Yini i-neuroleptic malignant syndrome, izimpawu eziyinhloko nokuthi kufanele welashwe kanjani

-Delile

• Izimpawu eziyinhloko
• Ubani osengozini enkulu
• Yelashwa kanjani
• Izinkinga ezingenzeka

I-Neuroleptic malignant syndrome ukusabela okunamandla ekusetshenzisweni kwemithi ye-neuroleptic, efana ne-haloperidol, i-olanzapine noma i-chlorpromazine ne-antiemetics, efana ne-metoclopramide, domperidone noma i-promethazine, ngokwesibonelo, engaholela ekuvinjelweni kwe-dopamine. Yize kungavamile, lesi sifo singasongela impilo uma ukwelashwa kungaqalwa ngokushesha futhi, ngakho-ke, kuyadingeka ukuthi wazi izimpawu ezingavela ngemuva kokusebenzisa lolu hlobo lomuthi.

Ngakho-ke, lapho izimpawu ezinjengomkhuhlane ongaphezu kuka-39º C, kuvela ubunzima ekunyakaziseni izitho noma ukuyaluza ngokweqile, ngemuva kokusebenzisa lolu hlobo lomuthi, kunconywa ukuba uye esibhedlela ngokushesha, uyohlola inkinga, uqinisekise ukuxilongwa bese uqala kakhulu ukwelashwa okufanele.

Izimpawu eziyinhloko

Izimpawu ezivame kakhulu ze-neuroleptic malignant syndrome zifaka:

• Umkhuhlane omkhulu, ongaphezu kuka-39ºC;
• Ukuzwa ukuphefumula okuncane;
• Ukuqina kwemisipha;
• Ukushaya kwenhliziyo okungajwayelekile nokusheshayo;
• Kunzima ukuhambisa izingalo nemilenze yakho;
• Izinguquko zengqondo, njengokudideka, ukuyaluza noma ukuquleka;
• Ukujuluka okwandayo;
• Ukuqina kwemisipha, okuhambisana nokuzamazama;
• Ukungavumelani kwesiphincter;
• Izinguquko ezingazelelwe kumfutho wegazi.

Lezi zimpawu zingavela kunoma ngubani othatha ukwelashwa ngemithi ye-neuroleptic, kepha kungenzeka kakhulu ukuthi yenzeke phakathi kwamasonto amabili okuqala okwelashwa.

Esibhedlela, ngaphezu kokuhlola izimpawu, udokotela futhi anga-oda ezinye izivivinyo, njengokuhlolwa kwegazi kanye / noma ukuhlolwa kokusebenza kwezinso nesibindi, ukuze akwazi ukufika kalula ekuxilongweni.

Ubani osengozini enkulu

Yize kungenzeki ukubikezela ukuthi ngubani ongahlupheka yi-neuroleptic malignant syndrome, kuyaziwa ukuthi abantu abajwayele ukuhlangabezana nokuhlukumezeka noma abathatha imithamo ephezulu kakhulu yemithi ye-neuroleptic maningi amathuba okuthi bahlakulele lesi sifo.

Yelashwa kanjani

Ukwelashwa kuvame ukwenziwa esibhedlela ukuhlola ukuvela kwezimpawu nokunikeza imithi ngqo emthanjeni. Izinhlobo zokwelashwa ezivame kakhulu zifaka:

• Ukumiswa kwemithi lokho kwadala lesi sifo;
• Ukusetshenziswa kwekhabhoni eyenziwe yasebenza: kusiza ukunciphisa ukukhangiswa kwezidakamizwa, uma ukungenisa kwenzeke muva nje;
• I-serum ngqo emthanjeni: igcina i-hydration eyanele futhi ilawula izinga lezakhamzimba emzimbeni;
• Izixazululo Zokuphumula Kwemisipha, njengeDantrolene: khulula ukuqina kwemisipha okubangelwa ukuvuswa kwesistimu yezinzwa;
• Amakhambi we-Antipyretic, njenge-paracetamol noma i-dipyrone: yehlisa izinga lokushisa komzimba futhi ulwe nomkhuhlane.

Ngaphezu kwalokho, udokotela futhi angasebenzisa amanye amasu, kufaka phakathi i-electroconvulsive therapy noma i-plasmapheresis, ngokwesibonelo.

Ngokuya ngesikhathi sokukhula kwesifo, izinkinga ezifana nokwehluleka kwezinso noma ukunciphisa okuphawulwe ezingeni lomoya-mpilo emzimbeni, ngokwesibonelo, kungadinga ukwelashwa. Bona ukuthi ukwelashwa kwezinso kuphathwa kanjani.

Izinkinga ezingenzeka

Lapho i-neuroleptic malignant syndrome ingalashwa kahle noma ukwelashwa kungaqalwa ngesikhathi, izinhlobo ezahlukahlukene zezinkinga zingavela, njengokuhluleka kwezinso, ukuquleka, inyumoniya, ukwehluleka kwesibindi noma i-pulmonary embolism. Ezimweni ezinzima kakhulu, kungenzeka ukuboshwa kokuphefumula nenhliziyo.