Iwe kana mumwe munhu waunoziva ari kurapwa chirwere chebipolar here? Kana zvakadaro, zvakakosha kuziva mhando dzakasiyana dzemishonga inonyorerwa chirwere ichi. Nekuti mimwe mishonga haina kukodzera chirwere ichi, uye mimwe inofanira kushandiswa nekungwarira kukuru. Nhasi tiri kutaura nezveimwe yakadaro, yekare, asi ichiri kushandiswa kuzvirwere zvakasiyana-siyana, kirasi yemishonga inonzi tricyclic antidepressants .
Kutanga, ngationei, chii chinonzi mishonga iyi ye tricyclic antidepressants (TCAs)?
Zvichitaurwa zviri nyore, iyi imhando yemishonga yekare zvishoma pane inoshandiswa kurapa kuora mwoyo. Kune makemikari muuropi hwedu anotumira mameseji pakati petsinga (neurotransmitters). Zvinoitwa nemishonga iyi kuwedzera mashandiro emakemikoro maviri aya anonzi serotonin nenorepinephrine . Masayendisiti anotenda kuti makemikari maviri aya akakosha zvikuru kumasekete europi anodzora manzwiro edu.
Zvisinei, mishonga iyi ine migumisiro yakawanda kupfuura mishonga mitsva. Zvakare, mishonga iyi ikozvino iri kunyorerwa navanachiremba kune zvimwe zvirwere kunze kwekuora mwoyo. Semuenzaniso:
- Marwadzo eNeuropathic
- Kudzivirira migraines
- Kushaya hope
- Zvimwe zvinetso zvemudumbu ( Irritable Bowel Syndrome )
Mimwe mishonga yakawanda iri muboka iri remishonga yakanyorwa mutafura iri pazasi.
| Zita remhando yemushonga | Mazita Emhando Dzakajairika |
|---|---|
| amitriptyline | Elavil |
| imipramine | Tofranil |
| nortriptyline | Pamelor |
| desipramine | Norpramin kana Pertofrane |
Sei uchifanira kungwarira zvikuru pakupa mushonga uyu kumunhu ane chirwere chebipolar?
Ichi ndicho chikamu chakakosha chechinyorwa chino. Bipolar disorder mamiriro ekuchinja-chinja kwemafungiro, uko unosangana nenguva dzekuora mwoyo kwakanyanya uye nguva dzezviitiko zvakawanda uye kufara, zvinonzi mania.
Mishonga iyi ye tricyclic (TCA) inoshandiswa kurapa kuora mwoyo. Saka kana murwere ane bipolar akapihwa mishonga iyi chete nekuda kwedambudziko rake rekuora mwoyo, pane mukana mukuru wekuti mafungiro ake achachinja kuenda kune rimwe divi rakaipisisa, kureva, mania. Uyewo, chirwere chinonzi rapid cycling, apo chinochinja-chinja pakati pemamiriro ekuora mwoyo neemanic, chinogona kuitika.
Fungidzira kuti munhu ane chirwere chebipolar disorder achangotanga kushandisa mushonga wakadai wekuderedza kushushikana. Kana, mukati memazuva mashoma, akangoerekana arasikirwa nehope dzese, achitaura zvakanyanya, akashandisa mari yakawanda, achiita zvinhu zvinodhura, uye anofara zvisingawanzoitiki, izvozvo zvinogona kuva chiitiko chekushungurudzika. Izvi zvinokonzerwa nemhedzisiro yemushonga.
Saka mhinduro yacho ndeipi?
Kuti vaderedze njodzi iyi, vanachiremba vanokurudzira mushonga wekugadzirisa mafungiro panguva imwe chete nemushonga wekuderedza kushungurudzika wakaita seuyu kune varwere vane bipolar, kunyanya avo vane bipolar I.
Nyanzvi dzinotenda kuti mishonga iyi ye tricyclic haifanirwe kupihwa yoga kune varwere vane bipolar vasina chinogadzirisa mafungiro , senge lithium kana divalproex.
Dzimwe njodzi nezvinhu zvekufunga nezvazvo
Pamusoro pengozi yekukonzera mania, kune zvimwe zvinhu zvakawanda zvatinofanira kuziva nezvemishonga iyi.
1. Njodzi yezvirwere zvemwoyo: Mushonga uyu unogona kukonzera kana kuwedzera matambudziko emwoyo kune vamwe vanhu. Kana uine chirwere chemwoyo, unofanira kuudza chiremba wako nezvazvo.
2.Kunwa mushonga wakawandisa kune njodzi huru: Iyi ndiyo njodzi huru yemishonga iyi. Kana tichienzanisa nemishonga mitsva, kunyangwe mishonga mishomanana yetricyclic (TCA) inogona kutyisidzira hupenyu. Saka, kana uri kushandisa mishonga iyi, usatore mushonga unopfuura wakatarwa nachiremba chero chikonzero chipi zvacho. Zvakare, chengeta mishonga iyi kure nevana vadiki mumba uye uvachengete munzvimbo yakachengeteka. Kana uchifungidzira kuti mumwe munhu akatora mushonga uyu netsaona, enda naye kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo . Kana zvichidikanwa, unogona zvakare kufonera National Poison Information Center kuColombo National Hospital kuti uwane mazano.
3. Migumisiro yakawanda: Izvi zvinogona kukonzera migumisiro yakadai sehope, muromo wakaoma, kuona zvisipo, kuvimbiwa, uye kuoma kuita weti kupfuura mishonga mitsva.
Nekuda kwezvikonzero izvi, vanachiremba vanopa mishonga iyi zvishoma uye nekungwarira kukuru pakurapa varwere vane bipolar.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeTricyclic antidepressants (TCAs) imhando yekare yemishonga inoshandiswa kurapa kushungurudzika. Iye zvino yava kushandiswawo kurapa mamwe matambudziko.
- Kupa mushonga uyu chete kune varwere vane bipolar kunowedzera njodzi yekuti chirwere ichi chienderere mberi kusvika kune rimwe dambudziko guru, mania.
- Saka, kana mushonga werudzi urwu ukapihwa, zvakakosha kutora mushonga unosimbisa mafungiro panguva imwe chete.
- Kunwa mishonga iyi zvakanyanya kune njodzi huru, saka zvakakosha kutevedzera mazano echiremba uye kuchengetedza mishonga yako yakachengeteka.
- Usambofa watanga, wamisa, kana kuchinja mushonga chero upi zvawo usina kurairwa nachiremba wako. Taura nachiremba wako nezvemibvunzo kana zvinokunetsa.
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