Mina míanya nu tso Neuroleptic Malignant Syndrome, si nye nɔnɔme si me afɔku le si ahɔhɔ̃mekawo ƒe dɔlélenutsiŋutetewo hena vɛ ŋu!

Ðewohĩ wò ŋutɔ alo ame aɖe si nènya la le atike ƒomevi aɖe si woyɔna be neuroleptic, si wozãna tsɔ daa susumedɔléle aɖewo la nom. Togbɔ be atike siawo ate ŋu akpe ɖe ame geɖe ŋu ŋutɔ hã la, ƒã ŋutɔ be atike siawo ate ŋu ahe nɔnɔme si me afɔku le, si ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã vɛ. Emae nye nusi míeyɔna be Neuroleptic Malignant Syndrome (NMS). Enye ŋkɔ si gɔme sese sesẽ, gake ele vevie be nànya nu tso eŋu.

Nukae Nye Ahɔhɔ̃mekawo ƒe Dɔléle (NMS)? Mina míase egɔme bɔbɔe!

Kpuie ko la, ahɔhɔ̃mekawo ƒe dɔléle si nye neuroleptic malignant syndrome (NMS) nye nusi mebɔ kura o eye ate ŋu ade ame ƒe agbe afɔku me le atike ƒomevi aɖe si woyɔna be neuroleptics (si woyɔna hã be tagbɔdɔlékuiwutikewo) ŋu. Wozãa atike siawo tsɔ kpɔa tagbɔdɔ geɖe ƒe dzesiwo gbɔ hedaa wo .

Woateŋu akpɔ dzesi vevi geɖewo le `NMS` nɔnɔme sia me:

• Asrã sesẽ (hyperthermia) ƒe amesinɔnɔ .
• Lãmetsi siwo le ŋutilãa me la me sẽna eye wosea veve (ne esia yi edzi la, lãmekaawo ate ŋu agbã gɔ̃ hã).
• Tɔtrɔ siwo vaa susu ƒe nɔnɔme me (abe tɔtɔ, ŋkuɖoɖonudzi ƒe dɔmawɔmawɔ nyuie ene).
• Lãmetsiŋusẽ ƒe dɔwɔwɔ le eɖokui si alo dysautonomia.

Míaƒe lãmeka siwo wɔa dɔ le wo ɖokui si le abe ɖoɖo si le mía ɖokui si le míaƒe ŋutilã me ene. Ekpɔa nuwo abe ʋu ƒe sisi kple gbɔgbɔ ƒe sisi ene dzi. Ne mewɔ dɔ nyuie o la, ʋu ƒe sisi ate ŋu ayi dzi kple ɖiɖi zi ɖeka, ana fifia nagbɔ eme (secondary hyperhidrosis), eye wòana aɖuɖɔ nado fũu akpa.

NMS nye atikewɔwɔ kpata si ate ŋu ade ame ƒe agbe afɔku me, si hiã be woakpɔ egbɔ enumake. Eyata ne èkpɔ dzesi siawo la, nu nyuitɔ si nàwɔe nye be nàyi kɔdzi enumake.

Nukawoe nye ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie ƒe atike siawo?

Woate ŋu ama ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe atikewo, alo tagbɔdɔlélawo ƒe atikewo ɖe hatsotso vevi eve me.

1. Dzidzime gbãtɔ alo "si bɔ" ƒe tagbɔdɔlékuiwutikewo.

2. Dzidzime evelia alo "atypical" antipsychotics.

Ðɔktawo ŋlɔa dzidzime gbãtɔ kple evelia ƒe tagbɔdɔlékuiwutike siawo na susu kple ahɔhɔ̃mekawo ƒe dɔléle vovovowo. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Nuwɔna me kuxi siwo dzɔna le tagbɔdɔléle me.
• Nu eve ƒe susu ƒe dɔmawɔmawɔ nyuie.
• Teteɖeanyi.
• Nuɖuɖukuxiwo.
• Dzimaɖitsitsi ƒe dɔléle si bɔ.
• Ame tsitsiwo ƒe zitɔtɔ.
• Alɔ̃ madɔmadɔ.
• Dɔléle si nana ame ƒe susu nɔa nu ŋu (OCD).
• Amenyenye ƒe kuxiwo.
• Nuteɖeamedzi le afɔku megbe (PTSD).
Tagbɔdɔléle si nye Schizoaffective dɔléle. Tagbɔdɔléle kple dɔléle siwo do ƒome kplii.

Atike kawoe ate ŋu ahe ahɔhɔ̃mekawo ƒe dɔléle si nye neuroleptic malignant syndrome (NMS) vɛ?

Atike ƒomevi geɖewo li siwo ateŋu ahe `NMS` vɛ. Na míalé ŋku ɖe nusiwo wonye ŋu.

Atike siwo wozãna tsɔ wua ahɔhɔ̃mekawo (siwo tsia tagbɔdɔ nu):

• Bromperidol si woyɔna be Bromperidol
• Chlorpromazine `(Klolopromazine)`
• Clopenthixol ƒe atike
• Fluphenazine `(Fluphenazine)`
• Haloperidol `(Haloperidol)`
• Loxapine ƒe atike
• Promazine ƒe atike
• Thioridazine `(Thioridazine)`
• Thiothixene ƒe atike
• Trifluoperazine `(Trifluoperazine)`

Atike siwo mebɔ o siwo naa ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie (siwo tsia tagbɔdɔléle nu):

• Amisulpride ƒe atike
• Aripiprazole ƒe atike
• Clozapine ƒe atike
• Olanzapine ƒe atike
• Quetiapine ƒe atike
• Risperidone ƒe atike
• Ziprasidone ƒe dɔwɔwɔ
• Zotepine ƒe atike

Atike aɖewo siwo tsia ʋumenugbagbeviɣidɔ nu:

• Domperidone ƒe atike
• Droperidol `(Droperidol)`
• Metoclopramide ƒe atike
• Prochlorperazine `(Proklorperazine)`
• Promethazine ƒe atike

Dopaminergic (Parkinson ƒe) atikewo (to esiawo dzudzɔ zi ɖeka me):

• Amantadine ƒe atike
• Dopamine agonists ƒe atikewo
• Levodopa ƒe dɔléle
• Tolcapone ƒe atike

Mègavɔ̃ le xexlẽdzesi sia ta o. Menye amesiame si noa atike siawoe axɔ NMS o. Esia nye nɔnɔme si mebɔ kura o . Gake ne èle atike siawo zãm la, ele vevie be nànya esia.

Vovototo kae le NMS kple dzoxɔxɔ si nu sẽ si gblẽa nu le ame ŋu dome?

Ðewohĩ èse dɔléle aɖe si woyɔna be malignant hyperthermia hã ŋu nya kpɔ. Enye nuwɔna si mebɔ o, si nu sẽ hã. Gake atike siwo naa alɔ̃dɔdɔ ame katã kple lãmekawo ƒe gbɔdzɔenuwo gbɔe wòtsona .

Ate ŋu ana lãmekawo nasẽ hã, woƒe ŋku ƒe dɔwɔwɔ dzi naɖe akpɔtɔ (hyporeflexia), eye ŋutigbalẽ natrɔ (blɔ, abiã). Dzesi siawo ate ŋu asɔ kple NMS tɔ. Gake ɖɔktawo ate ŋu ade vovototo wo ame evea dome ne wolé ŋku ɖe dɔnɔa ƒe atikewɔwɔ ŋutinya ŋu. Eyae nye be eɖanye be wodo atike na wo nyitsɔ laa alo no ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie o.

Vovototo kae le NMS kple Serotonin Dɔléle dome?

Serotonin ƒe dɔlélea nye dɔléle bubu si tɔtɔa ame. Atike siwo le serotonergic ƒe hatsotso me, abe blanuilélenutsitike aɖewo, amphetamines, antihistamines, kple seselelãmenutsitikewo ene gbɔe wòtsona. Kpuie ko la, edzɔna ne atike aɖe si woyɔna be serotonin sɔ gbɔ ɖe ŋutilãa me.

Serotonin ƒe dɔlélea ƒe dzesiwo dometɔ aɖewoe nye lãmekawo ƒe sesẽ, woƒe susu ƒe dɔwɔwɔ fũ akpa, aɖuɖɔtoe, fifia, lãmekawo ƒe ʋuʋu (myoclonus), kple susu ƒe nɔnɔme ƒe tɔtrɔ. Gake zi geɖe la, dzoxɔxɔ kple lãmekawo ƒe sesẽ mebɔ ɖe serotonin ƒe dɔlélea me o wu NMS.

Wò ɖɔkta ade vovototo nɔnɔme eve siawo dome to toɖoɖo wò dzesiwo kple atike siwo nèzãna me.

Amekae xɔa ahɔhɔ̃mekawo ƒe dɔléle si nye neuroleptic malignant syndrome (NMS)?

NMS ate ŋu adzɔ le amesiame si le ahɔhɔ̃mekawo ƒe dɔlélenutsiŋutete (siwo tsia tagbɔdɔléle nu) zãm.

Togbɔ be wosusu be NMS dɔnɔwo ƒe akpa eve le etɔ̃ me lɔƒo dzɔna le kwasiɖa gbãtɔ me tso esime wodze ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe atikewo zazã gɔme hã la, ele vevie be woaɖo ŋku edzi be nɔnɔme sia ate ŋu adzɔ ɣesiaɣi le atikewɔwɔ me.

Aleke gbegbee `NMS` nɔnɔme sia bɔe?

Le nyateƒe me la, ahɔhɔ̃mekawo ƒe dɔléle si nye neuroleptic malignant syndrome (NMS) nye dɔléle si mebɔ kura o. Edzɔna le ame siwo zãa ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe atikewo ƒe 0.01% va ɖo 3.2% dome .

Ke hã, nya nyuiae nye be NMS ƒe nyatakakawo ƒe xexlẽme dzi le ɖeɖem kpɔtɔ le atike yeye siwo me afɔku le be woahe NMS vɛ, kple ɖɔktawo kple dɔnɔwo ƒe nyanya tso nɔnɔme sia ŋu ta.

Nukawoe nye ahɔhɔ̃mekawo ƒe dɔléle si nye neuroleptic malignant syndrome (NMS) ƒe dzesiwo?

Zi geɖe la, `NMS` ƒe dzesiwo dzea egɔme dzena le ŋkeke ɖeka va ɖo etɔ̃ me . Dzesi vevitɔwoe nye:

• Dzoxɔxɔ si nu sẽ ŋutɔ (Fahrenheit dzidzenu 102 va ɖo 104 - Celsius dzidzenu 38.9 va ɖo 40).
• Dzi ƒe tsotso ƒe masɔmasɔ (arrhythmia).
• Dzi ƒe tsotso ƒe dzidziɖedzi (tachycardia).
• Yagbɔgbɔ ƒe dzidziɖedzi (tachypnea).
• Lãmetsi ƒe sesẽ/sesẽ `(lãmeka ƒe sesẽ)`.
• Tɔtrɔ siwo vaa susu ƒe nɔnɔme me (abe tɔtɔ, zitɔtɔ, susu ƒe bublu ene).
• Ʋusɔgbɔdɔ alo ʋusɔgbɔdɔ.
• Fifia si gbɔ eme.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò, vevietɔ ne èle ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe atike zãm la, taflatse ƒo ka na 911 alo yi kɔdzi si te ɖe ŋuwò enumake. Esia nye atikewɔwɔ kpata.

Aleke ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe atikewo hea `NMS` vɛ?

`NMS` nɔnɔmea tso ahɔhɔ̃mekawo ƒe dɔwɔwɔ (antipsychotic) atike gbɔ.Ate ŋu adzɔ ne wozãe zi ɖeka, ne wodzi atikeawo ɖe edzi, alo ne woyi edzi zã agbɔsɔsɔ ma ke. Togbɔ be NMS do ƒome kple dzidzime gbãtɔ ƒe tagbɔdɔlélawo koŋ hã la, ate ŋu adzɔ hã, le mɔ sue aɖe nu, ne woɖe asi le dzidzime evelia ƒe tagbɔdɔlékuiwutikewo, atike aɖewo siwo wua ʋusɔgbɔdɔ, kple dopaminergic atike siwo wozãna na Parkinson ƒe dɔlélea ŋu kpata.

Dzɔdzɔmeŋutinunyalawo gale agbagba dzem kokoko be yewoanya nusi tututu hea NMS vɛ. Nufiafia si li fifiae nye be dopamine D2 receptor antagonism gbɔe wòtsona . Dopamine nye ahɔhɔ̃mekawo ƒe dɔwɔwɔ le míaƒe ahɔhɔ̃ me. Enye atike si tsɔa gbedasiwo yia lãmenugbagbeviwo dome. Ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe atikewo wɔa dɔ to mɔxexe ɖe dopamine dɔla sia nu be wòagage ɖe lãmenugbagbeviwo me to lãmenugbagbevi aɖewo koŋ dzi o.

Ne dopamine xɔla siwo le wò hypothalamus kple/alo aklã me xe la, lãmekawo ƒe tete dzina ɖe edzi. Azɔ hã, dopamine xɔlawo ƒe tɔtɔ le hypothalamus me ye hea dzoxɔxɔ sesẽ kple ʋu ƒe sisi ƒe tɔtrɔ gã siwo wokpɔna le NMS me vɛ.

Aleke wokpɔa ahɔhɔ̃mekawo ƒe dɔléle si nye neuroleptic malignant syndrome (NMS)?

Hafi ɖɔktawo nate ŋu akpɔ NMS la, ele be dzesi alo nɔnɔme siwo gbɔna la katã nanɔ ŋuwò :

• Èle ahɔhɔ̃mekawo ƒe dɔlélenutsiŋutete zãm alo kasia nèdzudzɔ dopaminergic atike nono.
• Lãmetsiwo ƒe tete/tete sesẽ le ŋuwò (esia ate ŋu ana lãmekawo nagbã gɔ̃ hã).
• Asrã sesẽ aɖe le ŋuwò.
• Tɔtrɔ aɖe va le wò susu ƒe nɔnɔme me.

Tsɔ kpe ɖe eŋu la, ele be nɔnɔme siwo gbɔna la dometɔ eve ya teti nanɔ anyi:

• Fifia si gbɔ eme alo esi mebɔ o.
• Nu mimi sesẽ.
• Aɖuɖɔtoe alo aɖuɖɔ dzi ɖuɖu ƒe ŋutetemanɔamesi (aɖuɖɔtoe me nutete).
• Dzi ƒe tsotso ƒe dzidziɖedzi (tachycardia).
• Kasia mete ŋu ƒoa nu o.
• Ʋu ƒe sisi ƒe dzidziɖedzi alo tɔtrɔ enuenu.
• Ʋumenugbagbevi ɣiwo ƒe dzidziɖedzi (Leukocytosis).
• Creatine phosphokinase (CPK) ƒe agbɔsɔsɔ si dzi ɖe edzi le lãmekawo ƒe gbagbã ta.
• Reflexion blewu alo esi seɖoƒe li na (hyporeflexia).

Dodokpɔ kawoe wowɔna tsɔ dea dzesi `NMS`?

Ne wò ɖɔkta susui be NMS le ŋuwò la, ate ŋu abia be woawɔ dodokpɔwo abe:

• metabolic panel si me nyawo katã le.
• Aɖuɖɔtoe me dzodzro.
• Ʋuka alo ʋuka me ʋu ƒe gas dodokpɔ.
• Creatine phosphokinase (CPK) ƒe ʋudodokpɔ.

Aleke wodaa ahɔhɔ̃mekawo ƒe dɔléle si nye neuroleptic malignant syndrome (NMS)?

NMS nye atikewɔwɔ ƒe nudzɔdzɔ kpata. Eyata ele vevie be woanya dɔlélea eye woadze atikewɔwɔ gɔme kaba. Ne NMS le ŋuwò la, anɔ eme be ahiã be woaxɔ wò ɖe kɔdzi.Ahiã be nàxɔ atike le dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ vevie (ICU).

Le `NMS` ƒe nɔnɔmewo katã me la, ɖɔktawo adzudzɔ ahɔhɔ̃mekawo ƒe dɔwɔwɔ (antipsychotic) atike si he `NMS` vɛ la enumake. Gakpe ɖe eŋu la, woada `NMS` ƒe dzesiwo eye woawɔ afɔɖeɖewo atsɔ axe mɔ ɖe kuxi siwo ate ŋu ado mo ɖa nu. Atikewɔwɔ siawo ate ŋu anye:

• Dzitodzito kple gbɔgbɔtsixe ƒe liƒo me léle ɖe asi to mɔ̃ dzi yaƒoƒo, atike siwo tsia dzi ƒe tsotso nu, kple/alo dzitodzito ƒe mɔ̃wo zazã me.
• Elektrikŋusẽ ƒe dadasɔ me léle ɖe asi le ŋutilãa me to tsi siwo wodona ɖe ʋuka me (IV tsiwo) dodo me.
• Ŋutilã ƒe dzoxɔxɔ dzi ɖeɖe kpɔtɔ to avɔ siwo fa miamiamia, tsikpetsi, kple/alo tsikpe bablawo zazã me.
• Ne ʋu ƒe sisi le dzi yim la, tsɔ atike ɖu edzi.
• Atikewo abe heparin ene nana be ʋu nagaxe o.
• Atike siwo ate ŋu ana dopamine ƒe agbɔsɔsɔ si le ŋutilãa me naɖiɖi.
• Lãmetsi alo ƒumeŋuɖui nana.

Nukae nye afɔku siwo le `NMS` ƒe ŋgɔyiyi me?

Nu geɖe li siwo nana be ahɔhɔ̃mekawo ƒe dɔléle si nye neuroleptic malignant syndrome (NMS) xɔxɔ ƒe afɔkua dzina ɖe edzi:

• Atike yeye si wua ahɔhɔ̃mekawo ƒe dɔwɔwɔ (antipsychotic) gɔmedzedze alo eƒe agbɔsɔsɔme dzi ɖeɖe kpɔtɔ.
• Atike siwo wua ahɔhɔ̃mekawo zazã alo atike si nye lithium zazã.
• Dopaminergic atike aɖe zazã kpata na Parkinson ƒe dɔlélea.

Ɣeyiɣi didi kae wòaxɔ hafi woahaya tso `NMS` me? (Nyagblɔɖi) .

Ne wokpɔ NMS kaba eye wodae kaba eye wodae nyuie la, ame akpa gãtɔ hayana le kwasiɖa eve va ɖo ŋkeke 14 me.

Gake ne atikewɔwɔa tsi megbe la, kuxi sesẽwo ate ŋu ado mo ɖa siwo agblẽ nu le lãmekawo, ayikuwo, dzitodzitowo, kple/alo lãkusiwo ŋu.

Ne womewɔ atike na NMS kaba o la, ate ŋu awu ame. NMS ƒe ku ƒe agbɔsɔsɔme tso 5% va ɖo 20%. Gake NMS ŋuti sidzedze geɖe wu kple tagbɔdɔlékuiwutike yeyewo zazã na amewuwu sia dzi ɖe kpɔtɔ le ƒe bla nane siwo va yi me.

Ame geɖe, le ɖɔkta ƒe mɔfiafia te, te ŋu gbugbɔ dze ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie (tagbɔdɔlékuiwutike) zazã gɔme dzidzedzetɔe.

Nukawoe nye ahɔhɔ̃mekawo ƒe dɔléle si nye neuroleptic malignant syndrome (NMS) ƒe kuxiwo?

Nublanuitɔe la, NMS ƒe kuxiwo bɔ eye wosẽna ŋutɔ. Kuxi aɖewo tsoa NMS kple autonomic nervous system ƒe dɔmawɔmawɔ nyuie ƒe dzesi siwo ɖe dzesi gbɔ, gake bubuwo, vevietɔ dɔlékuiwo, ate ŋu atso dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ le ɣeyiɣi didi aɖe (ICU) me.

NMS ƒe kuxi aɖewoe nye:

• Rhabdomyolysis (lãmekawo ƒe gbagbã - esiae nye kuxi si bɔ wu).
• Tsikuɖiɖi.
• Ayiku ƒe dɔmawɔmawɔ nyuie.
• Yagbɔgbɔ ƒe dɔmawɔmawɔ nyuie.
• Aɖuɖɔtoe ƒe nɔnɔmewo/ alɔ̃madɔmadɔ .
• Dzitodzito me ʋu ƒe sisi.
• Ʋu ƒe sisi le ŋutilã bliboa me (Disseminated intravascular coagulation).
• Aklã ƒe dɔmawɔmawɔ nyuie.
• Aklãdɔléle.
• Sepsis (dɔlékui siwo gena ɖe ʋukawo me).
• Aɖuɖɔtoe me dɔléle (UTI).
• Aklã me ʋu ƒe sisi.

Esi wònye be kuxi siawo nu sẽ ŋutɔ eye woate ŋu ade wò agbe afɔku me ta la, ele vevie ŋutɔ be nàƒo ka na 911 enumake eye nàyi kɔdzi si te ɖe ŋuwò be woawɔ atike na wò ne NMS ƒe dzesiwo le ŋuwò. Le afisia hã la, NMS nye nudzɔdzɔ kpata si ate ŋu ade ame ƒe agbe afɔku me eye ate ŋu ahiã be woawɔ atike nɛ le Dɔnɔdzikpɔƒe (ICU).

Ɣekaɣie wòle be makpɔ nye ɖɔkta?

Ne èle ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie (tagbɔdɔlékuiwutike), ʋusɔgbɔdɔ, kple/alo dopaminergic (Parkinson) ƒe atike ɖeka alo esi wu nenema zãm la, ele vevie be nàyi wò ɖɔkta gbɔ edziedzi be nàkpɔ egbɔ be wole dɔ wɔm nyuie na wò. Azɔ hã, bia wò ɖɔkta tso atike siwo zãm nèle ƒe nugbegblẽ le ame ŋu kple dzesi siwo wòle be nànya ŋu.

Ðe wòle be mayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) ne `NMS` ƒe dzesiwo le ŋunyea?

Ne ahɔhɔ̃mekawo ƒe dɔléle vɔ̃ɖi (NMS) ƒe dzesiwo le ŋuwò, abe dzoxɔxɔ si nu sẽ ŋutɔ kple lãmekawo ƒe sesẽ ene la, ele vevie be nàƒo ka na 911 alo ayi kɔdzi si te ɖe ŋuwò enumake. NMS bia be woakpɔ atikewɔƒe enumake. Ne womewɔ atike nɛ kaba hewɔe nyuie o la, ate ŋu ahe ku gɔ̃ hã vɛ.

Neuroleptic malignant syndrome (NMS) nye dɔléle sesẽ aɖe si ate ŋu ade ame ƒe agbe afɔku me. Eyata ne dzesiwo le ŋuwò la, ele vevie ŋutɔ be nàyi atikewɔƒe kaba ale si nàte ŋui. NMS dada le bɔbɔe wu ne wolée kaba. Togbɔ be NMS mebɔ o hã la, ne èle ahɔhɔ̃mekawo ƒe dɔlélenutsiŋutete (siwo tsia tagbɔdɔléle nu) zãm la, ƒo nu kple wò ɖɔkta alo atikewɔla tso eƒe nugbegblẽ le ame ŋu kple dzesi siwo ŋu wòle be nàlé ŋku ɖo ŋu. Wole afima be yewoakpe ɖe ŋuwò.

Nu vevitɔ kekeake siwo míesrɔ̃ tso nyati sia me (Take-Home Message) .

Enyo, eyata mina míaɖo ŋku nu vevi aɖewo siwo wòle be wòanɔ susu me na wò tso nusiwo ŋu míeƒo nu tsoe le `NMS` sia me dzi na wò:

• NMS nye dɔléle si mebɔ o, gake ate ŋu ade ame ƒe agbe afɔku me, si ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe atikewo hena vɛ.
• Asrã sesẽ, lãmekawo ƒe veve, kple susu ƒe tɔtɔe nye dzesi vevitɔwo.
• Ne ède dzesi dzesi siawo dometɔ aɖe la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Mègahe ɖe megbe o.
• Ne èle ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe atikewo zãm la, ƒo nu tso atikeawo kple eƒe nugbegblẽ le ame ŋu ŋu na wò ɖɔkta. Mègavɔ̃ be yeabia nya o.
• Woate ŋu ada NMS keŋkeŋ ne wokpɔ dɔlélea le eŋu hedae kaba.

Míele mɔ kpɔm be nyatakaka sia na nènya. Nɔ lãmesẽ me!

` Neuroleptic Malignant Syndrome, NMS, tagbɔdɔlélawo ƒe atikewo, eƒe nugbegblẽ le ame ŋu, dzoxɔxɔ sesẽ, lãmekawo ƒe sesẽ