El Mashi 30 wusuku lwe-World Bipolar Affective Disorder Day, usuku lokwazisa umphakathi ngalolu hlobo lokugula ngengqondo. Lolu suku lukhethwe ngoba kuwusuku lokuzalwa komdwebi uVicent Van Gogh, okwathi, ngokwazi kwethu ngempilo yakhe, wahlaselwa yilesi sifo.
I-bipolar affective disorder noma i-bipolarity iyi- ukugula kwengqondo okuvamile. Uma ungowesifazane okutholakala ukuthi unalesi sifo, noma ngabe mncane noma unzima, kubalulekile ukuthi wazi izingcuphe zokukhulelwa. Lesi sifo asikuthinti ukuzala, kepha ukwelashwa onakho ngesikhathi sokukhulelwa kanye nezinguquko zehomoni ezizokwenzeka emzimbeni wakho kungujuqu.
Ngingakhulelwa ukuba yi-bipolar?
I-bipolar affective disorder yisifo sengqondo esibi, esingapheli, nesiphindaphindayo. Yize ingavela kunoma yimuphi unyaka, inani eliphakathi liphakathi kweminyaka eyi-15 nengama-25. Abesifazane abatholakala ukuthi bane-BAD, i-bipolar affective disorder, kufanele bacabange futhi babonisane nezici zokukhulelwa nokuphathwa kwayo.
Kufanele ube nolwazi oluhle kakhulu mayelana ne- ubungozi obuningi obuhambisana nokubola kwesifo nokwelashwa. Kumele sikhumbule ukuba sengcupheni kokubeletha, kanye nobungozi bezakhi zofuzo bokuthi indodana noma indodakazi iba nalesi sifo, noma imiphumela emibi yezidakamizwa. Ngakolunye uhlangothi, abesifazane be-bipolar basengozini enkulu ye- izisu ezizenzekelayo.
El uchwepheshe kuzodingeka anciphise izingozi umbungu ozoba nazo ngenxa yezidakamizwa kuthathwe ngumama, ngenkathi kunciphisa ubungozi bokungelashwa kwesifo sengqondo. Bonke omama baqoqa ingcindezi yokungalingani kwamahomoni okwenzeka lapho bekhulelwe, okuyingozi kuye nakumbungu.
Ukuphazamiseka kwengqondo okuguquguqukayo nokukhulelwa
Yonke imithi Izidakamizwa ze-Psychotropic zisakazeka kalula nge-placenta, zifinyelela embungwini. Ngakho-ke, ukusetshenziswa kwayo kufanele kuvinjelwe phakathi ne-trimester yokuqala. Uhlelo lokwelashwa olwenziwe ngabodwa luzonciphisa izingozi, kumama nasenganeni ezayo. Lolu hlelo kufanele lubheke ukuthi kungenzeka yini ukwamukelwa esibhedlela uma isiguli sigula kakhulu.
Ngokuqondile, abesifazane abanesifo sokuphazamiseka kwengqondo okuguquguqukayo bane- ingozi enkulu yokubuyela emuva uma ishiywe ingalashwa, ikakhulukazi ngemuva kokuyekiswa okungazelelwe kwe-lithium. Ukuphinda kwe-mania kungaholela ekuqhubekeni kwesifo. Enye ingozi ukubakhona kwesifo nokungazweli ekwelashweni.
Ngizo iqembu lezokwelapha elikhetha izindlela zokwelashwa ezihamba phambili kanye nokwelashwa. Ezimweni eziningi, ukwelashwa ngemithi elawulwayo sekuqalisiwe: i-lithium, i-valproic acid noma i-carbamazepine, hhayi okuhlasela kakhulu, ukuze kuqhubeke ngokujwayelekile naphezu kwalesi sifo. Akunasimo lapho kufanele uphuthelwe ukuhlolwa njalo nokuhlolwa, ngempilo yakho neyombungu.
Imiphumela kumama nombungu
Kuze kube namuhla, kusekhona i- umbono wendabuko wokuthi ukugula kwe-bipolar kuyathuthuka ngesikhathi sokukhulelwa. Kepha, ukubonwa kwemitholampilo kanye nezifundo zakamuva zikhomba kolunye uhlangothi. Ucwaningo olwenziwe yiNational Institute of Mental Health (NMIH) kwabesifazane abakhulelwe abane-bipolar abayi-139, kutholakale ukuthi ingxenye yesithathu yabo ibike isiqephu semizwa esisodwa ngesikhathi sokukhulelwa kanti ama-1% abe nezinkinga ezinkulu ngokomzwelo ngesikhathi sokukhulelwa noma ngemuva kokunikeza ukukhanya, ngenyanga yokuqala ye-puerperium.
Uma kungekho ukwelashwa okuqhubekayo kwezidakamizwa, phakathi kuka-50% no-60% wabesifazane abanesifo se-bipolar baphindela emuva ngesikhathi sokukhulelwa. Isikhathi i-postpartum ibhekwa njengesigaba esinobungozi obukhulu ngokwanda kwezimpawu, kunengozi ephakeme izikhathi eziphindwe kasikhombisa kwabesifazane ababelethayo uma kuqhathaniswa nabesifazane abangakhulelwe nabangakhulelwe.
Imiphumela ye- ukungalashwa kwe-bipolar disorder ekukhuleni kwengane, engakafundi ngokwanele. Kepha kunolwazi oluhle mayelana nomthelela kumbungu wendlela yokuphila engenampilo yabesifazane abanesifo se-bipolar esingelashwa. Lezi zinhlobo zezinto ukungadli ngokwanele, ukuntuleka kokuzivocavoca umzimba, ukuzinakekela okungakhubazekile, izimo zokuphila ezingenampilo, kanye nokuhambisana okungafanele nokuqokwa ngaphambi kokubeletha.