Yuav ua li cas Antipsychotics yuav cuam tshuam koj lub zog
Extrapyramidal phiv tshuaj yog ib pawg ntawm cov tsos mob uas tshwm sim rau tib neeg noj tshuaj tiv thaiv kev puas hlwb. Lawv feem ntau yog tshwm sim los ntawm cov tshuaj tua kab mob , tab sis tuaj yeem tshwm sim thiab muaj nrog rau txhua hom tshuaj tiv thaiv kev puas hlwb. Cov tshuaj tiv thaiv antidepressants thiab lwm cov tshuaj muaj peev xwm qee zaum ua rau extrapyramidal kev phom sij thiab.
Txheeb xyuas
Extrapyramidal kev ua haujlwm yog hais txog peb txoj kev tswj xyuas thiab tswj kev sib tw, nrog rau qhov ua tsis tau kom peb tsis xav ua.
Extrapyramidal phiv los ntawm cov tshuaj muaj mob loj heev thiab muaj xws li:
- Akathisia , uas yog ib qho zoo nkaus li nyob tsis tswm, ua rau nws zaum los yog tuav twj ywm. Cov tsos mob muaj xws li ntxig koj cov ntiv tes, co ntxias, thiab hla kev thiab hle koj cov ceg.
- Parkinsonism, uas txhais tau tias koj muaj cov tsos mob tib yam li tus neeg uas muaj tus kab mob Parkinson, tab sis koj cov tsos mob tshwm sim los ntawm cov tshuaj, tsis yog los ntawm tus kab mob. Cov tsos mob no yuav muaj xws li lub cev, kev xav qeeb qeeb, kev qeeb qeeb, cov nqaij ntshiv, kev hais lus thiab lub ntsej muag tawv.
- Tardive dyskinesia , uas yog thaum koj muaj teeb meem ntawm lub ntsej muag xws li nqus los yog zom, di ncauj smacking, sticking koj tus nplaig tawm los yog ntsais muag koj ob lub qhov muag.
- Dystonia, uas yog thaum koj cov leeg nqaij ntuas thiab tsis sib haum. Qhov no tuaj yeem ua rau muaj mob txaus los sis mob siab.
Kev kho mob
Kev kho mob ntawm cov tsos mob no nyob ntawm cov tshuaj uas ntxias lawv thiab cov tsos mob uas koj muaj.
Koj tus kws kho mob yuav sim zuj zus koj cov koob tshuaj los yog hloov koj cov tshuaj rau ib qho uas tau pom tias muaj tsawg dua cov kev phom sij ntawm extrapyramidal.
Benzodiazepines muaj qee zaus cov tshuaj kom pab tiv thaiv cov tshuaj tiv thaiv extrapyramidal phiv, xws li cov tshuaj tiv thaiv anti-parkinsonism hu ua anticholinergics. Cov tshuaj tiv thaiv kab mob dopamine , uas yog yam ua rau extrapyramidal phiv ua rau thawj qhov chaw.
Anticholinergics nce dopamine ces nws tiav lawm hauv koj lub cev.
Kab Mob Ntshav
Cov tshuaj tua kab mob yog cov thawj cov tshuaj tiv thaiv mob hlwb thiab feem ntau yuav muaj kev phais mob ntxiv rau extrapyramidal. Tsoom Fwv Tswj Kev Noj Haus thiab Tshuaj Txhaum Cai (FDA) tau pom zoo rau cov tshuaj tiv thaiv no:
- Thorazine (chlorpromazine)
- Inapsine (droperidol)
- Prolixin (fluphenazine)
- Haldol (haloperidol)
- Loxitane (loxapine)
- Trilafon (perphenazine)
- Orap (pimozide)
- Compazine (prochlorperazine)
- Navane (thiothixene)
- Mellaril (thioridazine)
- Stelazine (trifluoperazine)
Atypical Antipsychotics
Atypical antipsychotics yog cov tshiab thib ob ntawm cov tshuaj tiv thaiv mob hlwb. Yog tias koj tab tom muaj kev phais mob ntawm extrapyramidal rau ib tus laus, atypical antipsychotics, koj tus kws kho mob yuav hloov tau koj mus rau ib qho ntawm cov no. FDA tso cai atypical antipsychotics muaj xws li:
- Abilify (aripiprazole)
- Saphris (asenapine)
- Clozaril (clozapine)
- Kev Tiv Thaiv (iloperidone)
- Zyprexa (olanzapine)
- Invega (paliperidone)
- Seroquel (quetiapine)
- Risperdal (risperidone)
- Geodon (ziprasidone)
Tej Teebmeem
Kab Mob Ntshav
Tshaj li cov kev mob tshwm sim ntawm extrapyramidal, cov no yog cov kev mob tshwm sim ntau tshaj ntawm cov tshuaj tiv thaiv kev puas hlwb :
- Kev tsaug zog thiab tsaug zog
- Hnov ntxhov siab
- Qhov ncauj qhuav
- Qhov muag plooj tsis pom kev
- Kev coj txawv txawv
- Hypotension, uas yog thaum koj cov ntshav siab mam li nco dheev
- Kev sib deev teeb meem
- Hnov zoo li koj siab tau qeeb qeeb
- Mob plab
- Zawv plab los yog cem quav
- Ntuav
- Mob siab
- Teeb meem tsaug zog
Cov teebmeem no yuav ploj mus nyob rau lub sijhawm, tabsis yog lawv tsis ua lossis koj pom tias lawv mobsiab, nco ntsoov hu rau koj tus kws khomob.
Atypical Antipsychotics
Lwm yam tshaj li kev phais extrapyramidal, cov no yog cov kev mob tshwm sim ntau tshaj ntawm atypical antipsychotics :
- Cem quav
- Qhib
- Kauj taub hau
- Lub cev kub dua
- Mob taub hau
- Lub plawv dhia ceev ceev
- Kev tsaug zog
- Stuffy lub qhov ntswg los yog lub qhov ntswg
- Drooling
- Teeb meem tsaug zog
- Teeb meem tso zis
Cov teebmeem no yuav ploj mus nyob rau lub sijhawm, tabsis yog lawv tsis ua lossis koj pom tias lawv mobsiab, nco ntsoov hu rau koj tus kws khomob.
Qhov chaw:
Matsumoto, JY "Kuv tau tsis ntev los no tau kuaj nrog qhov chaw kho mob." Dab tsi ua rau nws, thiab ua li cas tiv thaiv tau nws txoj kev loj hlob? "Mayo Clinic (2014).
Sanders, RD, & Gillig, PM "Kev Ntsuam Xyuas Extrapyramidal hauv Psychiatry." Tswv Yim Kho Mob hauv Neuroscience , 9 (7-8), 10-16, (2012).
"Schizophrenia: Tshuaj." Lub sij hawm New York Times, Phau Ntawv Txog Kev Noj Qab Haus Huv: Lub Hauv Paus Qhia, (2013).
Seida JC, Schouten JR, Mousavi SS, thiab lwm yam. "Thawj - thiab Ob Tiam Txheem Kev Tiv Thaiv rau Cov Me Nyuam thiab Cov Hluas". Rockville (MD): Lub Chaw Khiav Dej Num Kho Mob Kho Mob thiab Kev Ua Zoo (Teb Chaws Asmeskas); 2012 Ob Hlis Ntuj (Txiaj Ntsig Zoo Tshaj Plaws Tshaj Tawm, Tsi. 39.)