Uhlu Lokuqiniswa Kwemizwelo

-Delile

• Kuyini okusimamisa imizwa?
• Uhlu lwemithi ye-Mood stabilizer
• Amaminerali
• Ama-anticonvulsants
• Ama-antipsychotic
• Ukudla okudlela endlini

Kuyini okusimamisa imizwa?

Ama-Mood stabilizers yimithi yezengqondo esiza ukulawula ukushintshashintsha kokucindezeleka kanye ne-mania. Banikezwe ukubuyisela ibhalansi ye-neurochemical ngokunciphisa umsebenzi wobuchopho.

Izidakamizwa ze-Mood stabilizer zivame ukusetshenziselwa ukwelapha abantu abane-bipolar mood disorder futhi kwesinye isikhathi abantu abane-schizoaffective disorder kanye ne-borderline personality disorder. Kwezinye izimo, zisetshenziselwa ukwengeza eminye imithi, njenge-anti-depressants, ukuphatha ukucindezeleka.

Uhlu lwemithi ye-Mood stabilizer

Imithi evame ukuhlukaniswa njengeziqinisi zemizwa ifaka:

• amaminerali
• ama-anticonvulsants
• ama-antipsychotic

Amaminerali

ILithium yinto eyenzeka ngokwemvelo. Akuwona umuthi owenziwe.

ILithium yamukelwa yi-U.S. Food and Drug Administration ngo-1970 futhi isabhekwa njengesiqinisi semizwa esisebenzayo. Kuvunyelwe ukwelashwa kwe-bipolar mania kanye nokwelashwa kwesondlo kwe-bipolar disorder. Kwesinye isikhathi isetshenziswa ngokuhlangana neminye imithi yokwelapha ukucindezeleka kwe-bipolar.

Ngoba i-lithium ikhishwa emzimbeni ngokusebenzisa izinso, ngesikhathi sokulashwa kwe-lithium imisebenzi yezinso kufanele ihlolwe ngezikhathi ezithile.

Amagama womkhiqizo wezohwebo we-lithium afaka:

• Eskalith
• I-Lithobid
• I-Lithonate

Imiphumela emibi evela ku-lithium ingafaka:

• isicanucanu
• ukukhathala
• ukuzuza kwesisindo
• ukuthuthumela
• isifo sohudo
• ukudideka

Ama-anticonvulsants

Eyaziwa nangokuthi imishanguzo ye-antiepileptic, imishanguzo ye-anticonvulsant yasungulwa ukwelapha ukuquleka. Ama-anticonvulsants avame ukusetshenziselwa ukuqinisa imizwa afaka:

• i-valproic acid, ebizwa nangokuthi i-valproate noma i-divalproex sodium (Depakote, Depakene)
• i-lamotrigine (Lamictal)
• i-carbamazepine (Carbatrol, Tegretol, Epitol, Equetro)

Amanye ama-anticonvulsants asetshenziswa ngaphandle kwelebula - angavunyelwe ngokusemthethweni ngalesi simo - njengeziqinisi zemizwa, afaka:

• i-oxcarbazepine (i-Oxtellar, i-Trileptal)
• i-topiramate (Qudexy, Topamax, Trokendi)
• i-gabapentin (Horizant, Neurontin)

Imiphumela emibi evela kuma-anticonvulsants ingafaka:

• ukukhathala
• ikhanda
• ukuzuza kwesisindo
• isicanucanu
• ubuhlungu besisu
• kwehle isifiso sobulili
• imfiva
• ukudideka
• izinkinga zokubona
• ukulimaza noma ukuphuma kwegazi ngokungajwayelekile

Qaphela: Ukusetshenziswa kwezidakamizwa ezingekho kwelebula kusho ukuthi umuthi ovunyelwe yi-FDA ngenhloso eyodwa usetshenziselwa injongo ehlukile engavunyelwe. Kodwa-ke, udokotela usengasisebenzisa lesi sidakamizwa ngaleyo njongo. Lokhu kungenxa yokuthi i-FDA ilawula ukuhlolwa nokuvunywa kwezidakamizwa, kodwa hhayi ukuthi odokotela bazisebenzisa kanjani izidakamizwa ukwelapha iziguli zabo. Ngakho-ke, udokotela wakho angakunikeza umuthi kodwa bacabanga ukuthi kungcono kakhulu ukunakekelwa kwakho. Funda kabanzi ngokusetshenziswa kwezidakamizwa ezingekho kwelebula.

Ama-antipsychotic

Ama-antipsychotic angabekwa kanye nezidakamizwa ezizinzisa imizwa. Kwezinye izimo, kubonakala sengathi basiza ukuzinza kwemizwelo bebodwa. Ama-antipsychotic asetshenziselwa ukwelapha ukuphazamiseka kwe-bipolar afaka:

• i-aripiprazole (Hlanza)
• i-olanzapine (Zyprexa)
• i-risperidone (Risperdal)
• i-lurasidone (Latuda)
• i-quetiapine (iSeroquel)
• i-ziprasidone (Geodon)
• i-asenapine (Saphris)

Imiphumela emibi evela kuma-antipsychotic ingafaka:

• ukushaya kwenhliziyo okusheshayo
• ukozela
• ukuthuthumela
• ukungaboni kahle
• isiyezi
• ukuzuza kwesisindo
• ukuzwela ekukhanyeni kwelanga

Ukudla okudlela endlini

Izidakamizwa ze-Mood stabilizer zisetshenziselwa ukwelapha abantu abane-bipolar mood disorder. Uma unezimo eziguquguqukayo ezithinta amandla akho, ukulala, noma ukwahlulela, khuluma nodokotela wakho. Uma kufanelekile, udokotela wakho angahlanganisa uhlelo lokwelashwa olungafaka ukuqiniswa kwemizwa.