Antipsychotics ua rau muaj kev phiv tshuaj ntau ntxiv?

Video: Antipsychotics ua rau muaj kev phiv tshuaj ntau ntxiv?

2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44

Ua . Cov tsos mob Extrapyramidal feem ntau yog ua los ntawm raug tshuaj tiv thaiv kab mob cov tshuaj uas antagonize dopamine D2 receptors. Qhov feem ntau raug antipsychotics cuam tshuam nrog EPS yog haloperidol thiab fluphenazine.

Xav txog qhov no, vim li cas antipsychotics ua rau muaj kev phiv tshuaj ntau ntxiv?

Antipsychotic cov tshuaj feem ntau tsim tawm cov tsos mob extrapyramidal raws li cov kev mob tshwm sim . Cov tsos mob Extrapyramidal tau tshwm sim los ntawm dopamine blockade lossis ua kom ploj hauv cov hauv paus ganglia; qhov tsis muaj dopamine feem ntau ua raws li idiopathic pathologies ntawm extrapyramidal lawv.

Ib qho ntxiv, Seroquel puas tuaj yeem ua rau cov tsos mob extrapyramidal? Qee tus neeg yuav tsim cov leeg nqaij ntsig txog cov kev mob tshwm sim thaum noj quetiapine . Cov txheej txheem kev ua haujlwm rau cov no yog " extrapyramidal cov teebmeem "( EPS ) thiab "tardive dyskinesia" (TD). Cov tsos mob ntawm EPS suav nrog kev nyob tsis tswm, tshee hnyo, thiab nruj.

Raws li, puas yog clozapine ua rau muaj kev phiv tshuaj ntau ntxiv?

Cov kev mob tshwm sim . Clozapine tej zaum ua rau muaj kev phiv , qee qhov uas hnyav thiab muaj peev xwm ua rau tuag taus. Txoj kev pheej hmoo ntawm kev txhim kho cov tsos mob extrapyramidal , xws li tardive dyskinesia qis dua li ntawm cov tshuaj tiv thaiv kab mob ib txwm muaj; qhov no yuav yog vim cov clozapine anticholinergic teebmeem.

Yuav ua li cas tswj cov teebmeem extrapyramidal?

Kev tswj hwm ntawm mob cov teebmeem extrapyramidal ntxias los ntawm cov tshuaj antipsychotic. Mob dystonias yuav tsum tau kho nrog tshuaj anticholinergic lossis benzodiazepines. Antipsychotic-induced pseudoparkinsonism muaj cov tsos mob zoo ib yam li idiopathic parkinsonism. Cov tsos mob feem ntau tshwm nyob rau thawj peb lub hlis.

Pom zoo:

Tums puas tuaj yeem muaj kev phiv tshuaj?

Qhia rau koj tus kws kho mob tam sim yog tias ib qho ntawm qhov tsis zoo li tab sis muaj kev phiv loj tshwm sim: tsis qab los noj mov, xeev siab/ntuav, hnyav hnyav txawv txav, pob txha/mob nqaij, mob hlwb/hloov pauv lub cev (piv txwv li tsis meej pem), mob taub hau, nqhis dej ntau ntxiv/tso zis, tsis muaj zog/nkees txawv txav

Puas yog cov tshuaj tiv thaiv parvo puas muaj kev phiv?

Ntuav. Mob plab. Mob lossis o nyob ib ncig ntawm qhov chaw txhaj tshuaj. Kev sib tsoo, ua tsis taus pa, thiab qaug dab peg (anaphylactic shock)

Cov tshuaj twg ua rau muaj kev phiv tshuaj extrapyramidal?

Extrapyramidal cov tsos mob feem ntau tshwm sim los ntawm cov tshuaj antipsychotic uas tiv thaiv dopamine D2 receptors. Cov tshuaj tiv thaiv kab mob feem ntau cuam tshuam nrog EPS yog haloperidol thiab fluphenazine

Dab tsi yog ob qho teeb meem kev kho tshuaj feem ntau pom hauv cov neeg mob tau txais kev pabcuam kev tswj hwm tshuaj?

Ob qhov teeb meem kev kho tshuaj feem ntau pom nyob rau hauv cov neeg mob uas tau txais kev pab tswj xyuas cov tshuaj muaj txhij txhua yog: (1) Tus neeg mob yuav tsum tau kho tshuaj ntxiv rau kev tiv thaiv, kev sib koom ua ke, lossis kev kho mob palliative; thiab (2) Cov koob tshuaj yuav tsum tau muab teev cia kom ua tiav qib kev kho mob uas mus txog