Kwiimeko zesifo sengqondo sokugula , ukugula kwengqondo okubandakanya ukuguquka okugqithiseleyo kwimizi, umjikelezo lixesha lexesha umntu ahamba ngayo kwisiqephu esisodwa se-mania kunye nesiganeko sokudandatheka (okanye i-hypomania nokudandatheka). Ngokubhekisele kwimizuzu engakanani le mijikelezo eyenzekayo, kukho, ngelanga, akukho mpendulo ecacileyo.
Ukuphindaphinda kwamaBipolar Cycles
Ubuninzi kunye nobude bemijikelezo zifana kunye nabantu ababenabo.
Uphando olwenziwa ngo-1992 lufumene ukuba iipesenti ezingama-35 zabantu abaneengxaki ze-bipolar zinesigidi esisodwa kwiminyaka emi-5, ngelixa i-1 pesenti yeqela elifanayo lihamba ngokujikeleza ngokupheleleyo malunga neenyanga ezintathu. Ngokomyinge, abantu abane-bipolar baza kuba nomjikelezo omnye okanye amabini ngonyaka. Ukongezelela, kukho impembelelo yonyaka-iziqephu zomntu zenzeka ngokuphindaphindiweyo entwasahlobo kunye nokuwa.
Olu tshintsho okanye " ukuguquka kwemizwa " kunokuhlala ixesha elide, iintsuku, iiveki, okanye iinyanga. Ngokuqhelekileyo, umntu onentsholongwane ye-bipolar ufumana enye imijikelezo enye okanye amabini ngonyaka, kunye neziqhelo zomntu ngokuqhelekileyo zivela entwasahlobo okanye ukuwa.
Ababangela kwi-Bipolar Disease
Iimeko ezithile ziyaziwa ukuba zibangele iimpawu kubantu abaneentsholongwane ze-bipolar. Ukuqonda oku kubangela- kunye nokuziphepha- kunokunciphisa iimpawu kwaye kunciphise inani leembalo zomntu. Ezi ziquka:
- Inani elaneleyo lokulala
- Ukuguqulwa kunye nabathandekayo
- Utywala kunye neziyobisi kakubi
- Ezinye izidandlululo kunye namanye amayeza
- Utshintsho lwamaxesha
- Ukukhulelwa kunye nezinye izimo ze-hormonal
- Usizi ngenxa yokufa komhlobo okanye ilungu lentsapho
Ukuhamba ngokukhawuleza kwiBipolar Disease
Ibinzana elikhawulezayo lokuhamba ngebhayisikili lixhomekeke ekuxilongweni kwabo banezijikelezo ezine okanye ngaphezulu kwiinyanga ezili-12. Nangona kunjalo, ngelixa ixesha elilodwa okanye ngaphezulu kwixesha elilodwa leminyaka lijongana neendlela zokuxilonga ngokugula ngokukhawuleza kwebhayisilar, ukuhamba ngebhayisikili ngokukhawuleza akusiyo imodeli engapheliyo kumntu ofumanayo.
Kunoko, ukuhamba ngebhayisikili ngokukhawuleza kunokubonisa nayiphi na inkalo kwisigaba sesifo kwaye sinokuhamba ixesha elide.
Nangona ama-2.5 ekhulwini amaMerika ahlupheke ngenxa yokugula kwengqondo, i-10 ukuya kwe-20 kuphela ekhulwini iya kuba nebhayisikili ngokukhawuleza. Kwaye abanye abantu banokukwazi ukufumana ibhayisikili ngokukhawuleza kunabanye, abafazi, abantwana kunye nalabo abane-bipolar II. Enyanisweni, ngoDkt. Demitri Papolos, umbhali-mbhali we-Bipolar Child, uninzi lwabantwana abaneengxaki zokugula ngengqondo ye-bipolar ngokukhawuleza.
Ukongezelela, abanye abantu abanegama elithi "ukuhamba ngebhayisikile ngokukhawuleza" lingasetyenziselwa abo bajikeleza iziqendu ngaphakathi kwenyanga okanye ngaphantsi. Ukuba le pateni iqhubeka kwixesha leeyure ezingama-24, ukuxilongwa komntu kunokuthiwa "ngebhayisikili ye-ultra-ultra" okanye "i-ultradian". Ngokusoloko kunzima ukuxelela i-ultradian ngebhayisikili kwisiqhelo esixubekileyo.
Ukwelapha i-Bipolar Disease
Ingaba umntu onentsholongwane ye-bipolar ufumana umjikelezo kanye emva kweminyaka emihlanu okanye amaxesha amaninzi ngosuku, kukho unyango olunokukunceda. Ezi ziquka:
- Ukusebenzisa imishanguzo, kuquka ukuhlaziywa kwemizwelo, imithi ye-antipsychotic, kunye neengxaki zokuxhatshazwa
- Unyango oluthile lwe-cognitive-behavior and other forms of psychotherapy
- Utyando lwe-electroconvulsive olubizwa ngokuthi "unyango oluthusayo"
- Izifundo zempilo kunye nolawulo lokuzilawula
- Eminye kunye neenkqubo ezongezelelweyo zempilo ezifana nokucamngca