Noj qab haus huv, Npaj
Antiemetic tshuaj nyob rau hauv cov kws khomob: cov kev kho mob ntawm xeev siab nyob rau hauv cov neeg mob cancer
Cov neeg uas muaj mob cancer feem ntau muaj mob vim lub fact tias cov kev kho mob zoo heev muaj feem xyuam rau lub cev. Antiemetics rau cov kws khomob cov neeg mob yuav tsum tau siv thaum lub sij hawm thiab tom qab kev kho mob. Ntuav yog txaus ntshai rau lub cev, raws li nws muaj peev xwm ua rau lub cev qhuav dej.
Ua rau ntuav
Nyob rau hauv cov kev kho mob ntawm cancer kws khomob feem ntau ntuav. Qhov no yog vim cov teebmeem nyob ntawm lub kev txawj ntawm cov tshuaj uas lwv nrog kab mob qog hlav cov ntaub ntawv. Feem ntau cov kev kho mob nce ntshav calcium (hypercalcemia) thiab ntuav yog ib tug tiv thaiv txiav txim, tej nyob rau hauv uas tshaj tso zis.
Variations nyob rau hauv lub tshuaj kho ntuav
Thaum lub sij hawm kev kho mob nyob rau hauv cov neeg uas muaj mob cancer, cov kws kho mob paub qhov txawv ob hom ntuav.
Cov muaj xws li:
- mob ntuav, uas manifests nws tus kheej thaum lub sij hawm thawj hnub tom qab pib ntawm txoj kev kho;
- ntuav ncua, uas yog qhia rau 2 los yog 5 hnub tom qab pib ntawm txoj kev kho.
Mob ntau yam ntawm cov feem ntau ceev nrooj thiab feem ntau. Antiemetics rau cov kws khomob thiab mob ntuav yuav tsum tau coj tom qab qhov tshwm sim ntawm kev xeev siab thiab retching. Cov kws kho mob tsis pom zoo kom cov tshuaj mus xaiv lawv tus kheej, vim hais tias tus neeg mob yuav ua ib tug yuam kev nrog rau cov kev xaiv ntawm txhais tau tias, thiab nws yuav pab tsis tau.
Thaum lub deferred ntau ntau yam antiemetic tshuaj tom qab cov kws khomob tau mus ua kom tiav disappearance ntawm retching.
Tshuaj siv nyob rau hauv cov ntuav
Kev kho mob rau mob cancer tsis yog pab lub cev tiv nrog tus kab mob no, tab sis kuj ua rau ib txhia phiv. Feem ntau yog suav tias yog ntuav, nws yuav ua tau kom lub cev qhuav dej thiab paug tus mob ntawm tus neeg mob.
Nyob rau hauv niaj hnub tshuaj, muaj cov tshuaj uas muaj peev xwm tiv thaiv kom txhob muaj tshwm sim ntawm ntuav.
Feem ntau cov feem ntau, cov kws kho mob siv cov nram qab no cov cuab yeej:
- phenothiazines ( "prochlorperazine");
- benzodiazepines ( "Lorazepam");
- butyrophenones ( "Haloperidol");
- corticosteroids ( "Methylprednisolone");
- Cannabinoids ( "Dronabinol");
- Metoclopramide ( "Raglan").
Thaum cov nyiaj uas teev tseg saum toj no yog tsis tuaj kawm ntawv los yog tam sim no nyob rau hauv qhov tsawg kawg nkaus naj npawb ntawm cov kev phiv. Antiemetics rau cov kws khomob yog ua nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab tshuaj. Lawv yuav tsum tau siv nyob rau hauv kev ua raws cai nrog tag nrho cov tswv yim pom zoo ntawm tus kws kho mob thiab nyob rau lub sij hawm. Yuav kom cuam tshuam lawv tus kheej cov chav kawm ntawm kev kho mob yog undesirable vim hais tias nws yuav ua tau kom muaj teeb meem thiab ib tug poob rau hauv tus neeg mob lub xeev kev kho mob.
Muaj tej lub sij hawm thaum xeev siab thiab ntuav tsis txhob tom qab cov kev kho mob ntawm cancer, ces kws kho mob pom zoo kom noj cov tshuaj txawm tias tom qab txoj kev kho. Thaum muaj tej lub sij hawm, thov xa mus rau lub koom neeg, yog li ntawd nws tau sau npe lwm yam antiemetic tshuaj rau cov neeg mob tom qab cov kws khomob.
Piv antiemetics
tshuaj lub npe | tso tawm daim ntawv | zaj lus tim khawv | Contraindications | phiv | nqi (Tshiav) |
"Haloperidol" | ntsiav tshuaj | Lub suab qw, ntuav, xeev siab, nros, premedication ua ntej phais, psychoses. | Cov me nyuam mus txog lub hnub nyoog 3.5 xyoos, cev xeeb tub, lactation, cov kab mob ntawm lub hauv paus poob siab system. | Arrhythmia, impaired quav, tej ntshav siab, jaundice. | 25-40 |
"Lorazepam" | Ntsiav tshuaj thiab tshuaj | Ntxhov siab vim, kev nyuaj siab, xeev siab thiab ntuav, psychosis, nqaij rigidity, co. | lub hlwb tus kab mob, haus dej cawv siv, cev xeeb tub thiab lactation, cov me nyuam nyob rau hauv lub hnub nyoog ntawm 12 xyoo. | Feeb tsis meej, ib tug flash ntawm kev ntshai thiab aggression, diplopia, anemia, mob ntawm lub genitourinary system. | - |
"Dronabinol" | Ntsiav tshuaj thiab tshuaj | Anorexia, xeev siab, ntuav. | Tsis ntaub ntawv | Hallucinations. | - |
"Methylprednisolone" | ntsiav tshuaj | Erythema, dermatitis, ntuav, adrenal hyperplasia, koob tshuaj tiv thaiv, psoriasis. | Intolerance rau lub Cheebtsam ntawm yeeb tshuaj, cov me nyuam nyob rau hauv 3 xyoos. | Qaug dab peg, mob plab ulcers, txha, flatulence, intracranial siab, hallucinations. | 70-90 |
"Raglan" | ntsiav tshuaj | Dyspepsia, xeev siab, ntuav, kev npaj rau txoj hnyuv xeem (mob huam). | GLAUCOMA, perforation ntawm lub plab los sis hnyuv, qaug dab peg, feohromotsit. | Nkees nkees, kiv taub hau, lub taub hau mob, kev nyuaj siab, flatulence, ua txhaum ntawm ib lub rooj zaum. | 100-200 |
Principles of antiemetic txoj kev kho
Yuav kom ua tau qhov zoo tshaj plaws kev tshwm sim nyob rau hauv cov kev tswj ntawm ntuav, cov kws kho mob tau tsim ib tug tshwj xeeb cov hoob kawm nyob rau kev siv ntawm cov nyiaj los mus tiv thaiv gagging.
- Antiemetics rau cov kws khomob cov neeg mob yuav tsum tau siv sij hawm thawj hnub ntawm kev kho mob.
- Nyob rau hauv tej rooj plaub, qhov yuav tsum tau rau kev kho mob.
- Nws yog tsim nyog yuav tau mus thov kev tiv thaiv kom tsis txhob tshwm sim ntawm ncua emesis.
- Antiemetic txoj kev kho yog siv thoob plaws hauv lub chav kawm ntawm cov kws khomob, tsis tsuas yog nyob rau lub sij hawm ntawm retching.
- Yog hais tias daim ntawv thov txhais tau tias nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab tshuaj tsis yooj yim sua, cov kws kho mob muab cov tshuaj antiemetic tshuaj nyob rau hauv cov kws khomob nyob rau hauv suppositories.
Raws li tej kev cai thiaj li muaj kev xeev siab thiab ntuav. Nws thiaj li tshwm sim hais tias nyob rau hauv cov kev kho mob ntawm ntuav yog tseem tam sim no, nyob rau hauv xws li mob nws yog tsim nyog los tham ib tug kws kho mob los mus txiav txim qhov ua rau los yog hloov cov khoom. Qhov no tej zaum yog vim habituation mus rau lub chaw thaum nws yog ib tug ntev txais tos los yog tsis raws kev cai nrog cov tswv yim pom.
Cov tshwm sim ntawm ntuav neeg sib txawv thaum lub sij hawm cov kws khomob
Ntuav tsis tshwm sim nyob rau hauv tag nrho cov neeg nyob rau hauv cov kev kho mob ntawm cancer. Txhua tus neeg mob teb rau tej kev kho mob nyob rau hauv lawv tus kheej txoj kev. Nyob rau hauv ib co tsim ntuav, kiv taub hau, lwm leej lwm tus tshwm sim.
Feem ntau cov feem ntau, xeev siab thiab ntuav tshwm sim nyob rau hauv cov poj niam hnub nyoog txog li 40 xyoo yog tias tsis kho. Antiemetics rau cov kws khomob, cov npe ntawm cov uas tau muab piav qhia saum toj no, pab kom tiv nrog lub phiv tsis kaj siab xws li ntuav.
Muaj yog ib tug tswvyim hais ua dabneeg hais tias lub siab koob tshuaj ntawm ib tug anti-emetic tshuaj, qhov ntau dua nws cov hauj lwm zoo - nws tsis yog. Npaj yuav tsum tau noj nruj me ntsis rau tus kws kho mob lub tswv yim thiab ua raws li lawv muab koob tshuaj. Tib txoj kev mus cuag ib tug zoo dua tshwm sim.
Nyob twj ywm noj qab nyob zoo!
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