Wakamboona here shanduko isinganzwisisike mumhuri yako kana shamwari yako, yakaita sekuwedzera kwemufaro, kuwedzera simba, kushanda kwemazuva asina kurara, kushandisa mari yavo yese, uye kuita zvinhu zvisina hanya? Dzimwe nguva iyi inogona kuva nhevedzano yechirwere chepfungwa chinonzi "mania." Kutaura chokwadi, iyi inyaya iyo mafungiro anongoerekana achinja kubva pakukwirira kuenda pakaderera. Asi usazvidya mwoyo, kune marapirwo anogona kubatsira kudzora izvi. Nhasi, ngatitaurei nezvekurapa mamiriro aya ekunyanya kupenga.
Ndeipi mishonga inoshandiswa pakurapa mania?
Kana uine chirwere chekushungurudzika mupfungwa, ungangoda kutanga kutora mishonga kuti uzvidzore nekukurumidza. Chiremba wako anowanzo kunyora mushonga unonzi "mood stabilizer." Iyi inonziwo mishonga ye "antimanic".
Mishonga iyi inokubatsira kudzora manzwiro ako ekukwira nekudzikama uye kuita kuti agare ari padanho rakajairika. Ungangoda kutora mishonga iyi kwenguva yakareba, pamwe kwehupenyu hwako hwese. Zvakafanana nekutora mishonga yechirwere cheshuga kana BP. Inokubatsira kudzora mamiriro ako uye kurarama hupenyu hwakajairika.
Mishonga inonyanya kushandiswa pakurapa chirwere ichi inonzi lithium , pamwe nemimwe mishonga yekurwisa pfari yakaita secarbamazepine nevalproate . Uchada kutariswa nachiremba wako paunenge uchitora mishonga iyi. Uchafanirawo kuongororwa ropa nguva nenguva.
Lithium - mushonga mukuru wakashandiswa kwenguva yakareba
Lithium ndiyo mushonga unonyanya kudzidzwa uye wagara uchishandiswa kurapa chirwere chepfungwa chinoputika. Unoderedza kuoma kwezviitiko zvepfungwa zvinorwadza uye unoderedza kuwanda kwekudzoka kwechirwere. Ongororo dzakaratidzawo kuti lithium inobatsira kuderedza njodzi yekuzviuraya pakati pevanhu vane chirwere chepfungwa chinoputika.
Zvichitaurwa zviri nyore, lithium mushonga unokanganisa uropi uye unobatsira kudzora manzwiro ako, hope, simba, uye kusashanda zvakanaka kwemaitiro.
Chii chaunofanira kutarisira paunenge uchitora mushonga uyu?
Zvinogona kutora mavhiki akati wandei kuti lithium ishande zvizere. Chiremba wako acharaira kuongororwa kweropa paunenge uchitora mushonga uyu nekuti lithium inogona kukanganisa mashandiro eitsvo dzako negland re thyroid.
Lithium inoshanda zvakanaka kana huwandu hwemushonga mumuviri wako huri padanho rimwe chete. Ndosaka chiremba wako achiwanzokuudza kuti unwe magirazi 8-12 emvura pazuva uye uwedzere munyu muchikafu chako sezvawagara uchiita. Izvi zvichabatsira kuchengetedza huwandu hwe lithium mumuviri wako hwakagadzikana.
Chinhu chinonyanya kukosha ndechekuti usambochinja mushonga kana kurega kutora mishonga usina kubvunza chiremba wako.
| Migumisiro yakajairika ye lithium | Pfungwa dzakakosha |
|---|---|
| Kuwedzera huremu | Taura nachiremba wako nezvekudya kwaunoda uye kurovedza muviri. |
| Kudedera kweruoko | Izvi zvinowanzoitika, asi kana zvakanyanya, udza chiremba wako . |
| Nyota zvakanyanya uye weti | Izvi zvakajairika, inwa mvura yakawanda. |
| Matambudziko ekurangarira, hope | Izvi zvinogona kudzikira nekufamba kwenguva. Chenjerera paunenge uchityaira. |
| Kudonha kwebvudzi kana mapundu | Udza chiremba wako nezvenyaya iyi zvakare. |
| Udza chiremba wako nekukasika: | |
| Une manyoka anoramba achiitika.Kana uine zviratidzo zvakaita semanyoka, kurutsa, fivha, kuoma kufamba, kudedera kwakanyanya, kurasikirwa nepfungwa, kuvhiringidzika, kuoma kutaura, kana kurova kwemoyo nekukurumidza, fonera chiremba wako nekukasika kana kuenda kuchipatara cheEmergency Department (ETU). | |
Mishonga inorwisa chikosoro inobatsira sei?
Dzimwe nguva, vanachiremba vanoshandisawo mishonga inodzivirira pfari kudzora zviratidzo zvebipolar. Iyi inonzi "anticonvulsants." Carbamazepine , lamotrigine, uye valproate (Depakote) mimwe yemishonga iyi.
Dzimwe nguva izvi zvinoshandiswa ne lithium, pamwe chete nemimwe mishonga, kana chete. Zvinogona kubatsira zvikuru kune vanhu vane chirwere chinonzi "rapid cycling," apo vanochinjana nguva dzekufara zvakanyanya uye kusuruvara kanopfuura kana pagore.
Mishonga iyi inoshandawo kudzikamisa uropi husina simba rakawanda . Dzimwe nguva, kuongororwa kweropa kunodiwa kana uchitora mishonga iyi.
Zvakakosha: Vakadzi vane pamuviri kana vakadzi vari kuedza kubata pamuviri vanofanira kudzivisa kutora mimwe mishonga, yakaita sevalproate (Depakote) uye carbamazepine (Tegretol), nekuti inogona kukonzera matambudziko ekuzvarwa kwemwana. Saka, kana uchironga kubata pamuviri kana kuziva kuti une pamuviri, taurira chiremba wako nekukasika.
Mishonga yekurwisa pfungwa
Mishonga yekurwisa pfungwa imhando yemishonga yaimbopiwa kwenguva pfupi kudzora zviratidzo zvakakomba zvakaita sekuona zvinhu zvisipo kana kufungidzira panguva yekupenga.
Asi mazuva ano, mishonga mitsva iyi yekurwisa pfungwa inoshandiswa pamwe chete nezvinosimbisa mafungiro kuti zvidzore zviratidzo nekukurumidza uye kudzivirira kudzokera shure. Inoshanda nekudzora mashandiro emakemikoro muuropi anonzi "neurotransmitters" akadai sedopamine neserotonin .
Mishonga iyi inobatsira kudzora maitiro asina hanya, asina kufunga ane chekuita nepfungwa dzakaipa uye inokubatsira kutanga kufunga zvakanaka mukati mevhiki imwe chete.
| Migumisiro yemishonga yekurwisa pfungwa |
|---|
| - Kuona kusina kujeka |
| - Muromo wakaoma |
| - Kurara |
| - Kuomarara kwetsandanyama kana kudedera |
| - Kuwedzera huremu uye kukwira kwemafuta emuviri (iyi imhedzisiro yakakosha) |
Mimwe yemishonga mitsva yekurapa chirwere chepfungwa inogona kukonzera kuwedzera uremu, cholesterol yakakwira, uye huwandu hweshuga muropa . Saka, chiremba wako achaongorora njodzi yako yechirwere chemwoyo nechirwere cheshuga asati atanga mushonga uyu.
Kurapa neElectroconvulsive Therapy (ECT)
Ungave wakambonzwa nezve "kurapwa nekurohwa nehana." Ndizvo zvinoreva zita rezvekurapa rekuti ECT . Hazvityisi sezvazvinoonekwa mumafirimu. ECT mushonga wakachengeteka uye unodzorwa unopihwa pasi peanesthesia yakazara (nemishonga yekukuraramisa) .
Kurapa uku kunowanzoitwa,
- Kune avo vane zviratidzo zvakakomba
- Kune avo vasingapindure zvakanaka nemishonga
- Kune avo vasingagoni kuzvitarisira, kana vane pfungwa dzakawandisa dzekuzviuraya
- Kushandisa zvinodhaka panguva yekuzvitakura kune njodzi kune avo
ECT mushonga unoshanda zvikuru unogona kukurumidza kuderedza zviratidzo zvekupenga kana kushushikana kwakanyanya. Hauzonzwi chero chinhu panguva yekurapwa uku. Unganzwa kuvhiringidzika zvishoma uye kurwadziwa nemusoro paunomuka, asi izvi zvichapera mushure mechinguva.
Yeuka kuti bipolar haisi mhosva yako kana kuti kushaya simba. Idambudziko rinorapika rinokonzerwa nekusarongeka kwemakemikari emuuropi.
Mharidzo Yekuenda Nayo Kumba
- Bipolar mania chirwere chinogona kudzorwa zvakanaka nekurapwa, saka usatya.
- Zvakakosha zvikuru kutora mishonga yawakanyorerwa nachiremba wako panguva yakakodzera uye nemuyero wakakodzera.
- Usarega kutora mishonga kana kuchinja mwero wemushonga usina kubvunza chiremba wako chero chikonzero chipi zvacho. Kuita izvi kunogona kuwedzera zviratidzo zvemushonga wako.
- Kana ukasangana nematambudziko anokonzerwa nemishonga yako, taura nachiremba wako nezvazvo. Iye ndiye achakwanisa kukupa mhinduro yakakodzera.
- Zvakakosha kuenda kumakiriniki pamazuva akarongwa uye kuongororwa zvinodiwa.
- Kutsigirwa uye kunzwisisa kwemhuri neshamwari isimba guru mukudzivirira chirwere ichi.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga