Zvishandiso, Migumisiro Yechipfuva, uye Manyevero
Zvakajairika kune vana vane bipolar disorder kuti vaongororwe nekunetseka kwehutano hwehutano (ADHD) zvakare. Vakuru vane bipolar disorder vanogonawo kuonekwa neAADH. Vyvanse (lisdexamfetamine) ndeimwe yemishonga inogona kurongerwa kuti iwane ADHD, uye inogamuchirwa kuti ishandiswe kuvana, vaduku, uye vanhu vakuru.
Zvishandiso
Vyvanse haasi iye chete akashandisa kurapwa kweHDH, muna 2015, US Food and Drug Administration (FDA) yakabvumirawo kuti ive nehutano hwekudya.
Nei Kutarisa DHD neBipolar Disorder Inogona Kuva Yakaoma
Kurapa ADHD kune mumwe munhu ane bipolar disorder inogona kunge yakanyengera. IyoVivvanse iyo inoti, "Zvinokurudzira hazvifanirwi kushandiswa kune varwere vanoratidza zviratidzo zvishoma kune zvimwe zvinhu zvakasikwa uye / kana zvimwe zvinetso zvepfungwa dzepfungwa, kusanganisira psychosis ." Chiremba uyo ari kufunga kuisa chirwere ichi chinoda kunyatsoongorora zviratidzo zvemunhu mumwe murwere. Bipolar yakavigwa kana kuti maonero epfungwa anogona kukonzerwa nemagumisiro, uye kuzivikanwa kwepfungwa kunowedzera kuipa, saka chiremba anofanirawo kutarisa murwere zvakanyanya kuti chiratidzo ichocho chichinje.
Treatment Guidelines
Uyu mushonga wekare-we-zuva unofanirwa kutorwa mangwanani nokuti kubva uchiitora gare gare muzuva unogona kutungamirira kuhope. Inogona kutorwa pamwe kana kusina zvokudya. A capsule inogona kuvhurwa uye mukati yeupfu inoputirwa mugirazi yemvura, asi kwete chero imwe yemvura. Muiti anonyevera kuti munyaya iyi, mvura naVivvanse mairi inofanira kudhakwa pakarepo.
Iko rinotenderwa kutanga chirwere ndeche 30 mg. Izvi zvinogona kugadziriswa kusvika pamutengo wakakura we 70 mg pazuva.
Zvinokurudzirwawo kuti kushandiswa kwenguva refu kweVivvanse kunoparadzaniswa dzimwe nguva kuona kana zvirwere zveHDH zvinodzokera kune imwe nzvimbo apo kurapa kuchiri kuchidiwa. Kukanganisa kwakadaro kunogona kuvawo pfungwa yakanaka kana pane zviratidzo zvekukura kwevana kana kuyaruka kuregererwa.
Zvinogona Kukonana Nemishonga
Ichi chemishonga hachifaniri kutorwa panguva imwe chete seyine monoamine oxidase inhibitors (MAOIs). Mukuwedzera, iwe unofanirwa kumirira mazuva gumi pakati pekusiya MAOI uye wotanga kutora Vyvanse, kuitira kuti MAOI ive yakakwana zvachose kubva pane yako. Kutora mishonga iyi pamwe chete kunowedzera dambudziko rekukuvara kwehuwandu hwehutachiona.
Mimwe mishonga yakaoma inowanzoshandiswa kurapa chirwere cheBipolar inogona kusanganisira:
- Tricyclic vanodzvinyirira , kunyanya Norpramin (desipramine) uye Vivactil (protriptyline), izvo zvinogona kukonzera kukura kukuru kwehuwandu hwaVivvanse mumuviri
- Haldol (haloperidol), iyo inogona kuita kuti Vyvanse isabatsire
- Lithium, iyo inogonawo kuita kuti Vyvanse isanyanya kushanda
Manyevero
- Vyvanse iri Purogiramu II inodzora zvinhu, zvinoreva kuti ine simba rakasimba rekushandisa zvisina kunaka uye kusagadzikana, asi rinewo kushandiswa kwehutano kwepamutemo. Kusashandisa zvisina kunaka kunogona kutungamirira kumatambudziko emwoyo uye kufa kamwe kamwe. Psychosis chiratidzo chakakurumbira chekuenderera mberi kudhakwa.
- Varwere vanofanira kuongororwa zvirwere zvemoyo zviripo vasati vatanga Vyvanse. Pane ngozi yehutano hwehutano hwemwoyo nemishonga iyi. Kushungurudzika, kurwadziwa kwemwoyo, kufa kwechimbichimbi, uye kuwedzerwa kwepamusoro kweropa zvakataurwa.
- Pamakwaniro akakodzera mumakiriniki emakiriniki, kubuda kwezviratidzo zvepfungwa kana mania zvakanga zvisingawanzovi, chete 1/10 pa1%. Zvisinei, njodzi inowedzera apo mishonga inoshandiswa zvisina kunaka.
Nezve bipolar disorder, iyo mishonga inodaro inoti:
"Kuchengetedza kwakanyanya kunofanira kutorwa mukushandisa zvinokurudzira kubata chirwere cheAIDS mune varwere vane comorbid bipolar disorder nekuda kwekuda kwekugadziriswa kwechiitiko chakakanganiswa / manic muvashandi vakadaro. Isati yatanga kurapa neinosimudzira, varwere vane zvirwere zvekuvhiringidzika kwekodhi vanofanira kuve zvakakwana kuongororwa kuti vaone kana vari pangozi ye bipolar disorder. Kuongorora kwakadaro kunofanira kusanganisira nhoroondo yezvepfungwa dzepfungwa, kusanganisira nhoroondo yemhuri yekuzviuraya, bipolar disorder, uye kuora mwoyo. "
Nharaunda Dzakabatana
Zvinowanzoitika uye zvisingasviki zvikamu zvakakomba zvinosanganisira
- Kusuruvara kwepamu, kurutsa, kushungurudza, mararamiro (kunyanya kune vanhu vakuru), yakaoma muromo
- Kuderedza kudya mwoyo (zvakajairika), kuora muviri
- Kunyunyuta (zvakajairika), kusagadzikana (kunyanya muvana vari pasi pe13), kuzvidya mwoyo (kunyanya kune vanhu vakuru)
Matambudziko Akakomba
Mimwe migumisiro yakakomba yakawanda inosanganisira:
- Kukanganiswa
- Tics
- Kuvhiringidzwa kunoonekwa
- Kugumburwa
- Kwenguva refu kuderedza kukura
Vyvanse Panguva Yechirwere
Vyvanse ari mukuzvitakura Chikamu C, zvinoreva kuti inofanira kushandiswa chete panguva yekuzvitakura kana zvingave zviripo zvinowedzera njodzi kune fetus. Iyi mishonga yakanyanyiswa mumukaka wemukaka uye haifaniri kutorwa paunenge uchiyamwisa, sezvo inogona kukuvadza mwana.
Sources:
Masi, G., et al. "Kuchenjerera-kusagadzikana kwekusagadzikana kwepfungwa - bipolar comorbidity kuvana nevechiri kuyaruka." Bipolar Matambudziko . 2006 Aug; 8 (4): 373-81.
US Food and Drug Administration. "Yakagadzirwa Eki yeVivvanse." 31 Jan 2012.
"Lisdexamfetamine." MedLine Plus, US National Library of Medicine (2015).