Abantu abaninzi abafumene ukuba baneengxaki ze-bipolar banezinye izimo zengqondo, kuquka ukukhathazeka kwexhala . Kodwa xa uxhalaba lwakho lungafanelekanga kwinkcazo ethile, i-psychiatrist yakho, mhlawumbi i-psychiatrist inokucinga ukuba unesifo "sokuphazamiseka kwengqondo kunye nokuxhalabisa."
Ukuba nesifo sengqondo sokuphazamiseka kwengqondo kunye nokuxinezeleka kunokuthi nje une-bipolar disorder, kunye nokuxhalabisa okuphazamisa ubomi bakho kodwa akuhambisani neendlela zokuxilonga.
Iyintoni Ingxaki Yokuguquguquka Kwengqondo Ephazamisayo?
Iingcali zengqondo kunye nezinye iingcali zempilo yengqondo zisebenzisa i- American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders , i-Version Five (isicatshulwa i-DSM-V) ukufakela i-diagnostic esemthethweni kwiimeko zakho.
Kule meko, i-disability bipolar is diagnostic, kwaye "ngokuxhalabisa" yinto ebizwa ngokuba yi-specifier-eyongezelelweyo kwi-diagnostic ecacisa okanye icacisa kuyo.
Umcacisi "ngokuxhalabisa" ngokwenene kutsha kwi-DSM kunye nencwadi yesihlanu yale ncwadana, eyapapashwa ngo-2013. Yongezwa ngenxa yokuba iingcali zempilo yengqondo zicinga ukuba ziyimfuneko kwiimeko ezahlukeneyo.
Ngokutsho kwe-DSM-V:
Ukuxinzezeleka okuxhalabile kuye kwaphawulwa njengento ephawulekayo yentsholongwane kunye nengxaki enkulu yokudandatheka ekunakekeleni okuphambili kunye nokusetyenzwa kwempilo yengqondo. Amanqanaba aphezulu okuxhalaxha ahlangene neengozi eziphezulu zokuzibulala, ixesha elide lokugula, kunye nobukho obungakumbi bonyango ngaphandle kokungabikho. Ngenxa yoko, kuncedo ekliniki ukucacisa ngokuchanekileyo ubukho kunye nobunzima bexinzelelo lokuxhalabisa unyango kunye nokubeka esweni impendulo kwonyango.
Iimpawu zokuxhalabisa
Ukuze isifo sengqondo sifake isichazi "ngokuxhalabisa," imeko yesigulane kufuneka ifake ubuncinane ezimbini kwezi zibonakaliso:
- Ukuvakalelwa okanye ukukhangela.
- Ukungahlali ngokungaqhelekanga.
- Ukukhathazeka okwenza kube nzima ukugxila.
- Uloyiko lokuba into enzima ingenzeka.
- Uvakalelwa ngathi unakho ukulahlekelwa ukulawula kwakho.
Iimpawu kufuneka zibekho ezininzi iintsuku zengqungquthela yangoku okanye yangoku kutshatyalaliswa kwengqondo, kungakhathaliseki ukuba isiqephu sichaphazelekayo, sinezimpawu ezidityanisiweyo.
Kuloo nto kuthiwa "ukuxhalabatha," ubunzima beemeko bunqunywe liqela leempawu ezikhoyo: Izimpawu ezimbini zithetha ukuba imeko imnene, iimpawu ezintathu zithetha ukuba ziyingqinelana, iimpawu ezine ukuya kweyintlanzi zithetha ukuba ziyingcipheko, kwaye ezine zibe zihlanu iimpawu nge- psychomotor agitation zithetha ukuba zinzima.
Omnye unokufumana i-bipolar I, i-bipolar II, okanye i- cyclothymia ngokuxhalabisa.
Iingxaki zokukhathazeka nazo zinokwenzeka
Nangona unesifo sengqondo sokuphazamiseka kwengqondo kunye nokuxhalabisa, unokufumana ukuba unesifo esithile sokukhathazeka. Ukuba uhlaselwa yesoyiki , unokuthi ufumane ukuphazamiseka kwesifo, kwaye xa ukwesaba kakhulu into ethile okanye imeko (izichukumisi okanye i-flying, umzekelo), ngoko unokuthi ufumane ukuba unesifo se- phobia .
Xa izifo ezimbini okanye ngaphezulu zingahambelani nomnye wesigulane, zibizwa ngokuba yi "comorbid," ezithetha ukuba zenzeke kunye.
Umthombo:
Umbutho wezeMpilo waseMerika. I-Diagnostic and Statistical Manual of Disabilities Disorders, Uhlobo lwesihlanu: iDSM-5 . Arlington, VA: I-American Psychiatric Publishing, ngo-2013. 124-125, 156. Print.