Yog koj qhib koj lub txee tshuaj hauv tsev, tej zaum koj yuav pom ib hom tshuaj no. Peb tab tom tham txog qee cov tshuaj siv rau kev ua xua, kev nyuaj siab, mob ntev, xeev siab, lossis pw tsis tsaug zog. Cov no yog cov tshuaj uas peb tau siv rau ntau xyoo lawm. Tab sis kev tshawb fawb tshiab qhia tau tias kev siv cov tshuaj no mus sij hawm ntev yuav tsis zoo rau peb lub hlwb kev noj qab haus huv. Nws tseem yuav ua rau muaj kev pheej hmoo ntawm kev mob
dementia , uas yog kab mob ntawm kev nco qab tsis zoo. Yog li cia peb saib seb cov tshuaj anticholinergic no yog dab tsi, lawv cuam tshuam li cas rau lub hlwb, thiab yuav ua li cas tswj lawv kom muaj kev nyab xeeb.
Cov tshuaj anticholinergic no yog dab tsi tiag?
Hais yooj yim xwb, cov tshuaj no muaj ob pawg tseem ceeb. Pawg thawj yog cov uas peb siv kom ua tiav cov nyhuv anti-cholinergic. Pawg thib ob yog cov uas muab rau lwm lub hom phiaj tseem ceeb, tab sis muaj cov nyhuv anti-cholinergic muaj zog ua ib qho kev phiv. Lub rooj hauv qab no qhia txog qee qhov kev siv cov tshuaj no.
| Mob/siv | Piv txwv ntawm cov tshuaj |
|---|
| Qee cov kab mob tshee hnyo | Benztropine, Trihexyphenidyl |
| Xeev siab thiab ntuav | Scopolamine |
| Kev Tso zis tsis tu ncua | Oxybutynin, Tolterodine |
| Kev nyuaj siab, pw tsis tsaug zog, thiab mob | Cov tshuaj tiv thaiv kev ntxhov siab tricyclic xws li amitriptyline |
| Kev ua xua hnyav heev, pw tsis tsaug zog, thiab ntxhov siab | Cov tshuaj antihistamines qub xws li diphenhydramine (pom muaj nyob rau hauv pyrithione ) thiab hydroxyzine |
Cov tshuaj no cuam tshuam li cas rau peb lub hlwb?
Nws yooj yim heev. Thaum cov tshuaj anti-cholinergic no nkag mus rau hauv lub hlwb, lawv thaiv ib yam tshuaj hu ua
acetylcholine . Cov acetylcholine no yog ib qho neurotransmitter uas tseem ceeb rau kev ua haujlwm ntawm ntau lub neurons hauv lub hlwb. Xav txog koj lub hlwb zoo li lub chaw xa ntawv loj. Acetylcholine yog ib tug neeg xa xov tseem ceeb heev hauv nws. Nws yog qhov uas pab khaws cov kev nco, khaws cov ntaub ntawv hauv lub cim xeeb luv luv, thiab teeb tsa nws mus rau hauv kev nco ntev. Yog li qhov uas cov tshuaj no ua yog cuam tshuam rau txoj haujlwm ntawm tus neeg xa xov ntawd. Yog tias lawv tsis txwv nws tag nrho, lawv txo qhov kev ua haujlwm ntawm cov neurons ntawd.
Kev siv cov no yuav muaj teeb meem dab tsi rau kev ua haujlwm ntawm lub hlwb?
Kev tshawb fawb qhia tau hais tias cov tshuaj no tsis zoo rau koj lub cim xeeb thiab kev xav. Tshwj xeeb, koj siv ntev npaum li cas, nws yuav nyuaj rau rov qab cov teebmeem. Cia peb faib qhov kev pheej hmoo no ua peb lub sijhawm. 1.
Cov teebmeem tam sim ntawd: Txawm tias koj
noj cov tshuaj no ib zaug xwb, koj yuav muaj teeb meem nco qab. Peb tsis xav tias kev noj nws ib zaug yuav ua rau puas tsuaj mus tas li. Tab sis txawm tias siv luv luv xwb los kuj ua rau muaj teeb meem nco qab. 2.
Cov teebmeem luv luv mus sij hawm ntev: Xav txog tias koj tau noj cov tshuaj no
tau ob peb lub hlis . Yog li ntawd, tom qab tso tseg cov tshuaj, nws yuav siv sijhawm ob peb lub hlis rau cov teebmeem ntawm kev nco qab kom ploj mus tag. Feem ntau, hauv cov chaw kho mob, tus neeg mob lub cim xeeb thiab kev xav tau rov ntsuas dua tsawg kawg yog peb lub hlis tom qab tso tseg cov tshuaj zoo li no. 3.
Cov teebmeem ntev: Cov pov thawj uas tau khaws cia ntau xyoo dhau los qhia txog kev sib txuas ntawm cov tshuaj tiv thaiv cholinergic no thiab
kev puas hlwb , tshwj xeeb tshaj yog
tus kab mob Alzheimer .
Leej twg muaj feem yuav raug cov teeb meem no tshaj?
Ob yam tseem ceeb cuam tshuam rau qhov no.
- Kev Laus : Thaum peb laus zuj zus, peb yuav muaj kev cuam tshuam ntau dua rau cov kev phiv ntawm txhua yam tshuaj. Tsis zoo li thaum peb tseem hluas, peb lub cev siv sijhawm ntev dua los rov zoo thaum peb laus zuj zus. Yog li ntawd, peb yuav tsum ceev faj ntxiv nrog peb cov tshuaj. Qhov no yog qhov tseeb tshwj xeeb rau cov tshuaj tiv thaiv cholinergic.
- Kev mob caj ces : Ib txhia neeg muaj kev mob caj ces uas ua rau muaj tus kab mob Alzheimer . Qhov no yog vim muaj ib qho gene variant hu ua ApoE4 . Kev tshawb fawb tau pom tias cov neeg uas muaj gene no muaj feem yuav nco tsis tau zoo thaum lawv noj cov tshuaj anti-cholinergic.
Ib txoj kev tshawb nrhiav pom tias cov neeg hnub nyoog tshaj 55 xyoo uas siv cov tshuaj anti-cholinergic muaj zog ntawm qhov tsawg kawg nkaus txhua hnub rau 3 xyoos dhau 10 xyoo muaj kev pheej hmoo ntawm kev mob dementia 50%.
Yog li ntawd, cov neeg uas siv cov tshuaj no yuav tsum ua li cas?
Qhov tseem ceeb tshaj plaws yog
tsis txhob tsum noj tshuaj uas koj tus kws kho mob tau sau tseg. Ua li ntawd yuav ua rau koj tus mob hnyav zuj zus tuaj. Xav txog koj tam sim ntawd muaj kev tsis haum tshuaj loj heev thiab yuav tsum noj tshuaj thaum ntawd. Kev noj ib zaug xwb tsis yog ib qho teeb meem loj.
Qhov teeb meem yog siv nws ntau zaus thiab ntev heev. Qhov koj yuav tsum ua yog tham nrog koj tus kws kho mob txog cov tshuaj uas koj tab tom noj. "Kws kho mob, cov tshuaj no uas kuv noj puas muaj cov teebmeem tiv thaiv cholinergic? Kuv puas yuav tsum txuas ntxiv noj nws? Puas muaj lwm txoj kev xaiv rau kuv?" Nug koj tus kheej. Feem ntau, yog tias koj txhawj xeeb txog koj lub hlwb kev noj qab haus huv, nws yog qhov zoo tshaj plaws kom nyob deb ntawm cov tshuaj uas muaj cov teebmeem tiv thaiv cholinergic ntau li ntau tau.
Lwm yam tshuaj twg siv tau hloov cov tshuaj no?
Zoo hmoo, niaj hnub no peb muaj lwm txoj kev xaiv uas muaj kev nyab xeeb dua rau ntau yam mob no.
Teeb meem pw tsis tsaug zog
Txoj kev zoo tshaj plaws los ua qhov no yog tsim kom muaj tus cwj pwm pw tsaug zog zoo. Mus pw tib lub sijhawm txhua hnub. Tsum tsis txhob saib koj lub xov tooj lossis TV ua ntej mus pw. Yog tias koj tsis tuaj yeem tsaug zog hauv 15 feeb ntawm kev mus pw, sawv thiab ua lwm yam hauv qhov chaw tsaus ntuj yam tsis muaj koj lub xov tooj rau 15 feeb ua ntej rov qab mus pw. Yog tias tsim nyog, tham nrog koj tus kws kho mob txog kev siv ib yam dab tsi zoo li
melatonin .
Kev Ntxhov Siab thiab Kev Nyuaj Siab
Muaj ntau lwm yam tshuaj uas tsis
muaj cov teebmeem anti-cholinergic rau cov mob no. Piv txwv li, cov tshuaj xws li
Duloxetine siv tau rau kev nyuaj siab thiab mob.Nws kuj yog ib qho cuab yeej muaj zog heev.
Teeb meem tswj kev tso zis
Tam sim no muaj ib tiam tshuaj tshiab rau qhov no thiab uas tsis muaj kev pheej hmoo tiv thaiv cholinergic.
Mirabegron yog ib qho tshuaj zoo li no.
Mob ntev
Kev kho lub cev yuav tsum yog txoj kev kho mob tseem ceeb rau feem ntau cov mob uas mob ntev. Muaj pov thawj tias kev kho lub cev tuaj yeem txo qhov mob tau zoo dua li kev siv tshuaj.
Kev ua xua
Muaj ntau hom tshuaj antihistamines tshiab muaj nyob rau hauv cov khw muag tshuaj. Piv txwv li suav nrog
Cetirizine ,
Fexofenadine , thiab
Levocetirizine . Txawm li cas los xij, ceev faj yog tias koj yuav qee cov tshuaj hnoos thiab mob khaub thuas los ntawm lub khw muag tshuaj uas muaj cov ntawv tom qab "DM" nyob rau thaum kawg ntawm lub npe. Lawv feem ntau muaj
diphenhydramine .
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Qee cov tshuaj uas peb feem ntau siv rau cov mob xws li kev ua xua , mob, thiab pw tsis tsaug zog muaj cov khoom anticholinergic uas tuaj yeem cuam tshuam rau lub hlwb.
- Kev siv cov tshuaj no mus ntev yuav ua rau lub cim xeeb tsis zoo thiab ua rau muaj kev pheej hmoo ntawm kev puas hlwb.
- Tsis txhob tsum noj cov tshuaj uas kws kho mob sau ntawv kom ua ntej koj mus ntsib koj tus kws kho mob.
- Nco ntsoov nrog koj tus kws kho mob tham txog cov tshuaj uas koj noj, lawv cov kev mob tshwm sim, thiab koj cov kev xaiv.
- Thaum twg ua tau, sim cov kev xaiv xws li kev hloov pauv hauv lub neej, kev kho lub cev, thiab kev sab laj ua ntej siv tshuaj.
Anticholinergic, tshuaj, kev noj qab haus huv ntawm lub hlwb, kev puas hlwb, kev nco tsis zoo, kev tsis nco qab, cov kev mob tshwm sim, cov kev mob tshwm sim, Alzheimer's
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus