Kushamwaridzana nemishonga inokosha yakadai sezvikamu
Bipolar disorder inowanzoita hupenyu hwehupenyu hwose nezvikamu (kunyanya kana zvisina kutorwa) izvo zvakasiyana-siyana uye zvakasiyana kune mumwe nomumwe. Mishonga yakaoma uye inowanzobatanidza zvinopfuura mimwe mishonga - mishonga yekuchengetedza (mafungiro emagadzirirwo) uye mushonga wokurapa zvikamu zvakanyanya.
Sezvo kuchirapa kwechirwere chinhu chinokosha chekurapa bipolar disorder, zvakakosha kudzidzisa iwe pamusoro pavo.
Heano zvibatanidzwa zvemishonga inorayirwa bipolar disorder - iyi nhoroondo yakazara, asi kwete yose-inosanganisira.
Anti-Convulsants
Anticonvulsants, inozivikanwawo semishonga inorwisa-seizure, dzimwe nguva inoshandiswa semafungiro ekusimudzira bipolar disorder.
- Carbamazepine (Atretol, Tegretol, Epitol)
- Divalpropro Sodium (Depakote, Epival)
- Gabapentin (Neurontin)
- Lamotrigine (Lamictal)
- Oxcarbazepine (Trielptal)
- Topiramate (Topamax)
- Valproic Acid Depakene, Depakote, Valproate, Epival)
Antipsychotics
Chizvarwa chokutanga antipsychotics, inozivikanwawo sechirwere chekare chinopesana, inosanganisira:
Chlorpromazine (Thorazine)
- Haloperidol (Haldol
- Fluphenazine -prolixin, permitil
- Flupenthixol -fluanxol
- Zuclopenthixol-clopixol
Atypical antipsychotics ane zvishoma zvishoma zvinokonzerwa nemasikirwo akaenzana kana achienzaniswa nemaitiro anonzi antipsychotics. Asi vamwe, kunyanya clozapine uye olanzapine, vanotakura ngozi yakawanda yehutachiona hwehutachiona. Atypical antipsychotics inosanganisira:
- Aripiprazole (Abilify)
- Clozapine (Clozaril)
- Olanzapine (Zyprexa)
- Risperidone (Risperdal)
- Ziprasidone -Geodon
Antidepressants
Kusarura serotonin reuptake inhibitors, kana SSRIs, zvinoderedza kuzvirambidza zvinowanzotaurwa nokuda kwekunyanya kunetseka kwepfungwa asi zvinogonawo kugadzirirwa kuora mwoyo kwebipolar.
I-SSRI inosanganisira:
- Citalopram (Celexa)
- Escitalopram (Lexapro, Cipralex)
- Sertraline (Zoloft)
- Fluoxetine (Prozac, Sarafem)
- Fluvoxamine (Luvox)
- Paroxetine (Paxil)
Iyo serotonin-norepinephrine reuptake inhibitors (SNRIs) inosanganisira Venlafaxine (Effexor), Duloxetine (Cymbalta), uye Desvenlafaxine (Pristiq), Desfax).
Tricyclic vanodzvinyirira ndivo boka rekare rekudzivirira mwoyo iyo iyo inoshanda kune vamwe vanhu vane hutano hwakawanda hwepurogiramu yakafambisa kusanganisira mwoyo arrhythmias uye anticholinergic migumisiro yakaoma semuromo wakaoma, sedation, uye kuvimbiswa.
- Amitriptyline (Amitrip, Elevil, Endep, Levate, Amitril, Enovil)
- Amoxapine (Asendin)
- Clomipramine (Anafril)
- Desipramine (Norpramin, Pertofrane)
- Doxepin (Sinequan)
- Imipramine (Tofranil)
- Nortriptyline (Aventyl, Pamelor)
- Trazodone (Olepro, Desyrel)
Monoamine oxidase inhibitors iboka rekare rekudzivirira mwoyo. Dzinoshanda nokudzivirira kuparara kwemonoamines muuropi, saiyo dopamine, norepinephrine, uye serotonin. Mienzaniso inosanganisira:
- Phenelzine (Nardil)
- Moclobemide (Manerix)
- Tranylcypromine (Parnate)
Iko kunewo zvinodhaka zvinotapira mukirasi imwe chete, saNefazodone (Serzone), Trazodone (Olepro, Desyrel), uye Bupropion (Wellbutrin).
Benzodiazepines
Benzodiazepines inodzvinyirira munhu wepakati yenheyo yehurumende uye inoshandiswa kurapa kushushikana, kusuruvara, uye kugumburwa. Benzodiazepines ane zvakasiyana hafu-hupenyu , zvinoreva kuti vamwe vanoita kwenguva pfupi, vari pakati-vari kuita, kana kwenguva yakareba-vachiita. Dzinosanganisira:
- Alprazolam (Xanax, Novo-alprazol, Nu-alpraz)
- Clonazepam (Klonopin, Rivotril)
- Chlordiazepoxide (Librium, Libritabs)
- Diazepam (Valium)
- Flurazepam (Dalmane)
- Lorazepam (Ativan)
- Oxazepam (Serax)
- Temazepam (Restoril)
- Triazolam (Halcion)
Mimwe Mishonga
Kune mimwe miviri yemishonga inoshandiswa kune vanhu vane bipolar disorder. Zvimwe zvinoshandiswa chaizvo asi hazvirevi kuti zvinokodzera muchirwere chemishonga chepfungwa.
Imwe muenzaniso ndeye Lithium (Lithane, Lithobid, Lithonate, Eskalith, Cibalith-S, Duralith) - inoenderana uye inobudirira kugadzirisa mafungiro inoda kuchenjerera kutarisa. Kune rumwe rutivi, Verapamil (Calan, Isoptin), ine ropa remishonga yemishonga inowanzoshandiswa mukurapa mania.
Kusanganiswa Mishonga
Dzimwe nguva chiremba wako anopa mishonga imwe chete inosanganisira mishonga mbiri. Izvi zvinogona kupa mvumo yakakodzera yekuita uye kugadzirisa kuchengetedza kwemishonga yako yakawanda nyore. Mienzaniso mitatu inosanganisira:
- Triavil (Amitriptyline / perphenazine)
- Limbitrol (Amitriptyline / chlordiazepoxide)
- Symbyax (Fluoxetine / olanzapine)
Pasi Pasi
Iyo pfungwa yakanaka kuziviswa nezvemishonga yako uye kugara uchivatora sezvinorayirirwa - usashandure chirwere chako kana kurega kutora mishonga usingabvunzi chiremba wako kutanga. Mukuwedzera, usambogovana mishonga yako nevamwe. Iyi mishonga yakakomba uye inogona kuwirirana zvikuru nemimwe mishonga uye inoisa njodzi kune avo vane zvimwe zvirwere zvehutano.
> Sources:
> American Psychiatric Association (2010). Dzidzira Mazano Ekurapa Kwevarwere neBipolar Disorder Second Edition .
> Hamer AM & Muench J. Advers effects of antipsychotic medication. Ndiye Chiremba weNzara . 2010 Mar 1; 81 (5): 617-22.