Kodi munayamba mwaonapo kusintha kwachilendo m'banja mwanu kapena mnzanu, monga kukwera mwadzidzidzi kwa chisangalalo, kukwera kwa mphamvu, kugwira ntchito masiku ambiri osagona, kugwiritsa ntchito ndalama zawo zonse, ndikuchita zinthu mosasamala? Nthawi zina izi zimatha kukhala pachimake cha matenda amisala otchedwa "mania." Kunena zoona, iyi ndi mkhalidwe womwe mwadzidzidzi malingaliro amachoka pazovuta kupita pazovuta. Koma musadandaule, pali mankhwala omwe angathandize kuwongolera izi. Lero, tiyeni tikambirane za chithandizo cha mkhalidwe uwu wa mania.
Kodi mankhwala otani omwe amagwiritsidwa ntchito pa matenda amisala?
Ngati muli ndi vuto la kusokonezeka maganizo, mungafunike kuyamba kumwa mankhwala kuti muchepetse vutolo mwachangu. Dokotala wanu nthawi zambiri amakulemberani mankhwala otchedwa "mood stabilizer." Mankhwalawa amatchedwanso "antimanic".
Mankhwalawa amakuthandizani kuwongolera kukwiya kwanu komanso kukhumudwa kwanu ndikukusungani pamlingo wabwinobwino. Mungafunike kumwa mankhwalawa kwa nthawi yayitali, mwina kwa moyo wanu wonse. Zili ngati kumwa mankhwala a matenda a shuga kapena kuthamanga kwa magazi. Zimakuthandizani kuwongolera vuto lanu ndikukhala moyo wabwinobwino.
Mankhwala omwe amagwiritsidwa ntchito kwambiri pa izi ndi lithiamu , ndi mankhwala ena oletsa khunyu monga carbamazepine ndi valproate . Muyenera kuyang'aniridwa mosamala ndi dokotala wanu mukamamwa mankhwalawa. Muyeneranso kuyezetsa magazi nthawi zonse.
Lithium - mankhwala akuluakulu omwe amagwiritsidwa ntchito kwa nthawi yayitali
Lithium ndi mankhwala omwe amaphunziridwa kwambiri komanso omwe akhala akugwiritsidwa ntchito kwa nthawi yayitali pochiza matenda a bipolar. Amachepetsa kuopsa kwa zochitika zamisala komanso amachepetsa kuchuluka kwa kubwereranso. Kafukufuku wasonyezanso kuti lithiamu imathandiza kuchepetsa chiopsezo cha kudzipha pakati pa anthu omwe ali ndi matenda a bipolar.
Mwachidule, lithiamu ndi mankhwala omwe amakhudza ubongo ndipo amathandiza kuwongolera malingaliro anu, kugona, kuchuluka kwa mphamvu, ndi zovuta za khalidwe.
Kodi muyenera kuyembekezera chiyani mukamamwa mankhwalawa?
Zingatenge milungu ingapo kuti lithiamu igwire ntchito bwino. Dokotala wanu adzalamula kuti muyesedwe magazi pamene mukumwa mankhwalawa chifukwa lithiamu ingakhudze momwe impso zanu ndi chithokomiro chanu zimagwirira ntchito.
Lithium imagwira ntchito bwino kwambiri ngati kuchuluka kwa mankhwala m'thupi lanu kuli kofanana. Ichi ndichifukwa chake dokotala wanu nthawi zambiri amakuuzani kuti mumwe magalasi 8-12 amadzi patsiku ndikuwonjezera mchere muzakudya zanu monga mwachizolowezi. Zinthu izi zithandiza kuti kuchuluka kwa lithiamu m'thupi lanu kukhale kokhazikika.
Chofunika kwambiri ndichakuti musasinthe mlingo kapena kusiya kumwa mankhwala popanda kufunsa dokotala wanu.
| Zotsatira zoyipa za lithiamu | Mfundo zofunika |
|---|---|
| Kulemera | Lankhulani ndi dokotala wanu za zakudya ndi masewera olimbitsa thupi. |
| Kugwedezeka kwa dzanja | Izi zimachitika kawirikawiri, koma ngati zili zoopsa, uzani dokotala wanu . |
| Ludzu lochuluka ndi kukodza | Izi ndi zachilendo, imwani madzi ambiri. |
| Kulephera kukumbukira, kugona | Izi zitha kuchepa pakapita nthawi. Samalani mukamayendetsa galimoto. |
| Kutaya tsitsi kapena ziphuphu | Uzani dokotala wanu za izi. |
| Uzani dokotala wanu nthawi yomweyo: | |
| Muli ndi kutsegula m'mimba kosalekeza.Ngati muli ndi zizindikiro monga kutsegula m'mimba, kusanza, kutentha thupi, kuvutika kuyenda, kugwedezeka kwambiri, kutaya chidziwitso, kusokonezeka, kuvutika kulankhula, kapena kugunda kwa mtima mofulumira, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandizira Zadzidzidzi (ETU) ya chipatala. | |
Kodi mankhwala oletsa kupweteka kwa mutu amathandiza bwanji?
Nthawi zina, madokotala amagwiritsanso ntchito mankhwala oletsa khunyu kuti athetse zizindikiro za bipolar. Mankhwalawa amatchedwa "anticonvulsants." Mankhwala ena monga Carbamazepine , lamotrigine, ndi valproate (Depakote) ndi ena mwa mankhwala amenewa.
Izi nthawi zina zimagwiritsidwa ntchito ndi lithiamu, ndi mankhwala ena, kapena zokha. Zingathandize kwambiri anthu omwe ali ndi vuto lotchedwa "rapid cycling," komwe amasinthasintha pakati pa nthawi ya mania ndi kuvutika maganizo nthawi zoposa kanayi pachaka.
Mankhwalawa amagwiranso ntchito pochepetsa kusokonezeka kwa ubongo. Nthawi zina, kuyezetsa magazi kumafunika mukamagwiritsa ntchito mankhwalawa.
Chofunika Kwambiri: Amayi oyembekezera kapena amayi omwe akuyesera kutenga pakati ayenera kupewa kumwa mankhwala enaake, monga valproate (Depakote) ndi carbamazepine (Tegretol), chifukwa angayambitse mavuto obadwa nawo mwa mwana. Chifukwa chake, ngati mukukonzekera kutenga pakati kapena kupeza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo.
Mankhwala oletsa matenda amisala
Mankhwala oletsa matenda amisala ndi mtundu wa mankhwala omwe kale ankaperekedwa kwa kanthawi kochepa kuti athetse zizindikiro zoopsa monga kuona zinthu molakwika kapena kuganiza molakwika panthawi ya misala.
Koma masiku ano, mankhwala atsopano oletsa matenda amisala awa amagwiritsidwa ntchito limodzi ndi zinthu zolimbitsa maganizo kuti athetse zizindikiro mwachangu ndikuletsa kubwereranso. Amagwira ntchito polamulira momwe mankhwala muubongo amatchedwa "neurotransmitters" monga dopamine ndi serotonin amagwirira ntchito.
Mankhwalawa amathandiza kuwongolera machitidwe osasamala komanso osaganizira bwino okhudzana ndi kusokonezeka maganizo komanso kukuthandizani kuyamba kuganiza bwino mkati mwa sabata imodzi.
| Zotsatirapo zoyipa za mankhwala oletsa matenda amisala |
|---|
| - Maso osawoneka bwino |
| - Pakamwa pouma |
| - Kugona tulo |
| - Kuuma kwa minofu kapena kunjenjemera |
| - Kunenepa kwambiri komanso kuchuluka kwa cholesterol m'magazi (izi ndi zotsatira zoyipa kwambiri) |
Mankhwala ena atsopano oletsa matenda amisala angayambitse kunenepa kwambiri, cholesterol yambiri, komanso shuga wambiri m'magazi . Chifukwa chake, dokotala wanu adzayang'ana chiopsezo chanu cha matenda a mtima ndi matenda a shuga musanayambe kumwa mankhwalawa.
Chithandizo cha Kutsekeka kwa Magazi (ECT)
Mwina munamvapo za "chithandizo cha shock." Ndicho chimene dzina lachipatala la ichi ndi ECT . Sichowopsa monga momwe chimaonekera m'mafilimu. ECT ndi chithandizo chotetezeka kwambiri, cholamulidwa chomwe chimaperekedwa pansi pa anesthesia yonse (ndi mankhwala oti akugonetseni) .
Chithandizochi nthawi zambiri chimachitika,
- Kwa iwo omwe ali ndi zizindikiro zoopsa kwambiri
- Kwa iwo omwe sayankha bwino mankhwala
- Kwa iwo omwe sangathe kudzisamalira okha, kapena omwe ali ndi malingaliro ochulukirapo odzipha
- Kugwiritsa ntchito mankhwala osokoneza bongo panthawi ya mimba n'koopsa kwa iwo omwe ali ndi vuto la
ECT ndi mankhwala othandiza kwambiri omwe amatha kuchepetsa zizindikiro za kusokonezeka maganizo kapena kuvutika maganizo kwambiri. Simudzamva chilichonse panthawi ya chithandizochi. Mungamve kusokonezeka pang'ono komanso mutu ukadzuka, koma izi zidzatha pakapita nthawi.
Kumbukirani, bipolar si vuto lanu kapena kufooka kwanu. Ndi matenda ochiritsika omwe amayamba chifukwa cha kusalingana kwa mankhwala muubongo.
Uthenga Wopita Nawo Kunyumba
- Matenda a bipolar mania ndi matenda omwe angathe kuthetsedwa bwino ndi chithandizo, choncho musachite mantha.
- Ndikofunikira kwambiri kumwa mankhwala omwe dokotala wanu wakupatsani panthawi yoyenera komanso mu mlingo woyenera.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda kufunsa dokotala pazifukwa zilizonse. Kuchita zimenezi kungapangitse kuti zizindikiro zanu zikhale zovuta kwambiri.
- Ngati mukukumana ndi zotsatirapo zilizonse chifukwa cha mankhwala anu, lankhulani ndi dokotala wanu za izi. Iye adzatha kukupatsani yankho loyenera kwambiri.
- Ndikofunikira kupita kuzipatala pa masiku omwe akonzedwa ndikuyesedwa kofunikira.
- Chithandizo ndi kumvetsetsa kwa achibale ndi abwenzi ndi mphamvu yayikulu yolimbana ndi matendawa.
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