Koj lossis ib tug neeg koj paub puas tau kho mob rau tus kab mob bipolar? Yog tias yog, nws yog ib qho tseem ceeb uas yuav tsum paub txog ntau hom tshuaj uas tau muab rau nws. Vim tias qee cov tshuaj tsis haum rau tus mob no, thiab qee cov yuav tsum tau siv nrog kev ceev faj heev. Niaj hnub no peb tab tom tham txog ib qho xws li, qub dua me ntsis, tab sis tseem siv rau ntau yam mob, chav kawm ntawm cov tshuaj hu ua tricyclic antidepressants .
Ua ntej, cia peb saib, cov tshuaj tricyclic antidepressants (TCAs) no yog dab tsi?
Hais yooj yim xwb, cov no yog ib hom tshuaj uas qub dua li cov uas siv los kho kev nyuaj siab. Muaj cov tshuaj hauv peb lub hlwb uas xa cov lus ntawm cov hlab ntsha (neurotransmitters). Cov tshuaj no ua yog ua kom ob yam tshuaj no ua haujlwm ntau dua hu ua serotonin thiab norepinephrine . Cov kws tshawb fawb ntseeg tias ob yam tshuaj no tseem ceeb heev rau cov voj voog ntawm lub hlwb uas tswj peb lub siab.
Txawm li cas los xij, cov tshuaj no muaj ntau yam kev phiv dua li cov tshuaj tshiab. Tsis tas li ntawd, cov tshuaj no tam sim no tau raug sau los ntawm cov kws kho mob rau lwm yam mob ntxiv rau kev nyuaj siab. Piv txwv li:
- Mob Neuropathic
- Yuav kom tiv thaiv tau mob taub hau migraines
- Tsis tsaug zog
- Qee qhov teeb meem ntawm txoj hnyuv ( Irritable Bowel Syndrome )
Muaj ntau lwm yam tshuaj uas koom nrog pawg tshuaj no tau teev nyob rau hauv lub rooj hauv qab no.
| Lub npe ntawm hom tshuaj | Cov Npe Hom Lag Luam Feem Ntau |
|---|---|
| amitriptyline | Elavil |
| tshuaj imipramine | Tofranil |
| nortriptyline | Pamelor |
| desipramine | Norpramin los yog Pertofrane |
Vim li cas koj thiaj yuav tsum ceev faj heev thaum muab cov tshuaj no rau ib tus neeg uas muaj kev puas siab puas ntsws bipolar?
Qhov no yog qhov tseem ceeb tshaj plaws ntawm tsab xov xwm no. Kev mob bipolar yog ib qho xwm txheej ntawm kev hloov pauv ntawm lub siab, uas koj ntsib lub sijhawm ntawm kev nyuaj siab heev thiab lub sijhawm ntawm qib siab ntawm kev ua ub no thiab kev zoo siab, hu ua mania.
Cov tshuaj tricyclic (TCA) no yog siv los kho kev nyuaj siab. Yog li ntawd, yog tias tus neeg mob bipolar tau txais cov tshuaj no ib leeg rau lawv lub xeev kev nyuaj siab, muaj feem ntau uas lawv lub siab yuav hloov mus rau lwm qhov, uas yog, mania. Tsis tas li ntawd, ib qho mob hu ua rapid cycling, qhov twg lawv hloov rov qab thiab tawm ntawm lub xeev kev nyuaj siab thiab manic, tuaj yeem tshwm sim.
Xav txog tias ib tug neeg uas muaj tus kab mob bipolar nyuam qhuav pib noj tshuaj zoo li no rau kev nyuaj siab. Yog tias, tsis pub dhau ob peb hnub, lawv cia li tsaug zog tsis taus, hais lus ntau dhau, siv nyiaj ntau dhau, ua tej yam kim heev, thiab zoo siab txawv txawv, qhov ntawd yuav yog ib qho mob vwm. Qhov no yog vim cov tshuaj no ua rau mob.
Yog li ntawd, qhov kev daws teeb meem rau qhov no yog dab tsi?
Yuav kom txo qhov kev pheej hmoo no, cov kws kho mob pom zoo kom siv tshuaj kho lub siab tib lub sijhawm nrog tshuaj antidepressant zoo li no rau cov neeg mob bipolar, tshwj xeeb tshaj yog cov neeg uas muaj bipolar I.
Cov kws tshaj lij ntseeg tias cov tshuaj tricyclic no yuav tsum tsis txhob muab rau cov neeg mob bipolar ib leeg yam tsis muaj tshuaj tswj kev xav , xws li lithium lossis divalproex.
Lwm yam kev pheej hmoo thiab tej yam uas yuav tsum xav txog
Ntxiv rau qhov kev pheej hmoo ntawm kev ua rau mania, muaj ntau yam ntxiv uas peb yuav tsum paub txog cov tshuaj no.
1. Kev pheej hmoo ntawm kab mob plawv: Cov tshuaj no yuav ua rau lossis ua rau cov teeb meem plawv dhia hnyav dua rau qee tus neeg. Yog tias koj muaj mob plawv, koj yuav tsum qhia rau koj tus kws kho mob txog qhov no.
2.Kev noj tshuaj ntau dhau yog qhov txaus ntshai heev: Qhov no yog qhov txaus ntshai tshaj plaws ntawm cov tshuaj no. Piv rau cov tshuaj tshiab, txawm tias me me ntawm cov tshuaj tricyclic (TCA) tuaj yeem ua rau tuag taus. Yog li ntawd, yog tias koj siv cov tshuaj no, tsis txhob noj ntau tshaj li qhov kws kho mob tau sau tseg rau txhua qhov laj thawj. Tsis tas li ntawd, khaws cov no kom deb ntawm cov menyuam yaus me hauv tsev thiab khaws cia rau hauv qhov chaw nyab xeeb. Yog tias koj xav tias muaj ib tus neeg tau noj cov tshuaj no ntau dhau, tam sim ntawd coj lawv mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws . Yog tias tsim nyog, koj tuaj yeem hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National kom tau txais lus qhia.
3. Muaj ntau yam kev mob tshwm sim ntxiv: Cov no yuav ua rau muaj kev mob tshwm sim ntxiv xws li tsaug zog, qhov ncauj qhuav, pom kev tsis meej, cem quav, thiab tso zis nyuaj dua li cov tshuaj tshiab.
Vim li no, cov kws kho mob thiaj li sau cov tshuaj no kom tsawg tsawg thiab ceev faj heev thaum kho cov neeg mob bipolar.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tshuaj Tricyclic antidepressants (TCAs) yog ib hom tshuaj qub uas siv los kho kev nyuaj siab. Tam sim no lawv kuj siv los kho lwm yam mob.
- Kev muab cov tshuaj no ib leeg rau cov neeg mob bipolar ua rau muaj kev pheej hmoo ntawm tus kab mob mus rau qhov mob hnyav dua, uas yog mania.
- Yog li ntawd, yog tias muab hom tshuaj no, nws yog ib qho tseem ceeb uas yuav tsum tau noj tshuaj tswj kev xav tib lub sijhawm.
- Kev noj cov tshuaj no ntau dhau yog qhov txaus ntshai heev, yog li nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov lus qhia kho mob thiab khaws koj cov tshuaj kom muaj kev nyab xeeb.
- Tsis txhob pib, tsum, lossis hloov qhov ntau npaum li cas ntawm cov tshuaj yam tsis tau koj tus kws kho mob qhia. Tham nrog koj tus kws kho mob txog tej lus nug lossis kev txhawj xeeb uas koj muaj.
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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