Tiyeni tiphunzire bwino za mankhwala a 'antipsychotic' a matenda a bipolar.

Kodi dokotala wanu wakuuzani kuti wachibale wanu, mnzanu, kapena inuyo muli ndi matenda a bipolar? Mwina munamvapo za mtundu wa mankhwala otchedwa 'antipsychotic' pakati pa mitundu ya mankhwala omwe amaperekedwa. Anthu ena angachite mantha pang'ono akamva dzinali. Koma kodi mankhwalawa amagwira ntchito yanji kwenikweni? Kodi muyenera kuwagwiritsa ntchito? Kodi pali zotsatirapo zina? Lero, tikambirana zonsezi m'njira yosavuta yomwe mungamvetse.

N’chifukwa chiyani mankhwala oletsa matenda amisala amaperekedwa kwa anthu omwe ali ndi vuto la bipolar?

Mwachidule, mtundu uwu wa mankhwala umathandiza kwambiri kuchepetsa zizindikiro zina zoopsa zomwe zimachitika panthawi ya matenda a bipolar. Tangoganizani, nthawi zina vutoli likayamba, munthu amatha...

• Kuona kapena kumva zinthu zomwe palibe (Kuona zinthu molakwika): Zinthu monga kumva munthu akulankhula koma palibe, kuona zithunzi zomwe palibe.
• Zikhulupiriro zopanda nzeru ( Zonyenga ): Zinthu monga kuganiza kuti muli ndi mphamvu zapadera kapena kukhulupirira kuti winawake akukukonzerani chiwembu.
• Manic states: Zizindikiro monga kuchita zinthu mopitirira muyeso, kugona pang'ono, kugwiritsa ntchito ndalama mosasamala, komanso kuchita zinthu mosasamala.

Pa milandu yoopsa ngati iyi, mankhwala oletsa matenda amisala ndi ofunikira kwambiri kuti athetse zizindikiro mwachangu ndikutonthoza wodwalayo. Dokotala wanu angakulangizeni kuti mugwiritse ntchito mankhwalawa kwa kanthawi kochepa kapena kwa nthawi yayitali.

Komanso, mankhwala ena oletsa matenda amisala angathandize kuchiza kuvutika maganizo kwakukulu komwe kumachitika mu matenda a bipolar ndikuletsa kubwereranso kwa zochitika zotere za manic kapena depression mtsogolo.

Mankhwalawa nthawi zambiri amaperekedwa pamodzi ndi mankhwala oletsa kusokonezeka maganizo (monga lithiamu). Popeza mankhwala oletsa kusokonezeka maganizo amatenga nthawi kuti agwire ntchito m'thupi, mankhwala oletsa kusokonezeka maganizo amenewa angathandize kuchepetsa zizindikiro za kusokonezeka maganizo mwachangu pakadali pano.

Kodi mankhwalawa amagwira ntchito bwanji?

Izi ndi zovuta pang'ono, koma tiyeni tizisunge mosavuta. Pali ma circuit a ubongo omwe amalamulira kuganiza kwathu, momwe timamvera, komanso momwe timaonera zinthu. Mu matenda a bipolar, magwiridwe antchito a ma circuit amenewa amakhala osalinganika.

Mankhwala oletsa matenda amisala amagwira ntchito pokonzanso ntchito za ma circuits awa. Ngakhale kuti momwe izi zimachitikira zikufufuzidwabe, n'zoonekeratu kuti amatha kulamulira mwachangu zochitika zamisala.

Makamaka mankhwala atsopano otchedwa atypical antipsychotics, amagwira ntchito mwachangu kwambiri . Mankhwalawa ndi abwino kwambiri poletsa khalidwe losasamala komanso losaganizira bwino lomwe limachitika panthawi ya kusokonezeka maganizo. Mankhwalawa amathandiza anthu kuyamba kuganiza bwino mkati mwa milungu ingapo.

Mankhwala oletsa matenda amisala omwe amagwiritsidwa ntchito kwambiri

Tebulo lotsatirali likuwonetsa mankhwala angapo omwe amagwiritsidwa ntchito pochiza matenda a bipolar. Izi zikuphatikizapo mayina wamba ndi mayina amakampani omwe amapezeka kwambiri m'dziko lathu.

Chofunika kwambiri: Izi ndi zitsanzo zochepa chabe. Dokotala wanu yekha ndi amene angadziwe mankhwala oyenera komanso mlingo woyenera kwa inu kapena wokondedwa wanu. Musamwe mankhwalawo chifukwa chakuti wina akumwa, kapena kusintha mankhwala omwe dokotala wanu wakupatsani.

Tiyeni tidziwe zotsatirapo zoyipa za mankhwalawa.

Monga mankhwala ena aliwonse, mankhwalawa amatha kukhala ndi zotsatirapo zake. Koma sizichitika kwa aliyense. Anthu ena okha ndi omwe amawapeza.

Zotsatira zoyipa zofala

• Maso osawoneka bwino
• Pakamwa pouma
• Kugona tulo
• Kunjenjemera kapena kuuma kwa minofu
• Kulemera

Ngati mukukumana ndi zizindikiro izi, lankhulani ndi dokotala wanu za izi. Angathe kuziletsa mwa kusintha mlingo kapena kusintha mankhwala ena.

Mfundo zapadera zoti muganizire

Mankhwala ena oletsa matenda amisala angayambitse kunenepa kwambiri, kuchuluka kwa cholesterol m'magazi, komanso chiopsezo chowonjezeka cha matenda a shuga. Chifukwa chake, ndikofunikira kwambiri kulankhula ndi dokotala wanu za chiopsezo chanu cha matenda a mtima, sitiroko, ndi matenda a shuga ndikuyesedwa musanayambe kumwa mankhwalawa.

Komanso, muyenera kudziwa bwino mankhwala enaake.

• Clozapine (Clozaril): Ngakhale kuti mankhwalawa ndi othandiza kwambiri, nthawi zambiri sangayambitse zotsatira zoyipa (maselo oyera ochepa m'magazi), choncho muyenera kuyezetsa magazi anu mlungu uliwonse kapena milungu iwiri iliyonse mukamamwa mankhwalawa.
• Ziprasidone (Geodon): Mankhwalawa angayambitsenso khungu losowa kwambiri, lomwe lingayambitse imfa.

Zinthu izi sizikutanthauza kukuopsezani, koma kukuphunzitsani. Dokotala wanu adzaganizira zonsezi akakupatsani mankhwala.

Tiyeni tiphunzirenso za mankhwala akale oletsa matenda amisala.

Tsopano, pali mankhwala akale oletsa matenda amisala omwe ankagwiritsidwa ntchito asanafike mankhwala atsopano omwe tawatchula (monga chlorpromazine, haloperidol). Koma awa saperekedwanso ngati mankhwala oyamba a matenda a bipolar. Chifukwa cha izi ndikuti mankhwala akale awa akhoza kukhala ndi zotsatirapo zoyipa kwambiri.

Imatchedwa 'Tardive Dyskinesia' . Imeneyi ndi matenda a nthawi yayitali omwe mumakhala ndi mayendedwe obwerezabwereza, osafuna monga kumenya milomo, lilime kutuluka, komanso kukwinya nkhope. Pali chiopsezo cha izi ndi mankhwala atsopano, koma sizichitika kawirikawiri ndi mankhwala akale.

Komabe, kwa munthu amene sakulandira mankhwala atsopano kapena amene akukumana ndi zotsatirapo zoyipa kwambiri, dokotala angasankhe kupereka mankhwala akalewa pansi pa utsogoleri wawo.