Ingabe ngezinye izikhathi uhlangabezana nokushintshashintsha kwemizwelo okungalawuleki kangangokuthi ngokuzumayo uzizwe ujabule kakhulu futhi usebenza ngokweqile (mania) kanti ngezinye izikhathi ngokuzumayo uzizwa udabukile futhi ucindezelekile (depression)? Lokhu yilokho esikubiza ngokuthi i-Bipolar I Disorder kwezokwelapha. Namuhla sikhuluma ngomjovo okhethekile onikezwa kanye ngenyanga ukulawula lokhu kushintshashintsha kwemizwelo okukhulu. Yilokho i-Abilify Maintena.
Iyini i-Bipolar I? Isebenza kanjani i-Abilify Maintena?
Kalula nje, i-bipolar disorder yisifo sengqondo lapho isimo sengqondo somuntu, izinga lamandla, kanye namazinga omsebenzi eshintsha ngokungalindelekile nangokuphawulekayo. Kungafaka phakathi iziqephu zokudabuka, lapho zijabule kakhulu futhi zikhuthele, iziqephu zokucindezeleka, lapho zidabuka kakhulu futhi zicindezelekile, kanye neziqephu ezixubile, lapho ziyingxube yazo zombili. Umuntu onesifo sokudabuka kwe-bipolar I uzobe ebhekane okungenani nesiqephu esisodwa sokudabuka. Kodwa khumbula, indlela lesi simo esithinta ngayo umuntu ngamunye, ubukhulu bezimpawu, kanye nobude besikhathi ezihlala ngaso kuhlukile.
Nakuba kungekho ikhambi eliphelele lesifo sokuphazamiseka kwengqondo okuguquguqukayo, kungenzeka ukulawula izimpawu nokugcina impilo isezingeni elihle ngemithi efanele kanye nokwelashwa .
Umjovo we-Abilify Maintena uqukethe umuthi obizwa ngokuthi i-`aripiprazole`. Lokhu kungokwesigaba semithi ebizwa ngokuthi i-`antipsychotics yesizukulwane sesibili`. Lolu hlobo lwemithi luhlukile kwemithi emidala ngoba cishe ayinazo izimpawu ezibangela imiphumela emibi ehlobene nokunyakaza (` izimpawu ze-extrapyramidal` ) njengokuthuthumela nokungaphumuli.
Indlela esebenza ngayo ngempela le mithi ebuchosheni ayikaqondakali ngokugcwele, kodwa okwamanje kukholelwa ukuthi isiza ukulinganisela umsebenzi wamakhemikhali obuchopho i-serotonin ne-dopamine, okulawula isimo sethu sengqondo.
Ngingawuthola kanjani lo muthi wokugoma?
I-Abilify Maintena akuyona imithi ongayithatha wedwa. Ingumjovo onikezwa kanye ngenyanga ngudokotela wakho noma uchwepheshe wezempilo oqeqeshiwe. Ngokuvamile ujovwa engalweni noma esinqeni sakho.
Ukwelashwa kuvame ukuqala ngomthamo ongu-400mg. Kodwa-ke, uma uhlangabezana nemiphumela emibi, udokotela wakho angase anqume ukuwunciphisa ube ngu-300mg.
Lezi zinto zibalulekile lapho uqala ukwelashwa.
- Uma usuvele uthatha olunye uhlobo lomuthi we-bipolar:Ngemva kokuthola umthamo wakho wokuqala we-Abilify Maintena, udokotela wakho uzokutshela ukuthi uqhubeke nokuthatha umthamo ofanayo cishe izinsuku ezingu-14. Lokhu kwenzelwa ukusiza ukulawula izimpawu zakho kuze kube yilapho amazinga omuthi egazini lakho ezinza.
- Uma ungakaze uthathe noma yimuphi umuthi we-bipolar disorder ngaphambili: Udokotela wakho uzokunika iphilisi elibizwa ngokuthi i-`aripiprazole` (Abilify) ngomlomo cishe amasonto amabili ngaphambi kokukunikeza umuthi wakho wokuqala ukuze abone ukuthi umzimba wakho ungawubekezelela yini umuthi nokuthi unemiphumela emibi emibi yini. Ungabe usunikwa iphilisi elifanayo amanye amasonto amabili ngemva kokukunikeza umuthi wakho wokuqala. Njengoba kushiwo ngaphambili, lokhu kwenzelwa ukugcina amazinga omuthi egazini lakho kuze kube yilapho umuthi usebenza ngokugcwele.
Kubaluleke kakhulu ukuthi ungaphuthelwa usuku oluhleliwe lokugonywa kwakho nganoma yisiphi isizathu. Uma uphuthelwa usuku lokugcina, shayela udokotela wakho ngokushesha. Futhi, awukwazi ukuthola ukugonywa okulandelayo kuze kube yilapho okungenani izinsuku ezingu-26 sezidlulile kusukela ekugonyweni kwangaphambilini.
Ziyini izinzuzo zalo muthi? Kuthatha isikhathi esingakanani ukusebenza?
Izifundo zezokwelapha ze-Abilify Maintena zibonise ukuthi abantu abathathe i-Abilify Maintena babenezimo zemizwa ezinzima kakhulu kunalabo abathathe i-placebo. Kalula nje, abantu abathathe lo muthi bakwazile ukugcina imizwa yabo izinzile futhi izolile isikhathi eside.
Lona umuthi wokugomela "okhishwa isikhathi eside". Lokhu kusho ukuthi umuthi ukhishwa kancane kancane emzimbeni futhi usebenza isikhathi eside. Ngakho-ke, ungase ungaboni umehluko omkhulu ngemva nje kokujova. Yingakho unikezwa umuthi womlomo emasontweni amabili okuqala. Uma izimpawu zakho zingathuthuki ngemva kwezinyanga ezimbalwa, qiniseka ukuthi ukhuluma nodokotela wakho ngakho.
Imiphumela emibi nokuthi ungayiphatha kanjani?
Njengayo yonke imithi, i-Abilify Maintena ingabangela eminye imiphumela emibi , yize kungebona bonke abantu abayitholayo. Ngezansi kunemiphumela emibi evame kakhulu nokuthi yini ongayenza ngayo.
| Umphumela Ongemuhle | Indlela Yokuphatha |
|---|---|
| Ukungaphumuli (akathisia) kanye nokunyakaza okungalawuleki (izimpawu ze-extrapyramidal) | Uma unalezi zimpawu, tshela udokotela wakho ngokushesha . Angase anciphise umthamo noma akunikeze omunye umuthi walezi zimpawu. |
| Ukukhuluphala, ushukela wegazi ophakeme kanye namazinga e-cholesterol | Udokotela wakho uzoqapha isisindo sakho kanye nokuhlolwa kwegazi njalo. Kubaluleke kakhulu ukulandela ukudla okunempilo kanye nokuzivocavoca umzimba . |
| Ukukhathazeka | Nciphisa iziphuzo eziqukethe i-caffeine njengekhofi. Lala ngokwanele. Thulisa ingqondo yakho ngezinto ezifana ne-yoga nokuzivocavoca. Uma kuqhubeka, tshela udokotela wakho. |
| Ukungalali | Gcina isikhathi sakho sokulala nesokuvuka singaguquguquki. Gwema ukusebenzisa ifoni yakho noma ukubuka i-TV ngaphambi kokulala. Khuluma nodokotela wakho ngalokhu futhi. |
| Ukukhathala ngokweqile kanye nokozela | Gwema ukushayela futhi wenze noma yini edinga ukuqapha uze wazi ukuthi lo muthi uthinta kanjani wena. |
| Ubuhlungu endaweni yokujova | Lobuhlungu buzophela emahoreni noma ezinsukwini ezimbalwa. Ungacela udokotela wakho ukuthi afake iphakethe leqhwa noma i-compress efudumele. Uma ubuhlungu bukhulu noma buqhubeka, tshela udokotela wakho . |
Ukusebenzisana Kwezidakamizwa
Eminye imithi oyithathayo ingathinta imiphumela ye-Abilify Maintena. I-Abilify Maintena ingashintsha nemiphumela yeminye imithi. Ngakho-ke , kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi ethengwa ngaphandle kwemithi kadokotela, amavithamini, ngisho nemithi yezitshalo/yemvelo.
| Uhlobo lomuthi | Umthelela ongaba khona |
|---|---|
| Ama-antifungal (njenge-'ketoconazole') kanye neminye imithi yokucindezeleka (njenge-'paroxetine', 'fluoxetine') | Kungakhuphula izinga le-Abilify egazini, kwandise ingozi yemiphumela emibi. |
| Imithi yokwelapha isifo sokuwa kanye nobuhlungu bemizwa (njenge-carbamazepine) | Kunganciphisa izinga le-Abilify egazini, kunciphise ukusebenza kahle komuthi. |
| Imithi yokwelapha umfutho wegazi ophakeme | Umfutho wegazi lakho ungase ube phansi kakhulu. Udokotela wakho uzohlola umfutho wegazi lakho njalo. |
| Ama-tranquilizer (ama-benzodiazepine) | Ukulala ngokweqile kanye nokwehla komfutho wegazi lapho umi ngokuzumayo (i-orthostatic hypotension) kungase kwenzeke. |
Umlayezo Wokuya Nawe Ekhaya
- I-Abilify Maintena iwumjovo wanyanga zonke osetshenziselwa ukwelapha i-Bipolar I Disorder.
- Lokhu kwenzelwa ukunciphisa ukushintshashintsha okukhulu kwemizwelo nokukusiza ukuthi uhlale usesimweni sengqondo esizinzile. Lona umuthi olawula lesi sifo, hhayi ikhambi eliphelele.
- Ungaphuthelwa izinsuku zokugoma ezihleliwe. Uma unezinkinga, yazisa udokotela wakho ngokushesha.
- Qaphela imiphumela emibi efana nokukhuluphala, ukungahlaliseki kanye nokozela. Khuluma nodokotela wakho ngokukhululekile nganoma yini ekwenza uzizwe ungakhululekile.
- Ungagwema ukusebenzisana okuyingozi ngokwazisa udokotela wakho ngayo yonke eminye imithi oyithathayo.
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