Ukusebenzisana kwezidakamizwa phakathi koPhulo lomlomo kunye neMicrapi Medication
Yintoni oyifunayo ukuba uyazi malunga nokusebenzisana kwezidakamizwa ukuba uthatha isisombululo se- bipolar disorder kwaye ngaba la mayeza angenza ulawulo lwakho lokuzalwa lusebenze kangangoko?
I-Stabilizers ye-Mood ye-Bipolar Disorder
I-Anticonvulsants (antiepileptic) izidakamizwa zisetyenziselwa abantu abaneengxaki zokuphazamiseka kwengqondo kunye nenye yeeklasi eziliqela ezinokuthathwa njengento yokuzinzisa (kunye ne-lithium, i-calcium channel blockers, ne-benzodiazepines).
Nangona la mayeza ayenzelwe ukulawula ukuthatha, bahlala bephumelela kakhulu ekuzinzeni ukuzinza kwaye bebizwa ngokuba yi-mood stabilizers kwesi sizathu.
Nangona la mayeza enokusebenza kakuhle, kukho ukubambisana kwezidakamizwa ezibalulekileyo okuya kudingeka ukuba uqaphele ukuba oko kungabandisa ingozi yokukhulelwa kwaye kwandiswe ingozi yokukhulelwa ukuba ukhulelwe.
Iintlobo zoHlangano
Kukho iindlela ezininzi ezahlukileyo apho ukuzinza kwemizwelo kungakwazi ukusebenzisana neendlela ze-hormonal zokulawulwa kokuzalwa ezifana neepilisi zokulawula ukuzalwa. Gcina ukhumbule ukuba kukho iintlobo ezahlukeneyo zokuzalwa kwe-hormonal contro l, apho iipilisi zokulawula ukuzalwa zihlobo olulodwa kuphela, kwaye nezo ndlela ezingenayo i-estrogen inokuba yingxaki. Olunye ukhuseleko lokukhulelwa okunokuthi kunye nokusebenzisana okuhambelanayo kubandakanya:
- Ukuphuculwa kokusebenza kweepilisi zokulawula ukuzalwa ngokumalunga ne-stabilizer
- Ukuphuculwa kwempembelelo ye-mood stabilizer phakathi kwalabo abathwala iipilisi zokulawula
- Ukuphumelela okwenyukayo (okungafunekiyo) kweziyobisi ezibangelwa yi-bipolar kulabo basebenzise iipilisi zokulawula ukuzalwa
- Ubungenako iziphene zokuzalwa ezihlobene neziyobisi xa ukhulelwe
Makhe sijonge ezimbalwa zezinto ezizenzekelayo zokuzinza kunye nendlela abadibana ngayo nokulawulwa kokuzalwa (okanye ukukhulelwa.)
I-Tegretol (i-Carbamazepine) kunye noLawulo lokuzalwa
I-Tegretol (i-carbamazepine) iyaziwa ngokukodwa ngokubangela ukuhluleka kokukhulelwa phakathi kwabasebenzisa iipilisi zokulawula ukuzala (izithandabuzo zomlomo). Ukongezelela, kwabo bakhulelwe ngelixa bethatha iTegretol kukho ingozi eyongezelelekileyo yokukhubazeka kokuzalwa emntwaneni.
Abasetyhini abamiselweyo iTegretol kufuneka balelwe ukuba basebenzise iindlela zokuqala zokulawula ukuzalwa njengamakhondom. Kwezinye iimeko, unobomi bezilwanyana angancoma ukusebenzisa umlinganiselo ophezulu wokulawulwa kwamachiza kunye nokusetyenziswa kwemithi.
Trileptal (Oxcarbazepine) kunye neePilisi zoLawulo lokuzalwa
I-Trileptal (i-oxcarbazepine) inokuphazamisa nokukhusela i- contraceptive. Iipilisi zokulawula ukuzala eziqukethe i-estrogen kunye ne-progestin, iprogesin kuphela iipilisi zokulawula ukuzala (ipilisi ye-mini), i-progestin injections (ezifana ne-Depo-Provera), ukufakelwa kweprogramin ye-progestin (njenge-Nexplanon), kunye ne-IUDs, ezifana ne- i-Mirena IUD kunye ne-Skyla IUD) inokuthi isebenze ngokufanelekileyo xa uwathatha ngexesha uthabatha i-oxcarbazepine
Ngaphandle kwemiba yokulawulwa kokuzalwa, abantu abathatha i-Trileptal bafanele bazi ukuba kunokunyusa ingozi yokuzibulala nokuzama ukuzibulala. Kule nqaku, ngokuyinhloko sithetha ngokusebenzisana kunye neendlela zokulawula ukuzalwa, kodwa kubalulekile ukuphinda ubonise ukuba kukho ukubanxibelelana kwezidakamizwa ezininzi ngaphezu kokubandakanya ukulawulwa kokuzalwa okunokuba nzima.
I-Topamax (i-Topiramate) kunye noLawulo lokuzalwa
I-Topamax (i-topiramate) inomngcipheko wokunciphisa ukwenziwa kwemithwalo yokuzala kunye nokuthatha ingozi ephezulu yokukhulelwa kwezilwanyana ezinjengomlomo womlomo kunye nentlungu kulabo abakhulelweyo ngenkathi bethatha amayeza.
Ukusebenzisana Phakathi kweDepo-Provera Inject and Any Anticonbulsant
I-Depo-Provera ye-contraceptive injections inokukhawulezisa ukulahleka kwethambo, njengokuba kunokwenzeka nezinye izidakamizwa zokulwa nesifo (i-anticonvulsants), ezinokubangela ukuba i-osteoporosis. Ngaloo ndlela, ukuba uthatha nayiphi na i- anticonvulsant kwaye ucinga ukusebenzisa ii-injection ze-Depo-Provera, funa iingcebiso malunga ne-osteoporosis kumgqirha wakho.
ULamictal (uLamotrigine) kunye noLawulo lokuLawula
Kwimeko yenye i-anticonvulsant, i- Lamictal (lamotrigine), ukulawulwa kokuzalwa kunokuchaphazela indlela i-stabilizer ye-mood esebenza ngayo. Ukuba uqala ukuthatha i-lamotrigine, qiniseka ukuxelela ugqirha wakho ukuba uthatha imithi yolawulo lokubeleka; Ukuba sele usathatha uLamictal, xelela ugqirha wakho ngokukhawuleza ukuba uqala-okanye uyeke ukulawula ukuzala.
Benzodiazepines kunye noLawulo lokuzalwa
I-Benzodiazepines enye iklasi yeziyobisi ezisetyenziselwa ukuhlaziywa kwemizwelo kubantu abanentsholongwane ye-bipolar. Iipilisi zokulawula ukuzalwa zingakhuphula ukuxinwa kwamanye ama- benzodiazepines , njenge-Xanax (alprazolam) ekukhokelela kwimiphumo ephakamileyo yeziyobisi (kunye nemiphumo emibi echaphazelekayo.)
I-Calcium Channel Blockers kunye nokukhulelwa
Izibhengezo zesitishi se-calcium zisetyenziselwa rhoqo ukungabi neengxaki zokuguquguquka kwe-bipolar njengoko zingaqhelekanga njengezilingo ezifanelekileyo kwaye ziphezulu. Oko kwathiwa, ukuba udimazekile ngenxa yemiphumo emibi kunye nokusebenzisana kwamachiza akho, kunokunceda ukufunda ukuba le yeklasi kwiklasi enye ekhuselekile ngokukhulelwa.
Ukuba nguMmeli Wakho
Sibhale iincwadana ezimbalwa zezinto ezinokusetyenziswa kweziyobisi phakathi kweempawu eziqhelekileyo zokusebenzisa i-bipolar (i-stabilizers) kunye nemithi yokulawulwa kokuzalwa kodwa kuninzi ukusebenzisana okungabonakali apha.
Kubalulekile ukuqonda ukuba amayeza oyisebenzisayo, ngokukodwa xa ufumana la mayeza avela kubaboneleli abahlukeneyo, unokukwazi ukusebenzisana. Ama-pharmacist ahlala athola ukusebenzisana, kodwa awukwazi ukucinga ukuba oku kuya kwenzeka. Olunye uphando lubonise ukuba ama-50 ekhulwini abantu abathatha imithi emithandathu okanye ngaphezulu imihla ngemihla babethatha imishanguzo ekhokelela ekusebenzisaneni kakubi.
Ucwaningo lwango-2016 lubonise ukuba ngelixa abaninzi oogqirha baqaphela ukuba kukho ukusebenzisana kwezidakamizwa phakathi kwe-anticonvulsants kunye nokulawulwa kokuzalwa, bebengayazi kakuhle imiphumo emibi kunye nokusebenzisana okunxulumene neziyobisi ezithile.
Iingcebiso zokuphepha ukusebenzisana kwezidakamizwa
- Qinisekisa ukuba bonke ababoneleli bakho bayazi zonke iimichiza ozisebenzisayo, kungekhona nje izidakamizwa abazimiselayo.
- Zile zonke iyeza zakho, kwiibhotile zazo zangaphambili, kwi-ofisi nganye yokutyelela.
- Gcina ukhumbule ukuba amayeza angaphezu kwe-counter and supplementary supplements angase asebenzisane namanye amachiza kunye noogqirha bakho kufuneka baqaphele nayiphi na imithi yokwelapha okanye i-vitamin supplement.
Ngaphantsi kweMixal stabilizers (Ngokukodwa) UkuQinisekisa kweMimoya kunye noLawulo lokuLawula
Umgca wezantsi? Ukuba uthatha okanye ufuna ukuthatha i-contraceptive, soloko uqinisekisa ukuba ugqirha oyalela imithi yakho ye-bipolar uyazi malunga nalo, kwaye ugqirha uchaza ukuba ukhuseleko luyakwazi malunga nemithi yakho ye-bipolar. Kwakulungile ukuba uthethe nekhemistiki malunga nokusetyenziswa kwamachiza okunokwenzeka.
Imithombo:
Suto, H., Braga, G., Scarpellini, G. et al. I-neurologist Ulwazi malunga nokuHlangana phakathi kwee-Antiepileptic iDrugs kunye neendlela zokuLawula. International Journal of Gynecology and Obstetrics . 2016. 134 (3): 264-7.
UWilliam, uD. Antiepileptic Iziyobisi kunye noPhuhliso. Um Pharmist waseMelika . 2014. 39 (1): 39-42.