Ingabe lokhu kwake kwenzeka kuwe noma kothile omaziyo? Ngezinye izikhathi, ugcwele injabulo nomdlandla omkhulu. Ngezinye izikhathi, ukhungathekiswa kakhulu ukudabuka kangangokuthi awukwazi ukwenza lutho, uzizwa sengathi unesithukuthezi ngezwe, futhi uzizwa udabuke kakhulu. Lokhu kushintshashintsha phakathi kwezimo ezimbili zengqondo eziphikisanayo kuyisici esiyinhloko sesifo sengqondo esikhuluma ngaso namuhla. Kufana nezinhlangothi ezimbili zemali.
Kalula nje, iyini i-bipolar disorder?
Isifo se-bipolar , esaziwa nangokuthi ukucindezeleka kwe-manic, yisifo sengqondo esingaba nomthelela omkhulu esimweni sengqondo somuntu, amandla, imicabango, kanye nokuziphatha kwakhe. Igama elithi "bipolar" lisho "izinsika ezimbili." Lokhu kusho ukuthi abantu abanalesi simo babhekana nezinsika ezimbili ezidlulele, noma izinsika, zesimo sengqondo.
1. Ukuhlanya: Lokhu kuyingozi kakhulu. Phakathi nalesi sikhathi, umuntu uzizwa ejabule kakhulu, enamandla, futhi eshiseka. Uzizwa sengathi anganqoba umhlaba. Ngezinye izikhathi, lokhu kuxhamazela kuhambisana nokucasuka, ukushesha, kanye nokuzibeka engcupheni. Abanye abantu baphinde babhekane nokukhohlisa noma ukubona izinto ezingekho phakathi nalesi sikhathi.
2. Ukucindezeleka: Lokhu kungenye into exakile. Phakathi nalesi sikhathi, uzizwa udabuke kakhulu, ungenathemba, futhi uphelelwe amandla ngokuphelele. Ulahlekelwa isithakazelo ezintweni obuzijabulela. Lezi zimpawu zifana kakhulu nezimpawu zokucindezeleka kwezokwelapha.
Phakathi kwalezi zindlela ezimbili eziqine kakhulu, okungukuthi, lapho kungekho "i-Mania" noma " ukucindezeleka ", isimo sengqondo sesiguli sihlala sisezingeni elijwayelekile, elizinzile.
Into ebalulekile ukuthi, lokhu akusikho ubuthakathaka bomuntu. Kuyisimo sezokwelapha, njengesifo sikashukela nesifo senhliziyo, esibangelwa izinguquko kumakhemikhali obuchopho.
Ingabe zikhona izinhlobo eziyinhloko zesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder?
Yebo, kunezinhlobo eziningana eziyinhloko zalesi simo. Udokotela wakho uzonquma ukuthi uwela kuluphi uhlobo ngokusekelwe ohlotsheni lwezimpawu zakho.
- I-Bipolar I : Lolu hlobo lubonakala ngeziqephu ze-mania enzima ehlala okungenani isonto. Ngezinye izikhathi izimpawu zinzima kangangokuthi kudingeka ulaliswe esibhedlela. Kukhona neziqephu zokucindezeleka okukhulu ezihlala okungenani amasonto amabili.
- I-Bipolar II:Azikho iziqephu ezinzima ze-mania. Kunalokho, kukhona isiqephu esincane nesingathí sina se-hypomania. Kodwa-ke, iziqephu ezinzima zokucindezeleka azinakugwenywa.
- Isifo se-Cyclothymic: Lesi yisimo lapho izimpawu ze-hypomanic kanye nezimpawu zokucindezeleka ziqhubeka isikhathi eside, okungenani iminyaka emibili kumuntu omdala kanye nonyaka owodwa kumntwana omncane. Kodwa-ke, lezi zimpawu azinzima njengalezo ze-Bipolar I noma II.
- Ukujika Okusheshayo: Lokhu akulona uhlobo oluhlukile. Yigama elisetshenziselwa ukuchaza iphethini yokugula kumuntu one-Bipolar I noma II. Uma kwenzeka iziqephu ezine noma ngaphezulu zokushintshashintsha kwemizwelo phakathi nonyaka, kubizwa ngokuthi i-Rapid Cycling.
Ziyini izimpawu zalesi sifo?
Esifweni se-bipolar, lezi zikhathi eziphakeme neziphansi, noma iziqephu ze-mania nokucindezeleka, azenzeki ngendlela ethile. Umuntu angase abe nesimo sengqondo esifanayo (isib. ukucindezeleka) izikhathi eziningana ngaphambi kokushintshela kwesinye isimo esibi kakhulu (mania). Lokhu kungahlala amasonto, izinyanga, noma ngisho neminyaka.
Ukuze kube lula ukuqonda, ake sibheke lezi zimpawu etafuleni.
| Izimpawu ze-Mania | Izimpawu Zokucindezeleka |
|---|---|
| Ukuzizwa kwenjabulo enkulu kanye nenjabulo. | Ukulahlekelwa amandla ngokuphelele. |
| Ukuthukuthela ngokushesha, ngokuzumayo kushintsha kusuka enjabulweni kuya entukuthelweni. | Ukuzizwa udabukile kakhulu futhi uphelelwe yithemba. |
| Isidingo sokulala sinciphile kakhulu. | Ukulahlekelwa isithakazelo ezintweni obuzijabulela. |
| Ukukhuluma ngokushesha kakhulu futhi ngaphandle kokuyeka. | Ukukhohlwa kanye nobunzima bokugxilisa ingqondo. |
| Ukwenza izinhlelo ezinkulu, ezingenakwenzeka. | Ubunzima bokwenza izinqumo, ukukhuluma kancane. |
| Ukusebenzisa imali ngokungadingekile, ukunganaki. | Ukungalali noma ukulala ngokweqile. |
| Ukwanda kokuthambekela kokusebenzisa izidakamizwa notshwala. | Ushintsho ekufiseni ukudla (ukwanda noma ukwehla). |
| Ukuzethemba ngokweqile, becabanga ukuthi bangenza noma yini. | Ukucabanga ngokuphila, ukufa, noma ukuzama ukuzibulala. |
Izimpawu ezinganeni nakubantu abasha
Izimpawu ezinganeni nakubantu abasha zingafana nezabantu abadala. Kodwa-ke, ngezinye izikhathi zingadidaniswa nezinye izimo, njenge-attention deficit hyperactivity disorder (ADHD). Ngakho-ke uma usola ukuthi ingane yakho inalezi zimpawu, qiniseka ukuthi uthintana nodokotela wezingane noma wezifo zengqondo ukuze uthole iseluleko.
Ziyini izimbangela zesifo sokuphazamiseka kwengqondo okuguquguqukayo?
Akukho imbangela eyodwa eqondile etholakele okwamanje, kodwa abacwaningi bakholelwa ukuthi inhlanganisela yezici ingadlala indima.
- Izakhi zofuzo: Uma othile emndenini wakho enesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder, usengozini enkulu yokuba naso, kodwa akusho ukuthi nakanjani uzosithola.
- Isakhiwo kanye nomsebenzi wobuchopho: Kutholakale ukuthi iziguli zinokungalingani kanye nezinguquko zesakhiwo kumakhemikhali athile ( ama-neurotransmitter ) ebuchosheni bazo.
- Izici zemvelo: Izinto ezifana nezehlakalo ezibuhlungu ngesikhathi sobuntwana, ukucindezeleka okukhulu, kanye nokulahlekelwa othandekayo kungabangela ukuqala kwalesi sifo noma izimpawu ezimbi kakhulu.
- Izidakamizwa notshwala: Lokhu kungabangela ukuthi izimpawu zivele noma kwenze isimo sibe sibi kakhulu.
Iphathwa kanjani?
Izindaba ezinhle ukuthi i-bipolar disorder yisimo esingaphathwa kahle ngokwelashwa . Ukuthola ukuxilongwa okunembile yisinyathelo sokuqala esibaluleke kakhulu.
Ngenxa yokuthi lesi yisimo sesikhathi eside, kudingeka ukwelashwa okuqhubekayo. Ngokuvamile, kusetshenziswa inhlanganisela yezindlela zokwelapha.
Imithi
Lena yindlela yokwelapha eyinhloko. Udokotela wakho uzokunikeza imithi efanele isimo sakho.
- Izinzinzisi Zokuzizwa: Isibonelo, iLithium, iValproate.
- Ama-antipsychotics: Lawa asiza ukulawula izimpawu zokusangana.
- Ama-antidepressant: Lawa anikezwa iziqephu zokucindezeleka. Kodwa-ke, ngezinye izikhathi angabangela iziqephu zokudabuka, ngakho-ke anikezwa njalo nomuthi oqinisa imizwa.
Ungalokothi uyeke ukuthatha imithi yakho noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho. Kungathatha isikhathi ukuthola inhlanganisela efanele yemithi. Ngakho-ke kubalulekile ukuba nesineke ngokwelashwa kwakho.
Ukwelapha ngengqondo
Kanye nemithi, ukwelulekwa kwengqondo nakho kubaluleke kakhulu.
- Ukwelashwa Kokuziphatha Kokuqonda (i-CBT): Lokhu kusiza ekuboneni imicabango emibi kanye nezindlela zokuziphatha bese kuzishintsha zibe yizinhle.
- Ukwelashwa Ngesigqi Sokuxhumana Nomphakathi (IPSRT): Lokhu kusiza ukulawula isimo sengqondo ngokusungula isimiso sansuku zonke esiqhubekayo sezinto ezifana nokulala nokudla, nokuphila ngaleyo sigqi.
- Imfundo Yengqondo: Ukuzifundisa wena nomndeni wakho ngalesi sifo kuyindlela enhle yokuphila nalesi sifo.
Ezinye izindlela zokwelapha kanye nezinguquko endleleni yokuphila
- Ukwelashwa Nge-Electroconvulsive (ECT): Lokhu kwelashwa kusetshenziswa ngaphansi kokuqashwa okuseduze kodokotela ezimweni ezinzima kakhulu ezingaphenduli emithini.
- Isimiso esiqhubekayo: Zijwayeze ukulala, ukuvuka nokudla ngesikhathi esifanayo nsuku zonke.
- Ukuzivocavoca: Ukuzivocavoca njalo kuhle kakhulu empilweni yengqondo.
- Gwema utshwala nezidakamizwa ngokuphelele.
- Lawula ukucindezeleka: Izinto ezifana ne-yoga nokuzindla zingasiza.
Yini okufanele uyenze uma wena noma othandekayo wakho edinga usizo?
Uma wena noma othile omaziyo enalezi zimpawu, sicela ungahlupheki wedwa.
- Bona udokotela ngokushesha: Khuluma nodokotela womndeni wakho noma udokotela wezifo zengqondo ngalokhu.
- Yazisa abathandekayo bakho:Khuluma nomndeni wakho nabangane abaseduze ngalokhu. Ukusekelwa kwabo kuzoba amandla amakhulu kuwe kulolu hambo.
- Esimweni esiphuthumayo: Uma othile ecabanga ngokuzibulala noma esesimweni sokuzilimaza yena noma abanye, myise ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ukuphila nesifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar disorder kungaba yinselele, kodwa ngokwelashwa okufanele, ukwesekwa komndeni, kanye nokuzinikela kwakho, ungaphila impilo evamile nejabulisayo.
Umlayezo Wokuya Nawe Ekhaya
- Isifo se-bipolar asiyona iphutha noma ubuthakathaka bomuntu. Yisimo sezokwelapha esidinga ukwelashwa.
- Isici esiyinhloko ukushintshashintsha phakathi kwemizwa emibili eyeqile (injabulo eyeqile nokudabuka okweqile).
- Ngokuhlonzwa nokwelashwa okufanele, lesi simo singalawulwa kahle futhi impilo evamile ingaphilwa.
- Kubaluleke kakhulu ukuphuza imithi njengoba kuyalelwe udokotela wakho futhi ufune iseluleko sezengqondo. Ungalokothi uyeke ukuthatha imithi wedwa.
- Uma wena noma othile omaziyo enalezi zimpawu, ungalibali ukufuna iseluleko sezokwelapha. Awuwedwa, futhi usizo luyatholakala.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho