Mlembi: Frank Hunt
Tsiku La Chilengedwe: 20 Kuguba 2021
Sinthani Tsiku: 22 Novembala 2024
Anonim
Momwe mungazindikire ndikuchiza zizindikiro za extrapyramidal - Thanzi
Momwe mungazindikire ndikuchiza zizindikiro za extrapyramidal - Thanzi

Zamkati

Zizindikiro za Extrapyramidal ndizomwe zimachitika m'thupi lomwe limakhalapo pomwe gawo laubongo lomwe limayendetsa kayendetsedwe kake, lotchedwa Extrapyramidal System, limakhudzidwa. Izi zitha kuchitika mwina chifukwa cha zoyipa zamankhwala, monga Metoclopramide, Quetiapine kapena Risperidone, mwachitsanzo, kapena matenda ena amitsempha, omwe amaphatikizapo matenda a Parkinson, matenda a Huntington kapena stroke sequelae.

Kusuntha modzipereka monga kunjenjemera, kulumikizana kwa minofu, kuyenda movutikira, kuchepa kwa mayendedwe kapena kupumula ndi zina mwazizindikiro zazikulu za extrapyramidal, ndipo zikagwirizanitsidwa ndi mankhwala, amatha kuwonekera atangogwiritsa ntchito kapena atha kuwoneka pang'onopang'ono, kudzera pakupitiliza kwawo kwa zaka kapena miyezi .

Ikatuluka chifukwa cha chizindikiro cha matenda amitsempha, mayendedwe a extrapyramidal nthawi zambiri amapitilira pang'onopang'ono, pakapita zaka, matendawa akukulirakulira. Onaninso zomwe zikhalidwe ndi matenda omwe amayambitsa kunjenjemera mthupi.

Momwe mungadziwire

Zizindikiro zofala kwambiri za extrapyramidal ndizo:


  • Zovuta kukhala chete;
  • Kumva kukhala wosakhazikika, kusuntha mapazi ako kwambiri, mwachitsanzo;
  • Kusintha kwa mayendedwe, monga kunjenjemera, kusunthira kosafunikira (dyskinesia), kupindika kwa minofu (dystonia) kapena mayendedwe osakhazikika, monga kusuntha miyendo yanu pafupipafupi kapena kusayimirira (akathisia);
  • Kupita pang'onopang'ono kapena kukoka;
  • Kusintha magonedwe;
  • Zovuta kukhazikika;
  • Kusintha kwa mawu;
  • Zovuta kumeza;
  • Kusuntha kwadzidzidzi kwa nkhope.

Zizindikirozi nthawi zambiri zimatha kusokonekera ngati zizindikilo zamavuto ena amisala monga nkhawa, mantha, Tourette kapena ngakhale ali ndi zizindikilo za stroke.

Zomwe zimayambitsa

Zizindikiro za Extrapyramidal zitha kuwoneka ngati zoyipa zamankhwala, mutangomaliza kumwa mankhwala oyamba kapena kuwoneka chifukwa chogwiritsa ntchito mosalekeza, kutenga pakati pa milungu ingapo mpaka miyezi kuyamba ndipo, chifukwa chake, zikawonekera, ndibwino kukaonana ndi dokotala yemwe adalamula mankhwalawa kuti awone ngati akufunika kuchepetsa mlingo kapena kusintha kwa mankhwala. Kuphatikiza apo, ngakhale atha kuchitika kwa aliyense, amapezeka kwambiri mwa azimayi komanso okalamba.


Zizindikirozi zitha kukhalanso zotsatira za matenda amitsempha, matenda a Parkinson kukhala omwe akuyimira wamkulu. Dziwani zomwe zimayambitsa matenda a Parkinson, momwe mungawadziwire ndi kuwachizira.

Matenda ena amitsempha amaphatikizapo matenda osachiritsika monga Huntington's disease, dementia ndi matupi a Lewy, sequelae of stroke kapena encephalitis, mwachitsanzo dystonia kapena myoclonus.

Mndandanda wa mankhwala omwe angayambitse

Ena mwa mankhwala omwe nthawi zambiri amayambitsa mawonekedwe a extrapyramidal ndi awa:

Gulu la mankhwala osokoneza bongoZITSANZO
Mankhwala oletsa antipsychoticHaloperidol (Haldol), Chlorpromazine, Risperidone, Quetiapine, Clozapine, Olanzapine, Aripripazole;
ZakaleMetoclopramide (Plasil), Bromopride, Ondansetron;
Mankhwala opatsirana pogonanaFluoxetine, Sertraline, Paroxetine, Fluvoxamine, Citalopram, Escitalopram;
Wotsutsa-vertigoCinnarizine, Flunarizine.

Zoyenera kuchita akawuka

Chizindikiro cha extrapyramidal chikuwonekera, ndikofunikira kwambiri kukaonana, posachedwa, dokotala yemwe adamupatsa mankhwala omwe angamupangitse kuti awonekere. Sitikulimbikitsidwa kuti musiye kumwa kapena kusintha mankhwalawo popanda malangizo achipatala.


Dokotala angalimbikitse kusintha kwa mankhwala kapena angasinthe mankhwala omwe agwiritsidwa ntchito, komabe, vuto lililonse liyenera kuyesedwa payekha. Kuphatikiza apo, munthawi yonse yothandizidwa ndi mankhwala amtunduwu, kuwunikanso pafupipafupi ndikofunikira, chifukwa chake ndikofunikira kupita kuzokambirana zonse zowunikiranso, ngakhale palibe zovuta. Onani zifukwa zomwe musamamwe mankhwala popanda chitsogozo cha dokotala.

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