I-Dysphoric Mania: Izimpawu, Ukwelashwa, nokuningi

-Delile

• Izimpawu
• Izimbangela nezici zobungozi
• Ukuxilongwa
• Ukwelashwa
• Umbono
• Ngingasilawula kanjani isimo sami?

Ukubuka konke

I-Dysphoric mania yisikhathi esidala sokuphazamiseka kwengqondo okunezici ezixubekile. Abanye ochwepheshe bezempilo yengqondo abelapha abantu abasebenzisa i-psychoanalysis basengabhekisa kulesi simo ngaleli gama.

Ukuphazamiseka kwe-bipolar ukugula kwengqondo. Abantu abalinganiselwa ku-2.8 wamaphesenti e-United States batholakala benale nkinga. Kulinganiselwa ukuthi kubantu abane-bipolar disorder bahlangabezana neziqephu ezixubekile.

Abantu abanesifo se-bipolar abanezici ezihlanganisiwe bahlangabezana neziqephu ze-mania, hypomania, kanye nokudangala ngasikhathi sinye. Lokhu kungenza ukwelashwa kube nzima kakhulu. Qhubeka ufunde ukuze ufunde kabanzi ngokuphila nalesi simo.

Izimpawu

Abantu abane-dysphoric mania babona izimpawu ezifanayo nalezo ze-bipolar disorder - ukucindezeleka, i-mania, noma i-hypomania (uhlobo olubi lwe-mania) - ngasikhathi sinye. Abantu abanezinye izinhlobo ze-bipolar bahlangabezana ne-mania noma ukucindezeleka ngokwehlukana, kunokuba kube ngasikhathi sinye. Ukuhlangenwe nakho kokubili ukucindezeleka kanye ne-mania kwandisa ingozi yokuziphatha ngokweqile.

Abantu abanezici ezixubekile babhekana nezimpawu ezimbili kuya kwezine ze-mania kanye nophawu olulodwa lokucindezeleka. Ngezansi kunezinye zezimpawu ezijwayelekile zokucindezeleka kanye ne-mania:

Uma unezici ezixubekile, ungavela uthokoze ngenkathi futhi ukhala. Noma imicabango yakho ingahle igijime ngenkathi uzizwa uswele amandla.

Abantu abane-dysphoric mania basengozini enkulu yokuzibulala noma yokuhlukumeza abanye. Uma ucabanga ukuthi othile usengozini ngokushesha yokuzilimaza noma ukulimaza omunye umuntu:

• Shayela ku-911 noma inombolo yakho ephuthumayo yasendaweni.
• Hlala nalo muntu kuze kufike usizo.
• Susa noma yiziphi izibhamu, imimese, imishanguzo, noma ezinye izinto ezingadala ingozi.
• Lalela, kodwa ungahluleli, uphikise, usongele, noma umemeze.

Uma wena noma omunye umuntu omaziyo ecabanga ukuzibulala, thola usizo enhlekeleleni noma ku-hotline yokuvimbela ukuzibulala. Zama i-National Suicide Prevention Lifeline ku-800-273-8255.

Izimbangela nezici zobungozi

Ukuphazamiseka kwe-bipolar akuqondakali ngokuphelele, futhi asikho isizathu esisodwa esikhonjisiwe. Izimbangela ezingaba khona zifaka:

• izakhi zofuzo
• ukungalingani kwamakhemikhali ebuchosheni
• ukungalingani kwe-hormonal
• izici zemvelo njengokucindezeleka kwengqondo, umlando wokuhlukunyezwa, noma ukulahleka okukhulu

Ubulili abubonakali budlala indima ekunqumeni ukuthi ngubani ozotholakala ene-bipolar disorder. Abesilisa nabesifazane batholakala ngezinombolo ezifanayo. Iningi labantu litholakala lineminyaka ephakathi kwengu-15 kuya kwengama-25 ubudala.

Ezinye izinto ezinobungozi zifaka:

• ukusetshenziswa kwezikhuthazi, njenge-nicotine noma i-caffeine, kwandisa ubungozi be-mania
• umlando womndeni wesifo se-bipolar
• imikhuba emibi yokulala
• imikhuba emibi yokudla okunempilo
• ukungasebenzi

Ukuxilongwa

Uma unezimpawu ze-mania noma zokucindezeleka, yenza isikhathi sokubonana nodokotela. Ungaqala ngokukhuluma nodokotela wakho wokunakekelwa okuyisisekelo noma ngokufinyelela ngqo kuchwepheshe wezempilo yengqondo.

Udokotela wakho uzokubuza imibuzo mayelana nezimpawu zakho. Kungenzeka futhi kube nemibuzo mayelana nesikhathi sakho esedlule, njengokuthi wakhulela kuphi, ukuthi ubuntwana bakho babunjani, noma ngobudlelwano bakho nabanye abantu.

Ngesikhathi sokuqokwa kwakho, udokotela wakho anga:

• ngicela ugcwalise uhlu lwemibuzo lwemizwa
• buza ukuthi unemicabango ethile yokuzibulala
• buyekeza imishanguzo yamanje ukuthola ukuthi kungenzeka yini ukuthi ibanga izimpawu zakho
• buyekeza umlando wakho wezempilo ukuthola ukuthi ezinye izimo kungenzeka yini ukuthi zidala izimpawu zakho
• oda ukuhlolwa kwegazi ukuhlola i-hyperthyroidism, engadala izimpawu ezifana ne-mania

Ukwelashwa

Udokotela wakho angancoma ukulaliswa esibhedlela okwesikhashana uma izimpawu zakho zinzima noma uma usengozini yokuzilimaza wena noma abanye. Imithi ingasiza futhi ukulinganisela izimpawu ezinzima kakhulu. Ezinye izindlela zokwelashwa zingafaka:

• ukwelashwa kwengqondo ngakunye noma kweqembu
• izimo zokuqinisa imizwa njenge-lithium
• imishanguzo ye-anticonvulsant efana ne-valproate (Depakote, Depakene, Stavzor), carbamazepine (Tegretol), ne-lamotrigine (Lamictal)

Imithi eyengeziwe engasetshenziswa ifaka:

• i-aripiprazole (Hlanza)
• i-asenapine (Saphris)
• i-haloperidol
• i-risperidone (Risperdal)
• i-ziprasidone (Geodon)

Udokotela wakho angadinga ukuhlanganisa imithi eminingana. Kungase kudingeke nokuthi uzame izinhlanganisela ezahlukahlukene ngaphambi kokuthola okuthile okukusebenzelayo. Wonke umuntu uphendula ngendlela ehlukile emithini, ngakho uhlelo lwakho lokwelashwa lungahluka kuhlelo lokwelashwa kwelungu lomndeni noma lomngani.

Ngokuya nge-a, ukwelashwa okuhle kakhulu kwe-dysphoric mania kuhlanganisa imishanguzo ye-psychotic ye-atypical ne-stabilizers. Ama-anti-depressants ngokuvamile agwenywa njengendlela yokwelashwa kubantu abanalesi simo.

Umbono

Isifo se-bipolar esinezici ezixubile yisimo eselaphekayo. Uma usola ukuthi unalesi simo, noma esinye isimo sempilo yengqondo, khuluma nodokotela wakho. Izimo zempilo yengqondo zingalawulwa ngokwelashwa, kodwa kuzodingeka usebenze nodokotela.

Ukufuna usizo kuyisinyathelo sokuqala esibalulekile ekwelapheni isimo sakho. Kufanele futhi ukhumbule ukuthi ngenkathi ukwazi ukuphatha izimpawu, lesi yisimo sempilo yonke. Bheka ezinye izinsiza lapha.

Ngingasilawula kanjani isimo sami?

Cabanga ukujoyina iqembu lokusekela. La maqembu enza izindawo lapho ungabelana ngemizwa yakho kanye nokuhlangenwe nakho kwakho nabanye abanezimo ezifanayo. Elinye iqembu elisekelayo iDepression and Bipolar Support Alliance (DBSA). Iwebhusayithi ye-DBSA inolwazi oluningi lokusiza ukuzifundisa wena nalabo abaseduze kwakho.