Mea Kākau: Randy Alexander
Lā O Ka Hana: 27 Apelila 2021
HōʻAno Hou I Ka Lā: 18 Nowemapa 2024
Anonim
Nā Anticholinergics - Ola Kino
Nā Anticholinergics - Ola Kino

Anter

E pili ana i nā anticholinergics

ʻO nā Anticholinergics nā lāʻau lapaʻau e ālai i ka hana o. ʻO Acetylcholine kahi neurotransmitter, a i ʻole he ʻelele kemika. Hoʻololi ia i nā hōʻailona ma waena o kekahi mau huna e hoʻopili i ka hana o kou kino.

Hiki i nā Anticholinergics ke mālama i nā ʻano ʻano like ʻole, me:

  • incontinence mimi
  • ʻōkuhi overactive (OAB)
  • maʻi pulmonary maʻi kūpilikiʻi (COPD)
  • kekahi ʻano ʻona

Kōkua pū lākou i ka pale ʻana i nā neʻe musele i pili ʻole i kekahi mau maʻi e like me ka maʻi ʻo Parkinson. I kekahi manawa, hoʻohana ʻia lākou ma mua o ke ʻoki e kōkua i ka mālama ʻana i nā hana o ke kino ʻoiai mālama ʻia kahi kanaka me ka anesthesia.

Heluhelu mai no:

  • kahi papa inoa o nā lāʻau anticholinergic
  • ka ʻike e pili ana i kā lākou hana
  • ka mea āu e ʻike ai e pili ana i kā lākou pilikia a me nā hopena ʻaoʻao

Papa inoa o nā anticholinergics

Loaʻa nā Anticholinergics me ke kauka o ke kauka. Eia kekahi laʻana o kēia mau lāʻau:


  • atropine (Atropen)
  • nā alkaloid belladonna
  • benztropine mesylate (Cogentin)
  • clidinium
  • cyclopentolate (Cyclogyl)
  • darifenacin (Enablex)
  • dicylomine
  • fesoterodine (Toviaz)
  • flavoxate (Urispas)
  • glycopyrrolate
  • homatropine hydrobromide
  • hyoscyamine (Levsinex)
  • ipratropium (Atrovent)
  • orphenadrine
  • ʻoxybutynin (Ditropan XL)
  • propantheline (Pro-banthine)
  • scopolamine
  • methscopolamine
  • solifenacin (VESIcare)
  • tiotropium (Spiriva)
  • tolterodine (Detrol)
  • trihexyphenidyl
  • trospium

ʻOiai hoʻolaha ʻia e like me kahi antihistamine e lawe ʻia no nā maʻi āpau a ma ke ʻano he kōkua hiamoe, diphenhydramine (Benadryl) kekahi i loaʻa i nā hopena anticholinergic.

Hana kēlā me kēia lāʻau e mālama i nā kūlana kikoʻī. E koho kāu kauka i ka lāʻau maikaʻi loa no kou maʻi.

IKE ANEI OU?

Loaʻa kekahi anticholinergics mai nā mea kanu o ka ʻohana nighthade make i kapa ʻia ʻo Solanaceae. ʻO ka puhi ʻana i nā aʻa, nā koʻokoʻo, a me nā ʻanoʻano o kēia mau mea kanu e hoʻokuʻu i nā anticholinergics.Hoʻohana ʻia ka hanu ʻana o ka uahi no nā makahiki he haneli e mālama i nā maʻi ākea ākea.


Pehea e hana ai nā anticholinergics

Palaka nā Anticholinergics i ka acetylcholine mai ka hoʻopaʻa ʻana i kāna mau mea loaʻa ma kekahi mau ʻalolo aʻa. Kāohi lākou i nā hana i kapa ʻia nā impulses nerve parasympathetic.

ʻO kēia mau ʻalalā nerve ke kuleana no ka neʻe ʻana o ka mākala i ʻole i ka:

  • ʻōpū gastrointestinal
  • māmā
  • ʻāpana mimi
  • nā ʻāpana ʻē aʻe o kou kino

Kōkua nā mākala nerve i ka mālama ʻana i nā hana e like me:

  • liʻiliʻi
  • ʻohi hoʻoheheʻe
  • urination
  • huna mucus

Hiki ke hōʻemi i nā hōʻailona acetylcholine:

  • neʻe mākala helehelena ʻole
  • ʻohi hoʻoheheʻe
  • huna mucus

ʻO ia ke kumu e hiki ai i kēia mau lāʻau ke hana i kekahi mau hopena ʻaoʻao, e like me:

  • mālama mimi
  • he waha maloo

Hoʻohana

Hoʻohana ʻia nā Anticholinergics e mālama i nā ʻano ʻano like ʻole. Pākuʻi ʻia kēia mau mea:

  • maʻi pulmonary pulupulu paʻa (COPD)
  • overactive bladder a me ka incontinence
  • nā maʻi gastrointestinal, e like me ka diarrhea
  • hānō
  • dizziness a me ka neʻe maʻi
  • lāʻau make i hoʻokumu ʻia e nā toxins e like me organophosphates a i ʻole muscarine, i loaʻa paha i loko o kekahi mau insecticides a me nā ʻalalā ʻawahia.
  • nā ʻōuli o ka maʻi ʻo Parkinson, e like me ka neʻe ʻana o ka mākala kino ʻole

Hiki ke hoʻohana pū ʻia nā Anticholinergics ma ke ʻano he relant Muscle i ke kaʻi ʻana e kōkua me ka anesthesia. Kōkua lākou:


  • mālama i ka puʻuwai maʻamau
  • hoʻomaha i ke kanaka
  • hoʻēmi i nā huna kuha

Kauoha kekahi mau kauka i nā anticholinergics no ka hoʻohana ʻana ma waho o ka lepili e kōkua ai i ka hōʻemi ʻana i ka sweating nui. ʻO nā anticholinergics i hoʻohana pinepine ʻia no kēia mālama ʻana:

  • kalima glycopyrrolate
  • oxybutynin ʻōpana waha

Nā ʻōlelo aʻoaʻo

E like me ka nui o nā lāʻau, hele mai nā anticholinergics me nā ʻōlelo aʻoaʻo.

Ka luhi wela a me ka hahau wela

Hoʻoemi nā Anticholinergics i ka nui o kou hou, hiki ke piʻi aʻe ka mahana o kou kino. ʻOiai e lawe nei i kekahi o kēia mau lāʻau, e akahele pono ʻaʻole e wela i ka wā:

  • hoʻoikaika kino
  • ʻauʻau wela
  • wā wela

Hiki i ka sweating hōʻemi ke hoʻoweliweli iā ʻoe i ka wela wela.

Overdose a me ka waiʻona

ʻO ka hoʻohana ʻana i nā lāʻau anticholinergic he nui loa i hiki ke hopena i ka makaʻu ʻole a i ka make paha. Hiki i kēia mau hopena ke hana inā lawe ʻoe i nā anticholinergics me ka waiʻona. ʻO nā hōʻailona o kahi overdose e komo pū:

  • ʻūpā
  • hiamoe nui
  • fiva
  • hoʻohiwahiwa koʻikoʻi
  • huikau
  • pilikia hanu
  • clumsiness a me ka slurred ʻōlelo
  • puʻuwai wikiwiki
  • ka pīpī a me ka mehana o ka ʻili

Inā manaʻo ʻoe ua lawe nui ʻoe a i ʻole kekahi mea āu i ʻike i kēia lāʻau lapaʻau, e kāhea aku i kāu kauka a i ʻole e ʻimi i ke alakaʻi mai ka ʻAhahui ʻAmelika Hui Pū ʻIa Poison ma 1-800-222-1222 a i ʻole ma o kā lākou mea pono pūnaewele.

Inā koʻikoʻi kāu mau ʻōuli, e kāhea iā 911 a i ʻole e hele koke i kahi lumi pilikia kokoke.

Nā kūlana hakakā

Hiki ke hoʻohana i nā Anticholinergics e mālama i nā ʻano he nui, akā ʻaʻole na kēlā me kēia mea. ʻO kahi laʻana, ʻaʻole kuhikuhi ʻia kēia mau lāʻau no ka poʻe kahiko.

ʻIke ʻia nā Anticholinergics e hoʻolilo i ka huikau, ka nalowale ʻana o ka hoʻomanaʻo ʻana, a me nā hana noʻonoʻo i loko o ka poʻe i ʻoi aku ma mua o 65 mau makahiki. I ka ʻoiaʻiʻo, ua hoʻopili ka hoʻohana ʻana o anticholinergics me ka hoʻonui ʻia o ka makaʻu o ka dementia.

Eia kekahi, ʻaʻole pono ka poʻe me nā ʻano aʻe e hoʻohana i nā anticholinergics:

  • myasthenia gravis
  • hyperthyroidism
  • glaucoma
  • prostate hoʻonui ʻia
  • hypertension (kiʻekiʻe ke koko kiʻekiʻe)
  • blockage tract uraa
  • hoʻonui ʻia ka helu o ka puʻuwai (tachycardia)
  • puʻuwai puʻuwai
  • waha maloʻo loa
  • hernia hiatal
  • paʻa paʻa
  • maʻi maʻi ate
  • Down syndrome

E haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau ʻano. Eia kekahi, e haʻi i kāu kauka inā he mōʻaukala kāu i nā anticholinergics.

ALOHA ANA I KA HANA MA NA MAKAHIKI KAHIKO

Paipai ikaika ka American Geriatrics Society e hōʻalo i ka hoʻohana ʻana i nā lāʻau anticholinergic i ka poʻe mākua. ʻO kēia no ka mea paha e ʻike paha ka poʻe ʻelemakule i nā hopena i makemake ʻole ʻia ma mua o ka poʻe ʻōpio.

Nā hopena ʻaoʻao

ʻOiai ke hoʻohana pono ʻana i kēia lāʻau, hiki ke hopena i nā hopena. Pili nā hopena ʻē aʻe o anticholinergics i ka lāʻau kikoʻī a me nā lāʻau āu e lawe ai.

Hiki i nā hopena ʻaoʻao ke hoʻopili i:

  • waha maloo
  • ʻike hihi
  • kōpaʻa
  • hiamoe
  • hoʻomālie
  • nā ʻōlelo hoʻohiwahiwa
  • pilikia pilikia hoʻomanaʻo
  • pilikia urino
  • huikau
  • hoʻohoka
  • hoʻēmi i ka hou ʻana
  • hoʻemi i ka lihi
KE KAUOHA DEMENTIA

o nā anticholinergics, a me ka hoʻohana ʻana i kēia mau lāʻau i, ua hoʻopili ʻia me ka hoʻonui ʻia o ka makaʻu o ka dementia. Inā ua kuhikuhi ʻia ʻoe i kekahi o kēia mau lāʻau a hopohopo e pili ana i kēia pilikia, e kamaʻilio pū me kāu kauka.

E kamaʻilio me kāu kauka

Hiki ke hoʻohana i nā Anticholinergics e mālama i nā ʻano ʻano like ʻole. Inā manaʻo ʻoe hiki i kekahi o kēia mau lāʻau ke kōkua iā ʻoe, e kamaʻilio me kāu kauka.

Hiki i kāu kauka ke hoʻoholo inā he koho maikaʻi loa ka mālama ʻana me kahi anticholinergic. Hiki iā lākou ke pane i kāu nīnau e pili ana i:

  • nā pilikia
  • nā hopena ʻaoʻao
  • he aha ka mea e manaʻo ai me ka lāʻau

Ke laina lalo

Hoʻopau nā lāʻau Anticholinergic i ka hana a kahi neurotransmitter i kapa ʻia acetylcholine. Hoʻopili kēia i nā impulses nerve e kuleana no ka neʻe ʻana i nā mākala me nā hana like ʻole o ke kino.

Hiki i kēia mau lāʻau lapaʻau ke mālama i nā ʻano ʻano like ʻole, mai ka bladder overactive i ka maʻi pulmonary obstructive maʻi mau loa.

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