Cov tswvcuab mob siab ntsws yog lub hauv paus ntawm kev kho tus mob bipolar
Yog tias koj muaj kev puas siab puas ntsws bipolar , tshuaj yuav yog ib feem tseem ceeb ntawm koj txoj kev kho mob nrog kev kho, xaiv kev noj qab haus huv zoo, thiab lwm yam tswv yim pab daws teeb meem. Cov tswvcuab mob siab ntsws yog ib qho tseem ceeb tshaj plaws rau kev siv tshuaj rau kev puas siab puas ntsws bipolar, thiab lawv yuav raug sau rau koj. Cov tshuaj no tswj cov kev siab tsis zoo thiab cov kabmob ntawm kev puas siab puas ntsws bipolar, feem ntau txo qhov kev pheej hmoo ntawm mania thiab hypomania, tab sis qee cov stabilization rau lub siab tseem muaj qhov teebmeem antidepressant.
Mood Stabilizers
Lithium yog thawj lub laj thawj ruaj ntseg uas siv los kho cov kev puas siab puas ntsws bipolar thiab nws tseem siv tau hnub no. Kev siv tshuaj Anticonvulsant, thawj coj siv los kho cov tshuaj mob qaug dab peg thiab nws thiaj li pom tau tias yuav pab kom muaj kev nyab xeeb, siv rau lub hom phiaj no thiab. Lwm yam tshuaj, xws li cov calcium-channel blockers , benzodiazepines, thiab ib nti kev puas siab puas ntsws kuj muaj kev nyab xeeb rau cov teebmeem thiab yuav siv los kho cov kev puas siab puas ntsws bipolar.
Lithium: Tus Thawj Lub Siab Hloov Kom Sov
Lithium yog ib qho kev kho mob zoo heev rau ob leeg tib neeg thiab hypomania thiab nws kuj muaj qhov teeb meem tshuaj tua kab mob antidepressant. Txawm hais tias nws yog qhov siab tshaj plaws lub siab ceev tshaj plaws, nws tseem yog ib qho staple nyob rau hauv kev kho mob arsenal rau kev kho cov tsos mob ntawm tus mob bipolar. Hnub no, lithium tseem yog cov tshuaj uas tau pom zoo ua ntej rau kev puas siab puas ntsws bipolar, tsis yog tsim los rau lwm cov mob lossis cov tsos mob thiab tom qab nrhiav haujlwm ua ib qho chaw ruaj ntseg.
Yog tias koj tus kws kho mob xaiv cov tshuaj lithium, koj yuav tsum tau kuaj ntshav kom tsis tu ncua kom paub meej tias koj cov ntshav qib lithium yog nyob rau hauv cov tshuaj kho mob, vim tias qib uas siab dhau heev lawm ua mob.
Lithium yog ua los ntawm ob lub raum, yog li koj tseem yuav xav tau koj lub raum theem ntawm cov tshuaj no. Tsis tas li ntawd, lub cev qhuav dej yuav ua tau kom ntshav lithium nce mus nce siab, yog li yuav tsum haus dej haus txaus thaum nyob ntawm lithium.
Anticonvulsants
Cov tshuaj Anticonvulsants tau qhia kom txo tau cov tsos mob ntawm tus mob.
Lawv kuj hu ua anti-epileptic tshuaj, raws li lawv tau tsim los kho cov qaug dab peg. Kev siv tshuaj anticonvulsant heev rau kev puas siab puas ntsws bipolar yog hu ua Depakote (valproic acid). Cov neeg uas tsis tuaj yeem zam rau lithium, lossis cov neeg uas muaj kev puas siab ntsws bipolar sai, yuav ua tau zoo nrog cov tshuaj no.
Tshuaj tua kab mob
Mob lub cev muaj mob tshwm sim hauv kev puas siab puas ntsws hauv ntau li ob feem peb ntawm cov neeg muaj kev puas siab puas ntsws bipolar. Hauv cov neeg no, kev siv tshuaj tiv thaiv kabmob siv ntau zaus. Lawv kuj tseem siv los txo cov tsos mob ntawm mania kom txog thaum tus cwj pwm ruaj khov, xws li lithium los yog valproate, tuaj yeem siv tau tag nrho. Hauv qee cov neeg, cov tshuaj no siv tau ntev. Muaj ntau yam tshuaj atypical , cov cim tshiab ntawm cov tshuaj tiv thaiv mob hlwb, kuj muaj cov tshuaj tua kab mob antidepressant.
Calcium Channel Blockers
Muaj cov pov thawj hais tias cov calcium channel blockers , feem ntau yog siv los kho ntshav siab, lub plawv dhia tsis haum thiab lwm yam teeb meem ntawm lub plawv, zoo li thaum cov neeg mob lub siab. Vim tias lawv muaj tsawg dua cov kev phiv los ntawm lithium thiab anticonvulsants, lawv yuav yog qhov kev xaiv rau cov neeg uas tsis tuaj yeem zam cov tshuaj no.
Txawm li cas los xij, calcium channel blockers yuav tsum tau txhaj tshuaj ntau dua thiab ntau zaus, txog li 4-6 zaug txhua hnub, thiaj li yuav pab tau kom tsis muaj kev puas siab puas ntsws bipolar.
Tej zaum lawv kuj yuav tsis zoo dua cov kab mob thawj zaug saum toj no.
Benzodiazepines
Cov tshuaj tiv thaiv kev ntxhov siab nyob rau hauv ib chav kawm hu ua benzodiazepines yog qee zaum siv los tswj kev ceev cov kev mob tshwm sim hauv lub cev thaum lub siab ceev xwmphem ntxiv siv zog. Cov kab mob benzodiazepines yog cov leeg hauv hlwb (CNS) depressants thiab cov vas nthiv-ua dej. Cov tshuaj no feem ntau yog siv los ntxias kev pw tsaug zog, txo kev ntxhov siab thiab mob leeg, thiab tiv thaiv qaug dab peg. Lawv kuj yuav raug siv los pab kho lub sijhawm pw tsaug zog.
Cov Tshuaj Noj Siv Lub Sij Hawm Los Ua Ntej
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias feem ntau ntawm cov tshuaj no, tsuas yog siv cov vas nthiv sai ua benzodiazepines, feem ntau siv ntau tshaj ib lub hlis los ua kom zoo.
Thaum koj tos koj cov tshuaj mus ncaws, kho, qoj ib ce, khoom noj pw tsaug zog, muaj kev sib raug zoo txhawb zog siab thiab kev noj zaub mov zoo yuav ua rau koj xav tau zoo npaum li cas.
Kev Npaj Tiv Thaiv Bipolar
Yog tias koj muaj bipolar ceev ceev, uas txhais tau tias koj muaj tsawg kawg yog plaub lub sijhawm rau ib xyoo, nws yuav coj kev sim ntau dua thiab yuam kev kom nrhiav tau cov tshuaj kho kom zoo rau koj cov kev mob tshwm sim. Sim ua kom tus neeg mob thiab muab sij hawm rau nws kom txog thaum koj pom qhov tseeb ua ke.
Qhov chaw:
Lub Koom Haum Lub Tebchaws ntawm Kev Puas Siab Puas Ntsws
Marcelle Mostert, MD thiab Steven L. Dubovsky, MD. Thaum kev kho tus mob bipolar tsis: Qhov twg yog koj cov kauj ruam tom ntej? Tam sim no Psychiatry . Vol. 7, Zauv 1 / Lub Ib Hlis 2008.