Ke mālama ʻia nei ʻoe a i ʻole kekahi āu i ʻike ai no ka maʻi bipolar? Inā pēlā, he mea nui e makaʻala i nā ʻano lāʻau like ʻole i kuhikuhi ʻia no ia. No ka mea, ʻaʻole kūpono kekahi mau lāʻau no kēia ʻano, a pono e hoʻohana ʻia kekahi me ke akahele nui. I kēia lā, ke kamaʻilio nei mākou e pili ana i kekahi, ʻano kahiko iki, akā hoʻohana ʻia no nā ʻano like ʻole, ka papa o nā lāʻau i kapa ʻia ʻo tricyclic antidepressants .
ʻO ka mea mua, e nānā kākou, he aha kēia mau antidepressants tricyclic (TCAs)?
I ka ʻōlelo maʻalahi, he ʻano lāʻau lapaʻau kēia i ʻoi aku ka kahiko ma mua o nā mea i hoʻohana ʻia e mālama i ke kaumaha. Aia nā kemika i loko o ko kākou lolo e hoʻouna i nā leka ma waena o nā aʻalolo (neurotransmitters). ʻO ka hana a kēia mau lāʻau lapaʻau, ʻo ia ka hoʻonui ʻana i ka hana o ʻelua o kēia mau kemika i kapa ʻia ʻo serotonin a me norepinephrine . Manaʻo nā kānaka ʻepekema he mea nui loa kēia mau kemika ʻelua no nā kaapuni lolo e kaohi ana i ko kākou ʻano.
Eia nō naʻe, ʻoi aku ka nui o nā hopena ʻaoʻao o kēia mau lāʻau lapaʻau ma mua o nā lāʻau lapaʻau hou. Eia kekahi, ke kuhikuhi ʻia nei kēia mau lāʻau lapaʻau e nā kauka no nā kūlana ʻē aʻe ma waho aʻe o ke kaumaha. Eia kekahi laʻana:
- ʻEha Neuropathic
- No ka pale ʻana i nā migraines
- ʻAʻole hiki ke hiamoe
- Kekahi mau pilikia ʻōpū ( Irritable Bowel Syndrome )
Aia kekahi mau lāʻau lapaʻau ʻē aʻe e pili ana i kēia papa o nā lāʻau lapaʻau ma ka papa ma lalo nei.
| Inoa o ke ʻano lāʻau lapaʻau | Nā Inoa Lama Maʻamau |
|---|---|
| ʻAmitriptyline | ʻElavil |
| ʻimipramine | ʻO Tofranil |
| nortriptyline | ʻO Pamelor |
| desipramine | ʻO Norpramin a i ʻole Pertofrane |
No ke aha ʻoe e pono ai e makaʻala loa i ka hāʻawi ʻana i kēia lāʻau lapaʻau i kekahi me ka maʻi bipolar?
ʻO kēia ka ʻāpana koʻikoʻi loa o kēia ʻatikala. ʻO ka maʻi bipolar kahi kūlana o nā loli o ke ʻano, kahi e ʻike ai ʻoe i nā wā o ke kaumaha nui a me nā wā o nā pae kiʻekiʻe o ka hana a me ka pīhoihoi, i kapa ʻia ʻo mania.
Hoʻohana ʻia kēia mau lāʻau tricyclic (TCA) e mālama i ke kaumaha. No laila, inā hāʻawi wale ʻia kēia mau lāʻau i kahi maʻi bipolar no ko lākou kūlana kaumaha, aia kahi manawa kūpono e neʻe ai ko lākou ʻano i kekahi ʻaoʻao ʻē aʻe, ʻo ia hoʻi, ka mania. Eia kekahi, hiki ke loaʻa kahi kūlana i kapa ʻia ʻo ka holo paikikala wikiwiki , kahi e hoʻololi ai lākou i hope a i hope ma waena o nā kūlana kaumaha a me nā kūlana manic.
E noʻonoʻo i kahi kanaka me ka maʻi bipolar ua hoʻomaka wale ʻia e lawe i kahi lāʻau lapaʻau e like me kēia no ke kaumaha. Inā, i loko o kekahi mau lā, nalowale koke lākou i ka hiamoe, kamaʻilio nui, hoʻolilo nui, hana i nā mea hoʻonui, a hauʻoli loa, hiki ke lilo i hanana manic. ʻO kēia ma muli o nā hopena o ka lāʻau lapaʻau.
No laila he aha ka hopena no kēia?
No ka hōʻemi ʻana i kēia pilikia, ʻōlelo nā kauka i kahi mea hoʻoikaika mood i ka manawa like me kahi antidepressant e like me kēia no nā maʻi bipolar, ʻoiai ka poʻe me ka bipolar I.
Manaʻo nā loea ʻaʻole pono e hāʻawi wale ʻia kēia mau lāʻau tricyclic i nā maʻi bipolar me ka ʻole o kahi mea hoʻoikaika mood , e like me ka lithium a i ʻole divalproex.
Nā pilikia ʻē aʻe a me nā mea e noʻonoʻo ai
Ma waho aʻe o ka pilikia o ka hoʻoulu ʻana i ka mania, aia kekahi mau mea ʻē aʻe e pono ai mākou e ʻike e pili ana i kēia mau lāʻau lapaʻau.
1. Ka pilikia o ka maʻi puʻuwai: Hiki i kēia lāʻau lapaʻau ke hoʻoulu a hoʻonui paha i nā pilikia o ka puʻuwai i kekahi poʻe. Inā loaʻa iā ʻoe kahi maʻi puʻuwai, pono ʻoe e haʻi i kāu kauka e pili ana i kēia.
2.He mea weliweli loa ka overdose: ʻO kēia ka pōʻino nui loa o kēia mau lāʻau lapaʻau. Ke hoʻohālikelike ʻia me nā lāʻau lapaʻau hou, ʻoiai kahi overdose liʻiliʻi o nā lāʻau tricyclic (TCA) hiki ke hoʻoweliweli i ke ola. No laila, inā ʻoe e hoʻohana nei i kēia mau lāʻau lapaʻau, mai lawe ʻoe ma mua o ka nui i kuhikuhi ʻia e ke kauka no kekahi kumu. Eia kekahi, e mālama pono i kēia mau mea mai nā keiki liʻiliʻi i loko o ka hale a mālama iā lākou i kahi palekana. Inā manaʻo ʻoe ua lawe hewa kekahi i ka nui o kēia lāʻau lapaʻau, e lawe koke iā lākou i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa . Inā pono, hiki iā ʻoe ke kelepona i ke National Poison Information Center ma ka Colombo National Hospital no ka ʻōlelo aʻoaʻo.
3. ʻOi aku ka nui o nā hopena ʻaoʻao: ʻOi aku ka nui o kēia mau mea e hoʻoulu ai i nā hopena ʻaoʻao e like me ka hiamoe, ka waha maloʻo, ka ʻike maka pohihihi, ka paʻa ʻana o ka ʻōpū, a me ka paʻakikī o ka mimi ma mua o nā lāʻau lapaʻau hou.
No kēia mau kumu, kuhikuhi iki nā kauka i kēia mau lāʻau lapaʻau me ke akahele loa i ka mālama ʻana i nā poʻe maʻi bipolar.
Leka Lawe-Home
- ʻO nā lāʻau lapaʻau Tricyclic antidepressants (TCAs) he papa lāʻau kahiko i hoʻohana ʻia e mālama i ke kaumaha. Hoʻohana ʻia lākou i kēia manawa e mālama i nā maʻi ʻē aʻe.
- ʻO ka hāʻawi ʻana i kēia lāʻau lapaʻau wale nō i nā poʻe maʻi bipolar e hoʻonui nui i ka pilikia o ka maʻi e holomua ana i kahi ʻano ʻē aʻe, ʻo ka mania.
- No laila, inā hāʻawi ʻia kēia ʻano lāʻau lapaʻau, he mea nui e lawe i kahi mea hoʻoikaika manaʻo i ka manawa like.
- He mea weliweli loa ka lawe nui ʻana i kēia mau lāʻau lapaʻau, no laila he mea nui e hahai i nā ʻōlelo aʻoaʻo a ke kauka a mālama pono i kāu mau lāʻau lapaʻau.
- Mai hoʻomaka, hoʻōki, a hoʻololi paha i ka nui o kekahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.
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