Kubatana Kwemishonga Pakati Pemakemikari Okurapa uye Bipolar Mishonga
Chii chaunoda kuziva pamusoro pemishandisirwo emishonga kana uri kutora mamiriro ekusimudzira bipolar disorder uye inogona here kuti mishonga iyi iite kuti kuberekwa kwako kubatsire kusimba?
Maitiro Anodzivirira Bipolar Disorder
Anticonvulsants (antiepileptic) zvinodhaka zvinowanzoshandiswa kuvanhu vane bipolar disorder uye ndeimwe yemakirasi akawanda emishonga inofungidzirwa kuva mafungiro emhepo (pamwe ne lithium, calcium channel blockers, uye benzodiazepines).
Kunyange zvazvo mishonga iyi yakagadzirirwa kurwisa kukanganisa, iyo inowanzobudirira mukugadzirisa mafungiro uye yakanzi maitiro anogadzirisa nokuda kwechikonzero ichi.
Kunyange zvazvo mishonga iyi inogona kuva yakabudirira zvikuru, kune hukama hunokosha hwekushandisa kwemishonga iwe huchada kuziva kuti izvo zvinogona kuwedzera mungozi yako yekuzvitakura uye kuwedzera mungozi yekudzivirira kana iwe uchizova nemimba.
Mhando dzeKubatanidzwa
Kune nzira dzakasiyana-siyana dzakagadzirisa mafungiro emafungiro anokwanisa kuwirirana nemahomoni ekuberekwa kwekuberekwa kwakafanana nekuberekwa kwepiritsi mapiritsi. Ramba uchiyeuka kuti kune marudzi akasiyana-siyana ehurmoni birth contro l, iyo iyo mapiritsi ekuberekwa ari imwe chete, uye kunyange iyo nzira dzisina veserogen inogona kuva dambudziko. Zvimwe zvinogona kuitwa kudzivirira pamuviri uye kusangana kwakabatana kunosanganisira:
- Kuderedza kubudirira kwepiritsi yekuberekwa kwepiritsi yakabatana nemamiriro ekusimudzira mafungiro
- Kupera kwekugadzirisa kwehupenyu hunosimbiswa pakati pevaya vanotora mapiritsi ekuberekwa
- Kubudirira kunowedzera (zvisingadiwi) zvebipolar mishonga kune avo vakashandisa kuberekwa kwepiritsi
- Zvichida kuberekwa kukanganisa kwakabatana nemishonga kana iwe uine pamuviri
Ngationei maitiro mashoma ekusimudzira mafungiro uye maitiro avanogona kubatana nekudzivirira kuberekwa (kana pamuviri.)
Tegretol (Carbamazepine) uye Birth Control
Tegretol (carbamazepine) inonyanya kuzivikanwa nekukonzera kukanganisa kwepabonde pakati pevaya vari kushandisa mapiritsi ekuzvidzivirira. Mukuwedzera, kune avo vanova nepamuviri pavanotora Tegretol kune ngozi yakawanda yekuremererwa kwekuberekwa mumucheche.
Vakadzi vanorayirwa Tegretol vanofanira kurayirirwa kushandisa nzira dzechipiri dzekudzivirira kuberekwa semakondomu. Mune zvimwe zviitiko, gynecologist inogona kukurudzira kushandisa mizinga yakakura yekurapa kwemishonga pamwe chete.
Trileptal (Oxcarbazepine) uye Birth Control Pills
Trileptal ( oxcarbazepine ) inogonawo kupindira nemishonga yekudzivirira. Kudyarwa kwepiritsi yemapiritsi ane estrogen uye progestin, progestin chete kuberekwa kuzvironga mapiritsi (iyo mini piritsi), mishonga inorwisa progestin injections (yakadai seDepo-Provera), kubata pamuviri kunogadzira maitiro eprogestin (akadai seNexplanon), uye progestin-ine IUDs, iyo Mirena IUD uye Skyla IUD) inogona kusashanda zvakanaka kana iwe uchivatora iwe uchiri kutora oxcarbazepine
Kunze kwehutano hwekuzvarwa, vanhu vanotora Trileptal vanofanira kuziva kuti zvinogona kuwedzera mungozi yekuzviuraya nekuedza kuzviuraya. Muchikamu chino, isu tiri kunyanya kukurukurirana nekubatana nemaitiro ekudzivirira kuberekwa, asi zvakakosha zvakare kuratidza kuti pane zvakawanda zvinogona kushandiswa kwezvinodhaka kunze kweiyo inobatanidza kuberekwa kunogona kuoma.
Topamax (Topiramate) uye Birth Control
Topamax (topiramate) ine mungozi yekuderera kwekubata pamuviri pamwe nekutakura dambudziko rakakura rekuremererwa kwekuberekwa kwakadai sekukamwa uye muromo kune avo vanotora pamuviri vachitora mishonga.
Kuwirirana pakati peDepo-Provera Injections uye Any Anticonvulsant
Depo-Provera mishonga yekudzivirira kubata pamuviri inogona kukurumidza kupera mapfupa, sezvakangoita mamwe maitiro ekurwisa-epileptic (anticonvulsants), izvo zvinogona kutungamirira kuhasteoporosis. Nokudaro, kana iwe ukatora chero anticonvulsant uye uri kufunga kushandisa Dhipo-Provera injections, tsvaka mazano pamusoro pehutachiona kubva kuchiremba wako.
Lamictal (Lamotrigine) uye Birth Control
Mune imwe yerimwe anticonvulsant, Lamictal (lamotrigine), kutariswa kwekuberekwa kunogona kukanganisa kunyatsogadzirisa mafungiro emagetsi. Kana iwe uchitanga kutora lamotrigine, iva nechokwadi chekuudza chiremba wako kana iwe uri kutora mishonga yekuberekwa kurapwa; kana uchitotora Lamictal, udza chiremba wako pakarepo kana iwe uchitanga-kana kumira-kutora kuberekwa.
Benzodiazepines uye Birth Control
Benzodiazepines imwe kirasi yemishonga inoshandiswa semafungiro emagariro evanhu vane bipolar disorder. Kuberekwa kwepiritsi kunogona kuwedzera kuiswa kwevamwe benzodiazepines , yakadai saXanax (alprazolam) inotungamirira kuwedzerwa migumisiro yemishonga (uye zvinokonzera migumisiro.)
Calcium Channel Blockers uye Kuberekwa
Calcium channel blockers inoshandiswa zvishoma nezvishoma nokuda kwebipolar disorder sezvavanenge vasina kazhinji seinobudirira uye yakakwirira doses inofanira kushandiswa. Izvozvo zvakati, kana iwe uchinzwa uora mwoyo pamusoro pemigumisiro yemigumisiro uye kuwirirana kwemishonga yako, zvingava zvinobatsira kuziva kuti iyi iboka rimwe remishonga iyo yakachengeteka pakuzvitakura.
Kuva Murevereri Wako
Takatarisa zvishomanana zvekushandisa kwezvinodhaka pakati pezvinowanzoshandiswa bipolar mishonga (mafungiro emagariro) uye mishonga yekudzivirira kuberekwa asi pane zvakawanda zvakawanda zvisingatauri pano.
Zvakakosha kunzwisisa kuti mishonga yauri kushandisa, kunyanya kana uri kuwana mishonga iyi kubva kuvanhu vakasiyana-siyana, vane mikana yekubatana. Maparammacist anowanzowana kushamwaridzana, asi haugone kufunga kuti izvi zvichaitika. Chimwe chidzidzo chakawana kuti 50 muzana yevanhu vanotora mishonga mitanhatu kana kupfuura mazuva ose vaitora mishonga yakaguma nekubatana kwakashata.
Chidzidzo che 2016 chakawana kuti kunyange zvazvo vanachiremba vazhinji vachiziva kuti kune zvinogona kuitika mukushandisa kwezvinodhaka pakati peanticonvulsants nekudzivirira kuberekwa kunogona kuitika, ivo vakanga vasingazivikanwe nemigumisiro yakaipisisa nekubatana kwakabatana nemishonga yakasiyana-siyana.
Mazano Okudzivisa Kurapa Kwezvinodhaka
- Iva nechokwadi chokuti vatapi vako vose vanoziva nezvemishonga yose yauri kushandisa, kwete mishonga yavanenge vachitsanangura.
- Uya nemishonga yako yose newe, muhombodo dzavo dzepakutanga, kuhofisi imwe neimwe kushanyira.
- Ramba uchiyeuka kuti kupfuura-the-counter mishonga pamwe nehuwandu hwezvokudya zvinogonawo kusangana nemamwe madhiragi uye vanachiremba vako vanofanira kuziva chero marapirwo emishonga kana mavitamini anowedzera.
Pasi pepamusoro paMafodhi Anodzivirira (Kunyanya) Maitiro Anodzivirira uye Kuberekwa
Chii chinokosha? Kana uri kutora kana kuda kutora mishonga yekudzivirira, nguva dzose uone kuti chiremba anonyora mishonga yako yeBipolar anoziva nezvazvo, uye kuti chiremba anorondedzera chirongwa chekudzivirira anoziva nezve bipolar yako mishonga. Zvakakoshawo kutaurirana nemudzimai wako wemishonga pamusoro pekugona kushandiswa kwemishonga pamwe chete.
Sources:
Suto, H., Braga, G., Scarpellini, G. et al. Neurologist Knowledge pamusoro pekubatana pakati peAnteepileptic Zvinodhaka uye nzira yekudzivirira. International Journal of Gynecology and Obstetrics . 2016. 134 (3): 264-7.
Williams, D. Antiepileptic Zvinodhaka uye Kuberekwa. US Pharmacist . 2014. 39 (1): 39-42.