Kua pāngia koe e te āhua o te koretake o te manawa, ā, kāore e taea e koe te noho ki tētahi tūranga, ki tētahi wāhi rānei, ahakoa he poto noa te wā? Kei te hiahia koe ki te neke haere me te rūrū i ō waewae i ngā wā katoa, me te āhua o te koretake o te manawa e puta mai ana i roto? Tērā pea he pānga taha tēnei o tētahi rongoā e tangohia ana e koe. I tēnei rā ka kōrero tātou mō tēnei mate (Akathisia). Kaua e mataku, he mea nui kia mōhio koe ki tēnei.
He aha tēnei (Akathisia)? Kia mārama noa iho tātou.
Ko te Akathisia he kohinga tohu e pā ana ki te pūnaha io me te hinengaro (`(Neuropsychiatric syndrome)`). He mate nekehanga hoki. I tēnei wā, he tino uaua ki te noho, ki te noho puku rānei nā te tino āwangawanga e puta mai ana i roto. Ko te kupu "akathisia" i ahu mai i te reo Kariki, ko tōna tikanga "kore e taea te noho". He maha ngā wā ka puta tēnei āhuatanga ina whakamahia ētahi rongoā, inā koa ko ngā rongoā `(Antipsychotic)` me `(Neuroleptic)` e whakamahia ana mō ngā mate hinengaro. Ehara i te mea koinā anake, ka taea hoki te hono atu ki tēnei (akathisia) me ētahi āhuatanga hauora pēnei i te `(Parkinson's disease)`. Ka rongo te tangata whai (akathisia) i te āwangawanga nui me te āwangawanga i roto. Koinei te take he nui te hiahia ki te neke haere tonu, inā koa ki te neke i ō rātou waewae. He maha ngā wā ka mahia ēnei nekehanga i te huarahi kotahi tonu (`repetitive`). Ka tino mamae tēnei hiahia kore e taea te whakahaere ki te neke. Ka wehea e ngā tākuta tēnei āhuatanga (akathisia) kia maha ngā momo, i runga i te wā ka tīmata ngā tohu me te roa o te wā.
- Akathisia whakapeka: Ka puta tēnei i ngā rā tuatahi i muri i te tīmatanga o te rongoā, inā koa he rongoā ārai mate hinengaro, ina whakanuia rānei te horopeta. E ono marama te roa.
- Akathisia mau tonu: Ka puta tēnei momo akathisia ina roa ake ngā tohu mō te ono marama. Ka roa pea mō ngā marama, mō ngā tau rānei.
- Tardive akathisia: Ka puta tēnei i muri i te tīmatanga o ētahi rongoā, te whakanui ake i te horopeta, i muri rānei i te toru marama. He maha ngā wā ka hono atu ki tētahi atu mate nekehanga e kiia nei ko te tardive dyskinesia.
- Te akathisia tango: Ka puta tēnei āhuatanga ina whakaitihia, ina mutu rānei te horopeta o ētahi rongoā.
He rite tonu a Akathisia ki te Manukanuka?
Kāo, kaua e whakapoauau i ngā mea e rua. He rerekē ngā āhuatanga o te Akathisia me te manukanuka. He mate nekehanga te Akathisia, ko te manukanuka ia he mate hauora hinengaro. Heoi, tera pea he rite tonu ētahi āhuatanga. Hei tauira, te kore e marino, me te kore e taea te whakahaere i ngā whakaaro me ngā whanonga o te tangata. Heoi, ko te āhuatanga matua o te akathisia ko te hiahia kore e taea te whakahaere ki te neke haere tonu. He onge ngā tohu e ahu mai ana i te wehi, i te manukanuka rānei. Heoi, he mea noa ki te hunga whai akathisia te manukanuka me te ahotea nā te mea he hiahia kore e taea te whakahaere ki te neke.
Engari, ko te mate (Akathisia) ka he te tautuhi he hei manukanuka mau tonu, hei ohooho rānei.
He pēhea te noa o te Akathisia?
Ko te Akathisia te mate nekehanga tino noa e pā ana ki ngā rongoā hinengaro-whakaora, inā koa ngā rongoā ārai mate hinengaro. E kiia ana tae atu ki te 24% o te hunga whai
mate hinengaro-whakaora e tango ana i ngā rongoā mō te mate he akathisia. I roto i tētahi rangahau, 39% o te hunga e tango ana i te clozapine me te 45% o te hunga e tango ana i ngā rongoā ārai mate hinengaro-tuatahi (FGA) he akathisia.
He aha ngā tohu o te (Akathisia)?
Ko ngā tohu o te akathisia ka puta i muri i te tīmatanga o te tango i tētahi rongoā antipsychotic, i muri rānei i te whakanui ake a tō tākuta i te horopeta. Ko te tohu matua ko
te ahua o te kore okiokinga, te wiriwiri rānei . Ka rongo te hunga whai akathisia i te hiahia nui ki te ruru i ō rātou tinana, inā koa ō rātou waewae, mai i ō rātou hope ki ō rātou pona waewae. Mena he akathisia tōu, ka taea e koe te mahi i ēnei mea:
- Ka whiti tonu ahau i ōku waewae, kātahi ka whakatikatika anō.
- Ka neke haere tonu ōku waewae i a au e noho ana.
- I a koe e tū ana, ka whakawhitihia e koe te taumaha mai i tetahi waewae ki tetahi atu.
- E piu ana ahau ki muri, ki mua i a au e noho ana.
- E hikoi haere ana rātou, e tū ana rānei i te wāhi kotahi, e whakaari ana kei te hīkoi haere.
Ki tētahi atu, ko ēnei tohu me ngā nekehanga he rite ki te tangata e nekeneke haere tonu ana, e kore e taea te noho marino.
Mena kei a koe ēnei tohu, he mea nui kia kōrero wawe atu koe ki tō tākuta. He aha te āhua o te whai (Akathisia)?
He maha ngā wā ka whakaahuahia e te hunga whai Akathisia te āwangawanga o roto, me te hiahia kore e taea te whakahaere ki te neke. He maha ngā wā ka whakaahuahia e rātou te āwangawanga me te kore e taea te whakangā. Ka pāngia pea rātou e te āwangawanga ina hiahia rātou kia noho puku, pērā i te tūru. Nā tēnei āwangawanga o roto ka pāngia te hunga whai Akathisia e te manukanuka me te pouri. E kī ana a Akathisia mō te wā roa,
Kua honoa ki te pikinga ake o te mōrearea o te whara i a ia anō, o te whanonga whakamomori rānei. Mena kei te whakaaro koe ki te whakamomori, ki te hiahia rānei koe ki te whara i a koe anō, he mea nui kia rapu awhina hauora tonu atu.
He aha ngā take o Akathisia?
Kāore anō kia mōhiotia e ngā kaipūtaiao te tino take o te akathisia. Engari e whakaaro ana rātou nā ētahi rongoā i aukati i ngā kaiwhakawhiwhi i roto i te roro e whiwhi ana i tētahi matū e kiia nei ko te dopamine. Ko te Dopamine he neurotransmitter, he matū e āwhina ana i ngā mahi nui o te tinana, tae atu ki tā tātou nekehanga. Nā tēnei aukati ka puta ngā nekehanga kore whakahaere. He maha ngā rongoā e pā ana ki te akathisia: E hono ana hoki a Akathisia ki ētahi āhuatanga hauora:- Te mate a Parkinson .
- Mate/ mumura o te roro ('Encephalitis').
- Ngā whara o te upoko (Whara roro whara - TBI).
Ngā rongoā ārai hinengaro e pā ana ki te Akathisia
Ko te Akathisia te mate nekehanga tino noa e pā ana ki ngā rongoā antipsychotic. I ētahi wā ka kiia e ngā tākuta ko te akathisia i puta mai i te antipsychotic. Ko ngā rongoā antipsychotic, ko ngā neuroleptics rānei, ka wehea ki ngā wāhanga matua e rua:- Ngā rongoā antipsychotic "tūturu" o te whakatupuranga tuatahi (FGA) rānei.
- Te whakatipuranga tuarua, te "rerekē" rānei `(Antipsychotics - SGA)`.
Ko te Akathisia te mea e hono ana ki ngā rongoā o te akomanga `(FGA)`, inā koa ko ērā he kaha ake, ā, he nui ake te horopeta e whakamahia ana. He iti ake te mōrearea me ngā rongoā `(SGA)`. Ka tohua ēnei rongoā `(FGA)` me `(SGA)` e ngā tākuta mō ngā momo mate hinengaro. Hei tauira:- Ngā raruraru whanonga i roto i te mate wareware.
- Mate pūrua.
- Te pouri.
- Ngā mate kai.
- Te mate manukanuka whānui.
- Te kore moe .
- Mate pōrearea-ārai (`Mate pōrearea-ārai -OCD` ).
- Ngā mate o te tuakiri.
- Te mate ahotea muri i te whara (PTSD).
Mate hinengaro-ā-hinengaro . Te mate hinengaro me ngā mate e pā ana.
Ngā tauira o ētahi rongoā FGA (me ngā ingoa waitohu) e pā ana ki te Akathisia:- ``Chlorpromazine (Thorazine®)''
- `Fluphenazine (Prolixin®)`
- `Haloperidol (Haldol®)`
- `Loxapine (Loxitane®)`
- ``Prochlorperazine (Compro®, Compazine®)''
Ko ētahi o ngā rongoā SGA e nui ake ana te mōrearea mō Akathisia ko:- `Paliperidone (Invega®)`
- `Ziprasidone (Geodon®)`
Ngā rongoā ārai pouri e pā ana ki te Akathisia
Ahakoa kāore i te tino noa pērā i ngā rongoā antipsychotic, kua honoa hoki ētahi rongoā antidepressant ki te akathisia. Kei roto i ēnei:- Ngā aukati tango serotonin whiriwhiri (SSRI): Koinei ngā rongoā ārai pouri e tino tohua ana. Hei tauira: fluoxetine (Prozac®), paroxetine (Paxil®).
- Ngā aukati monoamine oxidase (MAOI): Koinei ngā rongoā tuatahi i whakawhanakehia hei ārai i te pouri. Ahakoa he whai hua, he maha tonu ngā rongoā hou ake, haumaru ake, he iti ake hoki ngā pānga taha e whakamahia ana i nāianei.
- Ngā rongoā ārai pouri Tricyclic (TCA): Ka tohua ēnei e ngā tākuta ina kore e mahi ētahi atu rongoā ārai pouri. Hei tauira: clomipramine (Anafranil®), amitriptyline (Elavil®).
Ka tohua e ngā tākuta ngā rongoā antidepressant mō ngā āhuatanga pēnei i:- Te pouri.
- Mate pūrua.
- Ngā mate manukanuka.
- Mamae mau tonu.
- Mate pōrearea-ātete (OCD).
- Ngā whakaekenga mataku.
- Te mate ahotea muri i te whara (PTSD).
E whakatauhia ana kei waenganui i te 10% me te 18% o te hunga whai mate bipolar I e tango ana i ngā rongoā ārai pouri ka pāngia e te akathisia. Ētahi atu rongoā e pā ana ki a Akathisia
Ētahi atu rongoā e pā ana ki a Akathisia:- Ngā rongoā mō te whakapairuaki, te ruaki rānei (ngā rongoā ārai-mimi), hei tauira, te metoclopramide.
- Ngā rongoā mō te toto toto tiketike, hei tauira, 'reserpine', 'methyldopa'.
- Ngā aukati hongere konupūmā, hei tauira, cinnarizine, diltiazem.
- Ngā rongoā whakangāwari.
- Rongoā mō te whanoke.
- 'Azithromycin' (he paturopi e whakamahia whānuitia ana).
- 'Buspirone' (he rongoā mō te manukanuka).
Ka taea hoki te pā mai o te akathisia e ngā raau taero ture kore pērā i te amphetamine, te methamphetamine, me te cocaine. Me pēhea te mōhio ki te (Akathisia)?
Ko te tikanga, ka tātaritatia te Akathisia e ngā tākuta mā te tirotiro i ngā whanonga me ngā tohu o te tūroro ('mātakitaki haumanu'). Kāore e hiahiatia he whakamātautau toto, he whakamātautau whakaahua rānei. Ko te tikanga e whakamahia whānuitia ana hei aromatawai i te taumata o te Akathisia ko te "Barnes Akathisia-Rating Scale (BARS)". Ki te whakaaro koe he Akathisia tōu, ka pātai atu tō tākuta ki a koe mō ō tohu, hītori hauora, me ngā rongoā o nāianei. Ka tirotirohia hoki e rātou ō whanonga me ō nekehanga. Engari, he uaua te tātaritatia te Akathisia. Nā te mea he rite ōna tohu ki ētahi atu mate hauora hinengaro, hei tauira:- Te hinengaro koretake.
- Pōrangi.
- Mate kore aro/mate kore mahi nui (ADHD).
- Te pouri ohorere.
Me pēhea te rongoā mō te Akathisia?
Kāore he rongoā motuhake mō te Akathisia i tēnei wā. Mena he rongoā te take o tō Akathisia, tera pea ka ngana tō tākuta ki te whakawhiti i a koe ki tētahi atu rongoā, ki te whakaiti rānei i te horopeta o te rongoā e tangohia ana e koe (mēnā ka taea). Kua whakaatuhia e ētahi rangahau ka āwhina pea ēnei rongoā i te Akathisia:- Ngā aukati-beta, hei tauira, propranolol.
- Benzodiazepines (he momo rongoā e whakamahia ana hei rongoā i ngā āhuatanga pēnei i te manukanuka, te kore moe, me te haurangi).
- Mirtazapine horopeta iti (he rongoā ārai pouri).
- Ngā rongoā ārai-whakaiti i te hiahia ki te rongoā (he momo rongoā hei rongoā i ngā mate pēnei i te mate huango).
- Huaora B6.
Ka taea te ārai i te Akathisia?
Kei te ngana tonu ngā kaipūtaiao ki te mārama ki te Akathisia, ōna take, me ngā maimoatanga. Engari e mōhio ana rātou he nui ake te tūponotanga ka puta te Akathisia i roto i ēnei āhuatanga e whai ake nei:- Mena kei te tango koe i te rongoā antipsychotic o te whakatupuranga tuatahi.
- Ki te nui rawa te rongoā e tangohia ana e koe.
- Mena ka whakanuia ohoreretia e tō tākuta te horopeta o tō rongoā, ka whakanuia nuitia rānei.
- Mena he pakeke koe, he kaumātua rānei.
I runga i ēnei āhuatanga, ko te huarahi pai hei ārai i te Akathisia ko te tīmata i ēnei rongoā e ngā tākuta i te horopeta iti rawa ka taea, ā, ka piki haere te horopeta mēnā e tika ana. I mua i te tīmatanga o tētahi rongoā, he mea nui kia kōrero koe ki tō tākuta mō ngā mōrearea, ngā painga, me ngā pānga taha pea. He aha te matapae mō (Akathisia)?
Ki te kitea wawetia te Akathisia, ā, ka mutu te rongoā e puta ai (mēnā ka taea), ka pai ake te āhua. Heoi, ki te kore e rongoatia te Akathisia, ka tino ngoikore. He maha ngā tāngata e pāngia ana e te Akathisia e te manukanuka nui me te pouri (`dysphoria`). Tērā pea ka puta he whakaaro whakamomori ki a rātou. Mena kei te whakaaro koe ki te whakamomori, he mea nui kia rapu awhina hauora tonu atu.
Āhea koe me toro atu ki te tākuta mō (Akathisia)?
Mena kei a koe ngā tohu o te Akathisia, he mea nui kia kōrero koe ki tō tākuta. Ko te tere o te kitea o te pūtake, ko te tere hoki o te whakarerekē i tō rongoā me te whakahaere i te āhua. He pānga taha tino whakarihariha te Akathisia, ka puta mai i ētahi rongoā. Mena kei te āwangawanga koe kei pāngia koe e te Akathisia i muri i te tīmatanga o te rongoā mō tētahi āhuatanga hauora hinengaro, mō tētahi mate pūnaha io rānei, kaua e wehi ki te pātai atu ki tō tākuta. Mena kei a koe ngā tohu o te Akathisia, me kōrero wawe atu ki tō tākuta . Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)
- Ko te Akathisia he āhuatanga e kore ai e taea te noho ki te wāhi kotahi nā te kore okiokinga o roto, me te hiahia tonu ki te neke.
- Tērā pea ka puta tēnei i ētahi rongoā antipsychotic. Tērā pea ka puta anō hoki i ngā rongoā antidepressants me ētahi atu rongoā.
- Ko ngā tohu ko te wiri o ngā waewae, te hikoi haere, me te kore e taea te noho ki te wāhi kotahi.
- Ehara tēnei i te manukanuka, engari ka taea e ia te whakararuraru.
- Ki te pā mai ēnei tohu ki a koe, me whakamōhio atu ki tō tākuta. Tērā pea ka taea te whakahaere i tēnei āhuatanga mā te whakarerekē i te horopeta o tō rongoā, mā te whakawhiti rānei ki tētahi atu rongoā.
- Kaua rawa e mutu te tango i tō rongoā, kaua hoki e whakarerekē i te horopeta me te kore he tohutohu a tō tākuta.
- Ka taea te whakakore i te Akathisia mēnā ka kitea me te rongoā wawe.
Mena he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tō tākuta. Kia ora tonu koe!
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