Ngati muli ndi matenda a bipolar disorder , mwina mukudziwa kufunika komwa mankhwala anu monga momwe dokotala wanu wanenera kuti moyo wanu ukhale wabwino. Koma kodi mumadziwa kuti zina mwa zitsamba, mavitamini, kapena zowonjezera zomwe mumamwa zingakhale ndi zotsatirapo zoopsa zikaphatikizidwa ndi mankhwala anu? Nthawi zina zinthuzi zimatha kuchepetsa mphamvu ya mankhwala anu kapena kuyambitsa zotsatirapo zoyipa kwambiri. Chifukwa chake lero, tiyeni tikambirane izi m'njira yosavuta, m'njira yomwe mungamvetse.
Choyamba, tiyeni tiwone, ndi mitundu iti ya mankhwala omwe amaperekedwa kwa odwala matenda a bipolar?
Madokotala amagwiritsa ntchito mitundu yosiyanasiyana ya mankhwala pochiza matenda a bipolar, omwe ndi vuto lomwe nthawi zina mumakhala osangalala komanso amphamvu (lotchedwa 'mania') komanso chisoni chachikulu komanso kuvutika maganizo nthawi zina (lotchedwa 'depression'). Ena mwa mankhwala amenewa mwina adakulemberani.
Mwachidule, mankhwala awa akhoza kugawidwa m'magulu akuluakulu angapo.
| Gulu la mankhwala | Zitsanzo (zomwe zimagwiritsidwa ntchito kwambiri) |
|---|---|
| Zolimbitsa Maganizo | Lithium, yomwe yakhala ikugwiritsidwa ntchito kwa zaka zambiri, ndiyo yofunika kwambiri mwa izi. |
| Mankhwala ena a khunyu (Anticonvulsants) | Valproic acid (Depakote), Carbamazepine (Tegretol), Lamotrigine (Lamictal) |
| Mankhwala Oletsa Kusokonezeka Maganizo Osazolowereka | Mankhwala monga Aripiprazole (Abilify), Olanzapine (Zyprexa), Quetiapine (Seroquel), Risperidone (Risperdal), Ziprasidone (Geodon). |
Mankhwalawa amathandiza kuchepetsa kusokonezeka ndi kusakhazikika komwe kumachitika panthawi ya matenda a 'Mania' kapena 'Depression'. Mankhwala ena amagwiritsidwa ntchito pochiza matenda a bipolar depression (Zina zimaperekedwa makamaka pa vuto la kuvutika maganizo kwa bipolar, pomwe zina zimagwiritsidwa ntchito kwa nthawi yayitali kuti zisabwererenso.
Kuonjezera apo, kutengera zizindikiro zanu, dokotala wanu angakupatseni mankhwala oletsa kuvutika maganizo, mankhwala oletsa nkhawa, kapena mapiritsi ogonetsa.
Kodi n'kotetezeka kumwa zitsamba ndi zowonjezera izi pamodzi ndi mankhwala?
Apa ndi pomwe anthu ambiri amalakwitsa. Chifukwa chakuti amatha kugula zitsamba ndi mavitamini awa popanda mankhwala a dokotala, anthu ambiri amaganiza kuti ndi otetezeka 100%.
Kumbukirani, si chilichonse chomwe chimati " zachilengedwe " chomwe chili "chotetezeka."
Taganizirani izi motere. Ma supplements ena ochepetsa thupi ali ndi chomera chotchedwa `Ephedra`. Kumwa izi kungayambitse zizindikiro za `Mania`, monga chisangalalo chochuluka komanso kusowa tulo. Komanso, `DHEA`, `SAMe`, `St. John's Wort` zingawononge `Mania`.
Zitsamba ndi zowonjezera izi sizinayesedwe kapena kuvomerezedwa ngati mankhwala, kotero sitikudziwa bwino zoopsa zake. Ngati musakaniza zitsamba zolakwika ndi mankhwala anu ochititsa mantha, zinthu zoopsa izi zitha kuchitika:
- Kutuluka magazi mkati mwa thupi
- Kuthamanga kwa magazi kwambiri kapena kotsika kwambiri
- Kuwonongeka kwa chiwindi
- Kuwonjezeka kosazolowereka kwa kugunda kwa mtima
- Kuchepa kwa mphamvu ya mankhwala a bipolar omwe mumamwa
Ndi zitsamba ziti zoopsa zomwe sizigwirizana ndi mankhwala a bipolar?
Iyi ndi gawo lofunika kwambiri. Ndikofunikira kuti mudziwe zinthu izi. Tiyeni tiwone zitsanzo zina.
| Chowonjezera/mankhwala osagwirizana | Mitundu ya mankhwala omwe angayambitse zotsatira zoyipa ndi zomwe zingachitike |
|---|---|
| Wort wa St. John (Ena amaganiza kuti ndi chifukwa cha thanzi labwino la maganizo) |
|
| Ginkgo Biloba (Kukumbukira) | Ikhoza kuchepetsa mphamvu ya mankhwala monga Depakote (valproic acid). |
| Mafuta a Primrose a Madzulo | Nthawi zina zimakhala zoopsa zikamwedwa ndi mankhwala oletsa kupweteka mutu monga Lamictal . |
| Kava, Valerian, Gotu Kola (Kutengera bata, kugona) | Ikamwa ndi mankhwala oletsa nkhawa monga Xanax, Klonopin, ndi Valium, ingayambitse kugona kwambiri komanso kuledzera. Izi ndi zoopsa kwambiri. |
Kodi awa okha ndi omwewo?
Ayi. Izi ndi zitsanzo zochepa chabe. Kafukufuku wapeza kuti pali mankhwala opitilira 30 omwe angagwirizane ndi zitsamba ndi zowonjezera. Odziwika kwambiri ndi mankhwala ochepetsa ululu ndi oletsa kuvutika maganizo . Mankhwala onsewa nthawi zambiri amaperekedwa kwa matenda a bipolar.
Ndiye ndingadziwe bwanji ngati mankhwala omwe ndikumwa akugwirizana ndi mankhwala anga?
Njira yabwino komanso yotetezeka yochitira izi ndikulankhula ndi dokotala wanu. Ndikofunikira kuti adziwe zonse zomwe mukumwa.
Chinthu chabwino kwambiri choti muchite ndi chakuti, nthawi ina mukapita kukaonana ndi dokotala wanu, ikani mankhwala onse, mavitamini, zitsamba, ndi zowonjezera zomwe mumamwa (pamodzi ndi mabotolo/mapaketi awo) m'thumba ndipo mubweretse nanu. Kenako dokotalayo angawayang'ane ndikukuuzani ngati ali bwino kumwa ndi mankhwala anu ochititsa mantha.
Musayambe kumwa mankhwala atsopano a zitsamba kapena vitamini chifukwa choti mnzanu wakuuzani, kapena chifukwa choti mwawaona pa intaneti. Komanso, musasiye kumwa chilichonse musanafunse dokotala wanu kaye.
Cholinga chanu chachikulu chikhale kusamalira bwino vuto lanu la bipolar ndikukhala ndi moyo wokangalika komanso wopindulitsa. Njira yabwino yochitira izi ndikugwira ntchito ndi dokotala wanu kuti apange dongosolo la chithandizo lomwe lingakuthandizeni.
Ngati mwakumana ndi vuto lalikulu mwadzidzidzi, mwachitsanzo, kugona kwambiri, kutaya chidziwitso, kapena kupuma movutikira, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Ngati kuli kofunikira, mutha kuyimbiranso National Poisons Information Centre ku Colombo National Hospital kuti mudziwe zambiri.
Uthenga Wopita Nawo Kunyumba
- Musasiye kumwa mankhwala omwe dokotala wanu wakupatsani chifukwa cha vuto lanu la bipolar. Imwani monga mwalangizidwira.
- Uzani dokotala wanu za zitsamba zonse, mavitamini, zowonjezera, ndi mankhwala a Ayurvedic omwe mukumwa. Musabise chilichonse.
- Musaganize kuti chinthu chili bwino chifukwa chakuti chalembedwa kuti "chachilengedwe" kapena "cha zitsamba."
- Pewani kuyamba mankhwala atsopano kapena mankhwala enaake osafunsa dokotala wanu.
- Mukapita kwa dokotala, ndizothandiza kwambiri kubweretsa zowonjezera zonse ndi zitsamba zomwe mukumwa pamodzi ndi mapaketi/mabotolo awo.
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