Uma udokotela ekutshela, ilungu lomndeni, noma umngane, ukuthi unesifo sokuphazamiseka kwengqondo, kuyinto evamile ukuzizwa ukhungathekile futhi ukhathazekile. "Ngenzenjani manje? Ingabe kukhona ukwelashwa okuhle kwalokhu? Ingabe lokhu kungelapheka?" Ungase ube nemibuzo eminingi engqondweni yakho. Kodwa ungakhathazeki. Isifo sokuphazamiseka kwengqondo esibizwa ngokuthi i-bipolar siyisimo esilawulekayo. Ake sixoxe ngezokwelapha ezitholakalayo, ngayinye ngayinye, ngendlela elula kakhulu.
Imithi eyinhloko esetshenziselwa isifo sokuphazamiseka kwengqondo
Lapho belapha isifo sokuphazamiseka kwengqondo, odokotela bagxila ezinhlotsheni ezintathu eziyinhloko zemithi. Lezi yimithi yokuqinisa imizwa, imithi yokwelapha ingqondo, futhi ngezinye izikhathi imithi yokucindezeleka. Kodwa khumbula, ukwelashwa akukhona nje imithi . Ukuze uthole imiphumela emihle kakhulu, ngokuvamile kuhilela inhlanganisela yomuthi owodwa noma eminingi kanye nohlobo lokwelashwa ngenkulumo olubizwa ngokuthi i-psychotherapy .
Manje ake sibone ukuthi iyini le mithi nokuthi kwenzekani kuyo.
| Isigaba sezidakamizwa | Imithi esetshenziswa kakhulu (izibonelo) | Kalula nje, wenzani ngalezi zinto? |
|---|---|---|
| Izinzisi Zokuzizwa Kwengqondo | I-Lithium Carbonate I-Valproic Acid (i-Depakote) I-Carbamazepine (i-Tegretol) I-Lamotrigine (i-Lamictal) | Lezi ziyisisekelo sokwelashwa. Zisiza ukulawula ukushintshashintsha kwemizwelo phakathi kwezikhathi ezibucayi zokuhlanya nokucindezeleka. Zibaluleke kakhulu ekulawuleni izigameko zokuhlanya nokuvimbela ukubuyela emuva. |
| Ama-antipsychotics | I-Olanzapine (i-Zyprexa) I-Risperidone (i-Risperdal) I-Quetiapine (i-Seroquel) I-Aripiprazole (Abilify) I-Lurasidone (i-Latuda) | Lokhu futhi kuyasiza ekuqiniseni isimo sengqondo. Le mithi inikezwa ukulawula ngokushesha izimpawu zokuphazamiseka kwengqondo, njengokubona izinto ezingekho kanye nokuphupha, ikakhulukazi ngezikhathi zomsebenzi ophezulu (i-mania). Ngezinye izikhathi inikezwa kanye neziqinisi zesimo sengqondo. |
| Imithi yokucindezeleka | I-Fluoxetine NjengoSertraline... | Lezi zisetshenziswa ngokuqapha okukhulu. Zinikezwa ukulawula ukucindezeleka kwesifo sokuphazamiseka kwengqondo. Kodwa-ke, uma zisetshenziswa zodwa, ngezinye izikhathi zingadala i-mania. Ngakho-ke, zivame ukunikezwa nge-mood stabilizer. |
Izinto ezibalulekile okufanele uzazi uma usebenzisa imithi
Khumbula, akuwona wonke umuntu ofana nomzimba wakhe. Ngakho-ke, kungathatha isikhathi ukuthola umuthi ofanele kanye nomthamo wakho . Udokotela wakho uzoqala ngomuthi owodwa kuqala bese ebona ukuthi ukuthinta kanjani. Kungadingeka uzame imithi eminingana ehlukene. Lokhu kuvamile, ngakho ungakhathazeki.
Eminye imithi, ikakhulukazi i-lithium, ingaba yingozi uma ithathwa ngobuningi. Yingakho udokotela wakho ezokucela ukuthi uhlolwe igazi ngezikhathi ezithile . Ungayeqi le mithi. Kungenxa yokuphepha kwakho.
Ukwelashwa Okungeyona Imithi
Imithi iyingxenye eyodwa nje yalolu hambo. Kunezinye izindlela zokwelapha ezibaluleke ngokulinganayo.
Ukwelapha Ngengqondo - Ukwelapha ngokukhuluma
Kalula nje, lokhu kuyindlela yokwelapha ngenkulumo. Lokhu kubaluleke kakhulu.
- Qonda isimo sakho: Lokhu kuzokusiza uqonde ukuthi kungani kwenzeka nokuthi ungaphila kanjani naso.
- Ukuphathwa Kwemizwa: Ungafunda izindlela zokuqaphela nokulawula imizwa efana nenjabulo enkulu kanye nokudabuka okukhulu lapho kuvela.
- Sebenzisa imithi ngendlela efanele: Abanye abantu bayayeka ukuphuza imithi yabo uma bezizwa bengcono. Lokhu kuyingozi kakhulu. Ukwelashwa kwengqondo kungasiza ekuqiniseni isidingo sokuqhubeka nokuphuza imithi.
- Sekela umndeni: Lokhu akugcini nje ngokusiza isiguli, kodwa futhi nomndeni ukuqonda lesi sifo. Kunezindlela ezahlukene ngaphansi kwalokhu njengokwelashwa kokuziphatha kwengqondo (CBT), Ukwelashwa Komndeni.
Ukwelashwa Nge-Electroconvulsive (ECT)
Abanye abantu bayesaba uma bezwa leli gama. Ngoba livezwe ngaleyo ndlela kumamuvi. Kodwa empeleni , i-ECT yanamuhla iyindlela yokwelapha ephephile kakhulu, engenabuhlungu, futhi ephumelelayo kakhulu.
Lokhu kwenziwa ngaphansi kokuhlinzwa okuphelele, okusho ukuthi ngeke uzwe lutho. Kunganikeza impumuzo esheshayo kubantu abahlushwa ukucindezeleka okukhulu noma i-mania, abangasabeli emithini, noma abanezimpawu eziba zimbi kakhulu ngesikhathi sokukhulelwa.
Ezinye izindlela zokwelapha zesimanje
Ngaphezu kwalokhu, kunezinye izindlela zokwelapha zesimanje.
- I-VNS (Vagus Nerve Stimulation): Idivayisi encane efakwe emzimbeni ethumela izimpawu zikagesi emthanjeni ukuze ilawule ukucindezeleka.
- I-TMS (Transcranial Magnetic Stimulation): Ukuvuselelwa kwamaseli alawula imizwa ebuchosheni kusetshenziswa ikhoyili yamagnetic.
- Ukwelashwa Okukhanyayo : Abanye abantu babhekana nokucindezeleka okukhulu phakathi nezinyanga zasebusika (i-Seasonal Affective Disorder). Abantu abanjalo banganciphisa ukucindezeleka kwabo ngokuchitha imizuzu engama-20-30 nsuku zonke phambi kwebhokisi lokukhanya elikhethekile.
Ukulungisa indawo yasekhaya kanye nendima yamalungu omndeni
Uma uhlala nomuntu onesifo sokuphazamiseka kwengqondo, ukwesekwa komndeni kubaluleke kakhulu. Kunezinto eziningana ongazenza.
- Indawo ezolile: Gcina indawo yasekhaya izolile ngangokunokwenzeka. Gwema ukumemeza nokulwa, ikakhulukazi ngesikhathi sokuhlanya.
- Isimiso esiqhubekayo: Gcina izikhathi zokudla, zokuphuza, zokulala, kanye nokuzivocavoca njalo. Ukulala ngokwanele kubaluleke kakhulu . Ukungalali kahle kungabangela isenzakalo sokuhlanya.
- Gwema ukuvusa inkanuko ngokweqile: Izinto ezifana namaphathi amakhulu, imisindo ephezulu, nokubuka i-TV njalo kungandisa izimpawu zokuphambana.
- Gwema utshwala nezidakamizwa: Lokhu kungenza izimpawu zibe zimbi kakhulu futhi kunciphise ukusebenza kahle kwemithi.
Izinto okufanele uzenze ngesikhathi sokuhlanya!
Ngesikhathi sokuhlanya, isiguli singase singazi ukuthi senzani. Singase silingeke ukuba siziphathe ngendlela eyingozi njengokushayela ngesivinini esikhulu, ukuzibandakanya emidlalweni eyingozi, kanye nokuchitha imali eningi.
Esimweni esinjalo, kungumthwalo wakho njengelungu lomndeni ukushayela udokotela ucingo ngokushesha . Ngisho noma isiguli singafuni ukwelashwa, chaza isimo bese ucela iseluleko sezokwelapha. Ukungenelela kusenesikhathi kungavimbela ngisho nokulaliswa esibhedlela. Nciphisa iziphuzo eziqukethe i-caffeine njengetiye, ikhofi, ne-cola. Unganikezi utshwala nhlobo.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa kwesifo sokuphazamiseka kwengqondo esiguquguqukayo kuyinhlanganisela yemithi kanye nokwelashwa kwengqondo, kokubili okubaluleke ngokulinganayo.
- Kungathatha isikhathi ukuthola imithi efanele kanye nomthamo ofanele wena. Yiba nesineke futhi umethembe udokotela wakho.
- Ukusekelwa nokuqonda komndeni wakho kubalulekile ukuze ukwelashwa kuphumelele. Babandakanye nabo kule nqubo.
- Landela imiyalelo kadokotela ngqo. Yiya emitholampilo ngezinsuku ezihleliwe bese uthola izivivinyo ezidingekayo.
- Uma kuvela izimpawu ze-mania, bheka njengesimo esiphuthumayo bese ucela iseluleko sezokwelapha ngokushesha.
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