Tshuaj Kev Sib Thooj ntawm Kabmob Qhov Ncauj Thiab Cov Tshuaj Bipolar
Koj yuav tsum paub dab tsi txog kev siv tshuaj yeeb dej caw yog tias koj tab tom noj lub siab rau kev puas siab puas ntsws bipolar thiab cov tshuaj no puas ua rau koj tus me nyuam tsis muaj mob?
Kev Ntsuas Siab Rau Cov Neeg Muaj Mob (Bipolar Disorder)
Kev siv tshuaj Anticonvulsants (tshuaj loog) ( feem ntau tshuaj) yog siv rau cov neeg uas muaj kev puas siab puas ntsws bipolar thiab yog ib qho ntawm ob peb hom kev siv tshuaj uas yog kev txiav txim siab rau lub siab (nrog rau lithium, calcium channel blockers, thiab benzodiazepines).
Thaum cov tshuaj no tau npaj rau kev tswj cov qaug dab peg, lawv feem ntau zoo heev nyob rau hauv kev xav ntawm lub cev thiab tau raug hu ua tus cwj pwm ruaj khov rau qhov laj thawj no.
Txawm hais tias cov tshuaj no ua tau zoo heev, muaj kev sib txuam tseem ceeb ntawm kev siv yeeb tshuaj uas koj yuav tsum paub txog tias qhov no yuav ua rau koj qhov kev pheej hmoo siab ntxiv thiab ua rau kom cev xeeb tub yog tias koj yuav xeeb tub.
Hom Kev Sib Txawv
Muaj ob peb txoj kev sib txawv uas thaum cov neeg xav tau lub siab ua hauj lwm nrog cov tshuaj hormonal xws li kev tswj kom tsis txhob muaj menyuam yaus. Nco ntsoov tias muaj ntau ntau hom hormonal yug tiv thaiv l, uas cov tshuaj tiv thaiv kab mob tsuas yog ib hom, thiab txawm tias cov kev uas tsis muaj estrogen tej zaum yuav muaj teeb meem. Qee qhov kev tiv thaiv muaj peev xwm cev xeeb tub thiab lwm yam kev sib tshuam muaj xws li:
- Txo cov kev ua kom tsis muaj menyuam yaus uas muaj feem xyuam rau qhov kev nyab xeeb ntawm lub cev
- Ua rau cov neeg ua kom tsis txhob muaj menyuam yaus tswj kom ua tau zoo dua
- Ua kom zoo tshaj (tsis yuav tsum tau) ntawm cov yeeb tshuaj hauv cov neeg uas siv tshuaj tua kab
- Tej zaum kuj yuav yug me nyuam txog kev yug me nyuam yog tias koj cev xeeb tub
Cia peb saib ob peb ntawm cov kev tswj hwm lub siab xav thiab seb lawv yuav ua li cas nrog kev tswj kom tsis txhob muaj menyuam (los yog cev xeeb tub.)
Tegretol (Carbamazepine) thiab kev yug menyuam
Tegretol (carbamazepine) yog paub tshwj xeeb tshaj yog ua rau cov tshuaj tiv thaiv tsis ua haujlwm ntawm cov tshuaj siv tshuaj tiv thaiv kom tsis txhob muaj menyuam yaus (cov tshuaj tiv thaiv qhov ncauj). Tsis tas li, rau cov neeg uas xeeb tub thaum noj cov tshuaj Tegretol muaj kev pheej hmoo siab ntawm kev yug me nyuam hauv plab.
Cov poj niam uas tau muab tshuaj Tegretol yuav tsum tau qhia kom siv cov hau kev ua kom muaj menyuam yaus xws li cov hnab looj qau. Muaj qee zaum, ib tus kws kho mob pojniam yuav tau pom zoo siv ntau dua cov tshuaj tiv thaiv txog kev txhaj tshuaj menyuam yaus.
Trileptal (Oxcarbazepine) thiab Yug Menyuam Tswj Tshuaj
Trileptal (oxcarbazepine) kuj tuaj yeem cuam tshuam nrog tshuaj tiv thaiv kab mob. Cov tshuaj muaj tshuaj (estrogen) thiab cov progestin, progestin tsuas yog tshuaj yug menyuam noj (cov ntsiav tshuaj mini), cov tshuaj tiv thaiv plab (xws li Depo-Provera), cov tshuaj tiv thaiv plab (progestin) (xws li Nexplanon), thiab progestin-containing IUDs, (xws li Mirena IUD thiab Skyla IUD) yuav tsis ua hauj lwm zoo yog tias koj noj thaum koj noj oxkarbazepine
Ib qho ntawm teeb meem txog kev txwv tsis pub xeeb me nyuam, cov neeg uas siv Trileptal yuav tsum paub tias nws tuaj yeem ua rau kom muaj kev xav txog kev tua neeg thiab tua tus kheej. Hauv tsab ntawv no, peb tab tom sib tham txog kev sib txuas lus nrog kev tiv thaiv kom tsis txhob muaj hnub yug, tab sis nws tseem ceeb kom rov qab hais tias muaj ntau txoj kev siv yeeb tshuaj ntxiv nrog rau cov tswj kev yug me nyuam uas muaj peev xwm ua tau.
Topamax (Topiramate) thiab kev yug menyuam
Topamax (topiramate) muaj feem cuam tshuam kev siv tshuaj tiv thaiv tsis zoo thiab nrog rau kev pheej hmoo ntawm kev yug me nyuam xws li cleft di ncauj thiab palate rau cov neeg uas cev xeeb tub thaum noj tshuaj.
Cov Kev Sib Txawv ntawm Cov Tawm Ntawm Cov Tshuaj Depo-Provera thiab Cov Tshuaj Tiv Thaiv Ib Tug Tshuaj (Anticonvulsant)
Depo-Provera contraceptive injections tuaj yeem ua kom pob txha poob, xws li qee qhov lwm yam tshuaj anti-epileptic (anticonvulsants), uas yuav ua rau mob osteoporosis. Yog li, yog tias koj noj cov tshuaj anticonvulsant thiab xav tias yuav siv cov tshuaj Depo-Provera, nrhiav kev pab tswv yim txog kev mob txha los ntawm koj tus kws kho mob.
Lamictal (Lamotrigine) thiab Hnub Yug Tswj
Yog tias muaj lwm qhov tshuaj yaj yeeb, Lamictal (lamotrigine), kev tswj kom tsis txhob muaj peev xwm ua rau muaj kev cuam tshuam zoo li cas rau qhov kev nyab xeeb ntawm lub siab ua haujlwm. Yog tias koj tab tom pib noj lamotrigine, nco ntsoov qhia koj tus kws kho mob yog tias koj noj tshuaj tiv thaiv kom txhob muaj menyuam; Yog tias koj twb tau noj tshuaj Lamictal, qhia rau koj tus kws kho mob sai li sai tau yog tias koj pib los yog txiav tsis pub noj kev haus.
Benzodiazepines thiab Hnub Yug Tswj
Benzodiazepines yog lwm hom tshuaj siv los ua kev xav rau cov neeg muaj kev puas siab puas ntsws bipolar. Cov tshuaj tua kabmob muaj peev xwm nce lub concentration ntawm qee tus benzodiazepines , xws li Xanax (alprazolam) ua rau muaj teebmeem ntawm cov tshuaj (thiab qhov txiaj ntsim sab kev phom sij.)
Calcium Channel Blockers thiab Pregnancy
Calcium channel blockers yog siv tsawg dua rau kev puas siab puas ntsws bipolar vim lawv tsis yog feem ntau zoo thiab txhaj tshuaj ntau dua yuav tsum tau siv. Hais tias, yog tias koj muaj kev xav txog cov kev mob tshwm sim thiab kev sib cuam tshuam ntawm koj cov tshuaj, nws yuav pab tau zoo kom paub tias qhov no yog ib hom tshuaj uas muaj kev nyab xeeb rau lub cev xeeb tub.
Ua Koj Tus Neeg Tawm Tswv Yim
Peb tau teev muaj ob peb txoj kev siv tshuaj yeeb dej caw ntawm cov tshuaj siv feem ntau ntawm cov neeg siv tshuaj (tshuaj rau lub siab) thiab tshuaj tiv thaiv menyuam yaus tab sis muaj ntau yam kev sib tshuam tsis teev nyob rau ntawm no.
Nws tseem ceeb heev kom nkag siab tias cov tshuaj koj siv, tshwj xeeb yog tias koj tau txais cov tshuaj no los ntawm cov kws kho mob sib txawv, muaj peev xwm los sib tham. Pharmacists nquag nrhiav kev sib tshuam, tab sis koj tsis tuaj yeem xav tias qhov no yuav tshwm sim. Ib txoj kev tshawb nrhiav tau pom tias 50 feem pua ntawm cov neeg uas noj tshuaj rau ntau tshaj li 6 lossis ntau dua txhua hnub tau noj tshuaj uas ua rau muaj kev cuam tshuam kev phom sij.
Ib txoj kev tshawb xyuas 2016 tau pom tias muaj ntau tus kws kho mob paub tias muaj kev sib thooj ntawm kev quav tshuaj yeeb ntawm cov tshuaj anticonvulsants thiab kev tswj menyuam yaus, lawv tsis paub txog cov teebmeem kev phom sij thiab kev sib cuam tshuam nrog cov yeeb tshuaj.
Tswv Yim Rau Kev Tawm Tsam Tshuaj Kev Sib Txawv
- Xyuas kom tag nrho cov neeg zov me nyuam paub txog tag nrho cov tshuaj uas koj siv, tsis yog cov tshuaj lawv sau.
- Nqa tag nrho koj cov tshuaj nrog koj, hauv lawv lub xub ntiag, mus rau txhua qhov chaw ua haujlwm.
- Nco ntsoov tias cov tshuaj uas yuav tom khw los thiab cov khoom noj haus kuj yuav muaj kev sib txuas nrog qee cov tshuaj thiab koj tus kws kho mob yuav tsum paub txog txhua yam kev kho mob los yog cov tshuaj vitamin uas koj noj.
Cov Kab Hauv Nruab Nrab Rau Cov Kev Ntsuas Mob Siab Tshaj (Tshwjxeeb) Lub Siab Hlwb thiab Lub Cev Txij Nkawm
Cov kab hauv qab? Yog tias koj noj lossis xav noj cov tshuaj tiv thaiv kab mob, nco ntsoov xyuas kom tus kws kho mob uas sau koj cov tshuaj siv bipolar paub txog nws, thiab tus kws kho mob sau cov tshuaj tiv thaiv tau paub txog koj cov tshuaj liab bipolar. Nws kuj tseem ceeb mus tham nrog koj tus kws muag tshuaj txog kev sib txuas lus ntawm kev siv yeeb tshuaj thiab.
Qhov chaw:
Suto, H., Braga, G., Scarpellini, G. li al. Neurologist Paub Txog Cov Kev Sib Txawv Ntawm Cov Tshuaj Siv Tshuaj Tiv Thaiv thiab Kev Siv Tshuaj Tiv Thaiv. Thoob Ntiaj Teb Phau Ntawv Txog Kev Kuaj Hniav thiab Kab Nkag Ob . 2016. 134 (3): 264-7.
Williams, D. Tshuaj tua kab mob thiab tshuaj tiv thaiv. US Pharmacist . 2014. 39 (1): 39-42.