Uma unesifo sokuphazamiseka kwengqondo , ngezinye izikhathi ungase uzibone wena nomhlaba uphambene kancane. Kufana nokubheka izingilazi ezimbili ezinothuli. Kodwa imithi efanele ingakusiza ukuthi usule lezo zingilazi zihlanzekile futhi ubone konke ngokucacile futhi. Nakuba le mithi ingase ingayelaphi ngokuphelele isimo sakho, ibalulekile ekugcineni isimo sakho sengqondo silinganisela futhi sikuvumele ukuthi wenze izinto ozifunayo futhi uzijabulele, ukuze uphile impilo evamile.
Yimuphi umuthi ongcono kakhulu kimi?
Odokotela basebenzisa imithi eyahlukahlukene ukwelapha isifo sokuphazamiseka kwengqondo esibizwa ngokuthi yi-bipolar disorder. Eminye imithi isiza ukulawula i-mania, kanti eminye isiza ukulawula ukucindezeleka. Kungase kudingeke uphuze umuthi owodwa nje, noma kungase kudingeke uphuze inhlanganisela yemithi.
Umuthi ongcono kakhulu yilowo osebenza kahle kuwe. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho ngokuthi yimuphi umuthi ozokusiza kakhulu.
Ngisho noma sekuphele isikhathi eside kusukela enkathini yakho yokugcina yokudabuka noma yokucindezeleka, kungase kudingeke uqhubeke nokuthatha lo muthi, mhlawumbe iminyaka eminingi. Lokhu kubizwa ngokuthi ukwelashwa kokulondoloza . Lokhu kwenzelwa ukuvimbela izimpawu ukuthi zingabuyi.
Iyini imithi yokuzinzisa imizwa?
Kalula nje, izinzisa imizwa ziyiqembu lemithi elapha futhi ivimbele kokubili ukusangana nokucindezeleka, futhi ingasiza ekunciphiseni ukuphazamiseka okungabangelwa imizwa yakho emsebenzini wakho, esikoleni, noma ebudlelwaneni bakho nabantu.
Ithebula elingezansi libala ezinye zezinto ezivame ukusetshenziswa kakhulu zokuzinzisa isimo sengqondo.
| Igama elijwayelekile lomuthi | Amagama emikhiqizo aziwa kakhulu |
|---|---|
| I-Lithium | I-Lithium Carbonate |
| I-Valproic acid / i-Divalproex sodium | I-Depakene, i-Depakote |
| I-Carbamazepine | I-Tegretol, i-Carbatrol |
| I-Lamotrigine | I-Lamictal |
Eminye yale mithi, isibonelo i-'Carbamazepine' kanye ne-'Valproic acid', nayo iyimithi yokulwa nokuxhuzula esetshenziswa ukwelapha ukuxhuzula . Kodwa-ke, akuzona zonke lezi mithi ezisebenza ngendlela efanayo. Imithi efana ne-'Lithium' ingcono ekwelapheni i-mania, kanti imithi efana ne-'Lamotrigine' ingaba usizo kakhulu ekucindezelekeni.
Uma uzwa igama elithi "mood stabilizer," ungacabangi ukuthi imizwa yakho izohlala ifana usuku lonke. Le mithi isetshenziswa kakhulu ukulawula imizwa ephezulu nephansi ehlala izinsuku noma amasonto.
Eminye imithi esiza ukulawula isimo sengqondo
Imithi yokulwa nesifo sengqondo ivame ukusetshenziswa ezinhlelweni zokwelapha i-bipolar. Le mithi ingasetshenziswa yodwa noma ngezinzinzisi zemizwa ukulawula izimpawu ze-mania.
Kulezi zinsuku, odokotela bavame ukuncoma ama-antipsychotics esizukulwane esisha.
| Ama-Antipsychotics Amasha |
|---|
| I-Aripiprazole (Abilify) |
| I-Olanzapine (i-Zyprexa) |
| I-Quetiapine fumarate (i-Seroquel) |
| I-Risperidone (i-Risperdal) |
| I-Ziprasidone (i-Geodon) |
| I-Lurasidone (i-Latuda) |
Imithi ekhethekile yokucindezeleka kwe-bipolar
Odokotela bavame ukuqala ukwelashwa nge-bipolar ngesithambisi sokuzinza kwemizwa njenge-lithium. Kodwa-ke, kunemithi evunyelwe ngqo isigaba sokucindezeleka se-bipolar disorder. Eminye yale mithi ihlanganisa i-quetiapine fumarate (Seroquel), i-lurasidone (Latuda), kanye nenhlanganisela ye-olanzapine ne-fluoxetine ebizwa ngokuthi i-Symbyax.
Abanye abantu bangaba ne-manic episode lapho bethatha imithi yokucindezeleka. Ngenxa yale ngozi, udokotela wakho uzokuqapha ngokucophelela uma unikezwe imithi enjalo.
Ingabe lo muthi ungifanele? Khumbula lezi zinto uma usebenzisa umuthi
Udokotela ngeke akutshele ngokushesha ukuthi umuthi othile uzokusebenzela kahle kangakanani. Kungase kudingeke uzame imithi eminingana kanye nemithamo ehlukene ukuze uthole umuthi kanye nemithamo efanele wena. Lokhu kungathatha isikhathi.
Ngisho noma lokhu kuzwakala kungaphezu kwamandla, ungapheli amandla. Uma unesineke, wena nodokotela wakho nizokwazi ukuthola ukwelashwa okufanele.
Landela le miyalelo uma usebenzisa umuthi:
- Thatha umuthi wakho ngesikhathi esifanayo nsuku zonke. Akulula ukukhohlwa uma ukwenza umkhuba ukuthatha umuthi wakho ngento oyenzayo nsuku zonke, njengokuxubha amazinyo akho, ukudla isidlo sasekuseni, noma ukulala ebusuku. Kuwusizo olukhulu futhi ukusebenzisa ibhokisi lamaphilisi lapho ungahlela khona umuthi wakho ngosuku lwesonto.
- Buza udokotela wakho ngesikhathi esingcono kakhulu sokuthatha imithi yakho . Eminye imithi ingcono ukuyithatha ekuseni, eminye ebusuku. Eminye imithi kufanele ithathwe ngaphambi noma ngemva kokudla.
- Yazi kahle ukuthi yini okufanele uyenze uma ukhohlwa ukuthatha umthamo womuthi. Qiniseka ukuthi ubuza udokotela wakho ngalokhu. Ungalokothi uphindaphinde umthamo womuthi ngaphandle kokubuza udokotela wakho.
Iyini imiphumela emibi yemithi ye-bipolar?
Njenganoma yimuphi umuthi, imithi ye-bipolar ingabangela eminye imiphumela emibi. Lokhu kuyahlukahluka kuye ngohlobo lomuthi owuthathayo. Eminye yemiphumela emibi evame kakhulu ihlanganisa:
- Isicanucanu
- Ukuthuthumela
- Ukulahlekelwa izinwele
- Izinkinga zocansi
- Ukwanda kwesisindo
- Imiphumela ezinso noma esibindini
- Ukuphazamiseka kwesisu kanye nesifo sohudo
- Ukusabela kwesikhumba
Eminye imithi ingathinta ukusebenza kwesibindi sakho, inani lamaseli amhlophe egazi noma ama-platelet. Ngakho-ke, udokotela wakho angase akuncome ukuhlolwa kwegazi njalo ukuze ahlole ukuthi uphilile yini.
Isibonelo, umuthi i-ziprasidone (Geodon) ungabangela ukusabela kwesikhumba okungavamile kodwa okubi kakhulu okubizwa ngokuthi i-DRESS syndrome. Uma uhlangabezana nalolu hlobo lokusabela kwesikhumba okunamandla, bona udokotela wakho ngokushesha noma uye emnyangweni wezimo eziphuthumayo (ETU) wesibhedlela esiseduze nawe.
Imiphumela eminingi emibi iyaphela zingakapheli amasonto ambalwa uqale ukwelashwa. Kodwa uma uqhubeka nokuba nezinkinga, bona udokotela wakho. Ungazizwa sengathi kufanele uphile nemiphumela emibi. Udokotela wakho angase akwazi ukushintsha umthamo wakho, akunike umuthi ohlukile wokuphatha imiphumela emibi, noma akushintshele komunye umuthi ngokuphelele.
Ungayeki ukwelashwa phakathi!
Imithi yesifo sokuphazamiseka kwengqondo inamandla kakhulu. Ngakho-ke, kubaluleke kakhulu ukuyithatha njengoba nje udokotela wakho ekutshelile. Ungayeki ukuthatha imithi yakho ngaphandle kwemvume kadokotela wakho. Lokhu kungaba yingozi.
Uma uzizwa ungcono, ungase uzizwe sengathi ufuna ukuyeka imithi yakho. Kodwa uma udokotela wakho engavumi, lokho akuwona umqondo omuhle. Ukwelashwa kokulungisa kubalulekile ukuvimbela izimpawu ukuthi zingabuyi.
Iqiniso lokuthi uzizwa ungcono manje lisho ukuthi imithi yakho isebenza kahle. Ngakho-ke, ungayeki ukuphuza imithi yakho ngaphandle kweseluleko sikadokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Imithi ibalulekile ukulawula isifo sokuphazamiseka kwengqondo esibizwa ngokuthi yi-bipolar disorder.
- Kungathatha isikhathi ukuthola umuthi ofanele wena, ngakho-ke yiba nesineke futhi usebenzisane nodokotela wakho.
- Ungalokothi uyeke ukuthatha imithi yakho noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Buza udokotela wakho kusenesikhathi ukuthi wenzeni uma ukhohlwa ukuthatha umthamo womuthi.
- Ungesabi imiphumela emibi, khuluma nodokotela wakho ngayo ngokukhululekile. Kunezixazululo zayo.
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