Na Bothata ba Hao ba ho Tepella Maikutlo bo Bakang Moferefere oa Hao?
Na ke ntho e tloaelehileng ho hlahisa ho thothomela ha u ntse u e-na le bothata ba ho tepella maikutlo? Ke lithethefatsi life tse ka bakang matšoao ana le hore na li phekoloa joang?
A re qaleng ka ho bua ka ho thothomela, mefuta e fapaneng ea tšisinyeho, le meriana e meng hammoho le maemo a bongaka a ka etsang hore ho thothomele.
Litlhoko: Tlhaloso
Ho korotla ke ho sisinyeha ho sa tsotelleheng ho etsahalang hloohong, maotong kapa mahlo a mahlo.
Ho sisinyeha hona ho ka etsahala ha o ntse o falla kapa ha u leka ho tšoara 'mele oa hau. Hangata ho potlakile (hoo e ka bang mekhatlo e mene ho isa ho e 12 ka motsotsoana) 'me e ka' na ea tla 'me ea etsahala ka ho phatloha. E ka 'na ea fokotseha nakong ea boroko' me ea mpefala ha motho a le tlas'a khatello. Motho a ka 'na a boela a tšoaroa hloohong kapa a utloa lentsoe le utloahalang.
Ho na le litšisinyeho tse ling tse etsahalang ka phomolo le tse ling tse hlahang feela ka ho sisinyeha. Ka linako tse ling litšisinyeho li etsahala ka mekhoa leha e le efe, ha linako tse ling li hlaha li arabela mefuteng e tobileng. Tlhaloso e hlokolosi ea ho thothomela ha hau e ka thusa ngaka ea hao hore e tsebe hore na bothata ba hao ba ho tepella maikutlo bo bakoa ke eng ha ho ka etsahala hore e amanang le boemo bo bong.
Lihlopha tse sithabetsang le ho korotla
Mefuta e meng ea li-anti-depressants, tse kang serotonin reuptake inhibitors (SSRIs) le li -tricyclic tse thibelang ho imeloa kelellong ka sebele li ka baka tšisinyeho e le phello ea lehlakore.
Liphuputso tse ling li hakanya hore karolo ea 20 lekholong ea bakuli ba tšoaroang ke SSRI kapa tricyclic e thibelang ho imeloa kelellong e tla ba le tšisinyeho. Sena se ka etsahala neng kapa neng ha meriana e qalisoa.
- Celexa (citalopram)
- Lexapro (escitalopram)
- Luvox (fluvoxamine)
- Paxil (paroxetine)
- Prozac (fluoxetine)
- Symbyax, e leng Prozac hammoho le likokoana-hloko tsa Zyprexa (fluoxetine + olanzapine)
- Zoloft (sertraline)
Tricyclic ho loantšana ha maikutlo ho kenyelletsa:
- Ascendin (amoxapine)
- Anafranil (clomipramine)
- Elavil (amitryptyline)
- Norpramin (deipramine)
- Pamelor (nortryptyline)
- Surmontil (trimipramine)
- Sinequan (doxepin)
- Tofranil (imipramine)
- Vivactil (protryptyline)
Meriana e Meng e ka Etsang Hore ho be le Litlhoko
Lithethefatsi tse ling tsa mafu a kelello, tse kang lithium le Depakote (li-stabiilzers tse sebelisoang ke lefu la ho ferekana kelellong,) le tsona li ka baka tšisinyeho. Meriana ea lefu lena la tšoaetso ea mafu, haholo-holo ea mahlahahlaha (a tloaelehileng a antipsychotics ,) a ka baka tšisinyeho e tšoanang le lefu la Parkinson. Litla-morao tsa Extrapyramidal tsa lithethefatsi tsena li ka boela tsa kenyelletsa dystonia (li-contraction contractionary of muscle), Tardive dyskinesia ( mekhabiso e sa tloaelehang ea sefahleho e kang grimacing le chese,) le akathisia , boikutlo ba ho se phomole boo ka linako tse ling bo ka etsisang tšisinyeho.
Ho phaella moo, ho na le lithethefatsi tse mengata tse fapaneng tse ka etsang hore ho thothomele ho akarelletsa:
- Epinephrine
- Li-anticonvulsants (li-anti-epilepsy drugs)
- Anti-emetics (li-anti-nausea lithethefatsi)
- Lisebelisoa tse sebelisoang bakeng sa asthma le COPD
- Lithethefatsi tse ling tsa chemotherapy
- Meriana e meng ea immunosuppressant
- Meriana e meng ea lithibela-mafu
- Meriana e meng e khahlanong le kokoana-hloko
- Meriana e meng ea pelo le khatello ea mali
- Li-stimulants tse kang caffeine le amphetamine
Maemo a Bongaka a ka Etsang Hore ho be le Litlhoko
Qetellong, ho na le maemo a mang a bophelo a ka etsang hore ho thothomele, joaloka lefu la Parkinson, ho tlosoa joala, hyperthyroidism, pheochromocytoma, lefu la Wilson le ho hlōleha ha sebete.
U ka Tseba Joang Haeba Moferefere oa Hao o Tsoa ho Tšoenyeho ea Hao?
E le hore u tsebe hore na ho thothomela ha hao ho amana joang le motho ea nang le bothata ba ho imeloa kelellong, ngaka ea hau e tla hlahloba 'mele' me eu botse lipotso mabapi le histori ea bongaka, ho akarelletsa le meriana eo ue fumanang. Ka kakaretso, sena se lekane ho fumana hore na motho ea nang le bothata ba ho imeloa kelellong o baka ho thothomela ha hau, le hoja ngaka ea hau e ka laela tlhahlobo e eketsehileng haeba e hloka ho laola lisosa tse ling tse ka hlahang.
Kalafo bakeng sa Litlolo Tsa ho Tepella Maikutlo a Matšoenyeho
Mohlomong tharollo e molemo ka ho fetisisa ea ho thothomela e bakiloeng ke ho tepella ha maikutlo ke ho khaotsa ho noa meriana ho e fetisetsa merianeng e fapaneng. Ka tloaelo ho thothomela ho tla rarolla nako e telele ka mor'a hore meriana e khopisang e felile, empa ka linako tse ling ho thothomela ho bakoang ke SSRI ho ka 'na ha phehella.
Leha ho le joalo, ka linako tse ling, u ka 'na ua sebetsa hantle meriana ea hao eo u sa batleng ho e fetola ka lebaka la ho tšaba ho tepella maikutlong. Haeba ho joalo, ngaka ea hau e ka 'na ea khetha ho eketsa meriana e eketsehileng ho laola ho thothomela ha hao, joaloka beta-blocker, benzodiazepine , Mysoline (primidone,) Topamax (topiramate,) kapa Neurontin (gabapentin.)
Tlhaloso ea Tšebelisano-'moho le ho Tepella Maikutlo ho Tšoenyehileng
Lihlopha tse ling tsa ho loantšana ha maikutlo, haholo-holo li-SSRI le tricyclic ho loantšana ha maikutlo li atisa ho amahanngoa le nts'etsopele ea ho thothomela. Meriana e meng le maemo a bongaka a ka bakang tšisinyeho e ka 'na ea eketsa menyetla ea ho thothomela.
Hangata ho tsebahala ho finyelloa ke ho nka histori e ntle le ho etsa tlhahlobo ea 'mele feela, empa liteko tse ling li ka hlokahala haholo-holo haeba ho sa tsotellehe hore na hlahala ea hau e amana joang le bothata ba hao ba ho tepella maikutlo kapa bo bong bo sa amaneng le bongaka.
Tlhaloso e bobebe bakeng sa ho thothomela ho bakoang ke ho imeloa kelellong ke ho khaotsa ho sebelisa lithethefatsi, empa sena hase kamehla se ka khonehang. Ho na le mefuta e 'maloa ea meriana e ka sebelisoang ho fokotsa tšisinyeho ha u ntse u tsoela pele ho imeloa kelellong ha ho hlokahala.
> Mehloli:
> Dixit, S., Khan, S., le S. Azad. Taba ea SSRI e kentse Parkinsonism e ke keng ea senngoa. Journal ea Tlhahlobo ea Bongaka le Bongaka . 2015. 9 (2): VD01-VD02.
> Kasper, Dennis L .., Anthony S. Fauci, le Stephen L .. Hauser. Melao-motheo ea Harrison ea Meriana ea ka Hare. New York: Thuto ea Mc Graw Hill, 2015. Print.
> Laebrari ea Sechaba ea Meriana ea US. Medline Plus. Ho korotla ha lithethefatsi. E ntlafalitsoe 09/05/17. https://medlineplus.gov/ency/article/000765.htm