Izimpawu ze-Extrapyramidal (i-EPS) ziyimpawu eziphuhliswayo kwinkqubo yomzimba we-neurological eyenza ukunyakaza okungazibandakanyeki okanye okungalawulwayo. Lezo zimpawu zinokuthi zibe kwiindawo ezahlukeneyo emzimbeni kuquka isiqu, iingalo, imilenze, inyawo, intamo, umlomo kunye namehlo.
Xa ukhangele umntu ophethe i-EPS, kuxhomekeke apho iimpawu zikhona khona, unokubona umntu ehambisa umzimba wakhe ophezulu, ehlaba umlenze okanye umlenze rhoqo, ehlaba imilomo yawo okanye ajikeleze ulwimi.
Unokuthi uqaphele ukuba banenkinga yokugcina iimeko eziqhelekileyo okanye ukuhamba kakuhle.
I-extrapyramidal motor system yinkqubo ye-neural network ekhoyo kwingqondo echaphazelekayo ekusebenzisaneni nasekulawuleni ukunyakaza kuquka ukuqala nokuyeka ukunyakaza kunye nokulawula indlela ezinamandla kunye nokukhawuleza ukuhamba. Iimpawu ze-Extrapyramidal, ngoko ke, ziyimpawu ezibonakalisa ngokwahluleka kokunyakaza okulawulwayo nokulawulwayo.
Yintoni ebangela i-EPS?
I-EPS enye yezinye iziphumo ezinobungozi bezilwanyana zokulwa ne-antipsychotic . I-antipsychotic medication- njengoko igama lizwakala -lapha (okanye, "zichasa") iingxaki zeengqondo. Ezi ziyobisi zivame ukusetyenziswa ekuphatheni abantu abane-schizophrenia abafumana i- hallucinations kunye neengcamango . Baye baqeshwe "ngaphandle kwelebuli" (kungekhona ekusebenziseni okuvunywe yi-US Food and Drug Administration) kubantu abane- Alzheimer kunye nezinye iintlobo zemeko yokugula ngengqondo ezineengxaki ezinzima ezinjengobundlobongela kunye nokuphazamiseka okukhulu .
I-EPS ingaqalisa ngokukhawuleza emva kokuba iqaliswe unyango lwe-antipsychotic okanye luyakhula emva kokuba izilwanyana zithathwe ngeenyanga ezininzi.
Izimpawu ze-Extrapyramidal zivame ukuba zixhaphake kunye nemichiza ye-antipsychotics endala efana ne-chlorpromazine (iTrarazine), i-thioridazine (i-Mellaril) ne- haloperidol (i-Haldol) .
Ezi zibonakaliso aziqhelekanga kubantu abathatha i-antipsychotics entsha ye-atypical efana netiapine (Seroquel), i-risperidone (Risperdal) kunye ne- olanzapine (iZyprexa) .
Izibonakaliso ze-Extrapyramidal Side Effects
- Ukunyakaza okungahambelaniyo
- Ukugubha nokunyaniseka
- Ukungazinzi
- Izithintelo zomzimba
- Ubuso obufana noMask
- Ukunyakaza okungahambelani kweso elibizwa ngokuba yingxaki ye-oculogyric
- Ukunyusa
- Ukuqhawula
- Ukongeza kwenani lentliziyo
- Delirium
Ukubeka iliso kwiimpawu ze-Extrapyramidal
Ukuba umntu ufumana unyango lwe-antipsychotic, kufuneka ahlolwe rhoqo kwi-EPS. Abanye oogqirha bavavanya i-EPS esekelwe kwingxelo evela kumntu okanye ilungu lentsapho yakhe, kunye nokubonwa kwabo komntu. Abanye bathembela kwizikali zokuhlola ezihleliweyo ezenzelwe ukubeka iliso kwi-EPS. Imizekelo emithathu yalezo zikali ziNqanaba lokuHlola okuMngqelekanga okungavumelekanga (i-AIMS), i-Extrapyramidal Symptom Rating Scale (ESRS) kunye ne-Dyskinesia Identification System: I-Condensed User Scale (DISCUS).
Ukunyangwa kweMpawu zoPhuculo zeCommentary
Ukuchonga nokuphathwa kwe-EPS ngokukhawuleza kubaluleke kakhulu. I-EPS kuba ezi ziphumo zempembelelo zingasigxina kwabanye abantu.
Ikhetho lokuqala kwiimpawu ze-extrapyramidal eziyimiphumo yeyeza-antipsychotic ziquka ukunciphisa nokuyeka isicatshulwa uze ucinge ngamanye amayeza.
Ugqirha wakho unokugqiba ekubeni uqikelele ingozi kunye neenzuzo zonyango lwe-antipsychotic kwaye ubeke izilwanyana ezahlukileyo ukuzama ukulwa ne-EPS ukuba bekuvelelwa ukuba imishanguzo ye-antipsychotic yayiyimfuneko.
Ukusebenzisa iMicropsychotic Medication ukuphatha abantu abane- Dementia
Ngenxa yokubangela iziphumo ezibi kakhulu, imishanguzo ye-antipsychotic ngokuvamile ayikhuthazwa njengonyango yokuziphatha okucelomngeni kubantu abadala abadala abaneengqondo. Izindlela ezingezizo iziyobisi kufuneka zibe sisiqhinga sokuqala ekulawuleni ezi ziphatha .
Nangona kunjalo, ukuba umntu onomdemokhrasi uyaxinezeleka ngokwenene kuba ufumana iingcamango okanye iimbumba, okanye ukuba uzibeka yena okanye abanye abasengozini ngokunyanzeliswa okungalawulwayo, unyango olunokuthi lube lufanelekile.
Ukubeka iliso kwi-EPS kunye neminye imiphumo ibaluleke kakhulu-ngakumbi kubantu abanesifo sengqondo se-Lewy somngcipheko osengozini yokunyuka kwezi mpilisi.
> Imithombo:
> I-American Geriatrics Society. Isikhokelo soLawulo lweengxaki ze-Psychotic and Neuropsychiatric Symptoms of Dementia kubantu abadala. Epreli 2011.
> I- Schizophrenia Research . NgoSeptemba 15, 2005. Umqulu 77, imiba 2-3, iphepha 119-128. Isisombululo esingaqhelekanga sokuHlanganiswa kokuHlanganisiweyo (i-AIMS) kunye ne-Extrapyramidal Symptom Rating Scale (ESRS): Ukuthelekiswa kwamanqanaba okuDlulela kwi-Tardive iDyskinesia.
> Yunivesithi > yaseCentral Florida. Neural Pathways.
-Kuhleliwe ngu-Esther Heerema, MSW