Ingabe ngezinye izikhathi ukuthola kunzima ukugcina ingqondo yakho isendaweni eyodwa? Ingabe ngokuzumayo uzizwa sengathi inhliziyo yakho igcwele injabulo bese iphela? Ingabe ngokuzumayo uzizwa unesithukuthezi ngomhlaba futhi awukwazi ukwenza lutho? Kunzima kakhulu ukuphila nezinguquko ezinkulu kangaka esimweni sakho sengqondo, akunjalo? Ngakho-ke namuhla sizokhuluma ngohlobo lomuthi ongakusiza ngezikhathi ezinjengalezi. Lokho `(Ama-Mood Stabilizers)`.

Ziyini lezi "zinto eziqinisa imizwa"?

Kalula nje, "Ama-Mood Stabilizers" imithi esiza ukugcina isimo sakho sengqondo, noma "isimo sengqondo," sizinzile noma silinganisele. Odokotela bavame ukunikeza le mithi, ikakhulukazi kubantu abanezimo ezifana ne -bipolar disorder .

Manje cishe uzibuza ukuthi iyini i-bipolar disorder. Kusho ukuthi imizwa yomuntu iyashintshashintsha phakathi kwezindlela ezimbili ezibucayi.

• Ngakolunye uhlangothi, izikhathi zenjabulo enkulu kanye nenjabulo (iziqephu ze-Manic): Phakathi nalesi sikhathi, ingqondo iba matasa kakhulu, usebenza kanzima kangangokuthi awutholi ubuthongo, imibono iyaqhubeka igeleza engqondweni yakho, futhi ngezinye izikhathi ingqondo yakho ingagxila ngisho nasezintweni eziyingozi. Kunjengokungathi ingqondo yakho imane isebenza ngaphandle kwamabhuleki.
• Ngakolunye uhlangothi, izikhathi zokudabuka okukhulu nokuphelelwa yithemba (iziqephu zokucindezeleka): Phakathi nalesi sikhathi, ulahlekelwa yisithakazelo kunoma yini, ukhathala yikho konke, futhi ungase ungazizwa sengathi uvuka embhedeni.

Ngakho-ke, le mithi ethi "Mood Stabilizers" isiza ukulawula lokho kushintshashintsha okukhulu kwemizwelo futhi igcine ingqondo yakho isesimweni esizolile. Lokhu kunganciphisa nesidingo sokuthi ulaliswe esibhedlela njalo.

Kodwa odokotela basebenzisa lezi "zinto eziqinisa imizwa" hhayi nje kuphela ngesifo sokuphazamiseka kwengqondo, kodwa futhi nakwezinye izinkinga eziningana zempilo yengqondo . Isibonelo:

• Isifo Sobuntu Esisemkhawulweni
Isifo Sokungezwani Komzimba
• Ukucindezeleka (ikakhulukazi uma eminye imithi ingasebenzi kahle)

Lezi `(Mood Stabilizers)` zisebenza kanjani?

Lokhu kungokwesayensi kancane, kodwa ake ngikubeke kalula. Ubuchopho bethu buqukethe amakhemikhali abizwa ngokuthi ama-neurotransmitters .Ezinye. Lezi yizo ezisisiza ukulawula imizwa yethu njengenjabulo, usizi, nentukuthelo. Cabanga ngazo njengezithunywa ezincane ezithwala imiyalezo engqondweni yethu.

Ngakho-ke, okwenziwa yi-Mood Stabilizers ukulungisa ukusebenza kwalawo ma-neurotransmitter kancane. Okusho ukuthi, uma amanye ama-neurotransmitter esebenza kanzima kakhulu, ayanciphisa kancane, noma uma esebenza kancane kakhulu, ayandisa kancane. Ngale ndlela, kukholelwa ukuthi le mithi isiza ukulinganisela izinqubo zamakhemikhali ebuchosheni futhi inciphise ukungazinzi kwemizwa. Uyaqonda?

Kuthatha isikhathi esingakanani ukuthi lo muthi usebenze?

Lokhu kuyinto engahluka kumuntu nomuntu. Kunzima ukulindela ushintsho olukhulu ngokushesha uma uqala ukuthatha `(Mood Stabilizers)`. Ungase ungaboni umehluko omkhulu amasonto ambalwa. Ekuqaleni, uzozwa izinguquko ezincane. Kancane kancane, uzobona imiphumela emihle kuphela uma uqhubeka nokusebenzisa umuthi. Ngakho-ke, kubaluleke kakhulu ukuthatha umuthi njengoba nje udokotela ekutshela.

Ungasheshi. Nika umzimba wakho isikhathi sokujwayela imithi.

Yiziphi izinhlobo ze-`(Mood Stabilizers)` ezikhona?

Kunezinhlobo ezintathu eziyinhloko zezinzinzisi zemizwa. Udokotela wakho angase akunike enye yalezi, noma ngezinye izikhathi inhlanganisela yeziningana.

1. I-Lithium

I-Lithium iyinto eyenzeka ngokwemvelo. Ibilokhu isetshenziswa njengesiqinisi semizwa kusukela ngawo-1970. Iza ngaphansi kwamagama emikhiqizo afana ne-Eskalith® ne-Lithobid®.

Kodwa into eyodwa okudingeka uyiqaphele kakhulu uma usebenzisa i-lithium ukugcina izinga le-lithium egazini lakho lisezingeni elifanele. Kungaba yingozi uma likhuphuka kakhulu. Ngakho-ke, uma uthatha i-lithium, udokotela wakho uzokwenza ukuhlolwa kwegazi njalo.

2. Imithi Yokuquleka

Lolu hlobo lwemithi lwaqala ukwethulwa ukwelapha izifo zokuxhuzula ezifana nesifo sokuwa. Kodwa-ke, abacwaningi kamuva bathola ukuthi le mithi ingalawula nezimpawu zesifo sokusha kwemizwa.

Eminye yemithi evame ukusetshenziswa kakhulu ethi "Anticonvulsants" yile:

• I-Valproic acid (isib. i-Depakote®)
• I-Lamotrigine (isib. i-Lamictal®)
• I-Carbamazepine (isb., i-Tegretol®)
• I-Oxcarbazepine (isib. i-Oxtellar®, i-Trileptal®)

3. Ama-antipsychotics

Eminye imithi yokulwa nesifo sengqondo isebenza futhi njengeziqinisi zemizwa, ikakhulukazi ukusiza ukulawula izigameko zokusangana kwemizwa enkingeni yokuguquguquka kwengqondo. Ngezinye izikhathi le mithi inganikezwa yodwa noma ihlanganiswe nenye imithi yokuqinisa imizwa.

Ngaphezu kwalezi zinhlobo eziyinhloko, eminye imithi ingasetshenziswa ukulawula izimpawu ezahlukene ze-bipolar disorder. Isibonelo, ama-benzodiazepines (okukhathazeka, ukuqwasha, njll.), kanye nama-antidepressants (ezigabeni zokucindezeleka, kodwa lokhu kunikezwa ngokuqapha okukhulu, mhlawumbe kuhlanganiswe ne-mood stabilizer, noma kungase kube nesiqephu se-manic).

Yimiphi imiphumela emibi engaba khona ye-`(Mood Stabilizers)`?

Njenganoma yimuphi umuthi, izinto eziqinisa imizwa zingabangela imiphumela emibi. Kodwa-ke, lokhu kuzohluka kuye ngohlobo lomuthi owuthathayo. Ungakhathazeki, isikhathi esiningi le miphumela emibi izophela njengoba umzimba wakho ujwayela umuthi.

Eminye yemiphumela emibi evame ukubonakala yile:

• Ukozela
• Ukuzizwa unesiyezi
• Ukwanda kwesisindo
• Isicanucanu, ukungakhululeki esiswini
• Ukuthuthumela kwesandla
• Ukukhathazeka

Uma le miphumela emibi iqhubeka, noma inzima ngokwanele ukuphazamisa imisebenzi yakho yansuku zonke, kufanele nakanjani ukhulume nodokotela wakho. Udokotela wakho angase akwazi ukulungisa umthamo noma akushintshele komunye umuthi.

Ungakwazi yini ukulutheka ku-`(Mood Stabilizers)`?

Lona umbuzo abantu abaningi abawubuzayo. ``(Ama-Mood Stabilizers)`` awayona imithi ebangela umlutha ngomqondo wokuthi sivame ukuyibiza ngokuthi "iyalutha." Okusho ukuthi, awalutha, njengomuthi.

Kodwa-ke, ngenxa yokuthi abantu abaningi bathatha le mithi izinyanga, ngisho neminyaka, ubuchopho bakho buyayijwayela. Ngakho-ke, uma uyeka ukuyithatha ngokuzumayo, kungathatha isikhathi ukuthi ubuchopho bakho buphinde buzivumelanise nayo. Izimpawu zakho zingase zibuye, noma ungase ube nezimpawu zokuhoxa. Lezi ngokuvamile azibi kakhulu, kodwa njenganoma yimuphi umuthi, kubalulekile ukukhuluma nodokotela wakho ngaphambi kokuyeka izinto eziqinisa imizwa bese unciphisa kancane kancane njengoba kuqondiswe.

Ngingazi kanjani ukuthi ngidinga `(Ama-Mood Stabilizers)`?

Lokhu akuyona into ongazinqumela yona wedwa. Udokotela wakho kuphela onganquma ukuthi uyawadinga yini ama-`(Mood Stabilizers)` noma cha. Udokotela uzokwenza lesi sinqumo ngemva kokucabangela izici eziningi:

• Ukuxilongwa kwakho (okungukuthi, isimo sezokwelapha onaso) nokuthi izimpawu zakho zimbi kangakanani.
• Yimiphi imithi owake wayisebenzisa ngaphambili futhi wasabela kanjani kuyo?
• Ezinye izimo zempilo onazo (isibonelo, uma ukhulelwe noma uncelisa).

Ngakho-ke, uma unomuzwa wokuthi unenkinga yempilo yengqondo edinga imithi, qiniseka ukuthi ubona udokotela ofanelekayo ukuze akunike iseluleko.

Kuzodingeka ngithathe isikhathi esingakanani i-`(Mood Stabilizer)`?

Lokhu kuyahlukahluka kuye ngesimo sakho sezempilo.

• Nge-Bipolar Disorder: Uma unesifo sokuphazamiseka kwengqondo futhi uthatha izithambisi-ndlela zokuzinza kwemizwa, cishe kuzodingeka uthathe le mithi impilo yakho yonke . Njengoba nje umuntu onesifo sikashukela ethatha i-insulin nsuku zonke, isifo sokuphazamiseka kwengqondo esiguquguqukayo siyisimo sokuphila konke. Ngakho-ke kubalulekile ukuthatha imithi yakho nsuku zonke.
• Kwezinye izimo zempilo yengqondo: Uma uthatha izithambisi-ndlela zokuzinza kwemizwa kwezinye izimo, njengokucindezeleka, kungadingeka ukuthi uthathe le mithi isikhathi esilinganiselwe kuphela (amasonto noma izinyanga ezimbalwa). Lokhu kuzonqunywa udokotela wakho ngokusekelwe esimweni sakho.

Izithambisi-ndlela zokuma kwemizwa zisetshenziswa kakhulu ekwelapheni isifo sokuphazamiseka kwengqondo okuguquguqukayo. Nakuba ziwusizo kakhulu, igama elithi "isithambisi-ndlela sokuma kwemizwa" empeleni lingadukisa kancane. Lokhu kungenxa yokuthi le mithi ayikuqedi ngokuphelele ukushintshashintsha kwemizwa yakho. Ungase ube nezinkinga zokuphakama nokwehla, kodwa ngeke zibe zimbi njengakuqala. Ngakho-ke, ungayeki ukuphuza imithi yakho ngoba ucabanga ukuthi "umuthi awusebenzi." Kungenzeka ukuthi awusebenzi ngendlela oyilindele, kodwa kungenzeka. Uma unemibuzo noma ukukhathazeka, qiniseka ukuthi ukhuluma nodokotela wakho.

Okokugcina, into ebaluleke kakhulu

Izinzisa isimo sengqondo ziwuhlobo olubaluleke kakhulu lomuthi olusiza ukugcina isimo sakho sengqondo silinganisela.

• Lezi kufanele zisetshenziswe kuphela njengoba kuqondiswe udokotela .
• Ungalindeli imiphumela emikhulu ngokushesha lapho uqala ukuthatha umuthi, bekezela kancane.
• Ungakhathazeki ngemiphumela emibi, eminingi ingeyesikhashana. Kodwa uma unenkinga, tshela udokotela wakho.
• Ungalokothi uyeke ukuthatha imithi ngaphandle kokubuza udokotela wakho.
• Uma unemibuzo mayelana nalo muthi, ungesabi ukuxoxa ngawo nodokotela wakho.

Khumbula, awuwedwa. Baningi abantu abaphila nalezi zimo. Ngokwelashwa nokusekelwa okufanele, nawe ungaphila impilo enhle.

Iziqinisi zemizwa, ukuphazamiseka kwengqondo, impilo yengqondo, imithi, ukwelashwa, i-lithium, ukucindezeleka