I-Dysphoric Mania: Iimpawu, unyango, kunye nokunye

Umxholo

• Iimpawu
• Oonobangela kunye nemingcipheko
• Uxilongo
• Unyango
• Imbonakalo
• Ndingayilawula njani imeko yam?

Ushwankathelo

I-Dysphoric mania ligama elidala lokuphazamiseka kwengqondo kunye nezinto ezixubeneyo. Abanye abaqeqeshi bezempilo yengqondo abanyanga abantu abasebenzisa i-psychoanalysis basenokubhekisa kwimeko ngeli xesha.

Ukuphazamiseka kwengqondo okuguquguqukayo sisifo sengqondo. Kuqikelelwa ukuba iipesenti ezi-2.8 zabantu base-United States bafunyaniswa benayo le meko. Kuqikelelwa ukuba kubantu abane-bipolar disorder bafumana ama-episodes adibeneyo.

Abantu abanesifo sokuphazamiseka kwengqondo kunye nezinto ezixubeneyo bafumana iziqendu ze-mania, hypomania, kunye noxinzelelo ngaxeshanye. Oku kunokwenza ukuba unyango lube nzima ngakumbi. Qhubeka ufunda ukuze ufunde ngakumbi ngokuphila nale meko.

Iimpawu

Abantu abane-dysphoric mania bafumana iimpawu ezifanayo nezo ze-bipolar disorder-uxinzelelo, i-mania, okanye i-hypomania (uhlobo olubi lwe-mania) -kodwa ngaxeshanye. Abantu abanezinye iintlobo ze-bipolar bafumana i-mania okanye uxinzelelo ngokwahlukeneyo, kunokuba ngaxeshanye. Ukufumana zombini uxinzelelo kunye ne-mania yonyusa umngcipheko wokuziphatha okugabadeleyo.

Abantu abaneempawu ezixubeneyo bafumana iimpawu ezimbini ukuya kwezine ze-mania kunye nophawu olunye lokudakumba. Apha ngezantsi kukho ezinye zeempawu eziqhelekileyo zoxinzelelo kunye ne-mania:

Ukuba unempawu ezixubeneyo, unokubonakala uvuya ngelixa ulila. Okanye iingcinga zakho zinokubaleka ngelixa uziva uswele amandla.

Abantu abane-dysphoric mania basemngciphekweni owandayo wokuzibulala okanye ubundlobongela kwabanye. 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 wena okanye umntu omaziyo ucinga ngokuzibulala, fumana uncedo kwingxaki okanye kumnxeba wokukhusela ukuzibulala. Zama iNqanaba lokuSebenza lokuThintela ukuzibulala ku-800-273-8255.

Oonobangela kunye nemingcipheko

Ukuphazamiseka kwebipolar akuqondwa ngokupheleleyo, kwaye akukho sizathu sinye sele sichongiwe. Izizathu ezinokubakho zibandakanya:

• yemfuza
• ukungalingani kwemichiza yobuchopho
• Ukungalingani kwehomoni
• Izinto ezisingqongileyo ezinje ngoxinzelelo lwengqondo, imbali yokuxhatshazwa, okanye ilahleko ebalulekileyo

Isini asibonakali sidlala indima ekumiseleni ukuba ngubani oza kufunyaniswa enesifo esiyi-bipolar. Amadoda nabasetyhini bafunyaniswe kumanani afanayo. Uninzi lwabantu lufunyaniswa phakathi kweminyaka eli-15 ukuya kwengama-25 ubudala.

Ezinye izinto ezinobungozi zibandakanya:

• ukusetyenziswa kwezinto ezikhuthazayo, ezinjenge-nicotine okanye i-caffeine, kwandisa umngcipheko we-mania
• Imbali yosapho yokuphazamiseka kwengqondo
• ukungalali kakuhle
• imikhwa emibi yesondlo
• ukungasebenzi

Uxilongo

Ukuba unempawu ze-mania okanye uxinzelelo, yenza idinga lokubonana nogqirha. Ungaqala ngokuthetha nogqirha wakho wokuqala okanye ukufikelela ngqo kwingcali yezempilo yengqondo.

Ugqirha wakho uya kubuza imibuzo malunga neempawu zakho. Kusenokubakho imibuzo malunga nexesha lakho elidlulileyo, njengokuthi ukhulele phi, ukuba wawunjani ubuntwana bakho, okanye malunga nobudlelwane bakho nabanye abantu.

Ngexesha lokuqeshwa kwakho, ugqirha wakho unoku:

• ukucela ukuba ugcwalise iphepha lemibuzo lemood
• buza ukuba unazo naziphi na iingcinga zokuzibulala
• uphonononge amayeza akhoyo ngoku ukufumanisa ukuba zinokubangela iimpawu zakho
• Ukuphonononga imbali yakho yezempilo ukumisela ukuba ezinye iimeko zinokubangela iimpawu zakho
• ukuyalela uvavanyo lwegazi ukukhangela i-hyperthyroidism, enokuthi ibangele iimpawu ezinjenge-mania

Unyango

Ugqirha wakho unokucebisa ukulaliswa esibhedlele okwexeshana ukuba iimpawu zakho zinzima okanye ukuba usengozini yokuzenzakalisa okanye wenzakalise abanye. Amachiza anokunceda ukulungelelanisa iimpawu ezinzima. Olunye unyango lunokubandakanya:

• Unyango ngokwengqondo lomntu okanye iqela
• izinto ezizinzileyo ezinjenge-lithium
• amayeza anticonvulsant anjenge-valproate (Depakote, Depakene, Stavzor), carbamazepine (Tegretol), kunye ne lamotrigine (Lamictal)

Amayeza ongezelelweyo anokusetyenziswa abandakanya:

• aripiprazole (Yenza)
• i-asenapine (iSaphris)
• haloperidol
• irisperidone (irisperdal)
• i-ziprasidone (iGeodon)

Ugqirha wakho unokufuna ukudibanisa amayeza aliqela. Kuya kufuneka uzame iindibaniselwano ezahlukeneyo ngaphambi kokufumana into ekusebenzela. Wonke umntu uphendula ngendlela eyahlukileyo kumayeza, ke isicwangciso sakho sonyango sinokuhluka kwisicwangciso sonyango selungu losapho okanye umhlobo.

Ngokuka-a, olona nyango lonyango lwe-dysphoric mania ludibanisa amayeza e-psychotic atypical kunye ne-stabilizers. I-anti-depressants iyanqandwa njengeyona ndlela yonyango kubantu abakule meko.

Imbonakalo

Ukuphazamiseka kwengqondo okuneempawu ezixubeneyo kuyinyangeka. Ukuba ukrokrela ukuba unale meko, okanye enye imeko yempilo yengqondo, thetha nogqirha wakho. Imeko yempilo yengqondo inokulawulwa ngonyango, kodwa kuyakufuneka usebenze nogqirha.

Ukufuna uncedo linyathelo lokuqala elibalulekileyo ekunyangeni imeko yakho. Kuya kufuneka ukhumbule ukuba ngelixa ulawula iimpawu, le yimeko yobomi bonke. Jonga ezinye izixhobo apha.

Ndingayilawula njani imeko yam?

Cinga ngokujoyina iqela lenkxaso. La maqela enza iimeko apho unokwabelana ngeemvakalelo kunye namava akho nabanye abaneemeko ezifanayo. Elinye iqela elinika inkxaso liDepression and Bipolar Support Alliance (DBSA). Iwebhusayithi ye-DBSA inobutyebi bolwazi ekuncedeni ukuzifundisa kunye nabo bakungqongileyo.