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๐—”๐—ฅ๐—ข๐—ก ๐—ฆ๐—ง๐—จ๐——๐—ฌ

๐—”๐—ฅ๐—ข๐—ก ๐—ฆ๐—ง๐—จ๐——๐—ฌ

ๅ‰ๅพ€้ข‘้“ๅœจ Telegram

ุ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„: @AronX2bot

ๆ˜พ็คบๆ›ดๅคš

๐Ÿ“ˆ Telegram ้ข‘้“ ๐—”๐—ฅ๐—ข๐—ก ๐—ฆ๐—ง๐—จ๐——๐—ฌ ็š„ๅˆ†ๆžๆฆ‚่งˆ

้ข‘้“ ๐—”๐—ฅ๐—ข๐—ก ๐—ฆ๐—ง๐—จ๐——๐—ฌ (@aronstudy) ้˜ฟๆ‹‰ไผฏ่ฏญ ่ฏญ่จ€่ต›้“ไธญ็š„ ๆ˜ฏๆดป่ทƒๅ‚ไธŽ่€…ใ€‚็›ฎๅ‰็คพๅŒบ่š้›†ไบ† 13 355 ๅ่ฎข้˜…่€…๏ผŒๅœจ ๅŒปๅญฆ ็ฑปๅˆซไธญไฝๅˆ—็ฌฌ 1 923๏ผŒๅนถๅœจ ๆฒ™็‰น้˜ฟๆ‹‰ไผฏ ๅœฐๅŒบๆŽ’ๅ็ฌฌ 5 681 ไฝใ€‚

๐Ÿ“Š ๅ—ไผ—ๆŒ‡ๆ ‡ไธŽๅขž้•ฟๅŠจๆ€

่‡ช ะฝะตะฒั–ะดะพะผะพ ๅˆ›ๅปบไปฅๆฅ๏ผŒ้กน็›ฎไฟๆŒ้ซ˜้€Ÿๅขž้•ฟ๏ผŒๅธๅผ•ไบ† 13 355 ๅ่ฎข้˜…่€…ใ€‚

ๆ นๆฎ 27 ๅ…ญๆœˆ, 2026 ็š„ๆœ€ๆ–ฐๆ•ฐๆฎ๏ผŒ้ข‘้“ไฟๆŒ็จณๅฎš่ฟ่ฝฌใ€‚่ฟ‡ๅŽป 30 ๅคฉ่ฎข้˜…ไบบๆ•ฐๅ˜ๅŒ–ไธบ 213๏ผŒ่ฟ‡ๅŽป 24 ๅฐๆ—ถๅ˜ๅŒ–ไธบ -17๏ผŒๆ•ดไฝ“่งฆ่พพไป็„ถๅฏ่ง‚ใ€‚

  • ่ฎค่ฏ็Šถๆ€๏ผš ๆœช่ฎค่ฏ
  • ไบ’ๅŠจ็އ (ER)๏ผš ๅนณๅ‡ๅ—ไผ—ไบ’ๅŠจ็އไธบ 27.63%ใ€‚ๅ†…ๅฎนๅ‘ๅธƒๅŽ 24 ๅฐๆ—ถๅ†…้€šๅธธ่ƒฝ่Žทๅพ— 9.86% ็š„ๅๅบ”๏ผŒๅ ่ฎข้˜…่€…ๆ€ป้‡ใ€‚
  • ๅธ–ๅญ่ฆ†็›–๏ผš ๆฏ็ฏ‡ๅธ–ๅญๅนณๅ‡ๅฏ่Žทๅพ— 3 695 ๆฌกๆต่งˆ๏ผŒ้ฆ–ๆ—ฅ้€šๅธธ็ดฏ็งฏ 1 318 ๆฌกๆต่งˆใ€‚
  • ไบ’ๅŠจไธŽๅ้ฆˆ๏ผš ๅ—ไผ—็งฏๆžๅ‚ไธŽ๏ผŒๅ•ๅธ–ๅนณๅ‡ๅๅบ”ๆ•ฐไธบ 36ใ€‚
  • ไธป้ข˜ๅ…ณๆณจ็‚น๏ผš ๅ†…ๅฎน้›†ไธญๅœจ ู…ูŽุงุฏูŽู‘ุฉ, ุทูŽุงู„ูุจ, ุงูุณุชูุจููŠูŽุงู†, ุณูŽู„ูŽุงู…, ุฑูุณูŽุงู„ูŽุฉ ็ญ‰ๆ ธๅฟƒไธป้ข˜ไธŠใ€‚

๐Ÿ“ ๆ่ฟฐไธŽๅ†…ๅฎน็ญ–็•ฅ

ไฝœ่€…ๅฐ†่ฏฅ้ข‘้“ๅฎšไฝไธบ่กจ่พพไธป่ง‚่ง‚็‚น็š„ๅนณๅฐ๏ผš
โ€œุจุณู… ุ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„: @AronX2botโ€

ๅ‡ญๅ€Ÿ้ซ˜้ข‘ๆ›ดๆ–ฐ๏ผˆๆœ€ๆ–ฐๆ•ฐๆฎ้‡‡้›†ไบŽ 28 ๅ…ญๆœˆ, 2026๏ผ‰๏ผŒ้ข‘้“ๅง‹็ปˆไฟๆŒๆ–ฐ้ฒœๅบฆไธŽ้ซ˜่ฆ†็›–ใ€‚ๅˆ†ๆžๆ˜พ็คบๅ—ไผ—็งฏๆžไบ’ๅŠจ๏ผŒไฝฟๅ…ถๆˆไธบ ๅŒปๅญฆ ็ฑปๅˆซไธญ็š„ๅ…ณ้”ฎๅฝฑๅ“็‚นใ€‚

13 355
่ฎข้˜…่€…
-1724 ๅฐๆ—ถ
+3037 ๅคฉ
+21330 ๅคฉ
ๅธ–ๅญๅญ˜ๆกฃ
#ุชุฃุดูŠุฑุงุช_TH

ุ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

ุงู„ุฑุงุจุนุฉ ุฑุงุถูŠู† ุนุงู„ู…ูˆุงุฏุŸ ุงุญุณู‡ุง ุฒูŠู†ุฉ ุจุฏูˆู† ุงู„ุตู†ุงุนูŠุฉ

ู…ูˆุงุฏ ุงู„ุงู…ุชุญุงู† ุงู„ูˆุฒุงุฑูŠ 2026
ู…ูˆุงุฏ ุงู„ุงู…ุชุญุงู† ุงู„ูˆุฒุงุฑูŠ 2026

https://forms.gle/CZXdef47if9kEhXc6 ุดุจุงุจ ุณุงุนุฏูˆุง ุฒู…ู„ุงุฆูƒู… ู…ุญุชุงุฌูŠู† ูฅู ู  ูˆุงุญุฏ ูŠู…ู„ูŠู‡ ู„ุง ุชู‚ุตุฑูˆู†โค๏ธ

Depressive Disorders.pdf2.71 MB

- ุ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

ู‡ู†ุ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„
ู‡ู†ุ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

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… Ar
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

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

ุ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 dopamin
ุ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

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

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 ุฌูˆุงุจ E ุฎุทุฃ ุงู„ุตุญ D ู…ู† ูŠุฌูŠ ู‡ูŠุฌ ุณุคุงู„ ุงู‚ุฑูˆุง ุงู„ุงุฌุงุจุงุช ู„ู„ุงุฎูŠุฑ #schizophrenia

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

ุ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