Tus Sau: Gregory Harris
Hnub Kev Tsim: 9 Lub Plaub Hlis Ntuj 2021
Hloov Hnub: 1 Lub Kaum Ib Hli Ntuj 2024
Anonim
Qhov ua tsis taus pa dyskinesia - Tshuaj Kho Mob
Qhov ua tsis taus pa dyskinesia - Tshuaj Kho Mob

Tardive dyskinesia (TD) yog qhov tsis txaus siab uas cuam tshuam nrog kev txav mus los. Tardive txhais tau tias qeeb thiab dyskinesia txhais tau tias ua haujlwm txawv txav.

TD yog qhov mob tshwm sim loj heev uas tshwm sim thaum koj noj tshuaj hu ua neuroleptics. Cov tshuaj no tseem hu ua tshuaj tiv thaiv kev puas hlwb lossis tshuaj tua kabmob loj. Lawv raug siv los kho cov teeb meem kev xav.

TD feem ntau tshwm sim thaum koj noj cov tshuaj rau ntau lub hlis lossis xyoo. Muaj qee kis, nws tshwm sim tom qab koj coj lawv tsawg li 6 lub lis piam.

Cov tshuaj uas feem ntau ua rau qhov kev tsis zoo no yog cov tshuaj tiv thaiv laus, nrog rau:

  • Chlorpromazine
  • Fluphenazine
  • Haloperidol
  • Perphenazine
  • Prochlorperazine
  • Thioridazine
  • Trifluoperazine

Cov tshuaj tiv thaiv kab mob tshiab zoo li tsis tshua pom kev ua rau TD, tab sis lawv tsis tag tsis muaj kev pheej hmoo.

Lwm yam tshuaj uas tuaj yeem ua rau TD suav yog:

  • Metoclopramide (kho cov teeb meem plab hu ua gastroparesis)
  • Cov tshuaj tiv thaiv kab mob xws li amitriptyline, fluoxetine, phenelzine, sertraline, trazodone
  • Anti-Parkinson tshuaj xws li levodopa
  • Antiseizure tshuaj xws li phenobarbital thiab phenytoin

Cov tsos mob ntawm TD suav nrog kev tswj tsis tau lub ntsej muag thiab lub cev xws li:


  • Lub ntsej muag grimacing (feem ntau cuam tshuam nrog qis ntsej muag cov leeg)
  • Ntiv tes mus los (piano ua si taw)
  • Taug pob zeb los yog txhaws ntawm lub pob txha menyuam (xws li cov ntses gait)
  • Puab tsaig viav vias
  • Rov ua luam dua
  • Lub qhov muag ceev ceev ntsais
  • Nplaig thrusting
  • Nyob tsis tswm

Thaum kuaj tau tus kab mob TD, tus kws saib xyuas kev noj qab haus huv yuav cia koj tsum tso tshuaj qeeb qeeb lossis hloov mus rau lwm qhov.

Yog tias TD muaj mob me lossis maj mam kho, ntau yam tshuaj muaj peev xwm sim. Dopamine-depleting tshuaj, tetrabenazine yog qhov kev kho mob zoo tshaj plaws rau TD. Koj tus kws khomob tuaj yeem qhia koj ntau ntxiv txog cov no.

Yog tias TD muaj mob hnyav, cov txheej txheem hu ua sib sib zog nqus hlwb DBS yuav raug sim. DBS siv cov khoom siv hu ua neurostimulator xa cov hluav taws xob xa mus rau thaj chaw ntawm lub hlwb uas tswj kev txav.

Yog tias kuaj tau ntxov, TD tuaj yeem hloov rov qab los ntawm kev txiav cov tshuaj uas ua rau cov tsos mob tshwm sim. Txawm hais tias cov tshuaj nres, qhov kev tsis txaus siab yuav dhau los mus tas li, thiab hauv qee kis, yuav dhau los ua kom tsis zoo.


TD; Mob lub cev; Orofacial dyskinesia; Kev ua haujlwm tsis tuaj yeem - kev ua kom lub cev ua kom sai; Cov tshuaj tiv thaiv kev ua kom quav - tardive dyskinesia; Neuroleptic siv yeeb siv tshuaj - tardive dyskinesia; Schizophrenia - tardive dyskinesia

  • Nruab nrab hauv lub paj hlwb thiab lub paj hlwb peripheral

Aronson JK. Cov tshuaj neuroleptic. Hauv: Aronson JK, ed. Meyler Qhov tshwm sim los ntawm Cov TshuajCov. 16th ed. Waltham, MA: Elsevier B.V .; 2016: 53-119.

Freudenreich O, Flaherty AW. Cov neeg mob uas muaj teeb meem txawv txav. Hauv: Stern TA, Freudenreich O, Smith FA, Fricchione GL, Rosenbaum JF, eds. Massachusetts General Tsev Kho Mob Phau Ntawv Cov Lus Qhia ntawm Lub Tsev Kho Mob General PsychiatryCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 21.

Freudenreich O, Goff DC, Henderson DC. Cov tshuaj tiv thaiv kev puas hlwb. Hauv: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts General Tsev Kho Mob Chaw Kho Mob Chaw Kho Mob Puas Siab NtswsCov. 2nd ed. Philadelphia, PA: Elsevier; 2016: chap 42.


Okun MS, Lang AE. Lwm qhov txawv txav. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 382.

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