Cov tshuaj twg ua rau muaj kev phiv tshuaj extrapyramidal?

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

Extrapyramidal cov tsos mob feem ntau tshwm sim los ntawm cov tshuaj antipsychotic uas tiv thaiv dopamine D2 receptors. Qhov feem ntau raug antipsychotics txuam nrog EPS yog haloperidol thiab fluphenazine.

Los ntawm qhov ntawd, cov kev phiv tshuaj extrapyramidal yog dab tsi?

Extrapyramidal phiv los : Lub cev tsos mob , suav nrog kev tshee tshee, hais lus tsis meej, akathesia, dystonia, ntxhov siab, ntxhov siab, paranoia, thiab bradyphrenia, uas feem ntau cuam tshuam nrog kev noj tshuaj tsis raug lossis tsis zoo rau cov tshuaj neuroleptic (antipsychotic).

Ib yam li ntawd, leej twg ua cov tsos mob extrapyramidal tshwm sim ntau dua hauv?

• Txhua qhov chaw ntawm 5 mus rau 36 feem pua ntawm cov neeg noj tshuaj tiv thaiv kab mob tuaj yeem tsim akathisia.
• Cov ntaub ntawv txheeb xyuas qhia qhov twg ntawm 25 thiab 40 feem pua ntawm cov neeg noj tshuaj tiv thaiv kab mob dystonia mob hnyav, txawm hais tias nws muaj ntau dua rau cov menyuam yaus thiab cov neeg laus.

Kuj paub, yuav ua li cas antipsychotics ua rau extrapyramidal phiv?

Extrapyramidal cov tsos mob yog ua los ntawm dopamine blockade lossis ua kom ploj hauv cov ganglia hauv paus; qhov tsis muaj dopamine feem ntau ua raws li idiopathic pathologies ntawm extrapyramidal qhov system.

Cov tshuaj twg ua rau cov leeg nqaij tsis tuaj yeem txav mus?

Kev txav txav tsis zoo kuj tseem cuam tshuam nrog lwm cov tshuaj, xws li tshuaj tiv thaiv kab mob uas thaiv cov hauv paus hauv nruab nrab dopamine (piv txwv li, droperidol, metoclopramide, thiab prochlorperazine), lithium, selective serotonin reuptake inhibitors (SSRIs), stimulants, thiab tricyclic antidepressants (TCAs).