๐—”๐—ฅ๐—ข๐—ก ๐—ฆ๐—ง๐—จ๐——๐—ฌ
13.4K subscribers
1.33K photos
11 videos
555 files
687 links
ุจุณู… ุงู„ู„ู‡ ุงู„ุฑุญู…ู† ุงู„ุฑุญูŠู…

ุงู„ู„ู‡ู… ุตู„ ุนู„ู‰ ู…ุญู…ุฏ ูˆุขู„ ู…ุญู…ุฏ

ู…ุญุชูˆู‰ ุงู„ู‚ู†ุงุฉ:
ุดุฑูˆุญุงุช ุตูŠุฏู„ุฉ
ุนุถูˆูŠุฉ ู…ุฑุญู„ุฉ ุซุงู†ูŠุฉ ูƒูˆุฑุณ ุซุงู†ูŠ
ูุงุฑู…ุง ู…ุฑุญู„ุฉ ุซุงู„ุซุฉ ูƒูˆุฑุณ ุซุงู†ูŠ
ูุงุฑู…ุง ู…ุฑุญู„ุฉ ุฑุงุจุนุฉ ูƒูˆุฑุณ ุงูˆู„
ูุงุฑู…ุง ู…ุฑุญู„ุฉ ุฑุงุจุนุฉ ูƒูˆุฑุณ ุซุงู†ูŠ
ุนู„ุงุฌูŠุงุช ู…ุฑุญู„ุฉ ุฎุงู…ุณุฉ

ู„ู„ุชูˆุงุตู„:
Insta: hussian_8x

@AronX2bot
Download Telegram
Schizophrenia.pdf
22 MB
โค1๐Ÿ‘1
๐—”๐—ฅ๐—ข๐—ก ๐—ฆ๐—ง๐—จ๐——๐—ฌ
https://youtu.be/C9vQ6n5YGxE?si=xadtLKq5VofuGDzf
https://youtu.be/7SyTpEdhBLw?si=NiKbYDTt4EGjo8bo


https://youtu.be/QORlwMeWOeU?si=rifLSltvF0ulKRXw

ุงุฎูˆุงู†
ู‡ุงูŠ ุจุนุถ ุงู„ุญุฑูƒุงุช ุงู„ูŠ ุงุณุชุนุฑุถุชู‡ุง ุงู„ูƒู… ุจุงู„ู…ุญุงุถุฑุฉ ุฎุงู ุชุญุชุงุฌูˆู†ู‡ุง

#schizophrenia
โค3
A 28-year-old male with schizophrenia has failed two adequate trials of second
generation antipsychotics
He continues to experience persistent hallucinations and delusions. Which medication should be considered next according to treatment guidelines?
Anonymous Quiz
7%
A) Combination of risperidone and olanzapine
8%
B) Haloperidol long-acting injection
73%
C) Clozapine monotherapy
9%
D) Ziprasidone with mood stabilizer
4%
E) Quetiapine with antidepressant
โค5
๐—”๐—ฅ๐—ข๐—ก ๐—ฆ๐—ง๐—จ๐——๐—ฌ
A 28-year-old male with schizophrenia has failed two adequate trials of second
generation antipsychotics
He continues to experience persistent hallucinations and delusions. Which medication should be considered next according to treatment guidelines?
ุงู„ู…ุฑูŠุถ ุนู†ุฏู‡ Schizophrenia ูˆูุดู„ ููŠ ู…ุญุงูˆู„ุชูŠู† ุงู†ุทูˆู‡ ู…ุฑุชูŠู† ุนู„ุงุฌุงุช antipsychotic ูˆู…ุง ูุงุฏ ูˆูŠุงู‡ ุจู‚ุช ุนู†ุฏู‡ ุงู„ุงุนุฑุงุถ:

Hallucinations
Delusions
ู‡ุฐู‡ ุงู„ุญุงู„ุฉ ู†ุณู…ูŠู‡ุง
Treatment-resistant schizophrenia

ุฎู„ุต ู…ุง ุฏุงู… ุงู„ุญุงู„ุฉ resistance
ุงู„ุนุฑุงุจ ู‡ู†ุง ูˆุงู„ุนู„ุงุฌ ุงู„ู…ูุถู„ ู‡ูˆ Clozapine

#schizophrenia
โค8
Regarding schizophrenia treatment: Which statement is Not Correct about the treatment of schizophrenia?


A) Long acting injectable risperidone is more effective than oral risperidone in preventing relapse over a lyear period for first episode schizophrenia โœ…

B) Clozapine has superior efficacy for suicidal behavior โœ…

C) SGAs exhibit high D2 antagonism and low SHT2A antagonism โŒ
ุจุงู„ุนูƒุณ

D) Base antipsychotic selection on concurrent medical or psychiatric disorders โœ…


E) In first episode, initial dose of antipsychotics should be at the lower end of the range โœ…

ู†ุตุง
ุฌูˆุงุจ C
ูˆุฒุงุฑูŠ 2025 ุฏ 1

#schizophrenia
โค5
Schizophrenia is primarily associated with:

A) Decreased acetylcholine activity in the thalamus

B) Increased norepinephrine activity in the hippocampus

C) Hyperactivity of dopaminergic processes in the mesocaudate

D) Increased serotonin activity in the cerebellum late

E) Hypoactivity of dopaminergic processes in the mesocaudate

ุณู‡ู„ ุฏูˆุฑ ุงูˆู„ 2025

ุฐูƒุฑุช ุงู†ู‡ ุชุตูŠุฑ ุฒูŠุงุฏุฉ ุจู†ุดุงุท ุงู„ุฏูˆุจุงู…ูŠู† ุจู…ู†ุทู‚ุฉ ุงู„ mesocaudate ุงูˆ ุงู„ mesolimbic

ูˆู‚ู„ุฉ ู†ุดุงุท ุงู„ุฏูˆุจุงู…ูŠู† ุจู…ู†ุทู‚ุฉ ุงู„ mesocortical ุงูˆ cortex

ุฌูˆุงุจ E ุฎุทุฃ
ุงู„ุตุญ C

ู…ู† ูŠุฌูŠ ู‡ูŠุฌ ุณุคุงู„ ุงู‚ุฑูˆุง ุงู„ุงุฌุงุจุงุช ู„ู„ุงุฎูŠุฑ

#schizophrenia
โค4
A 22-year-old male with a history of schizophrenia is brought to the emergency department with complaints of sudden painful neck twisting and upward eye deviation that started a day after receiving a high dose of haloperidol for acute psychosis.

He was diagnosed with drug-induced dystonia.

All the following are considered risk factors for dystonia in this patient except:


A) Use of high-potency first-generation antipsychotics (FGAs)

B) High-dose antipsychotic therapy

(C) Male gender

D) Young age

E) Use of second-generation antipsychotics (SGAs)

ุจู…ุญุงุถุฑุฉ ุงู…ุณ ูƒู„ุช ุงู„ูƒู… ุงู†ู‡ ุฎุทูˆุฑุฉ ุงู„ dystonia ุชุฒุฏุงุฏ ุงุฐุง ุงู„ู…ุฑูŠุถ ุฌุงู† ู…ุณุชุฎุฏู… high dose ู„ูˆ FGA ุงู„ูŠ ุชูƒูˆู† ู‚ูˆูŠุฉ high Potency ูˆู‡ู…ูŠู†ู‡ ุงุฐุง ุงู„ู…ุฑูŠุถ ุดุงุจ ูˆ male

ูˆุงู„ุงู‚ู„ ุฎุทูˆุฑุฉ ู…ู†ูˆุŸ
ุงู„ู€ SGA ูู‡ูˆ ุงู„ุฌูˆุงุจ ุงู„ุตุญูŠุญ E

#schizophrenia
โค3
ุฃุซู†ูŠู† ู…ุงูƒูˆ ุบูŠุฑู‡ู† ูŠูƒูˆู†ูˆู† low Potency ู…ู† ุงู„ุฌูŠู„ ุงู„ุงูˆู„

ูˆูˆูŠุงู‡ู† ุงุฏูˆูŠุฉ ุงู„ุฌูŠู„ ุงู„ุซุงู†ูŠ ูƒู„ู‡ู†

ูˆุงู„ Potency ุงู„ู…ู‚ุตูˆุฏุฉ ู‡ู†ุง ู‡ูŠ ู‚ูˆุชู‡ู… ูƒ dopamine antagonist

#schizophrenia
โค3
Show low D2 antagonism and high SHT2A antagonism
A) Clozapine โœ…
B) Chlorpromazine
C) Fluphenazine
D) Haloperidol
E) Thioridazine

ุงู„ูˆุญูŠุฏ ุงู„ูŠ ุชูƒูˆู† ู‡ุงูŠ ุตูุงุชู‡
ู†ุตุง
2025 ุฏูˆุฑ 1
#schizophrenia
โค5
2024
ุฏูˆุฑ 1

ุจู…ุฑุญู„ุฉ ุงู„ initial therapy
ู…ู† ุงู„ุงู‡ุฏุงู ุงู„ุงุณุงุณูŠุฉ ุชุญุณูŠู† ุงู„ู†ูˆู… ูˆุงู„ุดู‡ูŠุฉ

ุชู‚ู„ูŠู„ ุงู„ agitation ุงูŠุถุง ู‡ุฏู ุงุณุงุณูŠ ุจุงูˆู„ 7 ุงูŠุงู…

Arpiprazole, Ziprasidone
ู…ู† ุงุฏูˆูŠุฉ "ุฒูู‡ุง ุญุฏูŠุฏ" ุชุณุชุฎุฏู… ููŠ agitation

ูˆุงู„ุงุฎูŠุฑ ุชู… ุงู„ู…ูˆุงูู‚ุฉ ุนู„ู‰ ุงุณุชุฎุฏุงู… ุงู„
inh. loxapine powder
ุจุณ ู„ุงุฒู… ู†ู†ุชุจู‡ ู„ุดุบู„ุฉ ุงู†ู‡ ูŠุณุจุจ ุถูŠู‚ ููŠ ุงู„ุชู†ูุณ ู…ู…ู†ูˆุน ู„ู…ุฑุถู‰ ุงู„ุฑุจูˆ ูˆ COPD

ู„ุนุฏ ุดู†ูˆ ุงู„ุฌูˆุงุจ
ูƒุงูŠู„ ูŠุตูŠุฑ ุงู†ุทูŠ Combination ุจูŠู† lorazepam ูˆูŠ olanzapine ุงูˆ Clozapine ูˆุงุญู†ู‡ ุดู†ูˆ ูƒู„ู†ู‡

ู…ู…ู†ูˆุน ู‡ุฐุง ุงู„ุดูŠ not recommended ูˆุงู„ุณุจุจ ุฑุญ ูŠุฒุฏุงุฏ ุฎุทุฑ
hypotension, CNS depression
and respiratory depression

#schizophrenia
โค4
ู‡ู†ุง ูŠุฑูŠุฏ ุงู„ุฅุฌุงุจุฉ ุงู„ุฃูƒุซุฑ ุฏู‚ุฉ ุจุงู„ู†ุณุจุฉ ู„ุงุณุชุฎุฏุงู… ุงู„ antipsychotic ุฎู„ุงู„ ุงู„ุญู…ู„

ุจุงู„ู†ุณุจุฉ ู„ A ู…ูˆ ูƒู„ู‡ู… safe ู…ุงูƒูˆ ุงุซุจุงุช ุจู‡ุงู„ุดูŠ ูˆุจุนุฏู‡ุง ุงู„ุฏุฑุงุณุงุช ู…ุณุชู…ุฑุฉ

ุงู„ B ุตุญูŠุญุฉ 100%

ุงู„ C ู„ุง ู…ุง ุชู… ุชุณุฌูŠู„ ุงูŠ ุชุดูˆู‡ุงุช ุฎู„ู‚ูŠุฉ ุจ ุงุฏูˆูŠุฉ ุงู„ุฌูŠู„ ุงู„ุซุงู†ูŠ ุจุณ ุจูŠู‡ุง ุฎุทูˆุฑุฉ ูŠุนู†ูŠ ู…ู† ู†ุงุญูŠุฉ ุงู„ูˆู„ุงุฏุงุช ุงู„ู…ุจูƒุฑุฉ

ุงู„ D ู„ุง ุนุงุฏูŠ ุชุณุชุฎุฏู… ุงุซู†ุงุก ุงู„ุญู…ู„ ุจุณ ู…ูˆ ูƒู„ู‡ู† ู…ุซู„ ู…ุง ูƒู„ุช

ุงู„ E ุฎุทุฃุŒ ุชุณุจุจ EPS ู„ู„ุทูู„ ุจุนุฏ ุงู„ูˆู„ุงุฏุฉ

#schizophrenia
โค3
Forwarded from ARON CHAT
- ุงู„ุฑุณุงู„ู‡ ุ› ุงู„ุณู„ุงู… ุนู„ูŠูƒู… ุงู†ูŠ ุทุงู„ุจุฉ ุตูŠุฏู„ุฉ ุนู†ุฏูŠ ุงุณุชุจูŠุงู† ุจุญุซ ูŠุฎุต HBV
ู…ู…ูƒู† ุชู…ู„ูˆู† ุงู„ุงุณุชุจูŠุงู†

https://docs.google.com/forms/d/e/1FAIpQLSds42UMxYKRzHITh735nUR_4hLNdtSkIGlvD1oYUAaU69djVw/alreadyresponded
โค3
Depressive Disorders.pdf
2.7 MB
โค20๐Ÿ‘3
https://forms.gle/CZXdef47if9kEhXc6

ุดุจุงุจ ุณุงุนุฏูˆุง ุฒู…ู„ุงุฆูƒู… ู…ุญุชุงุฌูŠู† ูฅู ู  ูˆุงุญุฏ ูŠู…ู„ูŠู‡

ู„ุง ุชู‚ุตุฑูˆู†โค๏ธ
โค11
Insomnia.pdf
1.2 MB
โค11๐Ÿ‘1
ู…ูˆุงุฏ ุงู„ุงู…ุชุญุงู† ุงู„ูˆุฒุงุฑูŠ 2026
๐Ÿ’”43โค11๐Ÿ’ฏ6๐Ÿค1
ุงู„ุฑุงุจุนุฉ ุฑุงุถูŠู† ุนุงู„ู…ูˆุงุฏุŸ
ุงุญุณู‡ุง ุฒูŠู†ุฉ ุจุฏูˆู† ุงู„ุตู†ุงุนูŠุฉ
โค54๐Ÿ™3๐Ÿ˜ข1
ุดุจุงุจ ุจุงู„ู†ุณุจุฉ ู„ู„ุงุฏูุงู†ุณ ุตุฑุงุญุฉ ู…ุง ู…ุทู„ุน ุน ุงู„ุดุฑูˆุญุงุช

ุจุณ ู‡ุฐุง ูู‡ุฑุณุช ู…ุฑุชุจุชู‡ ุฒู…ูŠู„ุชูƒู… ุฏ. ุฑุญู…ุฉ
ู…ู…ูƒู† ูŠููŠุฏูƒู…
https://t.me/rahmahalsomaedaey/6036


ุงุฐุง ุงู†ุชู… ู‚ุงุฑูŠู† ุน ุดุฑุญ ู…ุนูŠู† ูˆุฒูŠู† ุฏุฒูˆุง ู„ู„ุทู„ุงุจ ุจุงู„ุชุนู„ูŠู‚ุงุช ุญุชู‰ ุงู„ูƒู„ ูŠุณุชูุงุฏ
โค10๐Ÿ‘1