Uphando olupapashwe kwi-intanethi ye-intanethi ye-BMJ ichaza uphando malunga neyeza zokulwa ne-antipsychotic kunye nokusetyenziswa kwabo kubantu abane- Alzheimer kunye nezinye i-dementias.
I-Antipsychotics yinto ekhethekileyo yemithi ye-psychotropic esoloko isetyenziselwa ukulawula ezinye zezimo ezinzima abantu abanomdla we-dementia. Indlela yokuqala yokuziphatha kufuneka isoloko isebenzise isicwangciso sokuguqulwa kokuziphatha kunye nokuzama ukuqonda izizathu ezibangelwa ukuziphatha kuba sisazi ukuba ukuziphatha ezininzi kunentsingiselo.
Nangona kunjalo, amayeza anikezelweyo xa ezi ndlela ezingekho kweziyobisi zingasebenzi.
Isifundo
Olu pho nonongo luhlolisise abantu abangaphezu kwama-75,000 eUnited States abaye bamisela imishanguzo ye-antipsychotic kumakhaya asebekhulile ukusuka ngo-2001-2005. (Idatha evela kubantu abakumakhaya asebekhulile ilula ukuqokelela kunabantu abahlala ekhaya; amakhaya anonophala kufuneka adlulise idatha rhoqo njengoko efumana inkxaso-mali evela kwi-Medicare neMedicaid.) Abaphandi bafumana amanani kunye nohlobo lweyeza-antipsychotic, kunye inani lokufa kwabantu abafumana amayeza.
Iziphumo
Iziphumo zibonisa ukuba abo bafumana uhlobo oluthile lweyeza-antipsychotic ebizwa ngokuba yiHaldol (haloperidol) banomngcipheko omkhulu wokufa, ngokukhawuleza emva kokuba unyango luqalisiwe, kuthelekiswa nezinye iintlobo zemithi yokulwa ne-antipsychotic.
Uphando olungakumbi
Uphando lwesibini lubhekisele eHaldol kunye nokusetyenziswa kwalo kubantu ababenesifo esibhedlele kwisibhedlele seengqondo kwaye banokuxilongwa ngengqondo.
Abaphandi apha bafumanisa ukuba kwakungekho mngcipheko wokufa ngokufa ngokukhawuleza kunye nokusetyenziswa kweHaldol.
I-Haldol yi-antipsychotic ebonakalayo , ebeka kwindawo yokuhlelwa kweyeza elidala elidla ngokubakho ubuncipheko. Amaninzi eminye imishanguzo ye-antipsychotic abaye bayihlolisisa yayiyiklasi ye-atypical, eyona hlobo olutsha olumachiza we-antipsychotic oluqhelekileyo lunemiba engaphantsi kwemibi kunezinye.
Iingcamango ezimbalwa malunga nale sifundo:
- Izakhiwo ezifanelekileyo zijongene nokusetyenziswa kwe-antipsychotics kakhulu. Ezi zonyango kufuneka zinciphise ngokukhawuleza, kwaye akufanele zisetyenziswe ngaphandle kokuzama ukungenelela kwezonyango kuqala. Amachiza e-antipsychotic nawo kufuneka abekwe ukuba aphathe iimpawu ezithile ezijoliswe kuyo eziyingozi kumntu okanye kwabanye abazungezile-kungekhona nje ukungazinzi okanye ukuzulazula.
- Xa uphando lubonisa umngcipheko ocacileyo, njengokuba ulapha, ukhankanya indima yakho njengommeli welungu lentsapho okanye umhlobo onomdementi. Ukuba wakho umthandayo ulwa ne-antipsychotic, ngokukodwa i-haloperidol, unokucinga ukubuza imibuzo malunga nokuba kutheni le nkunkuma, ukuba enye inyeza isetyenziselwa ukusetyenziswa, okanye ukuba imithi ingancipha okanye imiswe.
- Ingozi kunye neenzuzo zokusebenzisa imishanguzo ye-antipsychotic kufuneka ichongwe kwaye ixoxwe. Kukho imeko apho iingeniso (umzekelo, ukunciphisa i- hallucinations ephazamisayo kunye ne- paranoia ) ingaba ngaphezu kweengozi ze-antipsychotics.
Imithombo:
IBritish Medical Journal. 2012; 344. Ubungozi obuninzi bokufa kubantu abahlala kumakhaya asebekhulile abachazwe izidakamizwa ezithile zokulwa nezidakamizwa: ukufundiswa kwamalungu asekuhlaleni.
Isebe Lempilo Neenkonzo Zoluntu (DHHS). IiNkonzo zeMedare & Medicaid (CMS). Ikopi ephakamileyo: Ukunyamekela kwe-Dementia kwizindlu zoLondolozo: Ukucaciswa kwisiHlomelo kwi-Operational Manual Manual (SOM) kunye ne-Appendix PP kwi-SOM ye-F309-Uhlobo loKhathalelo kunye ne-F329-Izidakamizwa ezingadingekile. NgoMeyi 24, 2013.
> Ifteni, P., Grudnikoff, E., Koppel, J., Kremen, N., Correll, C., Kane, J. kunye noManuel, P. (2015). I-Haloperidol kunye nokufa kwantliziyo ngokukhawuleza kwimeko yesifo sengqondo: ukufunyanwa kwe-autopsy kwizigulane zengqondo. I-International Journal ye-Geriatric Psychiatry , 30 (12), iphe.1224-1229.