He aha te Trihexyphenidyl: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

He rongoā te Trihexyphenidyl e āwhina ana ki te whakahaere i te mārō o ngā uaua me ngā wiri, ina koa ki ngā tāngata e mate ana i te mate Parkinson, i ngā raruraru nekehanga rānei i puta mai i ētahi rongoā hinengaro. Whakaarohia he āwhina e mahi ana i tō roro ki te whakahoki i te taurite i te wā e raruraru ana tō pūnaha whakahaere nekehanga.

No tētahi rōpū e kīia nei ko te anticholinergics tēnei rongoā, ko te tikanga e aukati ana i ētahi tohu matū i tō roro ka puta ai ngā nekehanga uaua e kore e hiahiatia. Ahakoa kua roa kē te wā e noho ana, ā, kua āwhina i te tini o ngā tāngata ki te whakahoki i te nekehanga mārie, he mea nui kia mārama ki te āhua o tana mahi me te aha e tūmanakohia.

He aha te Trihexyphenidyl?

He rongoā waha te Trihexyphenidyl e puta mai ana i te āhua papa, ā, e mahi ana mā te aukati i te acetylcholine, he karere matū i tō roro. I te wā e kaha rawa ana te acetylcholine ki te taha o tētahi atu matū roro e kīia nei ko te dopamine, ka puta ai te mārō o ngā uaua, ngā wiri, me ētahi atu raruraru nekehanga.

Mā te aukati i ētahi o ēnei tohu acetylcholine, ka āwhina te trihexyphenidyl ki te whakahoki i tētahi taiao matū taurite ake i tō roro. Mā tēnei whakahoki taurite ka taea e ō uaua te whakangāwari, ā, ka mārie, ka whakahaerehia ō nekehanga.

Kei te wātea te rongoā i roto i ngā papa tuku tonu e mahi ana i te tere, me ngā pūmua tuku roa e whakarato ana i ngā pānga roa puta noa i te rā. Māu e whiriwhiri te āhua tika i runga i ō hiahia me ō tauira tohu.

He aha te Trihexyphenidyl e whakamahia ana?

Ko te Trihexyphenidyl te tuatahi e rongoā ana i ngā raruraru nekehanga e puta ana i te wā e raruraru ana te taurite matū o tō roro. Ko te nuinga o te wā ka tohua mō ngā tohu o te mate Parkinson me ngā raruraru nekehanga i puta mai i te rongoā.

Ka āwhina te rongoā i ētahi āhuatanga motuhake e pā ana ki tō kaha ki te neke noa:

• Te wiri me te mārō o ngā uaua o te mate Parkinson
• Te parkinsonism i puta mai i te rongoā, i ahu mai i ngā rongoā antipsychotic
• Te dystonia nui (ngā uaua e kōpiko ana, e kōpiko ana ohorere)
• Tardive dyskinesia i ētahi wā
• Te parkinsonism i muri i te encephalitis

He maha ngā tāngata e kite ana he tino whai hua mō te whakaiti i te wiri "pōro-pā" e kitea ana i te mate Parkinson me te mārō o ngā uaua ka uaua ai ngā mahi o ia rā. Ka āwhina hoki i te tūwha me ētahi uaua kōrero e pā ana ki ēnei āhuatanga.

I ngā wā onge, ka tohutohu pea ngā tākuta i te trihexyphenidyl mō ētahi atu mate nekehanga pēnei i te mate a Wilson, ētahi momo dystonia rānei, ahakoa he iti noa iho ēnei whakamahinga, me mātua tirotiro hauora motuhake.

Me pēhea te mahi a Trihexyphenidyl?

Ka mahi a Trihexyphenidyl mā te aukati i ngā kaiwhiwhi acetylcholine i tō roro, ina koa i ngā wāhi e whakahaere ana i te nekehanga. E kiia ana he kaha te rongoā nei i waenga i ngā rongoā mate nekehanga, ko te tikanga ka whai hua nui engari me mātua aroturuki.

I roto i ngā roro hauora, ka mahi ngātahi te acetylcholine me te dopamine pēnei i ngā hoa kanikani hei whakarite i ngā nekehanga maeneene. Ka heke ngā taumata dopamine (pēnei i te mate Parkinson) rānei, ka aukati ētahi rongoā i te dopamine, ka noho rangatira te acetylcholine, ka puta mai ngā raruraru pēnei i te wiri me te mārō.

Mā te whakaiti i te mahi acetylcholine, ka āwhina a trihexyphenidyl ki te whakahoki mai i tēnei taurite ngawari. Ko te tikanga ka tīmata te mahi a te rongoā i roto i te 1-2 haora i muri i te tango, me ngā pānga e mau ana mō te 6-12 haora i runga i te tango koe i ngā momo tuku tonu, tuku roa rānei.

He mea nui kia mōhio kāore a trihexyphenidyl e rongoā i te āhuatanga kei raro, engari e whakahaere ana i ngā tohumate mā te whakapai ake i te taurite matū i tō roro. Koinei te take e tika ana te whakamahi i ia rā mō te pupuri i te whakahaere tohumate.

Me pēhea taku tango i te Trihexyphenidyl?

Tangohia te trihexyphenidyl kia rite tonu ki ta te tākuta i whakahau ai, te tikanga ka tīmata ki te horopeta iti ka piki haere i te roanga o te wā. Ko te nuinga o te tangata e tango ana i te 3-4 ngā wā ia rā me ngā papa tuku tonu, i te 1-2 ngā wā ia rā me ngā pūtau tuku roa.

Ka taea e koe te tango i tēnei rongoā me te kore kai rānei, engari mā te tango me te kai ka āwhina i te whakaiti i te puku puku ki te pā koe. Ki te whiriwhiri koe ki te tango me ngā kai, ngana ki te rite tonu ki tō wā ki te pupuri i ngā taumata pumau i roto i tō pūnaha.

Anei ētahi tohutohu whaihua mō te tango i te trihexyphenidyl i runga i te haumaru:

• Tangohia i ngā wā rite tonu i ia rā ki te pupuri i te mana whakahaere tohu pumau
• Tīmata ki te horopeta whai hua iti rawa, ka piki haere i te mea e whakahaua ana
• Kaua e kuru, e ngaungau rānei i ngā pūtau tuku roa
• Kia mau ki te rārangi rite tonu hei āwhina i te mahara ki ō horopeta
• Kia pai te wai, nā te mea ka pā te rongoā ki te waha maroke

Kaua rawa e mutu te tango i te trihexyphenidyl ohorere, nā te mea ka pā tēnei ki ngā tohu tangohanga me te hokinga ohorere o ō raru nekehanga. Mahi tonu me tō tākuta ki te whakaiti haere i te horopeta ki te hiahia koe ki te whakamutu i te rongoā.

Kia Pēhea te Roa e Tango Ai au i te Trihexyphenidyl?

He rerekē te roa o te maimoatanga trihexyphenidyl i runga i tō āhuatanga i raro iho me te urupare takitahi. Ko ētahi tangata e hiahia ana ki te tango mō ētahi marama, i te wā e hiahia ana ētahi atu ki te maimoatanga wā-roa mō ngā tau.

Mō ngā raruraru nekehanga i puta mai i te rongoā, tērā pea ka hiahia koe ki te trihexyphenidyl mō te wā poto i te wā e whakatika ana tō tinana ki ngā rongoā hinengaro, i te wā e huri ana aua rongoā. I ēnei keehi, tērā pea ka roa te maimoatanga i ngā wiki torutoru ki ētahi marama.

Mō te mate Parkinson, ētahi atu raruraru nekehanga rānei, he maimoatanga wā-roa te trihexyphenidyl e tango ana koe mō ngā tau. Ka arotakehia e tō tākuta i ngā wā katoa mē te haere tonu o ngā painga ki te nui ake i ngā pānga taha, ā, tērā pea ka whakatika i tō horopeta, ka whakaaro rānei ki ētahi atu huarahi i te roanga o te wā.

E kitea ana e ētahi tāngata ka iti ake te whai hua o te rongoā i te roanga o te wā, he āhuatanga e mōhiotia ana ko te manawanui. Ki te pēnei, tērā pea ka whakaiti tō tākuta i te horopeta mō tētahi wā, ka huri ki tētahi rongoā kē, ka tāpiri rānei i ētahi atu maimoatanga ki tō hōtaka.

He aha ngā pānga taha o te Trihexyphenidyl?

Pērā i ngā rongoā katoa, ka taea e te trihexyphenidyl te pānga taha, ahakoa kāore katoa e pā ana. Ko ngā pānga taha tino noa e pā ana ki ōna āhuatanga anticholinergic, ā, he ngawari, he āhua noa iho.

Ngā pānga taha noa e taea ana e te nuinga o te tāngata te whakahaere ko:

• Te waha maroke (tino noa)
• Te tirohanga pōkaikaha, te uaua rānei ki te arotahi
• Te pāpāpā
• Te hiamoe, te whāwhā rānei
• Te whakapairuaki, te puku riri rānei
• Te uaua ki te mimi
• Te rangirua, ngā raruraru mahara rānei, ina koa ki ngā pakeke ake

Ko te nuinga o ēnei pānga taha ka pai ake i te wā e urutau ana tō tinana ki te rongoā, ka taea rānei te whakahaere mā ngā rautaki māmā pērā i te noho wai, te whakamahi roimata horihori, te kai rānei i ngā kai muka nui.

Ko ngā pānga taha nui ake he iti noa iho, engari me āta rongoā tonu. Kei roto i ēnei ko te rangirua nui, ngā whakakitenga, te tere o te ngākau, te pāpāpā nui, te kore e mimi, ngā tohu rānei o te whiu wera (nā te mea ka pā te rongoā ki te kaha o tō tinana ki te whakahaere i te pāmahana).

Ko ngā pānga taha onge engari pea he nui ko te glaucoma kati-koki, ngā tauhohenga mate pāwera nui, ngā huringa nui rānei i te manawataki o te ngākau. Ki te pā ana te mamae o te uma, te uaua nui ki te manawa, ngā huringa tirohanga ohorere rānei, me rapu tonu i te āwhina hauora.

Ko wai kāore e tika kia tango Trihexyphenidyl?

Me karo ētahi tāngata i te trihexyphenidyl nā te piki ake o te tūponotanga o ngā raruraru nui. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā.

Kāore koe e tika kia tango trihexyphenidyl mēnā he:

• Te kōroke koki-poto
• Te mumura nui o te kōpū
• Myasthenia gravis
• Te mate tākihi, ate rānei, nui
• Te pūpū nui e pā ana ki ngā raruraru mimi
• He mate pāwera mō te trihexyphenidyl, rongoā rite rānei

He mea nui te tūpato mō ngā kaumātua, he nui ake te tairongo ki ngā pānga taha anticholinergic pēnei i te rangirua, ngā raruraru mahara, me te hinga. Ko ngā tāngata e pā ana ki ngā mate ngākau, te kōroke ngawari, te pūpū ngawari rānei, ka taea tonu te tango i te rongoā engari me mātakitaki tata atu.

Mēnā kei te hapū koe, kei te whāngai ū rānei, kōrerohia ngā tūponotanga me ngā painga ki tō tākuta, nā te mea kāore anō kia tino whakatauria te haumaru o te trihexyphenidyl i te wā e hapū ana. Ka taea e te rongoā te uru ki roto i te waiu ū, ā, ka pā ki te pēpi e whāngai ana.

Ngā Ingoa Waitohu o Trihexyphenidyl

E wātea ana te Trihexyphenidyl i raro i ētahi ingoa waitohu, ahakoa ko te momo generic te mea e tino tohua ana. Ko te ingoa waitohu e mōhiotia ana ko Artane, e wātea ana mō ngā tau maha.

Ko ētahi atu ingoa waitohu ko Apo-Trihex, Trihexane, me ngā momo generic mai i ngā kaihanga rerekē. Kei roto i ngā momo katoa te whakauru kaha kotahi, ā, he rite te mahi, ahakoa ka kite ētahi tāngata i ngā rerekētanga iti i te tere o te urunga, te roa rānei o te pānga.

Ka taea e tō whare rongoā te whakakapi i ngā momo generic rerekē ki te kore tō tākuta e whakahua i tētahi waitohu motuhake. Mēnā ka kite koe i ngā huringa i te mahi o te rongoā i te wā e huri ana i waenga i ngā waitohu, whakamōhio atu ki tō tākuta kia taea e rātou te whakatika.

Ngā Kōwhiringa kē mō Trihexyphenidyl

He maha ngā kōwhiringa kē mō te trihexyphenidyl mō te rongoā i ngā raruraru nekehanga, he painga me ngā whakaaro rātou anō. Ka taea e tō tākuta te kōrero i ngā kōwhiringa kē mēnā kāore te trihexyphenidyl e pai ana mō koe, e pā ana rānei ki ngā pānga taha raruraru.

Ko ētahi atu rongoā anticholinergic ko te benztropine (Cogentin) me te biperiden, he rite tonu te mahi engari he rerekē pea ngā pānga taha. He pai ake te manawanui o ētahi tāngata ki tētahi i tētahi, nā reira he āwhina te huri i waenga i a rātou.

Mō te mate o Parkinson, ko ngā momo rongoā kē ko:

• Carbidopa-levodopa (te paerewa koura mō te rongoā Parkinson)
• Ngā kaiwhakaoho dopamine pēnei i te pramipexole, ropinirole rānei
• Ngā aukati MAO-B pēnei i te rasagiline, selegiline rānei
• Ngā aukati COMT pēnei i te entacapone
• Amantadine mō te whakahaere i te wiri

Mō ngā mate nekehanga i puta mai i te rongoā, ko ngā momo rongoā kē ko te whakaiti i te horopeta o te rongoā e pā ana, te huri ki tētahi atu rongoā hinengaro, te whakamahi rānei i ētahi atu rongoā mō te mate nekehanga pēnei i te tetrabenazine, deutetrabenazine rānei.

He Pai Ake Te Trihexyphenidyl I Te Benztropine?

He whai hua ngā rongoā anticholinergic e rua, te trihexyphenidyl me te benztropine, engari he rerekētanga nui ō rātou e pai ake ai tētahi i tētahi mō ētahi tāngata. Ko te whiriwhiri i waenga i a rātou e whakawhirinaki ana ki ō tohu motuhake, te manawanui ki ngā pānga taha, me ngā hiahia o te oranga.

He maha ngā wā e whakaarohia ana he pai ake te trihexyphenidyl mō te whakahaere i te wiri, ā, he pai ake pea mō ngā tāngata e tino wiri ana. Kei te wātea hoki i roto i ngā momo tuku roa, he pai ake pea mō ētahi tāngata e pai ana ki te iti ake te horopeta.

Ko te benztropine, i tērā taha, he iti ake pea te rangirua me ngā raruraru mahara i roto i ngā pakeke, ā, kei te wātea hei werohanga mō te rongoā ohorere o ngā mate nekehanga koi. He iti ake hoki te waha maroke i roto i ētahi tāngata.

Ka whakaarohia e tō tākuta ngā āhuatanga pēnei i tō tau, ētahi atu āhuatanga hauora, ētahi atu rongoā e tango ana koe, me ō tohu motuhake i te wā e whiriwhiri ana i waenga i ēnei kōwhiringa. Ka whakamātau pea ētahi tāngata i ngā mea e rua kia kite ko wai e pai ake ana mō tō rātou āhuatanga.

Ngā Pātai Auau mō Trihexyphenidyl

Pātai 1. He Haumaru te Trihexyphenidyl mō te Mate Ngākau?

Ka taea te whakamahi i te Trihexyphenidyl mō te hunga e mate ngākau ana, engari me tino mātakitaki me te whakatika i te horopeta. I ētahi wā ka pā te rongoā ki te manawataki o te ngākau, ka piki rānei te tere o te ngākau, nō reira me whakatau e tō tākuta ngā painga ki ngā tūponotanga.

Mēnā he mate ngākau tōu, ka tīmata pea tō tākuta ki te horopeta iti ake, ā, ka mātakitaki i te mahi o tō ngākau. Ka tūtohu pea rātou ki te tirotiro i te manawataki o te ngākau, ina koa ka tīmata i te rongoā, ka whakanui rānei i te horopeta.

Ko te hunga e pāngia ana e ētahi momo mate ngākau pēnei i te ngoikore o te ngākau nui, i ngā arrhythmias mōrearea rānei, tērā pea me karo rātou i te trihexyphenidyl, me whakamahi rānei i raro i te tirotiro hauora tino tata. Me whakamōhio tonu ki tō tākuta mō ngā raruraru o te ngākau i mua i te tīmatanga o tēnei rongoā.

Pātai 2. Me Pēhea Taku Mahi Mēnā I Whakamahi Ahau i te Nui Rawa o te Trihexyphenidyl?

Mēnā i inu tūpono koe i te nui rawa o te trihexyphenidyl, whakapā atu ki tō tākuta, ki te pūtau whakahaere paitini rānei i te wā tonu, ahakoa kei te pai koe. Ka puta pea ngā tohumate nui i te nui rawa o te horopeta, ā, kāore pea e puta tonu.

Ngā tohu o te nui rawa o te horopeta trihexyphenidyl ko te raruraru nui, ngā pohewa, te tere o te ngākau, te uaua ki te manawa, te waha maroke nui, te kore e mimi, te kirika nui, te ngaro rānei o te mōhiotanga. E hiahia ana ēnei tohumate ki te āwhina hauora ohorere tonu.

I te wā e tatari ana koe mō te āwhina hauora, kia marino, kaua e ngana ki te ruaki i a koe anō ki te kore koe e tohutohutia e ngā tākuta. Puritia te pounamu rongoā ki a koe kia whakaatu ki ngā kaiwhakarato hauora te aha me te nui i inu koe.

Hei aukati i te nui rawa o te horopeta tūpono, whakaarohia te whakamahi i te kaiwhakarite pire, te whakatakoto i ngā whakaoho waea, te tono rānei ki ngā mema o te whānau kia āwhina i a koe ki te whai i tō hōtaka rongoā.

Pātai 3. Me Pēhea Taku Mahi Mēnā I Ngaro Ahau i te Horopeta o Trihexyphenidyl?

Mēnā ka ngaro i a koe tētahi horopeta o te trihexyphenidyl, tangohia i te wā ka mahara koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. Kaua rawa e tango i ngā horopeta e rua i te wā kotahi hei utu mō tētahi horopeta i ngaro, nā te mea ka piki ake tō tūponotanga ki ngā pānga taha.

Mēnā kei te tango koe i ngā papa tuku tonu, ā, kua roa kē atu i te 2-3 hāora mai i tō horopeta i ngaro, tērā pea ka hiahia koe ki te karo i te horopeta, ka tatari mō tō horopeta e whai ake nei. Mō ngā kāpene tuku roa, he roa ake te wā, engari kaua e tango i tētahi horopeta i ngaro mēnā kei roto i te 6 hāora o tō horopeta e whai ake nei.

Ko te ngaro i ngā horopeta i ētahi wā kāore i te nuinga o te wā e pā ana ki ngā raruraru nui, engari tērā pea ka kite koe i te hokinga mai o ō tohumate nekehanga. Mēnā ka wareware koe i ngā horopeta i ngā wā katoa, whakaarohia te whakatakoto i ngā whakamaharatanga waea, te whakamahi rānei i tētahi kaiwhakarite pire hei āwhina i te pupuri i ngā taumata rongoā rite tonu.

Q4. Āhea ka taea e au te whakamutu i te tango i te Trihexyphenidyl?

Me whakamutu anake e koe te tango i te trihexyphenidyl i raro i te tirotiro a tō tākuta, nā te mea ko te whakamutu ohorere ka pā mai ngā tohumate tangohanga, me te hokinga tere mai o ō raruraru nekehanga. Ko te whakatau ki te whakamutu ka whakawhirinaki ki tō āhuatanga i raro iho, me te pai o tō urupare ki te rongoā.

Mō ngā āhuatanga rangitahi pēnei i ngā raruraru nekehanga i puta mai i te rongoā, tērā pea ka taea e koe te whakamutu i te trihexyphenidyl i te wā ka whakatauria te take i raro iho. Ko te tikanga ka whakaiti tō tākuta i te horopeta i te wā e haere ana i ngā wiki maha hei ārai i ngā tohumate tangohanga.

Mō ngā āhuatanga mau tonu pēnei i te mate Parkinson, ko te whakamutu i te trihexyphenidyl tērā pea ka whakaarohia mēnā ka raru ngā pānga taha, mēnā rānei ka whai hua ētahi atu rongoā. Heoi, he tokomaha ngā tāngata e haere tonu ana ki te tango i te rongoā i te wā roa hei wāhanga o tā rātou mahere rongoā whānui.

Ngā tohumate tangohanga noa ko te āwangawanga, te kore moe, te whakapairuaki, me te hokinga tere mai o ngā tohumate nekehanga. Ka taea te whakaiti i ēnei mā te whakaiti i te horopeta i te wā e haere ana i raro i te ārahitanga hauora, kaua ki te whakamutu ohorere.

Q5. Ka taea e au te inu waipiro i te wā e tango ana i te Trihexyphenidyl?

He pai ake te karo i te waipiro, te whakaiti ranei i te wa e tango ana i te trihexyphenidyl, na te mea ka puta te hiamoe, te rangirua, me nga raruraru o te ruruku. Ina honoa, ka kino enei paanga, ka nui ake te tupono o te hinga, o nga aitua ranei.

Ka taea hoki e te waipiro te whakapoke i te maha o nga paanga taha o te trihexyphenidyl, tae atu ki te mangai maroke, te kōroke, me te uaua ki te mimi. Ka taea hoki e te whakakotahitanga te whakararu i to whakaaro me to mahara nui atu i te mea ko tetahi matū anake.

Mena ka whiriwhiria e koe te inu waipiro i etahi wa, timata ki nga rahinga iti rawa kia kite me pehea te urupare o to tinana, kaua rawa e inu me te taraiwa, e whakahaere ranei i nga miihini. Me matapaki tonu te whakamahi waipiro ki to taakuta, na te mea ka taea e ratou te tohutohu whaiaro i runga i to ahuatanga motuhake me etahi atu rongoa e tango ana koe.