2024 Tus sau: Kevin Dyson | [email protected]. Kawg hloov kho: 2023-12-16 23:34
Schizophrenia yog ib qho mob puas hlwb uas nyuaj rau kho. Cov tshuaj antipsychotic zoo heev txhim kho cov tsos mob rau ntau tus neeg. Tab sis kwv yees li ib feem peb ntawm cov neeg muaj tus mob muaj qhov hu ua kev kho tus mob schizophrenia (TRS).
Cov kws kho mob xav txog kev kho tus mob schizophrenia-resistant yog:
- Koj pom kev txhim kho me ntsis tom qab sim tsawg kawg ob yam tshuaj tiv thaiv kab mob, txhua lub sijhawm 6 lub lis piam lossis ntau dua ib zaug (thiab koj tau txais lawv raws li tau sau tseg).
- Koj cov tsos mob me me mus rau qhov hnyav thiab cuam tshuam rau koj lub neej.
Txawm tias koj tsis tau zoo dua nrog cov tshuaj tiv thaiv kab mob, muaj kev kho mob uas yuav pab tau. Tej zaum koj yuav yog ib tus neeg sib tw rau clozapine (Clozaril, Versacloz), uas yog hu ua thib ob tiam tshuaj tiv thaiv kab mob uas feem ntau ua haujlwm rau tus mob no.
Leej twg txaus ntshai rau Kev Kho Mob-Resistant Schizophrenia?
Kev tshawb fawb qhia tias cov neeg uas muaj TRS muaj feem ntau dua li lwm tus uas muaj tus mob schizophrenia muaj:
- Cov tsos mob thaum yau
- Tsawg lub sijhawm ntawm kev zam txim
- Kev puas siab puas ntsws rau lub sijhawm ntev
- Kev quav yeeb quav tshuaj yav dhau los
- Keeb kwm ntawm tsis ua raws li lawv txoj kev npaj kho mob
Kev Kho Mob-Resistant Schizophrenia Kho Li Cas?
Clozapine yog tib cov tshuaj FDA pom zoo rau kev kho tus mob schizophrenia. Nws kho cov tsos mob ntawm psychosis xws li hallucinations thiab delusions. Nws kuj txhim kho kev xav thiab kev coj cwj pwm. Koj muab nws ua ib ntsiav tshuaj lossis kua. Nws ua haujlwm los ntawm kev sib npaug ntawm dopamine thiab lwm yam tshuaj hauv koj lub hlwb.
Yog nws ua haujlwm rau koj, nws tuaj yeem hloov pauv lub neej. Nws ua rau muaj qhov sib txawv loj hauv koj lub neej zoo, txo txoj hauv kev uas koj yuav mus pw hauv tsev kho mob, thiab txo koj txoj kev pheej hmoo ntawm kev tua tus kheej.
Tab sis clozapine tsis zoo rau 50%-60% ntawm cov neeg uas muaj TRS. Lawv tuaj yeem muaj kev puas siab puas ntsws txawm tias muaj koob tshuaj txhua hnub ntev txog 6 lub hlis.
Clozapine kuj tuaj yeem muaj kev phiv xws li:
- qis lossis ntshav siab
- Lub plawv dhia nrawm
- kiv taub hau lossis fainting
- Headache
- Drowsiness or sedation
- Kev cem quav
- Ntaus lossis ntuav
- Nyhav nce, uas ua rau koj pheej hmoo rau ntshav qab zib hom 2
Nws tseem tuaj yeem ua rau muaj kev phiv loj heev uas txo cov qe ntshav dawb uas koj muaj, ua rau koj muaj kab mob ntau dua. Koj tsis tuaj yeem hnov qhov no, yog li koj yuav tsum tau kuaj ntshav txhua lub lim tiam kom paub tseeb tias koj tsis tau txais nws. Tom qab koj tau noj clozapine ib ntus, koj yuav xav tau cov kev sim no tsuas yog txhua ob peb lub lis piam.
Lwm cov kev mob tshwm sim loj muaj xws li:
- Txhob Cia Siab
- mob siab
- Myocarditis (o ntawm koj lub plawv cov leeg)
- Cardiomyopathy (loj lossis tuab lub plawv cov leeg)
Koj tus kws kho mob tej zaum yuav pib txhaj tshuaj tsawg, thiab maj mam nce ntxiv.
Thaum koj tus kws kho mob sau tshuaj clozapine:
- Koj yuav tsum noj nws kom tsis txhob rov qab los.
- Qhia koj tus kws kho mob txog txhua yam tshuaj uas koj noj, suav nrog tshuaj ntsuab, tshuaj ntxiv, thiab tshuaj tsis yog tshuaj.
- Tsis txhob haus cawv thiab yeeb tshuaj txhaum cai.
- Tsis txhob tsav yog nws ua rau koj tsaug zog.
- Cov luam yeeb tuaj yeem cuam tshuam cov qib clozapine hauv koj cov ntshav. Qhia rau koj tus kws kho mob yog tias koj haus luam yeeb.
- Tau txais kev pab kho mob tam sim yog tias koj nkees heev, ua tsis taus pa, lub plawv dhia ceev lossis tsis meej, cov tsos mob zoo li mob khaub thuas, mob hauv siab, lossis kub taub hau.
Nws tseem tuaj yeem yog qhov nyuaj rau koj tus kws kho mob kom paub seb clozapine puas yog rau koj. Qee zaum nws yuav siv sijhawm txog ib xyoos kom paub seb nws puas ua haujlwm zoo. Thiab muaj ob peb yam tshuaj rau TRS.
Yog tias clozapine tsis ua haujlwm zoo tom qab 6 lub hlis, koj tus kws kho mob yuav:
- Tshuaj xyuas koj tus mob schizophrenia kom paub tseeb tias nws yog lawm
- Cuaj koj noj ntau npaum li cas
- Nco ntsoov tias koj tau noj koj cov tshuaj clozapine raws li tau sau tseg
Lawv tuaj yeem ntxiv lwm cov tshuaj tiv thaiv kev puas siab puas ntsws rau kev sib xyaw, xws li risperidone (Risperdal) lossis aripiprazole (Abilify).
Qee tus kws tshaj lij hais tias vim qhov kev kuaj ntshav thiab cov kev mob tshwm sim tuaj yeem tshwm sim, cov kws kho mob nyiam qis dua cov tshuaj clozapine. Tab sis kev kho mob qeeb yuav ua rau nws tsis tshua pom tias cov tshuaj yuav ua haujlwm rau koj.
Thaum Clozapine tsis ua haujlwm
Rau TRS, tsis muaj ntau yam kev kho mob zoo dua li clozapine. Tab sis yog tias koj tsis teb nws zoo, koj tus kws kho mob tuaj yeem sim ntxiv cov tshuaj electroconvulsive (ECT) rau koj txoj kev npaj kho mob.
Hauv ECT, tus kws kho mob siv lub cuab yeej los hla cov hluav taws xob me me los ntawm koj lub hlwb, ua rau qaug dab peg luv luv. Qhov no ua rau lub hlwb hloov pauv uas tuaj yeem txo cov tsos mob ntawm qee yam mob hlwb. Peb xav tau kev tshawb fawb ntxiv, tab sis qee qhov kev tshawb fawb pom tias ECT ua ke nrog clozapine pab tswj cov tsos mob ntawm kev puas siab puas ntsws.
Yog tias qhov ntawd tsis zoo, koj tus kws kho mob yuav sim ntxiv lwm yam tshuaj, suav nrog:
- Lamotrigine, tshuaj tiv thaiv qaug dab peg
- Topiramate, kuj yog tshuaj qaug dab peg
- Minocycline, tshuaj tua kab mob nrog tshuaj tiv thaiv kab mob
Tab sis peb kuj xav tau kev tshawb fawb ntxiv txog seb cov tshuaj no yuav ua haujlwm zoo rau TRS.
Koj tus kws kho mob kuj tuaj yeem sim rov ua qhov sib nqus sib nqus sib nqus (rTMS) nrog rau koj qhov kev kho mob clozapine. Hauv rTMS, cov kws kho mob siv lub tshuab hluav taws xob kom xa rov qab sib nqus pulses uas txhawb cov paj hlwb hauv koj lub hlwb. Nws tsis paub meej tias nws muaj txiaj ntsig zoo rau TRS, txawm li cas los xij.
Zoo li feem ntau cov neeg muaj tus mob schizophrenia, cov neeg uas muaj TRS tuaj yeem tau txais txiaj ntsig los ntawm kev kho mob hlwb xws li kev paub txog kev coj cwj pwm (CBT). Hom kev kho no tuaj yeem pab cov neeg muaj tus mob schizophrenia:
- Nkag siab thiab tswj lawv cov tsos mob
- Txhim kho lawv lub neej thiab kev txawj ntse
- Txo lawv txoj kev pheej hmoo ntawm kev sim tua tus kheej
Tsis muaj ntau qhov kev tshawb fawb txog kev puas siab puas ntsws rau kev kho mob schizophrenia tshwj xeeb. Tab sis qee qhov kev tshawb fawb tau pom tias nws yuav pab tau rau qee yam tsos mob.
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