Atypical antipsychotics inowanzova nemigumisiro ine madambudziko mashoma
Mishonga yose inopesana nemishonga-pasinei nokuti inofungidzirwa inowanzoitwa kana inyanzvi-yakagadzirirwa kubata chirwere chepfungwa. Pfungwa inoreva zviratidzo zvepfungwa zvepfungwa umo pfungwa dzinonyangadza zvakanyanya nenzira iyo munhu anorasikirwa kubata neicho. Zviratidzo izvi zvinogona kusanganisira mazano (zvakadai semanzwi ekunzwa), pfungwa dzepanoidhi , uye kunyengera (nhema dzechitendero.)
Kune hutano huwandu hwehutano pamwe nehutano hwepfungwa dzinogona kukonzera mupfungwa. Zviratidzo zvepfungwa zvinogona kuitika nekushungurudzika zvakadai schizophrenia kana bipolar disorder , kana kuti zvirwere zvakadai sekukuvadzwa kweuropi muhutu.
Mishonga inoshandiswa kurapa psychosis-iyo inowanikwa mumamiriro ezvinhu akadai bipolar disorder uye schizophrenia-inonzi antipsychotics. Antipsychotics yakakamurwa kuva mapoka maviri: "zvinowanzoitwa antipsychotics" uye "atypical antipsychotics."
Zvinyorwa zvinopesana neAtypical Antipsychotics
Vakwegura, chizvarwa chekutanga chinonzi antipsychotic zvinonzi " antipyychotic " uye itsva, yechipiri yezvizvarwa zvinodhaka, izvo zvine maitiro akasiyana-siyana emakemikari, zvinonzi "atypical."
Atypical antipsychotics inewo mamwe matanho akasiyana kana achienzaniswa nevakuru vanorwisa antipsychotics. Zvose zvinowanzoitwa uye zvinopesana nema antipsychotics vanopikisa dopamine, zvinoreva kuti vanovhara dopamine muuropi, kunyange zvazvo chiito ichi chiri kupfuura kwenguva refu neyemauto anypical antidepressants.
Atypical antidipressants inodzivirira serotonin. Kazhinji, atypical antipsychotics inonyanya kushanda uye ine mikana yakawandisa, kunyanya kana inosvika kumusungo unogadzikana (Parkinsonism) uye kushamwaridzana kunokonzera ( tardive dyskinesia ) iyo yakajairika neyero antipsychotics.
Common Atypical Antipsychotics
Kune dzakawanda zvakasiyana-siyana zveatypical antipsychotics.
Zvimwe zvinowanzoonekwa neyemaatropic antipsychotics zvinosanganisira:
Abilify (zita rechiito: aripiprazole) : Abilify yakagamuchirwa neU.S. Food and Drug Administration kuti irarame bipolar I disorder mumakore gumi nemakore, uye schizophrenia kune avo vanopfuura makore gumi nematanhatu. Kana zvakatemerwa bipolar disorder, Abilify kazhinji yakashandiswa panguva yezvinyorwa zvemanic uye inowanzorongerwa nemamwe mafungiro ekugadzirisa zvinodhaka. Abilify inogona kushandiswawo kubata mamwe mimwe mitemo, yakadai sekurwadziwa kwevana vane autism spectrum disorder. Kune maviri maziso mashoma ebhokisi neAbilify sezvo inosanganiswa nehuwandu hwekufa pakati pevanhu vakwegura vane chirwere chepfungwa chinokonzerwa nehutementia, uye kana ichibatanidzwa nevanorwara, zvinowedzera dambudziko rekuzviuraya kune vechidiki nevana.
Clozaril (zita rinowanzoreva: clozapine): Clozaril inoshandiswa kurapa zvakasimba, kurapa kusagadzikana schizophrenia. Hazvibvumirwi kubata bipolar disorder, asi dzimwe dzidzo dzinoratidza kuti inoshanda mu bipolar mania. Iine zvishanu zvingave zvakakomba bhokisi rekuchenesa mabhokisi , kusanganisira pangozi yepamusoro yeropa rekuyera masero, kukanganisa, kuora mwoyo kwemoyo uye kupera simba (nekuda kwekudzivirira kwemuviri wepamusoro apo zvichikwira) uye kuwedzerwa kungozi yekufa kune vakwegura varwere.
Geodon (zita rinowanzozivikanwa: ziprasidone ): Geodon inogamuchirwa kuti schizophrenia uye bipolar disorder, uye inogona kushandiswa pamwe chete nekuda kwezviratidzo zvakasimba uye chirwere chisingaperi. Iyo mishonga inogona kupa mungozi mashoma ekuwedzera kuwanda kupfuura mamwe maatypical antipsychotics, vachiri kushanda zvakajeka kudzora zviratidzo. Vanenge 1 mu4000 vanhu vanogona kukudziridza mwoyo arrhythmia pamishonga uye haifaniri kushandiswa nevaya vane nguva refu yeHT syndrome, vane mwoyo kusakundikana kana kuora mwoyo kwemazuva ano, kana kune avo vane mafungiro emwoyo asina kunaka.
Invega (zita rinowanzo: paliperidone ): Invega iri FDA-inogamuchirwa kurapa schizophrenia kuvanhu vakuru uye vechidiki uye schizoaffective disorder muvanhu vakuru.
Ndiyo chete muromo inypical antipsychotic inogamuchirwa kubata schizoaffective disorder. Mishonga inowanikwawo sejisiko mumwedzi mumwe chete uye mwedzi mitatu miviri. Iyi mishonga inotakurawo nyemba bhenekeri nyevero pamusoro pehuwandu hwekufa kwevatana vakwegura.
Risperdal (zita rinowanzoreva: risperidone ): Risperdal inogamuchirwa kurapa chirwere cheBipolar, schizophrenia, uye kuvhiringidzwa kwevana pa autism spectrum. Inowanikwa mumuromo uye mujenjodzi. Iko inokanganisa inopedza vhiki mbiri.
Seroquel (zita rinowanzoti: quetiapine ): Seroquel inogamuchirwa kurapa chirwere cheBipolar, schizophrenia, uye kuora mwoyo (pamwe chete nevanorambidzana nehana). Dzimwe nguva zvinoshandiswa mune dzimwe mamiriro ezvinhu, zvakadai sokurara, asi inonzi "off label" kushandiswa kwechirwere. Seroquel anowanzokonzera kurara, kana achienzaniswa nedzimwe nhengo dzemajoka anticychotics.
Symbyax : Symbyax inobatanidza olanzapine (Zyprexa), anypical antipsychotic, uye fluoxetine (Prozac), anodzvinyirira. Symbyax inoshandiswa kurapa kuora mwoyo kunokonzerwa nehupipolar disorder pamwe nekurapa kusinganzwisisiki. Sezvimwe nemishonga inopesana nemishonga, Symbyax inogona kuwedzera njodzi yekuzviuraya uye inoita vana, vechidiki, uye vechidiki.
Zyprexa (zita rinowanzoreva: olanzapine ): Zyprexa inobvumirwa kune avo vane bipolar disorder uye schizophrenia, vane makore 13 kana kupfuura. Iyo inogonawo kushandiswa mukurapa-kusinga kuora mwoyo. Kuwedzerwa kwepfumi kunowanzosvibisa chikamu cheZyprexa, kunyanya muvechiri kuyaruka.