma ecabanga ukuzibulala, sicela ufune iseluleko sezokwelapha ngokushesha. Ngokwelashwa okufanele, ungaphila impilo engcono nakanjani.
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