Kodi matenda a neuroleptic malignant, zizindikiro zazikulu ndi momwe angachiritsire

Zamkati

• Zizindikiro zazikulu
• Ndani ali pachiwopsezo chachikulu
• Momwe mankhwalawa amachitikira
• Zovuta zotheka

Matenda a Neuroleptic malignant amayamba chifukwa chogwiritsa ntchito mankhwala a neuroleptic, monga haloperidol, olanzapine kapena chlorpromazine ndi antiemetics, monga metoclopramide, domperidone kapena promethazine, mwachitsanzo, zomwe zingayambitse kutsekeka kwa dopamine. Ngakhale ndizosowa, matendawa amatha kupha moyo ngati mankhwala sayambidwa mwachangu, chifukwa chake, ndikofunikira kudziwa zizindikiritso zomwe zingachitike mutagwiritsa ntchito mankhwalawa.

Chifukwa chake, zikwangwani monga kutentha thupi pamwamba pa 39º C, zovuta kusuntha miyendo kapena kusokonezeka kwambiri zikawonekera, mutagwiritsa ntchito mtundu uwu wa mankhwala, tikulimbikitsidwa kuti mupite mwachangu kuchipatala, kukayang'ana vutoli, kutsimikizira kuti matendawa ndi omwe akuyamba kwambiri chithandizo choyenera.

Zizindikiro zazikulu

Zizindikiro zofala kwambiri za matenda oopsa a m'mitsempha ndi awa:

• Kutentha kwakukulu, pamwamba pa 39ºC;
• Kumva kupuma movutikira;
• Kuuma kwa minofu;
• Osakhazikika komanso othamanga mtima;
• Zovuta kusuntha mikono ndi miyendo yanu;
• Kusintha kwamaganizidwe, monga kusokonezeka, kubvutika kapena kukomoka;
• Kuchuluka thukuta;
• Kuuma kwa minofu, limodzi ndi kunjenjemera;
• Kusadziletsa;
• Kusintha kwadzidzidzi kwa kuthamanga kwa magazi.

Zizindikirozi zitha kuwoneka kwa aliyense amene amamwa mankhwala a neuroleptic, koma amatha kuchitika m'masabata awiri oyamba achipatala.

Kuchipatala, kuwonjezera pakuwunika zizindikilozo, adokotala amathanso kuyitanitsa mayeso, monga kuyezetsa magazi ndi / kapena kuyesa kwa impso ndi chiwindi, kuti athe kufikira mosavuta.

Ndani ali pachiwopsezo chachikulu

Ngakhale sizotheka kuneneratu yemwe angadwale matenda a neuroleptic malignant, amadziwika kuti anthu omwe nthawi zambiri amakumana ndi mavuto kapena omwe amamwa kwambiri mankhwala osokoneza bongo amatha kukhala ndi matendawa.

Momwe mankhwalawa amachitikira

Chithandizochi chimachitika mchipatala kuti aone momwe zisonyezo zimasinthira ndikuperekera mankhwala m'mitsempha. Njira zodziwika bwino zochiritsira ndi izi:

• Kuyimitsidwa kwa mankhwala zomwe zinayambitsa matenda;
• Kugwiritsa ntchito mpweya wokwanira: Amathandiza kuchepetsa kubwera kwa mankhwala osokoneza bongo, ngati kumeza kwachitika posachedwa;
• Seramu mwachindunji mumtsempha: amakhala ndi madzi okwanira ndipo amayang'anira michere m'thupi;
• Njira Zothetsera Minofu, monga Dantrolene: thandizani kulimba kwa minofu chifukwa chodzutsa dongosolo lamanjenje;
• Mankhwala a Antipyretic, monga paracetamol kapena dipyrone: amachepetsa kutentha kwa thupi ndikulimbana ndi malungo.

Kuphatikiza apo, adokotala amathanso kugwiritsa ntchito njira zina, kuphatikiza mankhwala a electroconvulsive kapena plasmapheresis, mwachitsanzo.

Kutengera nthawi yakukula kwa matendawa, zovuta monga kuphwanya kwaimpso kapena kuchepa kwa mpweya wa oxygen m'thupi, mwachitsanzo, zimafunika kuthandizidwa. Onani momwe amathandizira kulephera kwa impso.

Zovuta zotheka

Matenda a neuroleptic malignant sakuchiritsidwa bwino kapena chithandizo sichinayambike munthawi yake, mitundu ingapo yamavuto imatha kuchitika, monga impso kulephera, kukomoka, chibayo, kulephera kwa chiwindi kapena kupindika m'mapapo mwanga. Nthawi zovuta kwambiri, kupuma komanso kumangidwa kwamtima kumatha kuchitika.