ʻO Dkinesia lohi

ʻO Tardive dyskinesia (TD) kahi maʻi e pili ana i nā neʻe ʻole. Hoʻolohi ʻo Tardive a ʻo ka dyskinesia ke ʻano o ka neʻe maʻamau.

He hopena koʻikoʻi ʻo TD i ka wā e lawe ʻoe i nā lāʻau i kapa ʻia neuroleptics. Kapa ʻia kēia mau lāʻau i nā antipsychotics a i ʻole nā ​​tranquilizers nui. Hoʻohana ʻia lākou e mālama i nā pilikia noʻonoʻo.

Kū pinepine ʻo TD ke lawe ʻoe i ka lāʻau no kekahi mau mahina a mau makahiki paha. I kekahi mau hihia, kū ia ma hope o kou lawe ʻana iā lākou ma kahi o 6 mau pule.

ʻO nā lāʻau i kumu pinepine ʻia kēia maʻi he antipsychotics kahiko, e like me:

• ʻO Chlorpromazine
• Fluphenazine
• Haloperidol
• Perphenazine
• ʻO Prochlorperazine
• ʻO Thioridazine
• Trifluoperazine

ʻO nā antipsychotics hou e like me ka liʻiliʻi o ke kumu o TD, akā ʻaʻole lākou me ka ʻole o ka makaʻu.

Nā lāʻau ʻē aʻe i hiki ke kumu iā TD e komo pū me:

• ʻO Metoclopramide (mālama i ka pilikia o ka ʻōpū i kapa ʻia ʻo gastroparesis)
• Nā lāʻau Antidepressant e like me amitriptyline, fluoxetine, phenelzine, sertraline, trazodone
• Nā lāʻau anti-Parkinson e like me levodopa
• Nā lāʻau lapaʻau antiseizure e like me phenobarbital a me phenytoin

ʻO nā ʻōuli o ka TD me nā neʻe ʻole e kaohi ʻia o ka maka a me ke kino e like me:

• ʻO ka ʻūlū ʻana o ka helehelena (maʻamau e pili ana i nā mākala lalo)
• ʻO ka holo ʻana o ka manamana lima (ka hoʻokani piano ʻana)
• Luli a wili paha i ke pelvis (duck-like gait)
• Ke ʻalohi nei ʻo Jaw
• ʻŪlū hou
• ʻ .lapa ka maka
• Hoʻokomo ʻia ka ʻelo
• Hoʻomaha ʻole

Ke kuhi ʻia ʻo TD, e hoʻokau ka mea mālama ola iā ʻoe e hoʻokū mālie i ka lāʻau a hoʻololi i kahi mea ʻē aʻe.

Inā akahai a haʻahaʻa paha ʻo TD, hoʻāʻo ʻia nā lāʻau like ʻole. ʻO kahi lāʻau lapaʻau hoʻopau ʻo dopamine, ʻo tetrabenazine ka lāʻau lapaʻau maikaʻi loa no TD. Hiki i kāu mea hoʻolako ke haʻi hou aku iā ʻoe e pili ana i kēia.

Inā koʻikoʻi loa ʻo TD, e hoʻāʻo ʻia kahi hana i kapa ʻia ʻo DBS ka hoʻonāukiuki ʻana i ka lolo. Hoʻohana ʻo DBS i kahi hāmeʻa i kapa ʻia he neurostimulator e hāʻawi i nā hōʻailona uila i nā wahi o ka lolo e kaohi ana i ka neʻe.

Inā ʻike wawe ʻia, huli paha ʻo TD e ke kāpae ʻana i ka lāʻau i kumu i nā ʻōuli. ʻOiai ua hoʻokū ʻia ka lāʻau, lilo mau ka neʻe ʻole i paʻa mau, a i kekahi mau hihia, e ʻoi aku ka maikaʻi.

TD; Tardive Syndrome; ʻO Orkacial dyskinesia; ʻO ka neʻe ʻole o ka hana - tardive dyskinesia; Nā lāʻau Antipsychotic - diskinesia tardive; Nā lāʻau Neuroleptic - dyskinesia tardive; Schizophrenia - diskinesia tardive

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

Aronson JK. Nā lāʻau Neuroleptic. I: Aronson JK, hoʻoponopono. Nā hopena a Meyler o nā lāʻau. 16th ed. Waltham, MA: Elsevier B.V.; 2016: 53-119.

Freudenreich ʻO, Flaherty AW. ʻO nā mea maʻi me nā neʻe ʻole. I: Stern TA, Freudenreich O, Smith FA, Fricchione GL, Rosenbaum JF, eds. ʻO ka puke lima nui o ka haukapila ʻo Massachusetts. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 21.

Freudenreich ʻO, Goff DC, Henderson DC. Nā lāʻau Antipsychotic. I: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. ʻO ka haukapila laulima ʻo Massachusetts General Hospital. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 42.

Okun MS, Lang AE. Nā pilikia neʻe ʻē aʻe. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 382.