Muaj tej hnub koj zoo siab heev, muaj zog heev... zoo li koj ua tau txhua yam. Tab sis lwm hnub koj tu siab heev uas koj tsis tuaj yeem sawv ntawm txaj, tu siab heev uas koj tsis xav ua dab tsi? Hom kev sib hloov ntawm ob txoj kev xav sib txawv no tuaj yeem yog ib qho tsos mob ntawm tus mob hlwb hu ua bipolar disorder . Hnub no, peb yuav tham txog qhov no, tshwj xeeb tshaj yog nws cuam tshuam li cas rau cov poj niam, hauv txoj kev yooj yim thiab tus phooj ywg.
Hauv lwm lo lus, kev puas siab puas ntsws bipolar yog dab tsi?
Kev puas siab puas ntsws bipolar yog ib qho mob hlwb uas tus neeg lub siab hloov pauv ntau heev. Nws muaj ob qho tseem ceeb heev.
1. Kev chim siab: Lub sijhawm no yog lub sijhawm uas muaj kev zoo siab thiab lub zog heev uas kuv tau hais ua ntej. Thaum lub sijhawm no, koj yuav xav tias koj ua tsis tau dab tsi li. Tej zaum koj yuav pw tsis tsaug zog, tej zaum koj ua haujlwm tsis tu ncua, tej zaum koj hais lus sai heev, thiab tej zaum koj yuav txiav txim siab sai sai (piv txwv li siv nyiaj ntau heev ib zaug). Qhov no yog lub sijhawm siab tshaj plaws.
2. Kev Nyuaj Siab : Qhov no yog qhov kawg. Nws yog lub sijhawm ntawm kev tu siab heev, kev poob siab, thiab tsis muaj kev txaus siab rau txhua yam. Koj tsis xav sawv ntawm txaj, koj ib txwm nkees, thiab koj tsis xav ua tej yam uas koj nyiam ua yav dhau los. Qhov no yog qhov qis tshaj plaws.
Tus mob no yog vim tias lub siab hloov pauv mus los ntawm ob qho kev xav no. Rau qee tus, cov mob no tuaj yeem hnyav heev.
Qhov xwm txheej no puas cuam tshuam rau cov poj niam txawv?
Yog. Txawm hais tias cov txiv neej thiab cov poj niam tuaj yeem tau tus kab mob no los xij, muaj qee qhov sib txawv ntawm txoj kev uas cov poj niam muaj tus kab mob no.
Kev tshawb fawb qhia tau hais tias cov poj niam muaj feem yuav muaj kev nyuaj siab ntau dua li kev mob mania , thiab cov poj niam cov tshuaj hormones thiab kev ua haujlwm ntawm lub cev yug me nyuam yuav cuam tshuam ncaj qha rau qhov xwm txheej thiab kev kho mob ntawm tus kab mob no.
Cov tshuaj hormones cuam tshuam li cas?
Cov tshuaj hormones hloov pauv ntawm ntau theem ntawm tus poj niam lub neej. Cia peb saib seb cov kev hloov pauv no cuam tshuam li cas rau kev mob bipolar.
- Lub Caij Nyoog Hli: Qee qhov kev tshawb fawb qhia tias cov poj niam uas muaj tus kab mob bipolar yuav muaj cov tsos mob ua ntej hli (PMS) hnyav dua. Txawm li cas los xij, kev tshawb fawb tau qhia tias cov poj niam uas tau txais kev kho mob zoo feem ntau muaj kev xav ruaj khov thoob plaws lawv lub caij nyoog hli.
- Lub Caij Nyoog Laus : Vim muaj kev hloov pauv loj ntawm cov tshuaj hormones uas tshwm sim thaum lub sijhawm thiab tom qab lub caij nyoog laus, qee tus poj niam yuav muaj cov tsos mob ntawm bipolar thawj zaug. Rau cov neeg uas twb muaj tus mob no lawm, cov tsos mob kuj tseem yuav hnyav zuj zus thaum lub sijhawm no.
- Cev Xeeb Tub thiab Lub Sijhawm Tom Qab Yug Me Nyuam:Nov yog lub sijhawm tseem ceeb thiab muaj kev pheej hmoo tshaj plaws . Yog tias ib tug poj niam uas muaj tus kab mob bipolar cev xeeb tub lossis muaj menyuam, nws muaj feem yuav ua rau nws tus mob hnyav dua thiab yuav tsum tau mus pw hauv tsev kho mob ntau dua xya npaug dua li lwm tus poj niam. Nws kuj muaj feem yuav rov qab muaj cov tsos mob dua ob npaug.
Yog li ntawd, yog tias koj muaj kev puas siab puas ntsws bipolar, nws yog ib qho tseem ceeb heev uas yuav tsum tham txog qhov no nrog koj tus kws kho mob ua ntej xav txog kev muaj menyuam.
Cov kev xaiv kho mob yog dab tsi?
Lub hom phiaj tseem ceeb ntawm kev kho mob rau tus kab mob bipolar yog kom tswj tau tus cwj pwm kom ruaj khov. Uas yog, kom tswj tau ob qho tib si siab (manic) thiab qis (depressive). Qhov no feem ntau yog kev kho mob mus tas li.
Kev siv tshuaj thiab kev kho mob tham feem ntau yog siv los ua kev kho mob.
Qee cov tshuaj uas cov kws kho mob tau sau ntawv suav nrog cov tshuaj tswj kev xav thiab cov tshuaj tiv thaiv kev puas siab puas ntsws.
| Lub npe dav dav ntawm cov tshuaj | Cov npe lag luam uas siv ntau |
|---|---|
| Lithium | Lithobid |
| Valproic Acid / Divalproex Sodium | Depakote, Depakene, Stavzor |
| Lamotrigine | Lamictal |
| Carbamazepine | Tegretol, Carbatrol |
| Cov tshuaj Olanzapine, Quetiapine, Risperidone, Aripiprazole | Zyprexa, Seroquel, Risperdal, Abilify |
Tseem Ceeb: Qee cov tshuaj no muaj lus ceeb toom tias lawv yuav ua rau muaj kev xav tua tus kheej lossis tus cwj pwm ntau ntxiv, tshwj xeeb tshaj yog rau cov menyuam yaus thiab cov tub ntxhais hluas. Yog li ntawd , koj yuav tsum tshaj tawm cov tsos mob tshiab lossis cov tsos mob hnyav zuj zus, kev hloov pauv tsis tshua muaj hauv kev xav, lossis kev xav tua tus kheej rau koj tus kws kho mob tam sim ntawd tom qab pib kho.
Yuav tsum tau ceev faj tshwj xeeb thaum kho mob thaum cev xeeb tub.
Qhov no yog ib qho teeb meem uas cov poj niam xav paub ntau. Nws yog ib qho tseem ceeb uas yuav tsum tau txuas ntxiv kev kho mob thaum cev xeeb tub, vim tias kev tso tseg kev kho mob tuaj yeem ua rau tus kab mob hnyav dua thiab ua rau leej niam thiab tus menyuam raug mob. Txawm li cas los xij, nws tseem ceeb heev uas yuav tsum xav txog cov teebmeem ntawm cov tshuaj rau tus menyuam.
Yog li ntawd, cov kws kho mob ua yog txo qhov kev pheej hmoo rau tus menyuam thaum kho tus niam. Qhov no yog ib yam dab tsi uas yuav tsum tau tswj hwm zoo heev.
Cov tshuaj muaj kev nyab xeeb thiab muaj kev pheej hmoo thaum cev xeeb tub
- Cov tshuaj uas suav tias muaj kev nyab xeeb dua: Cov kws kho mob feem ntau nyiam cov tshuaj qub xws li 'Lithium' thiab 'Haloperidol (Haldol)' vim tias lawv muaj cov ntaub ntawv ntev dua thiab cov ntaub ntawv kev nyab xeeb.
- Cov tshuaj muaj kev pheej hmoo: Cov tshuaj 'Valproic acid' thiab 'Carbamazepine' tau pom tias muaj kev phom sij rau tus menyuam hauv plab thiab tuaj yeem ua rau muaj teeb meem yug los. Yog tias koj pom tias koj cev xeeb tub thaum noj 'Valproic acid', koj tus kws kho mob yuav hloov cov tshuaj tam sim ntawd lossis kho qhov ntau npaum li cas thiab sau ntawv rau folic acid los tiv thaiv kev yug los tsis zoo uas cuam tshuam nrog kev loj hlob ntawm lub hlwb thiab tus txha caj qaum ntawm tus menyuam.
- Cov tshuaj uas muab rau thaum lub sijhawm peb lub hlis kawg ntawm cev xeeb tub: Yog tias koj noj cov tshuaj xws li 'Aripiprazole (Abilify), 'Risperidone (Risperdal),' thiab 'Quetiapine (Seroquel)' thaum peb lub hlis kawg ntawm cev xeeb tub, tus menyuam yuav muaj qee cov tsos mob tom qab yug los. Cov no hu ua 'cov cim extrapyramidal (EPS).'
Cov tsos mob uas tus menyuam yuav muaj:
- Kev tsis so
- Cov leeg nqaij nruj lossis nruj tsis zoo
- Kev tsaug zog ntau dhau
- Ua pa nyuaj thiab pub niam mis
- Cov leeg nqaij uas tsis kam lees lossis co
Rau qee tus menyuam mos, cov tsos mob no yuav ploj mus lawv tus kheej hauv ob peb teev lossis ob peb hnub, tab sis lwm tus yuav tsum tau mus pw hauv tsev kho mob kom soj ntsuam lossis kho mob.
Lwm cov ntsiab lus tshwj xeeb rau cov poj niam
Valproic Acid thiab PCOS
Cov ntxhais thiab cov poj niam hluas uas noj tshuaj valproic acid yuav tsum tau mus kuaj mob tsis tu ncua. Qhov no yog vim tias, txawm hais tias tsis tshua muaj, cov tshuaj no tuaj yeem ua rau cov tshuaj hormone testosterone ntau ntxiv, uas tuaj yeem ua rau polycystic ovary syndrome (PCOS) . PCOS yog ib qho mob uas cuam tshuam rau cov zes qe menyuam thiab ua rau rog dhau, cov plaub hau loj hlob ntau dhau, thiab cov voj voog tsis tu ncua.
Cov kev mob tshwm sim ntawm lithium
Kev siv lithium tuaj yeem ua rau cov tshuaj thyroid hormone qis rau qee tus neeg. Qhov no kuj tseem tuaj yeem cuam tshuam rau cov tsos mob bipolar. Yog tias qhov no tshwm sim, tej zaum yuav xav tau tshuaj thyroid hormone. Tsis tas li ntawd, cov kev mob tshwm sim xws li qaug zog, tso zis ntau zaus, thiab mob taub hau yuav tshwm sim.
Kev kho mob hluav taws xob (ECT)
Thaum muaj cov tsos mob hnyav heev, kev kho mob electroconvulsive (ECT) siv tau ua lwm txoj hauv kev nyab xeeb dua li kev siv tshuaj, tshwj xeeb tshaj yog thaum cev xeeb tub. Ntawm no, cov kws kho mob saib xyuas tus menyuam lub plawv dhia thiab cov pa oxygen tas li, kom txhua yam teeb meem tuaj yeem kho tau tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev puas siab puas ntsws bipolar yog ib qho mob hlwb uas ua rau muaj kev hloov pauv siab heev. Nws tuaj yeem cuam tshuam rau cov poj niam txawv ntawm cov txiv neej.
- Cov poj niam cov tshuaj hormones, tshwj xeeb tshaj yog thaum lub voj voog ntawm lub hli, cev xeeb tub, thiab lub caij hloov cev, cuam tshuam rau cov tsos mob.
- Yog tias koj muaj kev puas siab puas ntsws bipolar thiab tab tom yuav muaj menyuam, nws yog ib qho tseem ceeb uas koj yuav tsum tham thiab tsim ib txoj kev npaj kho mob nrog koj tus kws kho mob ua ntej koj cev xeeb tub.
- Kev tsum tsis txhob kho mob thaum cev xeeb tub tuaj yeem ua rau muaj kev phom sij. Koj tus kws kho mob yuav xaiv txoj hauv kev zoo tshaj plaws los kho tus niam thaum txo qhov kev pheej hmoo rau tus menyuam.
- Tsis txhob tsum noj koj cov tshuaj lossis hloov qhov ntau npaum li cas yam tsis tau kev qhia los ntawm kws kho mob. Tham nrog koj tus kws kho mob yog tias muaj kev txhawj xeeb dab tsi.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus