Abantu abaneempikiswano yokuphazamiseka kweengqondo ze-bipolar phakathi kokudakumba okukhulu kunye ne-mania. Iimpawu zokudandatheka zibandakanya ukudabuka, ukukhathala, ukuxhalaba, nokungabikho komdla kwizinto eziqhelekileyo. Iimpawu ze-mania ziphantse zichasene nokuxinezeleka: amandla amakhulu kakhulu, ubuchule obungqongqo, ukunyaniseka, iimvakalelo ezininzi (okanye, ngamanye amaxesha, ukucasula).
Nangona i-mania ingavakala njengelizwe elinqwenelekayo, lingaba neengxaki ezinzulu: kwezinye iimeko, abantu abajongene ne-mania bangaphinda baxakeke, bangabalulekanga ngesondo, okanye bathathe ezinye izingozi zomzimba.
Indlela ephambili yokonyango kwengxaki yokuguquguquka kwe-bipolar yongenelelo lwamayeza: iyeza. Imimiselo yokonyango ibhelele ngokuthe ngqo kwimania okanye ukuxinezeleka. Ezichazwe apha ngezantsi, ziinkalo eziqhelekileyo kunye nemimiselo ethile yezilwanyana ezisetyenziselwa ukulawula iimpawu ze-mania.
Lithium
Ivunyiwe yi-FDA ngowe-1970, iLithium sele ibe yindlela yokuqala yokwelapha imania. Uphando olutshanje luye lwaqinisekisa ukuphumelela kwe-lithium ekuphatheni uxinzelelo. UWay Redfield Jamison, umbhali we-Unquiet Mind kunye negunya eliphambili kwi-bipolar disorder, ukholelwa ukuba i- lithium ingaphantsi ngenxa yokuba ayibizi.
Anticonvulsants
Ukusetyenziswa kwe-anticonbulsants ekhatyweni kwe-mania kwaqaliswa xa ixabiso labo lonyango liye laphawulwa ngokuzinyameka kwemizwelo yabantu abanesithuthwane.
Ekuqaleni, zazisetyenziselwa abo bangenakuxhatshazwa kweyeza kwiLithium. Ngoku ngoku kubaluleke kakhulu kokubini nje nge-monotherapy kwaye njengesigxina kwezinye iyeza.
Blockers Channel
Eli klasi leziyobisi (apho i-Verapamil, i-Diltiazem, i-Nifedipine, ne-Nimodipine yimizekelo) isetyenziswe kuphela kwiqondo elincinci kakhulu ekulawuleni iimpawu ze-mania ezinxulumene nengxaki yokuguquguquka kwengqondo.
Ukusebenza kwabo kunqongophele.
Antipsychotics
Iziqulatho eziphambili ze-mania zikhoyo ngeengqondo (ukucoca kunye nokukhohliswa) kwiintlobo ezimbini kwizithathu zalaba bantu abaneengxaki. Ngaloo ndlela, le klasi yee-meds isetyenziswa kakhulu. Ziye zisoloko zisetyenziselwa ukunciphisa iimpawu ze-mania kude kube nzima ukuhlaziywa kwemizwelo efana nezo zidweliswe ngasentla. Kwezinye iimeko, ezi zingasetyenziselwa ukugcinwa kwexesha elide lozinzo.
Benzodiazepines
I- Benzodiazepines yinkqubo ye-nervous system (CNS). Zisetyenziselwa ukuvelisa i-sedation, ukunyusa ubuthongo, ukunciphisa ukuxhalabisa kunye ne-muscle spasms, kunye nokuthintela ukuthintela. Ukukhubazeka kwe-bipolar, zisetyenziselwa ukulawula ngokukhawuleza iimpawu zomntu ukuze i-mood stabilizers inexesha lokuqalisa ukusebenza. Zingasetyenziselwa ukukunceda ukubuyisela ixesha eliqhelekileyo lokulala. Amachiza aqhelekileyo kule klasi afaka i-alprazolam (i-Xanax), i-diazepam (iValium), i-lorazepam (i-Ativan) kunye ne-Clonazepam (i-Klonopin).
Kubalulekile ukuqaphela ukuba abantu abahlukeneyo baneempendulo ezahlukeneyo kumachiza - kwaye onke amayeza achazwe ngasentla angaba nemiphumo emibi. Uya kufuneka usebenze nogqirha wakho ukufumana isigqibo esilungileyo (okanye ukuhlanganiswa kwamachiza) ukunyanga iimpawu zakho.