Ucwaningo olunyathelisiwe kumagazini we-intanethi ye-BMJ ucacisa ucwaningo ngemithi ye-antipsychotic kanye nokusetshenziswa kwabo kubantu abane- Alzheimer's nezinye dementias.
I-antipsychotics uhlobo oluthile lwemithi yokwelapha kwengqondo ejwayele ukusetshenziselwa ukulawula ezinye zezimo eziyinselelo abantu abanokuhlangenwe nakho kwengqondo. Indlela yokuqala yokuziphatha kufanele ngaso sonke isikhathi isebenzise amasu okuguqula ukuziphatha nokuzama ukuthola izimbangela zokuziphatha ngenxa yokuthi siyazi ukuthi ukuziphatha okuningi kunencazelo.
Kodwa-ke, imithi nayo inqunywe uma lezi izindlela ezingezona izidakamizwa zingasebenzi.
Isifundo
Lolu cwaningo oluthile lwalubuyekeze abantu abangaphezu kuka-75 000 e-United States ababemiswe imishanguzo ye-antipsychotic emakhaya asebekhulile kusukela ngo-2001-2005. (Idatha evela kubantu abasemakhaya asebekhulile kulula ukuyiqoqa kunabantu abahlala ekhaya; amakhaya asebehlengikazi kudingeka abuyele idatha njalo njengoba ethola imali evela ku-Medicare ne-Medicaid.) Abacwaningi balandelela amanani kanye nohlobo lwemithi yokulwa ne-antipsychotic, kanye inani lokushona lalabo abathola imithi.
Imiphumela
Imiphumela ibonisa ukuthi labo abathola uhlobo oluthile lwemithi elwa ne-antipsychotic ebizwa ngokuthi i-Haldol (haloperidol) banomngcipheko owandayo wokufa, ikakhulukazi ngemuva nje kokuba ukwelashwa kuqalwa, kuqhathaniswa nezinye izinhlobo zemithi yokulwa ne-antipsychotic.
Ucwaningo olungaphezulu
Ucwaningo lwesibili lwabheka iHald kanye nokusetshenziswa kwalo kubantu ababesebenesi sifo esibhedlela esibhedlela futhi babhekana nokuhlushwa kwengqondo.
Abacwaningi lapha bathola ukuthi kwakungekho ingozi eyengeziwe yokwehliswa komzimba ngokuzumayo nokusetshenziswa kweHaldol.
I-Haldol iyi-antipsychotic evamile , ebeka endaweni yokuhlukaniswa kwemithi endala evame ukuba nezingozi eziningi. Eminye yeminye imishanguzo ye-antipsychotic abayibukeze yaba yi-classic atypical, okuyinto uhlobo olusha lomuthi we-antipsychotic ngokuvamile oba nemiphumela emibi kakhulu kunezinto ezivamile.
Imiqondo embalwa mayelana nalolu cwaningo:
- Izakhiwo ezinhle ziqapha ukusetshenziswa kwe-antipsychotics kakhulu. Lezi mithi kufanele zihliswe ngezikhathi ezithile, futhi akufanele zisetshenziswe ngaphandle kokuzama ukungenelela kokungeyona izidakamizwa kuqala. Imishanguzo ye-Antipsychotic nayo kumele imiswe ukuze ilawule ukuziphatha okuqondile okumele kube yingozi kumuntu noma kwabanye abazungezile-hhayi nje ukuphumula noma ukuzulazula.
- Uma ucwaningo lubonisa ingozi ecacile, njengoba yenza lapha, iveza indima yakho njengommeli welungu lomndeni noma umngane onomqondo owohloka komqondo. Uma othandekayo wakho e-antipsychotic, ikakhulukazi i-haloperidol, ungase ucabange ukubuza imibuzo ngokuthi kungani le mithi ikhethiwe, uma enye imithi ingasetshenziswa esikhundleni sayo, noma uma imithi ingancipha noma imiswe.
- Izingozi nezinzuzo zokusebenzisa imishanguzo ye-antipsychotic kudingeka zibonwe futhi zixoxwe. Kunezimo lapho izinzuzo (ngokwesibonelo, ukunciphisa ama- hallucinations okucindezelayo kanye ne- paranoia ) zingaphezu kwezingozi ze-antipsychotics.
Imithombo:
I-British Medical Journal. 2012; 344. Ingozi ehlukene yokufa kwabakhulile emakhaya asebekhulile anikeze izidakamizwa ezithile zokulwa nezifo: ukutadisha kwabantu basekhaya.
UMnyango WezeMpilo kanye Nezinsizakalo Zabantu (DHHS). Imisebenzi ye-Medicare & Medicaid (CMS). Ikhophi Ekhuthukisiwe: Ukunakekelwa Kwemfuno Yezindawo Zokuhlengikaza: Ukucaciswa Kwesihlomelo Sokusebenza Kwezombuso P (SOM) kanye neSithasiselo PP ku-SOM ye-F309 - I-Quality of Care kanye ne-F329 - Izidakamizwa ezingadingekile. May 24, 2013.
> Ifteni, P., Grudnikoff, E., Koppel, J., Kremen, N., Correll, C., Kane, J. no Manu, P. (2015). I-Haloperidol nokufa kwe-cardiac okungazelelwe ku-dementia: ukutholwa kwe-autopsy ezithombeni zokugula ngengqondo. I-International Journal ye-Geriatric Psychiatry , 30 (12), i-pp.1224-1229.