Mafungiro Anodzikamisa Chinyorwa

Zvemukati

• Chii chinonzi mood stabilizers?
• Mafungiro ekudzikamisa mishonga chinyorwa
• Chicherwa
• Anticonvulsants
• Antipsychotic
• Tora woenda nazvo

Chii chinonzi mood stabilizers?

Mafungire ekudzikamisa mishonga yekurapa kwepfungwa iyo inobatsira kudzora shanduko pakati pekushushikana uye mania. Izvo zvakatemerwa kudzoreredza neurochemical balance nekudzora kwehuropi chiitiko.

Mood stabilizer zvinodhaka zvinowanzo shandiswa kurapa vanhu vane bipolar mood disorder uye dzimwe nguva vanhu vane schizoaffective kusagadzikana uye borderline hunhu kusagadzikana. Mune zvimwe zviitiko, ivo vanoshandiswa kuwedzera mimwe mishonga, yakadai seanodzvinyirira, kurapa kuora mwoyo.

Mafungiro ekudzikamisa mishonga chinyorwa

Mishonga inowanzo kuve yakarongedzwa seyakagadzirisa mamiriro ezvinhu inosanganisira:

• chicherwa
• anticonvulsants
• antipsychotic

Chicherwa

Lithium chinhu chinoitika zvakasikwa. Haisi mishonga inogadzirwa.

Lithium yakagamuchirwa neU.S.Food and Drug Administration muna 1970 uye ichiri kutaridzirwa seyakanaka mamiriro ekudzikamisa. Inotenderwa kurapwa kwe bipolar mania uye kurapwa kwekuchengetedza kwe bipolar kusagadzikana. Dzimwe nguva inoshandiswa musanganiswa nemimwe mishonga yekurapa bipolar kushushikana.

Nekuti lithiamu inobviswa kubva mumuviri kuburikidza neitsvo, panguva ye lithiamu kurapwa kweitsvo mabasa anofanirwa kuongororwa nguva nenguva.

Mabhizimusi emabhizimusi mazita e lithiamu anosanganisira:

• Eskalith
• Lithobid
• Lithonate

Mhedzisiro kubva kune lithiamu inogona kusanganisira:

• kusvotwa
• kuneta
• kurema kuwedzera
• kudedera
• manyoka
• kuvhiringidzika

Anticonvulsants

Iyo inozivikanwawo seye antiepileptic mishonga, anticonvulsant mishonga yakatanga kugadzirirwa kurapa kubatwa. Anticonvulsants iyo inowanzo shandiswa seyakagadzirisa mafungiro anosanganisira:

• valproic acid, inonziwo valproate kana divalproex sodium (Depakote, Depakene)
• lamotrigine (Lamictal)
• carbamazepine (Carbatrol, Tegretol, Epitol, Equetro)

Mimwe maanticonvulsants ayo anoshandiswa kurebera - asina kubvumidzwa zviri pamutemo pachiitiko ichi - sekusimbisa mafungiro, anosanganisira:

• oxcarbazepine (Oxtellar, Trileptal)
• topiramate (Qudexy, Topamax, Trokendi)
• gabapentin (Yakajeka, Neurontin)

Mhedzisiro kubva kune anticonvulsants inogona kusanganisira:

• kuneta
• musoro
• kurema kuwedzera
• kusvotwa
• marwadzo emudumbu
• yakaderera chishuwo chepabonde
• kupindwa nechando
• kuvhiringidzika
• matambudziko ekuona
• kupwanya zvisina kujairika kana kubuda ropa

Ongorora: Off-label kushandisa zvinodhaka zvinoreva kuti mushonga wakabvumidzwa neDFA nechinangwa chimwe unoshandiswa nechinangwa chakasiyana chisina kubvumidzwa. Nekudaro, chiremba achiri kugona kushandisa mushonga wechinangwa icho. Izvi zvinodaro nekuti iyo FDA inodzora kuyedzwa uye kubvumidzwa kwemishonga, asi kwete mashandisiro anoita vanachiremba mishonga yekurapa varwere vavo. Nekudaro, chiremba wako anokwanisa kukunyorera mushonga asi ivo vanofunga zvakanakira iwe. Dzidza zvakawanda nezve off-label tsamba yekushandisa zvinodhaka.

Antipsychotic

Antipsychotic inogona kupihwa pamwe chete nemanzwiro ekugadzirisa zvinodhaka. Mune zvimwe zviitiko, vanoita kunge vanobatsira kusimbisa manzwiro vega. Antipsychotic inoshandiswa kurapa bipolar kusagadzikana inosanganisira:

• aripiprazole (Gonesa)
• olanzapine (Zyprexa)
• risperidone (Risperdal)
• lurasidone (Latuda)
• quetiapine (Seroquel)
• ziprasidone (Geodon)
• asenapine (Saphris)

Mhedzisiro kubva kuantipsychotic inogona kusanganisira:

• kukurumidza kurova kwemoyo
• kutsimwaira
• kudengenyeka
• kusaona zvakanaka
• dzungu
• kurema kuwedzera
• kunzwisiswa nechiedza chezuva

Tora woenda nazvo

Mood stabilizer zvinodhaka zvinonyanya kushandiswa kurapa vanhu vane bipolar mood disorder. Kana iwe uine mafungiro ekuchinja ari kukanganisa simba rako, kurara, kana kutonga, taura nachiremba wako. Kana zvakakodzera, chiremba wako anogona kuisa pamwechete chirongwa chekurapa icho chinogona kusanganisira chinodzikamisa mafungiro.