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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.
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Check Availability →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.
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:- Ngā rongoā ārai hinengaro .
- Ngā rongoā mō te pouri ('Ngā rongoā ārai pouri').
- Ētahi atu rongoā.
- 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).
- 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.
- Chlorpromazine (Thorazine®)''
- Fluphenazine (Prolixin®)
- Haloperidol (Haldol®)
- Loxapine (Loxitane®)
- Prochlorperazine (Compro®, Compazine®)''
- 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®).
- 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).
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).
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.
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.
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