Mwina mukuganiza kuti, "O, mungagwiritse ntchito bwanji mankhwala oletsa kupweteka mutu chifukwa cha matenda amisala?" Funso limenelo ndi lomveka bwino. Anthu ambiri amadabwa ndi izi. Koma kwenikweni, pochiza matenda amisala otchedwa bipolar disorder, mtundu uwu wa mankhwala otchedwa 'Anticonvulsant' umagwira ntchito yofunika kwambiri. Izi zimatchedwanso 'mood stabilizers', zomwe zikutanthauza kuti zimakhazikitsa mtima . Tiyeni tiphunzire zambiri za izi lero. Tiyeni tikambirane mwachidule chifukwa chake mankhwalawa amaperekedwa, mitundu iti yomwe imagwiritsidwa ntchito kwambiri, komanso zomwe muyenera kudziwa mukamawagwiritsa ntchito.
N’chifukwa chiyani mankhwala oletsa kupweteka kwa mutu awa amaperekedwa pa matenda a bipolar?
Mwachidule, mankhwala awa amagwira ntchito pochepetsa ubongo wochita zinthu mopitirira muyeso. Taganizirani ubongo wathu ngati magalimoto ambiri pamsewu wotanganidwa. Mwa munthu amene ali ndi vuto la bipolar, nthawi zina izi zimakhala zothamanga kwambiri, ngati kuti magalimoto atsala pang'ono kugundana. Timatcha izi kuti 'misala'. Nthawi zina, izi zimangochitika mwadzidzidzi ndipo zimalephera kugwira ntchito. Timatcha izi kuti 'kuvutika maganizo'.
Mankhwala oletsa kupweteka kwa mutu amagwira ntchito ngati magetsi apamsewu. Amalamulira mphamvu zamagetsi zamagetsi zomwe maselo amitsempha amagwira ntchito muubongo, ndikuchepetsa kuima kwadzidzidzi komanso mwachangu. Ichi ndichifukwa chake mankhwalawa amagwiritsidwanso ntchito pochiza khunyu, mutu waching'alang'ala, ndi matenda ena okhudzana ndi kugwira ntchito mopitirira muyeso muubongo.
Kale, mankhwalawa ankaperekedwa kwa anthu okhawo omwe sanayankhe lithiamu, mankhwala ofunikira kwambiri a matenda a bipolar. Koma masiku ano, amagwiritsidwa ntchito kwambiri okha, ndi lithiamu, kapena kuphatikiza ndi mankhwala ena. Ndi othandiza kwambiri kwa anthu omwe amasinthasintha pakati pa kusokonezeka maganizo ndi kuvutika maganizo nthawi zoposa kanayi pachaka (timatcha izi kuti ' kuthamanga mofulumira ' ).
Mankhwala oletsa kupweteka kwa mutu omwe amaperekedwa nthawi zambiri komanso kusiyana kwawo
Pali mitundu ingapo ya mankhwala oletsa kupweteka kwa mutu omwe amagwiritsidwa ntchito pa matenda a bipolar. Iliyonse imagwira ntchito mosiyana pang'ono. Choncho dokotala wanu adzasankha mankhwala abwino kwambiri pa zizindikiro zanu. Tiyeni tiwone mitundu ikuluikulu ya mankhwala omwe amagwiritsidwa ntchito.
| Dzina la Mankhwala | Chogwiritsira ntchito chachikulu | Zolemba zofunika |
|---|---|---|
| Valproic acid / Divalproex sodium (Depakote, Depakene) | Kulamulira misala | Yothandiza kwambiri pa zizindikiro za kupsinjika maganizo kuposa zizindikiro za kukhumudwa. Imagwiritsidwa ntchito kwambiri pothana ndi vuto ladzidzidzi. |
| Carbamazepine (Tegretol) | Kulamulira misala | Valproic acid imathandizanso kwambiri pa nthawi ya manic episodes. Imagwiritsidwa ntchito poletsa matenda omwe alipo. |
| Lamotrigine (Lamictal) | Kuletsa kuvutika maganizo komanso kupewa kubwereranso m'mbuyo | Zimathandiza kwambiri m'matenda a kuvutika maganizo kuposa m'matenda amisala. Nthawi zambiri zimagwiritsidwa ntchito ngati njira yopewera matenda ena mtsogolo. |
Kuwonjezera pa mankhwala akuluakulu awa, madokotala nthawi zina amagwiritsa ntchito mankhwala ena oletsa kupweteka mutu (monga Lyrica, Neurontin, Topamax) 'osatchulidwa' pamavuto ena okhudzana ndi matenda a bipolar, monga mavuto ogona, nkhawa, kupweteka, kapena kuchepa thupi. 'Osatchulidwa' amatanthauza kuti mankhwalawa amagwiritsidwa ntchito pa chinthu china osati chifukwa chachikulu chomwe adavomerezedwa.
Chofunika ndichakuti chifukwa chakuti mankhwala aliwonsewa amagwira ntchito mosiyana, zomwe mumakumana nazo zingasiyane malinga ndi mankhwala omwe mumamwa. Musayembekezere zotsatira zake nthawi yomweyo kuchokera mukumwa mankhwala awa. Ndipotu, zingatenge milungu ingapo kuti mankhwalawa ayambe kugwira ntchito bwino kwambiri.
Kodi ndi zotsatirapo ziti zomwe muyenera kudziwa?
Monga mankhwala ena aliwonse, mankhwala oletsa kugwidwa ndi khunyu amatha kukhala ndi zotsatirapo zoyipa. Ndicho chifukwa chake ndikofunikira kugwiritsa ntchito mankhwalawa monga momwe dokotala wanu wanenera, komanso motsogozedwa ndi iye .
Pamene mukumwa mankhwalawa, dokotala wanu angakupempheni kuti muyese magazi nthawi ndi nthawi. Izi zili choncho chifukwa mankhwala ena oletsa kupweteka kwa mutu amatha kukhudza chiwindi ndi impso. Angathenso kuchepetsa kuchuluka kwa ma platelet, omwe amathandiza magazi kuundana. Mayeso a magazi amenewa amachitika kuti atsimikizire kuti chilichonse m'thupi lanu chili bwino.
Izi ndi zina mwa zotsatira zoyipa kwambiri:
- Chizungulire
- Kugona tulo
- Kutopa
- Kusanza
- Kugwedezeka
- Kutupa pakhungu
- Kulemera
Chabwino kwambiri n'chakuti zotsatirapo zake zambiri zidzachepa pakapita nthawi pamene thupi lanu liyamba kuzolowera mankhwalawo. Koma ngati muli ndi nkhawa yaikulu yokhudza mankhwalawa, musapange zisankho nokha ndipo nthawi zonse lankhulani ndi dokotala wanu .
Zinthu zofunika kuziganizira kwambiri
Pali zinthu zingapo zomwe inu ndi dokotala wanu muyenera kuziganizira mukamamwa mankhwalawa.
- Mimba: Ngati muli ndi pakati, kapena mukukonzekera kutenga pakati, ndikofunikira kuuza dokotala wanu. Mankhwala ena oletsa kupweteka kwa msana amatha kukhudza mwana wosabadwayo ndikuwonjezera chiopsezo cha zilema zobadwa nazo . Chifukwa chake, pewani kumwa mankhwalawa popanda upangiri wa dokotala.
- Thanzi la chiwindi: Mankhwala ena amatha kukhudza chiwindi akagwiritsidwa ntchito kwa nthawi yayitali. Ichi ndichifukwa chake dokotala wanu adzayang'anira momwe chiwindi chanu chikugwira ntchito poyesa magazi nthawi ndi nthawi.
- Mavuto ndi mankhwala ena: Iyi ndi mfundo yofunika kwambiri. Mankhwala oletsa kupweteka kwa mutu amatha kuyanjana ndi mankhwala ena omwe mukumwa ndipo angayambitse mavuto aakulu. Izi zitha kuphatikizapo aspirin wamba wochepetsa ululu. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa, kuphatikiza mavitamini, zowonjezera zitsamba, ndi mankhwala omwe amagulitsidwa mumsika . Musayambe chilichonse chatsopano popanda kufunsa dokotala wanu.
- Kuletsa mankhwala:
- Mankhwala oletsa kupweteka kwa mutu a matenda a bipolar amaletsa kugwira ntchito mopitirira muyeso muubongo ndi kukhazikika kwa maganizo.
- Mankhwala osiyanasiyana ndi othandiza kwambiri pochiza kusokonezeka maganizo kapena kuvutika maganizo komanso kupewa kubwereranso m'mbuyo. Dokotala wanu adzasankha mankhwala omwe ndi abwino kwa inu.
- Ndikofunikira kukhala oleza mtima chifukwa zimatenga milungu ingapo kuti mumve mphamvu zonse za mankhwalawa.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Musadandaule za zotsatirapo zake, koma ngati mukuda nkhawa nazo kapena ngati mukuyamba zizindikiro zatsopano, lankhulani ndi dokotala wanu nthawi yomweyo.
- Musasiye kumwa mankhwala awa mwadzidzidzi popanda upangiri wa dokotala.
Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala pazifukwa zilizonse. Ngati musiya kumwa mwadzidzidzi, mungakhale pachiwopsezo chogwidwa ndi khunyu, ngakhale simunachitepo. Ngati musiya, chitani pang'onopang'ono, kuchepetsa mlingo ndi kuyang'aniridwa ndi dokotala wanu.
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