Haloperidol: Instruction kom ceev faj txog

Cov kev kawm ntawm txoj kev tshawb no nyob rau hauv no tsab xov xwm no ib tug yeeb tshuaj "Haloperidol", cov kev qhia ntawv uas cov ntaub ntawv uas yog muab raws li ib lub hauv paus.

Haloperidol (Haloperidol), Haloperidol Decanoate (rau kev txhaj tshuaj), haloperidol dauv - deb ntawm cov haib psychoactive kev npaj ntawm ib tug dav spectrum ntawm kev txiav txim. Nws muaj saib xyuas uas muaj hnub nyoog nyob rau hauv lub keeb kwm ntawm cov kev kho mob ntawm lub loj tshaj plaws puas thiab neurological kab mob - 55 xyoo (tsim thiab kuaj nyob rau hauv lub Belgian lub tuam txhab "Janssen Pharmaceutica" nyob rau hauv 1957).

Substance hais txog ib tug pab pawg neeg ntawm antipsychotics los yog neuroleptics. Yog li ntawd nws twb hu ua mus txog rau thaum nyob rau hauv pharmacology thiab pharmaceutics Kwvyees li xyoo 1990 tsis tshwm neuroleptics (antipsychotic) ntawm tus tshiab tiam. Tom qab ntawd Haloperidol tau hu ua raug antipsychotic (TN) los yog ib tug raug antipsychotic (TA). ib tug tshiab tiam ntawm cov tshuaj (xws li, quetiapine, olanzapine, thiab lwm tus neeg.) yog hu ua atypical antipsychotics (IB) los yog atypical antipsychotics (AA). Qhov txawv ntawm cov tiam ntawm cov tshuaj yog tej zaum revolutionary tseem ceeb nyob rau hauv cov tshuaj. Nws yog ib qho tseem ceeb kom nkag siab txog yuav ua li cas txaus ntshai Haloperidol. Sab los hais tias nws tau tej zaum kuj ua tau kom ntxiv cov kab mob uas yuav tsum tau cais kev kho mob.

Ib txhia AA (Seroquel), cov kev phiv tseem tsis tau pom.

Haloperidol, cov kev qhia ntawv uas yog suav tias yog nyob rau hauv daim ntawv no, yog tiag tiag ib tug lossis loj ntau yam kev ua ub no. Nws yog txaus rau sau cov kab mob uas yog kho nrog nws daim ntawv thov hais tias nws los ua tseeb qhov tseem ceeb hais tias nws muaj nyob rau hauv kev kho mob xyaum.

Haloperidol yog siv nyob rau hauv cov nram no mob:

• Psychomotor excitation ntawm txawv keeb kwm: mania (overexcitation nrog ua kom tiav ntawm yus tus cwj pwm) tus neeg mob hlwb ruamqauj (kev puas hlwb ruamqauj), cwm pwm tsis meej (cov kab mob ntawm cognition thiab tus cwj pwm), schizophrenia (lub heaviest paub kev puas hlwb tus kab mob), mob alcoholism;
• Delusional mob (cev tsis paub qhov txawv cov tiag tiag los ntawm lub xav txog tej yam lub ntiaj teb no ntawm kev muaj tiag);
• Hallucinatory teeb meem (tsis ntseeg delusional hnov los yog pom tau qhov sib tshwm sim ntawm kev muaj tiag, uas ua tau tsis ua ib ke);
• Tourette lub syndrome manifestation (laim ntawm lub ntsej muag nqaij, tsis ci ci, grimacing sostraivanie, tshwm hais lus dev);
• Manifestation ntawm Huntington tus chorea (ib tug hnyav thiab txaus ntshai ua txhaum ntawm taw kom txog rau thaum lub teb tsis sib haum, irreversible gradual distortion ntawm kev hais lus thiab kev xav, hnyav lub hlwb tuag; nyob rau hauv lub neej yav tom ntej - tag erasure yog leej twg thiab tsis muaj kev tswj ntawm lub cev muaj zog zog, incurable kab mob - yuav muaj tsuas yog cov alleviate kev txom nyem ntawm tus neeg mob, nyob rau hauv feem ntau kawg tuag ntawm tus neeg mob);
• Manifestation ntawm psychosomatic mob (uas yog tsis piav los ntawm tus kis Somatic - tsis muaj kev puas hlwb, tiam sis kuj tsis siab piav qhia txog qhov tam sim no kev puas hlwb);
• Manifestation ntawm tus cwj pwm mob nyob rau hauv cov me nyuam thiab cov neeg laus cov neeg mob;
• Manifestation ntawm lus thob-quav;
• Lub manifestation ntawm ib tug ruaj khov thiab sustainable ntuav nros, tsis muab lwm yam ntaub ntawv ntawm kev kho mob.
• Rau ntau yam ntawm cov tshuaj "Haloperidol Decanoate" - txhawb kev kho mob thaum cov tsos mob schizophrenia.

Haloperidol - phiv

Yuav ua li cas yog cov kev phiv los ntawm haloperidol muaj? Phau Ntawv Qhia qhia txog qhov no rau lub utmost clarity.

Los rau saum lub paj hlwb thiab piav thoob hlo kabmob:

• Tshwm sim akathisia (nyob tsis tswm);
• Phenomenon dystonic extrapyramidal mob (spasm ntawm lub ntsej muag, caj dab thiab rov qab nqaij, taw, lub suab qw, laim, tsis muaj zog ntawm lub caj npab thiab ob txhais ceg);
• Cov tshwm sim ntawm Parkinson extrapyramidal mob (uas muaj teeb meem thaum tham thiab nqos, ib tug "maskoobraznym ntsej muag" - lub folds ntawm nqaij thiab daim tawv nqaij smoothed tawm, lub ntsej muag qhia tsis phim txoj kev xav nrog shuffling, ob txhais tes thiab cov ntiv tes - co (tuav);
• Cov tshwm sim ntawm mob taub hau, feem ntau verging rau lub unbearable;
• Insomnia phenomenon;
• Cov tshwm sim ntawm tsaug zog (tejzaum nws txawm ib tug alternation ntawm tsaug zog thiab insomnia);
• Cov tshwm sim ntawm kev txhawj xeeb, ntxhov siab vim, kev zoo siab, ntxhov siab (tig);
• Phenomenon ntawm euphoria (wanton lub xeev ntawm tsis zoo thiab es ntev kev kaj siab - nyob rau hauv cov ntaub ntawv no rau tus neeg mob tsis zoo siab);
• Cov tshwm sim ntawm kev nyuaj siab (tsis yog zoo caij lub xeev ntawm kev nyuaj siab, feem ntau - ib tug aversion rau lub neej thiab lub siab xav mus tuag);
• Cov tshwm sim ntawm nkees (lub xeev ntawm "khees tuag" - tag nrho cov zog ntawm lub cev uas tuag los ntawm indefinitely tag nrho cov tseem ceeb heev functions rov qab);
• Qaug dab peg (convulsions nrog rau tsis nco qab tus kab mob);
• Cov tshwm sim ntawm tsis meej pem;
• Mob exacerbation (ntsuas, ntsuas) psychosis;
• Mob ntawm hallucinations;
• Cov tshwm sim ntawm tardive dyskinesia (saib "ceev faj yuav tsum tau".);
• Mob ntawm ua txhaum ntawm nrig txog kev pom acuity, lub phenomenon ntawm cataracts (clouding ntawm lub lens nyob rau hauv lub qhov muag), qhov tshwm sim ntawm retinopathy (retinal vascular qhov muag kab mob).

Qhov kev txiav txim nyob rau hauv cov hlab plawv system, cov txheej txheem ntawm hematopoiesis:

• Lub phenomenon tachycardia (nce lub plawv dhia);
• Mob tawg / hypotension (siab los yog tsis tshua muaj ntshav siab);
• Mob ntawm ventricular arrhythmia (disturbance ntawm lub plawv atherosclerosis yeej);
• Cov duab hloov nyob rau hauv ECG (electrocardiogram phem lub plawv);
• Mob ntawm cia li tuag ntawm cov hlab plawv tus keeb kwm;
• Mob nraum leukocytosis thiab leukopenia (yuav txo tau los yog nce nyob rau hauv lub xov tooj ntawm cov ntshav dawb, hais tias weakening ntawm tus tiv thaiv thaj chaw ntawm lub cev, qhov kev nyab xeeb ntawm cov ntshav cancer);
• erythropenia phenomenon (txo nyob rau hauv lub xov tooj ntawm cov ntshav liab, hais tias ib tug tsis muaj oxygen hauv cov ntshav, txoj kev pheej hmoo ntawm cov ntshav cancer);
• Mob ntawm anemia (tsis muaj ntshav hemoglobin, kuj hais txog cov pa deficiency nyob rau hauv lub cev, txaus ntshai rau lub xub ntiag ntawm inflammatory dab);
• agranulocytosis phenomenon (txo nyob rau hauv lub xov tooj ntawm granulocytes - granular cov ntshav lub luag hauj lwm rau kev tiv thaiv lub cev los ntawm kab mob, o txaus ntshai hnyav, limiting qhov kev nyab xeeb - tshwm sim mob cancer ntshav).

Action on lub pa system:

• laryngospasm phenomenon (nyuaj nqos thiab hais lus);
• Cov tshwm sim ntawm bronchospasm (ua tsis taus pa - ob qho tag nrho nyob rau hauv mob hawb pob).

Qhov kev txiav txim nyob rau hauv lub mob huam

• Mob ntawm anorexia (rejection uas muaj cov khoom noj khoom haus los ntawm ntuav, txaus ntshai qaug thiab txawm tuag los ntawm kev tshaib kev nqhis);
• Mob ntawm cem quav thiab raws plab;
• Tshwm sim hypersalivation (nonstop tsis zoo qaub ncaug);
• Neukratimoy mob kev xeev siab thiab ntuav;
• Kev ua txhaum ntawm lub siab;
• Cov tshwm sim ntawm obstructive daj ntseg (txhua yam txhaws ntawm cov kua tsib ducts).

Ntxim rau cov genitourinary system

• Mammary qog - ib tug tshwm sim engorgement (coarsening);
• Mob atypical secretion (txawv txawv paug) mis nyuj;
• Lub phenomenon mastalgia (mis mob);
• Cov tshwm sim ntawm gynecomastia (nce mis qog nyob rau hauv cov txiv neej);
• Ntxhov cev ntas;
• Tshwm sim urinary tuav;
• Mob ntawm impotence;
• Mob gratuitous ua libido;
• Mob ntawm priapism (ntev erection rau tsis muaj khees vim li cas).

Action ntawm daim tawv nqaij

• Mob ntawm daim tawv nqaij hloov: maculopapular (pob, muaj me ntsis thiab daim tawv nqaij elevations) thiab akneobraznyh (sawv pob, muaj raws ntawm pob txuv, pob txuv);
• Cov tshwm sim ntawm photosensitivity (mob loj heev o ntawm daim tawv nqaij thaum raug mus rau lub teeb);
• Mob ntawm alopecia (cov plaub hau tsis).

Lwm yam kev phiv

• Lub phenomenon neuroleptic phem syndrome (kub ntawm lub nce saum toj no 40 degrees, sib cais perspiration, txo lub siab ncaim zis involuntarily, "loog" nqaij, poob nco qab, tsis feeb meej tshwm sim zoo sib thooj lub xeev vim li cas tsis to taub, tsis muaj kev kho mob tsim zaum tuag ..);
• Mob ntawm hyperprolactinemia (tshaj lawm prolactin - qhov ua rau ntawm ntxiv lawm tshob thiab thaum ntxov cessation ntawm poj niam);
• Phenomenon ntawm hyperglycemia (ntshav qab zib) thiab hypoglycemia (tsis tshua muaj ntshav qab zib);
• Mob hyponatremia (tsawg sodium cov ntsiab lus nyob rau hauv cov ntshav yog txaus ntshai edema hlwb).

Cov neeg mob uas, nyob rau hauv cov kev phem ntawm lub xub ntiag ntawm contraindications, haloperidol, lawv tsev neeg yuav tsum sib tham txog qhov teeb meem no nrog koj tus kws kho mob thiab thov kom ib tug hloov lo lus uas peb, yog tias ua tau.

Ib tug tsim nyog yuam nrog haloperidol

Nyob rau hauv lub chav kawm ntawm kev kho mob qhia cov nram qab no txaus ntshai tiam sis:

• Cov laus cov neeg mob uas muaj psychosis txuam nrog dementia (ua tem toob nco tsis) yog teeb meem. Lawv cai nce lub neej no. Yog vim li cas feem ntau yuav muaj teeb meem nyob rau hauv lub teb ntawm cov kab mob plawv - cov tsos mob ntawm lub plawv tsis ua hauj lwm, cia li tuag, mob ntsws. Atypical antipsychotics, uas nyob rau hauv tej rooj plaub yog kev haloperidol, nyob rau hauv cov ntaub ntawv no, muab cov tib daim duab ntawm kev pheej hmoo tias TA.
• Mob ntawm tardive dyskinesia tom qab ntev-lub sij hawm siv los yog tshem ntawm cov tshuaj (tsis tuaj yeem zoo txav tus nplaig, lub ntsej muag, qhov ncauj thiab lub puab tsaig - xws li lus su, puab tsaig inflated, nws daim di ncauj shrivel, muaj yog lub phenomenon ntawm uncontrolled zom taw, tsis taw ntawm lub ceg ntoo thiab lub cev). Ib tug xov tooj ntawm cov neeg mob nrog irreversible tardive dyskinesia. Yuav tsum tau tshem tawm ntawm cov tshuaj.
• Mob ntawm extrapyramidal mob (saib. "Sab los")
• Kaabmob mob txawv txav, xws li entailing cia li mob tuag.

Daim ntawv teev cov kev phiv thiab txaus ntshai txuam nrog kev siv ntawm haloperidol qhia ib tug loj teeb meem txuam nrog rau kev siv ntawm cov tshuaj. Haloperidol yog tsis tshua muaj txaus ntshai. Cov kws kho mob siv nws nyob rau hauv kev xyaum (mas nyob rau hauv Psychiatry), muaj ib tug nyuaj kev xaiv. Nyob rau hauv ib tes, los kho tus saum toj no cov kab mob kom txog thaum tsis ntev los no nws twb tsis tau tsis muaj haloperidol. Nyob rau lwm cov tes, nws siv yuav tsum tau huab ceev faj thiab npaj txhij tus kws kho mob thaum twg los tau pib ntxiv kev kho mob, lub sij hawm no tiv thaiv pliaj cov tsos mob thiab syndromes, uas muab nws tus kheej Haloperidol. Phau ntawv ceeb toom: nyob rau kev pheej hmoo ntawm kev tsim tshwm sim los ntawm cov tshuaj yuav tsum tau muab tso tseg. Tab sis nyob rau hauv feem coob ntawm cov neeg mob no yuav tsis tau, txij thaum lub abolition yuav ua rau exacerbation ntawm lwm tus kab mob.

Ib tug ib nrab tov rau qhov teeb meem muab AA - nyob rau hauv particular, Seroquel (quetiapine), uas twb tsis tau pom extrapyramidal mob thiab dyskinesia, thiab cov kho nyhuv ntawm ib tug ob peb superior tuition haloperidol. Txawm li cas los, hais tias AA yog mas nws yeej zoo TA yog tseem heev thaum ntxov - tsim nyog mus ntxiv tshawb fawb soj ntsuam thiab tswv yim pom.