Ukuqhagamshelana namayeza abalulekileyo njengemiphumo emibi
I-bipolar disorder igulo lokuphila ngonaphakade kunye neziqephu (ikakhulukazi ukuba zingakhange ziphendulwe) eziguquke kakhulu kwaye ziyingqayizivele kumntu ngamnye. Unyango luyinkimbinkimbi kwaye kaninzi lubandakanya amayeza angaphezu kweyodwa - imithi yokulondoloza (i-mood stabilizer) kunye neyeza ukunyanga iziqulatho ezinzima.
Ukususela ekubeni unyango lweziyobisi luyinxalenye ebalulekileyo yonyango yokuphazamiseka kwengqondo, kubalulekile ukuzifundisa malunga nabo.
Nazi izixhumo kumachiza omiselweyo ngengxaki ye-bipolar - olu luhlu lugqibeleleyo, kodwa alubandakanyi konke.
Anti-Convulsants
I-Anticonvulsants, eyaziwa ngokuba ngamachiza okulwa ne-anti-seizure, ngamanye amaxesha asetyenziswa njengengqondo yokuzinza kwi-bipolar disorder.
- I-Carbamazepine (Atretol, Tegretol, Epitol)
- I-Divalproex Sodium (i-Depakote, i-Epival)
- IGabapentin (Neurontin)
- Lamotrigine (Lamictal)
- I-Oxcarbazepine (Trielptal)
- Topiramate (Topamax)
- Valproic Acid Depakene, Depakote, Valproate, Epival)
Antipsychotics
Isizukulwana sokuqala se-antipsychotics, esaziwa nangokuthiwa ngama-antipsychotics, ziquka:
I-Chlorpromazine (iTrazine)
- Haloperidol (Haldol
- I-Fluphenazine -prolixin, imvume
- Flupenthixol -fluanxol
- Zuclopenthixol-clopixol
I-antipyychotics ye-Atypical ine- side effects ye-extrapyramidal xa kuthelekiswa nama-antipsychotics. Kodwa ezinye, ngokukodwa i-clozapine kunye ne-olanzapine, zithatha ingozi enkulu ye-syndrome. Apspical antipsychotics ziquka:
- Aripiprazole (Abilify)
- Clozapine (Clozaril)
- Olanzapine (Zyprexa)
- Risperidone (Risperdal)
- IZiprasidone -Geodon
Ukuxhatshazwa
I-serotonin i-reuptake inhibitors, okanye i-SSRIs, i-anti-depressants eyaziwa ngokuqhelekileyo ngenxa yengxaki enkulu yokudandatheka kodwa inokumiselwa ukudandatheka kwe-bipolar.
I-SSRI iquka:
- Citalopram (Celexa)
- Escitalopram (Lexapro, Cipralex)
- Sertraline (Zoloft)
- I-Fluoxetine (iPzac, uSarafem)
- Fluvoxamine (Luvox)
- I-Paroxetine (Paxil)
I-serotonin-norepinephrine reuptake inhibitors (i-SNRIs) iquka i- Venlafaxine (Effexor), i- Duloxetine (i-Cymbalta), ne-Desvenlafaxine (Pristiq), i-Desfax).
I-Tricyclic antidepressants yiklasi elidala lokuxhatshazwa kwengqondo ukuba ngelixa abanye bebenokusebenza kwabanye abantu baqhuba iphrofayili enkulu yecala kuquka i-heart arrhythmias kunye neempembelelo ze-anticholinergic ezifana nomlomo owomileyo, ukudibanisa kunye nokuqhaqha.
- Amitriptyline (Amitrip, Elevil, Endep, Levate, Amitril, Enovil)
- Amoxapine (Asendin)
- Clomipramine (Anafril)
- I-Desipramine (i-Norpramin, i-Pertofrane)
- Doxepin (Sinequan)
- Imipramine (eTofranil)
- Nortriptyline (Aventyl, Pamelor)
- I-Trazodone (Olepro, Desyrel)
I-Monoamine oxidase inhibitors yiklasi elidala lokuxhatshazwa. Basebenza ngokuthintela ukuwa kweemonoamines ebuchosheni, njenge-dopamine, i-norepinephrin, kunye ne-serotonin. Imizekelo ibandakanya:
- IPhenelzine (Nardil)
- Moclobemide (Manerix)
- I-Tranylcypromine (Parnate)
Kukho izidandlululo ezingafanelekanga kwiklasi enye, njengeNefazodone (Serzone), iTrozodone (Olepro, Desyrel), kunye neBupropion (Wellbutrin).
Benzodiazepines
I-Benzodiazepines igxininisa inkqubo yomnatha yomntu kwaye isetyenziselwa ukuphatha ukuxhalaba, ukulala, kunye nokuxhwala. I-Benzodiazepines ine- half-life-life , nto leyo ithetha ukuba abanye banomsebenzi omfutshane, abasebenza ngokukhawuleza, okanye abasebenza ixesha elide. Ziquka:
- Alprazolam (Xanax, Novo-alprazol, Nu-alpraz)
- I-Clonazepam (iKlonopin, iRivotril)
- I-Chlordiazepoxide (Librium, Libritabs)
- Diazepam (Valium)
- Flurazepam (Dalmane)
- Lorazepam (Ativan)
- Oxazepam (Serax)
- Temazepam (Ukubuyisela)
- Triazolam (Halcion)
Amanye amayeza
Kukho uninzi lwamanye amayeza asetyenziswa kubantu abaneengxaki zokuguquka kwe-bipolar. Ezinye zisetyenziswe ngokuqhelekileyo kodwa azifaneleki kwiinkqubo zonyango zengqondo.
Omnye umzekelo nguLithium (Lithane, Lithobid, Lithonate, Eskalith, Cibalith-S, Duralith) - isisombululo esifanayo kunye nesisebenzayo esilulekayo esweni. Ngakolunye uhlangothi, i- Verapamil (iCalan, i-Isoptin), imishanguzo yomsinga wegazi engazange isetyenziswe kunyango lwe-mania.
IMilly Medication
Ngamanye amaxesha ugqirha wakho uya kumisela elinye iyeza elidibanisa ezimbini iziyobisi. Oku kunokwenza i-dosing efanelekileyo kwaye wenze ukulandelwa kwemithi yakho ilula kakhulu. Imizekelo emithathu ibandakanya:
- Triavil (Amitriptyline / perphenazine)
- I-Limbitrol (Amitriptyline / chlordiazepoxide)
- I-Symbyax (i-Fluoxetine / i-olanzapine)
Okukwintsusa
Ingqondo efanelekileyo ukwaziswa ngamachiza kunye nokuhlala uwathatha njengoko uqondiswe - ungatshintshi umthamo wakho okanye uyeke ukuthatha imithi ngaphandle kokubonisana nodokotela wakho kuqala. Ukongezelela, ungaze wabelane ngamachiza akho nabanye. La mayeza anzima kwaye angakwazi ukusebenzisana kakhulu kunye namanye amayeza kunye nokubeka ingozi kulabo baneengxaki ezithile zempilo.
> Imithombo:
> I- American Psychiatric Association (2010). Yenza isiKhokelo soNyango lwabaguli abaneBipolar Disorder Edition Second .
> I-Hamer AM ne-Muench J. Imiphumo emibi yeyeza-antipsychotic. I-Phys Physician . 2010 uMar 1; 81 (5): 617-22.