Ingabe wena noma othile omaziyo unesifo sokuphazamiseka kwengqondo? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike uhlobo lomuthi olubizwa ngokuthi 'i-Antipsychotic'. Ungase wesabe kancane uma uzwa leli gama. Ungase ucabange, 'Ngidinga umuthi wokwelapha isifo sengqondo ngenxa yani?' Kodwa empeleni, lo muthi ungasiza kakhulu ekulawuleni isifo sokuphazamiseka kwengqondo. Lesi esinye isinyathelo ohambweni lwakho. Ngakho-ke namuhla, ake sibeke eceleni yonke imibuzo nokwesaba ngalokhu bese sixoxa kalula.
Kungani imithi 'ye-Antipsychotic' inikezwa abantu abanesifo sokuphazamiseka kwengqondo esibizwa ngokuthi yi-bipolar disorder?
Cabanga ngale ndlela: isimo sengqondo somuntu onesifo sokuphazamiseka kwengqondo sinjenge-seesaw. Ngesinye isikhathi, basuka phezulu baye phansi (lokhu kubizwa ngokuthi i-mania) baye phansi baye phezulu (lokhu kubizwa ngokuthi ukucindezeleka). Imithi yokulwa nesifo sengqondo isiza ukulinganisela izingxenye ezimbili ezikude ze-seesaw ngokulawula ukushintshashintsha okusheshayo.
Kalula nje, lo muthi usiza kakhulu:
- Ukulawula ukuhlanya: Lokhu kusiza ukulawula izigameko zokunganaki , ukusebenza ngokweqile, izinqumo ezisheshayo, kanye nokuntuleka kokulala.
- Lawula izimpawu zokuphazamiseka kwengqondo: Ngezinye izikhathi, uma une-mania noma ukucindezeleka okukhulu, ungase ube nemibono engalungile kanye nokukhohlisa. Le mithi ibaluleke kakhulu ukulawula ngokushesha lezi zimpawu.
- Vimbela ukubuyela emuva: Ukusebenzisa lo muthi isikhathi eside kunganciphisa ingozi yezigameko zesikhathi esizayo ze-mania noma ukucindezeleka.
- Kuyasiza nangezinye izinto: Ngezinye izikhathi odokotela bangase banikeze lo muthi ngemithamo ephansi ngenxa yokungalali kahle, ukukhathazeka ngokweqile, noma ukucasuka.
Lomuthi usebenza kanjani?
Ubuchopho bethu bunezijikelezo zobuchopho ezilawula imicabango yethu, imizwa, kanye nendlela esibona ngayo izinto. Le mithi isebenza ngokulawula ukusebenza kwalezo zijikelezo. Nakuba indlela okwenzeka ngayo lokhu isesesigabeni socwaningo, kusobala ukuthi le mithi ingalawula ngokushesha izimpawu zokusangana.
Le mithi ivame ukunikezwa kanye neminye imithi, njenge-lithium yokuqinisa isimo sengqondo. Le mithi yokwelapha izifo zengqondo isiza ukulawula izimpawu ngokushesha kuze kube yilapho eminye imithi iqala ukusebenza kahle.
Kodwa-ke, uma imithi efana ne-lithium ingasebenzi kwabanye abantu, udokotela angase anqume ukusebenzisa le mithi 'ye-Antipsychotic' yodwa isikhathi eside. Ikakhulukazi ngemithi emisha 'ye-Antipsychotic' (engavamile).Ama-antipsychotics asebenza ngokushesha kakhulu. Imicabango yakho kufanele iqale ukubuyela esimweni sayo esijwayelekile phakathi namasonto ambalwa.
Yimiphi imithi esetshenziswayo yesifo se-bipolar?
Kunezinhlobo eziningana zemithi 'ye-Antipsychotic' esetshenziselwa isifo sokuphazamiseka kwengqondo eSri Lanka nasemhlabeni jikelele. Udokotela wakho uzokhetha imithi ekufanele kakhulu. Ithebula elingezansi libala eminye yemithi evame ukusetshenziswa.
| Igama Elijwayelekile Lomuthi | Igama lomkhiqizo elivamile |
|---|---|
| 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 |
Indaba eyesaba wonke umuntu: Ake sifunde ngemiphumela emibi
Kulungile, manje ake sixoxe ngesihloko abantu abaningi abasisabayo. Leyo imiphumela emibi. Khumbula, noma yimuphi umuthi ungaba nemiphumela emibi emincane. Into ebaluleke kakhulu ukungesabi lokhu, ukukuqaphela, nokukhuluma ngokukhululekile nodokotela wakho nganoma yini.
Eminye imithi yokwelapha izifo zengqondo ingabangela ukukhuluphala, amazinga aphezulu e-cholesterol egazini, kanye nengozi eyengeziwe yokuba nesifo sikashukela. Lokhu kuyinto ekhathaza abantu abaningi. Yingakho udokotela wakho ezohlola isisindo sakho, ubude, ushukela wegazi, kanye namazinga e-cholesterol ngaphambi kokuba uqale ukuthatha le mithi. Lokhu kuzoqashwa njalo ngesikhathi sokwelashwa.
Eminye imiphumela emibi evamile
- Umbono ofiphele
- Umlomo nomphimbo owomile
- Ukulala emini
- Ukuqhaqhazela noma ukuthuthumela kwemisipha
- Ukwanda kwesisindo
Inothi Elikhethekile: I-Clozapine (Clozaril) ayisetshenziswa kakhulu ngenxa yemiphumela yayo engavamile, engase isongela ukuphila (ukwehla kwenani lamaseli amhlophe egazi). Uma uthatha lo muthi, kufanele uqashwe ngokucophelela ngokuhlolwa kwegazi masonto onke noma njalo ngeviki njengoba kuqondiswe udokotela wakho. I-Ziprasidone (Geodon) nayo ihlotshaniswa nesifo sesikhumba esingavamile nesibucayi. Udokotela wakho uyazi konke ngalokhu, ngakho ungakhathazeki. Uzokuqapha eduze.
Ingabe kufanele sifunde ngama-antipsychotics amadala?
Kukhona nemithi emidala, njenge-Chlorpromazine (Thorazine) kanye ne-Haloperidol (Haldol). Kodwa-ke, le mithi ayisanconywa njengendlela yokuqala yokwelapha isifo sokuphazamiseka kwengqondo. Isizathu esiyinhloko salokhu ukuthi ukusetshenziswa isikhathi eside kwale mithi emidala kwandisa ingozi yomphumela omubi obizwa ngokuthi i-tardive dyskinesia .
I-Tardive Dyskinesia yisimo lapho ushukuma khona ngokungazikhetheli njengokushaya izindebe, ulimi luphuma ngaphandle, ukuhlikihla ubuso, kanye nokuqhaqhazela okungalawuleki kwezingalo nemilenze.
Kodwa ungakhathazeki, le ngozi iphansi kakhulu emithini emisha esikhulume ngayo ngaphambilini (ama-antipsychotics angavamile).Yingakho odokotela manje sebebeka leyo mithi kuqala. Uma lesi simo sivela, manje sekukhona imithi efana ne-Deutetrabenazine (Austedo) kanye ne-Valbenazine (Ingrezza) yokuyelapha.
Umlayezo Wokuya Nawe Ekhaya
- Imithi yokulwa nesifo sengqondo iyindlela yokwelapha ebaluleke kakhulu futhi ephumelelayo yokulawula i-mania kanye nezimpawu zengqondo ku-bipolar disorder.
- Ngaphambi kokuqala nangesikhathi usebenzisa lo muthi, khuluma nodokotela wakho ngokukhululekile ngemiphumela emibi, ikakhulukazi ukukhuluphala kanye nengozi yesifo sikashukela.
- Ungalokothi uyeke ukuthatha imithi oyinikezwe udokotela noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukuthi izimpawu zakho zibuye zibe zimbi kakhulu.
- Uma ubona noma yimiphi imiphumela emibi engavamile (ikakhulukazi ukunyakaza komzimba okungalawuleki, ukozela ngokweqile, noma yini enye), yazisa udokotela wakho ngokushesha.
- Lomuthi uwusizo ekubuyiseleni impilo yakho yengqondo. Ngakho-ke, ngaphandle kokwesaba noma ukungabaza, xoxa ngakho konke nodokotela bese uthola ukwelashwa ngokuzethemba. Ungaqhubeka nalolu hambo.
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