Yu dɔn ɛva fil wan strenj we yu nɔ de rɛst we mek yu nɔ ebul fɔ de na wan pozishɔn ɔ ples fɔ ivin shɔt tɛm? Yu kin fil fɔ muv rawnd ɛn shek yu leg ɔltɛm wit filin we nɔ de rɛst we de kɔmɔt insay? Dis kin bi wan sayd ɛfɛkt fɔ wan mɛrɛsin we yu de tek. Tide wi go tɔk bɔt dis kɔndishɔn (Akathisia). Nɔr frayd, i rili impɔtant fɔ no bɔt dis.
Wetin na dis (Akathisia)? Lɛ wi ɔndastand am simpul wan.
Akathisia na rili wan kכlekshכn fכ di simptom dεm we de rilet to di nεv sεstem εn maynd (`(Nyurosaykayatrik sεndrכm)`). Dɔn bak, na wan prɔblɛm we de mek pɔsin muv. Insay dis kayn tin, i kin rili at fɔ sidɔm ɔr de stil bikɔs ɔf wan bad bad rɛstlɛs we kin kɔmɔt insay. Di wɔd "akathisia" kɔmɔt frɔm di Grik langwej, we min "inability to sit". Dis kכndyushכn kin apin bכku tεm we yu de yuz sכm mεdikeshכn dεm, spεshal wan dεm we dεn kin yus fכ mental sik. Nɔto dat nɔmɔ, dis (akathisia) kin gɛt fɔ du bak wit sɔm mɛdikal kɔndishɔn dɛn lɛk `(Parkinson’s disease)`. Pɔsin wae gɛt (akathisia) kin fil big rεstlɛs ɛn rεstlɛs insay. Dis na di rizin we mek dɛn kin rili want fɔ muv rawnd ɔltɛm, mɔ fɔ muv dɛn leg. כltεm dεn muvmεnt dεm ya dεn kin du di sem we כva εn כva (`ripit`). Dis we aw pɔsin kin want fɔ muf we pɔsin nɔ ebul fɔ kɔntrol, kin rili mek wi at pwɛl. Dɔktɔ dɛn kin sheb dis sik (akathisia) to difrɛn kayn dɛn, i kin dipen pan ustɛm di sik kin bigin ɛn aw lɔng i kin te.
- Akyu akathisia: Dis kin apin insay di fɔs dez afta yu dɔn bigin fɔ tek mɛrɛsin, mɔ wan antisaykotik, ɔ we dɛn ad di doz. I nɔ kin te siks mɔnt.
- Chronic akathisia: Dis kayn akathisia kin apun wae de sik kin te fɔ pas siks mɔnt. I kin las fɔ sɔm mɔnt ɔ ivin fɔ lɔng lɔng tɛm.
- Tardive akathisia: Dis kin apin afta yu dɔn bigin fɔ tek sɔm mɛrɛsin, yu dɔn ad di doz, ɔ ivin afta tri mɔnt. Bɔrku tɛm i kin gɛt fɔ du wit ɔda muvmɛnt prɔblɛm wae dɛn kɔl tardive dyskinesia.
- Withdrawal akathisia: Dis kכndyushכn kin apin we dεn dכn rεdכks di doz fכ sכm mεdikeshכn dεm כ stכp kכmplit wan.
Akathisia na di sem tin wit Anxiety?
Nɔ, nɔ kɔnfyus di tu. Akathisia ɛn wɔri hat na tu difrɛn tin dɛm. Akathisia na wan sik wae de mek pɔrsin nɔr de muv, wae pɔrsin de wɔri na tin wae de mɛk pɔrsin fil fayn. Bɔt, dɛn kin gɛt sɔm tin dɛn we dɛn ɔl gɛt. Fɔ ɛgzampul, we pɔsin nɔ de rɛst, ɛn we i nɔ ebul fɔ kɔntrol di tin dɛn we i de tink ɛn di we aw i de biev. Bɔt di men tin we kin mek pɔsin gɛt akathisia na we i nɔ kin ebul fɔ kɔntrol insɛf fɔ muv ɔltɛm. Di sayn dɛm wae kin kam wae pɔrsin de frayd ɔr de wɔri nɔr kin bɔrku. Bɔt i kɔmɔn fɔ mek pipul dɛn we gɛt akathisia fil wɔri ɛn strɛs bikɔs ɔf dis kayn we aw dɛn nɔ kin ebul fɔ kɔntrol dɛnsɛf fɔ muf.
כnכfכs, dεn kin misdiagnose de kכndyushכn (Akathisia) bכku tεm lεk wae yu de wɔri ɔltɛm εn/ɔr de agyu.
Aw kɔmɔn tin na Akathisia?
Akathisia na di mɔs kɔmɔn muvmɛnt disɔda wae gɛt fɔ du wit saykotropik mɛrɛsin, mɔr lɛk antisaykotik mɛrɛsin. Dɛn se te to 24% pan di pipul dɛm wae gɛt
dis sik wae de tek mɛrɛsin fɔ dis sik kin gɛt akathisia. Insay wan stɔdi, 39% pan di pipul dɛm we de tek klozapin ɛn 45% pan di pipul dɛm we de tek fɔs jɛnɛreshɔn antisaykotik (FGA) bin gɛt akathisia.
Wetin na di sayn dɛm fɔ (Akathisia)?
Akathisia simptom kin apia afta yu bigin fɔ tek wan antisaykotik mɛrɛsin, ɔr afta yu dɔktɔ dɔn inkrisayz di doz. Di men sayn na we
yu fil se yu nɔ de rɛst, ɔ yu de jis . Pipul wae gɛt akathisia kin fil bad fɔ shek dɛn bɔdi, mɔr lɛk dɛn leg, frɔm dɛn hip to dɛn ankles. If yu gɛt akathisia, yu kin du dɛn tin ya:
- A kin krɔs mi leg ɔltɛm ɛn afta dat a kin stret dɛn bak.
- Mi leg dɛn kin kɔntinyu fɔ muf we a sidɔm.
- We yu tinap, yu kin transfa wet frɔm wan leg to di ɔda wan.
- A kin swɛla bak ɛn go bifo we a sidɔm.
- Dɛn de waka go ɛn kam ɔltɛm, ɔ tinap na wan ples ɛn mek lɛk se dɛn de mach.
To ɔda pɔsin, dɛn sayn ɛn muvmɛnt ya kin tan lɛk pɔsin we de fid ɔltɛm ɛn nɔ ebul fɔ sidɔm.
If yu gɛt dɛn sik ya, i impɔtant fɔ tɔk to yu dɔktɔ kwik kwik wan. Aw e kin fil fɔ gɛt (Akathisia)?
Bɔrku tɛm, pipul dɛm wae gɛt Akathisia kin tɔk bɔt aw dɛn kin fil tranga wan na dɛn at ɛn dɛn nɔr kin ebul fɔ kɔntrol dɛn fɔ muv. Bɔku tɛm dɛn kin tɔk bɔt aw pɔsin kin fil lɛk se i nɔ rɛst ɛn nɔ ebul fɔ rilaks. Dɛn kin fil tɛnsi bak we dɛn nid fɔ de stil, lɛk we dɛn de na kiyu. Dis kayn we aw pɔrsin nɔr kin fil fayn na in at kin mek pipul dɛm wae gɛt Akathisia kin gɛt wɔri ɛn pwɛl hat. Akathisia stet dɛn we dɔn te, .
Dɛn dɔn tɔk se i gɛt fɔ du wit di risk fɔ mek pɔsin du bad to insɛf ɔ fɔ kil insɛf. If yu de tink bɔt fɔ kil yusɛf ɔ yu fil se yu go du bad to yusɛf, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.
Wetin na di tin dɛn we kin mek pɔsin gɛt Akathisia?
Sayɛnsman dɛn stil nɔ no di rayt tin we kin mek pɔsin gɛt akathisia. Bɔt dɛn tink se na bikɔs sɔm mɛrɛsin dɛn kin blok di riseptɔ dɛn na di bren we kin gɛt wan kemikal we dɛn kɔl dopamin. Dopamine na nyurotransmitta, we na wan kemikal we de ɛp fɔ du bɔku impɔtant wok dɛn na di bɔdi, ivin wi muvmɛnt. Dis blɔk de mek di muvmɛnt dɛn we dɛn nɔ ebul fɔ kɔntrol. Bɔku mɛrɛsin dɛn de we gɛt fɔ du wit akathisia: Akathisia gɛt fɔ du bak wit sɔm wɛlbɔdi prɔblɛm dɛn:- Dis sik we dɛn kɔl Parkinson .
- Bren infεkshכn/ inflameshn (`Encephalitis`).
- Hɛd injuri (Traumatik bren injuri - TBI).
Antisaykotik mɛrɛsin dɛn we gɛt fɔ du wit Akathisia
Akathisia na di mɔs kɔmɔn muvmɛnt disɔda wae gɛt fɔ du wit antisaykotik mɛrɛsin. Sɔntɛnde, dɔktɔ dɛn kin kɔl am antisaykotik-induced akathisia. Antisaykotik mɛrɛsin, ɔ nyurolɛptik, de insay tu men kategori:- Fɔs jɛnɛreshɔn ɔ "tipik" antisaykotik (FGA).
- Sεkכn jεnereshכn כ "difrεnt" `(Antipsychotics - SGA)`.
Akathisia kin gɛt fɔ du wit mɛrɛsin dɛn we de na di `(FGA)` klas, mɔ di wan dɛn we gɛt mɔ pawa ɛn we dɛn kin yuz mɔ dos. Di risk kin smɔl smɔl wit `(SGA)` mɛrɛsin. Dɔktɔ dɛn kin gi dɛn `(FGA)` ɛn `(SGA)` mɛrɛsin fɔ difrɛn nyurosaykayatrik kɔndishɔn dɛn. Fɔ ɛgzampul:- Bihayvya distɔblɛshɔn na dis maynia sik.
- Bipola muud disɔda.
- Pwɛl at.
- Di prɔblɛm dɛn we pɔsin kin gɛt we i de it.
- Jɛnɛralized anxiety disɔda.
- Nɔ ebul slip .
- Obsessive-compulsive disɔda (`Obsesiv-kɔmpulsiv disɔda - .OCD `).
- Di prɔblɛm dɛn we kin apin to pɔsin in pasɔnaliti.
- Pɔst-traumatik strɛs disɔda (PTSD).
Schizoaffective disɔda we gɛt di sik. Skizofrenia ɛn di sik dɛn we gɛt fɔ du wit am.
Ɛgzampul fɔ sɔm FGA mɛrɛsin dɛn (wit brand nem) we kin gɛt fɔ du wit Akathisia:- ``Klɔrpromazin (Tɔrazin®)''.
- `Flufenazin (Prolixin®)`
- `Halopɛridɔl (Haldol®)`
- `Lɔksapin (Lɔksitɛn®)`
- ``Proklɔrpɛrazin (Kɔmpro®, Kɔmpazin®)''.
Sɔm pan di SGA mɛrɛsin dɛm wae de pan risk fɔ Akathisia na:- `Paliperidɔn (Invega®)`
- `Ziprasidon (Jiodɔn®)`
Antidipreshan wae gɛt fɔ du wit Akathisia
Pan ɔl we dɛn nɔ kin kɔmɔn lɛk di mɛrɛsin dɛn we de mek pɔsin in at pwɛl, dɛn dɔn tɔk bak se sɔm mɛrɛsin dɛn we de mek pɔsin in at pwɛl, gɛt sɔntin fɔ du wit akathisia. Dɛn tin ya na:- Sεlektiv sεrotonin riuptek inhibito dεm (SSRI): Dis na di mכst kכmכn prεskrib antidipreshכn. Ɛgzampul dɛn: flɔksɛtin (Prozac®), parɔksɛtin (Paxil®).
- Monoamine oxidase inhibitors (MAOIs): Dɛn wan ya na bin di fɔs antidipreshan dɛn we dɛn bin mek. Pan ɔl we dɛn bin de wok, bɔku tɛm naw dɛn de yuz nyu mɛrɛsin dɛn we nɔ bad ɛn we nɔ gɛt bɛtɛ sayd ɛfɛkt.
- Tricyclic (TCA) antidipreshan: Dɔktɔ kin gi dɛn dis wae ɔda antidipreshan nɔr de woke. Ɛgzampul dɛn: klomipramin (Anafranil®), amitriptylin (Elavil®).
Dɔktɔ dɛn kin gi yu mɛrɛsin fɔ mek yu nɔ fil bad fɔ sik dɛn lɛk:- Pwɛl at.
- Bipola muud disɔda.
- Di prɔblɛm dɛn we kin mek pɔsin wɔri.
- Pen we nɔ de dɔn.
- Obsesiv-kɔmpulsiv disɔda (OCD).
- Panik atak dɛn.
- Pɔst-traumatik strɛs disɔda (PTSD).
Dɛn se bitwin 10% ɛn 18% pan di pipul dɛm wae gɛt bipola I disɔda wae de tek antidipreshan kin gɛt akathisia. Ɔda mɛrɛsin dɛn we gɛt fɔ du wit Akathisia
Ɔda mɛrɛsin dɛm wae kin gɛt fɔ du wit Akathisia:- Mεdisin dεm fכ nכs כ vכmit (antiemetics), fכ egzampl. mɛtɔklɔpramid.
- Mεdisin dεm fכ hεy blכd prεshכn, fכ egzampl. `rɛsɛrpin`, `mɛtildopa`.
- Kכlsyכm chεnal blכk dεm, fכ egzampl. sinarizin, diltiazem, we dɛn kɔl diltiazem.
- Di tin dɛn we de mek pɔsin fil fayn.
- Mɛrɛsin fɔ diziz.
- `Azithromycin` (wan antibayɔtik we dɛn kin yuz bɔku bɔku wan).
- `Buspirone` (wan mɛrɛsin fɔ wɔri).
Akathisia kin kam bak bikɔs ɔf drɔgs we nɔ rayt lɛk amfetamin, mɛtamfɛtamin, ɛn kɔkɛyn. Aw fɔ no (Akathisia)?
Dɔktɔ dɛn kin no Akathisia bay we dɛn de wach di pɔsin in bihayvya ɛn di simptom dɛm (`klinik ɔbshɔbishɔn`). Dis nɔ nid fɔ du blɔd tɛst ɔ imej tɛst. di mכst kכmכn mεtכd we dεn kin yuz fכ ases di lεvεl fכ Akathisia na di ``Barnes Akathisia-Rating Scale (BARS)``. If yu tink se yu gɛt Akathisia, yu dɔktɔ go aks yu kwɛstyɔn bɔt yu sik, mɛrɛsin histri, ɛn di mɛrɛsin dɛn we yu de tek naw. Dɛn go wach bak aw yu de biev ɛn aw yu de muv. Bɔt i sɔri fɔ no se bɔku tɛm, i nɔ kin izi fɔ no bɔt Akathisia. Bikɔs in sayn dɛm tan lɛk ɔda mɛntɛl hεlth sik dɛm, fɔ ɛgzampul:- Saykosis we pɔsin kin gɛt.
- Mania we de mek pɔsin vɛks.
- Atɛnshɔn-dɛfisit/haypa aktiviti disɔda (ADHD).
- Diprɛshɔn we de mek pɔsin fil bad.
Aw dɛn kin trit Akathisia?
Naw, no patikyula tritmɛnt nɔ de fɔ Akathisia. If na mɛrɛsin mek yu Akathisia, yu dɔktɔ go tray fɔ chenj yu to ɔda mɛrɛsin ɔ ridyus di doz fɔ di mɛrɛsin we yu de tek naw (if i pɔsibul). Sɔm stɔdi dɔn sho se dɛn mɛrɛsin ya kin ɛp fɔ gɛt Akathisia:- Beta-blɔk, fɔ ɛgzampul propranolol.
- Benzodiazepines (na wan klas ɔf mɛrɛsin wae dɛn kin yuse fɔ trit tin dɛm lɛk fɔ wɔri, nɔr kin slip, ɛn fɔ gɛt sik wae de mɛk pɔrsin fil bad).
- Low-dose mirtazapine (wan mɛrɛsin we de mek pɔsin nɔ fil bad).
- Anticholinergics (na wan kayn mɛrɛsin we dɛn kin yuz fɔ mɛn sik dɛn lɛk asma).
- Vitamin B6 we gɛt di sik.
Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt Akathisia?
Sayɛnsman dɛn stil de tray fɔ ɔndastand gud gud wan Akathisia, di tin dɛn we kin mek i sik, ɛn aw fɔ mɛn am. Bɔt dɛn no se Akathisia kin kam mɔ pan dɛn tin ya:- If yu de tek fɔs jɛnɛreshɔn antisaykotik mɛrɛsin.
- If yu tek bɔku mɛrɛsin.
- If yu dɔktɔ inkrisayz di doz fɔ yu mɛrɛsin wantɛm wantɛm, ɔ bɔku.
- If yu ol midul ej ɔ yu dɔn ol.
We wi tink bɔt dɛn tin ya, di bɛst we fɔ mek dɛn nɔ gɛt Akathisia na fɔ mek dɔktɔ dɛn bigin fɔ tek dɛn mɛrɛsin ya wit di smɔl doz we pɔsin kin gɛt ɛn smɔl smɔl fɔ mek dɛn ad di doz if nid de. Bifo yu bigin fɔ tek ɛni mɛrɛsin, i impɔtant fɔ tɔk to yu dɔktɔ bɔt di prɔblɛm dɛn, di bɛnifit dɛn, ɛn di bad tin dɛn we kin apin to yu. Wetin na di prɔgnosis fɔ (Akathisia)?
If dɛn no Akathisia kwik ɛn dɛn stɔp di mɛrɛsin we de mek i gɛt am (if i pɔsibul), di sik kin bɛtɛ. Bɔt if dɛn nɔ trit Akathisia, i kin mek pɔsin nɔ gɛt bɛtɛ trɛnk igen. Bɔrku pipul dɛm wae gɛt Akathisia kin gɛt siriɔs wɔri ɛn pwɛl hat (`dysphoria`). Dɛn kin ivin tink bɔt fɔ kil dɛnsɛf. If yu de tink bɔt fɔ kil yusɛf, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.
Ustɛm yu fɔ si dɔktɔ bɔt (Akathisia)?
If yu gɛt sayn dɛm fɔ Akathisia, i impɔtant fɔ tɔk to yu dɔktɔ. Di kwik we dɛn kin fɛn di kɔz, na di kwik we dɛn kin chenj yu mɛrɛsin ɛn kɔntrol di sik. Akathisia na wan sayd ɛfɛkt we de mek pɔsin vɛks bad bad wan we sɔm mɛrɛsin dɛn kin kam wit. If yu de wɔri se yu go gɛt Akathisia afta yu dɔn bigin fɔ tek mɛrɛsin fɔ wan mental wɛlbɔdi prɔblɛm ɔr nyurolɔjik disɔda, nɔr frayd fɔ aks yu dɔktɔ bɔt am. If yu gɛt sayn dɛm fɔ Akathisia, tɛl yu dɔktɔ kwik kwik wan. Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .
- Akathisia na wan sik wae de mek pɔrsin nɔr de rεst insay in at kin mek i nɔr ebul fɔ de na wan ples ɛn i kin nid fɔ muv ɔltɛm.
- Dis kin bi mɔ pan sɔm mɛrɛsin dɛm wae de mek pɔrsin nɔr de fil fayn. I kin kam bak bikɔs ɔf mɛrɛsin dɛn we de mek pɔsin fil bad ɛn ɔda mɛrɛsin dɛn.
- Di sayn dɛm na wae yu de shek yu leg, yu de waka rawnd, ɛn yu nɔr ebul fɔ de na wan ples.
- Dis nɔto fɔ wɔri, bɔt i kin mek pɔsin wɔri.
- If yu gɛt dɛn sik ya, mek shɔ se yu tɛl yu dɔktɔ. Yu kin ebul fɔ mɛn dis sik bay wae yu chenj di doz fɔ yu mɛrɛsin ɔr chenj to ɔda mɛrɛsin.
- Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
- Akathisia kin rivεs if dεn no εn trit am kwik.
If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ. Stay wit wɛlbɔdi!
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt