Maudsley Deprescribing Guide

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I-Maudsley Deprescribing Guidelines inikeza izincomo ezisekelwe ebufakazini zokuyeka ngokuphepha ama-antidepressants, i-benzodiazepines, i-gabapentinoids, ne-Z-drugs. Le nsiza ibalulekile kochwepheshe bezokunakekelwa kwempilo okuhloswe ngayo ukuthuthukisa ukunakekelwa kwesiguli kanye nokunciphisa ukulimala okuhlobene nemithi. Igcizelela indlela egxile esigulini, iqinisekisa ukuthi ukuchaza kwenziwa ngokucabangela nangempumelelo.

Izinkombandlela zokuchaza i-Maudsley®
Insiza ephelele echaza imihlahlandlela yokunciphisa ngokuphepha noma yokumisa (echaza) ama-antidepressants, i-benzodiazepines, i-gabapentinoids ne-z-drugs ezigulini, okuhlanganisa isiqondiso sesinyathelo ngesinyathelo sayo yonke imithi evame ukusetshenziswa, ehlanganisa izingibe ezivamile, ukuxazulula izinkinga, amasu asekelayo, nokuningi.

Iziqondiso eziningi ezisemthethweni ngemithi yengqondo zihlobene nokuqala noma ukushintsha imithi enesiqondiso esincane ekuchazeni imithi. Ngo-2023, iNhlangano Yezempilo Yomhlaba kanye neNhlangano Yezizwe zacela iziguli, njengelungelo lomuntu, ukuba zaziswe ngelungelo lazo lokuyeka ukwelashwa futhi zithole ukwesekwa ukuze zenze kanjalo.

I-Maudsley Deprescribing Guidelines igcwalisa igebe elibalulekile ekuqondisweni kwabahlengikazi ngokunikeza ulwazi oluphelele nolunegunya kulesi sici esibalulekile sokwelashwa.

Le ncwajana esekelwe ebufakazini ihlinzeka ngesifinyezo sezimiso okufanele zisetshenziswe ekuchazeni. Lokhu kususelwa ezimisweni zesayensi eziyisisekelo kanye nocwaningo lwakamuva ngalesi sihloko, oluhlanganiswe nemininingwane evelayo evela ekusebenzeni komtholampilo (okuhlanganisa nochwepheshe besiguli).

Ukwakhela phezu komkhiqizo owaziwayo we-Maudsley Prescribing Guidelines, kanye nokuvelela komsebenzi wababhali, okuhlanganisa ne-Lancet Psychiatry mayelana namaphilisi okucindezeleka (i-athikili efundwa kakhulu kuzo zonke izihloko ze-Lancet ngenkathi ikhishwa). I-Maudsley Deprescribing Guidelines ihlanganisa izihloko ezifana nalezi:

- Kungani futhi nini ukuchaza ama-antidepressants, i-benzodiazepines, i-gabapentinoids kanye ne-z-drugs
- Izithiyo nezivumela ukuchaza okubandakanya ukuncika ngokomzimba, izimo zomphakathi, nolwazi mayelana nenqubo yokuyeka
- Ukwehlukanisa izimpawu zokuhoxa, njengokungaphatheki kahle kwemizwa, ukukhathazeka, ukuqwasha, kanye nezinhlobonhlobo zezimpawu zomzimba ezivela ezimpawu zesifo esiwumsuka imishanguzo eyayihloselwe ukuyelapha
- Umehluko phakathi kokuncika ngokomzimba kanye nokulutheka/ukuphazamiseka kokusetshenziswa kwezidakamizwa
- Incazelo yokuthi kungani futhi kanjani ukusebenzisa i-hyperbolic tapering ekusebenzeni komtholampilo
- Isiqondiso esiqondile mayelana nokwakhiwa kwemithi nezindlela zokunciphisa kancane kancane, okuhlanganisa ukusebenzisa izinhlobo eziwuketshezi zemithi, nezinye izindlela
- Isiqondiso sesinyathelo nesinyathelo sokumisa ngokuphepha wonke ama-antidepressants avame ukusetshenziswa, i-benzodiazepines, i-gabapentinoids ne-z-drugs, okuhlanganisa nemithi esheshayo, emaphakathi nephansi yokuthepha kancane noma amashejuli omuthi ngamunye, kanye nesiqondiso sendlela yokwenza lokhu kufanelane nomuntu ngamunye.
- Izinkinga zokuxazulula izinkinga ezingase ziphakame ekumiseni le mithi, okuhlanganisa i-akathisia, izimpawu zokuhoxa, ezibucayi noma ezithatha isikhathi eside, kanye nokubuyela emuva.
- Ibhalelwe noma ubani onentshisekelo ekuchazeni okuphephile kwemithi yengqondo ehlanganisa odokotela bengqondo, odokotela bengqondo, osokhemisi, abahlengikazi, abaqeqeshelwa ubudokotela, kanye namalungu omphakathi anentshisekelo. I-Maudsley Deprescribing Guidelines iyinsiza ebalulekile esihlokweni esinikeza isiqondiso esisebenzayo sendlela yokuthuthukisa imiphumela yesiguli kulo mkhakha wezokwelapha.

Okuqukethwe kunikezwe ilayisense evela ku-ISBN 10 ephrintiwe: 1119823021
Okuqukethwe kunikezwe ilayisense evela ku-ISBN 13 ephrintiwe: 9781119823025

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Umbhali:Deanna Mark Horowitz; UDavid M. Taylor
Umshicileli:Wiley-Blackwell