Ngaba wakha waphawula utshintsho olungaqhelekanga kusapho lwakho okanye kumhlobo wakho, njengokwanda kolonwabo ngequbuliso, ukwanda kwamandla, ukusebenza iintsuku ngaphandle kokulala, ukuchitha yonke imali yabo, kunye nokuziphatha ngokungakhathali? Ngamanye amaxesha oku kunokuba yincopho yesifo sengqondo esibizwa ngokuba yi-"mania." Ukuchaneka, le yimeko apho imeko itshintsha ngequbuliso ukusuka phezulu ukuya phantsi. Kodwa ungakhathazeki, kukho unyango olunokunceda ukulawula oku. Namhlanje, masithethe ngonyango lwale meko yokuphambana.
Ngawaphi amayeza asetyenziselwa i-mania?
Ukuba unexesha lokuxinezeleka kwengqondo, kunokufuneka uqale ukuthatha amayeza ukuze ulawule imeko yakho ngokukhawuleza. Ugqirha wakho uhlala ekunika amayeza abizwa ngokuba yi-"mood stabilizer." La mayeza akwabizwa ngokuba yi-"antimanic".
La mayeza akunceda ukulawula zombini iimvakalelo zakho eziphakamileyo neziphantsi kwaye azigcine zikwinqanaba eliqhelekileyo. Kusenokufuneka uwathathe la mayeza ixesha elide, mhlawumbi ubomi bakho bonke. Kufana nokuthatha amayeza esifo seswekile okanye uxinzelelo lwegazi oluphezulu. Akunceda ukulawula imeko yakho kwaye uphile ubomi obuqhelekileyo.
Amayeza asetyenziswa kakhulu koku yi -lithium , kunye namanye amayeza okulwa nesifo sokuwa afana ne -carbamazepine kunye ne -valproate . Kuya kufuneka ujongwe ngokusondeleyo ngugqirha wakho ngelixa usebenzisa la mayeza. Kuya kufuneka wenze uvavanyo lwegazi rhoqo.
I-Lithium - iyeza eliphambili elisetyenziswa ixesha elide
I-Lithium yeyona iyeza lifundwa kakhulu kwaye lisetyenziswa ixesha elide ukunyanga isifo se-bipolar. Inciphisa ubunzima beziganeko ze-manic kwaye inciphisa ukuphindaphindeka kokubuyela umva. Izifundo zikwabonise ukuba i-lithium inceda ekunciphiseni umngcipheko wokuzibulala phakathi kwabantu abane-bipolar disorder.
Ngamafutshane, i-lithium sisiyobisi esichaphazela ingqondo kwaye sinceda ukulawula iimvakalelo zakho, ubuthongo, amanqanaba amandla, kunye nokungahambi kakuhle kokuziphatha.
Yintoni omele uyilindele xa usebenzisa eli yeza?
Kungathatha iiveki ezininzi ukuba i-lithium isebenze ngokupheleleyo. Ugqirha wakho uza kuyalela uvavanyo lwegazi ngelixa usela eli yeza kuba i-lithium inokuchaphazela ukusebenza kwezintso zakho kunye ne-thyroid gland.
I-Lithium isebenza kakuhle xa amanqanaba eyeza emzimbeni wakho ekwinqanaba elifanayo. Yiyo loo nto ugqirha wakho ehlala ekuxelela ukuba usele iiglasi zamanzi ezisi-8 ukuya kwezili-12 ngosuku kwaye wongeze ityuwa ekutyeni kwakho njengesiqhelo. Ezi zinto ziya kunceda ukugcina amanqanaba e-lithium emzimbeni wakho ezinzile.
Eyona nto ibalulekileyo kukuba ungaze utshintshe umthamo okanye uyeke ukuthatha amayeza ngaphandle kokubuza ugqirha wakho.
| Iziphumo eziqhelekileyo ze-lithium | Amanqaku abalulekileyo |
|---|---|
| Ukutyeba kwakho | Thetha nogqirha wakho malunga nokutya kunye nokuzilolonga. |
| Ukungcangcazela kwesandla | Oku kuqhelekile, kodwa ukuba kukhulu, xelela ugqirha wakho . |
| Ukoma kakhulu kunye nokuchama | Oku kuqhelekile, sela amanzi amaninzi. |
| Ubunzima bokukhumbula, ukozela | Ezi zinokuncipha ngokuhamba kwexesha. Lumka xa uqhuba. |
| Ukulahleka kweenwele okanye i-acne | Yazisa ugqirha wakho ngale nto. |
| Xelela ugqirha wakho ngoko nangoko: | |
| Unesifo sohudo esingapheliyo.Ukuba uneempawu ezifana norhudo, ukuhlanza, umkhuhlane, ubunzima bokuhamba, ukungcangcazela okukhulu, ukulahlekelwa zingqondo, ukudideka, ubunzima bokuthetha, okanye ukubetha kwentliziyo ngokukhawuleza, tsalela umnxeba ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele. | |
I-anticonvulsants inceda njani?
Ngamanye amaxesha, oogqirha basebenzisa amayeza athintela ukuxhuzula ukulawula iimpawu ze-bipolar. La abizwa ngokuba "yi-anticonvulsants." I-Carbamazepine , i-lamotrigine, kunye ne-valproate (i-Depakote) zezinye zezi ziyobisi.
Ngamanye amaxesha ezi zisetyenziswa ne-lithium, kunye namanye amayeza, okanye zodwa. Zinokuba luncedo kakhulu kubantu abanemeko ebizwa ngokuba yi-"rapid cycling," apho batshintshana phakathi kwexesha le-mania kunye nelokudakumba ngaphezu kwezihlandlo ezine ngonyaka.
La mayeza akwasebenza ukuthomalalisa ukusebenza kakhulu kwengqondo. Ngamanye amaxesha, kufuneka uvavanyo lwegazi xa usebenzisa la mayeza.
Kubaluleke kakhulu: Abafazi abakhulelweyo okanye abafazi abazama ukukhulelwa kufuneka baphephe ukusebenzisa amayeza athile, anjenge -valproate (Depakote) kunye ne -carbamazepine (Tegretol), kuba anokubangela iziphene zokuzalwa komntwana. Ke ngoko, ukuba uceba ukukhulelwa okanye ufumanisa ukuba ukhulelwe, xelela ugqirha wakho ngoko nangoko.
Amayeza okulwa nesifo sengqondo
Amayeza okulwa nesifo sengqondo luhlobo lwamayeza awayenikwa ixesha elifutshane ngaphambili ukulawula iimpawu ezinzima ezifana nokubona izinto ezingekhoyo okanye ukuphupha kakubi ngexesha lokuphambana.
Kodwa kule mihla, la mayeza amatsha okulwa nesifo sengqondo asetyenziswa kunye nezithinteli zengqondo ukulawula ngokukhawuleza iimpawu kunye nokuthintela ukubuyela umva. Asebenza ngokulawula umsebenzi weekhemikhali ezikwingqondo ezibizwa ngokuba yi-"neurotransmitters" ezifana ne -dopamine kunye ne-serotonin .
La mayeza anceda ekulawuleni ukuziphatha okungenangqondo nokungakhathali okunxulunyaniswa nokuphambana kwengqondo kwaye ancede ukuba uqale ukucinga ngendlela eqhelekileyo kwisithuba seveki.
| Iziphumo ebezingalindelekanga zeziyobisi ezilwa nesifo sengqondo |
|---|
| - Umbono ofipheleyo |
| - Umlomo owomileyo |
| - Ukozela |
| - Ukuqina kwemisipha okanye ukungcangcazela |
| - Ukunyuka kobunzima kunye namanqanaba aphezulu e-cholesterol (le yimpembelelo ebaluleke kakhulu) |
Amanye amayeza amatsha okulwa nesifo sengqondo anokubangela ukutyeba, i-cholesterol ephezulu, kunye namanqanaba aphezulu eswekile egazini . Ngoko ke, ugqirha wakho uza kujonga umngcipheko wakho wesifo sentliziyo kunye nesifo seswekile ngaphambi kokuba aqalise eli yeza.
Unyango lwe-Electroconvulsive (ECT)
Usenokuba ukhe weva "ngonyango oluthusayo." Yiyo loo nto igama lezonyango eliyi-ECT liyibiza ngokuba yi-ECT . Akoyiki njengoko kubonakala kwiimuvi. I-ECT lunyango olukhuselekileyo nolulawulwayo olunikwa phantsi kwe-anesthesia epheleleyo (kunye namayeza okukulalisa) .
Olu nyango ludla ngokwenziwa,
- Kwabo baneempawu ezinzima kakhulu
- Kwabo bangaphenduli kakuhle kumayeza
- Kwabo bangakwaziyo ukuzinyamekela, okanye abaneengcinga ezigqithisileyo zokuzibulala
- Ukusetyenziswa kweziyobisi ngexesha lokukhulelwa kuyingozi kwabo
I-ECT lunyango olusebenzayo kakhulu olunokuphelisa ngokukhawuleza iimpawu ze-mania okanye ukudakumba okukhulu. Awuyi kuva nto ngeli xesha lonyango. Usenokuziva udidekile kwaye unentloko ebuhlungu xa uvuka, kodwa oku kuya kuphela emva kwexesha elithile.
Khumbula, i-bipolar ayilotyala lakho okanye ubuthathaka. Yimeko enokunyangeka ebangelwa kukungalingani kweekhemikhali zobuchopho.
Umyalezo Wokuya Ekhaya
- I-Bipolar mania yimeko enokulawulwa kakuhle ngonyango, ngoko ke ungoyiki.
- Kubaluleke kakhulu ukusela amayeza achazwe ngugqirha wakho ngexesha elifanelekileyo nangedosi efanelekileyo.
- Musa ukuyeka ukuthatha amayeza okanye ukutshintsha umthamo ngaphandle kokubonisana nogqirha wakho nangasiphi na isizathu. Ukwenza njalo kunokwenza iimpawu zakho zibe zimbi ngakumbi.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezivela kumayeza akho, thetha nogqirha wakho ngaloo nto. Uya kukwazi ukukunika isisombululo esifanelekileyo.
- Kubalulekile ukuya kwiikliniki ngemihla emiselweyo kwaye wenze uvavanyo olufunekayo.
- Inkxaso nokuqonda kosapho nabahlobo ngamandla amakhulu ekulawuleni esi sifo.
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