Dab tsi yog neuroleptic malignant syndrome, cov tsos mob tseem ceeb thiab yuav kho li cas

Zoo Siab

• Cov tsos mob tseem ceeb
• Leej twg ntxim nyiam tshaj
• Yuav kho tus mob li cas
• Muaj teeb meem tshwm sim

Neuroleptic malignant syndrome yog qhov kev txhaum loj heev rau kev siv cov tshuaj neuroleptic, xws li haloperidol, olanzapine lossis chlorpromazine thiab antiemetics, xws li metoclopramide, domperidone lossis promethazine, piv txwv li, tuaj yeem ua rau dopamine txhaws. Txawm hais tias muaj tsawg, cov tsos mob no tuaj yeem tsim kev phom sij yog tias kev kho mob tsis pib sai thiab yog li ntawd, nws yuav tsum paub txog cov tsos mob uas yuav tshwm sim tom qab siv hom tshuaj no.

Yog li, thaum muaj cov cim xws li ua npaws kub tshaj 39º C, kev nyuaj ntawm kev txav ntawm cov ceg lossis kev ntxhov siab heev tshwm sim, tom qab siv hom tshuaj no, nws pom zoo kom mus rau tsev kho mob sai, soj ntsuam qhov teeb meem, paub qhov mob thiab pib tshaj plaws tsim nyog kho.

Cov tsos mob tseem ceeb

Cov tsos mob feem ntau ntawm tus mob neuroleptic malignant syndrome muaj xws li:

• Ua npaws kub, siab tshaj 39ºC;
• Hnov txog qhov ua tsis taus pa;
• Mob leeg txhav;
• Lub plawv dhia tsis xwm yeem thiab lub plawv dhia ceev;
• Nyuaj txav txav koj ob sab caj npab thiab ceg;
• Hloov siab, xws li tsis meej pem, ntxhov siab lossis tsaus muag;
• Muaj nce hws;
• Cov leeg txhav, nrog ua ke tshee;
• Lub Hauv Paus Nruab Nrab;
• Hloov ntshav siab tam sim.

Cov tsos mob no tuaj yeem tshwm sim rau txhua tus neeg noj tshuaj neuroleptic, tab sis lawv muaj feem ntau tshwm sim nyob rau thawj ob lub lim tiam ntawm kev kho mob.

Nyob hauv tsev kho mob, ntxiv rau kev ntsuam xyuas cov tsos mob, tus kws kho mob kuj tuaj yeem xaj qee yam kev sim, xws li kev kuaj ntshav thiab / lossis kev kuaj mob rau lub raum thiab lub siab ua haujlwm, kom tuaj yeem tuaj txog yooj yim dua ntawm kev kuaj mob.

Leej twg ntxim nyiam tshaj

Txawm hais tias nws tsis tuaj yeem kwv yees leej twg yuav mob neuroleptic malignant syndrome, nws paub tias cov tib neeg ib txwm muaj kev ntxhov siab lossis siv tshuaj ntau ntawm cov tshuaj neuroleptic feem ntau yuav tsim muaj cov kev mob tshwm sim.

Yuav kho tus mob li cas

Kev kho mob feem ntau yog ua hauv tsev kho mob txhawm rau txheeb xyuas qhov kev hloov ntawm cov tsos mob thiab tswj hwm kev noj tshuaj ncaj qha mus rau txoj leeg. Feem ntau hom kev kho muaj xws li:

• Kev ncua ntawm kev siv tshuaj uas muab nce mus rau syndrome;
• Kev siv cov roj carbon activated: pab txo cov tshuaj adsorption, yog tias kev noj haus tau tshwm sim tsis ntev los no;
• Ntshav dej ncaj qha rau hauv cov hlab ntsha: tswj hwm lub cev kom txaus thiab tswj cov theem ntawm cov zaub mov hauv lub cev;
• Kev Sib Nraus Hauv Cov Pob Qij, zoo li Dantrolene: nplij cov leeg nqaij tawv los ntawm arousal ntawm lub paj hlwb;
• Antipyretic tshuaj ntsuab, xws li paracetamol lossis dipyrone: txo lub cev kub thiab tiv thaiv kub taub hau.

Ntxiv rau, tus kws kho mob kuj tseem tuaj yeem siv lwm cov tswv yim, suav nrog kev kho mob electroconvulsive lossis plasmapheresis, piv txwv.

Nyob ntawm lub sijhawm ntawm kev txhim kho ntawm tus mob, cov teeb meem xws li lub raum tsis ua haujlwm lossis cim kev txo qis hauv qib pa hauv lub cev, piv txwv li, xav tau kev kho mob. Saib seb kho raum tsis ua haujlwm lawm.

Muaj teeb meem tshwm sim

Thaum neuroleptic malignant syndrome tsis kho kom zoo los yog kev kho mob tsis tau pib nyob rau lub sijhawm, ntau yam mob uas yuav tshwm sim, xws li mob raum tsis ua haujlwm, mob chua leeg, mob ntsws, mob ntsws tsis ua haujlwm lossis mob ntsws embolism. Nyob rau hauv feem ntau cov mob loj tshaj plaws, ua pa thiab mob plawv tseem tuaj yeem tshwm sim.