Indlela yokuchonga nokunyanga iimpawu ze-extrapyramidal
Umxholo
Iimpawu ze-Extrapyramidal ziyindlela yokuphendula komzimba ephilayo xa indawo yengqondo inoxanduva lokulungelelanisa iintshukumo, ebizwa ngokuba yiNkqubo ye-Extrapyramidal. Oku kunokwenzeka ngenxa yeziphumo ebezingalindelekanga zamayeza, ezinje ngeMetoclopramide, iQuetiapine okanye iRisperidone, umzekelo, okanye izifo ezithile ze-neurological, ezibandakanya isifo sika-Parkinson, isifo sikaHuntington okanye isifo se-stroke sequelae.
Ukuhamba okungazibandakanyiyo njengokungcangcazela, ukuqina kwemisipha, ukuhamba nzima, ukucothisa intshukumo okanye ukungazinzi zezinye zeempawu eziphambili ze-extrapyramidal, kwaye xa zinxulunyaniswa namayeza, anokuvela kwakamsinya emva kokusetyenziswa okanye anokuvela kancinci, ngokuqhubeka kwawo iminyaka okanye iinyanga .
Xa ivela ngenxa yomqondiso wesifo se-neurological, iintshukumo ze-extrapyramidal zihlala zisiba mandundu ngokuthe ngcembe, ngokuhamba kweminyaka, njengoko esi sifo siba mandundu. Jonga ukuba zeziphi iimeko kunye nezifo ezibangela ukungcangcazela emzimbeni.
Indlela yokuchonga
Iimpawu eziqhelekileyo ze-extrapyramidal zibandakanya:
- Kunzima ukuhlala uzolile;
- Uziva ungonwabanga, uhambisa iinyawo zakho kakhulu, umzekelo;
- Utshintsho lweentshukumo, ezinjengokungcangcazela, ukungahambelani ngokunganyanzelekanga (idyskinesia), ukuphazamiseka kwemisipha (i-dystonia) okanye ukungahambi kakuhle, njengokuhambisa imilenze rhoqo okanye ukungakwazi ukuma ngxi (akathisia);
- Ukuhamba kancinci okanye ukutsala;
- Ukutshintsha iipateni zokulala;
- Ubunzima bokugxila;
- Ukutshintsha kwelizwi;
- Kunzima ukugwinya;
- Ukuhamba okungafunekiyo kobuso.
Ezi mpawu zihlala ziphosakele njengeempawu zezinye iingxaki zengqondo ezinje ngoxinzelelo, uloyiko, Tourette okanye nokuba uneempawu zestroke.
Zintoni izizathu
Iimpawu ze-Extrapyramidal zinokubonakala njengeziphumo ebezingalindelekanga zamayeza, kanye emva kwethamo lokuqala okanye zivele ngenxa yokusetyenziswa okungagungqiyo, kuthatha phakathi kweeveki ezimbalwa ukuya kwiinyanga ukuqala kwaye, ke ngoko, xa zibonakala, kuyacetyiswa ukuba ubonane nogqirha emiselweyo amayeza ukuvavanya isidingo sokunciphisa idosi okanye ukwenza uhlengahlengiso kunyango. Ngaphaya koko, nangona zinokwenzeka nakubani na, zihlala zixhaphakile kubafazi nakwizigulana ezigugileyo.
Ezi mpawu zinokuba sisiphumo sesifo semithambo-luvo, isifo sika-Parkinson sesona simeli siphambili. Fumanisa ukuba yintoni ebangela isifo sika-Parkinson, ukuba usibona njani kwaye usinyanga njani.
Ezinye izifo zemithambo-luvo zibandakanya izifo ezonyukayo ezinje ngesifo sikaHuntington, isifo sengqondo esixhalabisayo yimizimba yeLeyy, sequelae yokubetha okanye i-encephalitis, kunye ne-dystonia okanye i-myoclonus, umzekelo.
Uluhlu lweziyobisi olunokubangela
Amanye amayeza adla ngokubangela ukubonakala kweempawu ze-extrapyramidal zezi:
| Iklasi yeziyobisi | IMIZEKELO |
| Iintsholongwane | IHaloperidol (iHaldol), iChlorpromazine, iRisperidone, iQuetiapine, iClozapine, iOlanzapine, iAripripazole; |
| Izinto zobugcisa | IMetoclopramide (iPlasil), iBromopride, iOndansetron; |
| Ukudakumba | Fluoxetine, Sertraline, Paroxetine, Fluvoxamine, Citalopram, Escitalopram; |
| I-anti-vertigo | ICinnarizine, Flunarizine. |
Yintoni enokuyenza xa bevela
Xa kuvela uphawu lwe-extrapyramidal, kubaluleke kakhulu ukubonisana, ngokukhawuleza, kugqirha omisele iyeza elinokubangela ukuba livele. Akucetyiswa ukuba uyeke ukuthatha okanye ukutshintsha amayeza ngaphandle kwengcebiso yezonyango.
Ugqirha unokucebisa uhlengahlengiso kunyango okanye anokutshintsha amayeza asetyenzisiweyo, nangona kunjalo, imeko nganye ifuna ukuvavanywa ngokukodwa. Ukongeza, kulo lonke unyango olu hlobo lonyango, ukuphononongwa ngokutsha rhoqo kuyafuneka, ke kubalulekile ukuba uye kulo lonke uthethathethwano lokuhlaziya, nokuba azikho na iziphumo ebezingalindelekanga. Jonga izizathu zokungawathathi amayeza ngaphandle kokhokelo lukagqirha.
Kucetyiswa
Ngaba Ungasela Utywala ngelixa uthatha iDoxycycline?
