Mus rau cov tshuaj tseem ceeb xws li mob tshwm sim
Kev puas siab puas ntsws bipolar yog feem ntau yog kev mob kev nkeeg uas muaj sia nyob ntev (tshwj xeeb tshaj yog tias tsis kho) uas muaj kev sib txawv thiab txawv rau txhua tus neeg. Kev kho yog txoj thiab feem ntau yuav ntau dua ib qho tshuaj - kev saib xyuas kev noj qab haus huv (kev nyab xeeb rau lub siab) thiab kev siv tshuaj kho mob mob nkeeg.
Vim tias kev siv tshuaj kho mob yog ib qho tseem ceeb ntawm txoj kev kho rau kev puas siab puas ntsws bipolar, nws yog ib qho tseem ceeb uas yuav tau kawm txog koj tus kheej.
Ntawm no yog cov kev txuas mus rau cov tshuaj uas tau qhia rau kev puas siab puas ntsws bipolar - daim ntawv teev lus no yog ua kom tiav, tiam sis tsis tag nrho.
Anti-Convulsants
Anticonvulsants, tseem hu ua cov tshuaj tiv thaiv kev noj qab haus huv, yog qee zaus siv thaum lub sijhawm ua rau tus neeg muaj kev puas siab puas ntsws bipolar.
- Carbamazepine (Atretol, Tegretol, Epitol)
- Divalproex Sodium (Depakote, Epival)
- Gabapentin (Neurontin)
- Lamotrigine (Lamictal)
- Oxcarbazepine (Trielptal)
- Topiramate (Topamax)
- Valproic Acid Depakene, Depakote, Valproate, Epival)
Tshuaj tua kab mob
Thawj tiam tshuaj tiv thaiv kabmob (antipsychotics), uas paub tias yog tshuaj tua kabmob (typical antipsychotics), suav nrog:
Chlorpromazine (Thorazine)
- Haloperidol (Haldol
- Fluphenazine -prolycin, tso cai
- Flupenthixol-fluanxol
- Zuclopenthixol-clopixol
Atypical antipsychotics muaj tsawg dua extrapyramidal phiv thaum piv rau cov tshuaj tiv thaiv kab mob. Tab sis qee qhov, tshwj xeeb tshaj yog clozapine thiab olanzapine, muaj kev pheej hmoo siab ntawm metabolic syndrome. Atypical antipsychotics muaj xws li:
- Aripiprazole (Abilify)
- Clozapine (Clozaril)
- Olanzapine (Zyprexa)
- Risperidone (Risperdal)
- Ziprasidone -Geodon
Antidepressants
Xaiv cov tshuaj serotonin reuptake, los yog SSRIs, yog antidepressants uas feem ntau tau hais rau qhov kev nyuaj siab loj heev, tiam sis tseem tuaj yeem tuaj yeem kho tus mob siab Bipolar.
Cov SSRI muaj xws li:
- Citalopram (Celexa)
- Escitalopram (Lexapro, Cipralex)
- Sertraline (Zoloft)
- Fluoxetine (Prozac, Sarafem)
- Fluvoxamine (Luvox)
- Paroxetine (Paxil)
Serotonin-norepinephrine reuptake inhibitors (SNRIs) muaj Venlafaxine (Effexor), Duloxetine (Cymbalta), thiab Desvenlafaxine (Pristiq), Desfax).
Tricyclic antidepressants yog ib chav loj ntawm antidepressants uas thaum siv tau rau qee leej neeg ua mob loj heev xws li lub plawv mob plawv thiab cov tshuaj tiv thaiv anticholinergic xws li lub qhov ncauj qhuav, kev tsaug zog, thiab cem quav.
- Amitriptyline (Amitrip, Elevil, Endep, Levate, Amitril, Enovil)
- Amoxapine (Asendin)
- Clomipramine (Anafril)
- Desipramine (Norpramin, Pertofrane)
- Doxepin (Sinequan)
- Imipramine (Tofranil)
- Nortriptyline (Aventyl, Pamelor)
- Trazodone (Olepro, Desyrel)
Cov tshuaj tua kab mob Monoamine oxidase yog ib chav loj zog ntawm kev tua tshuaj tiv thaiv (antidepressant). Lawv ua hauj lwm los ntawm kev tiv thaiv kev sib txuas ntawm monoamines hauv lub hlwb, zoo li dopamine, norepinephrine, thiab serotonin. Piv txwv li:
- Phenelzine (Nardil)
- Moclobemide (Manerix)
- Tranylcypromine (Parnate)
Muaj cov tshuaj antidepressants uas tsis tas haum rau hauv ib chav kawm, xws li Nefazodone (Serzone), Trazodone (Olepro, Desyrel), thiab Bupropion (Wellbutrin).
Benzodiazepines
Benzodiazepines nyuaj siab rau tus neeg lub paj hlwb thiab siv los kho cov kev ntxhov siab, insomnia, thiab qaug dab peg. Benzodiazepines muaj txawv ib nrab-lub neej , lub ntsiab lus qee qhov yog luv-acting, intermediate-acting, los yog ntev-acting. Lawv muaj xws li:
- Alprazolam (Xanax, Novo-alprazol, Nu-alpraz)
- Clonazepam (Klonopin, Rivotril)
- Chlordiazepoxide (Librium, Libritabs)
- Diazepam (Ntsuab)
- Flurazepam (Dalmane)
- Lorazepam (Ativan)
- Oxazepam (Serax)
- Temazepam (Restoril)
- Triazolam (Halcion)
Lwm Yam Tshuaj
Muaj ntau cov tshuaj uas siv rau cov neeg uas muaj kev puas siab puas ntsws bipolar. Qee cov siv feem ntau, tab sis tsis tas yuav haum rau hauv kev pab pawg kho kev puas siab ntsws.
Ib qho piv txwv yog Lithium (Lithane Lithium, Lithobid, Lithonate, Eskalith, Cibalith-S, Duralith) - ib qho zoo thiab zoo siab rau lub dag lub zog uas yuav tsum tau ceev faj. Ntawm qhov tod tes, Verapamil (Calan, Isoptin), yog ib hom tshuaj ntshav siab tsis tshua siv rau kev kho mob ntawm mania.
Tshuaj Yeej
Qee zaum koj tus kws kho mob yuav sau ib hom tshuaj uas txuas nrog ob yam tshuaj. Qhov no yuav pab tau yooj yim noj tshuaj thiab ua kom taug qab koj cov tshuaj yooj yim dua. Peb qhov piv txwv muaj xws li:
- Triavil (Amitriptyline / perphenazine)
- Limbitrol (Amitriptyline / chlordiazepoxide)
- Symbiax (Fluoxetine / olanzapine)
Hauv Qab Kab
Nws yog lub tswv yim zoo kom paub txog koj cov tshuaj thiab nco ntsoov coj lawv raws li qhia - tsis txhob hloov koj cov tshuaj los yog tsis txhob noj cov tshuaj uas tsis muaj kev pab tswv yim koj tus kws kho mob ua ntej. Tsis tas li ntawd, tsis txhob faib koj cov tshuaj nrog lwm tus. Cov tshuaj no tsis yooj yim thiab tuaj yeem cuam tshuam nrog lwm cov tshuaj thiab teeb meem rau cov neeg uas muaj teeb meem txog kev mob nkeeg.
> Qhov chaw:
> Koom Haum American Association (2010). Txheej Txheem Qhia Rau Kev Kho Mob ntawm Cov Neeg Mob Nrog Kev Puas Siab Ntsws Bipolar Zaum Ob .
> Hamer AM & Muench J. Qhov teebmeem ntawm cov tshuaj tiv thaiv kev puas hlwb. Am Fam Physician . 2010 Mar 1; 81 (5): 617-22.