Ungazibona kanjani futhi uzelaphe izimpawu ze-extrapyramidal
-Delile
Izimpawu ze-Extrapyramidal zingukusabela komzimba ovelayo lapho kuthinteka indawo yobuchopho obhekene nokuxhumanisa ukunyakaza, okubizwa ngokuthi i-Extrapyramidal System. Lokhu kungenzeka ngenxa yemiphumela emibi yemithi, njengeMetoclopramide, iQuetiapine noma iRisperidone, isibonelo, noma izifo ezithile zemizwa, ezibandakanya isifo sikaParkinson, isifo sikaHuntington noma isifo sohlangothi.
Ukunyakaza okungazibandakanyi njengokuthuthumela, ukundindizela kwemisipha, ukuhamba kanzima, ukwehla kokunyakaza noma ukungahlaliseki ngezinye zezimpawu eziyinhloko ze-extrapyramidal, futhi uma kuhlotshaniswa nemithi, zingavela kungekudala ngemuva kokusetshenziswa noma zingavela kancane, ngokusetshenziswa kwazo okuqhubekayo iminyaka noma izinyanga .
Lapho ivela ngenxa yesibonakaliso sesifo sezinzwa, ukunyakaza kwe-extrapyramidal kuvame ukuba kubi kancane kancane, ngokuhamba kweminyaka, njengoba lesi sifo siba sibi. Bheka futhi ukuthi yiziphi izimo nezifo ezibangela ukuthuthumela emzimbeni.
Ungayibona kanjani
Izimpawu ezivame kakhulu ze-extrapyramidal zifaka:
- Kunzima ukuhlala uzolile;
- Uzizwa ungenakho ukuthula, uhambisa izinyawo zakho kakhulu, isibonelo;
- Izinguquko zokuhamba, njengokuthuthumela, ukunyakaza okungazibandakanyi (i-dyskinesia), ukuphazamiseka kwemisipha (i-dystonia) noma ukunyakaza okungahambi kahle, njengokuhambisa imilenze yakho njalo noma ukungakwazi ukuma (akathisia);
- Ukuhamba kancane noma ukuhudula;
- Ukushintsha izindlela zokulala;
- Kunzima ukugxila;
- Izinguquko zezwi;
- Kunzima ukugwinya;
- Ukunyakaza kokuzithandela kobuso.
Lezi zimpawu zivame ukwenza iphutha njengezimpawu zezinye izinkinga zengqondo njengokukhathazeka, ukwethuka, I-Tourette noma ngezimpawu zokushaywa unhlangothi.
Ziyini izimbangela
Izimpawu ze-Extrapyramidal zingavela njengomphumela oseceleni wemithi, ngemuva nje komthamo wokuqala noma zivele njengomphumela wokusetshenziswa okuqhubekayo, kuthatha phakathi kwamasonto ambalwa kuya ezinyangeni ukuqala futhi, ngakho-ke, lapho zivela, kuyalulekwa ukuxhumana nodokotela unqume umuthi ukuthi ubheke isidingo sokwehlisa umthamo noma wenze ukulungisa ekwelashweni. Ngaphezu kwalokho, yize zingenzeka kunoma ngubani, zivame kakhulu kwiziguli zabesifazane nezigugile.
Lezi zimpawu futhi zingaba ngumphumela wesifo semizwa, isifo sikaParkinson sibe ngummeli omkhulu. Thola ukuthi yini ebanga isifo sikaParkinson, ukuthi ungasibona kanjani futhi uselaphe.
Ezinye izifo zemizwa zihlanganisa izifo eziwohlozayo ezifana nesifo sikaHuntington, ukuwohloka komqondo yimizimba ye-Lewy, i-sequelae yesifo sohlangothi noma i-encephalitis, kanye ne-dystonia noma i-myoclonus, ngokwesibonelo.
Uhlu lwezidakamizwa ezingadala
Eminye yemithi evame ukudala ukuvela kwezimpawu ze-extrapyramidal yile:
| Isigaba sezidakamizwa | IZIBONELO |
| Ama-antipsychotic | IHaloperidol (iHaldol), iChlorpromazine, iRisperidone, iQuetiapine, iClozapine, i-Olanzapine, i-Aripripazole; |
| Ama-antiemetics | I-Metoclopramide (i-Plasil), i-Bromopride, i-Ondansetron; |
| Izidambisi | Fluoxetine, Sertraline, Paroxetine, Fluvoxamine, Citalopram, Escitalopram; |
| I-anti-vertigo | I-Cinnarizine, iFlunarizine. |
Okufanele ukwenze lapho bevela
Lapho kuvela uphawu lwe-extrapyramidal, kubaluleke kakhulu ukuxhumana nodokotela osheshe wakhipha umuthi okungenzeka ukuthi ubangela ukuthi uvele. Akunconywa ukuthi uyeke ukuthatha noma ukushintsha imithi ngaphandle kweseluleko sezokwelapha.
Udokotela angancoma ukulungiswa ekwelashweni noma angashintsha umuthi osetshenzisiwe, noma kunjalo, icala ngalinye lidinga ukuhlolwa ngakunye. Ngaphezu kwalokho, kulo lonke ukwelashwa ngalolu hlobo lwemithi, ukuhlolwa kabusha kaningi kuyadingeka, ngakho-ke kubalulekile ukuya kukho konke ukubonisana kokubuyekeza, noma kungekho imiphumela emibi. Bheka izizathu zokungayiphuzi imithi ngaphandle kokuyalelwa ngudokotela.
Khetha Ukuphatha
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