Nkag siab Extrapyramidal Cov tsos mob thiab cov tshuaj uas Ua rau lawv

Zoo Siab

• Cov tsos mob extrapyramidal yog dab tsi?
• Akathisia
• Mob dystonia
• Parkinsonism
• Cov Mob Hlwb Neuroleptic (NMS)
• Qhov ua tsis taus pa dyskinesia
• Cov quav ntawm tardive dyskinesia
• Dab tsi ua kom muaj cov tsos mob extrapyramidal?
• Yuav kuaj li cas thiaj paub hais tias yog tus mob extrapyramidal?
• Yuav kho cov tsos mob extrapyramidal li cas?
• Hauv qab kab

Cov tsos mob Extrapyramidal, tseem hu ua cov tshuaj txuam nrog kev tawm dag zog, piav qhia txog kev phiv los ntawm qee yam antipsychotic thiab lwm yam tshuaj. Cov kev mob tshwm sim no suav nrog:

• tsis tuaj yeem lossis tswj tsis tau
• tshee
• cov leeg ib ce

Cov tsos mob yuav hnyav txaus los cuam tshuam lub neej txhua hnub los ntawm kev ua rau nws nyuaj mus ncig, sib txuas lus nrog lwm tus, lossis saib xyuas koj cov haujlwm ib txwm ua tom haujlwm, tsev kawm ntawv, lossis hauv tsev.

Kev kho feem ntau pab, tab sis qee qhov tsos mob yuav ruaj khov. Feem ntau hais lus, koj tau txais kev kho mob ntxov, zoo dua.

Nyeem rau kom paub ntau ntxiv txog cov tsos mob ntawm extrapyramidal, suav nrog cov tshuaj uas tuaj yeem ua rau lawv thiab lawv raug kuaj thiab kho li cas.

Cov tsos mob extrapyramidal yog dab tsi?

Cov tsos mob tuaj yeem tshwm sim hauv cov laus thiab menyuam yaus thiab yuav mob hnyav.

Cov tsos mob thaum ntxov yuav pib tau sai tom qab koj pib siv tshuaj. Lawv feem ntau tshwm sim li ob peb teev tom qab koj tau txais koob tshuaj thawj zaug lawm tab sis tuaj yeem tshwm sim txhua lub sijhawm hauv thawj ob peb lub lis piam.

Kev ncua sij hawm yuav yog nyob ntawm cov kev mob tshwm sim tshwj xeeb. Cov tsos mob qeeb yuav tshwm sim tom qab koj tau noj tshuaj rau qee lub sijhawm.

Akathisia

Nrog akathisia, koj tuaj yeem xav tias nyob tsis tswm lossis nruj thiab muaj lub siab xav txav mus los. Hauv cov menyuam yaus, qhov no yuav tshwm sim xws li kev tsis haum lub cev, ntxhov siab, ntxhov siab lossis lwm yam kev npau taws. Tej zaum koj yuav pom tias kev sib tsoo, tshee koj ob txhais ceg, co ntawm koj ob sab taw, lossis txhuam koj lub ntsej muag yuav pab ua kom lub siab nyob tsis tswm.

Kev tshawb fawb qhia pom tias yuav mob akathisia ntau ntxiv nrog kev noj tshuaj ntau dua. Akathisia cov tsos mob kuj tau cuam tshuam nrog kev pheej hmoo siab ntawm lwm yam mob hu ua tardive dyskinesia.

Txhua qhov chaw los ntawm cov tib neeg uas siv tshuaj tiv thaiv tshuaj tiv thaiv tus mob yuav muaj kab mob akathisia.

Qee cov tshuaj, suav nrog beta-blockers, tuaj yeem pab txo cov tsos mob. Txo cov koob tshuaj tiv thaiv kab mob hauv lub cev kuj tseem tuaj yeem txhim kho.

Mob dystonia

Dystonic cov tshuaj tiv thaiv yog qhov tsis txaus siab txog cov leeg nqaij. Cov kev txav no feem ntau rov ua dua thiab tej zaum yuav ua rau lub qhov muag txhaws lossis ntsais, taub hau ntswj, tawm tus nplaig, thiab caj dab txuas, thiab lwm yam.

Kev ua tes taw yuav yog ib qho luv luv, tab sis lawv kuj tuaj yeem cuam tshuam koj lub zog los yog txhav koj cov leeg rau ib lub sijhawm. Lawv feem ntau cuam tshuam rau koj lub taub hau thiab caj dab, txawm tias lawv tuaj yeem tshwm sim hauv lwm qhov chaw ntawm koj lub cev.

Dystonia tuaj yeem ua rau mob nqaij pob txha mob thiab ua lwm yam tsis xis nyob. Koj tseem tuaj yeem hnoos lossis ua tsis taus pa yog tias qhov tshwm sim cuam tshuam rau cov leeg hauv koj lub caj pas.

Txheeb cais qhia tias txhua tus ntawm cov neeg siv tshuaj tiv thaiv kev tiv thaiv tus mob dystonia, tab sis nws yog ib qho muaj ntau rau cov menyuam yaus thiab cov neeg hluas.

Feem ntau nws pib li ntawm 48 teev tom qab koj pib noj tshuaj tiv thaiv kab mob tab sis feem ntau txhim kho nrog kev kho mob. Txo cov koob tshuaj tiv thaiv kab mob kom pab txo tau kev tuaj yeem pab tau. Dystonic cov tshuaj tiv thaiv kuj tseem tuaj yeem kho nrog antihistamines thiab tshuaj uas kho cov tsos mob ntawm tus kab mob Parkinson.

Parkinsonism

Parkinsonism piav txog cov tsos mob uas zoo li Parkinson's mob. Feem ntau cov tsos mob uas nquag pom yog cov leeg leeg hauv koj nqua. Koj kuj tuaj yeem muaj qhov tshee, nce ntxiv salivation, txav qeeb, lossis hloov hauv koj lub cev sawv cev lossis gait.

Nruab nrab ntawm cov tib neeg noj tshuaj tiv thaiv kev puas hlwb Parkinsonian cov tsos mob tshwm sim. Lawv feem ntau pib maj mam, feem ntau li ntawm ob peb hnub tom qab koj pib noj tshuaj tiv thaiv kab mob. Koj cov tshuaj yuav cuam tshuam nrog qhov tshwm sim tshwm sim.

Cov tsos mob sib txawv hauv qhov mob hnyav, tab sis lawv tuaj yeem cuam tshuam qhov txav thiab ua haujlwm. Lawv thiaj li yuav ploj mus ntawm lawv tus kheej hauv lub sijhawm, tab sis lawv kuj tuaj yeem kho tau.

Cov kev kho mob feem ntau yuav txo qis qhov koob tshuaj lossis sim ua lwm yam tshuaj tiv thaiv kev ntxhov siab. Tshuaj siv los kho cov tsos mob ntawm tus kab mob Parkinson tseem siv tshwj xeeb los kho cov tsos mob.

Cov Mob Hlwb Neuroleptic (NMS)

Qhov tshuaj tiv thaiv no tsis tshua muaj, tab sis muaj qhov nyhav heev.

Feem ntau, thawj cov phiajcim yog cov leeg ua kom nruj thiab ua npaws, tom qab ntawd tsaug zog lossis tsis meej pem. Koj tuaj yeem ua rau qaug dab peg, thiab koj lub paj hlwb kev ua haujlwm yuav raug cuam tshuam. Cov tsos mob tshwm sim feem ntau tshwm sim sai, feem ntau li ntawm ob peb teev tom qab koj pib noj tshuaj tiv thaiv kab mob.

Kev tshawb fawb qhia tau tias tsis pub ntau tus neeg yuav tsim NMS. Tus mob no tuaj yeem ua rau tsis nco qab, lub raum tsis ua haujlwm, thiab tuag. Feem ntau nws cuam tshuam nrog pib tsim cov tshuaj tiv thaiv kab mob, tab sis nws kuj txuas nrog rau dheev txiav lossis hloov cov tshuaj.

Txoj kev khomob yog kom thim cov tshuaj tiv thaiv kom sai thiab muab kev pab kho mob. Nrog kev kho mob sai, feem ntau rov qab tuaj yeem tshwm sim, txawm hais tias nws yuav siv li ob lub lis piam lossis ntev dua.

Qhov ua tsis taus pa dyskinesia

Tardive dyskinesia yog mob lig thiab pib mob ua kom tus tsos mob ploj mus. Nws cuam tshuam nrog kev rov ua qhov ntsej muag, ua qhov tsis txaus siab ntawm lub ntsej muag, xws li tus nplaig sib xws, ntxo cov ncauj thiab cov di ncauj smacking, plhu puffing, thiab grimacing. Tej zaum koj yuav tau muaj kev pauv hauv koj lub cev, txav nqaj, lossis tsuj.

Nws feem ntau tsis loj hlob mus txog thaum koj tau haus tshuaj rau rau lub hlis lossis ntev dua. Cov tsos mob yuav mob siab txawm tias yuav kho kho. Cov poj niam muaj feem ntau yuav muaj qhov tshwm sim no. Lub hnub nyoog thiab ntshav qab zib tuaj yeem ua rau muaj kev pheej hmoo ntxiv, xws li cov kev mob schizophrenia tsis zoo lossis cov tsos mob uas cuam tshuam rau kev ua haujlwm.

Cov tib neeg noj tshuaj tiv thaiv thawj tiam, txog ntua yuav muaj cov kev mob tshwm sim no.

Kev kho mob cuam tshuam nrog kev txiav tawm cov tshuaj, txo qis tshuaj, lossis hloov mus rau lwm cov tshuaj. Piv txwv, Clozapine, tuaj yeem pab txo cov tsos mob ua kom mob tardive dyskinesia. Kev sib sib zog nqus ntawm lub hlwb tau kuj tau cog lus tias yog kev kho mob.

Cov quav ntawm tardive dyskinesia

• Tardive dystonia. Qhov subtype no hnyav dua li ntawm cov kab mob dystonia thiab feem ntau yuav ua rau cov lus tsa suab qeeb qeeb thoob plaws hauv lub cev, xws li txuas ntxiv ntawm caj dab lossis caj dab.
• Mob siab los yog mob akathisia. Qhov no hais txog akathisia cov tsos mob, xws li mob ceg, caj npab los yog qog, uas yuav nyob ntev li ib hlis lossis ntev dua thaum koj tab tom noj tib lub tshuaj.

Ob qho no puav leej muaj qhov pib tom qab thiab tuaj yeem mob siab txawm hais tias kev kho mob, tab sis hom kev txav txuam nrog cov tsos mob no txawv.

Cov menyuam yaus uas txiav tsis noj tshuaj tam sim ntawd kuj muaj peev xwm tshem tawm dyskinesias. Cov kev ntaus nrig thiab rov ua dua li no feem ntau pom ntawm lub npog tas ib ce, caj dab, thiab nqua.Lawv feem ntau ploj mus lawv tus kheej hauv ob peb lub lis piam, tab sis pib siv tshuaj dua thiab maj mam txo cov koob tshuaj kuj tuaj yeem txo cov tsos mob tshwm sim.

Dab tsi ua kom muaj cov tsos mob extrapyramidal?

Koj cov txheej txheem extrapyramidal yog lub neural network hauv koj lub hlwb uas pab tswj kev tswj lub cev muaj zog thiab kev sib koom tes. Nws suav nrog kev tsim kho hauv qab pob ganglia, txheej txheej txheej txheem tseem ceeb rau kev ua haujlwm lub cev muaj zog. Ganglia basal xav tau dopamine rau kev ua haujlwm zoo.

Cov tshuaj tiv thaiv kab mob pab txhim kho cov tsos mob los ntawm khi rau dopamine receptors hauv koj lub nruab nrab cov hlab ntsha thiab thaiv cov dopamine. Qhov no yuav tiv thaiv tus neeg mob ganglia ntawm txoj kev tau txais dopamine txaus. Extrapyramidal cov tsos mob tuaj yeem txhim kho qhov tshwm sim.

Thawj cov tshuaj tiv thaiv kev tawm tsam feem ntau ua rau cov tsos mob ntxiv. Nrog cov tshuaj tiv thaiv kev tiv thaiv thib ob, cov kev mob tshwm sim yuav tshwm sim ntawm tus nqi qis dua. Cov tshuaj no muaj tsawg dua qhov sib luag rau dopamine receptors thiab khi xoob thiab thaiv qee cov serotonin receptors.

Cov tshuaj tiv thaiv thawj-xyoo muaj xws li:

• chlorpromazine
• haloperidol
• levomepromazine
• thioridazine
• trifluoperazine
• perphenazine
• flupentixol
• fluphenazine

Cov tshuaj tiv thaiv kab mob thib ob suav nrog:

• clozapine
• risperidone
• olanzapine
• quetiapine
• paliperidone
• aripiprazole
• ziprasidone

Yuav kuaj li cas thiaj paub hais tias yog tus mob extrapyramidal?

Nws yog ib qho tseem ceeb kom ceev faj txog cov tsos mob no yog tias koj lossis tus neeg hlub tau noj tshuaj tiv thaiv kab mob. Kev phiv tshuaj qee zaum zoo li cov tsos mob ntawm cov tshuaj uas tau siv los kho, tab sis kws kho mob tuaj yeem pab txheeb xyuas cov tsos mob.

Koj tus kws kho mob yuav nug koj lossis ib tug neeg hauv koj tsev neeg txog koj tus mob. Lawv tuaj yeem pom cov teeb meem koj ntsib nrog kev txav lossis ua kom sib haum thaum mus ntsib chaw haujlwm.

Lawv kuj tseem yuav siv kev ntsuas ntsuas, xws li Cov Tshuaj Yeeb Tshuaj Kho Mob Raug Mob-Tuav Ib Leeg Kho Mob (DIEPSS) lossis Extrapyramidal Cov tsos mob ntaus nqi teev (ESRS). Cov nplai no tuaj yeem muab cov ntaub ntawv ntau ntxiv txog koj cov tsos mob thiab mob heev.

Yuav kho cov tsos mob extrapyramidal li cas?

Txoj kev kho rau cov tsos mob extrapyramidal tuaj yeem nyuaj. Cov tshuaj tuaj yeem muaj cov kev mob tshwm sim sib txawv, thiab nws cuam tshuam rau tib neeg sib txawv. Nws tsis muaj txoj hauv kev los twv qhov kev tawm tsam koj yuav muaj.

Feem ntau tib txoj kev kho mob tsuas yog sim cov tshuaj sib txawv lossis qis dua kom pom qhov twg muab kev kho zoo tshaj plaws nrog cov kev mob tshwm sim tsawg tshaj plaws. Ua raws li koj cov tsos mob, koj kuj tseem tuaj yeem sau lwm hom tshuaj nrog rau koj cov tshuaj tiv thaiv kom pab kho lawv.

Koj yuav tsum tsis txhob hloov pauv lossis hloov qhov tshuaj ntau ntxiv yam tsis tau koj tus kws kho mob txoj kev qhia.

Hloov koj cov koob tshuaj lossis tshuaj noj tuaj yeem ua rau lwm cov tsos mob. Nco ntsoov thiab hais txog qhov tsis xav tau lossis tsis xav ua tej yam tshwm sim rau koj tus kws kho mob.

Yog tias koj raug xaj kom noj tshuaj tsawg dua, qhia rau koj tus kws kho mob lossis kws kho mob yog tias koj pib muaj mob hlwb lossis lwm yam tsos mob uas koj cov tshuaj yog los kho.

Yog tias koj pib pom kev hnov ​​mob, ntsib kev nyuaj, lossis lwm yam kev ntxhov siab, nrhiav kev pab tam sim. Cov tsos mob no tuaj yeem ua rau koj pheej hmoo ua phem rau koj tus kheej lossis lwm tus, yog li koj tus kws kho mob yuav xav sim kho txawv.

Nws tuaj yeem pab tham nrog koj tus kws sib sab laj yog tias koj muaj kev ntxhov siab los ntawm cov tsos mob ntawm tus mob extrapyramidal. Kev kho tsis tuaj yeem hais daws cov kev mob tshwm sim ncaj qha, tab sis koj tus kws kho mob tuaj yeem pab txhawb nqa thiab cov hau kev los daws thaum cov tsos mob cuam tshuam rau koj lub neej txhua hnub lossis ua rau muaj kev ntxhov siab.

Hauv qab kab

Hauv qee kis, cov tsos mob extrapyramidal yuav tsis cuam tshuam rau koj ntau dhau. Lwm qhov xwm txheej, lawv yuav ua mob lossis tsis xis nyob. Lawv tuaj yeem cuam tshuam rau lub neej tsis zoo thiab ua rau muaj kev ntxhov siab thiab ntxhov siab.

Yog tias koj muaj kev mob tshwm sim, koj tuaj yeem txiav txim siab tsis xav noj koj cov tshuaj kom lawv ploj mus, tab sis qhov no yuav txaus ntshai. Yog koj tsum tsis noj koj cov tshuaj, tej zaum koj yuav pom muaj cov tsos mob hnyav ntxiv. Nws yog ib qho tseem ceeb uas yuav tau noj koj cov tshuaj raws li kws kho mob kom txog rau thaum koj tham nrog koj tus kws kho mob.

Yog tias koj pib muaj kev mob tshwm sim thaum siv tshuaj tiv thaiv kev ntxhov siab, tham nrog koj tus kws kho mob sai li sai tau. Hauv qee kis, lawv tuaj yeem ua haujlwm tas mus li, tabsis kev kho feem ntau ua rau txhim kho.