Kodi inuyo kapena munthu wina amene mumamudziwa akulandira chithandizo cha matenda a bipolar? Ngati ndi choncho, ndikofunikira kudziwa mitundu yosiyanasiyana ya mankhwala omwe amaperekedwa chifukwa cha matendawa. Chifukwa mankhwala ena sali oyenera vutoli, ndipo ena ayenera kugwiritsidwa ntchito mosamala kwambiri. Lero tikulankhula za mankhwala ena, akale pang'ono, koma akadali ogwiritsidwa ntchito pa matenda osiyanasiyana, omwe amatchedwa tricyclic antidepressants .
Choyamba, tiyeni tiwone, kodi mankhwala oletsa kuvutika maganizo otchedwa tricyclic antidepressants (TCAs) ndi chiyani?
Mwachidule, awa ndi mtundu wa mankhwala omwe ndi akale pang'ono kuposa omwe amagwiritsidwa ntchito pochiza kuvutika maganizo. Pali mankhwala muubongo mwathu omwe amatumiza mauthenga pakati pa mitsempha (neurotransmitters). Chomwe mankhwalawa amachita ndikuwonjezera ntchito ya mankhwala awiriwa otchedwa serotonin ndi norepinephrine . Asayansi amakhulupirira kuti mankhwala awiriwa ndi ofunikira kwambiri pa ma circuits a ubongo omwe amalamulira malingaliro athu.
Komabe, mankhwala awa ali ndi zotsatirapo zoyipa zambiri kuposa mankhwala atsopano. Komanso, madokotala tsopano akuwapatsa mankhwala a matenda ena kupatula kuvutika maganizo. Mwachitsanzo:
- Ululu wa Mitsempha
- Kupewa mutu waching'alang'ala
- Kusowa tulo
- Mavuto ena a m'mimba ( Irritable Bowel Syndrome )
Mankhwala ena angapo omwe ali m'gulu la mankhwalawa alembedwa patebulo ili pansipa.
| Dzina la mtundu wa mankhwala | Mayina Odziwika a Ma Brand |
|---|---|
| amitriptyline | Elavil |
| imipramine | Tofranil |
| nortriptyline | Pamelor |
| desipramine | Norpramin kapena Pertofrane |
N’chifukwa chiyani muyenera kusamala kwambiri mukamapatsa munthu amene ali ndi vuto la bipolar?
Iyi ndi gawo lofunika kwambiri m'nkhaniyi. Matenda a bipolar ndi mkhalidwe wa kusintha kwa maganizo, komwe mumakumana ndi nthawi za kuvutika maganizo kwambiri komanso nthawi za zochita zambiri komanso chisangalalo, chotchedwa mania.
Mankhwala a tricyclic (TCA) awa amagwiritsidwa ntchito pochiza kuvutika maganizo. Choncho ngati wodwala matenda a bipolar apatsidwa mankhwala awa okha chifukwa cha kuvutika maganizo, pali mwayi waukulu kuti maganizo ake asinthe kupita ku vuto lina lalikulu, lomwe ndi mania. Komanso, vuto lotchedwa rapid cycling, komwe limasintha pakati pa kuvutika maganizo ndi kupsinjika maganizo, lingachitike.
Tangoganizirani kuti munthu amene ali ndi vuto la bipolar disorder wangoyamba kumwa mankhwala ngati awa a kuvutika maganizo. Ngati, patangopita masiku ochepa, mwadzidzidzi alephera kugona, kulankhula mopitirira muyeso, kugwiritsa ntchito ndalama mopitirira muyeso, kuchita zinthu mopitirira muyeso, ndikukhala wosangalala kwambiri, zimenezo zingakhale nkhani ya misala. Izi zimachitika chifukwa cha zotsatira za mankhwalawo.
Ndiye yankho la izi ndi lotani?
Pofuna kuchepetsa chiopsezochi, madokotala amalimbikitsa mankhwala oletsa kupsinjika maganizo nthawi imodzi ndi mankhwala oletsa kupsinjika maganizo ngati awa kwa odwala matenda ovutika maganizo, makamaka omwe ali ndi vuto la bipolar I.
Akatswiri amakhulupirira kuti mankhwala a tricyclic awa sayenera kuperekedwa okha kwa odwala matenda a bipolar opanda mankhwala oletsa kusinthasintha maganizo , monga lithium kapena divalproex.
Zoopsa zina ndi zinthu zoti muganizire
Kuwonjezera pa chiopsezo choyambitsa misala, palinso zinthu zina zomwe tiyenera kudziwa zokhudza mankhwalawa.
1. Kuopsa kwa matenda a mtima: Mankhwalawa angayambitse kapena kukulitsa mavuto a mtima mwa anthu ena. Ngati muli ndi vuto la mtima, muyenera kuuza dokotala wanu za izi.
2.Kumwa mankhwala mopitirira muyeso n’koopsa kwambiri: Ichi ndiye chiopsezo chachikulu cha mankhwala awa. Poyerekeza ndi mankhwala atsopano, ngakhale kumwa mankhwala ochepa a tricyclic (TCA) kungakhale koopsa. Chifukwa chake, ngati mukugwiritsa ntchito mankhwalawa, musamwe mankhwala ochulukirapo kuposa mlingo womwe dokotala wakupatsani pazifukwa zilizonse. Komanso, sungani mankhwalawa kutali ndi ana aang'ono m'nyumba ndipo muwasunge pamalo otetezeka. Ngati mukuganiza kuti winawake mwangozi wamwa mankhwala ochulukirapo, pitani nawo ku Emergency Treatment Unit (ETU) ya chipatala chapafupi . Ngati kuli kofunikira, mutha kuyimbiranso National Poison Information Center ku Colombo National Hospital kuti mupeze malangizo.
3. Zotsatirapo zambiri: Izi zimayambitsa zotsatirapo monga kugona tulo, pakamwa pouma, kusawona bwino, kudzimbidwa, komanso kuvutika kukodza kuposa mankhwala atsopano.
Pazifukwa izi, madokotala amapereka mankhwala awa mochepa kwambiri komanso mosamala kwambiri akamachiritsa odwala matenda a bipolar.
Uthenga Wopita Nawo Kunyumba
- Mankhwala oletsa kuvutika maganizo otchedwa Tricyclic antidepressants (TCAs) ndi gulu lakale la mankhwala omwe amagwiritsidwa ntchito pochiza kuvutika maganizo. Tsopano amagwiritsidwanso ntchito pochiza matenda ena.
- Kupereka mankhwala awa okha kwa odwala matenda a bipolar kumawonjezera kwambiri chiopsezo cha matendawa kupita patsogolo kwambiri, kusokonezeka maganizo.
- Choncho, ngati mankhwala amtunduwu aperekedwa, ndikofunikira kumwa mankhwala oletsa kukhumudwa nthawi imodzi.
- Kumwa mankhwala mopitirira muyeso ndi koopsa kwambiri, choncho ndikofunikira kutsatira malangizo a dokotala ndikusunga mankhwala anu mosamala.
- Musayambe, kusiya, kapena kusintha mlingo wa mankhwala aliwonse popanda upangiri wa dokotala wanu. Lankhulani ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo.
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