Kua pāngia koe e te āhua o te koretake o roto, e kore ai e taea te noho tonu i te tūnga kotahi, te noho puku rānei mō tētahi wā poto? Kei te kite koe i a koe e neke haere tonu ana, e hiahia ana rānei kia kore e taea te ārai ki te ruru i ō waewae? Tērā pea he pānga taha pea tēnei o tētahi rongoā e tangohia ana e koe. I tēnei rā, kei te kōrero tātou mō tētahi mate e kiia nei ko Akathisia. Kaua e mataku; he mea nui te mārama ki tēnei mate i roto i tō tiaki i Nirogi Lanka.
He aha te Akathisia? Me wehewehe tātou
Ko te Akathisia, he mate hinengaro-pūmanawa, he momo mate nekehanga. Ka puta mai i te āhua o te koretake o roto e tino uaua ai te noho, te noho tonu rānei. Ko te kupu "Akathisia" i ahu mai i te kupu Kariki, ko tōna tikanga "kore e taea te noho."
He maha ngā wā ka honoa tēnei āhuatanga ki te whakamahinga o ētahi rongoā, inā koa ngā rongoā antipsychotic (neuroleptic rānei) e whakamahia ana mō ngā āhuatanga hauora hinengaro. Hei tāpiri, ka taea te hono atu ki ngā āhuatanga pūnaha io pērā i te mate a Parkinson.
Ko te tangata e pāngia ana e te Akathisia ka pāngia e te taumahatanga hohonu o roto, ā, ka tino kore whakamarie. Koia te take e hiahia tonu ai ia ki te neke, inā koa ki te nekeneke haere i ōna waewae. He maha ngā wā ka auau tonu ēnei nekehanga. Ko te kore e taea te whakahaere i tēnei hiahia ki te neke ka arahi pea ki te mamae hinengaro nui.
Ka whakarōpūhia e ngā tohunga hauora te Akathisia i runga i te tīmatanga me te roa o ngā tohu:
- Akathisia whakapeka: Ka puta tēnei i roto i ngā rā tuatahi o te tīmatanga o tētahi rongoā hou, inā koa he rongoā ārai mate hinengaro, i muri tonu mai rānei i te whakanui ake i te horopeta. E ono marama te roa.
- Akathisia mau tonu: Ka pā tēnei whakarōpūtanga ina roa ake ngā tohu i te ono marama. I ētahi wā ka roa pea mō ngā marama, tae atu ki ngā tau.
- Tardive akathisia: Ka puta tēnei i te iti rawa i te toru marama i muri i te tīmatanga o te rongoā, i te whakanui rānei i te horopeta. He maha ngā wā e hono ana ki tētahi atu mate nekehanga e mōhiotia ana ko te tardive dyskinesia.
- Te akathisia tango: Ka puta pea tēnei āhuatanga ina whakaitihia te horopeta o ētahi rongoā, ina mutu katoa rānei.
He rite tonu te Akathisia ki te manukanuka?
Kāo, he mea nui kia kaua e whakapoauau i ngā mea e rua. He rerekē ngā āhuatanga o te akathisia me te manukanuka. He mate nekehanga te akathisia, engari he mate hauora hinengaro te manukanuka.
Ahakoa he rite tonu ētahi tohu o waho, pērā i te kore okiokinga, te uaua rānei ki te whakahaere i ngā whanonga, ko te tohu o te Akathisia ko te hiahia tinana kore e taea te whakahaere ki te neke. Kāore i te nuinga o te wā e akiakihia ana e te wehi, e te manukanuka rānei. Heoi, nā te mea he tino mamae te hiahia kore e taea te neke, he mea tino noa mō te hunga whai Akathisia te whakawhanake i te manukanuka tuarua me te taumahatanga kare ā-roto.
Engari, he maha ngā wā ka hē te tautuhi i a Akathisia hei manukanuka mau tonu, hei ohooho rānei.
He pēhea te noa o te Akathisia?
I roto i ngā mate nekehanga e pāngia ana e ngā rongoā hinengaro-whakaaroaro — inā koa ngā rongoā ārai mate hinengaro — ko te Akathisia te mea tino kitea. E ai ki ngā whakatau tata, tata ki te 24% o te hunga e rongoatia ana mō te schizophrenia ka pāngia e te Akathisia mau tonu.
Kua whakaatuhia e ngā rangahau ko te 39% o ngā tūroro e tango ana i te Clozapine me te 45% o te hunga e tango ana i ngā rongoā antipsychotics o te whakatupuranga tuatahi (FGA) ka pāngia pea e ngā tohu o te Akathisia.
He aha ngā tohu o te Akathisia?
Ka puta pinepine ngā tohu i muri i tō tīmatanga ki te tango i te rongoā antipsychotic, i muri rānei i te whakarerekētanga o te horopeta e tō tākuta.
Ko te tohu matua ko te āwangawanga nui o roto, te wiriwiri rānei . He maha ngā wā ka rongo te hunga whai Akathisia i te hiahia nui ki te neke i ō rātou tinana, inā koa ko ngā waewae mai i ngā hope ki ngā pona.
Mena kei a koe a Akathisia, tera pea ka kitea koe e:
- Te whiti tonu me te wetewete i ō waewae.
- Te rūrū i ō waewae i a koe e noho ana.
- Te neke i tō taumaha mai i tētahi waewae ki tētahi atu i a koe e tū ana.
- E rūrū ana ki mua, ki mua i a koe e noho ana.
- Te hikoi pinepine, te hīkoi rānei i te wāhi kotahi.
Ki te kaimātakitaki, ka puta pea ēnei tohu he nekeneke haere tonu, he kore rānei e taea te noho pūmau. Mēnā ka kite koe i ēnei tohu, he mea nui kia toro atu koe ki tō tākuta i te wā e taea ai.
He aha te āhua o te whai a Akathisia?
Ko te tikanga, ka whakaahuahia e te hunga whai Akathisia he taumahatanga ā-roto e kore e taea te pupuri, me te hiahia nui ki te nekeneke. He maha ā rātou kōrero e pāngia ana e te manukanuka tonu, ā, kāore e taea te whakatutuki i te āhua o te whakangā.
Tērā pea ka tino pāngia koe e te ahotea nui i ngā wā e tika ana kia noho puku koe, pērā i te tatari i te rārangi.
Ko tēnei āwangawanga ā-roto ka arahi pinepine ki te manukanuka nui me te ngenge hinengaro. Kua honoa hoki te Akathisia mau tonu ki te pikinga ake o te mōrearea o te whanonga whakamomori .
Mena kei te pā mai ngā whakaaro whakamomori ki a koe, kei te whakaaro rānei koe kei whara koe i a koe anō, rapua ngā ratonga hauora ohorere, waea atu rānei ki te 911 tonu.
He aha te take o te Akathisia?
Ahakoa kāore anō kia tino mārama te tikanga tuturu, e whakapono ana ngā kaipūtaiao nā te aukati i ngā kaiwhakawhiwhi dopamine i roto i te roro i puta ai. He neurotransmitter nui te dopamine e whai wāhi ana ki te whakahaere i te nekehanga o te tinana me ētahi atu mahi nui. Nā tēnei aukati ka kore e taea te whakahaere i ēnei nekehanga.
He maha ngā momo rongoā e pā ana ki te Akathisia:
- Ngā rongoā ārai hinengaro .
- Ngā rongoā ārai pouri .
- Ngā momo rongoā kē atu.
Hei tāpiri, ko ētahi āhuatanga hauora ka hono atu ki te Akathisia:
- Te mate a Parkinson .
- Ngā mate pukupuku/ mumura o te roro (Encephalitis).
- Te 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 te whakamahinga o te rongoā ārai mate hinengaro, e kiia ana e ngā tākuta ko te akathisia i puta mai i te rongoā ārai mate hinengaro.
Ko ngā rongoā ārai hinengaro, arā, ngā neuroleptics, e whakarōpūtia ana ki ngā rōpū e rua:
- Ngā rongoā antipsychotic o te whakatipuranga tuatahi (FGA), ngā rongoā antipsychotic "noa" rānei.
- Ngā rongoā antipsychotic o te reanga tuarua (SGA), ngā rongoā antipsychotic "koretake" rānei.
Ko te Akathisia te mea e tino hono ana ki ngā rongoā antipsychotic o te whakatupuranga tuatahi (FGA), inā koa ko ngā rongoā kaha nui e hoatu ana i ngā horopeta teitei ake. Ko te tikanga he iti ake te mōrearea me ngā rongoā antipsychotic o te whakatupuranga tuarua (SGA).
Ka tohua ēnei rongoā FGA me SGA e ngā tākuta mō te whānuitanga o ngā āhuatanga neuropsychiatric, tae atu ki:
- 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 (OCD) ( 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.
Ko ngā tauira o ngā rongoā FGA e hono ana ki te akathisia ko:
- Chlorpromazine (Thorazine®)
- Fluphenazine (Prolixin®)
- Haloperidol (Haldol®)
- Loxapine (Loxitane®)
- Prochlorperazine (Compro®, Compazine®)
Ko ngā tauira o ngā rongoā SGA ka nui ake te mōrearea o te akathisia:
- Paliperidone (Invega®)
- Ziprasidone (Geodon®)
Ngā rongoā ārai pouri me te Akathisia
Ahakoa he iti ake te noa atu i ngā rongoā antipsychotics, ka taea hoki e ētahi rongoā antidepressants te whakaputa akathisia, tae atu ki:
- Ngā aukati tango serotonin whiriwhiri (SSRI): He rongoā pōuri tēnei e tohua whānuitia ana. Ko ētahi tauira ko te fluoxetine (Prozac®) me te paroxetine (Paxil®).
- Ngā aukati monoamine oxidase (MAOI): Ko ēnei ētahi o ngā rongoā tuatahi i whakawhanakehia hei ārai i te pouri. Ahakoa he whai hua, kāore i te tino whakamahia i ēnei rā nā te mea he maha ngā rongoā haumaru ake me ngā pānga taha iti iho.
- Ngā rongoā ārai pouri Tricyclic (TCA): He maha ngā wā ka rāhuitia ēnei e ngā tākuta mō ngā take kāore i whai hua ētahi atu maimoatanga. Hei tauira, ko te clomipramine (Anafranil®) me te amitriptyline (Elavil®).
Ka tohua e ngā tākuta ngā rongoā ārai pouri mō ngā āhuatanga maha, pērā 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 ai ki ngā rangahau, i waenga i te 10% me te 18% o te hunga whai mate Bipolar I e tohua ana ki ngā rongoā ārai pouri, ka pāngia rātou e te akathisia.
Ētahi atu rongoā e hono ana ki a Akathisia
Ko ētahi atu rongoā ka whakaoho i te akathisia ko:
- Ngā rongoā ārai-ruaki, pērā i te metoclopramide.
- Ngā rongoā whakaheke toto toto, pērā i te reserpine, te methyldopa rānei.
- Ngā aukati hongere konupūmā, pērā i te cinnarizine, te diltiazem rānei.
- Ētahi rongoā whakangāwari.
- Ngā rongoā mō te pororaru, te whanoke rānei.
- Azithromycin (he rongoā paturopi noa).
- Buspirone (he rongoā ārai-manukanuka).
Ka taea hoki e ngā matū ture kore, tae atu ki ngā amphetamine, ngā methamphetamine, me te cocaine, te whakaputa i te akathisia.
Me pēhea te tātaritanga o Akathisia?
Ko te tikanga, ka tātaritatia e ngā kaiwhakarato hauora te akathisia mā te tirotiro haumanu i ō whanonga me ngā tohu kua pūrongohia. Kāore e hiahiatia he whakamātautau toto me te whakaahua. Ko te taputapu e whakamahia whānuitia ana hei aromatawai i te kaha o te akathisia ko te Barnes Akathisia-Rating Scale (BARS).
Ki te whakapae koe he akathisia tōu, ka arotakehia e tō tākuta ō tohumate, ō hītori hauora, me ngā rongoā o nāianei me te tirotiro anō hoki i ō nekehanga tinana. Engari, he maha ngā wā kāore i te tino kitea te akathisia nā te mea ka taupatupatu pea ōna tohumate ki ētahi atu āhuatanga hinengaro, pēnei i:
- Te hinengaro koretake.
- Pōrangi.
- Mate kore aro/mate kore mahi nui (ADHD).
- Te pouri ohorere.
Me pēhea te rongoā i te Akathisia?
Kāore he "rongoa" kotahi mō te akathisia, engari ka taea e tō tākuta te āwhina i a koe ki te whakahaere.
Mena he rongoā te take o te mate, ka ngana pea tō tākuta ki te whakawhiti i a koe ki tētahi atu rongoā, ki te whakaiti rānei i tō horopeta o nāianei ki te wāhi e haumaru ana. E kī ana ētahi rangahau ka āwhina pea ēnei rongoā ki te whakahaere i ngā tohumate:
- Ngā aukati-beta, pērā i te propranolol.
- Ngā rongoā benzodiazepine.
- Mirtazapine horopeta iti.
- Ngā rongoā ārai-kōrini.
- Huaora B6.
Ka taea te ārai i te Akathisia?
Ahakoa kei te haere tonu ngā rangahau mō ngā tino take o te akathisia, he nui ake te mōrearea i roto i ngā āhuatanga e whai ake nei:
- Te tango i ngā rongoā antipsychotic o te whakatupuranga tuatahi he kaha nui.
- Te tango i ngā horopeta nui o te rongoā.
- Te pikinga tere o te horopeta o te rongoā.
- Ngā tūroro o waenganui o te pakeke, o te kaumātua rānei.
Ko te huarahi pai ki te whakaiti i te mōrearea ko te tīmata i ngā rongoā ki te horopeta iti rawa te whai hua, ā, ka whakarerekē mārire ina hiahiatia.I mua i te tīmatanga o tētahi rongoā hou, he mea nui kia kōrerohia e koe ngā mōrearea, ngā painga, me ngā pānga taha pea me tō kaiwhakarato hauora i Nirogi Lanka.
He aha te Matapae?
Ki te kitea wawetia, ā, ka whakatikatikaina, ka mutu rānei te rongoā e pā ana ki tēnei mate i raro i te tirotiro a te tākuta, he pai te āhua o te oranga. Heoi, ki te kore e rongoatia, ka taea e te akathisia te whakararuraru nui i tō kounga o te oranga, ka arahi pea ki te manukanuka nui, te koretake o te hinengaro, tae atu ki te whakaaro whakamomori.
Mena kei te pā mai ngā whakaaro whakamomori ki a koe, rapua he awhina hauora ohorere, waea atu rānei ki te 911 tonu.
Āhea koe me toro atu ki tētahi tākuta?
Ki te kite koe i ngā tohu o te akathisia, me toro atu ki tō tākuta i te wā tonu. Mā te tautuhi wawe ka taea te whakarerekē tere i tō mahere maimoatanga. He pānga taha whakararuraru te Akathisia, engari ka taea te whakahaere. Ki te mea he āwangawanga koe mō te tīmata i tētahi rongoā hinengaro, rongoā roro rānei, kaua e mangere ki te pātai ki tō tākuta mō te mōrearea o te akathisia. Ki te puta he tohu, me whakamōhio atu ki tō tākuta i te wā e taea ai.
Karere Tangohia ki te Kāinga
- Ko te Akathisia he āhuatanga e tohuhia ana e te ahua o te manukanuka o roto e uaua ai koe ki te noho marino, e hanga ana i te hiahia nui ki te neke haere tonu.
- He pānga taha tēnei nō ētahi rongoā antipsychotic, ahakoa ka taea hoki e ngā rongoā antidepressants me ētahi atu momo rongoā.
- Ko ngā tohu noa ko te nekeneke haere tonu o ngā waewae, te hikoi tere, me te kore e taea te noho tonu i te tūranga kotahi.
- Ahakoa he rerekē tēnei i te manukanuka, ko te mamae tinana e pā mai ana ka arahi pea ki ngā kare ā-roto o te manukanuka.
- Mena kei te pāngia koe e ēnei tohu, me toro atu ki tō tākuta tonu. Tērā pea ka taea e tō tākuta te whakahaere i tēnei āhuatanga mā te whakarerekē i tō horopeta, mā te whakawhiti rānei i a koe 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 te taote.
- Mā te mōhio wawe me te tiaki tika, ka taea te whakahaere i te mate Akathisia.
Mena he pātai, he āwangawanga rānei āu, tēnā whakapā atu ki tō kaiwhakarato hauora. Kia ora tonu koe me Nirogi Lanka!
