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Hnub Kev Tsim: 20 Taug Kev 2021
Hloov Hnub: 22 Lub Kawm Ob Hlis Ntuj 2024
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Yuav ua li cas txheeb xyuas thiab kho cov tsos mob extrapyramidal - Noj Qab Haus Huv
Yuav ua li cas txheeb xyuas thiab kho cov tsos mob extrapyramidal - Noj Qab Haus Huv

Zoo Siab

Cov tsos mob Extrapyramidal yog cov tshuaj tiv thaiv ntawm cov kab mob uas tshwm sim thaum thaj chaw ntawm lub hlwb ua lub luag haujlwm ntawm kev sib koom tes ua haujlwm, hu ua Extrapyramidal System, cuam tshuam. Qhov no tuaj yeem tshwm sim vim yog kev mob tshwm sim los ntawm cov tshuaj, xws li Metoclopramide, Quetiapine lossis Risperidone, piv txwv li, lossis qee cov kab mob hlwb, uas suav nrog tus kab mob Parkinson, Kab mob Huntington lossis tus kab mob stroke.

Kev tawm tsam xws li tshee tshee, cov leeg kev sib cog lus, kev taug kev nyuaj, qeeb ntawm kev txav mus los lossis kev nyob tsis tswm yog qee qhov kev mob tseem ceeb, thiab thaum cuam tshuam nrog kev siv tshuaj, lawv yuav tshwm sim sai sai tom qab siv lossis yuav tshwm sim qeeb, los ntawm kev txuas ntxiv siv rau xyoo lossis hli Cov.

Thaum nws tshwm sim vim yog lub cim ntawm tus mob neurological, kev ua kom lub cev txawv txav ntxiv feem ntau zuj zus zuj zus, dhau xyoo, vim tus kab mob loj dua. Kuj kuaj xyuas seb cov xwm txheej thiab kab mob ua rau tshee tshee hauv lub cev li cas.

Yuav ua li cas paub

Cov tsos mob hnyav tshaj plaws muaj xws li:


  • Nyuaj rau nyob twj ywm txias;
  • Zoo li yog kev nyob tsis tswm, tsiv koj txhais taw ntau heev, piv txwv li;
  • Kev hloov pauv, xws li tshee hnyo, qoj ib ce tsis tuaj yeem (dyskinesia), leeg mob pob txha (dystonia) lossis rov qab nyob tsis tswm, xws li txav koj ob txhais ceg nquag lossis tsis tuaj yeem sawv tseem (akathisia);
  • Qeeb qeeb lossis rub tawm;
  • Hloov cov qauv pw tsaug zog;
  • Nyuaj tsis yooj yim lag luam;
  • Lub suab hloov;
  • Nyuaj noj nyuaj;
  • Kev rho tawm ntawm lub ntsej muag.

Cov tsos mob no feem ntau tuaj yeem hais yuam kev raws li cov cim qhia ntawm lwm cov teeb meem kev puas hlwb xws li ntxhov siab, ceeb ntshai, Tourette lossis txawm tias cov mob stroke.

Dab tsi ua

Cov tsos mob Extrapyramidal tuaj yeem tshwm sim tshwm sim vim yog kev siv tshuaj, tom qab thawj koob tshuaj lossis tshwm sim los ntawm kev siv tas li, noj li ntawm ob peb lub lis piam mus rau lub hlis kom pib thiab, yog li ntawd, thaum lawv tshwm sim, nws yuav tsum tau sab laj nrog tus kws kho mob uas kws kho mob noj tshuaj rau kev luj xyuas qhov xav tau kom txo qhov koob tshuaj lossis hloov kho rau kev kho mob. Tsis tas li ntawd, txawm tias lawv tuaj yeem tshwm sim rau ib tus neeg twg, lawv muaj ntau dua rau tus poj niam thiab cov neeg laus laus.


Cov tsos mob no tseem tuaj yeem yog lub txiaj ntsig ntawm tus mob hlwb, Parkinson tus kab mob ua tus sawv cev tseem ceeb. Nrhiav seb dab tsi ua rau Parkinson tus kab mob, yuav ua li cas paub thiab kho nws.

Lwm cov kab mob neurological suav nrog rau cov kab mob sib xws xws li Huntington's disease, dementia los ntawm Lewy lub cev, kab mob stroke lossis mob hlwb, thiab dystonia lossis myoclonus, piv txwv.

Sau cov tshuaj uas tuaj yeem ua rau

Qee cov tshuaj uas feem ntau ua rau cov tsos ntawm cov tsos mob ntawm lub cev extrapyramidal yog:

Cov chav kawm tshuajPIAV
Cov tshuaj tiv thaivHaloperidol (Haldol), Chlorpromazine, Risperidone, Quetiapine, Clozapine, Olanzapine, Aripripazole;
Kev Tshawb FawbMetoclopramide (Plasil), Bromopride, Ondansetron;
Cov tshuaj tiv thaiv kab mobFluoxetine, Sertraline, Paroxetine, Fluvoxamine, Citalopram, Escitalopram;
Anti-vertigoCinnarizine, Flunarizine.

Yuav ua li cas thaum lawv tshwm sim

Thaum muaj cov tsos mob extrapyramidal tshwm sim, nws yog ib qho tseem ceeb heev rau kev sab laj, kom sai li sai tau, kws kho mob uas kws kho cov tshuaj noj uas yuav ua rau nws tshwm sim. Nws tsis pom zoo kom tsum tsis txhob noj lossis hloov cov tshuaj yam tsis muaj kev qhia tshuaj.


Tus kws kho mob yuav pom zoo kom hloov kho txoj kev kho lossis hloov cov tshuaj uas tau siv, txawm li cas los xij, txhua kis teebmeem yuav tsum tau ntsuas tus kheej. Tsis tas li ntawd, thoob plaws kev kho mob nrog hom tshuaj no, kev rov ntsuam xyuas dua yog tsim nyog, yog li nws yog qhov tseem ceeb mus rau txhua qhov kev sib tham kho dua, txawm tias thaum tsis muaj kev mob tshwm sim. Tshawb xyuas cov laj thawj ntawm kev tsis noj tshuaj yam tsis muaj kws kho mob kev taw qhia.

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