Haloperidol: Umarni tsõratar

A batu na nazari a cikin wannan labarin ne mai magani "Haloperidol", da wa'azi ga wanda littattafai aka dauka a matsayin wani akai.

Haloperidol (Haloperidol), Haloperidol Decanoate (ga Shots), haloperidol saukad - da nisa da mafi m psychoactive shiri na fadi bakan na mataki. Ya na da girmamawa shekaru a tarihi da magani daga mafi tsanani tabin hankali da kuma neurological cututtuka - 55 (shekaru ɓullo da kuma gwada a Belgium kamfanin "Janssen Pharmaceutica" a shekara ta 1957).

Abu tana nufin wani rukuni na antipsychotics ko neuroleptics. Saboda haka aka kira har a pharmacology da pharmaceutics 1990s bai bayyana neuroleptics (antipsychotic) na sabuwar tsara. Sa'an nan Haloperidol aka kira hankula antipsychotic (TN) ko wani hali antipsychotic (TA). wani sabon ƙarni na kwayoyi (misali, quetiapine, olanzapine, da sauransu.) aka kira atypical antipsychotics (AN) ko atypical antipsychotics (AA). Bambanci tsakanin al'ummomi na wadannan kwayoyi ne watakila neman sauyi muhimmanci a magani. Yana da muhimmanci a fahimci yadda hatsari Haloperidol. Side effects cewa shi ya wani lokacin kai ga ƙarin cututtuka bukata raba magani.

Wasu AA (Seroquel), wadannan illa ba tukuna aka samu.

Haloperidol, da wa'azi ga wanda aka dauke a cikin wannan takarda, da gaske mai babbar kewayon ayyuka. Ya isa domin lissafa abubuwan da cututtuka da cewa suna bi da ta aikace-aikace da cewa shi ya bayyana muhimmancin da cewa shi yana a cikin likita yi.

Haloperidol da ake amfani a cikin wadannan lokuta:

• Psychomotor zumudi na daban-daban asalin: mania (overexcitation tare da biya na m hali) lokuta shafi tunanin mutum retardation (shafi tunanin mutum retardation), hali cuta (cututtuka na tsarawa da kuma hali), schizophrenia (da heaviest sani shafi tunanin mutum da cuta), na kullum shan barasa.
• Delusional cuta (rashin iyawa ga rarrabe na ainihi daga duniyar hasashe na gaskiya).
• Hallucinatory cuta (cikakkar imani delusional auditory ko gani mamaki na gaskiya, wanda a zahiri bai wanzu ba).
• Tourette ta ciwo bayyanuwar (twitching na gyara man fuska tsokoki, involuntary winking, grimacing sostraivanie, wanda ba a iya lura da shi ba ashar).
• Bayyanuwar Huntington ta chorea (wani nauyi, kuma m take hakkin ƙungiyoyi har da cikakken asarar daidaituwa, babu ja hankali murdiya na magana da tunani, m kwakwalwa mutuwa; a nan gaba - cikakken erasure na ainihi da kuma rashin kula da mota ayyuka, m cuta - iya kawai partially kawar da wahalar da haƙuri, a mafi yawan lokuta kawo karshen mutuwa na haƙuri).
• Bayyanuwar psychosomatic cuta (wanda ba su cikakken bayani da canjawa wuri somatic - babu shafi tunanin mutum da rashin lafiya, amma kuma ba ya da cikakken bayanin halin yanzu shafi tunanin mutum da cututtuka).
• Bayyanuwar halayya cuta a cikin yara da tsofaffi da marasa lafiya.
• Bayyanuwar stuttering.
• Bayyanuwar mai karko, da kuma ɗorewar amai hiccups, ba na ba da sauran siffofin da magani.
• Domin da dama kwayoyi "Haloperidol Decanoate" - taimaka magani a lokacin da bayyanar cututtuka na schizophrenia.

Haloperidol - illa

Mene ne illa na haloperidol yana? Guide gaya game da wannan tare da matuqar tsabta.

Gurbin kan m tsarin da azanci shine gabobin:

• Mamaki akathisia (restlessness).
• Sabon abu dystonic extrapyramidal cuta (spasm na gyara man fuska, wuyansa, kuma baya tsokoki, ƙungiyoyi, tics, twitching, wani rauni da hannuwansu da ƙafãfunsu).
• A mamaki na Parkinson extrapyramidal cuta (da wahala yayin magana da hadiya, wani "maskoobraznym fuska" - da folds da tsoka da kuma fata smoothed fitar, gyara man fuska magana bai daidaita ji da shuffling, hannuwanku da yatsunsu - tsãwa (girgiza).
• The sabon abu na ciwon kai, sau da yawa verging a kan numfashi ba.
• Rashin barci sabon abu.
• A mamaki na sleepiness (yiwu ma wani canzawar sleepiness da kuma rashin barci).
• A mamaki na damuwa, juyayi, tashin hankali, agitation (tausaya).
• Sabon abu na asar, sai murna (wanton jihar m, kuma m dogon farin ciki - a cikin wannan harka da haƙuri ba ji farin ciki).
• A mamaki na ciki (m jihar ciki, sau da yawa - da wani kyama ga rayuwa da kuma son mutuwa).
• A mamaki na lethargy (Jihar "bayyanannar mutuwa" - duk ayyuka na jiki mimics mutuwa ta illa ma sha Allahu duk da harshen damo ake mayar).
• Epilepsy (convulsions tare da asarar sani cuta).
• A mamaki na rikice.
• Cases exacerbation (worsening, worsening) psychosis.
• Lokuta da hallucinations.
• The sabon abu na tardive dyskinesia (ganin "taka tsantsan ake bukata".).
• Lokuta da take hakkin na gani acuity, sabon abu na cataracts (clouding da ruwan tabarau a cikin ido), da sabon abu na retinopathy (retinal jijiyoyin bugun gini ido cuta).

A mataki a kan zuciya da jijiyoyin jini tsarin, da matakai na hematopoiesis:

• The sabon abu tachycardia (ƙãra zuciya rate).
• Cases hauhawar jini / hypotension (high ko low jini).
• Lokuta da na ramin zuciya arrhythmia (hargitsi na zuciya kari lashe).
• A hoto ya canjãwa a kan ECG (electrocardiogram bad zuciya).
• Lokuta na kwatsam da mutuwar zuciya da jijiyoyin jini asalin;
• Cases dõgẽwa leukocytosis da leukopenia (raguwa ko karuwa a yawan farin jini Kwayoyin, ya ce weakening na m Properties na jiki, da hatsarin jini ciwon daji).
• erythropenia sabon abu (karu a yawan ja da maikacin jini, in ji wani rashin oxygen a cikin jini, hadarin jini ciwon daji).
• Lokuta da anemia (rashin jini haemoglobin, kuma yayi magana akan oxygen rashi a cikin jiki, m ga gaban kumburi tafiyar matakai).
• agranulocytosis sabon abu (karu a yawan granulocytes - granular jini Kwayoyin alhakin kare jiki daga kamuwa da cutar, da ciwon kumburi m nauyi, iyakance hadari - abin da ya faru jini ciwon daji).

Action on numfashi tsarin:

• laryngospasm sabon abu (wahala hadiya, kuma magana).
• The sabon abu na bronchospasm (shortness na numfashi - biyu a asma).

A mataki a kan gastrointestinal fili

• Lokuta da anorexia (kin amincewa da duk wani abinci ta hanyar amai, m sha har ma da mutuwa daga yunwa).
• Lokuta da maƙarƙashiya da zawo.
• Mamaki hypersalivation (nonstop m yau kwarara).
• Neukratimoy lokuta da tashin zuciya da kuma amai.
• Take hakki na hanta.
• The sabon abu na obstructive jaundice (inji blockage na bile ducts).

Sakamako a kan genitourinary tsarin

• Mammary gland - wani sabon abu engorgement (coarsening).
• Cases atypical mugunya (m sallama) madara.
• The sabon abu mastalgia (ƙirjinka zafi).
• The sabon abu na gynecomastia (ƙãra nono gland a maza).
• Gaji da damuwa da hailar sake zagayowar.
• Mamaki urinary riƙewa.
• Lokuta da rashin ƙarfi.
• Cases gratuitous kara libido.
• Lokuta da priapism (tsawo erection wani kwakkwaran dalili ba).

Action a kan fata

• Lokuta da fata canje-canje: maculopapular (rash, kunsha na spots da kuma fata elevations) da kuma akneobraznyh (rash, kunsha kuraje, kuraje).
• The sabon abu na photosensitivity (m kumburi da fata a lokacin da fallasa zuwa haske).
• Lokuta da alopecia (gashi hasara).

Sauran illa

• The sabon abu neuroleptic m ciwo (zafin jiki yakan sama 40 digiri, rabu gumi, rage-rage matsin tafi fitsari involuntarily, "kangararre" tsokoki, da rasa sani, coma auku kama jihar dalilai ba su gane, babu magani ɓullo da m mutuwa ..).
• Lokuta da hyperprolactinemia (haddi hormone prolactin - cikin hanyar rashin haihuwa da kuma farkon lõkacin fatara daga haila).
• Sabon abu na hyperglycemia (high jini sugar) da kuma qarancin ruwa (low jini sugar).
• Cases hyponatremia (low sodium abun ciki a cikin jini ne m edema kwakwalwa).

Marasa lafiya da suke, duk da kasancewar contraindications, haloperidol, iyalansu kamata tattauna halin da ake ciki tare da likita da kuma neman wani maye manufa, idan zai yiwu.

A zama dole shirinku tare da haloperidol

A cikin shakka daga jiyya saukar da wadannan hatsari yayi:

• Tsofaffi da marasa lafiya da suke da psychosis dangantawa da gigin-tsufa (na tsufa memory asarar) ne a hadarin. Sun lura da karin mace-mace. A dalilin mafi kusantar zama matsaloli a cikin filin na cututtukan zuciya - bayyanar cututtuka na zuciya rashin cin nasara, kwatsam mutuwa, ciwon huhu. Atypical antipsychotics, wanda a wasu lokuta ne mafi aminci haloperidol, a wannan yanayin, bayar da wannan hoto na hadarin da cewa TA.
• Lokuta da tardive dyskinesia bayan dogon lokacin da amfani ko karbo daga cikin miyagun ƙwayoyi (involuntary rhythmic tafi harshe, fuska, bakin da muƙamuƙi - kamar harshen bulging, kumatunta inflated, bakinsa shrivel, akwai sabon abu na uncontrolled daukan taban ƙungiyoyi, involuntary ƙungiyoyi daga cikin wata gabar jiki da kuma akwati). A yawan marasa lafiya da komowar tardive dyskinesia. Bukatar kau da miyagun ƙwayoyi.
• Lokuta da extrapyramidal cuta (gani. "Side effects")
• Lokuta na cardiac munanan, ciki har da entailing kwatsam cardiac mutuwa.

Jerin illa da kuma kasada dangantaka da yin amfani da haloperidol bayyana wata babbar matsala hade da yin amfani da miyagun ƙwayoyi. Haloperidol ne musamman m. Doctors amfani da shi a general yi (yafi a ilimin halin tababbu), akwai mai wuya zabi. A daya hannun, za mu bi da na sama cututtuka har kwanan nan shi ne, ba zai yiwu ba tare da haloperidol. A daya hannun, ta yin amfani da bukatar matsananci hankali da kuma shiri likita a kowane lokaci don fara ƙarin magani, wannan lokaci da maras so cututtuka da kuma syndromes, wanda ya bada kansa Haloperidol. Manual rahotanni: a hadarin tasowa gefen sakamakon da miyagun ƙwayoyi ya kamata a soke. Amma a mafi yawan lokuta wannan ba zai yiwu, tun da yarjejeniyoyin da za su kai ga exacerbation na tamkar cuta.

A m warware matsalar ba AA - musamman, Seroquel (quetiapine), wanda aka ba su gani ba extrapyramidal cuta da dyskinesia, da warkewa sakamako na 'yan m damar haloperidol. Duk da haka, don da'awar cewa AA ne shakka mafi TA ne har yanzu ma farkon - wajibi ne don ci gaba da bincike da kuma na asibiti m lura.