Ingabe udokotela wakho ukutshelile ukuthi ilungu lomndeni, umngane, noma wena ngokwakho unesifo sokuphazamiseka kwengqondo? Kungenzeka ukuthi uke wezwa ngohlobo lomuthi olubizwa ngokuthi 'i-antipsychotic' phakathi kwezinhlobo zemithi enikezwayo. Abanye abantu bangase besabe kancane lapho bezwa leli gama. Kodwa empeleni lo muthi wenzani? Ingabe kufanele uwusebenzise? Ingabe ikhona imiphumela emibi? Namuhla, sizoxoxa ngakho konke lokhu ngendlela elula kakhulu ongayiqonda.
Kungani kunikezwa imithi yokulwa nesifo sengqondo esibizwa ngokuthi i-bipolar disorder?
Kalula nje, lolu hlobo lomuthi lusiza kakhulu ukulawula ezinye zezimpawu ezinzima ezenzeka ngesikhathi sokuqubuka kwesifo sokuphazamiseka kwengqondo okuguquguqukayo. Cabanga nje, ngezinye izikhathi lapho lesi simo siqubuka, umuntu angakwazi...
- Ukubona noma ukuzwa izinto ezingekho (Imibono Engaqondakali): Izinto ezifana nokuzwa umuntu ekhuluma engekho, ukubona izithombe ezingekho.
- Izinkolelo ezingenangqondo ( Ukukhohlisa ): Izinto ezifana nokucabanga ukuthi unamandla akhethekile noma ukukholelwa ukuthi othile ukwenza uzungu ngawe.
- Izimpawu ze-Manic: Izimpawu ezifana nokusebenza ngokweqile, ukulala kancane, ukusebenzisa imali ngokunganaki, nokuziphatha ngokunganaki.
Ezimweni ezimbi kakhulu njengalezi, imithi yokulwa nesifo sengqondo ibaluleke kakhulu ukulawula ngokushesha izimpawu nokuzola isiguli. Udokotela wakho angase ayincome ukuthi isetshenziswe isikhathi esifushane noma eside.
Futhi, eminye imithi yokulwa nesifo sengqondo ingasiza ekwelapheni ukucindezeleka okukhulu okwenzeka kwisifo se-bipolar futhi ivimbele ukuphindaphinda kweziqephu ezinjalo ze-manic noma ze-depression esikhathini esizayo.
Ngezinye izikhathi odokotela basebenzisa le mithi yokungalali, ukukhathazeka, kanye nokucasuka. Lokhu kubizwa ngokuthi ukusetshenziswa 'okungekho kulabel'. Lokhu kusho ukuthi imithi inikezwa ukulawula ezinye izimpawu ngaphezu kwalokho okuhloswe ngakho ngokuyinhloko.
Lo muthi uvame ukunikezwa kanye nesiqinisi semizwa (isb., i-lithium). Njengoba iziqinisi zemizwa zithatha isikhathi ukusebenza emzimbeni, le mithi yokulwa nesifo sengqondo ingasiza ekulawuleni izimpawu zokudabuka ngokushesha okwamanje.
Lomuthi usebenza kanjani?
Lokhu kuyinkimbinkimbi kancane, kodwa masikwenze kube lula. Kunezijikelezo zobuchopho ezilawula ukucabanga kwethu, imizwa kanye nokuqonda kwethu. Esifweni esibangelwa yi-bipolar disorder, ukusebenza kwalezi zijikelezo kuba okungalingani.
Imithi yokulwa nesifo sengqondo isebenza ngokulinganisela kabusha umsebenzi walezi zijikelezo. Nakuba indlela okwenzeka ngayo lokhu isaphenywa, kusobala ukuthi ingalawula ngokushesha izigameko zokusangana.
Ikakhulukazi isizukulwane esisha semithi, ebizwa ngokuthi ama-antipsychotics angavamile, isebenza ngokushesha okukhulu . Lezi zinhle kakhulu ekulawuleni ukuziphatha okungenangqondo nokungacabangi okwenzeka ngesikhathi sokuhlanya. Le mithi isiza abantu ukuthi baqale ukucabanga ngendlela evamile phakathi namasonto ambalwa.
Imithi yokwelapha ingqondo esetshenziswa kakhulu
Ithebula elilandelayo libala imithi eminingana esetshenziswa ukwelapha isifo sokuphazamiseka kwengqondo. Lokhu kufaka phakathi amagama ajwayelekile kanye namagama emikhiqizo avame ukutholakala ezweni lethu.
| Igama Elijwayelekile Lomuthi | Izibonelo Zegama Lomkhiqizo |
|---|---|
| i-aripiprazole | I-Abilify |
| i-asenapine | USaphris |
| i-cariprazine | I-Vraylar |
| i-clozapine | I-Clozaril |
| i-lurasidone | I-Latuda |
| i-olanzapine | I-Zyprexa |
| i-quetiapine | I-Seroquel |
| i-risperidone | I-Risperdal |
| i-ziprasidone | I-Geodon |
Into ebaluleke kakhulu: Lezi yizibonelo ezimbalwa nje. Udokotela wakho kuphela onganquma umuthi ofanele kanye nomthamo wakho noma othandekayo wakho. Ungawuthathi umuthi ngoba omunye umuntu ewuthatha, noma ushintshe umuthi udokotela wakho awunike wona.
Ake siqaphele imiphumela emibi yale mithi.
Njenganoma yimuphi umuthi, le mithi ingaba nemiphumela emibi. Kodwa ayenzeki kuwo wonke umuntu. Bambalwa abantu abayitholayo.
Imiphumela emibi evamile
- Umbono ofiphele
- Umlomo owomile
- Ukozela
- Ukuthuthumela kwemisipha noma ukuqina kwayo
- Ukwanda kwesisindo
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, khuluma nodokotela wakho ngakho. Bangase bakwazi ukuzilawula ngokushintsha umthamo noma ukushintshela komunye umuthi.
Amaphuzu akhethekile okufanele acatshangelwe
Eminye imithi yokulwa nesifo sengqondo ingabangela ukukhuluphala okukhulu, amazinga aphezulu e-cholesterol egazini, kanye nengozi eyengeziwe yesifo sikashukela. Ngakho-ke, kubaluleke kakhulu ukukhuluma nodokotela wakho ngengozi yakho yesifo senhliziyo, isifo sohlangothi, nesifo sikashukela bese uhlolwa ngaphambi kokuqala le mithi.
Ungayeki ukuphuza imithi yakho ngaphandle kokubonisana nodokotela wakho ngoba wesaba imiphumela emibi efana nale. Khuluma nodokotela wakho ngokukhululekile nganoma yikuphi ukungakhululeki obhekene nakho. Uzokunikeza ikhambi elifanele kakhulu.
Futhi, udinga ukuqaphela ngokukhethekile imithi ethile.
- I-Clozapine (i-Clozaril): Nakuba lo muthi usebenza kahle kakhulu, awuvamile ukubangela imiphumela emibi kakhulu (amangqamuzana amhlophe egazi aphansi), ngakho kuzodingeka ukuthi uhlolwe igazi lakho masonto onke noma njalo emavikini amabili ngenkathi uthatha umuthi.
- I-Ziprasidone (i-Geodon): Lo muthi ungase uhlotshaniswe nokusabela kwesikhumba okungavamile, okungase kube yingozi.
Lezi zinto azihloselwe ukukwethusa, kodwa ukukufundisa. Udokotela wakho uzokucabangela konke lokhu lapho ekunika imithi yakho.
Ake sifunde futhi ngama-antipsychotic amadala.
Manje, kunemithi emidala yokulwa nesifo sengqondo eyayisetshenziswa ngaphambi kwemithi emisha esikhulume ngayo (isib. i-chlorpromazine, i-haloperidol). Kodwa le mithi ayisanikezwa njengokwelashwa kokuqala kwesifo sokuphazamiseka kwengqondo. Isizathu salokhu ukuthi le mithi emidala ingaba nemiphumela emibi kakhulu.
Kubizwa ngokuthi 'i-Tardive Dyskinesia' . Lesi yisimo sesikhathi eside lapho uba nokunyakaza okuphindaphindiwe, okungahleliwe njengokushaya izindebe, ukuphumela ngaphandle kolimi, kanye nokuhlikihla ubuso. Kukhona ingozi ethile yalokhu ngemithi emisha, kodwa akuvamile kakhulu ngemithi emidala.
Kodwa-ke, kumuntu ongasabeli emithini emisha noma obhekene nemiphumela emibi kakhulu, udokotela angase anqume ukunikeza lo muthi omdala ngaphansi kokuqondisa kwakhe.
Umlayezo Wokuya Nawe Ekhaya
- Imithi yokulwa nesifo sengqondo iyisigaba esibalulekile semithi esetshenziswa ukulawula izimpawu ezinzima zesifo sokuphazamiseka kwengqondo, njenge-mania kanye ne-psychosis.
- Lezi zivame ukusetshenziswa kanye neminye imithi, njengeziqinisi zemizwa.
- Imiphumela emibi efana nokukhuluphala kanye nokozela ingase ivele. Ngakho-ke, kubaluleke kakhulu ukuhlala uxhumana nodokotela wakho njalo futhi wenze izivivinyo ezidingekayo.
- Okubaluleke kakhulu: Ungalokothi uyeke ukuthatha imithi yakho noma ushintshe umthamo ngaphandle kokubonisana nodokotela wakho kuqala. Lokhu kungenza isimo sakho sibe sibi kakhulu.
- Khuluma nodokotela wakho ngokukhululekile nganoma yikuphi ukungakhululeki okungenzeka ukuthi ubhekene nakho, ngisho noma kuncane kakhulu. Uhlala ekulungele ukukusiza.
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