Chidzidzo chakabudiswa mubhuku reInternet rinonzi BMJ rinotsanangura tsvakurudzo pamusoro pemishonga inorwisa antipychotic uye kushandiswa kwavo kune vanhu vane Alzheimer uye mamwewo pfungwa.
Antipsychotics inonzi chirwere chinonzi psychotropic chinowanzoshandiswa kubatsira kubvisa zvimwe zvinetso zvinotyisa izvo vanhu vane chirwere chekushaya mungozi. Nzira yekutanga yekuzvibata inofanira kugara iri kushandisa maitiro ekugadzirisa maitiro uye kuedza kuziva zvikonzero zvinokonzera maitiro sezvo takaziva kuti maitiro akawanda anoreva.
Zvisinei, mishonga inorayirwa zvakare kana izvi zvisingaiti zvinodhaka zvisingabatsiri.
Chidzidzo
Iyi nyanzvi yekuongorora yakarongedza vanhu vanopfuura 75 000 muUnited States avo vakanga varayirwa mishonga inorwisa antipsychotic mumisha inochengeterwa vakwegura kubva muna 2001-2005. (Dhiyabhorosi inobva kune vanhu vari mumisha inotarisira vakwegura iri nyore kuunganidza pane vanhu vanogara pamba; misha yevanamukoti inofanirwa kuudza data nguva dzose sezvo ichiwana mari kubva kuMedare uye Medicaid.) Vatsvakurudzi vakaona maitiro uye rudzi rwemishonga inopesana nemasikirwo, pamwe chete kufa kwehuwandu hwevaya vanowana mishonga.
Mhinduro
Zvigumisiro zvinoratidza kuti avo vanogamuchira mhando chaiyo yemishonga inorwisa antipychotic inonzi Haldol (haloperidol) ine ngozi yakawanda yakawedzerwa yekufa, kunyanya nguva pfupi mushure mekurapa yatanga, kana ichienzaniswa nemamwe marudzi emishonga inorwisa antipychotic.
Kutsvakurudza kwakawanda
Chidzidzo chechipiri chakatarisa paHaldol nekushandiswa kwaro kune vanhu vakange vari muchipatara mune chipatara chepfungwa uye vakawana chirwere chekushaya mungozo.
Vatsvakurudzi pano vakaona kuti pakanga pasina kuwedzera kwekuda kwekufa kamwe kamwe kwemoyo nekushandiswa kweHaldol.
Haldol inoratidzira antipsychotic, iyo inoisa iyo muchikamu chemishonga yakwegura inowanzova nezvimwe ngozi. Mune mimwe yemishonga inorwisa antipsychotic iyo yakaongororwa yaiva yeboka remasikirini, iyo ichangobva kushandiswa yemishonga ye antipsychotic iyo inowanzova nemigumisiro shoma kudarika iyo yakafanana.
Mhedziso shomanana pamusoro pekudzidza:
- Zvivakwa zvakanaka zvinocherechedza kushandiswa kwema antipsychotics kwazvo. Iyi mishonga inofanira kuongororwa nguva nenguva, uye haifaniri kushandiswa pasina kuedza kupindira kusina zvinodhaka kutanga. Antipsychotic mishonga inofanirawo kutarisirwa kuti irarame zvakananga maitiro anoita kuti munhu wacho kana vamwe vakavapoteredza-kwete kungozorora kana kutseuka.
- Apo kutsvakurudza kunoratidza dambudziko rakajeka, sezvarinotaura pano, rinosimbisa basa rako semurevereri kune nhengo yemhuri kana shamwari yaine dhementia. Kana mudiwa wako ari pane antipsychotic, kunyanya haloperidol, unogona kufunga kubvunza mibvunzo pamusoro pekuti nei ichi chirwere chakasarudzwa, kana imwe mishonga ingashandiswa panzvimbo iyo, kana kana mishonga inogona kuderedzwa kana kumira.
- Ngozi uye kubatsirwa kwekushandisa mishonga inorwisa antipychotic inofanira kuonekwa nekukurukurwa. Kune mamiriro ezvinhu apo zvikomborero (somuenzaniso, kuderedza kushungurudzika kunokonzera kupisa uye paranoia ) kunogona kupfuurira kune ngozi dze antipsychotics.
Sources:
British Medical Journal. 2012; 344. Dambudziko rekuparadzaniswa nerufu kune vagari vakura mumisha yevanamukoti inorayira mishonga inorwisa antipsychotic: chidzidzo chevanhu vanoverengeka.
Dhipatimendi Rehutano & Human Services (DHHS). Medicare & Medicaid Services (CMS). Purogiramu Yakawedzerwa: Dementia Kuchengetedza Mudzimba dzevachengeti: Kujekesa kune Appendix P Inoshandiswa Gwaro Rekushandisa (SOM) uye Appendix PP mune SOM yeF309 - Unhu Hwokuchengetedza uye F329 - Zvirwere Zvisingakoshi. May 24, 2013.
> Ifteni, P., Grudnikoff, E., Koppel, J., Kremen, N., Correll, C., Kane, J. uye Manu, P. (2015). Haloperidol uye rufu rwemhepo rukaerekana rwuri muhutano hwekushaya mhepo: kutsvaga kwechipiri mumapfungwa. International Journal of Geriatric Psychiatry , 30 (12), pp.1224-1229.