Hmun khat emaw hmun khata hun rei lote pawh awm thei lo khawpa lungawi lohna mak tak i nei tawh em? I chhungril atanga lo chhuak rilru hahdam lo tak nen chuan i ke i kal kual reng a, i ke i vawrh reng duh em? Hei hi damdawi i ei avanga side effect a ni thei. Vawiin hian he dinhmun (Akathisia) chungchang kan sawi dawn a ni. Hlau suh, hei hi hriat chian a pawimawh hle.
Hei (Akathisia) hi eng nge ni? A awlsam zawngin i hrethiam ang u.
Akathisia hi a takah chuan nervous system leh rilru (`(Neuropsychiatric syndrome)`) nena inzawm symptoms awmkhawm a ni. Tin, movement disorder a ni bawk. Hetiang a nih chuan chhungril atanga lo chhuak hahdam lohna nasa tak avang hian thut emaw, awm reng emaw a harsa hle. "Akathisia" tih thumal hi Greek tawng atanga lo chhuak a ni a, "thut theih lohna" tihna a ni. Hetiang dinhmun hi damdawi thenkhat, a bik takin `(Antipsychotic)` emaw `(Neuroleptic)` damdawi rilru natna atana hman te hman hian a awm fo thin. Chu mai ni lovin, hei (akathisia) hi damdawi lam thil thenkhat `(Parkinson natna)` nen pawh a inzawm thei bawk. (akathisia) vei chuan a chhungril lamah lungawi lohna leh rilru hahdamna nasa tak a nei thin. Hei vang hian an inher kual reng duhna nasa tak an nei a, a bik takin an ke chet tir duhna nasa tak an nei a ni. Vawi tam tak chu heng movement te hi a inang rengin an ti leh fo thin (`repetitive`). He insawn duhna thunun theih loh hian lungngaihna nasa tak a thlen thei a ni. Doctor-te chuan he natna (akathisia) hi chi hrang hrangah an ṭhen a, chu chu engtik aṭanga a lan chhuah ṭan leh eng chen nge a awm tih a zirin a ni.
- Acute akathisia: Hei hi damdawi, a bik takin antipsychotic ei tan atanga ni hmasa berah emaw, a dose tihpun a nih chuan a thleng tlangpui. Thla ruk aia rei lo a daih.
- Chronic akathisia: Hetiang akathisia chi hi thla ruk aia rei a symptoms a awm chuan a awm thin. Thla tam tak emaw, kum tam tak emaw pawh a daih thei.
- Tardive akathisia: Hei hi damdawi thenkhat ei tan hnuah, a zat tihpun hnuah emaw, thla thum hnuah pawh a awm thin. Movement disorder dang tardive dyskinesia tih nen a inzawm fo bawk.
- Withdrawal akathisia: Hetiang dinhmun hi damdawi thenkhat dose tihtlem emaw, tihtawp vek emaw a nih chuan a awm thei.
Akathisia leh Anxiety hi a inang em?
Ni lo, an pahnih hi tibuai suh. Akathisia leh lungkhamna hi natna hrang hrang pahnih a ni. Akathisia hi movement disorder a ni a, lungkhamna erawh chu rilru lam natna a ni thung. Mahse, mizia inang ṭhenkhat an nei ve thei a ni. Entîr nân, rilru hahdam lo, leh mahni ngaihtuahna leh nungchang thunun theih lohna. Mahse, akathisia thil langsar ber chu thunun theih loh, che reng tura duhna hi a ni. Hlauhna emaw, lungkhamna emaw atanga lo chhuak symptoms hi a tlem hle. Mahse, akathisia vei te hian he inthlak danglam duhna thunun theih loh avang hian lungkhamna leh lungkhamna an nei fo thin.
Vanduaithlak takin, he natna (Akathisia) hi lungkhamna leh/ emaw, buaina awm reng anga hriat sual a ni fo thin.
Akathisia hi engtiang chiahin nge a hluar?
Akathisia hi psychotropic damdawi, a bik takin antipsychotic damdawi nena inzawm movement disorder awm tam ber a ni.
Schizophrenia vei, he natna damdawi ei thin zinga 24% thleng hian akathisia an vei nia chhut a ni. Zirna pakhatah chuan clozapine ei thin zinga 39% leh first-generation antipsychotics (FGA) ei thin zinga 45% chuan akathisia an vei tih hmuhchhuah a ni.
(Akathisia) natna lan chhuah dan chu engte nge ni?
Akathisia symptoms hi antipsychotic damdawi i ei tan hnuah emaw, i doctor-in a dose a tihpun hnuah emaw a lang tlangpui. A lan chhuahna ber chu
rilru hahna, a nih loh leh rilru hahna . Akathisia vei te hian an taksa, a bik takin an ke te chu an hip atanga an ke ruh thlenga tihnghing duhna nasa tak an nei thin. Akathisia i vei chuan hengte hi i ti thei ang:
- Ka ke chu ka cross fo a, chutah ka ding nghet leh thin.
- Ka ke chu thut lai chuan a che reng a.
- Ding lai hian ke pakhat atanga ke dangah rit i transfer thin.
- Ka thut lai chuan ka inher leh a.
- An kal leh chhuak reng a, a nih loh leh hmun khatah ding chungin kawng zawh ang maiin an insiam a ni.
Midang tan chuan heng chhinchhiahna leh chetna te hi mi fidge reng reng leh thut thei lo ang maiin a lang thei.
Heng symptoms te hi i neih chuan a rang thei ang bera Doctor nena inbiakna neih a pawimawh. (Akathisia) neih hi engtin nge a awm?
Akathisia vei te hian chhungril lama rilru hahna nasa tak leh che thei lo taka che duhna an neih thu an sawi fo thin. Anni chuan rilru hahdam lo leh chawlh hahdam theih lohna an sawi fo thin. Tin, queue-a awm ang chi, ngawi renga awm a ngaih hunah pawh an rilru a buai thei bawk. He chhungril lama hahdam lohna hian Akathisia vei te chu lungkhamna leh lungngaihna a thlen fo thin. Hun rei tak Akathisia state-te, .
Mahni intihhlum emaw, mahni intihhlum emaw theihna a tipung tih an sawi. Mahni intihhlum tumna i neih emaw, mahni intihhlum duhna emaw i neih chuan damdawi lam tanpuina i zawn nghal a pawimawh hle.
Akathisia hi engte nge ni?
Scientist te hian akathisia awm chhan dik tak hi an la hre lo. Mahse damdawi thenkhatin thluaka chemical dopamine an tih dawngtu receptor te chu a block vang niin an ngai. Dopamine hi neurotransmitter a ni a, chemical a ni a, taksa hnathawh pawimawh tak tak tam takah a pui a, kan che vel pawh a pui bawk. He blockage hian control loh taka chetna a thlen thin. Akathisia nena inzawm damdawi engemaw zat a awm a: Akathisia hi hriselna lama harsatna thenkhat nen pawh a inzawm a:- Parkinson natna a ni.
- Thluak natna/ inflammation (`Encephalitis`) a awm.
- Lu hliam (Traumatic thluak hliam - TBI).
Akathisia nena inzawm antipsychotic damdawi te
Akathisia hi antipsychotic damdawi nena inzawm movement disorder awm tam ber a ni. Doctor-te chuan antipsychotic-induced akathisia an ti \hin. Antipsychotic damdawi, a nih loh leh neuroleptics hi chi hnih ah then a ni a:- Thla hmasa ber emaw "typical" antipsychotics (FGA) emaw a ni thei.
- Thla hnihna emaw "danglam" emaw `(Antipsychotics - SGA)`.
Akathisia hi `(FGA)` class-a damdawi nen a inzawm tam ber a, a bik takin a chak zawk leh a dose sang zawka hman te nen a inzawm tlat a ni. `(SGA)` damdawi ei hian a hlauhawmna a hniam deuh. Doctor-te chuan neuropsychiatric condition hrang hrang tan heng `(FGA)` leh `(SGA)` damdawi te hi an pe thin. Entir nan:- Dementia natna vei zingah nungchang lama harsatna a awm.
- Bipolar disorder a ni.
- Lungngaihna.
- Ei leh in lama harsatna nei.
- Generalized anxiety disorder a ni a, a rilru a hah hle.
- Mu thei lo .
- Obsessive-compulsive disorder (`A rilru a buai em em a, a rilru a hah em em bawk a, a rilru a buai em em bawk a.OCD `).
- Mihring nihna lama harsatna (personality disorders) a awm.
- Post-traumatic stress disorder (PTSD) avanga harsatna awm thei a ni.
Schizoaffective natna (Schizoaffective disorder) a ni. Schizophrenia leh a kaihhnawih natna te.
Akathisia nena inzawm thei FGA damdawi thenkhat (brand hming nei) entirnan:- ``Chlorpromazine (Thorazine®) tih a ni a, a man pawh a tlawm hle.
- `Fluphenazine (Prolixin®) hmanga siam a ni`
- `Haloperidol (Haldol®) tih a ni
- `Loxapine (Loxitane®) tih a ni
- ``Prochlorperazine (Compro®, Compazine®) tih hi a awm a, a man pawh a tlawm hle.
SGA damdawi Akathisia vei theihna sang zawk thenkhat chu:- `Paliperidone (Invega®) hmanga siam a ni`
- `Ziprasidone (Geodon®) hmanga siam a ni`
Akathisia nena inzawm antidepressants
Antipsychotic damdawi angin a awm lo nain, antidepressant thenkhat pawh akathisia nen an inzawm tih an hmuchhuak bawk. Chung zingah chuan:- Selective serotonin reuptake inhibitors (SSRIs): Hengte hi antidepressant damdawi pek tam ber an ni. Entirnan: fluoxetine (Prozac®), paroxetine (Paxil®) te hi a ni.
- Monoamine oxidase inhibitors (MAOIs): Hengte hi antidepressant siam hmasak ber an ni. An hlawk hle nachungin, tunah chuan damdawi thar zawk, him zawk, side effect tlem zawk nei te chu hman a ni fo tawh.
- Tricyclic (TCA) antidepressants: Doctor ten antidepressant dangin hna a thawh loh chuan hengte hi an pe thin. Entirnan: clomipramine (Anafranil®), amitriptyline (Elavil®) te hi a ni.
Doctor-te chuan antidepressant hi hetiang dinhmun atan hian an pe thin:- Lungngaihna.
- Bipolar disorder a ni.
- Lungkhamna (anxiety disorder) a awm.
- Natna rei tak a awm.
- Obsessive-compulsive disorder (OCD) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk.
- Panic attack a awm thin.
- Post-traumatic stress disorder (PTSD) avanga harsatna awm thei a ni.
Bipolar I disorder nei zinga antidepressant ei thin zinga 10% atanga 18% inkar chuan akathisia an vei nia chhut a ni. Akathisia nena inzawm damdawi dangte
Akathisia nena inzawm damdawi dang:- Nausea emaw, luak chhuak emaw damdawi (antiemetics), e.g. metoclopramide hmanga tihdam a ni.
- Thisen sang damdawi, e.g. `reserpine`, `methyldopa` tih te hi a ni.
- Calcium channel blocker te, e.g. cinnarizine, diltiazem tih a ni.
- Sedatives te pawh a awm.
- Luak chhuak damdawi.
- `Azithromycin` (antibiotic hman lar tak a ni).
- `Buspirone` (lungkhamna damdawi).
Akathisia hi dan lova ruihhlo, amphetamine, methamphetamine, leh cocaine te avanga lo awm thei a ni bawk. Engtin nge (Akathisia) hi kan hriat theih ang?
Doctor-te chuan Akathisia hi damlo nungchang leh a lan chhuah dan (`clinical observation`) enin an hmuchhuak tlangpui. Hei hian thisen test emaw imaging test emaw a ngai lo. Akathisia level tehna atana hman tlanglawn ber chu ``Barnes Akathisia-Rating Scale (BARS)`` a ni. Akathisia i vei nia i ngaih chuan i doctor chuan i natna lan chhuah dan te, i damdawi lam chanchin te, leh damdawi hman mek te chungchang zawhna a zawt ang che. I nungchang leh i che vel te pawh an lo en reng ang. Vanduaithlak takin Akathisia hi hriat a har fo thin. A chhan chu a natna lan chhuah dan hi rilru lam natna dang nen a inang a, entirnan:- Psychosis (Psychosis) a ni.
- Mania tih hi a ni.
- Attention-deficit/hyperactivity disorder (ADHD) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
- Agitated depression a ni.
Engtin nge Akathisia hi enkawl a nih?
Tunah hian Akathisia hi enkawlna bik a la awm lo. I Akathisia hi damdawi avanga lo awm a nih chuan i doctor chuan damdawi dang hmanga thlak emaw, tuna i damdawi ei mek (a theih chuan) tihtlem emaw a tum mai thei. Zirna thenkhatah chuan a hnuaia damdawi te hian Akathisia natna hi a pui thei tih hmuhchhuah a ni:- Beta-blockers, entirnan propranolol te hi a ni.
- Benzodiazepines (damdawi chi khat, lungkhamna, mut theih lohna, leh seizures te enkawlna atana hman thin).
- Mirtazapine (depressant) dose hniam tak pek a ni.
- Anticholinergics (damdawi chi khat, asthma ang chi natna enkawlna atana hman thin).
- Vitamin B6 a ni.
Akathisia hi a veng thei ang em?
Scientist-te chuan Akathisia, a chhan leh a enkawl dante chu chiang taka hriat tumin an la bei mek a ni. Mahse, Akathisia hi a hnuaia dinhmunteah hian a lo awm tam zawk tih an hria a ni:- First-generation antipsychotic damdawi i ei a nih chuan.
- Damdawi i ei tam lutuk chuan.
- I doctor chuan i damdawi ei tur a tihpun nghal a nih chuan, a nih loh leh nasa takin.
- Kum chanve emaw tar emaw i nih chuan.
Heng thilte hi ngaihtuah chuan Akathisia laka inven dan tha ber chu doctor-te chuan heng damdawi te hi a tlem berah an tan a, a tul chuan zawi zawiin an tihpun hi a ni. Damdawi eng pawh i ei tan hmain i doctor nen a hlauhawmna, a thatna leh a nghawng tha lo awm thei te sawi hmasak a pawimawh. (Akathisia) hi eng prognosis nge ni?
Akathisia hi hriat hmasak a nih a, a thlentu damdawi chu tihtawp a nih chuan (a theih chuan) a natna chu a dam tlangpui. Amaherawhchu, Akathisia hi enkawl loh a nih chuan a tichak lo hle thei a ni. Akathisia vei tam tak chuan lungkhamna leh lungngaihna nasa tak (`dysphoria`) an nei thin. Mahni intihhlum tumna pawh an nei thei. Mahni intihhlum tumna i neih chuan damdawi lam tanpuina i zawn nghal a pawimawh hle.
Engtikah nge (Akathisia) chungchangah doctor i hmuh ang?
Akathisia symptoms i neih chuan doctor nen inbiakna neih a pawimawh. A chhan an hmuh hma chuan i damdawi chu an thlak thuai thei a, i dinhmun chu an thunun thei bawk. Akathisia hi side effect tibuaitu tak a ni a, damdawi thenkhat avanga lo awm thei a ni. Rilru lam natna emaw, thluak lam harsatna emaw damdawi i ei tan hnua Akathisia i vei mai thei tih i hlau a nih chuan, i doctor zawh pawh hlau suh. Akathisia symptoms i neih chuan doctor hnenah a rang thei ang bera hrilh rawh. Hriat reng tur pawimawh ber berte (Take-Home Message) .
- Akathisia hi chhungril lama chawlh hahdam lohna avanga hmun khata awm theih lohna leh chet reng ngai lohna a ni.
- Hei hi antipsychotic damdawi thenkhat vang ber a ni thei. Antidepressant leh damdawi dang avanga lo awm thei a ni bawk.
- A lan chhuah dan chu ke nghing, kal kual leh hmun khata awm theih lohna te a ni.
- Hei hi lungkhamna a ni lo va, lungkhamna a thlen thei a ni.
- Heng symptoms te hi i neih chuan doctor hnenah hrilh ngei ang che. He natna hi i damdawi hman dan tur thlak danglam emaw, damdawi dang hman dan tur emaw hmanga enkawl theih a ni.
- I damdawi ei kha titawp ngai suh la, i doctor thurawn tel lo chuan a dose pawh thlak ngai suh.
- Akathisia hi a hmaa hriatchhuah leh enkawl a nih chuan a let leh thei a ni.
Hemi chungchanga zawhna dang i neih chuan doctor nen inbiakna neih hreh suh. Hrisel takin awm rawh!
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