Yintoni i-neuroleptic syndrome, iimpawu eziphambili kunye nendlela yokunyanga

Umxholo

• Iimpawu eziphambili
• Ngubani osengozini enkulu
• Unyango lwenziwa njani
• Iingxaki ezinokwenzeka

Isifo se-Neuroleptic malignant syndrome sisenzo esibi ekusebenziseni iziyobisi ze-neuroleptic, ezinje nge-haloperidol, i-olanzapine okanye i-chlorpromazine kunye ne-antiemetics, njenge-metoclopramide, i-domperidone okanye i-promethazine, umzekelo, enokuthi ikhokelele ekuvaleni kwe-dopamine. Nangona inqabile, le syndrome inokusongela ubomi ukuba unyango aluqalwa ngokukhawuleza kwaye, ngenxa yoko, kubalulekile ukuba wazi iimpawu ezinokubakho emva kokusebenzisa olu hlobo lonyango.

Ke, xa iimpawu ezinjengomkhuhlane ongaphezulu kwe-39º C, ubunzima bokuhambisa imilenze okanye ukuphazamiseka okugqithisileyo kuvela, emva kokusebenzisa olu hlobo lonyango, kuyacetyiswa ukuba uye esibhedlele ngokukhawuleza, ukuvavanya ingxaki, ukuqinisekisa isifo kunye nokuqala kakhulu unyango olufanelekileyo.

Iimpawu eziphambili

Iimpawu eziqhelekileyo zesifo se-neuroleptic malignant syndrome zibandakanya:

• Umkhuhlane ophezulu, ongaphezu kwama-39ºC;
• Ukuziva uphefumla kancinci;
• Ukuqina kwemisipha;
• Ukubetha kwentliziyo ngokungaqhelekanga nangokukhawuleza;
• Kunzima ukuhambisa iingalo kunye nemilenze;
• Utshintsho lwengqondo, olunjengokudideka, ukuphazamiseka okanye ukuphelelwa ngamandla;
• Ukwanda kokubila;
• Ukuqina kwemisipha, kuhamba kunye neenyikima;
• Ukungavisisani kweSphincter;
• Utshintsho ngequbuliso kuxinzelelo lwegazi.

Ezi mpawu zinokubonakala nakubani na othatha unyango ngamachiza e-neuroleptic, kodwa kunokwenzeka kakhulu kwiiveki ezimbini zokuqala zonyango.

Esibhedlele, ukongeza kuvavanyo lweempawu, ugqirha unokuyalela iimvavanyo ezithile, ezinje ngovavanyo lwegazi kunye / okanye uvavanyo lwezintso kunye nokusebenza kwesibindi, ukuze akwazi ukufikelela ngokulula kuxilongo.

Ngubani osengozini enkulu

Nangona kungenakwenzeka ukuqikelela ukuba ngubani onokuthi aphathwe sisifo se-neuroleptic malignant syndrome, kuyaziwa ukuba abantu abaqhelekileyo bafumana ukuphazamiseka okanye abathatha idosi ephezulu kakhulu yamachiza e-neuroleptic kunokwenzeka ukuba baphuhlise isifo.

Unyango lwenziwa njani

Unyango luhlala lwenziwa esibhedlele ukuvavanya ukuvela kweempawu kunye nokuhambisa amayeza ngqo emthanjeni. Ezona ndlela zixhaphakileyo zonyango zibandakanya:

• Ukunqunyanyiswa amayeza oko kwabangela isifo;
• Ukusetyenziswa kwekhabhoni esebenzayo: kuyanceda ukunciphisa ukubhengezwa kweziyobisi, ukuba ukungenisa kwenzeke kutshanje;
• I-serum ngqo emthanjeni: igcina i-hydration eyaneleyo kwaye ilawula inqanaba lezakhamzimba emzimbeni;
• Unyango lokuphumla lwezihlunu, njengeDantrolene: phelisa ukuqina kwemisipha okubangelwa kukuvuka kwenkqubo yeemvakalelo;
• Unyango lwe-Antipyretic, ezinje ngeparacetamol okanye idipyrone: ukunciphisa iqondo lobushushu emzimbeni kunye nokulwa nomkhuhlane.

Ukongeza, ugqirha unokusebenzisa ezinye iindlela, kubandakanya unyango lwe-electroconvulsive or plasmapheresis, umzekelo.

Kuxhomekeke kuphuhliso lweempawu zesifo, iingxaki ezinje ngokusilela kwezintso okanye ukunciphisa amanqanaba eoksijini emzimbeni, umzekelo, kunokufuna ukunyangwa. Jonga ukuba unyango lokungaphumeleli kwezintso lonyango njani.

Iingxaki ezinokwenzeka

Xa i-neuroleptic malignant syndrome inganyangwa ngokufanelekileyo okanye unyango lungaqalwa ngexesha, iintlobo ezahlukeneyo zeengxaki zinokuvela, ezinje ngokusilela kwezintso, ukuxhuzula, inyumoniya, ukusilela kwesibindi okanye ukubola kwemiphunga. Kwiimeko ezinzima kakhulu, ukuphefumula kunye nokubanjwa kwentliziyo kusenokwenzeka.