Ungave uchifunga kuti, "Ungashandisa sei mushonga wekudzivirira pfari pachirwere chepfungwa?" Mubvunzo uyu une musoro. Vanhu vazhinji vanoshamisika nezvazvo. Asi kutaura chokwadi, pakurapa chirwere chepfungwa chinonzi bipolar disorder, rudzi urwu rwemushonga unonzi 'Anticonvulsant' runoita basa rakakosha. Izvi zvinonziwo 'mood stabilizers', zvinoreva kuti zvinodzikamisa mafungiro . Saka ngatidzidzei zvakawanda nezvazvo nhasi. Ngatitaurei zviri nyore nezvekuti nei mishonga iyi ichipiwa, ndeapi marudzi anonyanya kushandiswa, uye zvaunoda kuziva paunenge uchiishandisa.
Sei mishonga iyi yekurwisa pfari ichipihwa kune chirwere chebipolar?
Zvichitaurwa zviri nyore, mishonga iyi inoshanda nekudzikamisa uropi hunoshanda zvakanyanya. Funga nezvepfungwa dzedu semotokari dziri mumugwagwa une vanhu vakawanda. Mumunhu ane chirwere chebipolar disorder, chiitiko ichi dzimwe nguva chinova nekukurumidza zvakanyanya, sekunge mota dzava kuda kuroverana. Tinoti mamiriro aya 'mania'. Dzimwe nguva, chiitiko ichi chinongoerekana chaoma uye chabatwa. Tinoti izvi 'depression'.
Mishonga inorwisa pfari inoshanda semarobhoti emotokari. Inodzora mashandiro emagetsi akawandisa emasero etsinga muuropi, ichienzanisa kudzika kwekukurumidza uye kwekukurumidza kumira. Ndokusaka mishonga iyi ichishandiswawo kurapa pfari, migraine, nezvimwe zvirwere zvine chekuita nekushanda zvakanyanya muuropi.
Kare, mishonga iyi yaingopihwa vanhu vaisapindura lithium, mushonga mukuru webipolar disorder. Asi nhasi, inoshandiswa zvakanyanya yoga, ne lithium, kana pamwe chete nemimwe mishonga. Inoshanda zvakanyanya kune vanhu vanochinja-chinja mania nedepression kanopfuura kana pagore (tinoidaidza kuti ' kukurumidza cycling ' ).
Mishonga inowanzo pihwa mishonga yekudzivirira pfari uye kusiyana kwayo
Kune mhando dzakasiyana dzemishonga inorwisa chikosoro inoshandiswa pakurapa chirwere chebipolar. Imwe neimwe inoshanda nenzira yakasiyana zvishoma. Saka chiremba wako ndiye achasarudza mushonga wakanakira zviratidzo zvako. Ngatitarisei mhando huru dzemishonga inoshandiswa.
| Zita reMushonga | Nyaya huru yekushandisa | Zvinyorwa zvakakosha |
|---|---|---|
| Valproic acid / Divalproex sodium (Depakote, Depakene) | Kudzora mania | Inoshanda zvakanyanya pakurapa zviratidzo zvepfungwa kupfuura zviratidzo zvekushungurudzika. Inoshandiswa zvakanyanya pakurapa chirwere chepfungwa chinorwadza. |
| Carbamazepine (Tegretol) | Kudzora mania | Valproic acid inoshandawo zvakanyanya muzviitiko zvemanic. Inoshandiswa kudzora chirwere chiripo. |
| Lamotrigine (Lamictal) | Kudzora kuora mwoyo uye kudzivirira kudzokera shure | Inoshanda zvakanyanya mumamiriro ekushungurudzika kupfuura mamiriro ekushungurudzika. Inowanzo shandiswa senzira yekudzivirira zvirwere mune ramangwana. |
Kuwedzera pamishonga iyi mikuru, vanachiremba dzimwe nguva vanoshandisa mimwe mishonga inorwisa pfari (semuenzaniso, Lyrica, Neurontin, Topamax) 'isina label' kune mamwe matambudziko ane chekuita nebipolar disorder, akadai sematambudziko ekurara, kuzvidya mwoyo, kurwadziwa, kana kudzikira uremu. 'Isina label' zvinoreva kuti mushonga uyu unoshandiswa kune chimwe chinhu chisiri chikonzero chikuru chawakatenderwa.
Chinhu chakakosha ndechekuti nekuti mushonga mumwe nemumwe unoshanda zvakasiyana, ruzivo rwako runogona kusiyana zvichienderana nemushonga waunotora. Usatarisira mhedzisiro yekukurumidza kubva mukutora mishonga iyi. Kutaura zvazviri, zvinogona kutora mavhiki akati wandei kuti mishonga iyi itange kushanda zvakanaka .
Ndezvipi migumisiro yakaipa yaunofanira kuziva nezvayo?
Kufanana nemishonga yese, mishonga inorwisa pfari inogona kuva nemigumisiro yakaipa. Ndosaka zvichikosha kushandisa mishonga iyi sezvakaudzwa nachiremba wako, uye uchitarisirwa naye .
Paunenge uchitora mushonga uyu, chiremba wako anogona kukukumbira kuti uongorore ropa nguva nenguva. Izvi zvinodaro nekuti mimwe mishonga inorwisa pfari inogona kukanganisa chiropa neitsvo. Inogonawo kuderedza huwandu hwemaplatelet, ayo anobatsira kugwinya kweropa. Kuongororwa kweropa uku kunoitwa kuti uve nechokwadi chekuti zvese zviri mumuviri wako zvakanaka.
Aya ndiwo mamwe emigumisiro yakajairika:
- Dzungu
- Kurara
- Kuneta
- Kusvotwa
- Kudedera
- Mapundu eganda
- Kuwedzera huremu
Chinhu chakanakisa ndechekuti mhedzisiro iyi yakawanda inodzikira nekufamba kwenguva sezvo muviri wako uchijaira mushonga. Asi kana uine chero zvinokunetsa zvakanyanya nezvazvo, usambofa waita sarudzo wega uye gara uchitaura nachiremba wako .
Zvinhu zvekunyatsoteerera
Pane zvinhu zvakati wandei zvamunofanira kutarisisa imi nachiremba wenyu pakushandisa mishonga iyi.
- Kubata Pamuviri: Kana uine pamuviri, kana kuti uchironga kubata pamuviri, zvakakosha kuudza chiremba wako. Mimwe mishonga inorwisa pfari inogona kukanganisa mwana asati aberekwa uye kuwedzera njodzi yekuremara pakuzvarwa . Saka, dzivisa kuitora usina kurairwa nachiremba.
- Hutano hwechiropa: Mimwe mishonga inogona kukanganisa chiropa kana ikashandiswa kwenguva refu. Ndosaka chiremba wako achizoongorora mashandiro echiropa chako nekuongororwa ropa nguva nenguva.
- Matambudziko nemimwe mishonga: Iyi inyaya yakakosha zvikuru. Mishonga inorwisa pfari inogona kusangana nemimwe mishonga yauri kutora uye inokonzera matambudziko akakomba. Izvi zvinogona kusanganisira aspirin inoderedza marwadzo. Saka, udza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mavhitamini, mishonga yemishonga, uye mishonga inotengwa kunze kwemutemo . Usatange chero chinhu chitsva usina kubvunza chiremba wako.
- Kumisa mushonga:
- Mishonga inorwisa chikosoro yechirwere chebipolar inodzora kusagadzikana kwepfungwa uye kudzikamisa mafungiro.
- Mishonga yakasiyana-siyana inoshanda zvikuru pakurapa mania kana kuora mwoyo uye kudzivirira kudzokera shure. Chiremba wako achasarudza mushonga wakakunakira.
- Zvakakosha kuva nemoyo murefu sezvo zvinotora mavhiki akati wandei kuti unzwe kushanda kwemishonga iyi zvizere.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
- Usazvidya mwoyo nezvemigumisiro yakaipa, asi kana uchinetseka nezvayo kana kuti ukava nezviratidzo zvitsva, taura nachiremba wako nekukasika.
- Usamborega kutora mishonga iyi kamwe kamwe usina kupiwa mazano nachiremba.
Usarega kutora mushonga uyu kamwe kamwe usina kurairwa nachiremba wako chero chikonzero chipi zvacho. Kana ukarega kuutora kamwe kamwe, unogona kunge uri panjodzi yekubatwa nepfari, kunyangwe usati wambobatwa nayo. Kana ukarega, unofanira kuzviita zvishoma nezvishoma, uchideredza mushonga wacho uye uchitarisirwa nachiremba wako.
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