Wake walubona ushintsho olungajwayelekile emndenini wakho noma kumngane wakho, njengokwanda kwenjabulo ngokuzumayo, ukwanda kwamandla, ukusebenza izinsuku eziningi ngaphandle kokulala, ukuchitha yonke imali yabo, kanye nokuziphatha ngokunganaki? Ngezinye izikhathi lokhu kungaba yingqophamlando yesifo sengqondo esibizwa ngokuthi "i-mania." Uma sikhuluma iqiniso, lesi yisimo lapho isimo sengqondo sishintsha ngokuzumayo sisuka kokuphezulu siye kokuphansi. Kodwa ungakhathazeki, kunezindlela zokwelapha ezingasiza ekulawuleni lokhu. Namuhla, ake sixoxe ngokwelashwa kwalesi simo se-mania.
Yimiphi imithi esetshenziselwa i-mania?
Uma une-manic episode, kungadingeka uqale ukuthatha imithi ukuze uyilawule ngokushesha. Udokotela wakho uvame ukukunikeza umuthi obizwa ngokuthi "i-mood stabilizer." Le mithi ibizwa nangokuthi "i-antimanic".
Le mithi ikusiza ukulawula kokubili isimo sakho sengqondo esiphakeme nesiphansi futhi ikugcine usezingeni elijwayelekile. Kungase kudingeke ukuthi uphuze le mithi isikhathi eside, mhlawumbe impilo yakho yonke. Kufana nokuthatha imithi yesifo sikashukela noma umfutho wegazi ophakeme. Ikusiza ukuthi ulawule isimo sakho futhi uphile impilo ejwayelekile.
Imithi evame ukusetshenziswa kakhulu kulokhu yi -lithium , kanye neminye imithi yokulwa nesifo sokuwa njenge- carbamazepine kanye ne-valproate . Uzodinga ukubhekwa eduze ngudokotela wakho ngenkathi uthatha le mithi. Kuzodingeka futhi ukuthi uhlolwe igazi njalo.
I-Lithium - umuthi oyinhloko osetshenziswa isikhathi eside
I-Lithium umuthi ofundwa kabanzi futhi osekuyisikhathi eside usetshenziswa ukwelapha isifo sokuphazamiseka kwengqondo. Inciphisa ubukhali beziqephu zokuphazamiseka kwengqondo futhi inciphise ukuphindaphindeka kokubuyela emuva. Izifundo zikhombisile nokuthi i-lithium iyasiza ekunciphiseni ingozi yokuzibulala kubantu abanesifo sokuphazamiseka kwengqondo.
Kalula nje, i-lithium iyisidakamizwa esithinta ubuchopho futhi esiza ukulawula imizwa yakho, ubuthongo, amazinga amandla, kanye nokukhubazeka kokuziphatha.
Yini okufanele uyilindele lapho uthatha lo muthi?
Kungathatha amasonto ambalwa ukuthi i-lithium isebenze ngokugcwele. Udokotela wakho uzoyala ukuhlolwa kwegazi ngenkathi uthatha lo muthi ngoba i-lithium ingathinta ukusebenza kwezinso zakho kanye ne-thyroid gland.
I-Lithium isebenza kahle kakhulu uma amazinga omuthi emzimbeni wakho esezingeni elifanayo. Yingakho udokotela wakho evame ukukutshela ukuthi uphuze izingilazi zamanzi ezingu-8-12 ngosuku bese ufaka usawoti ekudleni kwakho njengenjwayelo. Lezi zinto zizosiza ukugcina amazinga e-lithium emzimbeni wakho ezinzile.
Into ebaluleke kakhulu ukuthi ungalokothi ushintshe umthamo noma uyeke ukuthatha imithi ngaphandle kokubuza udokotela wakho.
| Imiphumela emibi evamile ye-lithium | Amaphuzu abalulekile |
|---|---|
| Ukwanda kwesisindo | Khuluma nodokotela wakho mayelana nokudla kanye nokuzivocavoca. |
| Ukuthuthumela kwesandla | Lokhu kuvamile, kodwa uma kukubi kakhulu, tshela udokotela wakho . |
| Ukoma ngokweqile kanye nokuchama | Lokhu kujwayelekile, phuza amanzi amaningi. |
| Ubunzima bokukhumbula, ukozela | Lokhu kungase kunciphe ngokuhamba kwesikhathi. Qaphela lapho ushayela. |
| Ukulahlekelwa izinwele noma induna | Yazisa udokotela wakho ngalokhu futhi. |
| Tshela udokotela wakho ngokushesha: | |
| Unesifo sohudo esingapheli.Uma unezimpawu ezifana nohudo, ukuhlanza, umkhuhlane, ubunzima bokuhamba, ukuthuthumela okukhulu, ukulahlekelwa ukwazi, ukudideka, ubunzima bokukhuluma, noma ukushaya kwenhliziyo okusheshayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela. | |
Imithi yokulwa nokuxhuzula isiza kanjani?
Ngezinye izikhathi, odokotela basebenzisa nemithi evimbela ukuquleka ukulawula izimpawu ze-bipolar. Le mithi ibizwa ngokuthi "imithi yokulwa nokuquleka." I-Carbamazepine , i-lamotrigine, kanye ne-valproate (i-Depakote) eminye yale mithi.
Lezi ngezinye izikhathi zisetshenziswa ne-lithium, neminye imithi, noma zodwa. Zingaba usizo kakhulu kubantu abanesimo esibizwa ngokuthi "i-rapid cycling," lapho beshintshana khona phakathi kwezinkathi ze-mania kanye nokucindezeleka izikhathi ezingaphezu kwezine ngonyaka.
Le mithi isebenza futhi ukudambisa ukucindezeleka kwengqondo. Ngezinye izikhathi, kudingeka ukuhlolwa kwegazi uma uthatha le mithi.
Kubaluleke kakhulu: Abesifazane abakhulelwe noma abesifazane abazama ukukhulelwa kufanele bagweme ukuthatha imithi ethile, njenge -valproate (Depakote) kanye ne -carbamazepine (Tegretol), ngoba ingabangela ukukhubazeka kokuzalwa komntwana. Ngakho-ke, uma uhlela ukukhulelwa noma uthola ukuthi ukhulelwe, tshela udokotela wakho ngokushesha.
Imithi yokulwa nesifo sengqondo
Imithi yokulwa nesifo sengqondo uhlobo lomuthi owawunikezwa isikhathi esifushane ngaphambilini ukulawula izimpawu ezinzima ezifana nokubona izinto ezingekho noma ukuphupha ngesikhathi sokuhlanya.
Kodwa kulezi zinsuku, le mithi emisha yokulwa nesifo sengqondo isetshenziswa kanye nezinzinzisi zemizwa ukulawula ngokushesha izimpawu nokuvimbela ukubuyela emuva. Isebenza ngokulawula umsebenzi wamakhemikhali ebuchosheni abizwa ngokuthi "ama-neurotransmitter" njenge -dopamine ne -serotonin .
Le mithi isiza ukulawula ukuziphatha okungenangqondo nokungacabangi okuhambisana nokuhlanya futhi ikusize uqale ukucabanga ngendlela evamile cishe phakathi nesonto.
| Imiphumela emibi yemithi yokulwa nesifo sengqondo |
|---|
| - Umbono ofiphele |
| - Umlomo owomile |
| - Ukozela |
| - Ukuqina kwemisipha noma ukuthuthumela |
| - Ukukhuluphala kanye namazinga aphezulu e-cholesterol (lokhu kuyimiphumela emibi ebaluleke kakhulu) |
Eminye yemithi emisha yokulwa nesifo sengqondo ingabangela ukukhuluphala, i-cholesterol ephezulu, kanye namazinga aphezulu kashukela egazini . Ngakho-ke, udokotela wakho uzohlola ingozi yakho yesifo senhliziyo nesifo sikashukela ngaphambi kokuqala lo muthi.
Ukwelashwa Nge-Electroconvulsive (ECT)
Kungenzeka ukuthi uke wezwa "ngokwelashwa ngokushaqeka." Yilokho igama lezokwelapha elikubiza ngokuthi i-ECT . Akwesabisi njengoba kubonakala kumamuvi. I-ECT iyindlela yokwelapha ephephile kakhulu, elawulwayo enikezwa ngaphansi kwe-anesthesia ephelele (ngemithi yokukulalisa) .
Lokhu kwelashwa kuvame ukwenziwa,
- Kulabo abanezimpawu ezinzima kakhulu
- Kulabo abangasabeli kahle emithini
- Kulabo abangakwazi ukuzinakekela, noma abanemicabango eminingi yokuzibulala
- Ukusetshenziswa kwezidakamizwa ngesikhathi sokukhulelwa kuyingozi kulabo
I-ECT iyindlela yokwelapha ephumelela kakhulu engaqeda ngokushesha izimpawu zokudangala noma ukucindezeleka okukhulu. Ngeke uzwe lutho phakathi nalokhu kwelashwa. Ungase uzizwe udidekile futhi uphethwe yikhanda uma uvuka, kodwa lokhu kuzophela ngemva kwesikhashana.
Khumbula, i-bipolar akuyona iphutha lakho noma ubuthakathaka. Yisimo esingelapheka esibangelwa ukungalingani kwamakhemikhali obuchopho.
Umlayezo Wokuya Nawe Ekhaya
- I-Bipolar mania yisimo esingalawulwa kahle ngokwelashwa, ngakho ungesabi.
- Kubaluleke kakhulu ukuphuza imithi oyinikezwe udokotela wakho ngesikhathi esifanele nangesilinganiso esifanele.
- Ungayeki ukuphuza imithi noma ushintshe umthamo ngaphandle kokubonisana nodokotela wakho nganoma yisiphi isizathu. Ukwenza kanjalo kungenza izimpawu zakho zibe zimbi kakhulu.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi evela emithini yakho, khuluma nodokotela wakho ngakho. Uzokwazi ukukunikeza ikhambi elifanele kakhulu.
- Kubalulekile ukuya emitholampilo ngezinsuku ezihleliwe bese uhlolwa ngokufanele.
- Ukusekelwa nokuqonda komndeni nabangane kuyisici esinamandla ekulawuleni lesi sifo.
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