Umuthi 'klopiksol-akufaz ": yokusetshenziswa futhi impendulo

Ukwelashwa lokugula ngengqondo e abantu abaningi ezihlobene nokusetshenziswa kwezidakamizwa ezinamandla ezibangela umonakalo ongalungiseki isimiso sezinzwa. Ngakho-ke, inani leziguli ezine-kalufifi lingaze uncamela uwafihle noma ulwe nabo ngokuzimela. Le ndlela kuyingozi kakhulu futhi igcwele ukuthuthukiswa sengozini yokuthola izifo. Sokuzivikela Esifike Ngesikhathi kudokotela wezifo zengqondo kanye Ukukhetha ukwelashwa ngabanye zemithi ekahle - kuyisihluthulelo silondoloze yokuphila evamile esikhathini esizayo.

mshini wezenzo

"Klopiksol-akufaz" - isixazululo zokwelapha i ujove esicutshini. Ubiza neuroleptics, izimali okusho ukuthi zisetshenziselwa ukwelapha ezihlukahlukene kugula ngokwengqondo. Ingqikithi asebenzayo indlela yokwakheka isixazululo - acetate zuclopenthixol.

ukusabela Psychotic angagcina ngenxa ukungasebenzi neurotransmitters (ikakhulukazi Dopamine futhi serotonin). Ngokuvamile, lezi zakhi ukunikeza ukudluliselwa nerve ngiyibona kuya eziyimpumelelo yokwamukela. Ukuze wehlise umsebenzi wabo futhi ubuyisele ikhono ebuchosheni ukucabanga ngombono ohluzekile, neuroleptics asetshenziswa. Zuclopenthixol amabhlogo Dopamine receptor, ukuze libonisa isenzo antipsychotic.

Ingqikithi futhi kuvimbela ukudluliselwa amaza e kwalapho kobuchopho stem, kunomphumela opholile kanye eziphumulele. Kunciphisa reflex Gag, ngakho ingasetshenziswa ezimweni lapho usinga kuhambisana nesicanucanu ikhanda.

ubufakazi

"Klopiksol-akufaz" lisetshenziswa ekwelapheni kusaqalwa izifo sibi engqondo, okubi kakhulu of kwengqondo ezingamahlalakhona futhi ukunciphisa ububi besimo sokuguquka izenzo obsessions eshintshashintshayo. Lihambisana nezinye izingxenye agent ukwelaashwa uyabuya umuntu emhlabeni wangempela. It ngempumelelo aqede izimpawu ezilandelayo sengqondo incipient:

• Uvalo nokukhathazeka ubudlova unmotivated ngayo abanye;
• ukungabi nasithakazelo empilweni, nokunganaki;
• inkumbulo ukungakhuli;
• encishisiwe ukusebenza kwengqondo;
• ukukhathazeka nokwesaba engenangqondo;
• nandaba nokubukeka kwakhe, ukuba bambalala njalo imithetho aphansi kwenhlanzeko;
• ezinye izizwe futhi zokungazimiseli ukuxhumana nabantu;
• izinsolo ngokweqile nokungathembani.

Ubuningi izidakamizwa lokuhlushwa igazi lalingabonakali ngosuku 3rd yokwelashwa, nakuba umphumela okulalisayo kuqala kakhulu (imizuzu engaba ngu-15 ngemva kokuphathwa esicutshini).

"Klopiksol-akufaz": yokusetshenziswa zomuthi

Isixazululo equkethe 50 mg zuclopenthixol acetate e 1 ml. Kuye izimpawu isiguli, imithi umthamo is kushintshwe ngamunye by udokotela ukuba khona. Kunconywe isamba sokuqala zomuthi - 3.1 ml intramuscularly. Omunye umjovo ngokwanele ukuba silondoloze lokuhlushwa esitebeleni we ketshezi esebenzayo egazini kwaphela izinsuku eziningana. Inombolo isibhamu kanye isikhawu kungenzeka ilungiswe wezifo zengqondo ukuya, unikezwa ukuthwala izimali, nokugasela yezenzo zakhe.

Ekwelapheni asebekhulile, antipsychotics abaningi akuyona efiselekayo ukwethula esiphezulu ngemithamo kuvunyelwe. Lokhu kusebenza futhi imithi "klopiksol-akufaz". Yokusetshenziswa zomuthi kuhilela kuncishiswe inani isixazululo injected ka 1-2 ml zalutho. Idlule lezi zimiso is hhayi Kunconywa ukuze ugweme side effects kanye komzimba.

Izimo

Noma yimuphi antipsychotics akufanele isetshenziswe nezimiso ezithile co-okukhwantabalisayo. Kuyadingeka ukuba sicabangele ukuqokwa izidakamizwa "klopiksol-akufaz". Izimo ukusetshenziswa kwalo zimi kanje:

• ukuhluleka kwenhliziyo (nciphisa);
• pheochromocytoma;
• ikhoma;
• izidakamizwa noma uphuzo oludakayo ubuthi.

Umuthi alisetshenziswa ekwelapheni abesifazane abakhulelwe, ikakhulukazi senyanga yokuqala, uma kukhona ithebhu zonke izitho futhi izinhlelo umntwana esikhathini esizayo. Phakathi lactation, injongo yale izidakamizwa akuyona kufiseleka, nakuba ikhishwe ku ubisi ngesilinganiso esincane. Esikhathini acute kudingeka ukuhlanganisa imithi nge ibele kungenzeka. Kulesi simo, usana kuyadingeka ukuhlela okuqhubekayo zokuqapha ezingane ukuba asabele ngesikhathi uma izidakamizwa sizothinta omubi ingane.

isicinganani

imiphumela engathandeki ngesikhathi zokwelapha ezingavamile. ngokuvamile Lokhu kwenzeka emva ukusetshenziswa isikhathi eside yesixazululo inqwaba. Ngokuvamile, ngaleso ngemithamo ephansi abayikho, nakuba ngezinye izikhathi kuyadingeka ukuze esikhundleni "klopiksol-akufaz" izindlela ezihlukile ezingasetshenziswa. Isicinganani kungenziwa esashiwo izinhlelo ezinjalo kanye nezinhlaka:

• isimiso sezinzwa (motor iziyaluyalu, zokugula yokuhlala, ukukhathala anda nokulangazelela njalo ukulala);
• uhlelo senhliziyo nemithambo yegazi (isiyezi kanye ingcindezi encishisiwe ngesikhathi ushintsho elibukhali isikhundla umzimba, okusheshayo kwenhliziyo);
• izitho zokugaya (amasampula isibindi level iyehla iyenyuka, ukukhiqizwa ngamathe singenele, kahle wamathumbu ukunyakaza);
• uhlelo excretory (ukungabi nakwenzeka kwento bethulula esinyeni).

isiguli Kusukela ukulungiselela kunomphumela elikhanyayo sine ngesikhathi Inkambo yokwelashwa akuyona efiselekayo ukushayela futhi usebenze nge izindlela ngqo ezidinga okuhlushwa.

imithetho yokwemukelwa

"Klopiksol-akufaz" libhekisela izidakamizwa ezingekho anobuthi, okuyinto ngokuyinhloko ibekezelelwe kalula yiziguli. Nokho, icabangela ukuthi ukulungiselela ikhiqizwa ngesimo isixazululo uwoyela, ingasatshenziswa intramuscularly kuphela. imijovo intravenous kungaholela embolism amafutha, okuyinto iyingozi kakhulu ukuphila komuntu. Igcwele i ukuvaleka yegazi eyinhloko nokubopha zokuphefumula.

Ngisho nokuba ngcono wawubona kanye okusobala izimpawu ayikwazi evele ayeke nokusebenzisa izidakamizwa "klopiksol-akufaz". Abstract kuya luhlobo ezimweni okunjalo ihilela ukufundisa ukukhethwa yokwelapha yesondlo noma iya ku-iphilisi ne isithako efanayo esebenzayo. Kubalulekile kakhulu ukuba banamathele zonke izincomo udokotela ukuba khona, ngoba ukususwa okungagunyaziwe izidakamizwa cishe njalo kuholela okubi kakhulu ezintsha futhi, ngenxa yalokho, ukuze izinkinga kakhulu ngokomqondo.

Ukuhambelana nezinye izidakamizwa notshwala

Cishe bonke izidakamizwa esetshenziswa wezifo zengqondo, azivumelani utshwala (kuhlanganise "klopiksol-akufaz"). Loku kuchaza ukuthi uhlelo ukwelashwa kuhlanganisa ukubulawa ukwenqaba utshwala noma iyiphi imithi, ngoba co-udle, basuke kakhulu sicindezeleke ekusebenzeni kobuchopho futhi isimiso sezinzwa. Umuthi kwandisa futhi bandisa umphumela izidakamizwa ngoba ukubulawa kwezinzwa okuvamile.

Okuyingozi kuyinto inhlanganisela izidakamizwa imithi antiemetic (isib, "Reglan") futhi anthelmintic ( "Piperazine"). Ingozi yokuba zokugula extrapyramidal kulokhu kwandisa kakhulu kunangesikhathi ukusetshenziswa ahlukene lezi zimali.

Isixazululo "klopiksol-akufaz" (kuhlanganisiwe analogs ejenti) kungukuthi inikezwa ndawonye guanethidine namanxusa efanayo ukwelapha umfutho ophakeme wegazi. Ngo-Parkinson ukusetshenziswa neuroleptic contraindicated ngoba kuhlangene evamile ukuba iziguli ezifana yokwelapha.

Indlela ukuthuthela kwamanye umthamo amafomu izindlela?

Ukuze silondoloze antipsychotic umphumela wezifo zengqondo bangakhetha ngamunye ushintsho umdwebo elula kakhudlwana ngomthamo ifomu. Ngokuvamile, iziguli zikhuthazwa ukuba esikhundleni umjovo isixazululo ezivamile kukho imali. Ngokuvamile, ngokwanele 1 sale umjovo imithi njalo emavikini 2 ukufinyelela emakamu oyifunayo ejenti kwezicubu zomzimba.

Le modi akuphazamisi ukuphila okuvamile, futhi ukungabi khona izinkomba ngqo esibhedlela umuntu angaqhubeka ukwelashwa ekhaya. Umjovo Ngaphansi esikhundleni esimisiwe amaphilisi, umthamo okuyinto kubalwa ngamunye esekelwe izici umzimba wesiguli nokugasela ngamandla kwalesi sifo.

Ngebuhle nebubi zomuthi

"Klopiksol-akufaz" akhiqizwa umthamo elula ukuthi kunciphisa inani imijovo amancane futhi ngaleyo ndlela musa ukugxila ukunakwa lokhu lesiguli. Ngokungafani nezinye antipsychotics ekwelapheni sengqondo izinga Kwanele 2-4 imijovo zomuthi kuzuzwe nomphumela kuyavumelana. Lapho akhethiwe kahle umthamo kusho ukugwema reception okucishe kufane nalokhu zinhlungu. imithi esiza ukuqeda hhayi kuphela izimpawu of sengqondo, kodwa futhi abanye izimpawu bayasangana (ukuthambekela ngabodwa, yokukhathala ngokomzwelo).

Ububi eyisihlobo ukulungiselela kusengathiwa ngomthamo ifomu yayo. Kusukela izidakamizwa Kukhululwa ikhambi, ingasatshenziswa kuphela ngomjovo. Lokhu kudinga usizo kwabasebenzi bezokwelapha futhi ukugujwa inzalo. Nokho, uma kubhekwa ukusebenza kwayo nokuthi spectrum ezibanzi umsebenzi zomuthi "klopiksol-akufaz" (izinkomba kanye nedatha emitholampilo ukuze uqinisekise lesi), lezi umehluko wemisindo nemiqondo yamagama akuzona eziphawuleka ngokukhethekile.

nobufakazi

Engqondweni abagulisa libanakekele nokusekelwa okungenani ngulabagulako ngokwenyama. Engaboni ingozi lesi sifo phakathi acute, bangase balimaze ngokwabo noma kwabanye. Ngakho-ke, labo ebhekene nenkinga enjalo phakathi "ukukhanyiselwa" inkathi, bazimisele zama noma yikuphi ukwelashwa nemithi kujwayeleke ukucabanga nezenzo zabo ukuba leli zwe elisizungezile. Omunye ephumelela kunazo kuleli cala kanye izidakamizwa itholakale - "klopiksol-akufaz". Izibuyekezo sokulungiselela kuqinisekiswa yokuthi impumuzo in iziguli sengqondo iphutha ngokushesha okukhulu, ngemva kwayo kwaba khona ukuthethelelwa eside.

On imiphumela emibi iziguli ezimbalwa zikhalazo, futhi ikakhulukazi zihlotshaniswa imithamo eliphezulu izidakamizwa iqondiswa. Abantu baye baqaphela ukuthi ngesikhathi ekwelapheni isifiso ukubaleka umndeni hhayi ukuxhumana abasebenzi bezokwelapha kancane kancane ngibashiye. Ngokuhamba kwesikhathi, bakwazi ngokuvamile bachithe kumbuthano ajwayelekile kwezenhlalo kanye nokugcina ukucabanga ngokuhlaziya.

Uphenyo odokotela

Phakathi ukwelashwa nge neuroleptics ngokuvamile umphumela okulalisayo kuhambisana ukwehla okukhulu ingcindezi (lokhu kusebenza futhi "klopiksol-akufaz" izidakamizwa). Umhlahlandlela uxwayisa ngalokhu, nakuba, empeleni odokotela bathi hypotension olunzima lapho usebenzisa lolu imithi uyalandelwa.

Psychiatrists ukuchaza ukupholisa okusheshayo e sengqondo, bayasangana uthi eshintshashintshayo. Ngeshwa, izidakamizwa ingakuthuthukisi amakhono lolwazi kanye kohlaziyo zobuchopho eshaywe e sokuphazamiseka kwengqondo. Umuthi akuyona ejwayelekile. Ngenxa yalezi zinjongo, izimali ogulayo esingezelelweko kufanele ngamunye ayabelwe.

Umuthi isetshenziswa ukwelapha asebekhulile. It iqeda ukukhathazeka futhi aqede izimpawu isasasa engqondo. Ngo abantu abane-Alzheimer, kuyasiza ekudambiseni ubudlova futhi kuthuthukisa ubuthongo, kodwa hhayi njengawe e iziguli pathologies semithambo.