Ukuthola umuthi ofanele ngempilo yakho yengqondo kuqala ngokuthola udokotela ofanele

Ukuphila kahle

Lapho abantu bedansa ndawonye, ​​kukhona umholi nomlandeli — kepha bobabili babaluleke ngokulinganayo ekubushelelekeni nasekuhambeni komdanso. Abalingani kudingeka bazane futhi baphendule komunye nomunye. Ukuvumelanisa kubaluleke kakhulu uma umdanso uzophumelela.

Ukuthola uchwepheshe ofanele wezempilo yengqondo — ikakhulukazi uma ubhekene nezimo zempilo yomzimba noma yengqondo — kungafana nokuthola umlingani ofanele womdanso. Ngenkathi umhlinzeki ehola ekuxilongweni nasekwelashweni, isiguli siletha umlando waso wezokwelapha kanye nokuhlangenwe nakho okuphilayo kubambiswano. Lapho bobabili odokotela nesiguli belalelana futhi beqondana, lokhu kukhulumisana okuphumelelayo kungaholela emiphumeleni emihle kakhulu.

Ukuphila nesifo se-bipolar nokuthi ngithole kanjani usizo

Ngatholwa ngine-bipolar disorder ngo-2006, ngemuva konyaka weziqephu eziningi ze-hypomanic nezikhathi zokudangala okukhulu. Ekuvakasheni kwami ​​kokuqala nodokotela wezifo zengqondo, ngayalelwa ILithium , okuvame ukuba umuthi wokuqala onikezwa abantu abane-bipolar diagnostic. Iziguli eziningi zisabela kahle kwiLithium; Ngangingeyena omunye wabo. Ngangihlale womile, kepha kungenjalo angishintshi. Ngaqhubeka nokulwa nezikhathi ezinwetshiwe ze-hypomania, ngishintsha nosizi olungalawuleki.

Ngemuva kwezinyanga ezimbalwa ngisebenza njalo egazini nokukhungatheka, ngacela ukushintshwa kwemithi, futhi udokotela wangiyala ISeroquel . Ngaleso sikhathi, umuthi we-antipsychotic wawusanda kuvunywa welapha ukuphazamiseka kwengqondo okuguquguqukayo - manje sekuvame kakhulu ukunqunywa. Kepha iSeroquel, kimi, yaba nemiphumela emibi, okubandakanya ukuphakama okukhulu emizweni yami yobudoda.

Ngenkathi ngichaza konke lokhu kudokotela wami wezifo zengqondo, wavele wakhuphula umthamo wathi ngingahle ngithuthuke uma ngifika ezingeni elifanele lomuthi kuhlelo lwami. Ngangesaba ukuthatha iSeroquel eyengeziwe, futhi ngamtshela kanjalo, kodwa ukungabi naluzwela kwakhe kwangishiya ngidumele kakhulu. Ngaqala ukuphelelwa yithemba lokuthi ngiyophinde ngizizwe njengami futhi.

Ngokwesincomo somngani, ngenze isikhathi sokubonana nomunye udokotela wezifo zengqondo. Ngalesi sikhathi, lapho ngichaza ukusabela kwami ​​emithini emibili yokuqala, ngazwakala. Ngaqala ngemithamo yansuku zonke ye- Yenza amandla futhi I-Wellbutrin . Kungakapheli amasonto ngase ngiqala ukuzizwa ngingcono. Kuthathe kancane ukulungisa, kepha leyo nhlanganisela yezidakamizwa ezimbili isebenze kahle. Sekuyiminyaka eyi-13 ngenza ushintsho, futhi kuseyikho engikuthathayo manje. Kungenzeka kungabi inhlanganisela esebenza kuwo wonke umuntu — kepha iyangisebenzela. Ngihlale ngizinze isikhathi esingaphezu kweminyaka eyishumi, ngingenazo iziqephu zomuntu futhi akukho ukucindezeleka. Ngibuza imibuzo ngesikhathi sokuqokwa kwami ​​ukuze ngiqonde ukuthi kwenzekani ngengqondo yami. Futhi udokotela wami wezifo zengqondo ungiphatha ngenhlonipho futhi unginikeza izimpendulo ezicacile ngaphandle kokwenza lula ngokweqile.

OKUSHIWO: Ukwelashwa kokucindezeleka nemithi

Ukuthola udokotela ofanele wezempilo yengqondo

Kule minyaka eyishumi edlule, ngithole ngocwaningo nezingxoxo nabanye abantu abane-bipolar disorder, ukuthi ulwazi lwami aluhlukile. Ngifunde ukuthi kunezindlela ezahlukahlukene zokuphendula emithini yokwelashwa kwengqondo — abanye abantu benza kahle kakhulu kwiLithium noma eSeroquel, futhi bangaphendula kabi emithini esisebenza kahle kimi — nokuthi ngaphezu kwanoma yini, ukusebenza ngokulungile udokotela wezempilo yengqondo ukhiye.

1. Qonda izinhlobo zabasebenzi bezempilo yengqondo.

Isinyathelo sokuqala ekwelapheni ukugula kwengqondo… kahle, ukufuna ukwelashwa. Inhlanganisela yokwelashwa okukhulunywayo nemithi ikhombise ukusebenza ngempumelelo enkulu, ngokusho kweNational Alliance on Mental Illness. Abanye odokotela bangahlinzeka ngezinsizakalo zombili zezempilo yengqondo, futhi kwezinye izimo ungahle uthande ukubona udokotela wezifo zengqondo noma umhlengikazi wezempilo yezengqondo ukuthola umuthi kanye nochwepheshe ohlukile wokwelashwa kwezinkulumo.

2. Cela izincomo.

Uma ungazi ukuthi ubheke kuphi, ungacela izincomo kumndeni, kubangani, noma kumhlinzeki wakho wokunakekela oyinhloko. Ungashayela inkampani yakho yomshuwalense ukuthola uhlu lwabahlinzeki abakwi-network. Futhi uma lezo zinketho zingatholakali kuwe, ungathola ukufakwa kuhlu kwabahlinzeki bokunakekelwa kwempilo yasendaweni online ku thulmkhwanazi.com .

3. Cabanga ngezinto ezingokoqobo.

Ngabe udokotela uyawamukela umshuwalense wakho? Ingabe ikhona indawo yokupaka? Ungakujabulela yini ukwelashwa esibhedlela lapho udokotela enamalungelo athile khona?

Lezi zonke izingxenye ezibalulekile zokusungula ubudlelwano obufaka ukuvakashelwa okuningana. Ufuna ukwenza isiqiniseko sokuthi ungumhlinzeki wokunakekelwa kwezempilo yengqondo ongafinyelela kuye kalula, futhi ongakwazi ukukukhokhela.

4. Yenza ukuqokwa kokuqala.

Lapho usuthole uchwepheshe wezempilo yengqondo, kufanele ugxile kokuqokwa kwakho kokuqala. Udokotela wezifo zengqondo endaweni yasePhiladelphia uLaurie Kennedy uthi umelaphi kumele akwenze kucace ngokushesha ukuthi usesikhundleni esiphephile.

Kubaluleke kakhulu ukuthi umelaphi akhulume ukuthi igumbi lokwelashwa liyindawo engenacala futhi liyindawo enemingcele eqinile yokuziphatha futhi eyimfihlo, kusho uKennedy. Umsebenzi wasemtholampilo uzosebenza kuphela uma kuphela imingcele, inhlonipho, kanye nomoya wethemba kuqala kudluliselwa ngqo esigulini.

Ngokwelapha, iziguli ezinenkinga yempilo yengqondo zikhumbula futhi zilandisa ngezehlakalo ezivame ukudala amahloni nobuhlungu obungokomzwelo. Ngokwakha nokugcina indawo ephephile, engenazo izahlulelo, udokotela wenza ukwabelana kube nokwenzeka — futhi kube mnandi. Uma ungazizwa ukhululekile, kungahle kungabi ngudokotela ofanele wezempilo yengqondo kuwe.

Ukuthola uhlelo olufanele lokwelashwa kwezempilo yengqondo

Ngakho-ke uma usuthole udokotela ozizwa ukhululekile ngaye, ulikhulisa kanjani ikhono lomdanso ophumelelayo ukuze uqiniseke ukuthi ugcina usendleleni yokwelashwa efanele?

UDkt. Christopher Martin, udokotela wezifo zengqondo e-University of Michigan, uthi isinyathelo sokuqala ngaso sonke isikhathi sihlala sivuliwe nodokotela wakho: Ukuhlolwa okwenziwa lapho sihlangana nesiguli kusho lukhulu, kepha… isiguli, ukuvuleleka futhi sithembeke ngangokunokwenzeka— kufaka phakathi ukuhlinzeka oxhumana nabo nemvume yokuqoqa umlando kwabathandekayo noma odokotela bengqondo nezibhedlela zangaphambili-kungenza umehluko emhlabeni maqondana nokuthola ukuxilongwa okunembile nokwelashwa okufanele.

Ukunikeza le ndaba ephelele yokuphila ekuhambeleni kokuqala kubalulekile ukthola imishanguzo efanele kanye nokwelashwa, kuchaza uDkt Martin. Akuvamile ukuthi sibe nokuhlolwa, ukucabanga, noma izifundo ezihlinzeka ngokuxilongwa okungaqondakali, usho kanjalo. Ngenkathi imishanguzo ingasiza kaningi ngezimpawu, ingaba engasebenzi noma eyinhlekelele uma udokotela engenayo indaba ephelele.

Kwesinye isikhathi, njengakwami, ubudlelwano buyayeka ukusebenza. Njengemithi yokwelashwa, udokotela wezokwelapha angasebenza kumuntu oyedwa, kepha ukungalingani komunye umuntu. Lapho iziguli zizwa ukuthi imibuzo yazo nezinto ezikhathazayo azizwakali, noma uma zizwa ukuthi ziyahlulelwa ngokuziphatha kwazo — sekuyisikhathi sokuthola udokotela omusha. Kunzima njengokushintsha, impilo yengqondo yesiguli ibaluleke kakhulu ukuthi ingathikamezeka.

Iqiniso ngukuthi abantu abadala abangama-20% eMelika baphila nohlobo oluthile lwenkinga yezempilo yengqondo, kepha ngokuphathwa kwemithi kanye nokwelashwa kokuziphatha kwengqondo, kungenzeka ukuthi abaningi baphile impilo ephelele, ekhiqizayo-futhi ejabulisayo. Okusemqoka ukuthola odokotela abafanele abazokusiza ukuthi ufike lapho, futhi lokho kuqala ngokwaziswa iziguli ezinolwazi nezikhulumayo. Umdanso ungakhohlisa ukuhamba, kepha lapho abadansi benobambiswano oluqinile, kungaba kuhle kakhulu.