Tiyeni tikambirane za mankhwala a 'Antipsychotic' a matenda a bipolar.

Kodi inuyo kapena munthu wina amene mumamudziwa ali ndi matenda a bipolar? Ngati ndi choncho, dokotala wanu mwina anakupatsani mankhwala otchedwa 'Antipsychotic'. Mungachite mantha pang'ono mukamva dzinali. Mungaganize kuti, 'Ndikufunika mankhwala a psychosis chifukwa chiyani?' Koma kwenikweni, mankhwalawa angathandize kwambiri poletsa matenda a bipolar. Ili ndi gawo lina chabe paulendo wanu. Chifukwa chake lero, tiyeni tisiye mafunso ndi mantha onse okhudza izi ndikukambirana mwachidule.

N’chifukwa chiyani mankhwala a 'Antipsychotic' amaperekedwa kwa anthu omwe ali ndi vuto la bipolar?

Taganizirani izi motere: momwe munthu alili ndi vuto la bipolar disorder zimakhala ngati seesaw. Nthawi ina, amayamba kuchoka pamlingo wapamwamba kupita pamlingo wotsika (izi zimatchedwa mania) kupita pamlingo wotsika kupita pamlingo wapamwamba (izi zimatchedwa depression). Mankhwala oletsa matenda amisala amathandiza kulinganiza mbali ziwiri zazikulu za seesaw mwa kulamulira kusintha kwachangu.

Mwachidule, mankhwalawa amathandiza kwambiri:

• Kudziletsa: Izi zimathandiza kulamulira nthawi zina zosaganizira bwino , kuchita zinthu mopitirira muyeso, kusankha zinthu mopupuluma, komanso kusagona mokwanira.
• Lamulirani zizindikiro za matenda amisala: Nthawi zina, mukakumana ndi kusokonezeka maganizo kapena kuvutika maganizo kwambiri, mungakhale ndi malingaliro oipa komanso kuganiza zinthu molakwika. Mankhwalawa ndi ofunikira kwambiri kuti muchepetse zizindikirozi mwachangu.
• Pewani kubwereranso: Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungachepetse chiopsezo cha matenda amisala kapena kuvutika maganizo mtsogolo.
• Zimathandizanso pazinthu zina: Nthawi zina madokotala amatha kupereka mankhwalawa pa mlingo wochepa chifukwa cha kusowa tulo, nkhawa kwambiri, kapena kusokonezeka maganizo.

Kodi mankhwalawa amagwira ntchito bwanji?

Ubongo wathu uli ndi ma circuit a ubongo omwe amalamulira malingaliro athu, momwe timamvera, komanso momwe timaonera zinthu. Mankhwalawa amagwira ntchito powongolera momwe ma circuitwo amagwirira ntchito. Ngakhale kuti momwe izi zimachitikira akadali mu gawo lofufuza, n'zoonekeratu kuti mankhwalawa amatha kulamulira mwachangu zizindikiro za manic.

Mankhwalawa nthawi zambiri amaperekedwa pamodzi ndi mankhwala ena, monga lithiamu yolimbitsa mtima. Mankhwalawa a antipsychotic amathandiza kuchepetsa zizindikiro mwachangu mpaka mankhwala ena atayamba kugwira ntchito bwino.

Komabe, ngati mankhwala monga lithiamu sagwira ntchito kwa anthu ena, dokotala angasankhe kugwiritsa ntchito mankhwala oletsa matenda amisala okha kwa nthawi yayitali. Makamaka ndi mankhwala atsopano oletsa matenda amisala (osazolowereka).Mankhwala oletsa matenda amisala amagwira ntchito mwachangu kwambiri. Maganizo anu ayenera kuyamba kubwerera mwakale pakatha milungu ingapo.

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Ndi mankhwala ati omwe amagwiritsidwa ntchito pa matenda a bipolar?

Pali mitundu ingapo ya mankhwala a 'Antipsychotic' omwe amagwiritsidwa ntchito pa matenda a bipolar ku Sri Lanka ndi padziko lonse lapansi. Dokotala wanu adzasankha mankhwala oyenera kwambiri kwa inu. Gome ili pansipa likuwonetsa ena mwa mankhwala omwe amagwiritsidwa ntchito kwambiri.

Nkhani yomwe aliyense amaiopa: Tiyeni tiphunzire za zotsatirapo zake

Chabwino, tsopano tiyeni tikambirane za nkhani yomwe anthu ambiri amaopa. Izi ndi zotsatira zake zoyipa. Kumbukirani, mankhwala aliwonse akhoza kukhala ndi zotsatira zake zazing'ono. Chofunika kwambiri ndichakuti musachite mantha ndi izi, muzindikire, ndikukambirana momasuka ndi dokotala wanu za chilichonse.

Mankhwala ena oletsa matenda amisala angayambitse kunenepa kwambiri, kuchuluka kwa cholesterol m'magazi, komanso chiopsezo chowonjezeka cha matenda a shuga. Izi ndi nkhawa kwa anthu ambiri. Ichi ndichifukwa chake dokotala wanu adzayang'ana kulemera kwanu, kutalika, shuga m'magazi, ndi kuchuluka kwa cholesterol musanayambe kumwa mankhwalawa. Izi zidzayang'aniridwa nthawi zonse panthawi ya chithandizo.

Zotsatira zina zofala

• Maso osawoneka bwino
• Pakamwa ndi pakhosi pouma
• Kugona masana
• Kugwedezeka kwa minofu kapena kugwedezeka
• Kulemera

Chidziwitso Chapadera: Clozapine (Clozaril) sigwiritsidwa ntchito kawirikawiri chifukwa cha zotsatira zake zosazolowereka komanso zomwe zingawopseze moyo (kuchepa kwa kuchuluka kwa maselo oyera m'magazi). Ngati mukumwa mankhwalawa, muyenera kuyang'aniridwa mosamala ndi mayeso a magazi sabata iliyonse kapena kawiri pa sabata monga momwe dokotala wanu walangizira. Ziprasidone (Geodon) yakhala ikugwirizananso ndi vuto la khungu losowa komanso lalikulu. Dokotala wanu amadziwa zonse za izi, choncho musadandaule. Iye adzakuyang'anirani mosamala.

Kodi tiyeneranso kuphunzira za mankhwala akale oletsa matenda amisala?

Palinso mankhwala akale, monga Chlorpromazine (Thorazine) ndi Haloperidol (Haldol). Komabe, awa sakuvomerezedwanso ngati mankhwala oyamba a matenda a bipolar. Chifukwa chachikulu cha izi ndikuti kugwiritsa ntchito mankhwala akalewa kwa nthawi yayitali kumawonjezera chiopsezo cha zotsatira zoyipa zotchedwa tardive dyskinesia .

Tardive Dyskinesia ndi matenda omwe munthu amasuntha mosadzifunira monga kumenya milomo, lilime lake kutuluka, kukwinya nkhope, komanso kugwedeza manja ndi miyendo yake mosalamulirika.

Koma musadandaule, chiopsezochi n'chochepa kwambiri pa mankhwala atsopano omwe tidakambirana kale (mankhwala oletsa matenda amisala).Ndicho chifukwa chake madokotala tsopano akupereka mankhwalawo patsogolo. Ngati vutoli litachitika, tsopano pali mankhwala monga Deutetrabenazine (Austedo) ndi Valbenazine (Ingrezza) ochizira.