Ungase ucabange, "O, ungayisebenzisa kanjani imithi yokulwa nokuquleka kwesifo sengqondo?" Lowo ngumbuzo onengqondo kakhulu. Abantu abaningi bayazibuza ngalokhu. Kodwa empeleni, lapho welapha isifo sengqondo esibizwa ngokuthi i-bipolar disorder, lolu hlobo lomuthi olubizwa ngokuthi 'i-Anticonvulsant' ludlala indima ebaluleke kakhulu. Lokhu kubizwa nangokuthi 'izinzisa imizwelo', okusho ukuthi kuyazinzisa imizwelo . Ngakho-ke ake sifunde kabanzi ngalokhu namuhla. Ake sixoxe ngamagama alula ngokuthi kungani le mithi inikezwa, yiziphi izinhlobo ezisetshenziswa kakhulu, nokuthi yini okudingeka uyazi lapho uyisebenzisa.
Kungani le mithi yokulwa nokuxhuzula inikezwa isifo sokuphazamiseka kwengqondo esibizwa ngokuthi yi-bipolar disorder?
Kalula nje, le mithi isebenza ngokuthulisa ubuchopho obusebenza ngokweqile. Cabanga ngobuchopho bethu njengethrafikhi emgwaqweni omatasa. Kumuntu onesifo sokuphazamiseka kwengqondo, lo msebenzi ngezinye izikhathi uba ngesivinini esikhulu, njengokungathi izimoto sezizoshayisana. Lesi simo sibizwa ngokuthi 'i-mania'. Ngezinye izikhathi, lo msebenzi uvele ungasebenzi futhi ubhajwe. Lokhu sikubiza ngokuthi 'ukucindezeleka'.
Imithi yokulwa nokuxhuzula isebenza njengezibani zomgwaqo. Ilawula umsebenzi kagesi owedlulele wamaseli ezinzwa ebuchosheni, ilinganisela ubukhulu bokuma okusheshayo nokungazelelwe. Yingakho le mithi isetshenziswa futhi ekwelapheni isifo sokuwa, i-migraines, nezinye izimo ezihlobene nokusebenza ngokweqile ebuchosheni.
Esikhathini esidlule, le mithi yayinikezwa abantu abangasabelanga ku-lithium, umuthi oyinhloko we-bipolar disorder. Kodwa namuhla, isetshenziswa kakhulu yodwa, ne-lithium, noma ihlanganiswe neminye imithi. Isebenza kahle kakhulu kubantu abashintshana phakathi kwe-mania nokucindezeleka izikhathi ezingaphezu kwezine ngonyaka (lokhu sikubiza ngokuthi ' i-rapid cycling ' ).
Ama-anticonvulsants avame ukunqunywa kanye nomehluko wawo
Kunezinhlobo eziningana zemithi yokulwa nokuxhuzula esetshenziswa isifo sokuphazamiseka kwengqondo. Ngayinye isebenza ngendlela ehlukile kancane. Ngakho udokotela wakho uzonquma umuthi ongcono kakhulu wezimpawu zakho. Ake sibheke izinhlobo eziyinhloko zemithi esetshenziswayo.
| Igama Lomuthi | Ukusetshenziswa okuyinhloko | Amanothi abalulekile |
|---|---|---|
| I-Valproic acid / i-Divalproex sodium (Depakote, Depakene) | Ukulawula ukuhlanya | Isebenza kangcono ezimpawini zokuphazamiseka kwengqondo kunezimpawu zokucindezeleka. Isetshenziswa kakhulu ekuphatheni isiqephu esibuhlungu. |
| I-Carbamazepine (I-Tegretol) | Ukulawula ukuhlanya | I-Valproic acid nayo isebenza kangcono ezigabeni ze-manic. Isetshenziselwa ukulawula ukugula kwamanje. |
| I-Lamotrigine (Lamictal) | Ukulawula ukucindezeleka nokuvimbela ukubuyela emuva | Kusebenza kangcono ezimweni zokucindezeleka kunezimo zokusangana. Ngokuvamile kusetshenziswa njengendlela yokuvimbela ukuvimbela izigameko zesikhathi esizayo zokugula. |
Ngaphezu kwale mithi eyinhloko, odokotela ngezinye izikhathi basebenzisa eminye imithi yokulwa nokuxhuzula (isib. iLyrica, iNeurontin, iTopamax) 'engafakwanga ilebula' kwezinye izinkinga ezihlobene nesifo sokuphazamiseka kwengqondo, njengezinkinga zokulala, ukukhathazeka, ubuhlungu, noma ukwehla kwesisindo. 'Engafakwanga ilebula' kusho ukuthi umuthi usetshenziselwa okunye okungeyona imbangela eyinhloko yokuthi wavunyelwa.
Into ebalulekile ukuthi ngenxa yokuthi umuthi ngamunye usebenza ngendlela ehlukile, ulwazi lwakho lungahluka kuye ngokuthi umuthi uwuthatha kanjani. Ungalindeli imiphumela esheshayo ngokuthatha le mithi. Eqinisweni, kungathatha amasonto ambalwa ukuthi le mithi iqale ukusebenza kahle kakhulu.
Yimiphi imiphumela emibi okufanele uyazi?
Njenganoma yimuphi umuthi, imithi yokulwa nokuxhuzula ingaba nemiphumela emibi. Yingakho kubalulekile ukusebenzisa le mithi njengoba nje udokotela wakho ekutshelile, futhi ngaphansi kokuqondisa kwakhe .
Ngesikhathi uthatha lo muthi, udokotela wakho angase akucele ukuthi wenze ukuhlolwa kwegazi ngezikhathi ezithile. Lokhu kungenxa yokuthi eminye imithi yokubulala izinzwa ingathinta isibindi nezinso. Inganciphisa nenani lama-platelet, okusiza ukujiya kwegazi. Lokhu kuhlolwa kwegazi kwenziwa ukuqinisekisa ukuthi konke emzimbeni wakho kuphilile.
Lezi ezinye zezinkinga ezivame kakhulu:
- Isiyezi
- Ukozela
- Ukukhathala
- Isicanucanu
- Ukuthuthumela
- Ukuqhuma kwesikhumba
- Ukwanda kwesisindo
Ingxenye engcono kakhulu ukuthi iningi lale miphumela emibi izophela ngokuhamba kwesikhathi njengoba umzimba wakho ujwayela imithi. Kodwa uma unenkinga enkulu ngayo, ungalokothi wenze izinqumo wedwa futhi khuluma nodokotela wakho njalo .
Izinto okufanele uzinake kakhulu
Kunezinto eziningana wena nodokotela wakho okudingeka niziqaphele lapho nisebenzisa le mithi.
- Ukukhulelwa: Uma ukhulelwe, noma uhlela ukukhulelwa, kubalulekile ukutshela udokotela wakho. Eminye imithi yokulwa nokuxhuzula ingathinta ingane engakazalwa futhi yandise ingozi yokukhubazeka kokuzalwa . Ngakho-ke, gwema ukuthatha le mithi ngaphandle kweseluleko sikadokotela.
- Impilo yesibindi: Eminye imithi ingathinta isibindi uma isetshenziswa isikhathi eside. Yingakho udokotela wakho ezoqapha ukusebenza kwesibindi sakho ngokwenza ukuhlolwa kwegazi ngezikhathi ezithile.
- Izinkinga ngeminye imithi: Leli iphuzu elibaluleke kakhulu. Ama-anticonvulsants angasebenzisana neminye imithi oyithathayo futhi abangele izinkinga ezinkulu. Lokhu kungafaka phakathi i-aspirin evamile yokuqeda ubuhlungu. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, izithasiselo zamakhambi, kanye nemithi ethengwa ngaphandle kwemithi kadokotela . Ungaqali noma yini entsha ngaphandle kokubuza udokotela wakho.
- Ukuyeka imithi:
- Imithi yokulwa nokuxhuzula kwesifo sokuguquguquka kwengqondo ilawula ukusebenza ngokweqile ebuchosheni futhi izinzise isimo sengqondo.
- Imithi ehlukahlukene isebenza kahle kakhulu ekwelapheni i-mania noma ukucindezeleka kanye nokuvimbela ukubuyela emuva. Udokotela wakho uzokhetha umuthi okulungele wena.
- Kubalulekile ukubekezela njengoba kuthatha amasonto amaningana ukuzwa umphumela ogcwele wale mithi.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Ungakhathazeki ngemiphumela emibi, kodwa uma ukhathazekile ngayo noma uma uba nezimpawu ezintsha, khuluma nodokotela wakho ngokushesha.
- Ungalokothi uyeke ukuthatha le mithi ngokuzumayo ngaphandle kweseluleko sikadokotela.
Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho nganoma yisiphi isizathu. Uma uyeka ukuwuthatha ngokuzumayo, ungase ube sengozini yokuba nesithuthwane, noma ngabe awukaze ube naso. Uma uyeka, yenza kanjalo kancane kancane, wehlise umthamo futhi uqashwe udokotela wakho.
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