Uzizwa sengathi uphelelwe amandla ngokuzumayo, awukwazi ukulawula imicabango yakho, imizwa, noma imizwa yakho? Ngezinye izikhathi uzizwa unamandla amakhulu futhi ujabule, kanti ngezinye izikhathi uzizwa sengathi unesithukuthezi ngezwe. Ingabe nawe uhlangabezana nokuhlangenwe nakho okungajwayelekile njengokubona nokuzwa izinto ezingekho? Uma lezi zimpawu zihlangana, kungaba yinto edidayo kakhulu. Namuhla sikhuluma ngesinye sezimo ezinjalo. Leso yi-Schizoaffective Disorder.
Kalula nje, iyini i-Schizoaffective Disorder?
Isifo sengqondo esibangelwa yi-schizoaffective disorder sihlanganisa izimpawu zezifo ezimbili ezinkulu zengqondo:
1. I-Schizophrenia (izimpawu zengqondo ): Lokhu kuthinta ukucabanga kwakho, umbono wakho ngeqiniso, kanye nezindlela zokuziphatha.
2. Izimpawu Zokuphazamiseka Kwemizwa: Lokhu kuhilela izinguquko ezinkulu emizweni yakho, amazinga amandla, kanye nokuziphatha.
Kalula nje, umuntu unezimpawu ze-schizophrenia (isibonelo, ukubona nokuzwa izinto ezingezona ezangempela), kanye nokushintshashintsha kwemizwelo yakhe kusukela kolunye usuku kuya kolunye, kusukela enjabulweni enkulu (mania) kuya osizini olukhulu (ukucindezeleka). Uma lokhu kokubili kuhlangana, sibiza leso simo ngokuthi i-Schizoaffective Disorder.
Nakuba lesi simo singelapheki ngokuphelele, ngokwelashwa okufanele, kungenzeka ukulawula izimpawu nokuphila impilo evamile nenhle . Ngakho-ke asikho isizathu sokwesaba.
Kunezinhlobo ezimbili eziyinhloko ze-Schizoaffective Disorder:
Lesi simo sihlukaniswe ngezinhlobo ezimbili eziyinhloko ngokusekelwe ezimpawini zemizwa ozizwayo. Bheka ithebula elingezansi ukuze uqonde lokhu.
| Uhlobo lwesifo (Uhlobo) | Kuchazwe kalula |
|---|---|
| Uhlobo lwe-Bipolar | Kulolu hlobo, uba nezikhathi zomsebenzi omningi, injabulo (ukwesaba okukhulu) kanye nezikhathi zokudabuka okukhulu, ukucindezeleka okuhlala izinsuku eziningi.Kokubili kungenzeka ngokushintshana. Ngolunye usuku ungase usebenze ngamandla amangalisayo, kanti ngesonto elilandelayo ungase uzizwe udabukile kangangokuthi awukwazi ngisho nokuvuka embhedeni. |
| Uhlobo Lokucindezeleka | Kulolu hlobo, ubhekana nezikhathi zokudabuka okukhulu nokuphelelwa yithemba (ukucindezeleka) . Awubi nomuzwa wokuhlanya. Isimo sakho sengqondo sivame ukuba lusizi, unenkinga yokwenza imisebenzi yansuku zonke, futhi ungase uzizwe ungenathemba ngokuphila. |
Sivame kangakanani lesi sifo?
Isifo sengqondo esibangelwa yi-Schizoaffective empeleni siyisifo sengqondo esingavamile kakhulu . Ngokusho kocwaningo, cishe abantu abathathu kwabayi-1,000 kuphela abasengozini yokuthola lesi simo empilweni yabo. Lelo yiphesenti elincane kakhulu, cishe u-0.3%.
Lesi simo singaba nzima ukusithola ngoba izimpawu zaso zifana kakhulu nezezinye izifo zengqondo. Ngakho-ke, nakuba kungenzeka ukuthi kutholakale ukuhlonza okungalungile, udokotela wezifo zengqondo onolwazi angasithola ngokunembile lesi simo.
Yiziphi izimpawu eziyinhloko zalesi sifo?
Izimpawu ze-Schizoaffective Disorder zingahlukaniswa ngezigaba ezimbili eziyinhloko. Lezi zingahluka kumuntu nomuntu, futhi ubukhulu besifo bungahluka. Lezi zimpawu zivame ukuqala ukubonakala ekupheleni kobusha noma ekuqaleni kobudala.
| Isigaba sezici | Izimpawu ezivame ukubonakala |
|---|---|
| I-Psychosis (izinkinga ngeqiniso) Izimpawu ezifana ne-schizophrenia |
|
| Isimo sengqondo (izinkinga ezihlobene nesimo sengqondo) Izimpawu ezifana nesifo sokucindezeleka noma i-bipolar disorder |
|
Kubaluleke kakhulu!
Izimpawu zesimo sengqondo, ikakhulukazi ukucindezeleka, zingaholela emicabangweni yokulimaza noma yokuzibulala uma seziba zimbi kakhulu.
Uma wena noma othile omaziyo enale micabango, ungalibali. Sicela uye esibhedlela esiseduze i-Emergency Treatment Unit (ETU) ngokushesha . Noma khuluma nodokotela wakho ngokushesha. Into ebaluleke kakhulu ukuthola usizo.
Yiziphi izimbangela zalesi simo?
Akukho sizathu esisodwa nesicacile salokhu okwamanje, kodwa abacwaningi bakholelwa ukuthi inhlanganisela yezinto ingahileleka.
- Izakhi zofuzo: Uma othile emndenini wakho, ikakhulukazi umzali noma umfowenu noma umfowenu, eke waba nalesi sifo noma esinye isifo sengqondo, ungase ube sengozini enkulu yokuba nalesi simo. Kodwa akusho ukuthi uzosithola nakanjani.
- Amakhemikhali Obuchopho: Amangqamuzana ezinzwa ebuchosheni bethu ayaxhumana ngamakhemikhali abizwa ngokuthi ama-neurotransmitters. Kukholelwa ukuthi ukungalingani kwamakhemikhali afana ne-dopamine, i-norepinephrine, ne-serotonin kungabangela lezi zimpawu.
- Ukwakheka Kobuchopho: Kutholakale nokuthi izinguquko ezithile ngobukhulu noma isakhiwo sezingxenye ezithile zobuchopho (isib., i-hippocampus, i-thalamus) zingase zibe nomthelela kulezi zimpawu.
Iphathwa kanjani?
Indlela ephumelela kakhulu yokwelapha isifo sokungazweli kahle kwengqondo ukusebenzisa inhlanganisela yezindlela zokwelapha.
1. Imithi
2. Ukwelapha ngokwengqondo
Imiphumela emihle kakhulu ingatholakala uma lezi zinto ezimbili zihambisana.
Izinhlobo zemithi
Kuye ngezimpawu zakho kanye nohlobo lokugula (i-bipolar noma i-depression), udokotela wakho uzokunikeza imithi efanele. Lena imithi evame ukusetshenziswa kakhulu.
- Ama-antipsychotics: Lawa uhlobo oluyinhloko lwemithi. Asiza ukulawula izimpawu ezifana ne-schizophrenia, njengokubona izinto ezingekho kanye nokucabanga okukhohlisayo.
- Izinzinzisi Zemizwa: Le mithi isiza ukulawula nokuvimbela ukuxhamazela (i-mania) okubonakala ikakhulukazi ohlotsheni lwe-bipolar.
- Ama-antidepressant: Lawa asetshenziselwa ukulawula izimpawu zokucindezeleka (ukudabuka, ukukhungatheka) ezenzeka ohlotsheni lokucindezeleka kanye nohlobo lwe-bipolar.
Ukwelapha ngengqondo
Lokhu kubizwa ngokuthi "ukwelashwa ngengxoxo." Kuhilela ukukhuluma ngezinkinga zakho nemizwa yakho nodokotela wengqondo oqeqeshiwe noma umeluleki. Imigomo eyinhloko yile:
- Zinike ukuqonda okungcono ngesimo sakho sezokwelapha.
- Ukukusiza ukufeza imigomo yakho yokuphila.
- Ukukuqinisa ukuze ubhekane nezinselele zokuphila kwansuku zonke ngalesi sifo.
Ukwelashwa komndeni nakho kungaba yinto ebaluleke kakhulu. Lokhu kusiza umndeni wakho ukuthi uqonde lesi sifo, ufunde ukuthi ungakusiza kanjani, futhi uthole ukwesekwa yiwo enkambisweni yakho yokululama.
Ingabe udinga ukulaliswa esibhedlela?
Akunjalo ngaso sonke isikhathi. Kuya ngokuthi izimpawu zakho zibucayi kangakanani.
- Ukwelashwa ngaphandle kwesiguli: Iningi labantu lingathola ukwelashwa ngale ndlela. Lokhu kusho ukuthi uza esibhedlela noma emtholampilo emini, uthole ukwelashwa, bese uya ekhaya kusihlwa.
- Ukuhlala esibhedlela: Kodwa-ke, uma izimpawu zakho zinkulu futhi usengozini yokuzilimaza wena noma abanye, kungcono kakhulu ukuhlala esibhedlela isikhashana ukuze uthole ukwelashwa. Lokhu kuzosiza ekuqiniseni isimo sakho.
Ungazisiza kanjani wena noma umuntu oseduze nawe?
Uma ucabanga ukuthi unalezi zimpawu, noma uma umngane noma ilungu lomndeni libhekene nalezi zimpawu, into yokuqala nebaluleke kakhulu okufanele uyenze ukubona udokotela.
- Landela uhlelo lokwelashwa kahle: Phuza umuthi njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele kanye nomthamo oqondile. Ungalokothi uyeke ukuthatha umuthi noma ushintshe umthamo ngokwakho.
- Bamba iqhaza Ezifundweni Zokwelapha:Yiba khona njalo emihlanganweni yakho yokwelapha ingqondo.
- Lahla ezinye izinto eziluthayo: Ukusebenzisa izidakamizwa noma utshwala kungenza izimpawu zibe zimbi kakhulu. Uma unemikhuba enjalo, funa iseluleko sezokwelapha ukuze uyiqede.
- Nciphisa ukucindezeleka: Ukucindezeleka kuyisici esiyinhloko esikhuphula lezi zimpawu. Ngakho-ke, gxila ezindleleni zokugcina ingqondo yakho izolile (isib. ukuzindla, ukuzivocavoca, izinto ozithandayo).
Nakuba lesi kuyisimo sokuphila konke, ngokwelashwa nokusekelwa okufanele, ungaphila impilo ephumelelayo nejabulisayo.
Umlayezo Wokuya Nawe Ekhaya
- Isifo sengqondo esibangelwa yi-Schizoaffective Disorder sihlanganisa izimpawu ze-schizophrenia (izinkinga zemvelo) kanye nezinkinga zemizwa.
- Lokhu kuhlukaniswe ngezinhlobo ezimbili eziyinhloko: i-Bipolar (esebenza ngokweqile kanye neyokucindezeleka) kanye ne-Depression (ecindezelayo kuphela).
- Njengoba lesi sifo siyinkimbinkimbi kancane ukusithola, kubaluleke kakhulu ukufuna iseluleko kuchwepheshe, njengodokotela wezifo zengqondo.
- Imiphumela emihle kakhulu ingatholakala ngokuhlanganisa kokubili imithi kanye nokwelashwa kwengqondo.
- Uma wena noma omunye umuntu enemicabango yokuzilimaza, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Nakuba lesi kuyisimo sokuphila konke, ngokwelashwa okufanele nokusekelwa abathandekayo, izimpawu zingalawulwa futhi impilo evamile ingaphilwa.
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