Ngaba wena okanye umntu omaziyo unyangelwa isifo se-bipolar? Ukuba kunjalo, kubalulekile ukuba uqaphele iintlobo ezahlukeneyo zamayeza amiselwe sona. Kuba amanye amayeza awafanelekanga kwesi sifo, kwaye amanye kufuneka asetyenziswe ngononophelo olukhulu. Namhlanje sithetha ngelinye lala mayeza, amadala kancinci, kodwa asasetyenziswa kwiimeko ezahlukeneyo, uhlobo lwamayeza abizwa ngokuba yi-tricyclic antidepressants .
Okokuqala, masibone, zithini ezi tricyclic antidepressants (TCAs)?
Ngamafutshane, ezi luhlobo lwamayeza amadala kancinci kunezo zisetyenziselwa ukunyanga uxinzelelo. Kukho iikhemikhali engqondweni yethu ezithumela imiyalezo phakathi kwemithambo-luvo (ii-neurotransmitters). Oko kwenziwa ngala mayeza kukwandisa umsebenzi wezi khemikhali zimbini ezibizwa ngokuba yi-serotonin kunye ne-norepinephrine . Izazinzulu zikholelwa ukuba ezi khemikhali zimbini zibaluleke kakhulu kwiisekethe zobuchopho ezilawula imeko yethu yeemvakalelo.
Nangona kunjalo, la mayeza aneziphumo ebezingalindelekanga ezingaphezulu kunezamayeza amatsha. Kwakhona, la mayeza ngoku anikwa oogqirha kwezinye iimeko ngaphandle koxinzelelo. Umzekelo:
- Intlungu ye-Neuropathic
- Ukuthintela iintloko ezibuhlungu
- Ukungalali
- Ezinye iingxaki zamathumbu ( i-Irritable Bowel Syndrome )
Amanye amayeza amaninzi alo didi lwamayeza adweliswe kwitheyibhile engezantsi.
| Igama lohlobo lweyeza | Amagama eeMveliso aqhelekileyo |
|---|---|
| i-amitriptyline | UElavil |
| i-imipramine | ITofranil |
| i-nortriptyline | UPamelor |
| i-desipramine | I-Norpramin okanye i-Pertofrane |
Kutheni kufuneka ulumke kakhulu xa unika umntu onesifo sengqondo esibizwa ngokuba yi-bipolar disorder eli yeza?
Le yeyona nxalenye ibalulekileyo kweli nqaku. Isifo se-bipolar sisifo sokutshintsha kweemvakalelo, apho ufumana amaxesha okudakumba okukhulu kunye namaxesha amanqanaba aphezulu ngokungaqhelekanga omsebenzi kunye novuyo, olubizwa ngokuba yi-mania.
La mayeza e-tricyclic (TCA) asetyenziselwa ukunyanga ukudakumba. Ngoko ke, ukuba isigulane esine-bipolar sinikwa la mayeza sodwa ngenxa yemeko yaso yokudakumba, kukho ithuba elikhulu lokuba imeko yaso itshintshele kwenye imeko egqithisileyo, oko kukuthi, i-mania. Kwakhona, imeko ebizwa ngokuba yi -rapid cycling, apho zitshintshatshintsha phakathi kwemeko yokudakumba kunye neye-manic, inokwenzeka.
Khawucinge ukuba umntu onesifo sengqondo esibizwa ngokuba yi-bipolar disorder usandul’ ukuqala ukusebenzisa amayeza anje okudakumba. Ukuba, kwiintsuku ezimbalwa, ngequbuliso ulahlekelwa bubuthongo bonke, athethe kakhulu, achithe imali eninzi, enze izinto ezigqithisileyo, aze onwabe ngendlela engaqhelekanga, loo nto inokuba sisiganeko sokudakumba. Oku kungenxa yemiphumo yamayeza.
Ngoko ke sithini isisombululo sale nto?
Ukunciphisa lo mngcipheko, oogqirha bacebisa isithambisi-mvakalelo ngaxeshanye nesithomalalisi-zintlungu esifana nesi kubantu abanesifo se-bipolar, ingakumbi abo bane-bipolar I.
Iingcali zikholelwa ukuba la mayeza e-tricyclic akufanele anikwe abantu abanesifo sengqondo esiguquguqukayo bodwa abangenazo izithinteli zengqondo , ezifana ne-lithium okanye i-divalproex.
Ezinye iingozi kunye nezinto ekufuneka ziqwalaselwe
Ukongeza kumngcipheko wokubangela i-mania, kukho nezinye izinto ezininzi ekufuneka siziqaphele malunga nala mayeza.
1. Umngcipheko wesifo sentliziyo: Eli yeza linokubangela okanye libenze mandundu iingxaki zesingqisho sentliziyo kwabanye abantu. Ukuba unesifo sentliziyo, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngale nto.
2.Ukugqithisa amayeza kuyingozi kakhulu: Le yeyona ngozi inkulu yala mayeza. Xa kuthelekiswa namayeza amatsha, nokuba ukugqithisa amayeza e-tricyclic (TCA) kunokuba yingozi ebomini. Ke ngoko, ukuba usebenzisa la mayeza, musa ukuthatha ngaphezu komlinganiselo omiselweyo ngugqirha nangasiphi na isizathu. Kwakhona, gcina la mayeza kude nabantwana abancinci endlwini kwaye uwagcine kwindawo ekhuselekileyo. Ukuba ukrokrela ukuba umntu uthathe amayeza amaninzi ngengozi, mse kwangoko kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane . Ukuba kuyimfuneko, ungatsalela umnxeba iZiko loLwazi lweTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
3. Iziphumo ebezingalindelekanga ezingaphezulu: Ezi zinokubangela iziphumo ebezingalindelekanga ezifana nokozela, umlomo owomileyo, ukubona okufipheleyo, ukuqhina, kunye nobunzima bokuchama kunamayeza amatsha.
Ngenxa yezi zizathu, oogqirha banika la mayeza kancinci kakhulu kwaye ngononophelo olukhulu xa benyanga abantu abane-bipolar.
Umyalezo Wokuya Ekhaya
- Ii-Tricyclic antidepressants (TCAs) ludidi oludala lwamayeza asetyenziselwa ukunyanga uxinzelelo. Ngoku asetyenziswa nakwezinye iimeko.
- Ukunika eli yeza lodwa izigulane ezine-bipolar kwandisa kakhulu umngcipheko wokuba isifo siqhubekele kwelinye icala, i-mania.
- Ngoko ke, ukuba unikwa olu hlobo lwamayeza, kubalulekile ukuthatha i-mood stabilizer ngaxeshanye.
- Ukusela la mayeza kakhulu kuyingozi kakhulu, ngoko ke kubalulekile ukulandela iingcebiso zonyango kwaye ugcine amayeza akho ekhuselekile.
- Ungaze uqale, uyeke, okanye utshintshe umthamo walo naliphi na iyeza ngaphandle kwengcebiso kagqirha wakho. Thetha nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
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