Maitiro anodzivirira ndeyekona yebipolar
Kana iwe une bipolar disorder , mishonga ichava chikamu chikuru cherongwa hwako hwekurapa pamwe nerapi, kusarudzwa kwehupenyu hwakanaka, uye dzimwe nzira dzekugadzirisa. Maitiro ekusimudzira muviri ndeimwe yemishonga inonyanya kukosha yekurapa bipolar disorder, uye ivo vangangodaro vakanyorerwa iwe. Iyi mishonga inodzora kukwirira kwakanyanya uye kukanganisa kwepipolar disorder, kunyanya kuderedza dambudziko remania uye hypomania, asi mamwe mafungiro emagariro anewo zvinokonzera zvinodhaka.
Maitiro Anodzivirira
Lithium ndiyo yakatanga kugadzirisa mafungiro ekubata bipolar disorder uye ichiri kushandiswa nhasi. Anticonvulsant mishonga, yakatanga kushandiswa kugadzirisa matambudziko ekutambudza uye pakupedzisira yakawanikwa kuti ibatsire kugadzikana mafungiro, inoshandiswa nekuda kwechinangwa. Mimwe mishonga, yakadai se calcium-channel blockers , benzodiazepines, uye inepsychotics inewo mafungiro emagariro anogadzirisa uye inogona kushandiswa kurapa bipolar disorder.
Lithium: The First Mood Stabilizer
Lithium inoratidzira kurapwa kwemania uye hypomania uye inayo ine zvinodhaka zvinokonzera kusagadzikana. Kunyange zvazvo ndiyo yakareruka inogadzirisa mafungiro, ichiri chikafu mune zvechiremba arsenal mukurapa zviratidzo zveBipolar. Nhasi, lithiamu inoramba iine mishonga yakagamuchirwa kutanga bipolar disorder, panzvimbo yekugadzirirwa kune mamwe mamiriro kana zviratidzo uye akazowanikwa kushanda semafungiro emagariro.
Kana chiremba wako achisarudza kuisa lithiamu, iwe unoda kugara uine kuongororwa kweropa kuti uone kuti urusiyamu yako mazinga ari munharaunda yekurapa, sezvo zviyero zvakakwirira zvakanyanya zvinogona kuva chepfu.
Lithium inoshandiswa neitsvo, saka iwe unoda zvakare kuti itsvo dzako dziongororwe panguva iyi paine mishonga. Mukuwedzera, kusvibiswa kunogona kukonzera kuti lithiamu yeropa risimire, saka iva nechokwadi chokuti unwe mvura yakakwana apo uri pa lithiamu.
Anticonvulsants
Anticonvulsants inoratidzwa kununura zviratidzo zvemania.
Vakadanawo kuti-anti-epileptic drugs, sezvavakagadzirwa kuti vabate marwadzo ekutambudza. Anonyanya kushandiswa anticonvulsant ye bipolar disorder inonzi Depakote (valproic acid). Vanhu vasingakwanisi kubvumira lithium, kana kuti vane bhizinesi yekukurumidza-mabhiriyoni, vanowanzoita zvakanaka nemishonga iyi.
Antipsychotics
Zvikamu zvakakosha zvemania zvinokonzera mupfungwa mukati memakumi maviri kubva kune zvitatu zvevaya vane bipolar disorder. Muvanhu ava, antipsychotics inoshandiswa nguva dzose. Zvinowanzoshandiswa kuderedza zviratidzo zvemania kusvikira mafungiro emagetsi, akadai se lithiamu kana valproate, anogona kutora zvakakwana. Mune vamwe vanhu, mishonga iyi inogona kushandiswa kwenguva refu. Maverengeka anypical antipsychotics , chizvarwa chitsva che antipsychotics, uyewo ane antidipressant properties.
Calcium Channel Blockers
Pane humwe humwe humwe humwe hunoti calcium channel blockers , inowanzoshandiswa kurapa kuwedzera kweropa, kusagadzikana kwepfungwa uye mamwe matambudziko emwoyo, zvinobudirira sezvinosimudzira mafungiro. Nemhaka yokuti vane zvishoma zvinokonzera kupfuura lithium uye anticonvulsants, vangave sarudzo kune vanhu vasingakwanisi kutsungirira mishonga iyi.
Zvisinei, calcium channel blockers inofanira kutorwa pamadhora akawanda uye kakawanda, kusvika 4-6 dzimwe nguva zuva rimwe nerimwe, kuitira kuti ibudirire bipolar disorder.
Zvinogonawo kunge zvisinganyanyi kubudirira kupfuura mishonga yekutanga mishonga iri pamusoro.
Benzodiazepines
Kuda kuzvidya mwoyo mishonga mukirasi inonzi benzodiazepines dzimwe nguva inoshandiswa kuwana nekukurumidzika kudzora zviratidzo zvemanichi sezvo mafungiro emagetsi anowedzera zvishoma. Iyo benzodiazepines inonyanya nervous system (CNS) yakaora mwoyo uye inokurumidza-kuita sedatives. Iyi mishonga inonyanya kushandiswa kukurudzira kurara, kubvisa kuzvidya mwoyo uye kusvibiswa kwemisimba, uye kudzivirira kugumburwa. Inogonawo kushandiswa kubatsira kubatsiridza kurara kwenguva yakazara.
Mishonga Ita Nguva Yokubudirira
Zvakakosha kucherechedza kuti vazhinji vemishonga iyi, kunze kwekushanda-benzodiazepines, zvinotora nguva inopfuura mwedzi kuti ibudirire.
Sezvo iwe uchimirira mishonga yako kuti iwe uite, kurapwa, kurovedza muviri, kurara kwakasimba purogiramu, hutano hwakanaka hwekuchengetedza hutano uye kudya kunovaka muviri kunogona kuita mutsauko mukuru mune manzwiro aunoita.
Rapid Cycling Bipolar Disorder
Kana iwe unofambisa-bhizinesi yekukurumidza, izvo zvinoreva kuti iwe une zvidzidzo zvina zvepfungwa pagore, zvinogona kutora zvimwe kuedza uye kukanganisa kuwana mishonga yakarurama yekusimudzira zviratidzo zvako. Edza kuva nemwoyo murefu uye kuipa nguva kusvikira uwana kubatanidzwa kwakarurama.
Sources:
National Institute of Mental Health
Marcelle Mostert, MD naSteven L. Dubovsky, MD. Apo bipolar chirwere chinokundikana: Ndeipi danho rako rinotevera? Current Psychiatry . Vol. 7, Nha. 1 / January 2008.