Manya tsofaffi, Dattijai da haɓaka yanayi
Shirye-shiryen yanayi ne magunguna waɗanda aka tsara su har ma da motsin zuciyar da suke da yawa. Alal misali, mutum yana da matsanancin matsayi (mania) da kuma ɓoyewa (ciki) za a iya bincikar su tare da cututtukan martaba sannan kuma a sanya su magani don magance matsalolin yanayi don ƙoƙari su kwantar da hankulan halayensu da motsin zuciyar su. Wadannan magungunan sun kuma sanya su a wasu lokuta don su bi da alamun bayyanar cututtuka na nakasa (BPSD) .
Wadannan ma wasu lokuta ana kiranta su " halayyar kalubale " a cikin lalata.
Shin masu tsauraran hali na yanayi suna da kyau a cikin rikici?
Magunguna daban-daban - da yawa daga cikinsu sune magunguna (magungunan don rage satarwa) - sune a matsayin masu sulhu. Bugu da ƙari, bincike ba ta goyi bayan yin amfani da matsalolin yanayi ba a cikin rikice-rikice , ko da yake akwai wasu dalilai da likita ke ɗauka lokacin da yake umurni wadannan magunguna. Bayan lokaci, ƙarin bincike zai iya ba da haske a kan amfani da wadannan magunguna a cikin mutane da ke fama da lalata.
Ga wasu lokutta masu zaman lafiya na yau da kullum, ciki har da tasirin tasirin su a kan magance tashin hankali da tashin hankali a cikin rikici, bisa ga binciken bincike.
Lithium (Eskalith, Lithobid):
Lithium an umarce shi ne don magance matsalar rashin lafiya. Binciken ba a gano shi ba ne a cikin maganin matsalolin ƙalubale a cikin lalata.
Valproate (Depakote):
Wannan ƙungiyar miyagun ƙwayoyi na kwayoyin halitta, wanda ya hada da divalprox sodium (Depakote), valproate sodium (Depacon) da kuma valproic acid (Depakene, Stavzor), wasu likitoci sunyi amfani da su don magance tashin hankali a cikin rikici amma duk da haka, ba a tallafa shi ta hanyar bincike . Wasu bincike sun nuna nuna rashin karuwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa tare da yin amfani da divalprox sodium a cikin damuwa.
Carbamazepine (Tegretol):
Wannan magani ne wanda aka saba wajabta don magance magunguna a cikin mutane da epilepsy. Wasu bincike sun gano cewa wannan miyagun ƙwayoyi yana da tasiri sosai wajen kula da tashin hankali a cikin rikici. Duk da haka, ba'a amfani dashi akai-akai saboda yana iya haifar da mummunar tasiri, irin su hulɗa da wasu magunguna, bunkasa ƙananan sodium kuma rage yawan ƙwayar jini.
Oxcarbazepine (Trileptal):
Bincike ya nuna cewa wannan maganin antionvulsant bai kasance mai tasiri a rage yawan halayyar kalubalen da suka shafi lalata ba.
Lamotrigine (Lamictal):
Lamotrigene wani magani ne wanda aka umurce shi da yawa don bi da maganin a cikin epilepsy. An samu wasu bincike da yawa wanda ya nuna ingantawa a cikin rikici cikin rikici tare da amfani da shi, kuma binciken daya ya gano cewa yin amfani da shi tare da maganin antipsychotic ya taimaka wajen kaucewa kwayoyin antipsychotic. Cibiyar Abinci da Drug ta Amurka ta lura cewa lamotrigene na da ƙananan haɗari na gaggawa mai hadarin gaske wanda zai iya bunkasa a matsayin sakamako mai tasiri.
Magungunan antipsychotic, wanda wasu lokuta an rarraba su a matsayin masu tayar da hankali, sukan tsara su don taimakawa wajen rage halin da ke ciki da matsalolin damuwa a cikin lalata.
Magunguna na Antipsychotic sun hada da Abilify (aripiprazole), Clozaril (clozapine), Haldol (haloperidol), Risperdol (risperidone), Seroquel (quetiapine), da Zyprexa (olanzapine).
An gudanar da nazarin da yawa game da kwayoyi antipsychotic da kuma amfani da su ga BPSD. Wadannan magunguna suna da goyon baya a cikin bincike don nuna cewa zasu iya taimakawa tare da halayyar kalubale a cikin lalata, amma kuma suna haifar da mummunar rikitarwa, har ma da mutuwa, tare da amfani da su. Saboda wannan hadarin, an samu kira daga ƙasa daga Cibiyar Medicare da Medicaid don rage amfani da kwayoyi masu maganin antipsychotic a cikin mutanen da ke da lalata.
Magungunan antipsychotic sun fi dacewa lokacin da mutumin da ke fama da lalata yana fuskantar paranoia , ruɗi ko hallucinations da ke sa su wahala. Ba za a yi amfani da antipsychotics ba kawai saboda wani yana cikin hutawa, damuwa, yawo , ko kuma barci da dare.
Kalma daga
Yawancin mahimmanci, wajibi ne a yi kokarin yin amfani da maganin miyagun ƙwayoyi don maganganun ƙalubalanci a lalatawa kafin a yi amfani da magunguna. Duk da yake babu wani bayani da ke aiki a kowane lokaci, hanyoyin da ba a maganin miyagun ƙwayoyi sun nuna tasiri a rage, da kuma amsawa ga BPSD.
Bayarwa
** Don Allah a lura cewa bayanin da aka haɗa a kan wannan shafin yanar gizon kuma ya danganta ga duka biyu daga kuma wannan shafin ba likita ba ne kuma yana da jagora da bayani kawai. Na yi ƙoƙari don bayar da rahoto da ke da cikakkiyar maganin lafiya da kuma bincike kan kimiyya, amma wannan ba wani abin ba ne na kulawa da shiriya daga likita. **
Sources:
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Binciken Kwararre na Neurotherapeutics. 2012 Feb, 12 (2): 155-8. Ƙungiya ta Halittar Divalproex Yin amfani da sodium da kuma Brain Atrophy a Cutar cutar Alzheimer. http://www.ncbi.nlm.nih.gov/pubmed/22288670
Jaridar Huazhong Jami'ar Kimiyya da Fasaha [Kimiyyar Kimiyya]. Oktoba 2010, Volume 30, Issue 5, shafi na 652-658. Meta-Analysis of Stabilizers Mood for Alzheimer's Disease. http://link.springer.com/article/10.1007%2Fs11596-010-0559-5
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Ma'aikatar Kiwon Lafiya ta San Clara County. Dokokin Ɗaukaka Mura. Ƙararraji na yanayi. Yuni 2014. https://www.sccgov.org/sites/mhd/Providers/PharmacyInformation/MHDGuidelines/Mood%20Stablizers%20Complete%206-2014.pdf
Ƙungiyar Ma'aikatar Magunguna ta Amurka. Drug Record. Carbamazepine. Satumba 30, 2015. http://livertox.nih.gov/Carbamazepine.htm
Ƙungiyar Ma'aikatar Magunguna ta Amurka. Lamotrigine. Janairu 13, 2016. https://www.nlm.nih.gov/medlineplus/druginfo/meds/a695007.html