He aha te Pimozide: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

He rongoā rongoā a Pimozide e hāngai ana ki tētahi rōpū rongoā e kīia ana ko te antipsychotics. Ko te mea nui e whakamahia ana hei rongoā i te mate o Tourette, he mate neurological e pā ana ki te tics kore e hiahiatia ana me te reo. Whakaarohia te pimozide hei manaaki i ngā tohu roro e kaha ana e whakaoho ana i ēnei nekehanga me ngā oro e kore e hiahiatia.

E mahi ana tēnei rongoā mā te aukati i ngā matū roro motuhake e kīia ana ko te dopamine receptors. Ahakoa he taputapu kaha mō te whakahaere i ngā tohu, me mātakitaki tō hauora i te mea ka pā ki te manawa me ētahi atu pūnaha tinana.

He aha te Pimozide e whakamahia ana mō?

Kua whakaaetia te Pimozide mō te rongoā i te mate o Tourette ina kāore i pai ētahi atu rongoā. Ka whakamātau tō tākuta i ētahi atu rongoā i te tuatahi nā te mea he kōwhiringa kaha ake te pimozide me ngā pānga taha nui ake.

Ko te mate o Tourette e pā ana ki ngā tics motuka (ngā nekehanga ohorere) me ngā tics reo (ngā oro, ngā kupu rānei). Ka taea ēnei te rerekē mai i te kamo kanohi noa, te whakawātea rānei i te korokoro ki ngā whanonga uaua ake. Ka āwhina te Pimozide ki te whakaiti i te auau me te kaha o ēnei tics mā te whakamārie i ngā ara roro e whai wāhi ana ki a rātou.

I ētahi wā ka tohua e ngā tākuta te pimozide mō ētahi atu āhuatanga, engari ka mahia tēnei me te tūpato. Kāore te rongoā e whakamahia ana mō te āwangawanga whānui, te pōuri, te raruraru whanonga rānei i ngā tamariki ki te kore he take rongoā motuhake.

Me pēhea te mahi a Pimozide?

E mahi ana te Pimozide mā te aukati i ngā dopamine receptors i tō roro. Ko te Dopamine he karere matū e āwhina ana ki te whakahaere i te nekehanga me te whanonga. I roto i ngā tāngata e mate ana i te mate o Tourette, he kaha rawa ētahi ara dopamine, e arahi ana ki te tics.

He rongoā kaha tēnei e mōhiotia ana he rongoā antipsychotic, te tikanga he kaha ngā pānga ki te matū o te roro. E whāia ana te pūnaha dopamine i te tuatahi atu i ētahi atu rongoā, koinei te take ka whai hua mō ngā tics. Heoi anō, ko tēnei kaha te tikanga ka nui ake ngā pānga kino.

Kāore te rongoā e whakaora i te mate o Tourette, engari ka tino whakaiti i ngā tohumate. Ka kite pea koe i ngā whakapainga i te auau me te kaha o te tic i roto i ngā wiki torutoru i muri i te tīmatanga o te rongoā, ahakoa ka roa pea te wā ki te kimi i te horopeta tika mōu.

Me pēhea taku tango i te Pimozide?

Tangohia te pimozide i runga i te tohutohu a tō tākuta, te tikanga kotahi i te rā i te wā moe. Ka taea e koe te tango me te kore kai rānei, engari ko te tango me te kai ka āwhina i te whakaiti i te puku puku ki te pā koe.

Horomia te papa katoa me te karaihe wai. Kaua e kuru, e ngaungau, e wawahi rānei i te papa, nā te mea ka pā tēnei ki te tukunga o te rongoā i tō tinana. Ki te raru koe ki te horomia i ngā pire, kōrero ki tō kai rongoā mō ngā kōwhiringa.

He pai ki te tango i te pimozide i te wā kotahi i ia rā kia mau tonu ngā taumata i tō pūnaha. He maha ngā tāngata e kite ana he pai te wā moe nā te mea ka pā te moe. Ko te whakatakoto i tētahi whakamaharatanga i ia rā i runga i tō waea ka āwhina i a koe ki te mahara.

Kaua e kai i te karepe me te wai karepe i te wā e tango ana i te pimozide, nā te mea ka piki ake te kukū o te rongoā i roto i tō toto, ā, ka pā pea ngā pānga kino. Ka hiahia anō tō tākuta ki te karo i ētahi atu rongoā ka pā ki te pimozide.

Kia Pēhea te Roa e Tango Ana ahau i te Pimozide?

He rerekē te roa o te rongoā pimozide mai i te tangata ki te tangata. Ka hiahia pea ētahi tāngata mō ngā marama, i te wā e tango ana ētahi mō ngā tau. Ka arotakehia e tō tākuta i ngā wā katoa mēnā e hiahia ana koe i te rongoā, me te mea kei te nui tonu ngā painga i ngā tūponotanga.

Tera pea te hiahia o tō kaiwhakarato hauora ki te whakamātau ki te whakaiti i tō horopeta i ia wā kia kite ai mēnā kua pai ake ō tohumate kia iti ake te rongoā, kia mutu rānei. He mea nui tēnei mō ngā tamariki me ngā taiohi, nā te mea ka huri pea ō rātou tohumate i a rātou e tipu ana.

Kaua rawa e mutu te tango pimozide ohorere me te kore e kōrero ki tō tākuta i te tuatahi. Ko te whakamutu ohorere ka puta he tohumate tangohanga, he hokinga mai rānei o ngā tics ka kaha ake pea i mua. Ki te hiahia koe ki te mutu, ka hanga e tō tākuta he mahere hei whakaiti i tō horopeta.

He mea nui ngā whakaritenga whai-a-muri i te wā e tango ana i te pimozide. Ka aroturuki tō tākuta i tō manawataki, ka tirotiro mō ngā pānga taha, me te aromatawai i te pai o te mahi o te rongoā mō tō āhuatanga motuhake.

He aha ngā Pānga Taha o te Pimozide?

Ka puta pea e pimozide ētahi pānga taha, mai i te ngawari ki te kaha. Ko ngā mea tino noa ka pā ki a koe ko te hiamoe, te whanoke, me te mangai maroke. I te nuinga o te wā ka pai ake ēnei i te wā e urutau ana tō tinana ki te rongoā i ngā wiki tuatahi.

Anei ngā pānga taha noa e pā ana ki te nuinga o te tangata i te tīmatanga o te pimozide:

• Hiamoe, ngenge rānei
• Whanoke, ina koa i te tūnga
• Mangai maroke
• Pāpāpā
• Mārama kōaro
• Te pikinga o te taumaha
• Te ohorere, te wiri rānei

I te nuinga o te wā ka taea te whakahaere i ēnei pānga taha, ā, ka iti pea i te wā. Ko te inu wai nui ka āwhina i te mangai maroke me te pāpāpā, i te wā e tū ake ana i te noho, i te takoto rānei ka whakaiti i te whanoke.

Heoi anō, he ētahi pānga taha nui e hiahia ana kia āwhina tonu mai i te tākuta. Ko te mea tino mōrearea ko te raruraru manawataki e kīia ana ko te QT prolongation, ka mōrearea pea te ora. Ka mahi tō tākuta i te aroturuki manawa i te wā e tango ana koe i te pimozide.

Kia mātaki mō ēnei pānga taha nui, ā, whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe:

• Te ngakau tōtōre, te ngakau rānei e pōpō ana
• Te ngaro o te mahara, te tata rānei te ngaro o te mahara
• Te whanoke nui
• Te mārō o ngā uaua, te kōpiko rānei
• Te wiri, te rūrū rānei
• Te kirika nui
• Te uaua ki te horo
• Ngā nekehanga rerekē e kore e taea e koe te whakahaere

He āhuatanga onge engari he nui te kino e kīia nei ko te tardive dyskinesia ka puta mai i te whakamahi wā roa. Kei roto i tēnei ko ngā nekehanga kore e hiahiatia, te nuinga o te kanohi me te arero, ka mau tonu pea ahakoa kua mutu te rongoā. Ka titiro tō tākuta ki ngā tohu wawe o tēnei āhuatanga.

Ka pā pea ki ētahi tāngata te mate neuroleptic malignant syndrome, he tauhohenga onge engari ka mate pea. Kei roto i tēnei ko te kirika nui, te mārō o ngā uaua, te rangirua, me ngā huringa o te tere o te ngakau me te pēhanga toto. Me whai manaakitanga hauora ohorere tēnei.

Ko wai kāore e tika kia tango Pimozide?

Kāore i te haumaru te Pimozide mō te katoa. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā. He maha ngā āhuatanga me ngā tūāhuatanga ka kore e tika, ka mōrearea rānei te pimozide.

Kāore koe e tango pimozide mēnā he āhuatanga ngakau ōu, ina koa ko ēra e pā ana ki te manawataki o tō ngakau. Kei roto i tēnei ko te mate QT roa, he hītori o te ngakau tōtōre, mēnā rānei kei te tango koe i ētahi atu rongoā e pā ana ki te manawataki o te ngakau.

Koinei ngā āhuatanga matua e ārai ana i te whakamahi pimozide:

• Ngā raruraru manawataki ngakau (arrhythmias)
• Te mate QT roa
• Te mate ngakau nui
• Ngā raruraru ate nui
• Hītori o te mate pukupuku u
• Ngā puku e whakawhirinaki ana ki te prolactin
• Te pōraruraru nui o te pūnaha io matua

Ka tūpato anō tō tākuta ki te whakahau pimozide mēnā he kaumātua koe, he raruraru tākihi ōu, kei te tango rongoā maha rānei koe. Ka taea e te pakeke me ētahi atu āhuatanga hauora te whakanui i tō tūponotanga ki ngā pānga taha nui.

Me whai whakaaro motuhake te hapū me te whāngai u. Ka taea e te Pimozide te whiti i te pūwhaka me te uru ki roto i te waiu u, ka pā pea ki tō pēpi. Ka āta whakatau tō tākuta i ngā tūponotanga me ngā painga mēnā kei te hapū koe, kei te whakamahere rānei koe kia hapū.

Ka taea e ētahi rongoā te pāhekoheko kino ki te pimozide, ina koa ko ērā e pā ana ki te manawataki o te ngākau, ki te mahi ate rānei. Me kōrero tonu ki tō tākuta mō ngā rongoā katoa, ngā tāpiringa, me ngā hua otaota e tango ana koe.

Ngā Ingoa Waitohu Pimozide

Kei te wātea te Pimozide i raro i te ingoa waitohu Orap i te United States. Koinei te momo rongoā e tino whakahauhia ana, ā, kei te wātea i roto i te puka papa.

I ētahi atu whenua, ka hokona pea te pimozide i raro i ngā ingoa waitohu rerekē. Heoi, ahakoa te ingoa waitohu, ka noho tonu te whakauru kaha me ngā pānga. Ka taea e tō kai rongoā te āwhina i a koe ki te tautuhi mēnā kei te whiwhi koe i te rongoā tika.

Kei te wātea hoki ngā putanga whānui o te pimozide, kei roto i te whakauru kaha kotahi engari he rerekē pea te ahua mai i te putanga ingoa waitohu. He rite tonu te whai hua o ngā rongoā whānui ki ngā rongoā ingoa waitohu, ā, he iti ake te utu.

Ngā Kōwhiringa kē mō te Pimozide

He maha atu ngā rongoā ka taea te rongoā i te mate a Tourette, ā, ka whakamātau tō tākuta i ēnei i mua i te whakaaro ki te pimozide. Ka whakawhirinaki te kōwhiringa ki ō tohu motuhake, te hītori hauora, me te pai o tō whakamanawanui i ngā rongoā rerekē.

Ko ngā maimoatanga tuatahi mō te mate a Tourette ko te tikanga ko ngā rongoā e kiia ana he haumaru ake i te pimozide. Kei roto i ēnei ko te clonidine, te guanfacine, me te topiramate. He iti ake ngā pānga taha kino o ēnei rongoā, ā, kāore e hiahiatia te taumata kotahi o te aroturuki i te ngākau.

Ka whakaarohia pea ētahi atu rongoā antipsychotic pēnei i te risperidone, aripiprazole, haloperidol rānei. He rerekē tō rātou ake kōtaha pānga taha me te whai huatanga mō ngā tāngata rerekē. Ka āwhina tō tākuta ki te whakatau ko tēhea kōwhiringa ka pai ake mō tō āhuatanga.

He whai hua ano hoki nga huarahi kore rongoa mo te whakahaere i te mate a Tourette. Kei roto i enei ko te rongoa whanonga, ina koa he tikanga e kiia nei ko te Comprehensive Behavioral Intervention for Tics (CBIT). Ka awhina tenei rongoa i nga tangata ki te ako ki te whakahaere i o ratou tohu ma te mohio me nga whakautu whakataetae.

Ko te whakatau ki te whakamahi i te pimozide ka puta i muri i te whakamatau i etahi atu whiringa i te tuatahi, na te mea ka puta he paanga kino. Ka whakaarohia e to taakuta o tohu motuhake, te nui o te pokanoa ki to oranga o ia ra, me to hauora katoa.

He pai ake te Pimozide i te Haloperidol?

Ko te pimozide me te haloperidol he rongoa antipsychotic e whakamahia ana hei rongoa i te mate a Tourette, engari he rereke o raatau kaha me o raatau ngoikoretanga. Karekau tetahi e tino pai ake – ka whakawhirinaki te whiriwhiri ki o hiahia takitahi me te pehea e urupare ai to tinana ki ia rongoa.

I te nuinga o te wa ka kiia te Pimozide he mea whiriwhiri ake i roto i tana mahi, ko te tikanga ka iti ake pea nga paanga taha e pa ana ki te nekehanga i te haloperidol. Heoi, he nui ake te tupono o te pimozide ki nga raru o te manawataki o te ngakau, e hiahia ana ki te aroturuki i nga wa katoa me nga electrocardiograms (EKGs).

Kua roa te whakamahi i te Haloperidol, a he iti ake te utu i te pimozide. He tino whai hua mo nga tohu, engari tera pea ka nui ake nga paanga taha e pa ana ki te nekehanga penei i te maro, te wiri, te ohorere ranei. Ko enei paanga taha he maha nga wa e pa ana ki te horopeta, a ka pai ake pea me nga whakatikatika.

Ka whakaarohia e to taakuta etahi mea i te wa e whiriwhiri ana i waenga i enei rongoa. Kei roto i enei ko to tau, etahi atu tikanga hauora, etahi atu rongoa e tango ana koe, me o urupare o mua ki nga raau taero rite. He pai ake etahi tangata ki tetahi rongoa i te wa e pai ake ana etahi ki te rereke.

Nga Pātai e Pātai pinepine ana mo Pimozide

He haumaru te Pimozide mo te mate ngakau?

E kore e tino tūtohutia te Pimozide mō te hunga e pāngia ana e te mate ngākau, inā koa mō te hunga e pāngia ana e ngā raruraru o te manawataki. Ka taea e te rongoā te whakaputa i tētahi āhuatanga e kīia ana ko te whakaroa QT, e pā ana ki te pūnaha hiko o te ngākau, ā, ka puta he raruraru manawataki kino.

Mēnā he mate ngākau tōu, tērā pea ka tūhura tō tākuta i ētahi atu kōwhiringa rongoā i te tuatahi. Heoi anō, i ngā wā onge e tino hiahiatia ana te pimozide, me tino mātakitaki koe i tō ngākau. Kei roto i tēnei ko ngā EKG auau me te kōrero pea ki tētahi tohunga ngākau.

Ahakoa te hunga kāore i te mōhiotia he raruraru ngākau e hiahia ana ki te mātakitaki ngākau auau i te wā e tango ana i te pimozide. Ka mahi tō tākuta i ngā whakamātautau tūāpapa i mua i te tīmatanga o te rongoā, ā, ka haere tonu te mātakitaki i te wā o te rongoā kia kitea wawe ngā raruraru.

Me pēhea taku mahi mēnā ka whakamahi au i te nui rawa o te Pimozide?

Mēnā ka tango koe i te nui rawa o te pimozide, whakapā atu ki te mana whakahaere paitini, haere rānei ki te ruma ohorere tonu. Ka taea e te horopeta nui te whakaputa i ngā raruraru manawataki ngākau nui, te moe nui, te ngaro rānei o te māramatanga.

Kaua e tatari kia kite mēnā kei te pai koe – ka mōrearea te ora te horopeta nui o te pimozide. Mauria mai te pounamu rongoā ki a koe hei āwhina i ngā kaiwhakarato hauora ki te mārama ki te aha me te nui i tango koe. Mēnā i tango tētahi atu i te rongoā i tūpono noa, rapua he āwhina ohorere tonu.

Ngā tohu o te horopeta nui o te pimozide ko te moe nui, te ngaro o te māramatanga, te manawataki ngākau kōaro, te mārō o ngā uaua, me te uaua ki te hā. E hiahia ana ēnei tohu ki te aro rongoā tonu, nā te mea ka tere te kino me te kore rongoā.

Me pēhea taku mahi mēnā ka ngaro au i te horopeta o te Pimozide?

Mēnā ka ngaro koe i te horopeta o te pimozide, tangohia i te wā e mahara ana koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. Mēnā e tata ana ki tō horopeta kua whakaritea e whai ake nei, waiho te horopeta i ngaro, ka haere tonu ki tō hōtaka auau.

Kaua rawa e tango e rua nga horopeta i te wa kotahi hei utu i te horopeta i ngaro. Ka piki ake pea te tūponotanga o ngā pānga taha kino, ina koa ngā raruraru o te manawataki o te ngākau. He mōrearea te tango i te horopeta rua o te pimozide, ā, me karo tonu.

Mēnā he maha ngā wā e wareware ana koe ki ngā horopeta, whakaarohia te whakatakoto i te whakaoho o ia rā, te whakamahi rānei i te kaiwhakarite pire. Mā te tango i ngā horopeta i ngā wā katoa e āwhina ana ki te pupuri i ngā taumata pumau o te rongoā i roto i tō pūnaha, he mea nui tēnei mō te whai hua me te haumaru.

Āhea ka taea e au te whakamutu i te tango i te Pimozide?

Me whakamutu noa koe i te tango i te pimozide i raro i te tirotiro a tō tākuta. Ko te whakatau ki te whakamutu ka whakawhirinaki ki te pai o te whakahaere i ō tohu, te roa o tō tango i te rongoā, me te mea kei te pā mai ngā pānga taha raruraru ki a koe.

Tērā pea ka hiahia tō tākuta ki te whakaiti i tō horopeta i te wā, kaua ki te whakamutu ohorere. Mā tēnei e āwhina ana ki te ārai i ngā tohu whakatā, ā, ka taea te aroturuki i te urupare o ō tics ki te whakaitinga o te horopeta. E kitea ana e ētahi tāngata kua pai ake ā rātou tohu ki te whakamahi i te horopeta iti ake, ki te whakamutu rānei.

He rerekē te wā mō te whakamutu i waenga i ngā tāngata. Ka ngana pea ētahi tāngata ki te whakaiti, ki te whakamutu rānei i muri i ngā marama o te whakahaere pai i ngā tohu, engari tērā pea ka hiahia ētahi atu ki te rongoā wā roa. Mā ngā whakaritenga whai-ake i ngā wā katoa e āwhina ana ki te whakatau i te wā tika mōu.

Ka taea e au te taraiwa i te wā e tango ana i te Pimozide?

Ka taea e te Pimozide te pā mai i te hiamoe, te whanoke, me te tirohanga pōuri, ka pā ki tō kaha ki te taraiwa haumaru. I te wā tuatahi ka tīmata koe ki te tango i te rongoā, i te wā rānei ka huri tō horopeta, he pai ki te karo i te taraiwa kia mōhio rawa koe ki te pānga ki a koe.

He maha ngā tāngata e kite ana ka pai ake ēnei pānga taha i muri i ētahi wiki i te wā e whakatikatika ana tō tinana ki te rongoā. Heoi, ki te haere tonu koe ki te pā mai i te hiamoe nui, i te whanoke rānei, kaua koe e taraiwa, e whakahaere rānei i ngā mīhini.

Kōrero ki tō tākuta mō tō āhuatanga motuhake. Ka āwhina rātou i a koe ki te mārama ki te wā ka noho haumaru ai te hoki ki te taraiwa, me ngā tohu hei mātakitaki e tohu ana kāore koe e tika ana ki te noho ki te wīra. Ko tō haumaru me te haumaru o ētahi atu i te rori me waiho tonu hei kaupapa matua.