Li-Anxiolytics le Meriana e Ling e Sebelisetsoang Bipolar Disorder
Lipatlisiso li fumane hore matšoenyeho a tloaelehile bathong ba nang le lefu la ho ferekana kelellong, ba fetang halofo ea batho ba nang le mathata a le mong kapa a mangata a matšoenyeho . Batho ba bang ba ka 'na ba se na matšoao a lekaneng a ho ba le matšoao a hore ba na le lefu la ho tšoenyeha empa ba ntse ba hloka meriana ho laola matšoao a bona. Ho tšoenyeha, ho tšoenyeha, ho tsieleha le ho robala, ka mohlala, hangata li ba teng nakong ea khatello ea maikutlo ea ho ferekana kelellong le likarolo tse tsoakaneng.
Matšoao a ho tšoenyeha a kang ho se phomole, ho tšoenyeha le ho halefa ho ka etsahala nakong ea mania le hypomania . Kahoo, ho tloaelehile hore batho ba ferekanyang maikutlo ba ferekanyang maikutlo ba be le meriana e thibelang ho tšoenyeha e boletsoeng.
Meriana ea ho tšoenyeha, eo hape e bitsoang meriana e khahlanong le ho tšoenyeha kapa ho tšoenyeha, e laeloa bakeng sa mathata a ho tšoenyeha hammoho le batho ba nang le khatello ea kelello le lefu la ho ferekana kelellong kapa ho tepella maikutlong. Meriana ea ho tšoenyeha e thusa ho etsa hore batho ba se ke ba tšoenyeha hape ba thuse ho kokobetsa ho hloka botsitso le ho tšoenyeha. Bongata ba meriana ena e boetse e thusa batho ho robala hantle. A re hlahlobeng mefuta e sa tšoaneng ea meriana e sebelisetsoang ho tšoara matšoenyeho le hore na e ka sebelisoa joang ho batho ba nang le lefu la ho ferekana kelellong.
Benzodiazepines
Boholo ba meriana e khahlanong le matšoenyeho e reretsoeng ho tšoara matšoenyeho e bitsoa benzodiazepines . Tse ngata tsa meriana ena ea ho tšoenyeha li boetse li laeloa bakeng sa maemo a mang a kang:
- Ho tsitlella
- Ho tsieleha
- Khemotherapy e bakoang ke ho nyefoloa ha maikutlo le ho hlatsa
- Ho tlosoa ke joala
- Ho khaotsa
Tse ling tsa meriana ena li sebelisoa ka ho khetheha bakeng sa liphello tsa bona tse senyang, ebang li thusa ka ho robala kapa ka meriana ea boikhathollo pele ho buuoa.
Meriana ea Benzodiazepine e kenyelletsa:
- Klonopin (clonazepam)
- Serax (oxazepam)
- Librium (chloridezepoxide)
- Xanax (alprazolam)
- Dalmane (flurazepam)
- Halcion (triazolam)
- Khutlela (temazepam)
Litla-morao tsa benzodiazepine li ngata, empa tse amehang ka ho fetisisa ke taba ea ho itšetleha, hammoho le ho overdose ha e sebelisoa ka boeona kapa ka joala.
Ho tepella maikutlo
Ho fumanoe hore meriana e mengata ea ho imeloa kelellong e na le phello e ntle litabeng tsa matšoenyeho, 'me ho fapana le benzodiazepines, ha e na kotsi e tšoanang ea tlhekefetso le ho fetoloa ho feta tekano. Ka lebaka lena, lithethefatsi tsena hangata ke tsona tse ka sehloohong tsa phekolo ea khatello ea mofuta leha e le ofe. Lithethefatsi tse tsoang likarolong tse sa tšoaneng tsa ho loantšana ha maikutlo li atisa ho akarelletsa:
Selectional serotonin reuptake inhibitors (SSRIs)
Meriana e meng ea mofuta ona e boletsoeng ka tlase hammoho le tse ling tsa lits'ebetso. Seo se boletse hore tsena tsohle li ka nkoa e le kalafo ea matšoenyeho ho ea ka matšoao a hao.
- Paxil (paroxetine): Paxil e na le mekhoa e mengata, ho kenyelletsa le ho kula ho tebileng ho hoholo, bothata ba ho qobella batho ba nang le khatello ea kelello (OCD), bothata ba ho tšoenyeha ha maikutlo kapa ho se na agoraphobia, boloetse ba ho tšoenyeha ha sechaba, lefu la ho tšoenyeha ka tloaelo (GAD) le post-traumatic stress disorder (PTSD) .
- Zoloft (sertraline): Zoloft e amoheloa bakeng sa ho phekoloa ke mathata a mangata a kenyeletsang ho kula ho tebileng, OCD, bothata ba ho tšoenyeha, lefu la pele la ho kula le ho tšoenyeha ha sechaba.
- Prozac (fluoxetine): Prozac e amoheleha bakeng sa ho phekola ho tepella maikutlo, OCD, le bothata ba ho tšoha.
- Luvox (fluvoxamine): Luvox e tloaelehile ho sebelisoa ho sebetsana le bothata ba ho qobella batho ba bangata (OCD).
Norepinephrine reuptake inhibitors (SNRIs ) e khethollang
Lithethefatsi tse thibelang li-reuptake tsa bobeli ba serotonin le li-norepinephrine li ka boela tsa sebelisoa ho tšoara matšoenyeho. SNRI e kenyeletsa:
Tricyclic Ho tepella maikutlo
Matšoao a matla a ho tepella maikutlo a tricyclic a sebelisoa hangata bakeng sa ho phekola ho tšoenyeha ka lefu la ho ferekana kelellong, empa e ka ba thuso maemong a mang.
Buspar (Buspirone)
Buspar (buspirone) ha e amane le meriana e ka holimo empa e ka thusa ho tšoenyeha ka lefu la ho ferekana kelellong, haholo-holo ha e kopane le ho tepella maikutlo. Le hoja meriana ena hangata e na le litla-morao tse fokolang, ho na le litlaleho tsa mania ho lithethefatsi ena, haholo-holo ha li kopantsoe le meriana e meng.
E seng Meriana ea Meriana
Ho na le litsela tse ling tse 'maloa tsa ho atamela phekolo ea matšoenyeho ho phaella merianeng,' me, ha e le hantle, meriana ea phekolo e atisa ho atamela ka ho fetisisa. Mefuta e meng ea phekolo e kenyeletsa:
- Phekolo ea kelello, e kang ts'oaetso ea boitšoaro bo botle (CBT), le CBT e hlile e nkoa e le e 'ngoe ea phekolo e sebetsang ka ho fetisisa bakeng sa matšoenyeho
- Mekhoa ea ho sebetsana le ho phomola, e kang ho hema haholo .
E le khopolo ea ho qetela, hopola hore matšoenyeho 'ohle ha a mpe,' me matšoenyeho kapa "eustress" ha e le hantle e susumelletsa batho ho ba sohle se ka ba teng.
Lentsoe le Tsoang ho
Haeba motho ea ferekanyang maikutlo a ferekanyang maikutlo a e-na le mathata a mang kapa a mangata a ho tšoenyeha, ho ka 'na ha e-ba le meriana e loketseng ea ho ba le matšoenyeho. Meriana leha e le efe e ka holimo e ka laeloa ho motho ea nang le lefu la ho ferekana kelellong ea nang le matšoenyeho, esita le haeba matšoenyeho a sa tsoe ke lefu la sebele la matšoenyeho.
Lisebelisoa:
Fountaoulakis, K., Yatham, L., Grunze, H. et al. Lekhotla la International College of Neuro-Psychopharmacology (CINP) Likhokholetso tsa Phekolo ea Bipolar Disorder ho Batho ba baholo (CINP-BD-2017), Karolo ea 2: Ho hlahloba, ho hlophisa bopaki, le mekhoa e nepahetseng ea algorithm. International Journal of Neuropsychopharmacology . 2016 Dec 22. (Epub pele ea khatiso).