Uzizwa sengathi imizwa yakho, kungaba injabulo noma usizi, iyakhuphuka futhi yehla ngesivinini esikhulu? Uzizwa ujabule futhi unamandla namuhla, bese uzizwa udabuke futhi ungenalutho kangangokuthi awukwazi ngisho nokuvuka embhedeni kusasa? Lo mjikelezo osheshayo wemizwa ungase uhlotshaniswe nesifo sokuphazamiseka kwengqondo . Ake sixoxe ngalokhu namuhla, njengokukhuluma nomngane.
Kuyini ngempela i-Rapid Cycling?
Kalula nje, i-Rapid Cycling iyiphethini yezinguquko ezivamile nezisheshayo zezimo zengqondo kumuntu one-Bipolar Disorder. Ngokukhethekile, odokotela bakubiza ngokuthi i-Rapid Cycling uma uhlangabezana okungenani neziqephu ezine noma ngaphezulu ezihlukile ze-mania, i-hypomania, noma ukucindezeleka ngonyaka .
Into ebalulekile okufanele uyiqonde lapha ukuthi lesi akusona isifo esihlukile. Siyisici se-Bipolar Disorder, noma "i-course specifier." Le ndlela ingaqala nganoma yisiphi isikhathi, futhi ingaphela ngokuhamba kwesikhathi ngokwelashwa. Ngakho ungacabangi ngayo njengento ezohlala ikhona.
Ubani onamathuba amaningi okuthola lesi simo?
Isifo se-bipolar singathinta noma ubani. Sithinta ingxenye enkulu yabantu emhlabeni. Kulabo, phakathi kuka-10% no-20% bangase babhekane nokujikeleza okusheshayo .
Ucwaningo luthole ukuthi lesi simo singenzeka kakhulu kwabesifazane kanye nalabo abane-Bipolar II Disorder.
Izimpawu zesifo se-bipolar zivame ukuvela kubantu abasha, abaneminyaka engaba ngu-18-25. Ngokuvamile, lesi sifo sitholakala singakafiki eminyakeni engu-50. Uma umuntu oseduze nawe (umama, ubaba, umfowabo noma udadewabo) enesifo se-bipolar, nawe usengozini yokuthola lesi simo.
Yiziphi izimpawu eziyinhloko ze-Bipolar Disorder?
Ngaphambi kokuba siqonde lokhu kujikeleza okusheshayo, ake sifunde kancane ngezimo zengqondo ezintathu eziyinhloko ze- Bipolar Disorder.
| Isiqephu Sesimo Sengqondo | Kalula nje... |
|---|---|
| Ukuhlanya | Ukuzizwa ujabule ngendlela engavamile futhi ugcwele amandla. Lesi simo sihlala okungenani isonto lonke. Izinto ezinjengokungakwazi ukulala ebusuku, ukukhuluma kakhulu, ukusebenzisa imali ngokunganaki, kanye nokuthatha izinyathelo eziyingozi zingase zenzeke phakathi nalesi sikhathi. |
| I-Hypomania | Lesi isimo senjabulo esingesibi kangako nesilawulekayo. Sihlala okungenani izinsuku ezine. Kusenenjabulo namandla amaningi phakathi nalesi sikhathi, kodwa asiphazamisi impilo yansuku zonke njengoba siphazamisa ngesikhathi sokuhlanya. Abantu abaningi bacabanga ngalesi sikhathi "njengesikhathi semizwa emnandi." |
| Ukucindezeleka Okukhulu | Imizwa yokudabuka okukhulu, ukuphelelwa yithemba, kanye nokulahlekelwa isithakazelo ezintweni owawuzijabulela ivamile phakathi nalesi sikhathi. Izimpawu ezifana nomuzwa wokudinwa, ukukhathala okuqhubekayo, izinguquko zokulala kanye nesifiso sokudla, kanye nokukhungatheka ngempilo zivamile. |
Kubantu abaningi abanesifo sokujikeleza okusheshayo, bachitha isikhathi esiningi ezimweni zokucindezeleka kunase-mania noma i-hypomania. Lokhu kusho ukuthi babhekana nezimo zokucindezeleka ezivamile, kanye nezinkathi ezimfushane ze-euphoria (manic/hypomanic) noma isimo sengqondo esivamile.
Udokotela uthola kanjani ukuthi une-Rapid Cycling?
Lokhu kungaba nzima ngezinye izikhathi ukukubona, ngoba ngezinye izikhathi isiqephu esifanayo singase singapheli ngokuphelele, kodwa singase sibe sivamile kakhulu. Kungaba nzima ukubona ukuthi yiziqephu ezine ezihlukene noma ukuguquguquka okukodwa nje.
Enye yezinselele ezinkulu ngalokhu ukuhlonza okungalungile . Njengoba abantu abaningi abane-Rapid Cycling nabo becindezelekile, kungenzeka kakhulu ukuthi bahlonzwe ngokungalungile ngokuthi "ukucindezeleka okuvamile" noma "ukucindezeleka kwe-unipolar" esikhundleni se-bipolar disorder.
Cabanga ngalokhu. Uya kudokotela ukuze umtshele ngokudabuka kwakho okukhulu kanye nokucindezeleka. Kodwa awumtsheli ngokuhlaselwa yi-hypomania ngezikhathi ezithile. Ngoba ucabanga ngakho "njengesikhathi esimnandi, esijabulisayo isikhashana, lapho ungenza okuningi," hhayi njengophawu lokugula. Khona-ke udokotela uthola uhlangothi olulodwa kuphela lwendaba. Yingakho engawuqondi ngokugcwele umuzwa wakho.Lokho kusho ukuthi kubaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho mayelana nokwehla nokwehla.
Yiziphi izindlela zokwelapha lokhu?
Abantu abaningi abanesifo sokuhamba ngebhayisikili ngokushesha banezimpawu ezinkulu zokucindezeleka. Ngakho-ke umgomo oyinhloko wokwelashwa uwukuzinzisa isimo sakho sengqondo ('ukuzinzisa isimo sengqondo'). Okusho ukuthi, ukuvimbela izigameko ezintsha ngenkathi kunciphisa ukucindezeleka.
Ingabe kufanele ukhathazeke ngemithi yokucindezeleka?
Ucwaningo luye lwabonisa ukuthi imithi yokucindezeleka okuvamile, njenge-fluoxetine (Prozac) kanye ne-sertraline (Zoloft), ayisebenzi kahle ekwelapheni isifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar cycling. Ngezinye izikhathi ingenza iziqephu zibe zimbi kakhulu . Yingakho odokotela abaningi bengabaza ukusebenzisa le mithi kubantu abanesifo sokujikeleza kwegazi esibizwa ngokuthi i-rapid cycling, ikakhulukazi isikhathi eside.
Ngakho-ke yiziphi izindlela zokwelapha eziyinhloko?
Ukwelashwa okuyinhloko lapha izidakamizwa eziqinisa imizwa .
- `carbamazepine (Tegretol)`
- ` I-Lamotrigine (i-Lamictal)`
- `i-lithium (i-Lithobid)`
- `i-valproate (i-Depakote)`
Lezi yizona zinto eziyinhloko zokwelashwa. Ngezinye izikhathi, umuthi owodwa kuphela ungase unganeli ukulawula lo mjikelezo osheshayo. Uma kunjalo, udokotela angase anqume ukunikeza imithi emibili noma ngaphezulu ndawonye.
Ngaphezu kwalokho, eminye imithi yokulwa nesifo sengqondo, njenge-olanzapine (Zyprexa) noma i-quetiapine (Seroquel), isetshenziselwa ukusiza ekuqiniseni isimo sengqondo, kungakhathaliseki ukuthi kukhona isifo sengqondo noma cha.
Kubaluleke kakhulu: Ungayeki ukuthatha imithi udokotela wakho akunike yona, noma ngabe uzizwa uphilile futhi awunazo izinkinga. Qhubeka uthatha lo muthi ukuze uvimbele izigameko zesikhathi esizayo. Uma udinga ukunciphisa noma ukuyeka imithi yakho, yenza lokho kuphela ngaphansi kweseluleko sikadokotela wakho .
Yiziphi izingozi zokugibela ibhayisikili ngokushesha?
Lesi yisihloko esinzima ukukhuluma ngaso, kodwa kubalulekile ukwazi. Ingozi enkulu kakhulu ehlotshaniswa nokujikeleza okusheshayo kwesifo se-bipolar ukuzibulala . Abantu abanesifo se-bipolar banamathuba aphindwe kayi-10-20 okuzibulala kunalabo abangenaso. Ngokudabukisayo, phakathi kuka-8% no-20% wabantu abanesifo se-bipolar bafa ngokuzibulala.
Le ngozi ingaba phezulu nakakhulu kubantu abanemikhuba yokugibela amabhayisikili ngokushesha. Kungadingeka ukuthi balale esibhedlela kaningi, futhi izimpawu zabo kungaba nzima ukuzilawula.
Kodwa-ke, ukwelashwa okufanele kunganciphisa kakhulu le ngozi.Ikakhulukazi, ukusetshenziswa kwesikhathi eside kwesidakamizwa i-lithium kuye kwabonakala kunciphisa ingozi yokuzibulala.
Ngaphezu kwalokho, abantu abanesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder basengozini yokuba umlutha wezidakamizwa notshwala. Lokhu kulutheka kungenza lesi simo sibe sibi kakhulu futhi kube nzima ukusilawula.
Umlayezo Wokuya Nawe Ekhaya
- I-Rapid Cycling akuyona isifo esihlukile, kodwa yindlela eyenzeka ngaphakathi kwe-Bipolar Disorder. Uma uhlangabezana nokushintshashintsha kwemizwa okucacile (iziqephu) izikhathi ezingaphezu kwezine ngonyaka, kungaba yile ndlela.
- Abantu abaningi abanale ndlela babhekana nezimpawu zokucindezeleka ezengeziwe, ezingabhekwa kabi njengokucindezeleka okuvamile.
- Umgomo oyinhloko wokwelashwa ukulawula imizwa kusetshenziswa iziqinisi zemizwa. Imithi yokucindezeleka isetshenziswa ngokuqapha okukhulu.
- Vula futhi uthembeke kudokotela wakho mayelana nezikhathi zakho zokuzizwa uphezulu (hypomania) kanye nokuzizwa uphansi.
- Ngisho noma uzizwa ungcono, ungayeki ukuphuza imithi yakho ngaphandle kweseluleko sikadokotela wakho. Ukwelashwa kuyindlela engcono kakhulu yokukusiza.
- Uma wena noma othile omaziyo ebhekene nalokhu kungakhululeki, ungabi wedwa. Bonana nodokotela ngokushesha bese ucela usizo. Ngokwelashwa okufanele, ungalawula lesi simo futhi uphile impilo ejwayelekile.
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