Kamoo Antipsychotics e ka Amehang Kateng ea Hao
Litla-morao tsa Extrapyramidal ke sehlopha sa matšoao a ka hlahang ho batho ba noang meriana ea ho loantša lefuba. Hangata li bakoa ke li-antipsychotics tse tloaelehileng , empa li ka etsoa le mofuta ofe kapa ofe oa antipsychotic. Ho imeloa kelellong le meriana e meng ka linako tse ling ho ka baka litla-morao tse ling tsa extrapyramidal.
Kakaretso
Mosebetsi oa Extrapyramidal o bolela motlakase oa rona le ho tsamaisana, ho kopanyelletsa le ho se khone ho etsa mehato eo re sa batleng ho e etsa.
Litla-morao tsa Extrapyramidal tsa meriana li tebile 'me li kenyeletsa:
- Akathisia , e leng boikutlo ba ho se phomole, ho etsa hore ho be thata ho lula fatše kapa ho tšoarella. Matšoao a kenyeletsa ho penya menoana, ho sisinyeha, le ho tšela le ho theola maoto.
- Parkinsonism, e bolelang hore u na le matšoao a tšoanang le motho ea nang le lefu la Parkinson, empa matšoao a hau a bakoa ke meriana, eseng ka lefu lena. Matšoao ana a ka kenyelletsa ho thothomela, mekhoa ea ho nahana ka nako e khutšoanyane, mehato e fokolang, mesifa e thata, ho thatafalloa ke ho bua le ho tsieleha ha sefahleho.
- Tardive dyskinesia , e leng ha o e-na le lihlopha tsa sefahleho tse sa laoleheng tse kang ho anyesa kapa ho hlafuna, ho hlaba molomo, ho khomaretsa leleme kapa ho panya-panya mahlo a hau khafetsa.
- Dystonia, e leng nako eo mesifa ea hao e sebetsanang ka eona le ka tšohanyetso. Sena se ka lebisa maemo a bohloko kapa mehato e bohloko.
Litlhare
Kalafo ea matšoao ana e itšetlehile ka meriana e ba bakileng le hore na ke matšoao afe ao u nang le 'ona.
Ngaka ea hau e ka 'na ea leka ho fokotsa lethal dose kapa ho fetola meriana ea hau ka ho feletseng e bontšitsoeng hore e na le litla-morao tse seng kae tsa extrapyramidal.
Ka linako tse ling Benzodiazepines e laeloa ho thusa ho loantša litla-morao tsa extrapyramidal, e leng li-anti-parkinsonism tse bitsoang anticholinergics. Antipsychotics e thibela dopamine , e leng sona se bakang litla-morao tsa extrapyramidal sebakeng sa pele.
Anticholinergics e eketsa dopamine e le hore e fetohe tsamaiso ea hau.
Antipsychotics e tloaelehileng
Mefuta e tloaelehileng ea antipsychotics ke moloko oa pele oa li-antipsychotics mme li ka ba le litla-morao tsa extrapyramidal. Tsamaiso ea US Food and Drug Administration (FDA) e amohetse li-antipsychotics tse tloaelehileng:
- Thorazine (chlorpromazine)
- Inapsine (droperidol)
- Prolixin (fluphenazine)
- Haldol (haloperidol)
- Loxitane (loxapine)
- Trilafon (perphenazine)
- Orap (pimozide)
- Compazine (prochlorperazine)
- Navane (thiothixene)
- Mellaril (thioridazine)
- Stelazine (trifluoperazine)
Antipychotic Atypical
Li-antipsychotics tse tšoaetsanoang ke li-antipychotic. Haeba o na le litla-morao tse ling tsa extrapyramidal ho e 'ngoe ea li-antipychotic, tse ling tsa maqheku, lingaka li ka u fetisetsa ho e' ngoe ea tsona. Li-antipsychotics tse amohelehang tsa FDA li kenyelletsa:
- Abilify (aripiprazole)
- Saphris (asenapine)
- Clozaril (clozapine)
- Fanapt (iloperidone)
- Zyprexa (olanzapine)
- Invega (mooperidone)
- Seroquel (quetiapine)
- Risperdal (risperidone)
- Geodon (ziprasidone)
Litla-morao
Antipsychotics e tloaelehileng
Ka ntle ho litla-morao tse ling tsa extrapyramidal, tsena ke litla-morao tse tloaelehileng haholo tsa li-antipsychotics tse tloaelehileng :
- Ho otsela le ho ikutloa u robetse
- Ho ikutloa u ferekane
- Molomo o omileng
- Pono e fosahetseng
- Ho ilela khoeli ho sa tloaelehang
- Hypotension, e leng ha khatello ea mali ea hao e theoha hang-hang
- Mathata a ho kopanela liphate
- Ho ikutloa eka kelello ea hau e fokotsehile
- Ho otloa ke mpa
- Letšollo kapa ho patoa
- Ho otla
- Ho senya
- Ho thata ho robala
Liphetoho tsena li ka fela ka nako, empa haeba li sa li fumane kapa u li fumana li khathatsa, etsa bonnete ba hore u ikopanye le ngaka ea hau.
Antipychotic Atypical
Tse ling ntle le litla-morao tsa extrapyramidal, tsena ke litla-morao tse tloaelehileng haholo tsa li-antipychotic atypical :
- Ho tlosoa ha 'mele
- Rash
- Sehlōhō
- Mocheso o phahameng oa 'mele
- Hlooho ea hlooho
- Phoso ea pelo e potlakileng
- Ho otsela
- Nko ea Stuffy kapa nko e teteaneng
- Ho nyolla
- Ho thata ho robala
- Mathata a hulang
Liphetoho tsena li ka fela ka nako, empa haeba li sa li fumane kapa u li fumana li khathatsa, etsa bonnete ba hore u ikopanye le ngaka ea hau.
Lisebelisoa:
Matsumoto, JY "Ke sa tsoa fumanoa hore ke na le parkinsonism. Ke eng e bakoang ke eona, hona nka sebetsana ka katleho joang ha e ntse e tsoela pele?" Mayo Clinic (2014).
Sanders, RD, & Gillig, PM "Litlhahlobo tsa Extrapyramidal Psychiatry." Lits'oants'o tsa K'hemik'hale ea methapo ea meriana , 9 (7-8), 10-16, (2012).
"Schizophrenia: Meriana." Tsamaiso ea bophelo bo botle ea New York Times, Times: Lekhotla la In-Depth Report, (2013).
Seida JC, Schouten JR, Mousavi SS, joalo-joalo. "Pele le la Bobeli-Bophelo ba Antipsychotics bakeng sa Bana le Bacha Baholo". Rockville (MD): Mokhatlo oa Phuputso ea Bophelo le Boleng (US); 2012 Feb. (Tlhahlobo ea ho Bapisa le Tlhahlobo, No. 39.)