Haloperidol: Instruction Zvokungwarira

Nyaya yokudzidza munyaya ino iri chinodhaka "Haloperidol", mirayiridzo mashoko acho anoendeswa sezvo hwaro.

Haloperidol (Haloperidol), Haloperidol Decanoate (nokuti kurira kwepfuti), haloperidol anodonhedza - nokure simba kupfuura zvinovhiringidza pfungwa gadziriro navanopinda chakarondedzera chiito. Ane honorary zera munhau pakurapa wakakura zvikuru vairwara uye chetsinga zvirwere - makore 55 (kwakatanga uye kuedzwa muBelgian kambani "Janssen Pharmaceutica" muna 1957).

Fuma anoreva boka antipsychotics kana neuroleptics. Saka rakatumidzwa kusvikira muna pharmacology uye pharmaceutics kuma1990 haana kuzviratidza neuroleptics (antipsychotic) ari chizvarwa chitsva. Zvadaro Haloperidol vakadaidzwa hwezuva antipsychotic (TN) kana chaiwo antipsychotic (TA). chizvarwa chitsva zvinodhaka (semuenzaniso, quetiapine, olanzapine, uye vamwe.) vanodaidzwa atypical antipsychotics (AN) kana atypical antipsychotics (AA). zvichida musiyano yedzinza zvinodhaka izvi zviri echimurenga kukosha mune zvokurapa. Zvakakosha kunzwisisa Haloperidol sei nengozi. Marwadzo kuti dzimwe nguva kutungamirira mamwe zvirwere rinoda yoga kurapwa.

Vamwe AA (Seroquel), izvi marwadzo vasati rawanikwa.

Haloperidol, mirayiridzo kuti riri munyaya papepa iri, zvechokwadi zvakawanda mabasa makuru. Zvaringana kunyora zvirwere kuti vabatwe pamwe kushanda kwayo kuti zvakava pachena kukosha kuti ane mu okurapa.

Haloperidol rinoshandiswa zvinotevera nyaya:

• Psychomotor excitation dzakasiyana mavambo: zvokudarikidza (overexcitation pamwe nokuzadzika unhu ngozi) Muzviitiko retardation pfungwa (mupfungwa retardation), unhu chirwere (zvirwere cognition uye maitiro), schizophrenia (panonyanyisa anozivikanwa chirwere chepfungwa), chisingaperi kudhakwa;
• Delusional zvirwere (kutadza kusiyanisa chaiye kubva zvekufungidzira nyika chokwadi);
• Hallucinatory nyonganyonga (Mhedziso kutenda delusional auditory kana kutarisana mananara chokwadi, izvo chaizvoizvo hakuwaniki);
• Tourette kuti chirwere kuratidzwa (twitching kuti tsandanyama dzechiso, involuntary Kuchonya, grimacing sostraivanie, chin'a akaora);
• Kuratidza Huntington chorea (rinorema uye ngozi kutyora kufamba kusvikira nokurasikirwa kufambisa zvakakwana, kusingarapiki zvishoma nezvishoma kukanganisa kutaura uye mafungiro, mberi uropi kufa; mune ramangwana - erasure chokuzivikanwa uye kushaya kudzora injini mashandiro, chirwere chisingarapiki kwakakwana - anogona yapera kutambura murwere, mu Kazhinji kugumisa rufu murwere);
• Kuratidza psychosomatic zvirwere (dzisina kutsanangurwa zvizere maererano Kutamiswa somatic - hapana chirwere chepfungwa, asiwo haanyatsonzwisisi kutsanangura ano zvepfungwa);
• Kuratidza maitiro zvirwere muvana uye varwere vakwegura;
• Kuratidzwa chokundandama;
• Kuratidzwa mudanga uye inogona kuenderera kurutsa hiccups, kwete kupa nemimwewo mishonga.
• Zvakasiyana-siyana zvinodhaka "Haloperidol Decanoate" - kutsigira kurapwa kana zviratidzo schizophrenia.

Haloperidol - nemishonga

Ndezvipi parutivi migumisiro haloperidol ane? Guide anoudza nezvazvo pamwe chakazara zvakajeka.

Zvinoitika tsinga uye kutsinga dzinouya zvomukati:

• Zviitiko akathisia (wokusagadzikana);
• Fani dystonic extrapyramidal zvirwere (spasm chiso chake, mutsipa uye shure tsandanyama, masangano, mba, twitching, neutera maoko nemakumbo);
• The mananara Parkinson extrapyramidal zvirwere (yakaoma apo kutaura uye pakuparadza, a "maskoobraznym chiso" - kuti mipendero tsandanyama uye ganda ndokudzora panze, chiso mashoko asingaiti kunowirirana manzwiro rwokufamba-famba kwevanhu, maoko uye minwe - tremor (vachidzungudza);
• Chiitiko pamusoro nemusoro, kazhinji verging pamusoro sabvumika;
• Kushaya hope Fani;
• The mananara Kurara (zvichida ane alternation kuti nehope uye kushaya hope);
• The mananara hanya, kufunganya, mafaro, kushungurudzika (manzwiro);
• Fani kuti euphoria (yokudeura kuomerera hakuvaki uye pachinzvimbo refu mufaro - iyi kana murwere haafungi kufara);
• The mananara mwoyo (benzi mamiriro mwoyo, kazhinji - kusada kuti upenyu uye chido kufa);
• The mananara lethargy (mamiriro "rufu pachena" - Mabasa ose muviri mimics rufu kubudikidza nokusingaperi zvose anokosha vari vakadzoka);
• Pfari (nokugwinha pamwe nokurasikirwa pfungwa chirwere);
• The mananara kuvhiringidzika;
• Nyaya exacerbation (achiipa, kuwedzera) psychosis;
• Zviitiko zvisipo;
• Chiitiko pamusoro tardive dyskinesia (ona "nokungwaririra waida".);
• Zviitiko zvaipesana kutarisana acuity, ari Chiitiko pakati tsanga (dzisavhiringidza zviri izvo zviri ziso), kuti Chiitiko pakati retinopathy (retinal vascular ziso chirwere).

The chiito kumwoyo, ivo dzinotsanagura hematopoiesis:

• Chiitiko tachycardia (wakawedzera kwemwoyo);
• Nyaya neBP / hypotension (mukuru kana yakaderera BP);
• Zviitiko ventricular arrhythmia (kunetswa mwoyo mutinhimira anorova);
• Mufananidzo Kuchinja pamusoro ECG (unonzi, electrocardiograph mwoyo wakaipa);
• Zviitiko kufirwa zvemwoyo mavambo;
• Nyaya zvinopfuura leukocytosis uye leukopenia (rutapudzo kana nokuwedzera kwenhamba ropa masero machena, akati kwakaderera runodzivirira zvivako nomuviri, njodzi kenza ropa);
• erythropenia Fani (kuderera kwenhamba masero matsvuku eropa, vanoti kushayikwa okisijeni muropa, pangozi kenza ropa);
• Zviitiko kupererwa neropa (kushayikwa ropa Chizenga, rinotaurawo okisijeni kushayiwa pamuviri, ngozi kuvapo anogumbura pezvakaitwa);
• agranulocytosis Fani (kuderera kwenhamba granulocytes - granular ropa masero basa okudzivirira utachiwana mumuviri, kuzvimba rinorema ngozi, vakaomerwa ngozi - panowanikwa kenza ropa).

Action pamusoro kufema hurongwa:

• laryngospasm Fani (zvakaoma pakuparadza uye kutaura);
• Chiitiko pamusoro bronchospasm (kupfupika kufema - zvose asima).

The chiito pamusoro nemudumbu

• Zviitiko neanorexia (kurambwa zvokudya kuburikidza kurutsa, kuneta ngozi uye kunyange rufu nenzara);
• Zviitiko kupatirwa uye manyoka;
• Zviitiko hypersalivation (ndirovedze hakuvaki mate aibuda);
• Neukratimoy zviitiko svoto uye kurutsa;
• Kutyorwa chiropa;
• Chiitiko pamusoro obstructive jaundice (zvokuimba blockage pamusoro bile ducts).

Zvainoita genitourinary hurongwa

• mumasero Mammary - kutanga engorgement (coarsening);
• Nyaya atypical secretion (kujairika buditsa) mukaka;
• Chiitiko mastalgia (marwadzo zamu);
• Chiitiko pamusoro gynecomastia (yakawedzera zamu mumasero nevanhu);
• Akanetseka kumwedzi;
• Zviitiko Urinary chengetedzo;
• Zviitiko kusabetsera;
• Nyaya chisingapembedzwi kuwedzera libido;
• Zviitiko priapism (mazhinji erection pasina pachena).

Action paganda

• Zviitiko ganda kuchinja: maculopapular (mapundu, zvinosanganisira mavara uye ganda kwakadzikira) uye akneobraznyh (mapundu, zvinosanganisira mburwa, mburwa);
• Chiitiko pamusoro photosensitivity (chakakomba kuzvimba ganda kana kutarisana chiedza);
• Zviitiko alopecia (bvudzi kurasikirwa).

Other nemishonga

• Chiitiko neuroleptic akaipa chirwere (tembiricha hunopfuura 40 madhigirii, wakaparadzaniswa ziya, zvinoderedza kumanikidza unobuda weti involuntarily, "bindira" tsandanyama, ndafenda, chaanoziva kunoitika kufanana ehurumende zvikonzero ndisinganzwisisi, hapana kurapwa yakatanga fungidzira rufu ..);
• Zviitiko hyperprolactinemia (zvakawandisa kemikari prolactin - chinokonzera mwana uye mangwanani kumira kumwedzi);
• Fani kuti hyperglycemia (BP shuga) uye yomuropa (ropa shoma);
• Nyaya hyponatremia (yakaderera yavaibvisa tigutsikane muropa riri ngozi edema uropi).

Varwere, pasinei pamberi contraindications, haloperidol, mhuri dzavo vanofanira kukurukura mamiriro nachiremba wako uye kukumbira yokutsiva rwendo, kana zvichibvira.

A zvakafanira chenjedzo pamwe haloperidol

In yawapiwa akaratidza nemiitiro zvinotevera ngozi:

• Varwere vakwegura vane psychosis chokuita dementia (penga nokuda kokuchembera kuyeuka) vari pangozi. Vakaona rakawedzera kufa. The chikonzero kazhinji kuti matambudziko mumunda zvemwoyo chirwere - zviratidzo mwoyo kukundikana, kufirwa, mabayo. Atypical antipsychotics, izvo dzimwe nguva ngozi haloperidol, muchiitiko ichi, kupa zvakafanana mufananidzo nengozi kuti TA.
• Zviitiko tardive dyskinesia pashure kushandiswa kwenguva refu kana kurega zvinodhaka (involuntary mutinhimira kufamba rurimi, chiso, muromo uye shaya - zvakadai mutauro bulging, matama inflated, miromo yake shrivel, pane Chiitiko wehasha dzisingadzorwi dög kufamba, involuntary fambisa maoko nemakumbo uye hunde). A nhamba varwere kusingarapiki tardive dyskinesia. Kunoda nokubviswa zvinodhaka.
• Zviitiko extrapyramidal zvirwere (ona. "Side Migumisiro")
• Zviitiko cardiac abnormalities, kusanganisira entailing kungoerekana cardiac rufu.

The ndandanda nemishonga uye ngozi chokuita nokushandiswa haloperidol kunoratidza chinetso chikuru chokuita nokushandiswa kwezvinodhaka. Haloperidol ngozi kwazvo. Doctors kurishandisa vakawanda tsika (kunyanya wepfungwa), pane sarudzo dzakaoma. Kudivi rimwe, kubata pamusoro nezvirwere kusvikira ichangopfuura zvakanga zvisingaiti pasina haloperidol. Ukuwo, kushandiswa kwayo zvinoda kungwarira akanyanyisa uye kuda chiremba chero nguva kutanga mamwe kurapwa, nguva ino pamusoro Zviratidzo vasingadiwi uye syndromes, izvo zvinoita pacharo Haloperidol. Manual rinoshuma: pangozi kuva divi Migumisiro zvinodhaka anofanira wacho. Asi ruzhinji kacho izvi hazvibviri, sezvo abolition kuchaita kuti exacerbation chaicho chirwere.

A haasaruri dambudziko yakapiwa AA - kunyanya Seroquel (quetiapine), izvo haana kuona extrapyramidal zvinetso uye dyskinesia, uye mishonga nokuitika mashoma pevane nezvaanogona haloperidol. Zvisinei, kutaura kuti AA ndechimwe nani TA achiri zvakare mangwanani - zvakakodzera kuramba kurapwa pakutsvakurudza uye inoshanda zvaanorumbidza.