Calaamado Instruction: Haloperidol

Mawduuca ku saabsan waxbarasho ee qodobkan waa daroogada "Haloperidol", edbinta kaas oo wax loo qaato sida ku salaysan.

Haloperidol (Haloperidol), Haloperidol Decanoate (waayo, irbadaha), haloperidol dhibciyo - by fog diyaarinta ugu awooda maskaxda qaybaha balaadhan oo ah tallaabo. Waxa uu leeyahay da'da sharafeedka ee taariikhda daaweynta cudurada maskaxda iyo neerfaha ugu daran - 55 sano (diyaarisay oo baadhis ku shirkadda Belgian "Janssen Pharmaceutica" 1957).

Maandooriyaha loola jeedaa koox ka mid ah nooca daawooyinka ama neuroleptics. Sidaas awgeed waxa la odhan jiray ilaa in Farmashiiste iyo pharmaceutics 1990 uma ay muuqan neuroleptics (waallida dajiya) jiilka cusub. Intaas ka dib Haloperidol ayaa lagu magacaabay waallida dajiya caadiga ah (TN) ama waallida dajiya caadiga ah (TA). jiil cusub oo daawooyin ah (tusaale ahaan, quetiapine, olanzapine, iyo kuwa kale.) waxaa lagu magacaabaa nooca daawooyinka atypical (AN) ama nooca daawooyinka atypical (AA). Farqiga u dhexeeya farcankii daawooyinkan laga yaabaa inay tahay muhiimadda kacaan in daawada. Waxaa muhiim ah in la fahmo sida ay khatarta Haloperidol. Dhibaatooyinka ay keento in ay mararka qaarkood waxay gaaraan cudurada dheeraad ah u baahan daaweyn gaar ah.

Qaar ka mid ah AA (Seroquel), kuwaas oo waxyeelo aan weli la helay.

Haloperidol, edbinta si taas waxaa loo arkaa in warqad this, sida runta ah waa kala duwan weyn ee hawlaha. Waa ku filan tahay inay taxaan cudurada in lagu daaweeyo ay codsiga in u caddaatay muhiimadda ay leedahay in uu leeyahay ku dhaqanka caafimaad.

Haloperidol waxaa loo isticmaalaa in arrimaha soo socda:

• excitation Psychomotor asal ahaan kala duwan: waali (overexcitation la dhammaystirka dabeecad halis ah) Xaaladaha dhimaal maskaxeed (waxyeello maskaxda), xanuunka shakhsiyadda (cudurada garaadka iyo dhaqanka), schizophrenia (cudurka ugu cuslaa ee loo yaqaan maskaxda), Khamriga chronic;
• xanuunada dhalanteed (awood dhab ah in la kala saaro ka dunida khayaali ah ee dhabta ah);
• disorder hallucinatory (buuxda aaminsan maqalka dhalanteed ama ifafaale muuqaalka dhabta, taas oo run ahaantii aan jirin);
• Tourette ee muujinta syndrome (shimbirka ee muruqyada wejiga, qurxoonaanta aan ikhtiyaarka lahayn, sostraivanie tijaabooyin, aflagaado la koontarooli karin);
• Astaanta of chorea Huntington ee (xadgudub culus oo halis ah dhaqdhaqaaqa ilaa si buuxda u waayin isuduwidda, dhalanrog karin tartiib hadalka iyo fikirka ah, maskaxda horumar dhimanayaa mustaqbalka - erasure dhamaystiran oo aqoonsi la'aan iyo gacanta hawlaha motor, cudur aan la bogsiin karin - qayb ahaan uun uu yareyn karaa dhibaatada bukaanka, in xaaladaha intooda badan loo soo afjaro dhimashada bukaanka);
• Astaanta of xanuunada maskaxda (kuwaas oo si buuxda ma sharaxay by degaaankaaga ku wareejiyay - ma jirro maskaxeed, laakiin sidoo kale ma si buuxda u sharax cudurrada dhimirka ee hadda);
• Astaanta of cudurada habdhaqanka in carruurta iyo dadka waayeelka ah bukaanka;
• Astaanta of iibiyo,
• muujinta a dhibaatooyin matag deggan oo waara, ma siiyo noocyada kale ee daaweynta.
• Waayo, noocyo kala duwan oo daroogo "Haloperidol Decanoate" - daaweynta taageero marka astaamaha schizophrenia.

waxyeelo - Haloperidol

Waa maxay saamaynta dhinac ee haloperidol leeyahay? Guide sheegayaa oo arrintan ku saabsan la caddeeyo darafkeeda.

Saamaynta habka dareemayaasha jirka iyo xubnaha dareenka:

• akathisia ifafaale (daganaan la'aan);
• Dhacdooyinka xanuunada extrapyramidal dystonic (dabac ah wajiga, qoorta, muruqyada dhabarka, dhaqdhaqaaqa, tics, shimbirka, daciifnimo ah gacmaha iyo lugaha);
• The ifafaale of Parkinson xanuunada extrapyramidal (ku adag tahay halka hadalka iyo liqidda, a "maskoobraznym wejiga" - laalaabka murqaha iyo maqaarka smoothed baxay, wajiga ma u dhigma dareenkooda la iskushaandheyn, gacmaha iyo faraha - gariirka (gariir);
• Arrin ku madax xanuun, badanaa la'aanta on loo dulqaadan karin, waayo,
• ifafaale hurdo la'aan,
• The ifafaale of hurdo (in xitaa iskhilaafka ah oo hurdo iyo hurdo la'aan);
• The ifafaale walaac, walwal, farax, cadhoodaan (dareen);
• Dhacdooyinka of rayn (state ismuujinayn farxad caafimaad qabin oo halkii dheer - kiiskan ma bukaanka dareemaan faraxsanayn);
• The ifafaale of depression (state macquul ahayn niyad-jabka, badanaa - carar ah in nolosha iyo rabitaanka ay u dhintaan);
• The ifafaale of feejignaan xumo (gobolka "dhimasho muuqata" - dhammaan hawlaha dhimashada ayadoo jirka by aan xad lahayn oo dhan laga maarmin loo celin);
• Qallalka (gariir khasaara cudurka miyir);
• The ifafaale ee qasnaanta,
• Kiisaska sii daridda (sii xumaanaysa, sii xumaanaysa) psychosis;
• Kiisaska of dhalanteed;
• Arrin ku tardive dyskinesia (fiiri "digniin loo baahan yahay" ka.);
• Xaaladood oo xadgudub ku toosan muuqaal, arrin ku tirey (fuula leniska of gashto ee isha), arrin ku retinopathy (cudur indhaha vascular isha).

tallaabo ku saabsan nidaamka wadnaha iyo, habka of hematopoiesis:

• tachycardia ifafaale The (garaaca wadnaha kordhay);
• Kiisaska hypertension / hypotension (cadaadis dhiig oo sareeya ama hooseeyo);
• Kiisaska of arrhythmia ventricular (qas ka mid ah garaaca garaaca wadnaha);
• Sawirka badala on ECG (electrocardiogram qalbiga xun);
• Xaaladood oo dhimasho kedis ah oo asal ahaan wadnaha iyo,
• Kiisaska leukocytosis transient iyo leukopenia (hoos u dhac ama la kordhiyo tirada unugyada dhiigga cad, ayaa sheegay in daciifaan oo ka mid ah guryaha difaaca ee jirka, khatarta ah ee kansarka dhiigga);
• ifafaale erythropenia (hoos u dhac tirada unugyada dhiigga cas, ayaa sheegay in ah ogsijiin la'aan ku jira dhiigga, halista kansarka dhiigga);
• Xaaladood oo dhiig yari (la'aanta ee unugga dhiigga, sidoo kale ku hadla ee deficiency oxygen ee jirka, khatar ah in joogitaanka geedi socodka bararka);
• ifafaale Agranulocytosis (hoos u dhac tirada granulocytter - unugyada dhiigga granular mas'uul ka ah jidhka ilaalinta cudurrada, caabuq culus oo halis ah, la yareeyo khatarta ah - kansarka dhiigga dhacdo).

Action on habka neefsashada:

• ifafaale laryngospasm (liqidda oo dhib ah iyo hadalka);
• Arrin ku bronchospasm (neefta oo ku qabata - labadaba asthma).

tallaabo The on mareenka caloosha iyo mindhicirka

• Kiisaska of anorexia (diidmada wixii cunto ah iyada oo loo marayo matag, daal khatar ah iyo xitaa dhimasho ka Gaajo);
• Kiisaska calool fadhiga iyo shuban;
• Ifafaale hypersalivation (socodka candhuufta caafimaad qabin aan joogsan);
• Xaaladaha Neukratimoy ah lallabo iyo matag,
• Xadgudubyada beerka;
• Arrin ku joonis obstructive (xannibaad farsamo ee laga shido bile ah).

Saamaynta nidaamka genitourinary

• qanjirada caanaha - xidhitaanka ugub ah (coarsening);
• Kiisaska dheecaan atypical caanaha (dheecaan aan caadi ahayn);
• mastalgia ifafaale The (xanuunka naaska);
• Arrin ku gynecomastia (kordhay qanjidhada naasaha ragga);
• Jeediya caadada;
• Ifafaale haynta kaadida;
• Xaaladood oo impotence;
• Kiisaska libido kordhaya kooxo;
• Kiisaska of priapism (kacsiga sii dheerayn sabab la'aan).

Action on maqaarka

• Xaaladood oo isbedel maqaarka: maculopapular (finan yaryar, oo ka kooban baro oo sarreeya maqaarka) iyo akneobraznyh (finan yaryar, oo ka kooban finan, finan);
• Arrin ku photosensitivity (caabuq daran ee maqaarka marka ileys);
• Kiisaska of alopecia (timaha).

Saameynada kale ee dhinac

• Arrintan ayaa syndrome neuroleptic malignant (heerkulka ka badatey 40 digrii, dhididka soocay, hoos u cadaadiska ka tago kaadida qasab, muruqyada "kabuubyo", miyir laga badiyay, kooma dhacdaa sababo la mid ah gobolka ma ay garan, daaweynta ma horumariyo dhimasho badan tahay ..);
• Kiisaska of hyperprolactinemia (prolactin hormone xad-dhaaf ah - Jidka dhalmo la'aan iyo joojinta hore ee caadada);
• Dhacdooyinka of hyperglycemia (sonkorta dhiigga oo sare) iyo hypoglycemia (sonkorta dhiigga oo hoos);
• Kiisaska hyponatremia (content sodium yar yahay ee dhiigga ku jira khatar maskaxda barar).

Bukaanka, in kasta oo ay joogaan of sababo, haloperidol, qoysaskooda waa wada hadlaan xaaladda dhakhtarkaaga iyo codsan caga bedelka, haddii ay suuragal tahay.

taxadar A loo baahdo la haloperidol

In koorsada daawada shaaca ka qaaday in isbedelka khatar soo socda:

• bukaanada waayeelka ah ee psychosis la xidhiidha dementia (neefo khasaaro xasuusta) waxay halis ugu jiraan. Waxay arkay dhimashada soo kordha. Sababta ay u badan tahay in ay dhibaato berrinkii cudurrada wadnaha - calaamadaha wadnaha, dhimasho kedis ah, oof-wareen. jirada dhimirka Atypical, taas oo mararka qaarkood waa haloperidol ammaan, kiiskan, sawir la mid ah khatarta in TA.
• Kiisaska of tardive dyskinesia ka dib isticmaalka muddada-dheer ama ka laabashada daroogada (ECT carrabka ku biiro jiibta, wajiga, afka iyo daanka - sida ferjiga luqadda, dhabannada badbadiyay, bushimihiisa engegnay, waxaa jira arrin ku dhaq calalinta caasiyoobay, dhaqdhaqaaq aan ikhtiyaarka lahayn ah addimada iyo gadaal). Tiro ka mid ah bukaannada qaba tardive dyskinesia karin. Waxay u baahan tahay ka saarida daroogada.
• Kiisaska of cudurada extrapyramidal (eeg. "Dhibaatooyinka ay keento")
• Xaaladood oo aan caadi ahayn ee wadnaha, oo ay ku jiraan entailing dhimashada wadnaha lama filaan ah.

Liiska waxyeellooyinka iyo khataraha la xiriira isticmaalka haloperidol muujinayaa dhibaatada ugu weyn ee la xiriira isticmaalka daroogada. Haloperidol waa mid aad u halis ah. Dhakhaatiirta u isticmaali ku dhaqanka guud (inta badan ee dhimirka), waxaa jira doorasho adag. Dhinaca mid, in lagu daweeyo cudurada kor ku xusan ilaa dhawaan macquul ma aysan aheyn aan haloperidol. Dhinaca kale, ay la isticmaalo waxay u baahan tahay taxadar xad-dhaaf ah iyo dhakhtar diyaar waqti kasta si ay u bilaabaan daaweyn dheeraad ah, mar this ka dhanka ah calaamadaha aan loo baahnayn iyo syndromes, taas oo ku siinayaa Haloperidol. wararka Buugga: at halista ah ee soo koraya waxyeelo daroogada waa in la baajiyay. Laakiin tirada ugu badan ee kiisaska taasi suurtogal ahayn, tan iyo markii la baabiiyo waxay keeni doontaa in sii daridda cudurka sababaya.

Xalka u eexan AA dhibaato siiyey - gaar ahaan, Seroquel (quetiapine), kaas oo aan la arkin xanuunada extrapyramidal iyo Tardive, iyo saamaynta ay ku daweyn of awoodaha ka xoogbadan, dhowr haloperidol. Si kastaba ha ahaatee, ku andacoodaan in AA hubaal fiican waa TA weli xilli hore - loo baahan yahay in ay sii wadaan cilmi-baarista caafimaad oo wax ku ool ah iyo indha indheyn.