Anxiolytics uye Mimwe Mishonga Inoshandiswa Bipolar Disorder
Kutsvakurudza kwakawana kuti kuzvidya mwoyo kwakajairika kune vanhu vane bipolar disorder, vanopfuura hafu yevanhu vane dambudziko rimwe chete kana kupfuura. Vamwe vanhu vangave vasina hutano hwakakwana hunozviratidza kuti vane chirwere chekuzvidya mwoyo asi vachiri kuda mishonga yekugadzirisa zviratidzo zvavo. Kuzvidya mwoyo, kushungurudzika, kushungurudzika, uye kusuruvara, somuenzaniso, zvinowanzotarisana munguva yekuora mwoyo kwebipolar uye episodes yakavhenganiswa.
Zviratidzo zvekuzvidya mwoyo zvakadai sekusagadzikana, kushungurudzika uye kutsamwa kunogona kuitika mukati memania uye hypomania . Saka, zvakajairika kuti bipolar vanhu vave nemishonga inopesana nemishonga inorayirwa.
Kuzvidya mwoyo nemishonga, iyo inonziwo anti-anxiety medication kana anxiolytics, inorayirwa kune zvinetso zvekuzvidya mwoyo pamwe nevanhu vanozvidya mwoyo pamwe ne bipolar disorder kana kuora mwoyo kukuru. Kunyanya kunetseka mishonga inobatsira kuita kuti vanhu vasazvidya mwoyo uye vanobatsira kudzikisa kusagadzikana uye kunetseka. Mishonga yemishonga iyi inobatsirawo vanhu kurara zviri nani. Ngatitarisei maitiro akasiyana emishonga inoshandiswa kurapa kushushikana uye kuti ingashandiswa sei kuvanhu vane bipolar disorder.
Benzodiazepines
Mazhinji emishonga inopesana nezvinokonzera kushushikana iyo inonyanya kuitirwa kugadzirisa kushushikana inonzi benzodiazepines . Zvizhinji zvezvinodhaka izvi zvinotarisirwa kune mamwe mamiriro ezvinhu zvakadai sekuti:
- Kushungurudzika
- Kunyunyuta
- Chemotherapy-induced nausea uye kurutsa
- Doro rekusiya
- Kugumburwa
Mimwe yemishonga iyi inoshandiswa kunyanya kugadzirisa zvinokonzeresa, zvichibatsira kubatsira nekushaya hope kana kuti semishonga yekuzorodza musati mavhiyiwa.
Benzodiazepine mishonga inosanganisira:
- Klonopin (clonazepam)
- Serax (oxazepam)
- Librium (chlordiazepoxide)
- Xanax (alprazolam)
- Dalmane (flurazepam)
- Halcion (triazolam)
- Dzorera (temazepam)
Zvimwe zvinokonzerwa ne benzodiazepine dzakawanda, asi zvekunyanya kunetseka ndedambudziko rekuvimba, pamwe nekuwedzeresa kana pachinoshandiswa chete kana nedoro.
Antidepressants
Mishonga yakawanda inopesana nemishonga yakawanikwa inobatsira pakunetseka, uye kusiyana ne benzodiazepines, haitauri mungozi imwechete yekushandiswa zvisina kunaka uye kudarika. Nekuda kwechikonzero ichi, mishonga iyi inowanzotanga kushandiswa kwekushungurudzika kune chero ipi zvayo. Zvinodhaka kubva kumapoka akasiyana-siyana evanhu vanodzvinyirira zvinowanzobatanidza:
Kusarudza serotonin reuptake inhibitors (SSRIs)
Mimwe yemishonga iyi mune izvi yakataurwa pasi apa pamwe nezvimwe zvezviratidzo. Izvozvo zvakati, zvose izvi zvinogona kuonekwa sekutapwa kwekuzvidya mwoyo zvichienderana nezviratidzo zvako.
- Paxil (paroxetine): Paxil ine zvakawanda zvinoshandiswa, zvinosanganisira kuora mwoyo kukuru, kushungurudzika-kusagadzikana chirwere (OCD), panic disorder pamwe kana pasina agoraphobia, kushungurudzika kwevanhu munzanga, chirwere chinokonzera kushungurudzika (GAD), uye post-traumatic stress disorder (PTSD) .
- Zoloft (sertraline): Zoloft inogamuchirwa kuitira kurapwa kwezvipingamupinyi zvakawanda zvinosanganisira kuora mwoyo kukuru, OCD, panic disorder, premenstrual dysphoric disorder, uye kushungurudzika kwevanhu munzanga.
- Prozac (fluoxetine): Prozac inogamuchirwa pakurapa kudengenyeka, OCD, uye panic disorder.
- Luvox (fluvoxamine): Luvox inowanzoshandiswa kurapa chirwere chinokonzera kusagadzikana (OCD).
Selective norepinephrine reuptake inhibitors (SNRIs )
Zvinodhaka izvo zvinodzivisa kubviswa kwemaurotransmitter serotonin uye norepinephrine zvinogona kushandiswawo kubata marwadzo. SNRI inosanganisira:
Tricyclic Anodzvinyirira
Izvo zvekare tricyclic zvinodzvinyirira zvinoshandiswa nguva shomanana pakurapa kushungurudzika ne bipolar disorder, asi inogona kubatsira mune dzimwe mamiriro ezvinhu.
Buspar (Buspirone)
Buspar (buspirone) haina kufanana nemishonga iri pamusoro apa asi inogona kubatsira kubata nehayolar disorder, kunyanya kana yakabatanidzwa nevanorwara. Kunyange zvazvo iyi mishonga inowanzova nemigumisiro miviri, kune dzimwe mhemberero dzemania pamusoro pechirwere ichi, kunyanya kana ichibatanidzwa nemimwe mishonga.
Kwete-Mishonga Inorapa
Kune dzimwe nzira dzakawanda dzekutarisa kurapwa kwekuzvidya mwoyo kunze kwemishonga, uye, chaizvoizvo, kusanganiswa kwemishonga ndiyo inowanzova nzira yakanakisisa. Mimwe mishonga inogona kusanganisira:
- Psychotherapy, yakadai sokuziva kugadzikana kwemaitiro (CBT), uye CBT inofungidzirwa kuti ndiyo imwe yemishonga inobatsira zvikuru yekutambudzika
- Kugadzirisa uye kugadzirisa nzira, dzakadai sokufema zvakadzika .
Sekufunga kwekupedzisira, ramba uchifunga mupfungwa dzako kuti kushushikana kwose hakusi kwakaipa, uye kuzvidya mwoyo kana "eustress" zvinonyatsokurudzira vanhu kuti vave zvose zvavanogona kuva.
Shoko Rinobva
Kana bipolar munhu ane dambudziko rimwe chete kana kupfuura, zvinenge zvichida kuti mishonga yakakosha yekunyanya kuzvidya mwoyo icharehwa. Chero yemishonga inopfuura iyi inogona kupiwa kune mumwe munhu ane bipolar disorder uyo anotamburawo nekuzvidya mwoyo, kunyange kana kushushikana hakusi kwepfungwa chaiyo yekuzvidya mwoyo.
Sources:
Fountaoulakis, K., Yatham, L., Grunze, H. et al. International College of Neuro-Psychopharmacology (CINP) Zvinyorwa Zvitsvaga zveBipolar Disorder muVakuru (CINP-BD-2017), Chikamu 2: Kuongorora, Kuunganidzwa kweZvoipupuriro, uye Yakanakisisa Algorithm. International Journal yeNeuropsychopharmacology . 2016 Dec 22. (Epub mberi kwekudhinda).