He aha ka maʻi maʻi neuroleptic malignant, nā hōʻailona nui a pehea e mālama ai

Anter

• Nā hōʻailona nui
• ʻO wai ka mea ʻino loa
• Pehea e hana ai i ka lāʻau
• Nā pilikia i hiki

ʻO ka Neuroleptic malignant syndrome kahi hopena koʻikoʻi i ka hoʻohana ʻana o nā lāʻau neuroleptic, e like me haloperidol, olanzapine a i ʻole chlorpromazine a me antiemetics, e like me metoclopramide, domperidone a promethazine paha, e laʻa ai i ka blockamine blockage. ʻOiai he kakaikahi, hiki i kēia maʻi ke hoʻoweliweli i ke ola inā ʻaʻole i hoʻomaka koke ʻia ka lapaʻau a, no laila, pono e makaʻala i nā ʻōuli kūpono e kū aʻe ma hope o ka hoʻohana ʻana i kēia ʻano lāʻau.

No laila, ke hōʻike ʻia nā hōʻailona e like me ke kuni ma luna o 39º C, ka paʻakikī i ka neʻe ʻana o nā lālā a i ʻole ka hoʻonāukiuki nui loa, ma hope o ka hoʻohana ʻana i kēia ʻano lāʻau, koi ʻia e hele wikiwiki i ka haukapila, e nānā ai i ka pilikia, e hōʻoia i ka hōʻoia a hoʻomaka ka hapa nui. lapaʻau kūpono.

Nā hōʻailona nui

ʻO nā ʻōuli maʻamau o ka maʻi maʻi neuroleptic maʻi pū kekahi:

• ʻO ke kuni kiʻekiʻe, ma luna o 39ºC;
• Manaʻo o ka pōkole o ka hanu;
• ʻOʻoleʻa o ka ʻili;
• Pākuʻi ʻole a wikiwiki hoʻi ka puʻuwai;
• Ka paʻakikī e hoʻoneʻe i kou mau lima a me kou mau wāwae;
• Hoʻololi i ka noʻonoʻo, e like me ka huikau, ka hoʻonāukiuki a me ka maʻule paha;
• Hoʻonui ka sweating;
• ʻOʻoleʻa o ka mākala, hele pū me nā haʻalulu;
• Incontinence Sphincter;
• Hoʻololi koke i ke kahe o ke koko.

Hiki ke ʻike ʻia kēia mau ʻōuli i kēlā me kēia e mālama nei i nā lāʻau me nā lāʻau neuroleptic, akā hiki ke hana ʻia i loko o nā pule ʻelua mua o ka mālama ʻana.

Ma ka haukapila, ma kahi o ka loiloi ʻana i nā ʻōuli, kauoha paha ke kauka i kekahi mau hoʻokolohua, e like me nā hoʻokolohua koko a me / a i ʻole nā ​​hoʻokolohua no ka hana puʻupaʻa a me ke ake, i hiki ke hōʻea maʻalahi i ka hōʻailona.

ʻO wai ka mea ʻino loa

ʻOiai ʻaʻole hiki ke wānana i ka mea e ʻeha i ka maʻi maʻi neuroleptic malignant, ʻike ʻia ʻo ka poʻe i ʻike maʻamau i ka hoʻonāukiuki a i ʻole ka lawe ʻana i nā lāʻau kiʻekiʻe loa o nā lāʻau neuroleptic e hoʻomohala i ka maʻi.

Pehea e hana ai i ka lāʻau

Hana maʻamau i ka haukapila e nānā i ka loli o nā ʻōuli a me ka lawelawe ʻana i ka lāʻau i loko o ke aa koko. ʻO nā ʻano maʻamau o ka lapaʻau ʻana:

• Hoʻomaha ʻia ka lāʻau nāna i hāpai i ka maʻi maʻi;
• Hoʻohana o ke kalapona hana: kōkua i ka hoʻēmi ʻana i ka adsorption lāʻau, inā i hiki mai kaʻai ʻana i hala iho nei;
• Serum pololei i loko o ka aa: mālama i ka hydration kūpono a mālama i ka pae o nā meaola i ke kino;
• Nā Laʻau Hoʻomaha Muscle, e like me Dantrolene: hoʻomaha i ka ʻāʻī o ka mū ma muli o ka hoʻāla ʻana i ka ʻōnaehana hopohopo;
• Nā lāʻau Antipyretic, e like me paracetamol a i ʻole dipyrone: hoʻemi i ka mahana o ke kino a hakakā i ka fiva.

Eia hou, hiki i ke kauka ke hoʻohana i nā hana ʻē aʻe, e like me ka electroconvulsive therapy a i ʻole plasmapheresis, e laʻa me.

Kaukaʻi ʻia i ka manawa o ka hoʻomohala ʻia ʻana o ka maʻi, pono e mālama ʻia nā pilikia e like me ka hōʻino ʻole o ke kōpaʻa a i ʻole ka hōʻemi ʻana i ka pae o ka oxygen i ke kino. E ʻike pehea e mālama ʻia ai ka maikaʻi ʻole o ka hakuʻala.

Nā pilikia i hiki

Ke mālama pono ʻole ʻia ka maʻi maʻi neuroleptic malignant a i ʻole hoʻomaka ʻia ka lapaʻau ʻana i ka manawa, kū mai nā ʻano pilikia like ʻole, e like me ka holo pono ʻole o ka puʻupaʻa, ka hopu ʻana i ka maʻi, ka niumonia, ka maikaʻi ʻole o ke ake a me ka embolism pulmonary. I nā hihia ʻoi loa, hiki ke loaʻa ka hanu a me ka hopu ʻana i ka naʻau.