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Do people with bipolar disorder need to take medication all the time?

Time:2023-04-01 09:34:28 author:Emergency treatment Read:344次
Do people with bipolar disorder need to take medication all the time?

Original article, misappropriation must be investigated "I feel good now, why should I continue to take medicine?", "I feel so troublesome to take medicine every day, can I stop taking medicine?" These are patients with bipolar disorder What is the answer to the questions often asked by family members and family members? Clinically, bipolar disorder includes hypomania, mania, depression and other symptoms, which will appear in turn. During the period of hypomanic symptoms, personality often changes, becoming outgoing, social, energetic, less sleepy, more confident, more impulsive, arguing with others, or shopping a lot, irrational investment, etc. Behavior. Because hypomanic symptoms make themselves feel good, most of them will not take the initiative to seek medical treatment. If hypomanic patients lack sleep for a long time and their brains are overactive, they may develop into manic symptoms, and they will begin to have exaggerated fantasies, such as thinking that they have superpowers. Or some patients believe that they have the ability to predict, and at the same time, they may also have persecutory delusions or excessive impulsive arrogance, and there are continuous verbal or physical interpersonal conflicts on the Internet or in real life. After mania, patients may fall into the stage of depression, and their emotions will fall into the abyss of low self-blame and loss of vitality. Due to the various symptoms of mania and depression, it will have a negative impact on interpersonal and intimate relationships, which also makes The patient suffers inwardly. At the same time, because bipolar disorder is mainly caused by the imbalance of neurotransmitters in the brain and the unstable operation of the nervous system, it is easy to recur. Especially when the patient has repeated attacks, the interpersonal support will become weaker and weaker, and it will become more and more unfavorable for the stability of the patient. In the long run, the brain will be permanently damaged, and the intelligence and cognitive functions may deteriorate. Some patients cannot continue to work. Therefore, the importance of regular medication and recurrence prevention is self-evident. In the treatment of bipolar disorder and the prevention and treatment of relapse, there are currently a variety of drugs that can be used, mainly in the following three categories: the first category is called lithium salts, whose main function is to stabilize nerves; the second category is called mood stabilizers, which belong to the first category. An anti-epileptic drug whose function is also to stabilize the nerves; the third is a dopamine inhibitor, also known as an antipsychotic drug, which can suppress fantasies and hallucinations, and also has an effect on nerve stabilization. Most people with bipolar disorder can improve their symptoms through drug treatment, return to normal mood and brain function, and are the same as ordinary people in the stable period. In addition, there are some patients with refractory bipolar disorder who either insist on taking medication but the effect is not good, or the side effects of the medication affect their normal life, or lack of insight and are unwilling to cooperate with the medication. For this type of patients, the Department of Functional Neurology of Shanghai Oriental Hospital took the lead in adopting the fifth generation of brain stereotaxic neuromodulation surgery, integrating CT, MRI, DTI and other imaging examinations into the computer system of imported surgical planning and navigation. , 3D modeling is carried out by a computer calculator, the position of the target point is calculated, the surgical path is simulated, and finally the surgeon performs the operation according to the obtained data, so as to help patients eliminate intractable mental symptoms, improve drug sensitivity, and reduce drug dosage (general surgery). The dosage after the operation is only 1/3 of that before the operation), reducing the risk of recurrence, preventing the further development of the disease, and giving patients one more choice of treatment. As for the safety of the operation, different from the traditional craniotomy, the fifth-generation stereotactic neuromodulation is a minimally invasive technique with little trauma. It only needs to make a small incision of about 1-3 cm in the patient's head. The blood loss during the process is less than 10ml, and no blood transfusion is required during the operation. Due to the less trauma, the risks of postoperative edema and infection are lower than those of traditional craniotomy, only about 1%.

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Hi, my name is Dr. Wu Jingwen, and I would like to thank you all for reading my article. If you have a disease and consult me, you can contact me through the platform "private message". You can also leave a message under the article, and I will answer your questions as soon as possible.

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(责任编辑:Mental disorder)

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