Isikhokelo sokuchonga isifo seBipolar

Umxholo

• Kufuneka wenze ntoni ngaphambi kokuba uxilongwe
• Ukulawula ezinye iimeko
• Uvavanyo lwempilo yengqondo
• Imania
• Uxinzelelo
• Uthintelo lokuzibulala
• Ukuphazamiseka kwengqondo okuguquguqukayo
• Ingxaki yeBipolar II
• ICyclothymia
• Ingxaki yokuhamba ngokukhawuleza kwebhayisikile
• Ayichazwanga ngenye indlela (NOS)
• Ukuchonga ukuphazamiseka kwengqondo okuguquguqukayo ebantwaneni
• Ukuchongwa gwenxa

Ukuvavanywa kwengxaki ye-bipolar

Abantu abanengxaki yokuphazamiseka engqondweni bangena kwiinguqu ezinzulu zemoya ezahluke mpela kwiimvakalelo zabo kunye nokuziphatha kwabo. Olu tshintsho lubuchaphazela ubomi babo imihla ngemihla.

Ukuvavanywa kwengxaki yokuguquguquka kwengqondo akulula njengokuthatha uvavanyo oluninzi lokukhetha okanye ukuthumela igazi kwilebhu. Nangona i-bipolar disorder ibonisa iimpawu ezahlukileyo, akukho vavanyo olulodwa lokuqinisekisa imeko. Rhoqo, indibaniselwano yeendlela isetyenziselwa ukwenza isifo.

Kufuneka wenze ntoni ngaphambi kokuba uxilongwe

Phambi kokuba ufumane isifo, unokuba namava okutshintsha ngokukhawuleza kweemvakalelo kunye nokudideka kweemvakalelo. Kunokuba nzima ukuyichaza ngqo indlela oziva ngayo, kodwa ungazi ukuba into ayilunganga.

Ukudakumba kunye nokuphelelwa lithemba kunokuba kukhulu. Ingaziva ngathi urhaxwa lithemba ngomzuzu omnye, kwaye kamva, unethemba kwaye ugcwele amandla.

Amaxesha aphantsi ngokweemvakalelo aqhelekanga kumaxesha ngamaxesha. Abantu abaninzi bajongana nala maxesha ngenxa yoxinzelelo lwemihla ngemihla. Nangona kunjalo, ukuphakama kweemvakalelo kunye neelows ezinxulunyaniswa nengxaki yokuphazamiseka kwengqondo kunokubaxeka ngakumbi. Ungaqaphela utshintsho kwindlela oziphethe ngayo, ukanti awunamandla okuzinceda. Abahlobo kunye nosapho banokubona utshintsho. Ukuba ufumana iimpawu zomntu, ungasiboni isidingo sokufumana uncedo kugqirha. Unokuziva ukhululekile kwaye ungayiqondi inkxalabo yabo bakungqongileyo de imeko yakho iphinde itshintshe.

Sukuyityeshela indlela oziva ngayo. Yiya kugqirha ukuba iimeko ezibaxekileyo ziyaphazamisa kubomi bemihla ngemihla okanye ukuba uziva ufuna ukuzibulala.

Ukulawula ezinye iimeko

Ukuba ufumana utshintsho olugqithisileyo kwiimvakalelo zakho eziphazamisa inkqubo yakho yemihla ngemihla, kuya kufuneka ubone ugqirha wakho. Akukho luvavanyo oluthile lwegazi okanye ukuskena kwengqondo ukufumanisa isifo se-bipolar. Nangona kunjalo, ugqirha wakho unokwenza uvavanyo lomzimba kunye noku-odola uvavanyo lweelebhu, kubandakanya uvavanyo lomsebenzi we-thyroid kunye nohlalutyo lomchamo. Olu vavanyo lunokunceda ekuchongeni ukuba ngaba ezinye iimeko okanye izinto zinokubangela iimpawu zakho.

Uvavanyo lomsebenzi we-thyroid luvavanyo lwegazi olulinganisa indlela esebenza ngayo i-thyroid gland. Idlala lengqula likhupha lize lifihle iihomoni ezinceda ekulawuleni izinto ezininzi zomzimba. Ukuba umzimba wakho awufumani ngokwaneleyo ihomoni ye-thyroid, eyaziwa ngokuba yi-hypothyroidism, ingqondo yakho inokungasebenzi kakuhle. Ngenxa yoko, unokuba neengxaki ngeempawu zokudakumba okanye ube nesifo sengqondo.

Ngamanye amaxesha, imiba ethile ye-thyroid ibangela iimpawu ezifanayo nezo ze-bipolar disorder. Iimpawu zinokuba sisiphumo esisecaleni samayeza. Emva kokuba ezinye izizathu ezinokuthi zikhutshwe ngaphandle, ugqirha wakho uya kukuthumela kwingcali yezempilo yengqondo.

Uvavanyo lwempilo yengqondo

Ugqirha wezifo zengqondo okanye ugqirha wengqondo uza kukubuza imibuzo ukuvavanya impilo yakho yonke yengqondo. Ukuvavanywa kwengxaki yokuguquguquka kwengqondo kubandakanya imibuzo malunga neempawu: ukuba zenzekile ixesha elingakanani, kwaye zingabuphazamisa njani ubomi bakho. Ingcali iya kukubuza malunga nemingcipheko ethile yokuphazamiseka kwengqondo. Oku kubandakanya imibuzo malunga nembali yonyango yosapho kunye nayiphi na imbali yokusetyenziswa gwenxa kweziyobisi.

Ukuphazamiseka kwengqondo okuguquguqukayo yimeko yempilo yengqondo eyaziwa ngamaxesha ayo omabini nokudakumba. Ukuxilongwa kwesifo se-bipolar kufuna ubuncinci uxinzelelo kunye ne-manic okanye hypomanic episode. Ingcali yakho yezempilo yengqondo iya kubuza malunga neengcinga zakho kunye neemvakalelo zakho ngexesha nasemva kwezi ziqendu. Bazofuna ukwazi ukuba uziva ulawula ngexesha lokutya kunye nokuba iziqendu zihlala ixesha elingakanani. Banokucela imvume yakho yokubuza izihlobo kunye nosapho malunga nokuziphatha kwakho. Naluphi na ukuxilongwa kuya kuthathela ingqalelo eminye imiba yembali yakho yezonyango kunye namayeza owathathileyo.

Ukuchaneka ngokuxilongwa, oogqirha basebenzisa i-Diagnostic and Statistical Manual of Disabilities (DSM). I-DSM ibonelela ngenkcazo yobuchwephesha kunye neenkcukacha zesifo sokuphazamiseka kwengqondo. Nalu ukophuka kweminye yemiqathango kunye neempawu ezisetyenziselwa ukufumanisa imeko.

Imania

Le mfiliba “lixesha elikhethekileyo lokuphakama ngokungaqhelekanga nangokungapheliyo, lokunaba okanye lokucaphuka.” Isiqendu kufuneka sihlale okungenani iveki. Isimo kufuneka okungenani sibe nezi mpawu zintathu zilandelayo:

• ukuzithemba okuphezulu
• isidingo esincinci sokulala
• ukwanda kwenqanaba lentetho (ukuthetha ngokukhawuleza)
• Ukubhabha kwezimvo
• ukuphazamiseka ngokulula
• ukwanda komdla kwiinjongo okanye kwimisebenzi
• ukuphazamiseka kwengqondo (ukuhamba, ukusonga ngesandla, njl.
• Ukonyuka kokulandelwa kwemisebenzi enomngcipheko omkhulu wengozi

Uxinzelelo

I-DSM ithi isiqendu esikhulu sokudakumba kufuneka okungenani sibe neempawu ezilandelayo. Kuya kufuneka zibe zintsha okanye ngequbuliso zibe mbi, kwaye kufuneka zihlale iiveki ezimbini ubuncinci:

• utshintsho kwisidlo okanye ubunzima, ukulala, okanye umsebenzi wengqondo
• ukunciphisa amandla
• iimvakalelo zokuziva ungaxabisekanga okanye unetyala
• kunzima ukucinga, ukugxila, okanye ukwenza izigqibo
• iingcinga zokufa okanye izicwangciso zokuzibulala okanye iinzame

Uthintelo lokuzibulala

Ukuba ucinga ukuba umntu usemngciphekweni wokuzenzakalisa okanye wenzakalise omnye umntu:

• Tsalela u-911 okanye inombolo yakho yongxamiseko yasekuhlaleni.
• Hlala naloo mntu de kufike uncedo.
• Susa nayiphi na imipu, iimela, amayeza, okanye ezinye izinto ezinokubangela ingozi.
• Mamela, kodwa musa ukugweba, ukuphikisa, ukugrogrisa, okanye ukukhwaza.

Ukuba ucinga ukuba umntu othile ucinga ngokuzibulala, okanye kunjalo, fumana uncedo kwiingxaki okanye kumnxeba onqabileyo wokuthintela ukuzibulala. Zama iNqanaba lokuSebenza lokuThintela ukuzibulala ku-800-273-8255.

Ukuphazamiseka kwengqondo okuguquguqukayo

I-bipolar I disorder ibandakanya enye okanye ezinye iziqendu zomntu okanye iziqendu ezixubeneyo (ze-manic and depress) kwaye zinokubandakanya isiqendu esikhulu soxinzelelo. Iziqendu azikho ngenxa yonyango okanye ukusetyenziswa kweziyobisi.

Ingxaki yeBipolar II

Ingxaki ye-Bipolar II inesiphene esinye okanye ezingaphezulu kakhulu zokudakumba kunye nesiqendu esinye se-hypomanic. I-Hypomania luhlobo oluncinci lwe-mania. Akukho ziqendu zomntu, kodwa umntu unokufumana isiqephu esixubekileyo.

I-bipolar II ayiphazamisi amandla akho okusebenza ngokungangqinelani ne-bipolar I disorder. Iimpawu kusafuneka zibangele uxinzelelo oluninzi okanye iingxaki emsebenzini, esikolweni, okanye kubudlelwane. Kuqhelekile kwabo bane-bipolar II disorder ukuba bangazikhumbuli iziqendu zabo ze-hypomanic.

ICyclothymia

ICyclothymia ibonakaliswa kukutshintsha koxinzelelo olukumgangatho ophantsi kunye namaxesha e-hypomania. Iimpawu kufuneka zibekhona ubuncinci iminyaka emibini kubantu abadala okanye unyaka omnye kubantwana ngaphambi kokuba kwenziwe isifo. Abantu abadala banamaxesha angenazimpawu ahlala ixesha elingaphezulu kweenyanga ezimbini. Abantwana kunye nolutsha banamaxesha angenazimpawu ahlala inyanga kuphela.

Ingxaki yokuhamba ngokukhawuleza kwebhayisikile

Eli nqanaba luhlobo olunzima lokuphazamiseka kwengqondo okuguquguqukayo. Kwenzeka xa umntu eneziqendu ezine zoxinzelelo olukhulu, i-mania, i-hypomania, okanye amazwe axubeneyo kwisithuba sonyaka. Ukuhamba ngebhayisikile ngokukhawuleza kuchaphazela.

Ayichazwanga ngenye indlela (NOS)

Eli candelo leempawu ze-bipolar disorder ezingalinganiyo ngokucacileyo kwezinye iindidi. I-NOS ifunyaniswa xa iimpawu ezininzi zokuphazamiseka kwengqondo okukhoyo zikhona kodwa azonelanga ukuhlangabezana nelebheli yazo nayiphi na enye i-subtypes. Eli candelo linokubandakanya notshintsho lweemvakalelo olukhawulezileyo olungapheli ixesha elide ukuba yinyani okanye iziqendu zokudakumba. I-Bipolar disorder NOS ibandakanya iziqendu ezininzi ze-hypomanic ngaphandle kwesiqendu esikhulu soxinzelelo.

Ukuchonga ukuphazamiseka kwengqondo okuguquguqukayo ebantwaneni

Ukuphazamiseka kwebipolar ayisiyongxaki yabantu abadala kuphela, inokubakho nasebantwaneni. Ukuchonga isifo se-bipolar ebantwaneni kunokuba nzima kuba iimpawu zesi sifo ngamanye amaxesha zinokulinganisa ezo ziqwalasele-ukusilela kokuphazamiseka kwengqondo (ADHD).

Ukuba umntwana wakho uphathwa i-ADHD kwaye iimpawu zakhe aziphuculanga, thetha nogqirha wakho malunga nokwenzeka kokuphazamiseka kwengqondo. Iimpawu zokuphazamiseka kwengqondo kwi-bipolar ebantwaneni zinokubandakanya:

• ukungxamiseka
• ukucaphuka
• Ubundlongondlongo (mania)
• Uxinzelelo
• ukudubuleka ngokweemvakalelo
• amaxesha osizi

Iikhrayitheriya zokuchonga ukuphazamiseka kwengqondo kubantwana ziyafana nokufumanisa imeko kubantu abadala. Akukho luvavanyo luchongiweyo, ukuze ugqirha wakho abuze uthotho lwemibuzo malunga nemo yomntwana wakho, indlela alala ngayo kunye nokuziphatha kwakhe.

Umzekelo, kukangaphi umntwana wakho edubuleka ngumsindo? Ulala iiyure ezingaphi umntwana wakho ngosuku? Uhlala umana kangakanani umntwana wakho ukuba nomsindo kunye nokucaphuka? Ukuba indlela oziphethe ngayo kunye nesimo sengqondo somntwana wakho yinto episodic, ugqirha wakho unokwenza isifo sokuphazamiseka kwengqondo esiyi-bipolar.

Ugqirha usenokubuza malunga nembali yosapho lwakho yoxinzelelo okanye ukuphazamiseka kwengqondo, kunye nokujonga umsebenzi womntwana wakho we-thyroid ukulawula i-thyroid engasebenzi.

Ukuchongwa gwenxa

Isifo seBipolar sihlala sichazwa gwenxa kumanqanaba aso okuqala, ahlala ekho kwiminyaka yeshumi elivisayo. Xa kufunyaniswa ukuba yenye into, iimpawu zokuphazamiseka engqondweni zinokuba mandundu. Oku kuhlala kwenzeka kuba unyango olungalunganga lubonelelwa.

Eminye imiba yokuchongwa gwenxa kukungangqinelani kumgca wexesha leziqendu kunye nokuziphatha. Uninzi lwabantu alufuni unyango de babe namava oxinzelelo.

Ngokophando olwenziwe ngo-2006 lwapapashwa ngo, malunga neepesenti ezingama-69 zawo onke amatyala achaphazeleka. Isinye kwisithathu sazo asichongwanga ngokufanelekileyo kwiminyaka eli-10 okanye nangaphezulu.

Imeko yabelana ngeempawu ezininzi ezinxulumene nokunye ukuphazamiseka kwengqondo. Ukuphazamiseka kwengqondo okungaqhelekiyo kuhlala kuchazwa ngokungalunganga njenge-unipolar (enkulu) yoxinzelelo, uxinzelelo, i-OCD, i-ADHD, ingxaki yokutya, okanye ukuphazamiseka kubuntu. Ezinye zezinto ezinokunceda oogqirha ekulungiseni lulwazi olomeleleyo ngembali yosapho, iziqendu eziphindaphindayo zokudakumba, kunye nephepha lemibuzo lesifo sengqondo.

Thetha nogqirha wakho ukuba uyakholelwa ukuba unokuba nazo naziphi na iimpawu zokuphazamiseka engqondweni okanye enye imeko yempilo yengqondo.