Ubuhlungu Bokwahlukaniswa Kwengqondo Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ubuhlungu bokwahlukaniswa kwengqondo yisimo sengqondo esibangela ukuguquguquka okukhulu kwesimo sengqondo phakathi kokuphakama komzwelo (ukuthanda noma ukungathandeki) nokwehla (ukucindezeleka). Lawo akuzona nje izinguquko eziqondile zabantu bonke. Kunalokho, yizigaba ezinzima zomzwelo ezingathatha izinsuku, amasonto, noma ngisho nezinyanga, zithinta kakhulu impilo yakho yansuku zonke, ubuhlobo, kanye nokuhlangenwe nakho kwakho.

Ungase uzizwe uphezulu emhlabeni ngolunye usuku futhi udumazeke kakhulu ngolunye, kodwa lezi zinguquko zenzeka ezigabeni ezihlukile kunokuguquguquka okuqhubekayo. Cishe ama-2.8% abantu abadala e-United States baphila nobuhlungu bokwahlukaniswa kwengqondo, okwenza kube yinto evamile kunalokho obungacabanga ngakho. Izindaba ezinhle ukuthi ngokwelashwa okuqondile nokwesekwa, abantu abanebuhlungu bokwahlukaniswa kwengqondo bangaphila impilo egcwele, eqondile.

Ziyini izimpawu zobuhlungu bokwahlukaniswa kwengqondo?

Izimpawu zobuhlungu bokwahlukaniswa kwengqondo ziwela ezinhlotsheni ezimbili eziyinhloko: iziqephu zokuthanda noma ukungathandeki kanye neziqephu zokucindezeleka. Uhlobo ngalunye luletha iqoqo lazo lezinselele, futhi ukuzibona ngokushesha kungenza umehluko omkhulu ekutholeni usizo olufanele.

Phakathi neziqephu zokuthanda, ungase uhlangabezane nomoya ophakeme noma onomsindo ngokungajwayelekile ohlala okungenani isonto elilodwa. Lezi zigaba zinamandla ngokwanele ukubangela izinkinga ezinkulu empilweni yakho yansuku zonke noma kungadingeka ngisho nokungeniswa esibhedlela ukuze uvikeleke.

Izimpawu ezivamile zokuthanda zifaka phakathi:

• Ukuzizwa ujabule kakhulu, une-energi, noma "uphezulu" isikhathi eside
• Ukuba nemibono esheshayo eguquka kusuka kumbono omunye uya komunye
• Ukukhuluma ngokushesha kakhulu, ngokuvamile ngezindaba eziningi ezahlukene
• Ukudinga ubuthongo obuncane kakhulu kunokujwayelekile (ngezinye izikhathi amahora angu-2-3 kuphela) ngaphandle kokukhathala
• Ukuthatha izinqumo eziphuthumayo njengokuchitha imali eningi, ukuziphatha okuyingozi kobulili, noma ukushintsha okukhulu kwempilo ngokuzumayo
• Ukuzizwa uqinisekile ngokweqile noma ukuba nezimiso ezikhulu mayelana namakhono akho
• Ukuhlatshwa kalula noma ukungakwazi ukugxila emsebenzini munye
• Ukuhileleka emisebenzini eyingozi engaba nemiphumela emibi

Iziqephu ze-hypomanic zifana kodwa azinamandla futhi zifushane, ngokuvamile zihlala okungenani izinsuku ezine. Nakuba ungase uzizwe ukhiqiza kakhulu futhi ube nomqondo ngalesi sikhathi, zingakuphazamisa ukuphila kwakho nobudlelwano bakho.

Iziqephu zokucindezeleka ziletha ukuma okuphambene, zihlala okungenani amasonto amabili futhi zibangela ukukhathazeka okukhulu ekusebenzeni kwakho kwansuku zonke. Lezi akuzona nje izinsuku ezimbi kodwa yizikhathi ezihlala njalo zomoya ophansi eziphazamisa umsebenzi, ubudlelwano, nokunakekela kwakho.

Izimpawu zokucindezeleka ekuxilongeni kwe-bipolar zifaka:

• Ukuzizwa udabukile, ungena lutho, noma unethemba elincane usuku lonke, cishe nsuku zonke
• Ukulahlekelwa isithakazelo emisebenzini owayuyithanda
• Ukubhekana nokuchitheka okukhulu kokudla noma isisindo
• Ukuba nenkinga yokulala noma ukulala kakhulu
• Ukuzizwa ungakhululekile noma uhamba kancane kakhulu
• Ukubhekana nokuqeda amandla noma ukulahlekelwa amandla
• Ukuba nenkinga yokugxila noma ukuthatha izinqumo
• Ukuzizwa ungeyona nto noma ukuba necala elingafaneleki
• Ukuba nemibono yokufa noma ukuzibulala

Abanye abantu babhekana neziqephu ezihlangene, lapho izimpawu zokuthanda kakhulu nokudideka zivela ngesikhathi esifanayo. Lokhu kungase kuzwakale kukude njengokudideka futhi kukhathaze, njengoba ungase ube namandla aphezulu kodwa uzizwe udabukile kakhulu ngesikhathi esifanayo.

Imiphi imikhakha yokuxilonga kwe-bipolar?

Kukhona izinhlobo eziningi ze-bipolar disorder, ngayinye inezindlela ezahlukene ze-mood episodes. Ukuqonda ukuthi yiluphi uhlobo olungaba nalo kusiza umhlinzeki wakho wezinsizakalo zezempilo ukuba enze uhlelo lokwelapha oluphumelelayo olufanele isimo sakho.

I-Bipolar I disorder ihilela okungenani i-manic episode ezele ehlala izinsuku eziyisikhombisa noma ebuhlungu kangangokuthi idinga ukunakekelwa kwesibhedlela ngokushesha. Ungase futhi uhlangabezane ne-depressive episodes, kodwa awudingi ukuxilongwa kwalokhu. I-manic episodes ku-Bipolar I ivame ukuba nzima futhi iphazamise kakhulu kunalezo ezinye izinhlobo.

I-Bipolar II disorder ibizwa yi-episode enkulu yokucindezeleka okungenani eyodwa ne-hypomanic episode okungenani eyodwa, kodwa ayikho i-manic episodes ezele. Abantu abaningi abane-Bipolar II bachitha isikhathi esiningi ezimweni zokucindezeleka, okwenza ukusebenza kwansuku zonke kube nzima ngokukhethekile.

I-Cyclothymic disorder ihilela izikhathi eziningi zezinkomba ze-hypomanic nezikhathi zezinkomba zokucindezeleka ezihlala iminyaka emibili okungenani kubantu abadala. Kodwa-ke, izimpawu azifezi izindinganiso ezele ze-hypomanic noma i-depressive episodes. Cabanga ngayo njengohlobo oluthambile kodwa oluhlala njalo lokuguquguquka kwemodi.

Ezinye izifo ze-bipolar ezikhonjisiwe nezingachazwanga zihlanganisa izimpawu ze-bipolar ezingafani nezinye izigaba ngqo kodwa zisabangela ukukhathazeka okukhulu noma ukukhubazeka. Udokotela wakho angase asebenzise le miqondo yokuxilonga lapho izimpawu zakho zihambelana ngokucacile ne-bipolar disorder kodwa zilandela iphethini ehlukile.

Yini ebangela i-bipolar disorder?

Imbangela eqondile ye-bipolar disorder ayiqondakali ngokuphelele, kodwa ucwaningo lubonisa ukuthi cishe ithuthukiswa yihlanganisela yezinto zofuzo, ezingokwemvelo, nezimo ezingaphandle ezisebenza ndawonye. Ayikho into eyodwa ebangela i-bipolar disorder, kungakho kungaba nzima ukubikezela ukuthi ubani ozoyithuthukisa.

I-jenetiki idlala indima ebalulekile ekuthuthukiseni isifo se-bipolar. Uma unembele noma umfowenu onalesifo se-bipolar, ingozi yakho iyanda kakhulu uma iqhathaniswa nabantu abavamile. Noma kunjalo, ukuba nomlando womndeni akusho ukuthi uzophulaphula lesi simo, futhi abantu abaningi abanesifo se-bipolar abanalo umlando womndeni wesifo sengqondo.

Ukwahluka kwesakhiwo nokuhlangenwe nakho kwengqondo kungase kuhlanganyele ekusenzweni kwesifo se-bipolar. Ucwaningo olusebenzisa izithombe zengqondo luthole ukwahluka ebukhoneni nasemsebenzini wezingxenye ezithile zengqondo kubantu abanesifo se-bipolar. Lezi zindawo zihilelekile ekulawuleni imizwelo, ukwenza izinqumo, nokulawula izinkanuko.

Ukungahlangani kahle kwe-neurotransmitter, ikakhulukazi okuhilela i-dopamine, i-serotonin, ne-norepinephrine, kubonakala sengathi kudlala indima. Lezi zinto zikhemikhali zengqondo zisiza ekulawuleni imizwelo, ubuthongo, ukulangazelela, namanqanaba amandla. Uma amazinga abo noma ukusebenza kwabo kuphazamiseka, kungase kuhlanganyele ekujikelezeni okukhulu kwemizwelo okuyimpawu yesifo se-bipolar.

Izici zezimo ezingaphandle zingase zibangele isigaba sokuqala noma izigaba ezilandelayo kubantu abasengozini. Lokhu kungase kuhlanganise ukucindezeleka okukhulu kokuphila, izehlakalo ezibuhlungu, izinguquko ezinkulu zokuphila, ukuphulwa kobuthongo, noma ukusetshenziswa kwezidakamizwa. Noma kunjalo, lezi zici ngokuvamile zibangela izigaba kubantu abasenesimo esingaphansi kwesifo se-bipolar.

Nini kufanele ubona udokotela ngesifo se-bipolar?

Kufanele ufuna usizo lochwepheshe uma uhlangabezana nokujikeleza okukhulu kwemizwelo okuhlupha impilo yakho yansuku zonke, ubuhlobo, noma ikhono lokusebenza emsebenzini noma esikoleni. Ukungenelela kwangaphambi kwesikhathi kungenza umehluko omkhulu ekulawuleni izimpawu nokuvimbela izinkinga.

Funani ukunakekelwa kwezokwelapha ngokushesha uma unemicabango yokuzibulala noma ukuzilimaza, uhileleka ekuziphatheni okungozi noma okungenangqondo phakathi kwezigaba zemizwelo, noma uma abangane nomndeni bakhombisa ukukhathazeka okukhulu ngokuziphatha kwakho noma ukuphepha kwakho. Lezi zimo zidinga ukungenelela okusheshayo kwabachwepheshe.

Cabanga ngokuqoka isikhathi sokubona udokotela uma ubona izimpawu zokushintshashintsha kwesimo sengqondo, ikakhulukazi uma zihlala izinsuku noma amasonto. Ngisho noma ungaqiniseki ukuthi okuhlangenwe nakho kwakho kufaneleka njengokuhlupheka yi-bipolar disorder, ochwepheshe bezempilo yengqondo bangakusiza ukuthi uqonde ukuthi yini eyenzekayo kuwe.

Ungalindi kuze kube yilapho izimpawu ziqala ukuba zimbi ngaphambi kokufuna usizo. Ukwelashwa kwasekuqaleni kuvame ukuletha imiphumela emihle futhi kungasiza ukuvimbela isimo singabi sibi ngokuhamba kwesikhathi. Abantu abaningi baphila impilo egcwele, enenzuzo nge-bipolar disorder uma bethola ukunakekelwa okufanele nokwesekwa.

Iyini ingozi yokuthola i-bipolar disorder?

Izinto eziningi zingandisa amathuba akho okuthola i-bipolar disorder, yize ukuba nezinto ezingozi akusho ukuthi uzoyithola ngokuqinisekile leyo simo. Ukuqonda lezi zinto kungakusiza uhlale uqaphele impilo yakho yengqondo bese ufuna usizo uma kudingeka.

Umlando womndeni umelela ingozi enkulu kakhulu ye-bipolar disorder. Ukuba nomuntu omkhulu womndeni (umzali, umfowethu, noma ingane) one-bipolar disorder kukwandisa ingozi yakho ngokuphindwe ka-10 uma kuqhathaniswa nabantu abavamile. Ingozi iphakeme kakhulu uma amalungu amaningi omndeni enezinkinga zokushintshashintsha kwesimo sengqondo.

Ubudala budlala indima, ngoba i-bipolar disorder ivame ukuqala ekuqaleni kweminyaka yobudala noma ekuqaleni kwama-20. Kodwa-ke, ingathuthuka kunoma yimuphi ubudala, kufaka phakathi ubuntwana noma kamuva ekuphileni. Ukuqala kwasekuqaleni kuvame ukuxhumana nezimpawu ezinzima kakhulu nendlela enzima yokugula.

Imicimbi yokuphila ecindezelayo ingaqalisa isigaba sokuqala kubantu abasengozini. Lokhu kungafaka phakathi ukulahlekelwa okukhulu, izinkinga zobuhlobo, izinhlupheko zezezimali, noma ukuguqulwa okukhulu kokuphila. Nakuba ukucindezeleka akubangeli i-bipolar disorder ngokuqondile, kungasebenza njengomkhuzi kubantu abanesizinda sezakhiwo.

Ukusebenzisa izidakamizwa kuvame ukubakho kanye ne-bipolar disorder futhi kungenza izimpawu zibe zimbi noma kuqale ukubhebhetheka. Ukusebenzisa utshwala kanye nezidakamizwa kungagqiba izimpawu ze-bipolar, okwenza ukutholakala kube nzima kakhulu nokwelashwa kube yingcindezi.

Izimo zezokwelapha ezithile kanye nemithi ingandisa ingozi noma iqale ukubhebhetheka kwesimo sengqondo. Izifo ze-thyroid, izimo zezinzwa, kanye nemithi ethile (ikakhulukazi i-steroids) ngezinye izikhathi ingaqala ukubhebhetheka okunamandla noma okudangalisayo kubantu abathintekayo.

Ziyini izinhlanganisela ezingaba khona ze-bipolar disorder?

I-bipolar disorder engaphathwe ingabangela izinhlanganisela ezinkulu ezithinta yonke ingxenye yokuphila kwakho. Noma kunjalo, ngokwelashwa okufanele nokuzilawula, izinhlanganisela eziningi zingaqalekelwa noma zinciphisiwe kakhulu.

Inhlanganisela ebucayi kakhulu iwukuthi ingozi yokuzibulala, ephakeme kakhulu kubantu abane-bipolar disorder uma kuqhathaniswa nabantu abavamile. Le ngozi iphakeme kakhulu phakathi nezikhathi zokucindezeleka kanye nezikhathi ezihlanganisiwe, lapho imizwa yokuphelelwa ithemba ihlangana namandla okwenza izinto eziyingozi.

Izinkinga zobuhlobo zivame ukuvela ngenxa yendlela engaqondakali yemizwa. Abangane, amalungu omndeni, nabangane bangase bazame ukuqonda isimo, okubangela ukungqubuzana, ukuhlukana, noma ukuzihlukanisa komphakathi. Ukuziphatha okuphazamisayo phakathi nezikhathi ezinamandla kungase kubangele ukucindezeleka ebuhlotsheni.

Ubunzima bomsebenzi nemali buvame ukuvela njengoba izikhathi zemizwa zihlanganiswa nokusebenza komsebenzi, ukuya emsebenzini, nokuthatha izinqumo. Izikhathi ezinamandla zingase ziholele ekwahlulekeni kokwahlulela, kuyilapho izikhathi zokucindezeleka zingabangela ukunciphisa ukukhiqiza nokugxila. Abanye abantu bathatha izinqumo zemali ezihamba phambili ngesikhathi sezikhathi ezinamandla ezidala izinkinga zesikhathi eside.

Ukusebenzisa kabi izidakamizwa kuvela cishe ku-60% yabantu abane-bipolar disorder. Abantu abaningi baqala ukusebenzisa utshwala noma izidakamizwa ukuze bazwelaphe ngokwabo izimpawu zabo, kodwa ukusebenzisa izidakamizwa kuvame ukwenza izimo zemoto zibe zimbi futhi kwenze ukwelashwa kube nzima kakhulu.

Izinkinga zempilo yomzimba ziyanda kubantu abangaphathwa i-bipolar disorder. Lezi zingafaka i-cardiovascular disease, isifo sikashukela, ukukhuluphala, ne-thyroid disorders. Ukuphazamiseka kokuphila okuvezwe yizimo zemoto kuvame ukubangela lezi zinkinga zempilo.

Izinkinga zomthetho zingavela ngenxa yokuziphatha okungathandeki noma okungenangqondo phakathi nezikhathi ze-manic. Lokhu kungafaka ukwephulwa komthetho wokushayela, ukuvusa umphazamiseko emphakathini, noma ezinye izinkinga zomthetho ezingaba nemiphumela ehlala njalo kurekhodi lakho namathuba akusasa.

Ukuvimbela i-bipolar disorder kungenzeka kanjani?

Nakuba ungakwazi ukuvimbela i-bipolar disorder ngokuphelele, ikakhulukazi uma unomlando womndeni wayo, ungathatha izinyathelo zokunciphisa ingozi yokuthi uthuthukise noma unciphise ubukhali bezimo uma usuvele unayo le meko.

Ukugcina imikhuba emihle yempilo yengqondo ekuphileni kwakho konke kungakusiza ukwakha amandla okumelana nezimo zemoto. Lokhu kufaka umthambo ojwayelekile, ukulala okwanele, amasu okulawula ukucindezeleka, nokugcina ubuhlobo obuqinile bomphakathi. Lezi zindlela zisekela impilo yonke yengqondo nokuzinza komzwelo.

Ukugwema ukusebenzisa kabi izidakamizwa kubalulekile, ikakhulukazi uma unomlando womndeni we-bipolar disorder. Utywala nezidakamizwa zingabangela izimo zemoto kubantu abasengozini futhi zivame ukwenza isifo sibe sibi uma sithuthuka.

Ukulawula ukucindezeleka ngokuphumelelayo ngezindlela zokubhekana ezempilo kungasiza ukuvimbela isimo sokuqala kubantu abasengozini. Lokhu kungafaka ukufunda amasu okuphumula, ukugcina ibhalansi yomsebenzi nokuphila, nokufuna usizo ngezikhathi ezinzima kunokuzimisela ukubhekana nakho konke wedwa.

Uma unemlando womndeni wokuphazamiseka kwengqondo okuyi-bipolar, ukuqaphela izimpawu zokuqala nokuthola usizo ngokushesha uma ubona izinguquko ezinkulu ezingozini ezingqondweni yakho noma ekuziphatheni kwakho kungadala ukungenelela okusheshayo nemiphumela emihle.

I-bipolar disorder ihlonishwa kanjani?

Ukuhlonishwa kwe-bipolar disorder kudinga ukuhlolwa okuphelele nguchwepheshe wezempilo yengqondo ofanelekile, njengoba kungekho ukuhlolwa olulodwa olukhona olukhona ukubona ngokuqinisekile isimo. Inqubo ivame ukubandakanya ingxoxo eningiliziwe mayelana nezimpawu zakho, umlando wezokwelapha, kanye namava okuphila.

Umhlinzeki wakho wezempilo uzoqhuba ukuhlolwa okuphelele kwezengqondo, ebuza ngezigaba zakho zengqondo, isikhathi sazo, ubukhulu, kanye nethonya lazo ekuphileni kwakho kwansuku zonke. Uzothanda ukuqonda izimpawu ezithile ozibonile nokuthi zikuthonye kanjani ubuhlobo bakho, umsebenzi, kanye nokusebenza kwakho konke.

Umbhalo ophelele wezokwelapha kanye nokuhlolwa komzimba kuyasiza ekuqedeni ezinye izimo ezingase zibangele izimpawu ezifanayo. Ukuphazamiseka kwe-thyroid, izimo zezinzwa, kanye nezinye izidakamizwa ngezinye izikhathi zingafana nezimpawu ze-bipolar, ngakho kubalulekile ukuqeda lezi zinto.

Ukubhekwa kwesimo sengqondo ngokuhamba kwesikhathi kunikeza ulwazi oluyigugu lokuhlonishwa. Udokotela wakho angase akucele ukuba ugcine idayari yesimo sengqondo amasonto ambalwa noma izinyanga, ubhale isimo sakho sengqondo sansuku zonke, amazinga kwamandla, izindlela zokulala, nanoma yimiphi imicimbi ebalulekile. Lolu lwazi lusisiza ekutholeni izibonelo ezifanele ze-bipolar disorder.

Ukuhlolwa komlando womndeni kubalulekile njengoba i-bipolar disorder inenzuzo enkulu ye-genetic. Umhlinzeki wakho wezempilo uzobuza imibuzo eningiliziwe mayelana nezimo zempilo yengqondo ezinye zezihlobo zakho eziseduze nasekude.

Izivivinyo zelebhu, ngenkathi zingelona uhlobo lwe-bipolar disorder ngokwayo, zingasiza ekuqedeni izimo zezokwelapha ezingase zibangele izimpawu zakho. Lezi zingase zibe yizilinganiso zegazi zokuhlola umsebenzi we-thyroid, amazinga amavithamini, kanye nezinye izibonakaliso zezempilo yomzimba.

Ukuphathwa kwesifo se-bipolar disorder kungubani?

Ukuphathwa kwesifo se-bipolar disorder kuvame ukubandakanya ukusetshenziswa kwezidakamizwa kanye nokwelashwa ngokwengqondo, okuhlelwe ngokwezimpawu zakho nezidingo zakho. Umgomo ukulinganisa isimo sakho sengqondo, ukunciphisa ubukhulu nokuvamile kwezimo, nokukusiza ugcine impilo enenjongo.

Izidakamizwa ezilinganisa isimo sengqondo ziyisisekelo sokuphathwa kwesifo se-bipolar disorder. I-Lithium isalokhu ingenye yezidakamizwa ezisebenza kakhulu, ikakhulukazi ekuvimbeni izimo ze-mania nokunciphisa ingozi yokuzibulala. Ezinye izidakamizwa ezilinganisa isimo sengqondo ezifana ne-valproate ne-lamotrigine zingasebenza kahle, ikakhulukazi ezinhlotsheni ezahlukene zezimo noma lapho i-lithium ingafaneleki.

Izidakamizwa ze-antipsychotic zivame ukusetshenziswa, ikakhulukazi phakathi kwezimo ze-mania ezibukhali noma njengokwelashwa okuqhubekayo. Izidakamizwa ezintsha ze-atypical antipsychotic ezifana ne-quetiapine, i-olanzapine, ne-aripiprazole zingasiza kokubili ezimpawu ze-mania neze-depression ngenkathi zine-side effects ezimbalwa kunalezo ezindala.

Izidakamizwa ze-antidepressant zingasetshenziswa ngokucophelela phakathi kwezimo ze-depression, kodwa zivame ukusetshenziswa ndawonye nezidakamizwa ezilinganisa isimo sengqondo ukuvimbela ukubangela izimo ze-mania. Isikhathi nokukhethwa kwezidakamizwa ze-antidepressant kudinga ukuqaphela ngokucophelela ngumhlinzeki wakho wezempilo.

Ukwelashwa ngokwengqondo kunikeza amakhono nokwesekwa okubalulekile ekulawuleni i-bipolar disorder. I-Cognitive-behavioral therapy (CBT) ikusiza ukuthi ubone futhi ushintshe izindlela zakho zokucabanga nezenzo ezimbi. I-Interpersonal and social rhythm therapy igxila ekuqinisweni kwemikhuba yansuku zonke nokuthuthukiswa kwezixhumanisi.

Ukwelashwa komndeni kungaba usizo kakhulu, kusize abathandekayo bakho ukuqonda isimo futhi bafunde ukuthi bangakunikeza kanjani ukwesekwa okufanele. Kubuye kuphathe umthelela i-bipolar disorder ebibe nawo ebuhlotsheni bomndeni nasezindleleni zokuxhumana.

Ukushintsha indlela yokuphila kudlala indima ebalulekile ekuphumeleleni kokwelashwa. Ukulondoloza amashejuli okulala njalo, ukuzivocavoca njalo, ukugwema utshwala neziyobisi, nokuphatha ukucindezeleka konke kuhlanganyela kakhulu ekuzinzeni kwengqondo.

Ukuthi ungayiphatha kanjani i-bipolar disorder ekhaya?

Amasu okuphatha ekhaya angawengeza kakhulu ukwelashwa kwakho kochwepheshe futhi akusize ulondoloze ukuzinza phakathi kwamaqondana. Lezi zindlela zigxila ekwakheni imikhuba yansuku zonke esekela impilo yakho yengqondo futhi ikusize uqaphele izimpawu zokuqala zeziqephu zemizwelo.

Ukuqamba uhlelo oluzinzile lwezinsuku zonke kusiza ukuzinza izindlela zakho zokuphila ezingaphakathi, ezivame ukuhlupheka e-bipolar disorder. Zama ukuvuka nokulala ngezikhathi ezifanayo nsuku zonke, udla ukudla njalo, futhi ulondoloze isimiso esiqondakali somsebenzi nemisebenzi.

Ukuhlanzeka kokulala kubaluleke kakhulu kubantu abane-bipolar disorder, njengoba ukuhlupheka kokulala kungabangela iziqephu zemizwelo. Dala uhlelo olukhululekayo lokuya ekulolweni, gcina igumbi lakho lokulala lipholile futhi limnandi, gwema izikrini ngaphambi kokulala, futhi uqonde amahora angu-7-9 okulala ubusuku ngalunye.

Ukugcina umkhondo wemizwelo kusiza wena nodokotela wakho ukuthi niqonde izindlela zenu futhi niqaphele izinto ezibangela. Gcina iphepha lokuqopha elula lansuku zonke lomzwelo wakho, amazinga amandla, ikhwalithi yokulala, imithi oyithatha, nanoma yimiphi imicimbi ebalulekile noma izinto ezikucindezelayo.

Amathuluzi okulawula ukucindezeleka angasiza ukuvimbela iziqephu zemizwelo nokwenza impilo yakho yonke ibe ngcono. Lokhu kungafaka ukuzivocavoca njalo, ukucamngca, ukuzivocavoca kokuphefumula okujulile, i-yoga, noma ezinye izindlela zokupumula ezisebenza kuwe.

Ukwakha inethiwekhi eqinile yokusekela kunikeza ukwesekwa okubalulekile ngokomzwelo ngezikhathi ezinzima. Hlala uxhumene namalungu omndeni nabangane abaqondayo, cabanga ukujoyina iqembu lokusekela labantu abane-bipolar disorder, futhi uhlale uxhumene neqembu lakho lokwelapha.

Ukuqapha izinto ezibangela ukuphazamiseka njengotshwala, izidakamizwa, ikhofi eliningi, nezimimo ezinomsindo kakhulu kungasiza ekuqondeni isimo sengqondo. Funda ukuqaphela izinto ezikubangela wena ngokukhethekile bese uthuthukisa amasu okuphatha noma ukuzigwema uma kungenzeka.

Kufanele ulungiselele kanjani isikhathi sakho sokuya kudokotela?

Ukulungiselela kahle isikhathi sakho sokuya kudokotela kusiza uqinisekise ukuthi uzuza kakhulu ngesikhathi sakho nomhlinzeki wakho wezinsizakalo zezempilo. Ukulungiselela kahle kungabangela ukuxilongwa okuchane kakhulu nokucwaninga kokwelapha okuphumelela kakhulu.

Bhala phansi izimpawu zakho ngokuningiliziwe ngaphambi kokuvakashela kwakho. Bhala phansi izibonelo ezithile zezimo zengqondo, kufaka phakathi ukuthi zenzeke nini, isikhathi eside zingakanani, izimpawu ozihlangenwe nakho, nokuthi zikuthonye kanjani impilo yakho yansuku zonke. Faka izimpawu zokukhungatheka/ukukhungatheka okukhulu nezokucindezeleka.

Hlanganisa uhlu oluphelele lwemithi yonke oyithatha njengamanje, kufaka phakathi imithi yokwelapha, imithi yokuthengwa ngaphandle kwesikripthi, izithasiselo, nemithi yemifino. Faka imingcele nokuthi ubuthathe isikhathi esingakanani imithi ngayinye.

Butha umlando wakho wezokwelapha, kufaka phakathi noma yikuphi ukuxilongwa kwengqondo kwangaphambili, ukwelashwa okuye kwazama, ukungena esibhedlela, nezinye izimo zezempilo ezibalulekile. Uma ubone omunye ochwepheshe wezempilo yengqondo, zama ukuthola amakhophi weerekhodi ezifanele.

Lungiselela umlando womndeni wakho wezimo zengqondo, kufaka phakathi isifo se-bipolar, ukucindezeleka, ukukhathazeka, ukuzama ukuzibulala, noma ukusebenzisa kabi izidakamizwa kubazali, abafowabo, abazali, abazala, nabazala. Ulwazi lolu lubalulekile ekuxilongweni okuchane.

Lungiselela uhlu lwemibuzo ofuna ukuyibuza udokotela wakho. Lokhu kungafaka imibuzo mayelana nokuxilongwa, izinketho zokwelapha, imiphumela emibi yemithi, okumele ukulindele ngesikhathi sokwelashwa, nokuthi ungaphatha kanjani izimpawu ekhaya.

Cabanga ukuthi ulethe ilungu lomndeni omethembayo noma umngani ekuhlanganyeleni kwakho. Bangakunikeza umbono owengeziwe mayelana nezimpawu zakho futhi bakusize ukukhumbula ulwazi olubalulekile oluxoxwe ngesikhathi sokuvakashela.

Iyini iphuzu eliyinhloko mayelana nokuhlupheka kokungalingani kwengqondo?

Ukuhlupheka kokungalingani kwengqondo kuyisimo sengqondo esinzima kodwa esiphatheka kalula esithinta izigidi zabantu emhlabeni jikelele. Nakuba kungathinta impilo yakho kakhulu, ukuhlanganiswa okulungile kwezidakamizwa, ukwelashwa, kanye nezinguquko zendlela yokuphila kungakusiza ukufeza ukuzinza nokuphila impilo egcwele.

Ukuxilongwa kwasekuqaleni nokuphathwa kubalulekile ukuze uthole imiphumela emihle. Uma ucindezeleka ukuthi ungaba nokuhlupheka kokungalingani kwengqondo, unganqikazi ukufuna usizo lochwepheshe. Lapho uqala ukwelashwa, ngokuhamba kwesikhathi, amathuba akho okulawula izimpawu ngokuphumelelayo nokuvimbela izinkinga.

Khumbula ukuthi ukuhlupheka kokungalingani kwengqondo kuyisimo sezempilo, hhayi ukwehluleka komuntu siqu noma iphutha lobuntu. Ngokwelashwa okufanele nokwesekwa, abantu abaningi abanobuhlungu bokuhlupheka kokungalingani kwengqondo bangagcina ubuhlobo obuzinzile, balandele imisebenzi ephumelelayo, futhi bajabulele impilo ngokugcwele.

Ukuphathwa kuvame ukuphila konke, kodwa lokhu akusho ukuthi uzohlala ulwa nezimpawu. Abantu abaningi abanobuhlungu bokuhlupheka kokungalingani kwengqondo baqhubeka isikhathi eside ngaphandle kwemiqondo lapho belandela uhlelo lwabo lokwelashwa ngokuqhubekayo futhi belondoloza imikhuba yempilo enempilo.

Imibuzo evame ukubuzwa mayelana nokuhlupheka kokungalingani kwengqondo

Ingabe ukuhlupheka kokungalingani kwengqondo kungaphiliswa ngokuphelele?

Ukuhlupheka kokungalingani kwengqondo kuyisimo esingapheli esingenayo impilo manje, kodwa kungaphathwa kahle kakhulu ngokwelashwa okufanele. Abantu abaningi abanobuhlungu bokuhlupheka kokungalingani kwengqondo bangafinyelela ezikhathini ezinde zokuzinzile kwengqondo futhi baphile impilo evamile, eyenziwayo lapho belandela uhlelo lwabo lokwelashwa ngokuqhubekayo. Cabanga ngakho njengokulawula isifo sikashukela noma ukucindezeleka kwegazi - kudinga ukunakekelwa okuqhubekayo, kodwa akudingeki ukulinganiselwe impilo yakho kakhulu.

Isikhathi esingakanani izigaba zokungalingani kwengqondo zihlala isikhathi esingakanani?

Isikhathi sebipolala esiqhubekayo sihluka kakhulu kumuntu ngamunye naphakathi kwezinhlobo ezahlukene zeziqephu. Iziqephu ze-manic ngokuvamile zihlala okungenani isonto elilodwa futhi zingqhubeka izinyanga eziningi uma zingaphathwa. Iziqephu ezihluphekayo ngokuvamile zihlala okungenani amasonto amabili kodwa zingaphikelela izinyanga noma isikhathi eside. Iziqephu ze-hypomanic zifushane, ngokuvamile zihlala okungenani izinsuku ezine. Ngokwelashwa okufanele, iziqephu zivame ukuba mfushane futhi zingabi khona njalo ngokuhamba kwesikhathi.

Ingabe ukucindezeleka kudala isifo se-bipolar?

Ukucindezeleka ngokwalo akunakulibala isifo se-bipolar, kodwa kungaqalisa isiqephu sokuqala kumuntu osevele ebeka ingozi ngokufana ngokulandelana. Ochwepheshe abaningi bakholelwa ukuthi isifo se-bipolar sivela ekubeni kuhlanganiswe ukuba buthakathaka ngokufana nokuhlanganiswa nezici zemvelo. Nakuba izehlakalo ezinkulu ezibuhlungu zingase zibangele iziqephu zemizwelo, ngokuvamile zenza lokho kubantu abasenethuba lokulandelana ngokwemvelo lesifo se-bipolar.

Kuphephile yini ukuba nezingane uma ngina-bipolar disorder?

Abantu abaningi abanesifo se-bipolar baphakamisa ngempumelelo izingane eziphilile. Nakuba kunengozi enkulu yokufana ngokulandelana yokudlulisela izifo zemizwelo kubantwana bakho, ukuba nesifo se-bipolar akusho ukuthi abantwana bakho bazokuthola ngokuqinisekile. Ngokuhlela kahle, ukuphathwa kwemithi ngesikhathi sokukhulelwa, nokuphathwa okuqhubekayo, abantu abaningi abanesifo se-bipolar bangaba nokukhulelwa okuhle futhi babe abazali abahle. Kubalulekile ukusebenzisana eduze neqembu lakho lokuphatha impilo uma uhlela ukukhulelwa.

Ingabe ngizodinga ukuthatha imithi impilo yami yonke?

Abantu abaningi abane-bipolar disorder bayazuza ekwelapheni okuqhubekayo kwemithi ukuvimbela izigameko zomoya futhi bagcine uzinzo. Nakuba lokhu kungabonakala kuyesabekayo, khumbula ukuthi izimo eziningi zezokwelapha zidinga ukuphathwa kwemithi okuphila konke. Umgomo ukufumana ukuxuba kwemithi okulungile okukugcina uzinzile ngemiphumela emibi emincane. Abanye abantu bangase bakwazi ukunciphisa imithi yabo ngokuhamba kwesikhathi ngaphansi kokunakekelwa okunengqondo kwezokwelapha, kodwa ukuyeka imithi ngokuphelele kuvame ukubangela ukubuyela kwemizimba.