Ngezinye izinsuku uzizwa ujabule kakhulu, ujabule, futhi ugcwele amandla... Kodwa ngezinye izinsuku uzizwa uphansi kangangokuthi awukwazi ukwenza lutho, futhi uzizwa sengathi unesithukuthezi ngezwe... Lokhu kushintshashintsha kwemizwa okungazelelwe sikubiza ngokuthi 'ukushintshashintsha kwemizwa'. Cishe nawe uke wabhekana nalokhu. Lokhu kungaba uphawu olukhulu lwesifo sengqondo esibizwa ngokuthi i-bipolar. Namuhla, kulesi sihloko, sizokhuluma nge -Bipolar I Disorder kanye nomuthi i-Vraylar osetshenziswa ukuyelapha.
Iyini ngempela i-Bipolar I?
Kalula nje, i-bipolar yisimo esibangela izinguquko ezinkulu emazingeni akho emizwa, amandla, kanye nomsebenzi. Sibonakala ngezindlela ezimbili eziyinhloko zokuziphatha.
1. Isiqephu Sokuhlanya: Phakathi nalesi sikhathi, ungase uzizwe ujabule kakhulu, ujabule futhi unamandla. Ungase ube nokuqwasha, ukhulume ngokushesha, usebenze ungayeki, futhi wenze izinqumo eziyingozi.
2. Isiqephu Sokucindezeleka: Phakathi nalesi sikhathi, uzizwa udabuke kakhulu, ucindezelekile, futhi ungenasithakazelo kunoma yini. Uhlala ukhathele, awunaso isifiso sokudla , futhi awufuni ukwenza izinto owawuzijabulela.
Umuntu one-bipolar kumele ukuthi ngike ngaba nesinye isiqephu se-manic okungenani. Ngezinye izikhathi, kuvela iziqephu ezixubile, lapho izimpawu ze-manic nezokucindezeleka zenzeka khona ndawonye. Nakuba kungekho ikhambi lalesi simo, ngemithi efanele kanye nokwelashwa, kungenzeka ukulawula izimpawu futhi uphile impilo evamile .
I-Vraylar umuthi osetshenziselwa ukwelapha zonke lezi zimo ezintathu (i-mania, ukucindezeleka, kanye nengxubevange). Isithako sayo esisebenzayo yi-cariprazine. Ingowesigaba semithi ebizwa ngokuthi ama-antipsychotics esizukulwane sesibili. Lolu hlobo lwemithi lungcono kunemithi emidala ngoba ayinawo amathuba amaningi okubangela imiphumela emibi ehlobene nokunyakaza (izimpawu ze-extrapyramidal) njengokuthuthumela nokungaphumuli.
Nakuba kungakaqondakali ngokugcwele ukuthi lo muthi usebenza kanjani, siyazi ukuthi ulinganisela umsebenzi wamakhemikhali amabili ebuchosheni abizwa ngokuthi i-serotonin ne-dopamine . La makhemikhali amabili yiwo asiza kakhulu ekulawuleni imizwa yethu.
Uyisebenzisa kanjani le mithi?
I-Vraylar iza ngama-capsule. Ungayithatha kanye ngosuku, noma ungadlile. Kodwa into ebaluleke kakhulu ukuyithatha njengoba nje udokotela wakho ekuyalele, ngomthamo ofanele, ngesikhathi esifanele.Udokotela wakho angashintsha umthamo kuye ngezimpawu zakho.
Okubalulekile: Ungalokothi uyeke ukuthatha imithi yakho noma wandise noma wehlise umthamo ngaphandle kokubonisana nodokotela wakho kuqala.
Ithebula elingezansi libonisa indlela udokotela avame ukunikeza ngayo lo muthi.
| Uhlobo lwesiqephu | Umthamo wokuqala ojwayelekile | Umthamo omkhulu udokotela angashintsha |
|---|---|---|
| Iziqephu Ezixubile Noma Ezixubile | Umthamo ongu-1.5mg ngosuku lokuqala ungandiswa ube ngu-3mg kusukela ngosuku lwesibili. | 6mg ngosuku |
| Iziqephu Zokucindezeleka | 1.5mg ngosuku lokuqala. | Ngemva kwezinsuku ezingu-15, umthamo ungandiswa ube ngu-3mg ngosuku uma kudingeka. |
Kuthatha isikhathi esingakanani ukuthi umuthi usebenze?
Lona umbuzo abantu abaningi abawubuzayo. I-Vraylar ayisebenzi ngokushesha. Kancane kancane iqala ukuthinta umzimba wakho. Ngakho-ke kungathatha amasonto ambalwa ukubona imiphumela. Into ebaluleke kakhulu ukuqhubeka nokuthatha umuthi ngaphandle kokulahlekelwa usuku futhi isikhathi eside njengoba udokotela wakho ekutshela. Uma ukhohlwa ukuphuza umuthi wakho, ungasebenzisa ibhokisi lamaphilisi noma usethe isikhumbuzi efonini yakho.
Into okufanele uyiqaphele kakhulu!
Lapho beqala imithi yanoma yisiphi isifo sengqondo, ikakhulukazi ezinyangeni ezimbalwa zokuqala nalapho beshintsha umthamo, abanye abantu bangase babhekane nokushintsha kwemizwelo. Kukhona ingozi yemicabango noma izenzo zokuzibulala . Ungesabi lokhu, kodwa kufanele uqaphele kakhulu.
Uma wena noma othile omaziyo ezwa sengathi ufuna ukuzilimaza, hamba uye esibhedlela esiseduze ngokushesha.Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) noma ushayele udokotela wakho ucingo ngokushesha.
Hlala uqaphile ngezici ezilandelayo:
- Imicabango emisha noma eyandisiwe yokuzibulala.
- Ukuzama ukuzibulala.
- Ukukhathazeka okusha noma okwandisiwe, ukucindezeleka, noma ezinye izinguquko ezingavamile ekuziphatheni.
Yini okufanele uyenze uma kuvela imiphumela emibi?
Njengayo yonke imithi, i-Vraylar ingabangela imiphumela emibi. Akuwona wonke umuntu oyitholayo. Ngisho noma iyithola, ivame ukuphathwa. Ngezansi kuneminye yemiphumela emibi evame kakhulu nokuthi yini ongayenza ngayo.
| Umphumela Ongemuhle | Izinto ongazenza kanye nalokho okudingeka ukwazi |
|---|---|
| Ukunyakaza okungalawuleki (izimpawu ze-extrapyramidal) - isib. ukuthuthumela, ukuqina | Lokhu kungaba yinkinga enkulu. Uma uhlangabezana nalezi zimpawu , tshela udokotela wakho ngokushesha . Angase akwazi ukushintsha umthamo noma akunike omunye umuthi. |
| Ukungaphumuli (Akathisia) | Lokhu kufana nalokho okushiwo ngenhla. Khuluma nodokotela. Uzokunikeza ikhambi kulokhu. |
| Ukuphazamiseka kwesisu, isicanucanu, ukuhlanza | Phuza amanzi amaningi ukuze ugweme ukuphelelwa amanzi emzimbeni. Yidla ukudla okulula okufana nama-crackers nesinkwa. Gwema ukudla okunamafutha, okunongwe kakhulu. Uma izimpawu zakho zingathuthuki, tshela udokotela wakho. |
| Ukozela | Gwema ukushayela noma ukusebenzisa imishini edinga ukuqapha uze wazi kahle ukuthi umuthi uthinta kanjani wena. |
Ngenxa yokuthi i-Vraylar ihlala emzimbeni isikhathi eside, eminye imiphumela emibi ingase ingabonakali ngokushesha, kodwa ingase ivele ngemva kwamasonto ambalwa. Ngakho-ke qaphela noma yiziphi izimpawu ezintsha.
Ingabe kungaba nezinkinga ngeminye imithi?
Yebo, impela. Eminye imithi oyithathayo ingathinta indlela esebenza ngayo i-Vraylar. I-Vraylar ingashintsha nendlela esebenza ngayo eminye imithi. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi imithi yezinye izimo, imithi yokunciphisa ubuhlungu ethengwa ngaphandle kwemithi kadokotela, amavithamini, ngisho nemithi ye-Ayurvedic). Angakunikeza imithi engcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Bipolar I yisimo esingalawulwa kahle ngokwelashwa. I-Vraylar iyisidakamizwa esisebenzayo esisetshenziselwa sona.
- Ukuqala, ukushintsha umthamo, kanye nokuyeka lo muthi kufanele kwenziwe kuphela ngeseluleko sikadokotela wakho.
- Kungathatha amasonto ambalwa ukubona imiphumela ephelele yomuthi, ngakho-ke kubaluleke kakhulu ukuqhubeka nokuwusebenzisa ngaphandle kokulahlekelwa usuku.
- Qaphela kakhulu noma yiziphi izinguquko zengqondo, njengemicabango yokuzibulala, phakathi nezigaba zokuqala zokwelashwa. Uma uhlangabezana nanoma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha noma uye emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (i-ETU).
- Ungesabi noma yimiphi imiphumela emibi engase ivele, kodwa khuluma nodokotela wakho ngakho ngokukhululekile. Uzokunikeza ikhambi elingcono kakhulu.
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