Baholo ba baholo, Dementia le Mood Stabilizers
Mesebetsi e tsitsitseng ke meriana e etselitsoeng ho ntša maikutlo a fapaneng haholo. Ka mohlala, motho ea nang le maemo a feteletseng (mania) le ea ho tepella maikutlo a ka 'na a fumanoa a e-na le lefu la ho ferekana kelellong ebe o laeloa hore mehopolo e tsitsitseng meriana ho leka ho kokobetsa ho feto-fetoha ha maikutlo a bona le maikutlo a bona. Lithethefatsi tsena li boetse li laetsoe ka linako tse ling ho tšoara matšoao a boitšoaro a 'mele le a kelello a' dementia '(BPSD) .
Hape ka linako tse ling ho thoe ke " mekhoa e thata " e nang le 'dementia'.
Na Boikutlo ba Matlafatso a Moea o Atlehile ho Dementia?
Meriana e 'maloa e fapaneng-eo bongata ba eona e leng li-anticonvulsants (lithethefatsi tse fokotsang ho fokotseha) -e boleloa e le boikutlo ba ho fetoha maikutlo. Ka kakaretso, lipatlisiso ha li tšehetse ho sebelisoa ha maikutlo a ts'oaetso ea kelello 'meleng , le hoja ho na le mabaka a mang ao ngaka e nahanang ka eona ha a laela meriana ena. Ha nako e ntse e ea, lipatlisiso tse eketsehileng li ka fana ka leseli le eketsehileng mabapi le tšebeliso ea meriana ena ho batho ba nang le ts'oaetso ea 'mele.
Mona ke tse ling tsa mekhoa e tloaelehileng ea maikutlo, ho kenyelletsa le tekanyo ea katleho ea bona ea ho sebetsana le ho ferekanya le ho hlekefetsoa ka bothata ba 'dementia', ho latela lipatlisiso tsa lipatlisiso.
Lithium (Eskalith, Lithobid):
Lithium e tloaelehile hore e phekoloe ke lefu la ho ferekana kelellong. Hangata liphuputso ha li fumane hore li atlehile ho sebetsana le mekhoa e thata ho 'dementia'.
Valproate (Depakote):
Sehlopha sena sa likokoana-hloko sa anticonvulsant, se akarelletsang divalproex sodium (Depakote), sodium valproate (Depacon) le valproic acid (Depakene, Stavzor), e 'nile ea sebelisoa ke lingaka tse ling ho phekola khatello ea kelello' meleng empa ka kakaretso, tšebeliso ea eona ha e tšehetsoe ke lipatlisiso . Lipatlisiso tse ling li bile li bontšitse tahlehelo e eketsehileng ea boholo ba boko bo sebelisoang ke divalproex sodium e nang le 'dementia'.
Carbamazepine (Tegretol):
Ena ke meriana e thibelang likokoana-hloko e atisang ho behoa hore e tšoaroe ke batho ba nang le lefu la sethoathoa. Lipatlisiso tse ling li fumane hore lithethefatsi ena e ne e sebetsa ka mokhoa o itekanetseng phekotsing ea khatello ea kelello 'meleng. Leha ho le joalo, hangata ha e sebelisoe hobane e ka ba le litla-morao tse mpe, tse kang ho sebelisana le meriana e meng, ntshetsopele ea lisele tse tlaase tsa sodium le fokotseha.
Oxcarbazepine (Trileptal):
Lipatlisiso li bontšitse hore meriana ena ea anticonvulsant e se e sa sebetse ho fokotsa boitšoaro bo thata bo amanang le 'dementia'.
Lamotrigine (Lamictal):
Lamotrigene ke moriana o mong o tloaelehileng hore o sebetsane le ho tšoaroa ke lefu la sethoathoa. Ho 'nile ha e-ba le lipatlisiso tse fokolang tse bontšitseng ntlafatso ea ho ferekanya ha' dementia ' le tšebeliso ea eona,' me phuputso e 'ngoe e fumane hore ho e tsamaisa hammoho le meriana ea antipsychotic ho thusitse ho qoba ho eketsa lithethefatsi tsa antipsychotic. US Food and Drug Administration e bolela hore lamotrigene e na le kotsing e nyenyane ea ho phatloha ka bophelo e ka hlahang e le phello e le 'ngoe.
Meriana ea ho phekola lefu lena, eo ka linako tse ling e arohanngoang ka eona e le ho tsitsisa maikutlo, hangata e laeloa ho thusa ho fokotsa boitšoaro bo boima le maikutlo a sithabetsang a ho tepella maikutlo.
Meriana ea li-antipsychotic e kenyelletsa Abilify (aripiprazole), Clozaril (clozapine), Haldol (haloperidol), Risperdol (risperidone), Seroquel (quetiapine), le Zyprexa (olanzapine).
Lithuto tse 'maloa li' nile tsa etsoa ka lithethefatsi tsa antipsychotic le tšebeliso ea tsona bakeng sa BPSD. Meriana ena e na le ts'ehetso e fokolisitsoeng ho etsa lipatlisiso ho bontša hore ba ka thusa ka mekhoa e thata ka bothata ba 'mele, empa ba boetse ba beha kotsing e kholo ea mathata, esita le lefu, ka tšebeliso ea bona. Ka lebaka la kotsing ena, ho bile le pitso ea naha eohle ho tloha Setsi sa Medicare le Medicaid ho fokotsa tšebeliso ea lithethefatsi tsa antipsychotic ho batho ba nang le 'dementia'.
Meriana ea ho phekola lefu lena e nepahetse haholo ha motho ea nang le 'dementia' a e-na le lipolao , likhohlano kapa likhopolo tse ba bakelang mahlomola. Antipsychotics ha ea lokela ho sebelisoa hobane motho e mong a sa phomole, a tšoenyehile, a lelera kapa ha a robale hantle bosiu.
Lentsoe ho
Habohlokoa ka ho fetisisa, mekhoa e seng ea lithethefatsi bakeng sa mekhoa e thata ea 'dementia' e lokela ho lekoa pele meriana e sebelisoa. Le hoja ho se na tharollo e sebetsang nako le nako, litsela tse sa sebeliseng lithethefatsi li bontšitse katleho e itseng ho fokotsa le ho arabela, BPSD.
Taba ea bohlokoa
** Ka kopo hlokomela hore tlhahisoleseding e kenyelletsweng ho websaeteng ena mme e kopantsweng ho bobeli le ho tswa ho saete ena ha e ele keletso ya tsa bongaka mme ke bakeng sa tataiso le tlhahisoleseding feela. Ke entse boiteko bohle ba ho tlaleha tlhahisoleseding e nepahetseng ea meriana le ea ho etsa lipatlisiso tsa saense, empa sena ha se fetole tlhokomelo le tataiso ho ngaka. **
Lisebelisoa:
Lithethefatsi le ho tsofala. 2012 Aug 1; 29 (8): 627-37. The Efficacy le Tšireletseho ea Li-Anticonvulsants tse Ncha ho bakuli ba nang le Dementia. http://www.ncbi.nlm.nih.gov/pubmed/22734626
Tlhahlobo ea Litsebi tsa Neurotherapeutics. 2012 Feb; 12 (2): 155-8. Mokhatlo oa Chronic Chronicalal-Sodium Use le Brain Atrophy ka Maloetse a Alzheimer. http://www.ncbi.nlm.nih.gov/pubmed/22288670
Journal ea Huazhong Univesithi ea Saense le Thekenoloji [Scientific Medical]. October 2010, Buka ea 30, Khatiso ea 5, maq. 652-658. Meta-Analysis ea Boemo ba Matlafatso a Mafu a Alzheimer. http://link.springer.com/article/10.1007%2Fs11596-010-0559-5
Kaohsiung Journal ea Medical Sciences. 2012 Mar; 28 (4): 185-93. Boemo ba Matlafatso bakeng sa Phekolo ea Matšoao a Boitšoaro le a Maiketsetso a Dementia: Tlhahlobo ea Phatlalatso. http://www.ncbi.nlm.nih.gov/pubmed/22453066
Psychogeriatrics. 2015 Mar; 15 (1): 32-7. Tlhahlobo ea Meriana ea Amotrigine le Liphetoho Maemong a Khotsofatsang a Sebelisitsoe Meriana ea Psychotropic Matšoao a Alzheimer a nang le Matšoao a Boitšoaro le a Maiketsetso a Tlhahlobo ea Dementia: Tlhahlobo ea Pele ea Tlhahiso ea Boitsebiso. http://www.ncbi.nlm.nih.gov/pubmed/25516380
Lefapha la Mental Health la Santa Clara County. Tataiso ea Litlhahiso tsa Meriana. Mood Stabilizers. June 2014. https://www.sccgov.org/sites/mhd/Providers/PharmacyInformation/MHDGuidelines/Mood%20Stablizers%20Complete%206-2014.pdf
Laebrari ea Sechaba ea Meriana ea United States. Tlaleho ea Lithethefatsi. Carbamazepine. La 30 September, 2015. http://livertox.nih.gov/Carbamazepine.htm
Laebrari ea Sechaba ea Meriana ea United States. Lamotrigine. La 13 January, 2016. https://www.nlm.nih.gov/medlineplus/druginfo/meds/a695007.html