Ukuhamba ngebhayisikili ngokukhawuleza, ngokwe-American Psychiatric Association's Diagnostic kunye neStatistical Manual , kwenzeka xa umntu efumana iimpendulo ezine okanye ngaphezulu okanye iziganeko ezinyangeni ezili-12. Isiqendu singabandakanya ukuxinezeleka, i-mania, i-hypomania okanye i-mix mix.
Uninzi lwabantu abanenkinga yokuguquguquka kwe-bipolar ephakathi kwemimoya yododa kunye nokuxinezeleka , ngokuqhelekileyo ngamaxesha ambalwa ngonyaka.
Kodwa ngohlobo lokuhamba ngokukhawuleza kwebhayisiki ye-bipolar, ezi ziguquko zemizwelo zingenzeka ngokukhawuleza. Ukuhamba ngebhayisikili ngokukhawuleza kuthathwa njengengxaki ephezulu yokukhubaza i-bipolar disorder.
Abantu abanobuncinci abane "iziqwenga" (amaxesha apho bahlala kwi- hypomanic , manic , ecindezelekileyo okanye kwindawo edibeneyo) phezu kwexesha lonyaka banokucingwa ukuba banesifo esiphuthumayo se-bipolar. Nangona kunjalo, kwezinye iindawo "zokuhamba ngokukhawuleza," ukuguquguquka kwemizwelo kunokuza ngakumbi ngokukhawuleza - ngeveki, kwimihla ngemihla okanye ngeyure.
Ukuhamba ngebhayisikili ngokukhawuleza kunokuphazamiseka njengento engaphandle kokulawula, i-coaster roller coaster kumntu onayo. Abantu abanokukhubazeka ngokukhawuleza ngebhasilar border disorder bafuna ukuzibulala kunabo abanesifo sengqondo sokungafihliyo.
Ngubani Osemngciphekweni weNqakrazo yeBipolar Disorder?
Uninzi lwabantu lufunyaniswa ukuba bane-bipolar disease ekupheleni kweminyaka engama-20 ubudala. Abo bafumene ukuba bane-bipolar disorder ngexesha elincinci kakhulu-mhlawumbi kwiminyaka yabo yeshumi elivisayo ukuya kwintsholongwane yabaselula - banokuthi banokuhamba ngokukhawuleza.
Ukongezelela, kubonakala ngathi abafazi basengozini enkulu yokuhamba ngebhayisikile ngokukhawuleza kunamadoda, nangona abaphandi abaqinisekanga ukuba kungani kunjalo. Kwakhona kunokwenzeka ukuba ukusetyenziswa kwezidandlululo kungabangela ukuhamba ngebhayisikili ngokukhawuleza, kwaye ezinye izifundo zibandakanya umsebenzi ophantsi we -roid njengesinye isinceda.
Akucaci ukuba bangaphi abantu abahluphekayo ngokuhamba ngebhayisikili ngokukhawuleza, kodwa ezinye iziphumo ziqikelela ukuba ezininzi zezona zigulane zineengxaki zengqondo ziyakunakho kunyaka ngamnye, kwaye phakathi kwama-26% kunye nama-43% abo bonke abanezigulane zengqondo ngexesha lokugula kwabo.
Ngelixa abanye abantu banokuthi bafumaneke benesifo sengqondo se-bipolar kwaye bahambe ngokukhawuleza kwinqwelo ehamba ngokukhawuleza, baninzi bafumana ukuhamba ngokukhawuleza kweemoto ezihamba ngokukhawuleza, ngokukodwa ukuba ingxaki yabo yokungafihliyo ingaphathwa kakuhle. Kuqhelekile ukuba uphume kwaye uphume ngebhayisikili ngokukhawuleza, ngoko ke abo bafumanayo abayi kuba nako ngonaphakade.
Iimpawu zoPhulo oluPhuthuzayo
Ukuhamba ngebhayisikili ngokukhawuleza kuphazamiseka xa ufumana amaqela amane axubekileyo , ama-hypomanic, manic okanye ama-episodes e-depression emoyeni. Ukuguquka kwemizwelo kubonakala kungenangqungquthela kwaye kungenakwenzeka.
Abo banokukhubazeka ngokukhawuleza ngebhayisikili bipolar, banokuba nefuthe, bacaphuke kwaye bacaphuke. Zingenakho ukugqithisa ezingalawulwa lula. Abantu abanebhayisikili ngokukhawuleza basengozini enkulu yokuzibulala, ukusetyenziswa kweziyobisi kunye nokusetyenziswa kakubi kotywala.
Ngethamsanqa, abaninzi abantu abanokukhubazeka ngokukhawuleza ngebhayisikili bipolar ukuyeka ukuhamba ngebhayisikili ngokukhawuleza emva konyaka okanye kunyango. Nangona kunjalo, abo baqhubeka nomjikelezo okhawulezayo emva konyaka, nangona unyango, banokubangelwa yimijikelezo kwiminyaka emininzi.
Unyango lweMeko
Kunzima kakhulu ukunyanga i-bipolar disorder ngokukhawuleza ukuhamba ngebhayisikili, ngokukodwa kwimeko apho imizwa yomntu isisigxina. Kungaba nzima ukuba udibanise ngokufanelekileyo imichiza, kwaye wena kunye nesifo sakho sengqondo kufuneka ukuba uzame ukudibanisa ezahlukeneyo ukuchonga okusebenza kakuhle.
Ukongeza, kufuneka ube nesineke, kuba amayeza angathatha inyanga eziliqela ukuba athathe ngokupheleleyo.
Abantu abangazange bathabathe imithi ngaphambi kokugula kwabo baqala nge-lithium. I-Lamictal (igama eliqhelekileyo: i-lamotrigine), iTegretol (igama eliqhelekileyo: i-carbamazepine), kunye ne-Depakote (igama eliqhelekileyo: i-valproate) lingasetyenziswa ekuphatheni i-bipolar disorder ngokukhawuleza. I-Zyprexa (igama eliqhelekileyo: i-olanzapine) libonise iingenelo kwezinye iifundo kunye nezinye iyeza.
Imithombo:
UCarvalho AF et al. Ukuhamba ngebhayisikili ngokukhawuleza kwi-bipolar disorder: uhlolo oluhlelekile. Umbhalo we-Clinical Psychiatry. 2014 Juni; 75 (6): e578-86.
I-Coryell W. Rapid ukuhamba ngebhayisikili yokuphazamiseka kwengqondo: iziganeko zekliniki kunye nokhetho lwezokwelapha. CNS Iziyobisi. 2005; 19 (7): 557-69.
Uxinzelelo kunye neBipolar Support Alliance. I-Quicked Cycling kunye nephepha leNgxelo yonyango.
UGarcia-Amador M et al. Ingozi yokuzibulala kwizithuthi ezihamba ngokukhawuleza izigulana ze-bipolar. Umbhalo weengxaki ezichaphazelekayo. 2009 Sept; 117 (1-2): 74-8.
ISiko leSizwe seMpilo yengqondo. I-Bipolar Disorder sheet sheet.