Ngaba ugqirha wakho ukuxelele ukuba ilungu losapho, umhlobo, okanye wena ngokwakho unesifo sengqondo esibizwa ngokuba yi-bipolar disorder ? Usenokuba ukhe weva ngohlobo lonyango olubizwa ngokuba yi-'antipsychotic' phakathi kweentlobo zamayeza anikwayo. Abanye abantu banokoyika kancinci xa besiva eli gama. Kodwa yintoni kanye kanye le mayeza ayenzayo? Ngaba ufanele uwasebenzise? Ngaba kukho naziphi na iziphumo ebezingalindelekanga? Namhlanje, siza kuthetha ngazo zonke ezi zinto ngendlela elula kakhulu onokuyiqonda.
Kutheni amayeza e-antipsychotic enikwa abantu abane-bipolar disorder?
Ngamafutshane, olu hlobo lwamayeza lunceda kakhulu ukulawula ezinye zeempawu ezinzima ezenzeka ngexesha lokuphazamiseka kwengqondo okubangelwa yi-bipolar. Cinga nje, ngamanye amaxesha xa le meko isanda, umntu unoku...
- Ukubona okanye ukuva izinto ezingekhoyo (Iingcinga Ezingabonakaliyo): Izinto ezifana nokuva umntu ethetha engekhoyo, ukubona imifanekiso engekhoyo.
- Iinkolelo ezingenangqondo ( Iingcinga eziphosakeleyo ): Izinto ezifana nokucinga ukuba unamandla akhethekileyo okanye ukukholelwa ukuba kukho umntu okucebayo.
- I-Manic ithi: Iimpawu ezifana nokusebenza kakhulu, ukulala kancinci, ukuchitha imali ngokungakhathali, kunye nokuziphatha ngokungakhathali.
Kwiimeko ezinzima ezifana nezi, amayeza okulwa nesifo sengqondo abaluleke kakhulu ukulawula ngokukhawuleza iimpawu kunye nokuzola umguli. Ugqirha wakho unokucebisa ukuba asetyenziswe ixesha elifutshane okanye elide.
Kwakhona, amanye amayeza okulwa nesifo sengqondo anokunceda ekunyangeni ukudakumba okukhulu okwenzeka kwisifo se-bipolar kwaye athintele ukuphinda kwenzeke kwezi ziganeko ze-manic okanye ze-depression kwixesha elizayo.
Ngamanye amaxesha oogqirha basebenzisa la mayeza xa benengxaki yokungalali, ukuxhalaba, kunye nokuvukwa lixhala. Oku kubizwa ngokuba kukusetyenziswa 'ngaphandle kweleyibhile'. Oku kuthetha ukuba amayeza anikwa ukulawula ezinye iimpawu ukongeza kwinto ejoliswe kuyo ngokuyintloko.
Eli yeza lidla ngokunikezelwa kunye ne -mood stabilizer (umz., i-lithium). Ekubeni i-mood stabilizers ithatha ixesha ukusebenza emzimbeni, la mayeza e-antipsychotic anokunceda ukulawula iimpawu ze-manic ngokukhawuleza okwangoku.
Lisebenza njani eli yeza?
Oku kunzima kancinci, kodwa masikwenze kube lula. Kukho iisekethe zobuchopho ezilawula indlela esicinga ngayo , isimo sengqondo kunye nokuqonda kwethu. Kwi-bipolar disorder, ukusebenza kwezi sekethe akulungelelani.
Amayeza e-antipsychotic asebenza ngokulungelelanisa kwakhona umsebenzi wezi sekethe. Nangona indlela eyenzeka ngayo oku isaphandwa, kuyacaca ukuba anokulawula ngokukhawuleza iziqephu ze-manic.
Ingakumbi isizukulwana esitsha samayeza, abizwa ngokuba zii-antipsychotics ezingaqhelekanga, asebenza ngokukhawuleza kakhulu . La mayeza alungele ukulawula ukuziphatha okungenangqondo nokungakhathali okwenzeka ngexesha lokuphambana. La mayeza anceda abantu baqale ukucinga ngendlela eqhelekileyo kwiiveki ezimbalwa.
Amayeza asetyenziswa rhoqo okulwa nesifo sengqondo
Le theyibhile ilandelayo idwelisa amayeza aliqela asetyenziswa ukunyanga isifo se-bipolar. La aquka amagama aqhelekileyo kunye namagama eebhrendi axhaphakileyo kwilizwe lethu.
| Igama eliqhelekileyo leyeza | Imizekelo yamagama ebhrendi |
|---|---|
| i-aripiprazole | I-Abilify |
| i-asenapine | USaphris |
| i-cariprazine | Vraylar |
| i-clozapine | I-Clozaril |
| i-lurasidone | ILatuda |
| i-olanzapine | I-Zyprexa |
| i-quetiapine | USeroquel |
| i-risperidone | I-Risperdal |
| i-ziprasidone | IGeodon |
Eyona nto ibalulekileyo: Le yimizekelo embalwa nje. Ngugqirha wakho kuphela onokumisela amayeza afanelekileyo kunye nomlinganiselo ofanelekileyo kuwe okanye kumntu omthandayo. Musa ukuwasela amayeza kuba omnye umntu ewasela, okanye utshintshe amayeza anikwe ngugqirha wakho.
Masiqaphele iziphumo ebezingalindelekanga zala mayeza.
Njengayo nayiphi na iyeza, la mayeza anokuba nemiphumo emibi. Kodwa ayenzeki kuwo wonke umntu. Ngabanye abantu abayifumanayo.
Iziphumo ebezingalindelekanga eziqhelekileyo
- Umbono ofipheleyo
- Umlomo owomileyo
- Ukozela
- Ukungcangcazela okanye ukuqina kwemisipha
- Ukutyeba kwakho
Ukuba ufumana naziphi na kwezi mpawu, thetha nogqirha wakho ngazo. Banokukwazi ukuzilawula ngokutshintsha idosi okanye ukutshintshela kwelinye iyeza.
Amanqaku akhethekileyo ekufuneka aqwalaselwe
Amanye amayeza okulwa nesifo sengqondo anokubangela ukutyeba kakhulu, amanqanaba aphezulu e-cholesterol egazini, kunye nomngcipheko ophezulu wesifo seswekile. Ke ngoko, kubaluleke kakhulu ukuthetha nogqirha wakho malunga nomngcipheko wakho wesifo sentliziyo, isifo sohlangothi, kunye nesifo seswekile kwaye uhlolwe ngaphambi kokuba uqale la mayeza.
Musa ukuyeka ukuthatha amayeza akho ngaphandle kokubonisana nogqirha wakho kuba woyika iziphumo ebezingalindelekanga ezinje. Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na ingxaki onayo. Uza kukunika isisombululo esifanelekileyo.
Kwakhona, kufuneka uqaphele ngakumbi amayeza athile.
- I-Clozapine (i-Clozaril): Nangona eli yeza lisebenza kakhulu, alinakubangela isiphumo esibi kakhulu (iiseli ezimhlophe zegazi ezisezantsi), ngoko kuya kufuneka uhlolwe igazi lakho veki nganye okanye qho emva kweeveki ezimbini ngelixa usela eli yeza.
- I-Ziprasidone (iGeodon): Eli yeza linokunxulunyaniswa nokusabela okungaqhelekanga, okunokuba yingozi kulusu.
Ezi zinto azenziwanga kukoyikisa, kodwa zenzelwe ukukufundisa. Ugqirha wakho uza kukuqwalasela konke oku xa ekunika amayeza.
Masifunde nangee-antipsychotics ezindala.
Ngoku, kukho amayeza amadala okulwa nesifo sengqondo awayesetyenziswa ngaphambi kwamayeza amatsha esithethe ngawo (umz., i-chlorpromazine, i-haloperidol). Kodwa la mayeza awasanikwa njengonyango lokuqala lwesifo sengqondo esibipolar. Isizathu soku kukuba la mayeza amadala anokuba nemiphumo emibi kakhulu.
Ibizwa ngokuba yi -'Tardive Dyskinesia' . Le yimeko ehlala ixesha elide apho uneentshukumo eziphindaphindayo nezingenanjongo ezifana nokubetha imilebe, ulwimi luphuma ngaphandle, kunye nokugquma ubuso. Kukho umngcipheko othile woku kwenzeka oku ngamayeza amatsha, kodwa aqhelekanga kangako ngamayeza amadala.
Nangona kunjalo, kumntu ongasabeliyo kumayeza amatsha okanye ofumana iziphumo ebezingalindelekanga ezibi kakhulu, ugqirha unokugqiba ekubeni anike eli yeza lidala phantsi kweliso lakhe.
Umyalezo Wokuya Ekhaya
- Amayeza e-antipsychotic ludidi olubalulekileyo lwamayeza asetyenziselwa ukulawula iimpawu ezinzima ze-bipolar disorder, ezifana ne-mania kunye ne-psychosis.
- Ezi zihlala zisetyenziswa kunye nezinye amayeza, ezifana nezinzisa imeko yengqondo.
- Iziphumo ezingalindelekanga ezifana nokutyeba kakhulu kunye nokozela zinokubakho. Kungoko ke, kubaluleke kakhulu ukuhlala unxibelelana nogqirha wakho rhoqo kwaye wenze uvavanyo olufunekayo.
- Okubaluleke kakhulu: Ungaze uyeke ukuthatha amayeza akho okanye utshintshe umthamo ngaphandle kokubonisana nogqirha wakho kuqala. Oku kungenza imeko yakho ibe mandundu.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na ingxaki onokuba unayo, nokuba yeyiphi na ingxaki. Uhlala ekulungele ukukunceda.
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