I-Anticonvulsants for Mania kwi-Bipolar Disorder

Ukudumala akuyiyo inxalenye yengxaki yokuguquguquka kwengqondo - ngoko kutheni ukuba i-anticonbulsants ibe yinkqubo yokulawulwa kwemizwa?

I-Anticonvulsants ekhatyweni kwe-mania yaziswa xa ixabiso labo lonyango liye laphawulwa ngokuzinyameka kwemizwelo yabantu abanesithuthwane. Ekuqaleni, zazisetyenziselwa abo bangenakuxhatshazwa kweyeza kwiLithium . Ngoku ngoku kubaluleke kakhulu kokubodwa kunye namanye amayeza.

Iinkonzo kunye neNgcengo yeAnticonvulsants

Ama-anticonbulsants ahlukeneyo abonakala baphatha imiba eyahlukeneyo ye-bipolar disorder; Ezinye, njengeDepakote kunye neTegretol, zisebenza ngokuthe ngqo ekuphatheni imania . Abanye, njengoLamictal, banempumelelo xa baphatha ukuxinezeleka. Sekunjalo, abanye bangasebenzi kangangoko ekuphatheni iimpawu ezikhawulezayo, kodwa benze umsebenzi omhle wokunceda ukuzinza ukuzinza kwaye ngaloo ndlela uncedise ukukhusela iziqwenga zomntu.

Njengokuba kukho ezininzi iziyobisi ezisetyenziselwa ukuphatha ingxaki ye-bipolar, i-anticonbulsants inemiphumo echaphazelekayo eyahluka kumntu kumntu. Ngokomzekelo, uninzi lunokubangela ukutyhafaza nokulala, iintloko, umlomo owomileyo, njl. Kwiimeko ezininzi, nangona kunjalo, imiphumo emibi inganciphisa ixesha elide umzimba wakho ujwayele ukufumana imithi.

Kukho nemiphumo embi kakhulu engafumaneka ngokusetyenziswa kwexesha elide le-anticonbulsants. Ngokomzekelo, abafazi abakhulelweyo kufuneka baphephe i-anticon-stisants, njengoko bangabangela ukukhubazeka kokuzalwa.

Ezinye zingabangela umonakalo wezintso okanye isibindi xa kungakhange kuhlolwe ngenyameko. Kwakhona kubalulekile ukwazi ukuba i-anticonvulsants inokuphazamisa amanye amayeza, ngoko kufuneka uvumele ugqirha wakho azi malunga nayiphi na imichiza entsha enikwe yona okanye uthatha i-counter-counter.

Nangona zonke iingxaki ezinxulumene ne-anticonvulsants, kwezinye iimeko, ziphumelela ngakumbi - kwaye ziyingxaki ezincinci - kunokuba zonyango lweklasi.

Bobabini i-anticonbulsants kunye ne-lithium, umzekelo, kuthatha iiveki ezimbalwa ukuze ufikelele kwimpumelelo - kodwa i-anticonvulsants ihlala isenza ngokukhawuleza ngaphezu kwe-lithium. Kwabanye abantu, ukuba i-lithium ayisebenzisi ngaphantsi okanye iyancitshiswa kakuhle, i-anticonvulsants ingaba yinto efanelekileyo. Ngenxa yokuba kuninzi i-anticonbulsants eyahlukeneyo, nganye leyo isebenza ngokungafaniyo, kunokwenzeka ukuba uzame ngaphezulu kweyodwa ukufumana ukhetho oluhle kwiimfuno zakho ezithile.

Ezinye zeAnticonvulsants eziCwangcisiweyo eziqhelekileyo

Oku kuluhlu lwezinye i-anticonvulsants eziqhelekileyo ezichazwe kwi-bipolar disorder:

Valproate (Depakote)
Ngo-1995, eli liyeza laba yi-antiticonbulsant yokuqala evunywe yi-FDA yokunyangwa kwe-mania. Ngokuqhelekileyo kusetyenziswa njengonyango lokuqala kumalungu abo bajikelezayo ngokukhawuleza.

Carbamazepine (Tegretol)
Nangona eli gama lingafumani imvume ye-FDA njengonyango lwe-mania, ukusetyenziswa kwayo kuqhelekileyo. Ngokuqhelekileyo abantu bafumanisa iziphumo ezichaphazelekayo kule nkunkuma nzima kunzima ukunyamezela.

Lamotrigine (Lamictal)
I-Lamotrigine isizukulwana sesibini se-anticonvulsant. Ukusetyenziswa kwayo kuseyizameko, kodwa yindlela efanelekileyo yokunyamezela.

IGabapentin (Neurontin)
Esi sigqirha, kwakhona isizukulwana sesizukulwana sesi-anticonvulsant, sisetyenziswa ngokubanzi kunye namanye amayeza ukuphucula ukusebenza kwabo.

Topiramate (Topamax)
I-Topiramate kwi-anticonvulsant entsha kwindawo. Kwakhona unyango oluchaziweyo. Kubonakala kudala ubunzima obunokusebenza kwengqondo kodwa kunenzuzo yokuhlala ikhuthaza ukulahleka kwesisindo.