Kodi nthawi zina mumakumana ndi kusintha kwa maganizo komwe sikungatheke kotero kuti mwadzidzidzi mumadzimva kukhala osangalala kwambiri komanso ochita zinthu mopitirira muyeso (mania) ndipo nthawi zina mwadzidzidzi mumadzimva chisoni kwambiri komanso kupsinjika maganizo (depression)? Ichi ndi chomwe timachitcha Bipolar I Disorder mu zamankhwala. Lero tikulankhula za jakisoni wapadera womwe umaperekedwa kamodzi pamwezi kuti uthetse kusintha kwakukulu kwa maganizo. Ameneyo ndi Abilify Maintena.
Kodi Bipolar I ndi chiyani? Kodi Abilify Maintena imagwira ntchito bwanji?
Mwachidule, matenda a bipolar ndi matenda amisala omwe munthu amakumana nawo, mphamvu zake, komanso zochita zake zimasinthasintha mosayembekezereka komanso modabwitsa. Zingaphatikizepo zochitika za manic, pamene zimakhala zosangalatsa kwambiri komanso zokangalika, zochitika za kukhumudwa, pamene zimakhala zachisoni kwambiri komanso zopsinjika maganizo, komanso zochitika zosiyanasiyana, pamene zimakhala zosakaniza zonse ziwiri. Munthu amene ali ndi matenda a bipolar I adzakhala atakumanapo ndi vuto limodzi la manic. Koma kumbukirani, momwe vutoli limakhudzira munthu aliyense, kuopsa kwa zizindikiro zake, ndi nthawi yomwe zimakhalapo zimasiyana.
Ngakhale kuti palibe mankhwala athunthu a matenda a bipolar, n'zotheka kuwongolera zizindikiro ndikukhala ndi moyo wabwino ndi mankhwala oyenera komanso chithandizo choyenera .
Jakisoni wa Abilify Maintena uli ndi mankhwala otchedwa `aripiprazole`. Izi ndi za gulu la mankhwala otchedwa `mbadwo wachiwiri wa antipsychotics`. Gulu la mankhwala awa ndi osiyana ndi mankhwala akale chifukwa sangayambitse zotsatira zoyipa zokhudzana ndi kuyenda (` zizindikiro za extrapyramidal` ) monga kunjenjemera ndi kusakhazikika.
Momwe mankhwalawa amagwirira ntchito muubongo sikunamvetsetsedwe bwino, koma pakadali pano akukhulupirira kuti amathandiza kulinganiza ntchito ya mankhwala a muubongo otchedwa serotonin ndi dopamine, omwe amalamulira maganizo athu.
Kodi ndingapeze bwanji katemera uyu?
Abilify Maintena si mankhwala omwe mungamwe nokha. Ndi jakisoni woperekedwa kamodzi pamwezi ndi dokotala wanu kapena katswiri wazachipatala wodziwa bwino ntchito yake. Nthawi zambiri amabayidwa m'dzanja lanu kapena m'matako.
Chithandizo nthawi zambiri chimayamba ndi mlingo wa 400mg. Komabe, ngati mukukumana ndi zotsatirapo zoyipa, dokotala wanu angasankhe kuchepetsa mpaka 300mg.
Zinthu izi ndizofunikira kwambiri poyambira chithandizo.
- Ngati mukumwa kale mankhwala ena a bipolar:Mukalandira mlingo wanu woyamba wa Abilify Maintena, dokotala wanu adzakuuzani kuti mupitirize kumwa mlingo womwewo kwa masiku pafupifupi 14. Izi zimathandiza kuwongolera zizindikiro zanu mpaka kuchuluka kwa mankhwala m'magazi anu kukhazikika.
- Ngati simunamwepo mankhwala aliwonse a matenda a bipolar kale: Dokotala wanu adzakupatsani piritsi lotchedwa `aripiprazole` (Abilify) pakamwa kwa milungu iwiri asanakupatseni jakisoni woyamba kuti aone ngati thupi lanu lingapirire mankhwalawo komanso ngati muli ndi zotsatirapo zoyipa. Kenako mutha kupatsidwa piritsi lomwelo kwa milungu ina iwiri mutapatsidwa jakisoni woyamba. Monga tanenera kale, izi ndi zoti musunge kuchuluka kwa mankhwala m'magazi anu mpaka jakisoniyo itagwira ntchito mokwanira.
Ndikofunikira kwambiri kuti musaphonye tsiku lomwe mwakonzekera kulandira katemera pazifukwa zilizonse. Ngati mwaphonya tsiku lomaliza, imbani dokotala wanu nthawi yomweyo. Komanso, simungapeze katemera wotsatira mpaka patatha masiku osachepera 26 kuchokera pamene munalandira katemera wakale.
Kodi ubwino wa mankhwalawa ndi wotani? Zimatenga nthawi yayitali bwanji kuti agwire ntchito?
Kafukufuku wa zachipatala wa Abilify Maintena wasonyeza kuti anthu omwe adamwa Abilify Maintena anali ndi nthawi zochepa kwambiri zamaganizo kuposa omwe adamwa placebo. Mwachidule, anthu omwe adamwa mankhwalawa adatha kukhalabe ndi malingaliro abwino komanso bata kwa nthawi yayitali.
Iyi ndi katemera wa "kutulutsidwa kwa nthawi yayitali". Izi zikutanthauza kuti mankhwalawo amatulutsidwa m'thupi pang'onopang'ono ndipo amagwira ntchito kwa nthawi yayitali. Chifukwa chake, simungazindikire kusiyana kwakukulu mutangolandira jakisoni. Ichi ndichifukwa chake mumapatsidwa mankhwala akumwa kwa milungu iwiri yoyambirira. Ngati zizindikiro zanu sizikusintha patatha miyezi ingapo, onetsetsani kuti mwalankhula ndi dokotala wanu za izi.
Zotsatirapo zake ndi momwe mungathanirane nazo?
Monga mankhwala ena onse, Abilify Maintena ingayambitse zotsatira zina zoyipa , ngakhale kuti si aliyense amene amakumana nazo. Nazi zotsatira zoyipa zomwe zimapezeka kawirikawiri komanso zomwe mungachite nazo.
| Zotsatira Zam'mbali | Momwe Mungasamalire |
|---|---|
| Kusakhazikika (akathisia) ndi mayendedwe osalamulirika (zizindikiro za extrapyramidal) | Ngati muli ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo . Iye angachepetse mlingo kapena kukupatsani mankhwala ena a zizindikirozi. |
| Kulemera, shuga wambiri m'magazi ndi kuchuluka kwa cholesterol m'magazi | Dokotala wanu adzayang'anira kulemera kwanu ndi magazi anu nthawi zonse. Ndikofunikira kwambiri kutsatira zakudya zabwino komanso kuchita masewera olimbitsa thupi . |
| Nkhawa | Chepetsani zakumwa zokhala ndi caffeine monga khofi. Gonani mokwanira. Khazikitsani maganizo anu ndi zinthu monga yoga ndi masewera olimbitsa thupi. Ngati zipitirira, uzani dokotala wanu. |
| Kusowa tulo | Sungani nthawi yanu yogona komanso nthawi yodzuka nthawi zonse. Pewani kugwiritsa ntchito foni yanu kapena kuonera TV musanagone. Lankhulani ndi dokotala wanu za izi. |
| Kutopa kwambiri ndi kugona tulo | Pewani kuyendetsa galimoto ndi kuchita chilichonse chomwe chimafuna kukhala maso mpaka mutadziwa momwe mankhwalawa amakukhudzirani. |
| Ululu pamalo obayira jakisoni | Ululu uwu udzatha pakatha maola kapena masiku angapo. Mutha kupempha dokotala wanu kuti apake paketi ya ayezi kapena compress yotentha. Ngati ululuwo ndi waukulu kapena wopitirira, uzani dokotala wanu . |
Kuyanjana kwa Mankhwala
Mankhwala ena omwe mukumwa angakhudze zotsatira za Abilify Maintena. Abilify Maintena ingasinthenso zotsatira za mankhwala ena. Chifukwa chake , ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mavitamini, komanso mankhwala azitsamba/achilengedwe.
| Mtundu wa mankhwala | Zotsatira zomwe zingatheke |
|---|---|
| Mankhwala oletsa bowa (monga `ketoconazole`) ndi mankhwala ena oletsa kuvutika maganizo (monga `paroxetine`, `fluoxetine`) | Zingawonjezere kuchuluka kwa Abilify m'magazi, zomwe zingawonjezere chiopsezo cha zotsatirapo zoyipa. |
| Mankhwala a khunyu ndi ululu wa mitsempha (monga carbamazepine) | Zingachepetse kuchuluka kwa Abilify m'magazi, kuchepetsa mphamvu ya mankhwalawa. |
| Mankhwala a kuthamanga kwa magazi | Kuthamanga kwa magazi anu kungakhale kotsika kwambiri. Dokotala wanu adzayang'ana kuthamanga kwa magazi anu nthawi zonse. |
| Mankhwala oletsa kutopa (benzodiazepines) | Kugona tulo topitirira muyeso komanso kutsika kwa kuthamanga kwa magazi mukayimirira mwadzidzidzi (orthostatic hypotension) kungachitike. |
Uthenga Wopita Nawo Kunyumba
- Abilify Maintena ndi jakisoni wa mwezi uliwonse wogwiritsidwa ntchito pochiza matenda a Bipolar I.
- Izi zimachitika kuti muchepetse kusinthasintha kwakukulu kwa maganizo ndikukuthandizani kuti mukhale ndi malingaliro abwino. Uwu ndi mankhwala omwe amaletsa matendawa, osati mankhwala athunthu.
- Musaphonye masiku okonzedweratu a katemera. Ngati muli ndi vuto lililonse, dziwitsani dokotala wanu nthawi yomweyo.
- Dziwani zotsatirapo zake monga kunenepa kwambiri, kusakhazikika maganizo, komanso kugona. Lankhulani momasuka ndi dokotala wanu za chilichonse chomwe chimakupangitsani kumva kuti simukusangalala nacho.
- Mukhoza kupewa kuyanjana ndi mankhwala oopsa mwa kuuza dokotala wanu za mankhwala ena onse omwe mukumwa.
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