Kafukufuku wofalitsidwa pamagazini ya intaneti ya BMJ akulongosola kafukufuku wa mankhwala opatsirana pogonana ndi ntchito zawo kwa anthu omwe ali ndi matenda a Alzheimer's and dementias.
Antipsychotics ndi mtundu wina wa mankhwala a psychotropic omwe amagwiritsidwa ntchito kuti athetse makhalidwe ena ovuta omwe anthu omwe ali ndi matenda a maganizo. Njira yoyamba ya makhalidwe ayenera nthawi zonse kugwiritsa ntchito njira zothetsera khalidwe ndikuyesera kudziwa zomwe zimayambitsa khalidwelo popeza tikudziwa kuti khalidwe lalikulu liri ndi tanthauzo.
Komabe, mankhwala amaperekedwanso ngati njira zopanda mankhwalazi sizingatheke.
Kafukufuku
Kafukufukuyu adawerenganso anthu opitirira 75,000 ku United States omwe adayikidwa mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala osungirako anthu odwala kuyambira mu 2001 mpaka 2005. (Chiwerengero cha anthu omwe ali m'midzi yosungirako okalamba n'chosavuta kusonkhanitsa kusiyana ndi anthu omwe akukhala pakhomo; nyumba zoyamwitsa zimafunika kulongosola deta nthawi zonse kuchokera pamene amalandira thandizo kuchokera ku Medicare ndi Medicaid.) Ofufuza anapeza mlingo ndi mtundu wa mankhwala oletsa antipsychotic, komanso chiwerengero cha anthu omwe amalandira mankhwalawa.
Zotsatira
Zotsatira zimasonyeza kuti omwe amalandira mankhwala enaake omwe amatchedwa Haldol (haloperidol) ali ndi chiopsezo chochuluka cha imfa, makamaka atangoyamba kumene chithandizo, poyerekeza ndi mitundu ina ya mankhwala opatsirana pogonana.
Kafukufuku Wowonjezera
Kafukufuku wachiwiri adawoneka ku Haldol ndi ntchito yake kwa anthu omwe anali odwala matenda opatsirana m'maganizo ndipo adapezeka kuti ali ndi matenda a maganizo.
Ofufuza pano adapeza kuti palibe ngozi yowonjezera yakufa kwadzidzidzi ndi ntchito ya Haldol.
Haldol ndichimodzimodzinso ndi antipsychotic, yomwe imayika mu mndandanda wa mankhwala achikulire omwe nthawi zambiri amakhala ndi ngozi. Mankhwala ena omwe amagwiritsidwa ntchito ndi antipsychotic anali a gulu lapamwamba, omwe ndi mankhwala atsopano a antipsychotic omwe nthawi zambiri amakhala ndi zotsatira zochepa kusiyana ndi zomwe zimachitika.
Maganizo angapo okhudza phunziro ili:
- Maofesi abwino amayang'ana kugwiritsa ntchito antipsychotics kwambiri. Mankhwalawa amayenera kuchepetsedwa nthawi ndi nthawi, ndipo sayenera kugwiritsidwa ntchito popanda kuyesa zopanda mankhwala poyamba. Mankhwala a antipsychotic amayenera kulamulidwa kuti athetse makhalidwe omwe ali oopsa omwe ali oopsa kwa munthu kapena ena omwe ali pafupi nawo - osati kungokhala chete kapena kuthamanga.
- Kafukufuku akuwonetsa chiwopsezo chomveka bwino, monga momwe chikuchitira pano, chikuwonekera udindo wanu monga woimira wachibale kapena mnzanu wokhala ndi matenda a maganizo. Ngati wokondedwa wanu ali ndi antipsychotic, makamaka haloperidol, mungaganize kufunsa mafunso chifukwa chake mankhwalawa anasankhidwa, ngati mankhwala ena angagwiritsidwe ntchito mmalo mwake, kapena ngati mankhwala akhoza kuchepa kapena kusiya.
- Zowopsa ndi phindu la kugwiritsa ntchito mankhwala ochepetsa antipsychotic ziyenera kudziwika ndi kukambidwa. Pali zochitika zomwe phindu (mwachitsanzo, kuchepetsa kukhumudwa ndi kupweteka kwapakati) kungapitirire kuopsa kwa antipsychotics.
Zotsatira:
British Medical Journal. 2012; 344. Kuopsa kwakukulu kwa imfa mwa anthu achikulire omwe amakhala m'midzi yosungirako anthu okalamba amafotokoza mankhwala omwe amamenyana ndi odwala matenda opatsirana pogonana.
Dipatimenti ya Zaumoyo & Human Services (DHHS). Medicare & Medicaid Services (CMS). Cholinga Chachidule: Kusamalira Dementia M'mabanja Achikulire: Kufotokozera Zowonjezerapo P Buku Loyendetsera Ntchito (SOM) ndi Zakumapeto PP mu SOM ya F309 - Mmene Mungasamalire ndi F329 - Mankhwala Osayenera. May 24, 2013.
> Ifteni, P., Grudnikoff, E., Koppel, J., Kremen, N., Correll, C., Kane, J. ndi Manu, P. (2015). Haloperidol ndi imfa ya modzidzimutsa yaumtima muumphawi: zofufuza za autopsy m'maganizo opatsirana maganizo. International Journal of Geriatric Psychiatry , 30 (12), pp.1224-1229.