E aʻo pono kākou e pili ana i ka lāʻau 'antipsychotic' no ka maʻi bipolar.

Ua haʻi aku kāu kauka iā ʻoe he ʻohana kou, he hoaaloha, a i ʻole ʻoe iho he maʻi bipolar? Ua lohe paha ʻoe i kahi ʻano lāʻau i kapa ʻia ʻo 'antipsychotic' i waena o nā ʻano lāʻau i kuhikuhi ʻia. Hiki i kekahi poʻe ke hopohopo iki ke lohe lākou i kēia inoa. Akā he aha ka hana a kēia lāʻau? Pono ʻoe e hoʻohana? Aia kekahi mau hopena ʻaoʻao? I kēia lā, e kamaʻilio mākou e pili ana i kēia mau mea a pau ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.

No ke aha i kauoha ʻia ai nā lāʻau antipsychotic no ka maʻi bipolar?

I ka ʻōlelo maʻalahi, kōkua nui kēia ʻano lāʻau lapaʻau i ka kaohi ʻana i kekahi o nā hōʻailona koʻikoʻi e kū mai ana i ka wā e puka mai ai ka maʻi bipolar. E noʻonoʻo wale, i kekahi manawa ke puka mai kēia maʻi, hiki i ke kanaka ke...

• ʻIke ʻana a lohe ʻana paha i nā mea i ʻole ma laila (Hallucinations): Nā mea e like me ka lohe ʻana i kekahi e ʻōlelo ana ʻaʻole ma laila, ka ʻike ʻana i nā kiʻi i ʻole ma laila.
• Nā manaʻoʻiʻo kūpono ʻole ( Delusions ): Nā mea e like me ka manaʻo he mana kūikawā kou a i ʻole ka manaʻoʻiʻo e kipi ana kekahi iā ʻoe.
• Nā kūlana Manic: Nā hōʻailona e like me ka hana nui ʻole, ka hiamoe ʻole, ka hoʻolilo kālā me ka noʻonoʻo ʻole, a me ka hana noʻonoʻo ʻole.

I nā hihia koʻikoʻi e like me kēia, he mea nui loa nā lāʻau antipsychotic e kāohi koke i nā hōʻailona a hōʻoluʻolu i ka mea maʻi. Hiki i kāu kauka ke ʻōlelo aku i kēia mau mea no ka hoʻohana pōkole a lōʻihi paha.

Eia kekahi, hiki i kekahi mau lāʻau antipsychotic ke kōkua i ka mālama ʻana i ke kaumaha koʻikoʻi e kū mai ana i ka maʻi bipolar a pale i nā hoʻi hou ʻana o ia mau hanana manic a depressive paha.

Hoʻohana pinepine ʻia kēia lāʻau lapaʻau me kahi mea hoʻopaʻa manaʻo (e.g., lithium). ʻOiai ʻo nā mea hoʻopaʻa manaʻo e lōʻihi ka manawa e hana ai i loko o ke kino, hiki i kēia mau lāʻau antipsychotic ke kōkua i ka kaohi koke ʻana i nā hōʻailona manic i kēia manawa.

Pehea e hana ai kēia lāʻau lapaʻau?

He mea paʻakikī iki kēia, akā e mālama kākou i ka maʻalahi. Aia nā kaapuni lolo e kaohi ana i ko kākou noʻonoʻo , ke ʻano, a me ka ʻike. I loko o ka maʻi bipolar, lilo ka hana o kēia mau kaapuni i mea kaulike ʻole.

Hana nā lāʻau lapaʻau antipsychotic ma ke kaulike hou ʻana i ka hana o kēia mau kaapuni. ʻOiai ke noiʻi ʻia nei ke ʻano o kēia hana, ua maopopo hiki iā lākou ke kaohi koke i nā hanana manic.

ʻOi aku ka hana wikiwiki o ka hanauna hou o nā lāʻau lapaʻau, i kapa ʻia ʻo atypical antipsychotics . He mea maikaʻi kēia no ka kaohi ʻana i ka hana hoʻowahāwahā a impulsive e kū mai ana i ka wā mania. Kōkua kēia mau lāʻau lapaʻau i nā kānaka e hoʻomaka e noʻonoʻo maʻamau i loko o kekahi mau pule.

Nā lāʻau antipsychotic i hoʻohana pinepine ʻia

Aia ma ka papa ma lalo nei kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ka maʻi bipolar. Hoʻokomo pū ʻia kēia me nā inoa generic a me nā inoa brand i loaʻa pinepine ʻia ma ko mākou ʻāina.

ʻO ka mea nui loa: He mau laʻana wale nō kēia. ʻO kāu kauka wale nō ke hoʻoholo i ka lāʻau lapaʻau kūpono a me ka nui nou a i ʻole kāu mea aloha. Mai lawe i ka lāʻau lapaʻau no ka mea ke lawe nei kekahi iā ia, a i ʻole e hoʻololi i ka lāʻau lapaʻau a kāu kauka i kauoha ai.

E makaʻala kākou i nā hopena ʻaoʻao o kēia mau lāʻau lapaʻau.

E like me nā lāʻau lapaʻau a pau, hiki i kēia mau lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao. Akā, ʻaʻole hiki i nā kānaka a pau. Loaʻa wale nō i kekahi poʻe.

Nā hopena ʻaoʻao maʻamau

• ʻIke pōwehiwehi
• Waha maloʻo
• Hiamoe
• Nā haʻalulu a ʻoʻoleʻa paha o nā ʻiʻo
• Piʻi ke kaumaha

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki paha iā lākou ke kāohi iā lākou ma ka hoʻololi ʻana i ka nui o ka lāʻau a i ʻole ke hoʻololi ʻana i kahi lāʻau lapaʻau ʻē aʻe.

Nā kiko kūikawā e noʻonoʻo ai

Hiki i kekahi mau lāʻau antipsychotic ke hoʻonui i ke kaumaha, nā pae cholesterol koko kiʻekiʻe, a me ka hoʻonui ʻia o ka maʻi diabetes mellitus. No laila, he mea nui loa e kamaʻilio me kāu kauka e pili ana i kou pilikia o ka maʻi puʻuwai, ka hahau ʻana, a me ka maʻi diabetes a e hoʻāʻo ʻia ma mua o ka hoʻomaka ʻana i kēia mau lāʻau.

Eia kekahi, pono ʻoe e makaʻala nui i kekahi mau lāʻau lapaʻau.

• ʻO Clozapine (Clozaril): ʻOiai he maikaʻi loa kēia lāʻau lapaʻau, ʻaʻole hiki ke hana i kahi hopena koʻikoʻi (haʻahaʻa nā keʻokeʻo koko), no laila pono ʻoe e hoʻāʻo ʻia kou koko i kēlā me kēia pule a i ʻole i kēlā me kēia ʻelua pule i ka wā e lawe ana i ka lāʻau.
• Ziprasidone (Geodon): Hiki ke pili pū ʻia kēia lāʻau lapaʻau me kahi hopena ʻili kakaikahi, hiki ke make.

ʻAʻole i manaʻo ʻia kēia mau mea e hoʻoweliweli iā ʻoe, akā e hoʻonaʻauao iā ʻoe. E noʻonoʻo kāu kauka i kēia mau mea a pau i ke kau ʻana i kāu lāʻau lapaʻau.

E aʻo pū kākou e pili ana i nā antipsychotics kahiko.

I kēia manawa, aia nā lāʻau antipsychotic kahiko i hoʻohana ʻia ma mua o nā lāʻau hou a mākou i kamaʻilio ai (e.g., chlorpromazine, haloperidol). Akā, ʻaʻole hāʻawi hou ʻia kēia mau mea ma ke ʻano he lāʻau lapaʻau mua no ka maʻi bipolar. ʻO ke kumu o kēia, hiki i kēia mau lāʻau kahiko ke loaʻa nā hopena ʻaoʻao koʻikoʻi.

Ua kapa ʻia ʻo 'Tardive Dyskinesia' . He kūlana lōʻihi kēia kahi e loaʻa ai iā ʻoe nā neʻe hana hou a me ka makemake ʻole e like me ke kuʻi ʻana i nā lehelehe, ke alelo e kū ana i waho, a me ka ʻūmiʻi ʻana o ka maka. Aia kekahi pilikia o kēia me nā lāʻau lapaʻau hou, akā ʻaʻole ia he mea maʻamau me nā lāʻau lapaʻau kahiko.

Eia nō naʻe, no kekahi mea i pane ʻole i nā lāʻau lapaʻau hou a i ʻole ka mea e ʻike nei i nā hopena ʻaoʻao koʻikoʻi, hiki i ke kauka ke hoʻoholo e hāʻawi i kēia lāʻau lapaʻau kahiko ma lalo o kā lākou nānā ʻana.