Xaiv lub siab ruaj khov nyob ntawm ntau yam uas koj yuav tsum tham nrog koj tus kws kho mob hlwb lossis kws kho mob. Mood stabilizers feem ntau tau sau tseg rau cov tib neeg kuaj pom tias muaj kev puas siab puas ntsws bipolar thiab lub hom phiaj los txo cov tsos mob thiab qhov hnyav cuam tshuam nrog kev vwm thiab hloov pauv lub siab. Feem ntau, tib neeg xav tau tshuaj ntxiv los kho kev nyuaj siab, ntxhov siab, lossis mob hlwb. Thaum cov tshuaj tuaj yeem pab txo cov tsos mob, lawv feem ntau tuaj nrog cov kev mob tshwm sim lossis tuaj yeem cuam tshuam nrog lwm cov tshuaj, yog li nws yog qhov tseem ceeb los tham nrog koj tus kws kho mob hlwb ua ntej xaiv tshuaj.
Cov kauj ruam
Ntu 1 ntawm 3: Xav Txog Qhov Muaj Lub Siab Zoo
Kauj Ruam 1. Tham txog kev siv lithium
Cov neeg feem ntau kuaj pom tias muaj kev puas siab puas ntsws bipolar yuav siv lithium ntawm ib kis lossis thoob plaws lawv txoj kev kho mob. Cov txiaj ntsig ntawm lithium suav nrog yav tsaus ntuj hloov pauv kev xav, kho kev nyuaj siab thiab vwm, thiab tiv thaiv kev npau taws. Lithium zoo li muaj zog tiv thaiv kev tua tus kheej, uas tuaj yeem muaj txiaj ntsig zoo hauv kev kho mob. Lithium yuav siv sijhawm li 10 - 14 hnub kom siv tau thiab li ntawm 50% ntawm tib neeg pom kev txhim kho thaum noj cov roj teeb lithium. Lwm 40 - 50% kev txhim kho thaum lwm cov tshuaj tau ntxiv rau lithium.
- Tsis noj lithium tsis tu ncua lossis tsis siv tam sim ntawd tuaj yeem ua rau koj muaj kev tsis xis nyob lossis xav tau pw hauv tsev kho mob.
- Cov kev mob tshwm sim muaj xws li nce phaus, nqhis dej, lub qhov ncauj qhuav, thiab tshee me ntsis.
- Lithium muaj raws li cov ntsiav tshuaj, tshuaj ntsiav, thiab kua thiab yuav tsum tau noj ob rau plaub zaug ib hnub.
- Nco ntsoov tias lithium toxicity yog qhov pheej hmoo. Cov tsos mob muaj xws li xeev siab, ntuav, thiab raws plab. Lub plawv dhia tsis xwm yeem, qeeb qeeb, nyuaj nrog kev sib koom tes, tsis meej pem, thiab ntxhov siab.
- Tsis txhob siv lithium yog tias koj cev xeeb tub, vim qhov no ua rau menyuam hauv plab muaj kev pheej hmoo rau lub plawv tsis xws luag.
Kauj Ruam 2. Saib hauv valproate
Kuj tseem paub tias yog valproic acid lossis Depakote, valproate ua haujlwm zoo tshaj plaws rau cov neeg uas caij tsheb kauj vab nrawm thiab cov neeg uas muaj keeb kwm kev nyuaj siab nrog kev vwm sib xyaw. Cov neeg uas muaj kev puas siab puas ntsws bipolar uas tau txais txiaj ntsig los ntawm valproate suav nrog cov uas muaj keeb kwm ntawm kev raug mob hauv taub hau, siv yeeb tshuaj, lossis muaj kev xiam oob khab. Valproate tuaj yeem kho tus mob rov zoo li qub uas suav nrog kev puas siab puas ntsws thiab feem ntau siv los kho tus mob vwm. Feem ntau, nws yuav siv sijhawm xya mus rau 14 hnub rau cov tshuaj kom pib muaj kev cuam tshuam, thiab cov kws kho mob hlwb yuav tsis kho qhov ntau npaum li ua ntej peb lub lis piam.
- Cov kev mob tshwm sim xws li hnyav nce, plaub hau poob, lossis hnov mob. Yog tias koj muaj nqaij tawv los yog ntshav, ceeb toom rau koj tus kws kho mob tam sim.
- Valproate muaj raws li tshuaj ntsiav, ntsiav tshuaj, thiab kua, xa ib zaug rau ob zaug txhua hnub.
Kauj Ruam 3. Xav txog carbamazepine
Carbamazepine (tseem hu ua Tegretol) qee zaum tau sau tseg rau cov neeg uas tsis teb zoo rau lithium. Nws zoo li ua haujlwm zoo rau cov tib neeg uas muaj kev caij tsheb kauj vab bipolar nrawm. Nws feem ntau kho tus mob ntu manic thiab ntu sib xyaw. Qee tus neeg noj carbamazepine ua ke nrog lithium. Cov tshuaj no feem ntau siv sijhawm xya mus rau 14 hnub kom siv tau, thiab yog tias tsis pom muaj txiaj ntsig hauv peb lub lis piam, koj tus kws sau ntawv yuav sim tshuaj sib txawv. Carbamazepine tuaj yeem cuam tshuam nrog lwm cov tshuaj lossis muaj qhov cuam tshuam tsawg dua nyob rau lub sijhawm, uas yog vim li cas nws tsis tau sau tseg kom yooj yim li lwm yam tshuaj.
- Carbamazepine nyhav kom muaj cov kev mob tshwm sim tsawg dua li lithium, tab sis tuaj yeem suav nrog xeev siab, kiv taub hau, tsaug zog, thiab hnov mob.
- Cov tshuaj no muaj nyob ua ib ntsiav tshuaj, zom, tsiav tshuaj, lossis kua, noj ob rau plaub zaug ib hnub.
Kauj Ruam 4. Xav txog lamotrigine
Lamotrigine (Lamictal) tau sau tseg feem ntau los kho kev nyuaj siab hnyav thiab feem ntau muab rau los kho kev puas siab puas ntsws bipolar II. Cov koob tshuaj yuav tsum nce maj mam thiab tsis tuaj yeem nce sai. Yuav tsum muaj kev tshawb fawb ntxiv txhawm rau txhawm rau ntsuas qhov ua tau zoo ntawm kev kho tus mob bipolar, txawm li cas los xij, nws zoo li muaj txiaj ntsig zoo kho kev nyuaj siab thiab mob vwm. Nws feem ntau yog siv los kho qaug dab peg thiab qaug dab peg.
- Cov kev mob tshwm sim ntawm lamotrigine suav nrog kev tsaug zog, mob taub hau, raws plab, pw tsis tsaug zog, tawm pob, thiab hnov mob.
- Cov tshuaj muaj nyob ua ntsiav tshuaj, cov ntsiav tshuaj yaj tau, thiab zom tau, noj ib zaug lossis ob zaug txhua hnub.
Ntu 2 ntawm 3: Tham nrog Tus Kws Kho Mob Hlwb
Kauj Ruam 1. Teem sijhawm nrog koj tus kws khomob
Koj tsis tuaj yeem ua kom lub siab ruaj khov yam tsis muaj daim ntawv yuav tshuaj. Cov neeg feem coob xaiv mus ntsib kws kho mob hlwb los tswj hwm kev noj qab haus huv daim ntawv sau tshuaj, phiv tshuaj, thiab cov tsos mob. Ib tus kws kho mob hlwb tau kawm los tshuaj xyuas thiab kho cov tsos mob ntawm kev puas siab puas ntsws thiab muaj kev paub ntau dua los kho cov teeb meem kev puas siab puas ntsws ntau dua li kws kho mob tshwj xeeb.
Nrhiav tus kws kho mob hlwb los ntawm kev hu rau koj tus kws kho mob lossis chaw kho mob puas siab ntsws hauv nroog. Koj tseem tuaj yeem tau txais kev xa mus los ntawm koj tus kws kho mob tshwj xeeb lossis thov kev pom zoo los ntawm tus phooj ywg
Kauj Ruam 2. Rov mus ntsib koj tus kws kho mob hlwb tas li
Thaum ntxov ntawm kev kho mob, tham nrog koj tus kws kho mob hlwb tas li txog koj cov tshuaj. Qhia rau koj tus kws kho mob paub txog ib qho kev phiv los sis phiv tshuaj uas koj yuav tau ntsib. Taug qab koj qhov kev xav, pw tsaug zog, kev noj zaub mov zoo, thiab kev nyob zoo, thiab rov qab hloov pauv dab tsi rov qab rau koj tus kws kho mob. Teem sijhawm tsis tu ncua nrog koj tus kws kho mob hlwb los tshuaj xyuas qhov ua tau zoo ntawm koj cov tshuaj.
Thaum koj pom koj tus kws khomob, qhia rau lawv paub tias koj tab tom ua tshuaj li cas thiab seb koj puas xav tau kho nws lossis hloov pauv
Kauj Ruam 3. Kho tshuaj yog tias koj npaj rau tsev neeg
Yog tias koj xav tau cev xeeb tub, cev xeeb tub, lossis pub niam mis, nws yog ib qho tseem ceeb los tham txog koj cov kev kho mob nrog koj tus kws khomob. Qee cov tshuaj tuaj yeem cuam tshuam nrog kev yug me nyuam tsis zoo thiab tuaj yeem xa mus rau koj tus menyuam los ntawm koj lub mis niam.
Yog tias koj xav hloov pauv koj cov tshuaj, ib txwm tham nrog koj tus kws kho mob
Kauj Ruam 4. Qhib rau lwm txoj kev xaiv
Thaum lub siab ruaj khov feem ntau siv los kho tus mob bipolar, lawv tsis yog qhov kev xaiv nkaus xwb. Qee tus kws khomob tuaj yeem xaiv kho koj tus mob bipolar nrog tshuaj antipsychotic, uas suav nrog risperidone, olanzapine lossis clozapine. Lawv feem ntau siv los kho tus mob manic theem ntawm kev puas siab puas ntsws bipolar, tab sis kuj tuaj yeem kho kev nyuaj siab hnyav thiab lwm yam kev kuaj mob hlwb. Koj kuj tseem yuav noj tshuaj antidepressant.
Yog tias koj tus kws kho mob pom zoo kom siv tshuaj tua kab mob, nws tsis yog vim koj "vwm." Nws yog ib qho ntawm ntau txoj kev xaiv yog tias lawv tsis ntseeg tias lub siab ruaj khov yog qhov haum rau koj
Ntu 3 ntawm 3: Saib Xyuas Koj Cov tsos mob thiab tshuaj noj
Kauj Ruam 1. Taug qab koj qhov kev xav thiab tsos mob
Ib txoj hauv kev los tshuaj xyuas koj qhov kev vam meej ntawm cov tshuaj yog txhawm rau taug qab koj lub siab thiab cov tsos mob txhua hnub. Xav txog kev khaws cov tsos mob bipolar thiab cov ntawv xov xwm zoo uas koj hloov kho tas li suav nrog koj pw, kev xav, thiab tshuaj noj. Nug koj cov phooj ywg thiab tsev neeg kom maj mam taw qhia txog qhov kev hloov pauv lossis hloov pauv ntawm koj tus cwj pwm.
Sau npe kev pab ntawm tsev neeg thiab cov phooj ywg los ntawm kev nug, "Kuv ua qhov zoo tshaj plaws los tswj kuv qhov kev xav thiab tsos mob thiab kuv pib siv tshuaj. Koj puas yuav qhia rau kuv paub yog tias koj pom muaj kev hloov pauv loj hauv kuv tus cwj pwm lossis kev xav?"
Kauj Ruam 2. Ua siab ntev
Qee cov tshuaj siv sijhawm ntau lub hlis kom ua tiav. Yog tias koj tab tom muaj kev phom sij tsis zoo, koj tus kws kho mob yuav hloov pauv ib yam tshuaj ib zaug. Koj yuav xav tau kho koj li tshuaj lossis kho koj cov tshuaj raws li koj cov kev mob tshwm sim thiab cov tsos mob. Koj yuav pom tias ib qho tshuaj ua haujlwm tau zoo tab sis ua rau muaj kev phiv tsis zoo uas yuav xav tau lwm yam tshuaj. Ua siab ntev thiab ib txwm piav qhia koj cov tsos mob rau koj tus kws sau tshuaj.
- Nws tuaj yeem ua rau kev ntxhov siab tswj hwm cov kev mob tshwm sim thiab cov tsos mob. Nyob zoo uas koj yuav pom qhov haum zoo rau koj lub cev.
- Nws yuav siv sij hawm ntau lub hlis kom tau txais cov tshuaj kom raug rau koj kev kho mob. Ua raws li koj cov tshuaj, thiab ib txwm noj nws raws li tau hais tseg.
Kauj Ruam 3. Mus kuaj ntshav tas li
Ntau qhov kev xav zoo tuaj yeem cuam tshuam rau koj lub siab thiab lub raum ua haujlwm, thiab nws yog qhov tseem ceeb los saib xyuas lawv kev noj qab haus huv thoob plaws kev kho mob. Qhov no feem ntau ua tiav los ntawm kev kuaj ntshav yooj yim. Thaum pib kho, koj yuav xav kuaj ntshav ntau zaus (txhua lub lim tiam lossis ob lub lim tiam), uas tuaj yeem dhau los tsawg dua nyob rau lub sijhawm (ib xyoos ib zaug).
