Ukuba umntu onentsholongwane ye-bipolar engahambi unyanga ngexesha elidlulileyo leminyaka, ngaba unokuqala ukufumana ingozi ngokukhawuleza kwebhayisiki okanye ukuxhatshazwa kwimiqathango yonyango?
Ukuba ngaba izixinzelelo zokuphila eziqhelekileyo ziqale zisuse iziphazamiso ze-bipolar kumntu, ngokukhawuleza iziganeko zokugula zivela kuloo mntu ngaphandle kwezinto ezinjalo?
Olunye uphando luthi impendulo kule mibuzo iwewe, kwaye ezinye iiklinikhi ziye zacinga ukuba isizathu sinokuba yinkqubo ebizwa ngokuba "ububele."
Nangona kunjalo, uphando olusandul 'ukugqithiseleyo kwiingcamango zesibindi kunye nesifo sengqondo se-bipolar lubonisa ubungqina bokuba le ngcamango ibuthakathaka kunokuba ucingisise okokuqala. Sekunjalo, ingcamango yokuba "ukuvutha" kwisifo sengqondo ingafanelana nezinye iimbono malunga neendlela ezibangelwa yi-bipolar disorder.
Yintoni Uhlobo?
Uninzi lwabantu bacinga ngokukhwaza xa usakha umlilo: Usebenzisa amancinci, ezinokutsha ezinokutsha ezinokuthi uncede ukubamba umlilo emacaleni amaninzi, angabonakali ngokukhawuleza okanye ngokukhawuleza. Kodwa ububele buyasetyenziswa njengegama kwiyeza-ngokukodwa, ekuthinjeni nasekukhuselweni kwe-bipolar.
Into eyenzekayo ekuthinjeni yafunyanwa ngengozi ngumphandi uGraham Goddard ngo-1967. I-Goddard yayifunda inkqubo yokufunda kwiifos, kwaye inxalenye yezifundo zakhe zazibandakanya ukuvuselelwa kombane weengqondo zeenkozi ngokunyaniseka kakhulu, okuphantsi naluphina uhlobo lokudibanisa.
Nangona kunjalo, emva kweeveki ezimbalwa zonyango, iilitsi zafumana ukudibanisa xa kusetshenziselwa ukuvuselelwa kombane.
Ubuchopho babo bebenokukhuthazwa ngombane, kwaye emva kweenyanga, enye yalezi iiphunga yayiza kudibanisa xa ivuselelwe. I-Goddard kunye nabanye baboniswa kamva ukuba kwakunokwenzeka ukukhuthaza ukunyusa imichiza.
Igama elithi "ukuvutha" lonyulwe ngenxa yokuba inkqubo yayifaniswa nomlilo welogi. Igogi ngokwalo, ngelixa liba ngumbane ofanelekileyo womlilo, kunzima kakhulu ukumisa kwindawo yokuqala.
Kodwa uyijikeleze ngokuncinci, ulula ukuqhawula iziqithi zomthi - ukuvutha - kwaye ubeke ezo zinto kuqala, kwaye kungekudala igogi ngokwayo iya kubamba umlilo.
Ukuthanda kwi-Bipolar Disorder
UDkt. Robert M. Emva kweSizwe seSizwe seMelika seMpilo yengqondo (NIMH) kuthiwa uqale usebenzise imodeli yohlobo lwe-bipolar disorder. UDemitri noJanice Papolos, kwincwadi yabo ethi Bipolar Child, bachaza lo mzekelo ngale ndlela:
"... ixesha lokuqala lokuhamba ngebhayisikili lingaqala ngongcinezelo wendalo, kodwa ukuba iqhutshana liqhubeka okanye lingenakucingwa, ingqondo iyavutha okanye iyancipha - indlela ephakathi kwinkqubo yesantya ephakathi isomelezwa ukuthetha - kunye neziganeko ezizayo zokudakumba , i- hypomania , okanye i-mania iya kuvela ngokwazo (ngokuzimela ngaphandle kwe-stimulus yangaphandle), ngokuphindaphindiweyo nangaphezulu. "
Ngaloo ndlela, ukubeka ngokulula, iiseli zobuchopho eziye zabandakanyeka kwisiqhelo zicingelwa ukuba ziyakwazi ukwenza njalo, kwaye ezinye iiseli ziyakwazi ukukhuthaza ngokuhamba kwesikhathi. Iingcamango zikwaba ukuba kunokwenzeka ukuyeka inkqubo ngokunyanga.
Ngaba Ukufakela Uhlobo Kungadlala Indima Kwimpilo Engaphezulu?
Abanye abaphandi baye bacacisa ukuba ububele bubangele ukuhamba ngokukhawuleza kwebhayisikili kunye neengxaki ezinganyangekiyo ze-bipolar, kwaye le ngqungquthela inokuthi ihambelane namaxesha apho ukuhamba ngebhayisikili kwaqala ngeemeko ezibangelekileyo, iziganeko ezixininisayo okanye ezithandekayo, kwaye emva koko zaba zizinto ezihamba phambili.
Ukongezelela, kuye kwaboniswa ukuba izinto ezifana ne- cocaine ne- alcohol ziphumo zazo zomsindo, ezinokuthi zenze i-bipolar. Enyanisweni, kwakukho ukwazi ukuba i-cocaine ibangele ukuba i-cocaine ibangele i-Dr Post ukuba idibanise ukuvuthwa kwintlungu xa ifunde iziphumo ezingalindelekanga ze-cocaine kwizigulane ezidandathekileyo.
Iingcamango zokukhawuleza ziye zaveliswa ngophando oluthile. Ngokomzekelo, iziganeko ezingaphezulu komntu umntu, kunzima kakhulu ukuphatha isiganeko ngasinye esilandelayo, mhlawumbi ngenxa yokuba ezinye iiseli zobuchopho zikwaziswa kwaye zibandakanyeka.
Nangona kunjalo, izifundo ezicwangciswe kakuhle kwiinkalo zesifo sengqondo se- bipolar aziboneleli ngokuqinile ngenkcazo yomsindo.
Sekunjalo, kungakhathaliseki ukuba uphando oluthile oluzayo lufumana malunga neengcamango zomsindo zentsholongwane ye-bipolar, kucacile ukuba ukuxilongwa kwangaphambili kunye nokukhawuleza, unyango olufanelekileyo luphambili ekuphuculeni iziphumo kulabo abanemeko.
Imithombo:
Bender RE et al. Ukuxinezeleka koBomi kunye noKutya kwi-Bipolar Disorder: Ukuhlaziywa koBungqina kunye nokuHlanganiswa neNkcazo eziPhakamileyo ze-Biopsychosocial. Ukuhlolwa kweSiklinikhi yePhysical Psychology. Ngo-2011 kuMatshi; 31 (3): 383-98.
Imbali yokuSifa. (1998).
I-Hargreaves, u-Eric L. I-Neuroplasticity Phenomenon ye-Kindling.
Ulungelelaniso lweSizwe loPhando nge-Schizophrenia nokuCalupha (iNARSAD). UkuHlaliswa koMntu kunye nokuThuthukiswa kweNdleko: Ukukhangela iindlela kunye neZonyango: Imbali kaRobert M. Post, MD
Papolos, D. & Papolos, J. (1999). Umntwana weBipolar (pg 53). ENew York, NY: i-Broadway Books.
I-Expert Knowledge Systems LLC. (1997). Iingcebiso zoLwazi lweZonyango zoLwazi lwe-Bipolar Disorder: Isikhokelo sezilwelwane kunye neMindeni.
I-Bipolar Disorders Letter. (NgoMeyi 2000). Ukusetyenziswa kakubi kweMbali Yembali Iingxaki zokunyanga kwezigulana ze-Bipolar.