Masiku ena mumakhala osangalala kwambiri, osangalala, komanso amphamvu... Koma masiku ena mumakhala okhumudwa kwambiri moti simungathe kuchita chilichonse, ndipo mumadzimva ngati mukutopa ndi dziko... Timatcha kusintha kwadzidzidzi kwa maganizo kuti 'kusintha kwa maganizo'. Mwina mwakumanapo ndi izi. Ichi chingakhale chizindikiro chachikulu cha matenda amisala otchedwa bipolar. Lero, m'nkhaniyi, tikambirana za Bipolar I Disorder ndi mankhwala a Vraylar omwe amagwiritsidwa ntchito pochiza.
Kodi Bipolar I ndi chiyani kwenikweni?
Mwachidule, bipolar ndi matenda omwe amachititsa kusintha kwakukulu kwa momwe mukumvera, mphamvu zanu, ndi zochita zanu. Amadziwika ndi machitidwe awiri akuluakulu.
1. Gawo la Manic: Panthawiyi, mungamve kukhala osangalala kwambiri, osangalala, komanso amphamvu. Mungavutike kugona, kulankhula mwachangu, kugwira ntchito mosalekeza, komanso kupanga zisankho zoopsa.
2. Gawo la Kukhumudwa: Panthawiyi, mumakhala achisoni kwambiri, okhumudwa, komanso opanda chidwi ndi chilichonse. Nthawi zonse mumakhala otopa, mulibe chilakolako cha chakudya , ndipo simukufuna kuchita zinthu zomwe munkakonda kale.
Munthu amene ali ndi vuto la bipolar ayenera kuti adakumana ndi vuto limodzi la kusokonezeka maganizo. Nthawi zina, zochitika zosiyanasiyana zimachitika, momwe zizindikiro zonse za kusokonezeka maganizo ndi kupsinjika maganizo zimachitikira limodzi. Ngakhale kuti palibe mankhwala a vutoli, ndi mankhwala oyenera komanso chithandizo, n'zotheka kuwongolera zizindikirozo ndikukhala moyo wabwinobwino .
Vraylar ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda onse atatuwa (mania, depression, ndi mixed). Chogwiritsidwa ntchito chake ndi cariprazine. Ndi cha gulu la mankhwala otchedwa antipsychotics a m'badwo wachiwiri. Gulu la mankhwala awa ndi abwino kuposa mankhwala akale chifukwa sangayambitse zotsatira zoyipa zokhudzana ndi kuyenda (zizindikiro za extrapyramidal) monga kunjenjemera ndi kusakhazikika.
Ngakhale kuti sitinamvetse bwino momwe mankhwalawa amagwirira ntchito, tikudziwa kuti amalinganiza ntchito ya mankhwala awiri muubongo otchedwa serotonin ndi dopamine . Mankhwala awiriwa ndi omwe amathandiza kwambiri kulamulira maganizo athu.
Kodi mumagwiritsa ntchito bwanji mankhwalawa?
Vraylar imapezeka m'ma capsules. Mutha kumwa kamodzi patsiku, kaya muli ndi chakudya kapena ayi. Koma chofunika kwambiri ndikumwa monga momwe dokotala wanu wanenera, mu mlingo woyenera, panthawi yoyenera.Dokotala wanu angasinthe mlingo kutengera zizindikiro zanu.
Chofunika: Musasiye kumwa mankhwala anu kapena kuonjezera kapena kuchepetsa mlingo popanda kufunsa dokotala wanu kaye.
Gome ili m'munsimu likuwonetsa momwe dokotala nthawi zambiri amalembera mankhwala awa.
| Mtundu wa Gawo | Mlingo woyambira wamba | Mlingo waukulu womwe dokotala angasinthe |
|---|---|---|
| Manic kapena Mixed Episodes | 1.5mg patsiku loyamba, mutha kuwonjezera mpaka 3mg kuyambira tsiku lachiwiri. | 6mg patsiku |
| Magawo Okhumudwitsa | 1.5mg patsiku loyamba. | Pambuyo pa masiku 15, mlingo ukhoza kuwonjezeka kufika pa 3mg patsiku ngati pakufunika. |
Kodi mankhwalawo amatenga nthawi yayitali bwanji kuti agwire ntchito?
Funso limene anthu ambiri amafunsa ndi ili. Vraylar sigwira ntchito nthawi yomweyo. Pang'onopang'ono imayamba kukhudza thupi lanu. Choncho zingatenge milungu ingapo kuti muwone zotsatira zake. Chofunika kwambiri ndikupitiriza kumwa mankhwala osaphonya tsiku limodzi komanso nthawi yonse yomwe dokotala wanu wakuuzani. Ngati mwaiwala kumwa mankhwala anu, mutha kugwiritsa ntchito bokosi la mapiritsi kapena kuyika chikumbutso pafoni yanu.
Chinthu chofunika kusamala nacho kwambiri!
Mukayamba kumwa mankhwala a matenda aliwonse amisala, makamaka m'miyezi yoyambirira komanso mukasintha mlingo, anthu ena amatha kusintha maganizo awo. Pali chiopsezo choganiza kapena kuchita zinthu zodzipha . Musachite mantha ndi izi, koma muyenera kusamala kwambiri.
Ngati inuyo kapena munthu amene mumamudziwa akumva ngati akufuna kudzivulaza, pitani kuchipatala chapafupi mwamsanga.Pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) kapena imbani dokotala wanu nthawi yomweyo.
Yang'anirani zinthu zotsatirazi:
- Maganizo atsopano kapena owonjezeka okhudza kudzipha.
- Kuyesa kudzipha.
- Nkhawa yatsopano kapena yowonjezereka, kuvutika maganizo, kapena kusintha kwina kwachilendo kwa khalidwe.
Kodi mungachite chiyani ngati zotsatirapo zake zichitika?
Monga mankhwala ena onse, Vraylar ingayambitse zotsatirapo zoyipa. Si aliyense amene amadwala. Ngakhale atakhala nazo, nthawi zambiri zimatha kuthetsedwa. Nazi zina mwa zotsatirapo zoyipa zomwe zimapezeka kawirikawiri komanso zomwe mungachite nazo.
| Zotsatira Zam'mbali | Zinthu zomwe mungachite komanso zomwe muyenera kudziwa |
|---|---|
| Kusuntha kosalamulirika (zizindikiro za extrapyramidal) - mwachitsanzo kunjenjemera, kuuma | Izi zitha kukhala zovutitsa kwambiri. Ngati mukumva zizindikirozi , uzani dokotala nthawi yomweyo . Iye akhoza kusintha mlingo kapena kukupatsani mankhwala ena. |
| Kusakhazikika (Akathisia) | Izi ndi zomwe zanenedwa pamwambapa. Lankhulani ndi dokotala. Iye adzakupatsani yankho pa izi. |
| Kusokonezeka m'mimba, nseru, kusanza | Imwani madzi ambiri kuti mupewe kutaya madzi m'thupi. Idyani zakudya zopepuka monga makeke ndi buledi. Pewani zakudya zamafuta komanso zokometsera. Ngati zizindikiro zanu sizikuchepa, uzani dokotala wanu. |
| Kugona tulo | Pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina omwe amafunika kukhala maso mpaka mutadziwa bwino momwe mankhwalawo akukukhudzirani. |
Popeza Vraylar imakhala m'thupi kwa nthawi yayitali, zotsatirapo zina sizingawonekere nthawi yomweyo, koma zingawonekere patatha milungu ingapo. Choncho dziwani zizindikiro zatsopano zilizonse.
Kodi pangakhale mavuto ndi mankhwala ena?
Inde, ndithudi. Mankhwala ena omwe mukumwa angakhudze momwe Vraylar imagwirira ntchito. Vraylar ingasinthenso momwe mankhwala ena amagwirira ntchito. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mankhwala a matenda ena, mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala, mavitamini, komanso mankhwala a Ayurvedic). Iye akhoza kukupatsani mankhwala omwe ali abwino kwa inu.
Uthenga Wopita Nawo Kunyumba
- Matenda a Bipolar I ndi matenda omwe amatha kuchiritsidwa bwino. Vraylar ndi mankhwala othandiza omwe amagwiritsidwa ntchito pochiza matendawa.
- Kuyamba, kusintha mlingo, ndi kusiya kumwa mankhwalawa kuyenera kuchitika pokhapokha ngati dokotala wanu wakupatsani upangiri.
- Zingatenge milungu ingapo kuti muwone zotsatira zonse za mankhwalawa, choncho ndikofunikira kwambiri kupitiriza kugwiritsa ntchito popanda kuphonya tsiku limodzi.
- Khalani maso kwambiri pa kusintha kulikonse kwa maganizo, monga maganizo ofuna kudzipha, pa nthawi yoyamba ya chithandizo. Ngati mukukumana ndi chilichonse mwa izi, funsani upangiri wachipatala nthawi yomweyo kapena pitani ku dipatimenti yapafupi yadzidzidzi yachipatala (ETU).
- Musaope zotsatirapo zilizonse zomwe zingachitike, koma lankhulani momasuka ndi dokotala wanu za vutoli. Iye adzakupatsani yankho labwino kwambiri.
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