Kushungurudzika hakusi chikamu chepipolar disorder - saka nei antiticonvulsants inorayirwa kuti itarisire mafungiro?
Anticonvulsants mukurapa kwemania yakatangwa apo hutano hwavo hwekurapa hwakaonekwa kuburikidza nekuvandudza mafungiro emagariro evaya vane hosha. Pakutanga, vaishandiswa kune avo vakanga vasingagoni kurwara neLithium . Iko zvino ndiyo inokosha inoshandiswa ivo pachavo uye nemimwe mishonga.
Pros uye Cons yeAnticonvulsants
Anticonvulsants akasiyana-siyana anoita seanobata zvinhu zvakasiyana-siyana zvebipolar disorder; vamwe, kufanana naDepakote uye Tegretol, vanonyanya kubudirira pakurapa mania . Vamwe, saLamictal, vanobudirira zvikuru mukurapa kuora mwoyo. Kunyange zvakadaro, vamwe vangave vasina kunyatsobudirira mukurapa zviratidzo zvishoma, asi kuita basa rakanaka rekubatsira kusimudzira mafungiro uye nokudaro kubatsira kudzivisa manic kana kuora mwoyo episodes .
Sezvo nemishonga yakawanda inoshandiswa kurapa bipolar disorder, anticonvulsants vane zviremera zvakakosha zvinoparadzaniswa kubva kumunhu kusvika kumunhu. Semuenzaniso, vazhinji vanogona kukonzera dutu uye kugona, misoro, misomo yakaoma, nezvimwewo. Muzviitiko zvakawanda, kunyange zvakadaro, migumisiro inogona kuderedza kudarika nguva apo muviri wako unowanzojaira mishonga.
Kunewo mamwe matambudziko makuru anokwanisa kuitika nekushandiswa kwenguva refu kweanticonvulsants. Somuenzaniso, vakadzi vane pamuviri vanofanira kuchengeta anticonvulsants, sezvo vanogona kukonzera kukanganisa kuberekwa.
Zvimwe zvinogona kukonzera kuora kwepuropi kana chiropa kana zvisingaongororwe zvakarongedzwa. Zvakakoshawo kuziva kuti anticonvulsants inogona kupindira mune mamwe mishonga, saka iwe unofanira kurega chiremba wako achiziva nezvemishonga ipi zvayo yawakarongerwa kana iri kutora-in-counter.
Pasinei nezvinetso zvose zvinosanganiswa neanticonvulsants, mune dzimwe nguva, zvinoshanda zvikuru - uye zvinetso zvishoma - kupfuura zvirongwa zvekare.
Vose anticonvulsants uye lithiamu, somuenzaniso, kutora mavhiki mashoma kuti uwane ushumiri hwepamusoro - asi anticonvulsants anowanzoita zvakakurumidza kupfuura lithium. Kune vamwe vanhu, avo vanoti lithiamu isinganyanyi kushanda kana kuderera zvishoma zvakanaka, anticonvulsants inogona kuva yakasarudzwa. Nokuti kune dzakawanda zvakasiyana-siyana zveanticonvulsants, imwe neimwe inoshandisa zvishoma zvakasiyana, zvinobvira kuedza zvinopfuura imwe kuwana sarudzo yakanakisisa yezvaunoda.
Mimwe Inowanzonyorerwa Anticonvulsants
Izvo zvinotevera urongwa hwevamwe veanticonvulsants inowanzonyanya kurongerwa bipolar disorder:
Valproate (Depakote)
Muna 1995, iyi mishonga yakava yekutanga anticonvulsant yakagamuchirwa neRDA yekurapa mania. Inowanzoshandiswa semutambo wemutsara wekutanga kune avo vanokurumidzira kufamba.
Carbamazepine (Tegretol)
Kunyange zvazvo mishonga iyi isati yagamuchira FDA kugamuchirwa semushonga wemania, kushandiswa kwayo kwakanyanya. Kazhinji vanhu vanowana migumisiro yemigumisiro yezvinodhaka izvi zvakaoma zvikuru kushivirira.
Lamotrigine (Lamictal)
Lamotrigine ichechi yechipiri anticonvulsant. Kushandiswa kwaro kuchiri kuedza, asi ndeimwe nzira yakanyatsorambidzwa.
Gabapentin (Neurontin)
Ichi chemishonga, uyewo wechipiri-chizvarwa anticonvulsant, inonyanya kushandiswa pamwe chete nemimwe mishonga yekuvandudza kushanda kwavo.
Topiramate (Topamax)
Topiramate in the newest anticonvulsant panzvimbo. Ichowo zvakare shanduro yekurapa. Zvinoratidzika kuumba mamwe matambudziko nekugunun'una kwekushanda asi kune kubatsira kwekuwanzo kukurudzira kuora kurasikirwa.