Izizathu eziphambili kufuneka uqhubeke nokuthatha amayeza akhoweyo
I-bipolar disorder yisifo esiyintloko sengqondo. Umgca ongundoqo kukuba ukuba unesifo sengqondo , kufuneka uthathe uxanduva lonyango - kwaye kwiimeko ezininzi, oko kuthetha ukufuna uncedo lwezakhono, ukwamkela ukuba udinga unyango, usebenza nomboneleli wempilo yakho yengqondo ukuze ufumane unxibelelwano olufanelekileyo lwemichiza (ngokuqhelekileyo ukutshintsha njengexesha elidlulayo), kwaye uthatha amayeza anqunyelwe wena.
Kwakhona kuthetha ukuxoxa ngemiphumo emibi kunye nomboneleli wakho kwaye, ngokungakhathaliseki ukuba ayingozi okanye ayiphumeleli, esebenza ukufumana iindlela zokujongana nazo.
Ngoko kutheni abantu baxhathisa okanye bengathathi unyango? Wonke umntu unezizathu zakhe, kodwa akukho nanye kwezi zizathu ezilungileyo.
1. Iimpawu Ziyabomi
U-Linda uthi: "Andifuni ukuthatha imishanguzo yobomi bam bonke. "Kufuneka kubekho enye indlela!" Inyaniso kukuba, nangona ufumene unyango olungcono lweyonyango ye-bipolar disorder, kusekho ubomi. Kwaye kwangoku, akukho zonyango ezongeziweyo zonyango lweBP.
Ukuba unesifo sengqondo esingapheliyo, kubangelwa ukungalingani kwiinkqubo zeekhemikhali kunye nezixhobo zombane, kwaye akuyi kuhamba yedwa. Ukuthelekiswa okuqhelekileyo kukuswekile ngesifo sikashukela. Oko akuhambeli. Iyakwazi ukulawulwa ngokutya, umzimba, kunye namayeza, kodwa ukungaphumeleli ukuba uxanduva kuthini ukubeka ingozi kwi-gangrene nokulahleka kwamehlo, umsebenzi wezintso kunye nobomi.
Ukungaphumeleli uxanduva lwempilo yakho yengqondo yengozi izinto ezifana nosapho lwakho, umsebenzi wakho, ikhaya lakho, kwakhona, ubomi bakho.
2. Andifuni Ukuxhomekeka kwiMithi: Ndimele Ndibe nako ukulukhupha
URobert ucinga ukuba kufuneka akwazi ukukhupha kwakhe. "Ndivakalelwa kukuba into ephosakeleyo kum ukuba ndibuhlungu gqitha xa ndisemsebenzini Ndiyazi abantu abaninzi banokuthanda ukuba nabo.
Ndiyazi ukuba intsapho yam ineembali ye-bipolar, kodwa ngokwenene andinakufuna ukuhamba. "
Nangona uRobert ebona ingxaki yokuphazamiseka kwengqondo kwintsapho yakhe, akayikucela ukuxilongwa ngenxa yokuba akafuni ukuthatha amayeza.
Ingaba okanye uqale ukuthabatha unyango ngamnye ngumntu ngamnye, kodwa ngokukhetha ukungenzi oko, uRobert ukhetha ukuqhubeka nokuxakeka. Kwakhona unokuzibeka yena kunye nabanye besengozini.
3. Ndilahle iMania yam
UGreg uzizwa esweleka ngoku ekubeni akayena mntu. Uyakulangazelela ukubuyela kuloo mqondo omhle wengqondo. Ulingwa ukuba aphume amachiza ukuze abe ngumntu ophakamileyo.
Ngokuqinisekileyo, i-mania ingonwabile (ukuba iimpawu zeengqondo aziyikuyikrokra). Uyazi ukuba unokwenza nantoni na . Akukho ntoyikisayo kwihlabathi lonke. Unako ukukhupha umntu. Unomnikelo ongenamkhawulo wemali. Ubuchule bakho budlulayo esibhakabhakeni ukuya kuma-sunburst of stars.
Njengoko u-Andy Behrman wabhala kwi-Living Mania-Free, "Kukho ukulahleka okukhulu kwezinto ezidibeneyo kunye nokuthi 'yinto engcono yokuthetha', njengoko yayingumhlobo wam iminyaka emininzi." Ngokungafani noAndy, wakho umania mhlawumbi akazange ahlale entolongweni, kwaye ukuba unenhlanhla, awuzange uzichithe ngokwezimali. Kodwa awukwazi ukumelana nokulahleka kobuchule okanye uvakalelwa kukuba uhlale uyazi ukuba wenze ntoni kuzo zonke iimeko.
Unomntu ixesha elide kangangokuthi "omtsha" ongeyena mfo ungumphambukeli. Ukuzihlenga ngokwakho njengomntu ongeyomntu ongeyena inyathelo elilodwa. UAndy wafuna iindlela zokuthi "agcwalise isikhala" esishiywe yi-mania yakhe, kwaye kuthatha ixesha elithile. Ubomi busenokuhlala buvuza, kodwa kufuneka uzinike ixesha.
Emva kokuba ubhale zonke izinto ezimbi ngokuba yindoda ephazamisayo, uya kuba nesiseko sokumazi umntu ongabaziyo. Emva koko xa ulambile ukuphakama, hlaziya uluhlu. Ngaba kuyafaneleka ukuba uhambe emachiza akho ukuba uzibophezele, uxelele umphathi wakho (ngokukhawuleza ukuthetha, inkcazelo ecacileyo) kutheni ulungile kwaye uphosakele kwinqanaba lokuba ulahlekelwe ngumsebenzi wakho ngokungahambisani naye, ukubhala incwadi ( iveki) ebonakala ngathi iphelele kodwa kungabikho mntu onokuyiqonda?
Kwaye kufanelekile ukuphazamiseka kwiintlungu zokudandatheka?
4. Ndilunge ngoku, Andiyidingi iMithi
URhonda uye waba nempendulo enkulu kumachiza emva kokufunyaniswa ukuba unexinzelelo lweklinikhi . Akakwazi ukukhumbula ukuziva ulungile njengokuba wenzayo ngoku. Unamandla. Unokwenza izigqibo lula ngaloo nyaka odlulileyo. Esikhundleni sokuhlala esihlalweni ekhangela ingqondo engabonakaliyo kumabonwakude ngeeyure, ekhubazekile ngenxa yento ayifanele ukuyenza, wenza izinto zenzeke nzima. U ya philiswa! Ngoko kutheni kufuneka aqhubeke nokuthatha amayeza?
Ngenxa yokuba akaphilwanga. Yeka iyeza, kwaye ukuxinezeleka kuya kubuya kubuya.
Kwimeko yeRhinonda, ukuxhatshazwa komzimba ethathayo kunokubangela ukuba i-hypomania iqhube. Ugqirha kaRhonda kufuneka alandele ukuziphatha kwakhe kunye nesimo sengqondo ngokubanzi. Ingxaki efihliweyo ye-bipolar isenokungabonakali.
Ngamanye amaxesha ukuxinezeleka okuhambelana nesiganeko esibuhlungu njengokufa kwelungu lentsapho lingaphendula ngokusetyenziswa kwexeshana kwe- anti - depressant . Xa ixesha elaneleyo lidlulile ukuba umntu alungele oko kwenzekayo, i-anti-depressant ayimfuneko kwakhona. Lelo fowuni inokwenziwa kuphela ngumguli kwaye ugqirha udokotela kunye. Basenokufumanisa ukuba xa i-antidepressant ishiywe, ukuxinezeleka kuya kubuya, kwimeko apho ukucetyiswa ngesikhalazo, unyango kunye / okanye ukuvuselela unyango ngamachiza kukho konke okukhethwa kukho.
Kodwa ukudakumba kwengcinezelo yexesha elide akupheli ngonaphakade. I-Rhonda yayingena kwiingxaki ezinzulu xa eyeka ukuthatha imithi yakhe. Ugqirha wakhe kufuneka ahlole ukuba ngaba uzama ukumisela ukuhlaziywa kwemizwelo kunye ne-anti-depressant.
5. Iempembelelo zangasemva zenza kube nzima
Kukho imiphumo emibi echaphazela ukuba kufuneka uyeke ukuthatha imithi ethile: iimpawu ze-tardive dyskinesia , ingxaki enkulu yokuhamba; umbono ophazamisayo ongahambiyo; kutyhafa; ubuhlungu obuthathaka okanye intlungu, kunye nabanye abaninzi. Sekunjalo, ngaphandle kokuba umphumo wecala ungangoko usongela ubomi (kwimeko apho kufuneka ufike kwigumbi eliphuthumayo elisondeleyo), akufanele uyeke ukuthatha ngokukhawuleza - oko kunokubangela ukuba kubekho iingxaki ezininzi . Yazi imiphumo emibi yamachiza akho kwaye ubize udokotela ngokukhawuleza ukuba uyazifumana.
Kodwa kukho ezinye iziphumo ezichaphazelekayo kubantu abaninzi abanenkxalabo kodwa bengengozini. UKaren, uRalph noSusan abanemiphumo emibi, kodwa baqhelekile kwaye baneengxaki. UKaren ufumene iipounds ezingama-50 kwiyeza zakhe kwaye ucinezelekile kwaye unomsindo ngesisindo sakhe sokuba ufuna ukuyeka unyango ngokupheleleyo. U-Ralph ulahlekelwe ukulala ngesondo kwaye unempendulo efanayo. USusan uvakalelwa yi-groggy kwaye akanakucaluli lonke ixesha.
Bonke abathathu bala bantu kufuneka bakhulume oku ngogqirha babo. USusan ngokuqinisekileyo ufuna ukuba utshintsho lweyeza. Kodwa kuthekani ngoRalph noKaren?
Umbuzo wokuqala abo bafuna ukuwuphendula ngolu hlobo: Ngaba amayeza asebenza njani kum?
U-Ralph uzame ukuzibulala kabini ngaphambi kokuba aqalise kwimishanguzo kwaye akazange azive efuna ukuzibulala. Iintlobo zakhe zokudandatheka aziqabile kwaye azizinzima. UKaren walahlekelwa yimisebenzi emithathu emihle ngenxa yokuziphatha okuphuma ngaphandle kokulawula ukuziphatha komntu kuquka ukuhlaziywa kwemisebenzi kwaye ngoku uye waba nomsebenzi ofanayo iminyaka emine kunye nokunyuswa okunye ngaphandle kwempawu zeengqondo . Ngamanye amaxesha i-hypomanic ngenyameko kodwa ayizange ibe yindoda. Amayeza abo enza umsebenzi omkhulu.
U-Ralph's psychiatrist unokukwazi ukwenza utshintsho olongezelelweyo okanye ukongeza kwiyeza zakhe eziza kuphucula umnqweno wesondo kunye nokusebenza kwakhe. Mhlawumbi baya kuthatha isigqibo sokuzama ukufaka enye ingoma entsha ngomnye ukuba babone ukuba unxibelelwano olutsha lusebenza ngolu hlobo nje kodwa luba nefuthe elibi lezesondo. Into enye eyayiza kuba yinyanzelo ngokupheleleyo yayiza kukuyeka ukumthatha imithi yakhe enqunyiwe kwesi sizathu. Kodwa ukuba loo mayeza amasha asebenzi kakuhle, uRalph usenokufuneka akhethe phakathi kokudandatheka okuzibulala kunye ne-sex drive eyancipha.
Ukunyusa inzuzo kwimithi yonyango ingxaki enkulu. Abo bethu abaqala ukuhlambalaza kwaye ngoku bangamafutha atyhafile bayazi indlela yokucindezeleka. Ngokuphindaphindiweyo, siva, "Ndizamile yonke into ukuba ndinciphise umzimba, kwaye akukho nto isebenzayo." Kwaye kuyinyaniso ukuba nangona ukugqithisa ngokweqile akukhawuleza kusongela ubomi, kunokuthi kube nempembelelo enempilo ngexesha elide.
UKaren kufuneka azi ukuba akunakwenzeka ukulahlekelwa isisindo ngelixa uthabatha ingqondo. Ukukwazi nje oku kungamnceda. Uphando luye lwabonisa ukuba abantu banokukwazi ukunciphisa ubunzima nangona bathabatha imithi yokupakisha iipounds njengoSeroquel (quetiapine) kunye neZyprexa (olanzapine).
Kwimeko kaKaren, naye, ukubonisana naye ngokumisela ugqirha kubalulekile, kodwa ekugqibeleni, kuya kufuneka anqume ukuba ngaba uya kubuyela kumkhwa ongalawulekiyo obangela iingxaki ezinzulu okanye uqhubeke elwa nezilingo ezingaphezulu.
Ngoko ke unayo - izizathu ezimbi ezihlanu zokungathathi okanye ukuyeka unyango. Kuzo zonke iimeko, inyaniso kukuba imithi yindlela engcono kakhulu engenazo kwaye iingxaki ezinxulumene namachiza zinokuthi zihlaziywe kunye nodokotela wakho.