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Nukae nye esia (Akathisia)? Mina míase egɔme bɔbɔe.
Akathisia nye dzesi siwo do ƒome kple lãmekawo kple susu ((Neuropsychiatric syndrome)) ƒe ƒuƒoƒo ŋutɔŋutɔ. Azɔ hã, enye ʋuʋu ƒe kuxi. Le go sia me la, esesẽna ŋutɔ be woanɔ anyi alo anɔ anyi kpoo le dziɖeleameƒo sesẽ aɖe si tsoa ememe ta. Nya "akathisia" tso Helagbe me, si gɔmee nye "anɔ anyi ƒe ŋutetemanɔamesi". Nɔnɔme sia dzɔna zi geɖe ne wole atike aɖewo zãm, vevietɔ (Antipsychotic) alo (Neuroleptic) atike siwo wozãna na tagbɔdɔlélewo. Menye ema ɖeɖeko o, esia (akathisia) ateŋu asɔ kple atikewɔwɔ ƒe nɔnɔme aɖewo abe (Parkinson ƒe dɔléle) hã. Ame si ŋu (akathisia) le la sea dziɖeleameƒo kple dziɖeleameƒo gã aɖe le ememe. Esia tae didi vevie le wo me be yewoaʋuʋu atraɖii, vevietɔ be yewoaʋuʋu yewoƒe afɔwo ɖo. Zi geɖe la, wowɔa ʋuʋu siawo le mɔ ɖeka nu zi gbɔ zi geɖe (gbugbɔgagblɔ). Ʋuʋu ƒe didi sia si dzi womate ŋu aɖu o ate ŋu aɖe fu na ame ŋutɔ. Ðɔktawo ma nɔnɔme sia (akathisia) ɖe ƒomevi vovovowo me, le ɣeyiɣi si me dzesiawo dze egɔme kple ɣeyiɣi didi si wòxɔ nu.- Akathisia sesẽ: Zi geɖe la, esia dzɔna le ŋkeke ʋɛ gbãtɔ siwo me wodze atike aɖe zazã gɔme vɔ megbe, vevietɔ atike si wua tagbɔdɔléle, alo ne wodzi eƒe agbɔsɔsɔme ɖe edzi. Enɔa anyi mede ɣleti ade o.
- Akathisia si nɔa anyi didi: Akathisia sia ƒomevi dzɔna ne dzesiawo nɔa anyi wu ɣleti ade. Ate ŋu anɔ anyi ɣleti geɖe alo ƒe geɖe gɔ̃ hã.
- Tardive akathisia: Esia dzɔna ne wodze atike aɖewo zazã gɔme, ne wodzi atikeawo ƒe agbɔsɔsɔ ɖe edzi, alo le ɣleti etɔ̃ megbe gɔ̃ hã. Zi geɖe la, edoa ƒome kple ʋuʋu ƒe dɔléle bubu si woyɔna be tardive dyskinesia.
- Withdrawal akathisia: Nɔnɔme sia ate ŋu ado mo ɖa ne woɖe atike aɖewo ƒe agbɔsɔsɔ dzi kpɔtɔ alo wodzudzɔe keŋkeŋ.
Ðe Akathisia kple Dzimaɖitsitsi sɔa?
Ao, mègatɔtɔ ame eveawo o. Akathisia kple dzimaɖitsitsi nye nɔnɔme vovovo eve. Akathisia nye ʋuʋu ƒe kuxi, gake dzimaɖitsitsi ya nye susu me dɔléle. Ke hã, nɔnɔme aɖewo ate ŋu anɔ wo si. Le kpɔɖeŋu me, dzimaɖitsitsi, kple ŋutete manɔamesi be wòaɖu eƒe tamesusuwo kple nuwɔna dzi. Gake nusi koŋ ɖea dzesi le akathisia ŋue nye didi si dzi womate ŋu aɖu o be yeaʋuʋu ɣesiaɣi. Dzesi siwo tso vɔvɔ̃ alo dzimaɖitsitsi dzi mebɔ o. Gake ebɔ be amesiwo ŋu akathisia le la tsia dzimaɖi hetsia dzimaɖi le ʋuʋu ƒe didi sia si dzi womate ŋu aɖu o ta.Nublanuitɔe la, zi geɖe la, wobua nɔnɔmea (Akathisia) vodadatɔe be enye dzimaɖitsitsi kple/alo dzimaɖitsitsi atraɖii.
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Check Availability →Aleke gbegbee Akathisia bɔe?
Akathisia nye ʋuʋu ƒe dɔléle si bɔ wu si do ƒome kple susuŋudɔwɔwɔ ƒe atikewo, vevietɔ tagbɔdɔlékuiwutikewo. Wobu akɔnta be akathisia le amesiwo ŋu tagbɔdɔléle le siwo noa atike na dɔlélea dometɔ siwo ade 24%. Le numekuku aɖe me la, akathisia nɔ amesiwo no clozapine ƒe 39% kple amesiwo noa dzidzime gbãtɔ ƒe tagbɔdɔlékuiwutike (FGA) ƒe 45%.Nukae nye (Akathisia) ƒe dzesiwo?
Zi geɖe la, akathisia ƒe dzesiwo dzena ne èdze tagbɔdɔlékuiwutike nono gɔme, alo ne wò ɖɔkta dzi eƒe agbɔsɔsɔme ɖe edzi vɔ. Dzesi vevitɔe nye dzimaɖitsitsi, alo dzitsitsi ƒe seselelãme . Ame siwo ŋu akathisia le la sena le wo ɖokui me vevie be yewoaʋuʋu yewoƒe ŋutilã, vevietɔ yewoƒe afɔwo, tso yewoƒe akɔta vaseɖe yewoƒe afɔkpodzi. Ne akathisia le ŋuwò la, àte ŋu awɔ nusiawo:- Metsoa nye afɔwo ɣesiaɣi eye emegbe megaɖɔa wo ɖo ake.
- Nye afɔwo yia edzi nɔa ʋuʋum ne mebɔbɔ nɔ anyi.
- Ne ètsi tre la, ètsɔa kpekpeme tsoa afɔ ɖeka dzi yia evelia dzi.
- Meʋuʋuna yia ŋgɔ kple megbe ne mebɔbɔ nɔ anyi.
- Wole zɔzɔm yina kple megbe ɣesiaɣi, alo wole tsitre ɖe teƒe ɖeka hewɔna abe ɖe wole azɔli zɔm ene.
Aleke wòsena le eɖokui me ne (Akathisia) le ame si?
Zi geɖe la, amesiwo ŋu Akathisia le ɖɔa alesi wosena le wo ɖokui me be yewosena le yewo ɖokui me be yewomeɖea dzi ɖi vevie o eye yewole didim be yewoaʋuʋu yewo ɖokui si womate ŋu aɖu o. Zi geɖe la, woɖɔa alesi wosena le wo ɖokui me be yewomaɖe dzi ɖi o eye yewomate ŋu aɖe dzi ɖi o. Woate ŋu ase le wo ɖokui me hã ne ehiã be woanɔ anyi kpoo, abe le fli me ene. Zi geɖe la, dzimaɖitsitsi ememetɔ sia nana amesiwo ŋu Akathisia le la tsia dzimaɖi kple blanuiléle. Akathisia si nɔ anyi didi gblɔ be, .Wogblɔ be edo ƒome kple afɔku si le nuvevi wɔwɔ ame ɖokui alo ameɖokuiwuwu ƒe nuwɔna si dzi ɖe edzi.Ne ameɖokuiwuwu ƒe susuwo le fu ɖem na wò alo nèdi be yeawɔ nuvevi ye ɖokui la, ele vevie be nàdi atikewɔlawo ƒe kpekpeɖeŋu enumake.
Nukawoe hea Akathisia vɛ?
Dzɔdzɔmeŋutinunyalawo menya nusi tututu gbɔ akathisia tsona haɖe o. Gake wosusu be esi atike aɖewo xea mɔ na ahɔhɔ̃meka siwo xɔa atike aɖe si woyɔna be dopamine tae. Dopamine nye ahɔhɔ̃mekawo ƒe dɔwɔwɔ, si nye atike si kpena ɖe ŋutilã ƒe dɔwɔwɔ vevi geɖe ŋu, eye míaƒe ʋuʋu hã le eme. Xexe siae hea ʋuʋu siwo dzi womeɖu o la vɛ. Atike geɖewo li siwo do ƒome kple akathisia:- Atike siwo wua tagbɔdɔléle .
- Atike siwo wozãna na blanuiléle (Antidepressants).
- Atike bubuwo.
- Parkinson ƒe dɔlélea.
- Ahɔhɔ̃ me dɔléle/ dɔdzẽ (Encephalitis).
- Ta ƒe abixɔxɔ (Ahɔhɔ̃ ƒe abi si dzɔna ɖe ame dzi - TBI).
Tagbɔdɔlékuiwutike siwo do ƒome kple Akathisia
Akathisia nye ʋuʋu ƒe dɔléle si bɔ wu si do ƒome kple tagbɔdɔlékuiwutikewo. Ðɔktawo yɔa esia ɣeaɖewoɣi be akathisia si tagbɔdɔlékuiwutikewo hena vɛ. Tagbɔdɔlékuiwutikewo, alo ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie, le hatsotso vevi eve me:- Dzidzime gbãtɔ alo tagbɔdɔlékuiwutike "si bɔ" (FGA).
- Dzidzime evelia alo "to vovo" (Antipsychotics - SGA).
- Nuwɔna ƒe tɔtɔ le tagbɔdɔléle me.
- Nu eve ƒe susu ƒe dɔmawɔmawɔ nyuie.
- Teteɖeanyi.
- Nuɖuɖukuxiwo.
- Dzimaɖitsitsi ƒe dɔléle si bɔ.
- Alɔ̃ madɔmadɔ .
- Obsessive-compulsive disorder (Nuléle si me susu mele o - .OCD ).
- Amenyenye ƒe kuxiwo.
- Nuteɖeamedzi le afɔku megbe (PTSD). Tagbɔdɔléle si nye Schizoaffective dɔléle. Tagbɔdɔléle kple dɔléle siwo do ƒome kplii.
- Klorpromazine (Thorazine®) ƒe atike si wotsɔna ƒoa ƒui''.
- Fluphenazine (Prolixin®) ƒe atike si wotsɔna ƒoa ƒui
- Haloperidol (Haldol®) ƒe atike si wotsɔna ƒoa ƒui
- Loxapine (Loxitane®) ƒe atike si wotsɔna ƒoa ƒui
- Prochlorperazine (Compro®, Compazine®) ƒe atike si wotsɔna ƒoa ƒui''.
- Paliperidone (Invega®) ƒe atike si wotsɔna ƒoa ƒui
- Ziprasidone (Geodon®) ƒe dɔlékuiwo
Blanuilélenutsitike siwo do ƒome kple Akathisia
Togbɔ be mebɔ abe tagbɔdɔlékuiwutikewo ene o hã la, wogblɔ be blanuilélenutsitike aɖewo hã do ƒome kple akathisia. Esiawo dometɔ aɖewoe nye:- Selective serotonin reuptake inhibitors (SSRIs): Esiawoe nye blanuilélenutsitike siwo woŋlɔna na ame wu. Kpɔɖeŋuwo: fluoxetine (Prozac®), paroxetine (Paxil®).
- Monoamine oxidase inhibitors (MAOIs): Esiawoe nye blanuilélenutsitike gbãtɔ siwo woto vɛ. Togbɔ be wowɔa dɔ nyuie hã la, wozãa atike yeye siwo le dedie wu siwo ƒe nugbegblẽ le ame ŋu mesɔ gbɔ o fifia zi geɖe.
- Tricyclic (TCA) antidepressants: Ðɔktawo ŋlɔa esiawo ne blanuilélenutsitike bubuwo mewɔa dɔ o. Kpɔɖeŋuwo: clomipramine (Anafranil®), amitriptyline (Elavil®).
- Teteɖeanyi.
- Nu eve ƒe susu ƒe dɔmawɔmawɔ nyuie.
- Dzimaɖitsitsidɔlélewo.
- Vevesese si nɔa anyi didi.
- Dɔléle si nana ame ƒe susu nɔa nu ŋu (OCD).
- Vɔvɔ̃ ƒe amedzidzedze.
- Nuteɖeamedzi le afɔku megbe (PTSD).
Atike bubu siwo do ƒome kple Akathisia
Atike bubu siwo ate ŋu ado ƒome kple Akathisia:- Atike siwo wozãna na ʋuʋudedi alo ʋuʋudedi (antiemetics), e.g. metoclopramide ƒe atike.
- Atike siwo wozãna na ʋusɔgbɔdɔ, e.g. reserpine, metildopa.
- Calcium-mɔ̃ ƒe mɔxenuwo, e.g. cinnarizine, atike si wotsɔna ƒoa ƒui.
- Atike siwo naa ame ƒe dzi dzea eme.
- Atike si wozãna na taɖuame.
- Azithromycin (dɔlékuiwutike si wozãna le afisiafi).
- Buspirone (dzimaɖitsitsitike aɖe).
Aleke woawɔ ade dzesi (Akathisia)?
Zi geɖe la, ɖɔktawo dea dzesi Akathisia to ŋkuléle ɖe dɔnɔa ƒe nuwɔna kple dzesiwo ŋu me (dɔdaƒe ƒe ŋkuléle ɖe eŋu). Esia mehiã be woado ʋu kpɔ alo awɔ nɔnɔmetatawo o. Mɔnu si wozãna wu tsɔ bua Akathisia ƒe agbɔsɔsɔme ŋue nye Barnes Akathisia-Rating Scale (BARS). Ne èsusu be Akathisia le ye ŋu la, wò ɖɔkta abia nyawo wò tso wò dzesiwo, atikewɔwɔ ŋutinya, kple atike siwo nèzãna fifia ŋu. Woalé ŋku ɖe wò nuwɔna kple wò ʋuʋu hã ŋu. Nublanuitɔe la, zi geɖe la, esesẽna be woakpɔ Akathisia. Elabena eƒe dzesiwo sɔ kple susumedɔléle bubuwo, le kpɔɖeŋu me:- Tagbɔdɔléle.
- Mania ƒe nuwɔna.
- Susu ƒe dɔmawɔmawɔ nyuie/dɔwɔwɔ fũu akpa ƒe dɔléle (ADHD).
- Blanuiléle si tɔtɔ.
Aleke wowɔa atike na Akathisia?
Fifia la, atike aɖeke meli koŋ na Akathisia o. Ne atike aɖe gbɔe wò Akathisia tso la, anɔ eme be wò ɖɔkta adze agbagba atrɔ wò ɖe atike bubu ŋu alo aɖe atike si zãm nèle fifia ƒe agbɔsɔsɔ dzi akpɔtɔ (ne anya wɔ). Numekuku aɖewo ɖee fia be atike siwo gbɔna ate ŋu akpe ɖe Akathisia ŋu:- Beta-blockers, le kpɔɖeŋu me propranolol.
- Benzodiazepines (atike siwo wozãna tsɔ daa nɔnɔmewo abe dzimaɖitsitsi, alɔ̃madɔmadɔ, kple alɔ̃madɔmadɔ ene ƒe hatsotso aɖe).
- Mirtazapine (si nye blanuilélenutsitike) si ƒe agbɔsɔsɔme le sue.
- Anticholinergics (atike ƒomevi aɖe si wozãna tsɔ daa nɔnɔmewo abe asrã ene).
- Vitamin B6 ƒe agbɔsɔsɔme.
Ðe woate ŋu axe mɔ ɖe Akathisia nua?
Dzɔdzɔmeŋutinunyalawo gale agbagba dzem kokoko be yewoase Akathisia, nusiwo gbɔ wòtsona, kple atike siwo wòzãna gɔme bliboe. Gake wonya be Akathisia ate ŋu adze egɔme le nɔnɔme siwo gbɔna me:- Ne èle dzidzime gbãtɔ ƒe atike si tsia tagbɔdɔléle nu zãm.
- Ne èno atike fũu akpa.
- Ne wò ɖɔkta dzi wò atike ƒe agbɔsɔsɔme ɖe edzi zi ɖeka, alo wòdzi wò atikewo ɖe edzi ŋutɔ.
- Ne èxɔ ƒe titina alo ame tsitsi.
Nukae nye (Akathisia) ƒe ŋgɔdonya?
Ne wokpɔ Akathisia dze sii kaba eye wodzudzɔ atike si henɛ vɛ (ne anya wɔ) la, zi geɖe la, nɔnɔmea nyona ɖe edzi. Gake ne womewɔ atike na Akathisia o la, ate ŋu ana ame nagbɔdzɔ ŋutɔ. Ame geɖe siwo ŋu Akathisia le la tsia dzimaɖi vevie kple blanuiléle (dysphoria). Ðewohĩ ameɖokuiwuwu ƒe susu gɔ̃ hã anɔ wo si.Ne ameɖokuiwuwu ƒe susuwo le fu ɖem na wò la, ele vevie be nàdi atikewɔlawo ƒe kpekpeɖeŋu enumake.
Ɣekaɣie wòle be nàkpɔ ɖɔkta le (Akathisia) ŋu?
Ne Akathisia ƒe dzesiwo le ŋuwò la, ele vevie be nàƒo nu kple wò ɖɔkta. Zi alesi woate ŋu ake ɖe nusi gbɔ wòtso ŋu kaba la, zi nenemae woate ŋu atrɔ wò atikewo kaba eye woaɖu nɔnɔmea dzi. Akathisia nye dɔléle si doa dziku ŋutɔ si ate ŋu atso atike aɖewo gbɔ. Ne ètsi dzi be yeate ŋu axɔ Akathisia ne yedze atike na susumedɔléle alo ahɔhɔ̃mekawo ƒe dɔléle aɖe gɔme vɔ la, mègavɔ̃ be yeabia yeƒe ɖɔkta tso eŋu o. Ne Akathisia ƒe dzesiwo le ŋuwò la, gblɔe na wò ɖɔkta kaba ale si nàte ŋui.💡 Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .
- Akathisia nye nɔnɔme si me dzimaɖitsitsi ememetɔ nana mete ŋu nɔa teƒe ɖeka o eye wòhiãna be wòaʋuʋu ɣesiaɣi.
- Esia ate ŋu atso tagbɔdɔlékuiwutike aɖewo koŋ gbɔ. Ate ŋu atso blanuilélenutsitikewo kple atike bubuwo hã gbɔ.
- Dzesiawo dometɔ aɖewoe nye afɔ ʋuʋu, azɔlizɔzɔ, kple ŋutete manɔamesi be wòanɔ teƒe ɖeka.
- Esia menye dzimaɖitsitsi o, gake ate ŋu ana ame natsi dzimaɖi.
- Ne dzesi siawo le ŋuwò la, kpɔ egbɔ be yegblɔe na wò ɖɔkta. Woate ŋu akpɔ nɔnɔme sia gbɔ to wò atike ƒe agbɔsɔsɔme tɔtrɔ alo tɔtrɔ ɖe atike bubu ŋu me.
- Mègadzudzɔ wò atikewo nono alo atrɔ atikeawo ƒe agbɔsɔsɔme gbeɖe wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o.
- Woate ŋu atrɔ akathisia ne wokpɔ dɔlélea le eŋu hedae kaba.
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