Ingabe wena noma othile omaziyo unesifo sokuphazamiseka kwengqondo? Khona-ke uyazi ukuthi kunzima kangakanani ukugcina ingqondo yakho isendaweni eyodwa. Ngolunye usuku uzizwa ujabule futhi ujabule kakhulu (sikubiza lokhu ngokuthi i-mania). Ngosuku olulandelayo uzizwa udabuke futhi ucindezelekile kangangokuthi awufuni ukuhlala emhlabeni. Lokhu kwehla nokwehla kungenza impilo idideke kakhulu. Namuhla sizokhuluma ngokucindezeleka okwenzeka phakathi nalesi sifo sokuphazamiseka kwengqondo, okungukuthi, ukucindezeleka kwengqondo . Ake sixoxe ngezindlela zokwelapha lokhu ngendlela elula ongayiqonda.
Yiziphi izindlela zokwelapha eziyinhloko zokucindezeleka kwe-bipolar?
Esikhathini esidlule, lezi zimo zazelashwa ngemithi eyayibangela ukozela ngokweqile futhi ibe nemiphumela eminingi emibi. Kodwa lokho akusenjalo. Isayensi yezokwelapha isithuthuke kakhulu. Namuhla, izinto eziqinisa imizwa ziyindlela eyinhloko yokwelapha isifo sokuphazamiseka kwengqondo okuguquguqukayo.
Kalula nje, le mithi isiza ukulawula lokhu kushintshashintsha kwemizwelo nokugcina imizwa yakho izinzile. Nakuba ilawula izigameko zokucindezeleka, iyasiza futhi ekuvimbeleni izigameko zokusangana.
Khumbula, iziqephu zokucindezeleka zivame kakhulu kuneziqephu ze-manic kwi-bipolar disorder, ngakho-ke kubalulekile ukwelapha lokhu ngendlela efanele.
Ezinye zezinhlobo eziyinhloko zezinzinzisi zemizwa odokotela abavame ukuzincoma yilezi:
- I-Lithium
- I-Lamotrigine
- I-Valproate
- I-Carbamazepine
Ngezinye izikhathi, udokotela wakho angase asebenzise le mithi 'engavunyelwe', noma ingavunyelwe ngokusemthethweni ukucindezeleka kwe-bipolar. Lokhu kusho ukuthi umuthi ovunyelwe kwesinye isimo uyasetshenziswa uma ulwazi nolwazi lukadokotela lubonisa ukuthi uyafaneleka kulesi simo. Ezinye iziguli zingalawula isimo sazo ngesivikelo esisodwa semizwa . Kodwa uma lokho kunganele, udokotela angase anqume ukwengeza esinye isivikelo semizwa noma umuthi ovela kolunye uhlobo lwemithi.
Ingabe kusetshenziswa imithi yokucindezeleka kulokhu? Lokhu kuyinkimbinkimbi kancane!
Lona umbuzo abantu abaningi abawubuzayo. Nakuba imithi yokucindezeleka iphumelela kakhulu ekwelapheni ukucindezeleka kwe-unipolar, isetshenziswa ngokucophelela okukhulu ekucindezelekeni kwe-bipolar.
Cabanga nje, uma unika umuntu onesifo sokucindezeleka kwengqondo esingenaso isithambisi sokuzizwa ekhululekile, lokho kungabangela leso sigameko sokuhlanya. Okusho ukuthi, angasuka ekucindezelekeni aye ekubeni ohlanyayo aye ekubeni ohlanyayo. Ngenxa yale ngozi, odokotela abakaze banikeze umuthi wokucindezeleka wesifo sokucindezeleka kwengqondo kuphela.
Enye yezinto ezitholwe ocwaningweni olukhulu olubizwa ngokuthi i-STEP-BD olwenziwe yi-National Institute of Mental Health (NIMH) e-United States ukuthi ukufaka umuthi wokucindezeleka ekwelapheni isimo sengqondo akuzange kwenze umehluko omkhulu emphumeleni. Lokhu kusenze saqaphela ukubaluleka kokuthola ezinye izindlela zokwelapha ukucindezeleka kwe-bipolar.
Imithi yokulwa nesifo sengqondo isiza kanjani?
Izifundo zamuva nje zibonise ukuthi eminye imithi yokulwa nesifo sengqondo iyasebenza kakhulu ekucindezelekeni kwe-bipolar. Le mithi ibizwa ngokuthi 'i-Atypical Antipsychotics'.
Kalula nje, le mithi isebenza ngokuthinta izithunywa zamakhemikhali (ama-neurotransmitter) ebuchosheni bethu ezilawula isimo sengqondo nokuziphatha. Udokotela wakho uzohlola izinzuzo nezingozi zomuthi ngamunye bese ekhetha ukwelashwa okungcono kakhulu ukuze unqobe ukucindezeleka kwakho ngaphandle kwengozi yokuba ne-mania.
Eminye imithi yokulwa nesifo sengqondo esetshenziswa ekucindezelekeni kwe-bipolar ibalwe kuthebula elingezansi.
| Igama lomuthi (isibonelo) | Isetshenziswa kanjani |
|---|---|
| I-Lumateperone, i-Quetiapine | Isetshenziswa yodwa njengokwelashwa kwesikhashana kwesifo sokucindezeleka kwengqondo okuguquguqukayo. |
| I-Olanzapine ne-Fluoxetine | Le mithi emibili isetshenziswa njengenhlanganisela. |
| I-Lurasidone | Isetshenziswa yodwa noma ihlanganiswe neLithium/Valproate. |
| I-Cariprazine | Nakuba kuyimithi evunyelwe ye-bipolar mania, ingasetshenziswa futhi njengenketho engekho ohlwini lokucindezeleka. |
Ake sifunde futhi ngemithi yokucindezeleka ye-CNS.
Leli qembu lihlanganisa izidakamizwa ezibizwa ngokuthi i-benzodiazepines. Izibonelo zifaka phakathi izidakamizwa ezifana ne-Clonazepam, i-Lorazepam, ne-Alprazolam.
Lezi zisetshenziswa kuphela ezimweni ezibucayi ezifana nokungaphumuli okukhulu, ukukhathazeka, kanye nokungalali. Lezi akuzona imithi emihle yokusetshenziswa isikhathi eside. Ziphinde zibe sengozini enkulu yokulutha . Ngakho-ke, zisetshenziswa isikhathi esifushane kakhulu, ngaphansi kokuqondisa okuqinile kukadokotela.
Ingabe ukwelashwa nge-electroconvulsive (ECT) kuyinto okufanele uyesabe?
Ukwelashwa nge-Electroconvulsive Therapy (ECT) kungase kwesabise abanye abantu, kodwa empeleni kuyindlela yokwelapha ephumelela kakhulu futhi ephephile yokucindezeleka okukhulu kwe-bipolar.
Ifaneleka kakhulu iziguli ezinezimpawu zengqondo noma labo abasengozini enkulu yokuzibulala . I-ECT iyindlela yokwelapha ephephile nephumelelayo kwabesifazane abanesifo sokucindezeleka okukhulu kwe-bipolar noma i-mania ngesikhathi sokukhulelwa, ngaphandle kokulimaza ingane.
Ingabe imithi yodwa ayanele? Ukubaluleka kokwelashwa kwengqondo
Lokhu kubaluleke kakhulu. Lapho welapha ukucindezeleka kwe-bipolar, imithi iwuhlangothi olulodwa kuphela lwale nkinga. Olunye uhlangothi ukwelashwa kwengqondo .
Lokhu kuzokusiza ukuthi uphathe kangcono ubudlelwano bakho nabantu, uphuze imithi yakho njengoba uyalelwe, futhi uhlele isimiso sakho sansuku zonke (izikhathi zokulala, zokuvuka, zokudla, nezokuphuza).
Enye into etholakale ocwaningweni lwe-STEP-BD olushiwo ngenhla ukuthi lapho ukwelashwa kwengqondo okuhleliwe kuhlanganiswa nemithi, izinga lokululama likhuphuka cishe ngo-150%!
Kunezindlela eziningana eziphumelelayo zokwelashwa kwengqondo ezisetshenziswa kulokhu:
- Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Kukusiza ukuthi ubone futhi ushintshe imicabango yakho engemihle kanye nokuziphatha.
- Ukwelashwa Ngesigqi Sokuxhumana Nomphakathi (IPSRT): Kukusiza ukuthi ugcine isimo sengqondo esizinzile ngokwenza kube lula imisebenzi yakho yansuku zonke kanye nobudlelwano nabantu.
- Ukwelashwa Okugxile Emndenini: Indlela yokwelapha ehilela umndeni wakho futhi ebabandakanya enkambisweni ngokusekelwa yibo.
Umlayezo Wokuya Nawe Ekhaya
- Ukucindezeleka kwe-bipolar kuyisimo esingelapheka. Ungalokothi ulahle ithemba. Ngokwelashwa okufanele, ungaphila impilo evamile.
- Ingxenye eyinhloko yokwelashwa imithi yokuqinisa imizwa. Sebenzisa le mithi njengoba nje udokotela wakho ekuncoma, ngesilinganiso esifanele nangesikhathi esifanele.
- Imithi yokucindezeleka kufanele isetshenziswe ngokucophelela okukhulu. Ungalokothi uyisebenzise ngaphandle kokuqondisa kukadokotela.
- Ukwelapha ngokwengqondo kubaluleke njengokwelapha. Uma lokhu kokubili kuhambisana, imiphumela iba mihle kakhulu.
- Uma unemibuzo, ukukhathazeka, noma imiphumela emibi mayelana nokwelashwa kwakho, xoxa ngakho ngokukhululekile nodokotela wakho. Ungafihli lutho kuwe.
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