Ngezinye iintsuku uziva wonwabile kakhulu, uchulumancile, kwaye ugcwele amandla... Kodwa ngezinye iintsuku uziva uphantsi kangangokuba awukwazi kwenza nto, kwaye uzive ngathi ukruqukile lihlabathi... Oku sikubiza ngokuba kukutshintshatshintsha kweemvakalelo ngequbuliso ngokuthi 'ukutshintshatshintsha kweemvakalelo'. Mhlawumbi nawe ukhe wakubona oku. Oku kunokuba luphawu olukhulu lwesifo sengqondo esibizwa ngokuba yi-bipolar. Namhlanje, kweli nqaku, siza kuthetha nge- Bipolar I Disorder kunye neyeza i-Vraylar elisetyenziselwa ukuyinyanga.
Yintoni kanye kanye iBipolar I?
Ngamafutshane, i-bipolar yimeko ebangela utshintsho olukhulu kwimo yakho yeemvakalelo, amandla, kunye namanqanaba omsebenzi. Ibonakaliswa ziindlela ezimbini eziphambili zokuziphatha.
1. Isiqendu Sokuxakeka: Ngeli xesha, ungaziva wonwabile kakhulu, uchulumancile, kwaye unamandla. Ungaphuthelwa, uthetha ngokukhawuleza, usebenza ungayeki, kwaye wenze izigqibo ezinobungozi.
2. Isiqendu Sokudakumba: Ngeli xesha, uziva ulusizi kakhulu, udandathekile, kwaye ungenamdla kwinto yonke. Uhlala udiniwe, ungenamdla wokutya , kwaye awufuni ukwenza izinto obukade uzonwabela.
Umntu one-bipolar kufuneka ukuba ndikhe ndadibana nesinye isiganeko sokudakumba. Ngamanye amaxesha, kuvela iziganeko ezixubeneyo, apho zombini iimpawu zokudakumba nezoxinzelelo zihlangana. Nangona kungekho nyango lwale meko, ngamayeza afanelekileyo kunye nonyango, kunokwenzeka ukulawula iimpawu kwaye uphile ubomi obuqhelekileyo .
I-Vraylar liyeza elisetyenziselwa ukunyanga zonke ezi meko zintathu (i-mania, ukudakumba, kunye ne-mixed). Isithako sayo esisebenzayo yi-cariprazine. Ikwiqela lamayeza abizwa ngokuba yi-antipsychotics yesizukulwana sesibini. Olu didi lwamayeza lungcono kuneziyobisi ezindala kuba azinakwenzeka ukuba zibangele iziphumo ebezingalindelekanga ezinxulumene nokuhamba (iimpawu ze-extrapyramidal) ezifana nokungcangcazela kunye nokungaphumli.
Nangona kungekaqondwa ngokupheleleyo ukuba eli yeza lisebenza njani, siyazi ukuba lilinganisa umsebenzi weekhemikhali ezimbini engqondweni ezibizwa ngokuba yi-serotonin kunye ne-dopamine . Ezi khemikhali zimbini zezona zinceda kakhulu ekulawuleni iimvakalelo zethu.
Ulisebenzisa njani eli yeza?
I-Vraylar iza ngeekhaphu. Ungayithatha kube kanye ngemini, nokuba utya okanye ungenakutya. Kodwa eyona nto ibalulekileyo kukuyithatha kanye njengoko ugqirha wakho ekuyalele, kwidosi efanelekileyo, ngexesha elifanelekileyo.Ugqirha wakho unokutshintsha umthamo ngokuxhomekeke kwiimpawu zakho.
Kubalulekile: Ungaze uyeke ukuthatha amayeza akho okanye wonyuse okanye wehlise umthamo ngaphandle kokubonisana nogqirha wakho kuqala.
Itheyibhile engezantsi ibonisa indlela ugqirha adla ngokunika ngayo eli yeza.
| Uhlobo lweSiqendu | Idosi yokuqala eqhelekileyo | Umlinganiselo ophezulu ugqirha anokutshintsha |
|---|---|---|
| Iziqephu zeManic okanye ezixutyiweyo | I-1.5mg ngosuku lokuqala, inganyuswa iye kwi-3mg ukususela ngosuku lwesibini. | 6mg ngosuku |
| Iziqendu Ezixinzelelekileyo | 1.5mg ngosuku lokuqala. | Emva kweentsuku ezili-15, idosi inganyuswa iye kwi-3mg ngosuku ukuba kuyimfuneko. |
Kuthatha ixesha elingakanani ukuba iyeza lisebenze?
Lo ngumbuzo abantu abaninzi abawubuzayo. I-Vraylar ayisebenzi ngoko nangoko. Iqala kancinci kancinci ukuchaphazela umzimba wakho. Ngoko ke kungathatha iiveki ezimbalwa ukubona iziphumo. Eyona nto ibalulekileyo kuqhubeka nokusela iyeza ngaphandle kokuphoswa lusuku kwaye kangangoko ugqirha wakho ekuxelela kona. Ukuba ulibele ukusela iyeza lakho, ungasebenzisa ibhokisi yeepilisi okanye usete isikhumbuzo kwifowuni yakho.
Into ekufuneka uyilumkele ngokukodwa!
Xa beqala ukusebenzisa amayeza alo naluphi na uhlobo lwesifo sengqondo, ingakumbi kwiinyanga ezimbalwa zokuqala naxa betshintsha umthamo, abanye abantu banokufumana utshintsho kwimo yeemvakalelo. Kukho umngcipheko weengcinga okanye izenzo zokuzibulala . Musa ukoyika oku, kodwa kufuneka ulumke kakhulu.
Ukuba wena okanye umntu omaziyo uziva ngathi ufuna ukuzenzakalisa, yiya kwisibhedlele esikufutshane ngokukhawuleza.Yiya kwiSebe leeNgxamiseko (ETU) okanye utsalele umnxeba ugqirha wakho ngokukhawuleza.
Hlala ujonge ezi zinto zilandelayo:
- Iingcinga ezintsha okanye ezandayo zokuzibulala.
- Ukuzama ukuzibulala.
- Ixhala elitsha okanye elongezelelekileyo, ukudakumba, okanye olunye utshintsho olungaqhelekanga kwindlela yokuziphatha.
Yintoni omawuyenze xa kuvela iziphumo ebezingalindelekanga?
Njengazo zonke amayeza, iVraylar inokubangela iziphumo ebezingalindelekanga. Asinguye wonke umntu ozifumanayo. Nokuba ziyafumaneka, zinokulawulwa. Apha ngezantsi kukho ezinye zeziphumo ebezingalindelekanga eziqhelekileyo kunye nento onokuyenza ngazo.
| Imiphumela | Izinto onokuzenza kunye nezinto ekufuneka uzazi |
|---|---|
| Iintshukumo ezingalawulekiyo (iimpawu ze-extrapyramidal) - umz. ukungcangcazela, ukuqina | Ezi zinokuba yingxaki kakhulu. Ukuba ufumana ezi mpawu , xelela ugqirha wakho ngoko nangoko . Usenokukwazi ukutshintsha umthamo okanye akunike elinye iyeza. |
| Ukungazoli (Akathisia) | Oku kufana noko bekutshiwo apha ngasentla. Thetha nogqirha. Uza kunika isisombululo kule nto. |
| Ukuphazamiseka kwesisu, isicaphucaphu, ukuhlanza | Sela amanzi amaninzi ukuze uthintele ukuphelelwa ngamanzi emzimbeni. Yitya ukutya okukhaphukhaphu okufana neecrackers nesonka. Kuphephe ukutya okunamafutha nokuneziqholo. Ukuba iimpawu zakho aziphucuki, xelela ugqirha wakho. |
| Ukozela | Kuphephe ukuqhuba okanye ukusebenzisa oomatshini abafuna ukuphaphama ude wazi kakuhle indlela amayeza akuchaphazela ngayo. |
Ngenxa yokuba iVraylar ihlala emzimbeni ixesha elide, ezinye iziphumo ebezingalindelekanga zisenokungabonakali kwangoko, kodwa zinokubonakala emva kweeveki ezimbalwa. Ngoko ke lumka naziphi na iimpawu ezintsha.
Ngaba kukho iingxaki ngamanye amayeza?
Ewe, ngokuqinisekileyo. Amanye amayeza owasebenzisayo anokuchaphazela indlela esebenza ngayo iVraylar. I-Vraylar inokutshintsha nendlela esebenza ngayo amanye amayeza. Ke ngoko, kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka amayeza ezinye izifo, amayeza okuphelisa iintlungu athengiswa ngaphandle kwemvume kagqirha, iivithamini, kwanamayeza e-Ayurvedic). Angakunika amayeza afanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- I-Bipolar I yimeko enokulawulwa kakuhle ngonyango. I-Vraylar liyeza elisebenzayo elisetyenziselwa yona.
- Ukuqala, ukutshintsha idosi, kunye nokuyeka eli yeza kufuneka kwenziwe kuphela ngokwengcebiso kagqirha wakho.
- Kungathatha iiveki ezininzi ukubona iziphumo ezipheleleyo zamayeza, ngoko ke kubaluleke kakhulu ukuqhubeka nokuwasebenzisa ngaphandle kokuphoswa lusuku olunye.
- Lumka kakhulu naluphi na utshintsho lwengqondo, olufana neengcinga zokuzibulala, ngexesha lokuqala konyango. Ukuba ufumana nayiphi na kwezi, funa ingcebiso yezonyango ngokukhawuleza okanye uye kwisebe likaxakeka lesibhedlele elikufutshane (ETU).
- Musa ukoyika naziphi na iziphumo ebezingalindelekanga ezinokubakho, kodwa thetha ngokukhululekileyo nogqirha wakho ngaloo nto. Uza kukunika isisombululo esifanelekileyo.
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