He aha ʻo Akathisia?

Anter

• Akathisia vs. tardive dykinesia
• He aha nā hōʻailona?
• Hoʻomaʻo Akathisia
• ʻO Akathisia nā kumu a me nā kumu pilikia
• Pehea ia ʻike?
• Outlook

Hōʻike Overview

ʻO Akathisia kahi kūlana e hoʻoulu ai i ka manaʻo hoʻomaha a me kahi koi nui e neʻe. ʻO ka inoa mai ka huaʻōlelo Helene "akathemi," ʻo ia hoʻi "ʻaʻole e noho i lalo."

ʻO Akathisia kahi hopena ʻino o nā lāʻau antipsychotic hanauna mua i hoʻohana ʻia e mālama i nā kūlana olakino e like me ka maʻi bipolar a me schizophrenia, akā hiki ke hana ʻia me nā antipsychotics hou pū kekahi. Ma waena o 20 a me 75 pākēneka o ka poʻe i lawe i kēia mau lāʻau i kēia ʻaoʻao, keu hoʻi i nā pule mua ma hope o ka hoʻomaka ʻana o ka lāʻau.

Māhele ʻia ke ʻano i nā ʻano i hoʻokumu ʻia i ka wā e hoʻomaka ai:

• Akathisia huʻi ulu koke ma hope o kou hoʻomaka ʻana e ʻai i ka lāʻau, a ʻoi aku ka emi ma mua o ʻeono mau mahina.
• Akathisia lohi hoʻomohala i nā mahina a i ʻole mau makahiki ma hope o kou lawe ʻana i ka lāʻau.
• Akathisia maʻi mau ma mua o eono mahina.

Akathisia vs. tardive dykinesia

Kuhi hewa paha nā kauka akathisia no kekahi ʻano neʻe ʻē aʻe i kapa ʻia ʻo tardive diskinesia. ʻO Tardive dyskinesia kahi hopena ʻē aʻe o ka mālama ʻana me nā lāʻau antipsychotic. Kuhi ia i nā neʻe maʻamau - pinepine i ka maka, nā lima, a me ka pahu. Hoʻopili nui ʻo Akathisia i nā wāwae.

ʻO ka ʻokoʻa nui ma waena o nā kūlana ʻaʻole ʻike ka poʻe me ka dyskinesia tardive ke neʻe nei lākou. ʻO ka poʻe me akathisia ʻike lākou e neʻe nei lākou, a hoʻonāukiuki nā neʻe iā lākou.

He aha nā hōʻailona?

Manaʻo ka poʻe me akathisia i kahi koi ʻole e kāohi ʻia e neʻe a me kahi ʻano hoʻomaha ʻole. E hoʻokuʻu i ka makemake, komo lākou i nā neʻe hou e like me kēia:

• e hoʻoluliluli ana i hope i ka wā e kū ana a e noho ana paha
• ke hoʻololi nei i ke kaumaha mai kekahi wāwae i kekahi
• hele wāwae i kahi
• e holoholo ana
• shuffling ʻoiai e hele wāwae ana
• ke hāpai ʻana i nā wāwae me he mea lā e hele wāwae ana
• ke hele a keʻa ʻole i nā wāwae a i ʻole ke kowali ʻana i hoʻokahi wāwae i ka wā e noho ana

ʻO nā ʻōuli ʻē aʻe e like me:

• haunaele a panic paha
• ukiuki
• ahonui

Hoʻomaʻo Akathisia

E hoʻomaka kāu kauka ma ka lawe ʻana iā ʻoe i ka lāʻau i loaʻa iā akathisia. Hoʻohana ʻia kekahi mau lāʻau e mālama iā akathisia, me:

• lāʻau lapaʻau kaomi koko
• benzodiazepines, kahi ʻano tranquilizer
• lāʻau lapaʻau anticholinergic
• lāʻau anti-viral

Kōkua pū ka Vitamin B-6. I nā noi ʻana, ʻo nā lāʻau kiʻekiʻe (1,200 milligrams) o ka wikamina B-6 i hoʻomaikaʻi ʻia i nā ʻōuli o ka akathisia. Eia naʻe, ʻaʻole hiki ke mālama ʻia nā hihia akathisia āpau me nā lāʻau.

Maʻalahi ʻo Akathisia e pale aku ma mua o ka mālama. Inā makemake ʻoe i kahi lāʻau antipsychotic, pono i kāu kauka e hoʻomaka iā ʻoe ma kahi haʻahaʻa o ka lāʻau hiki a hoʻonui iki ia i kēlā me kēia manawa.

Hiki i ka hoʻohana ʻana i nā lāʻau antipsychotic hanauna hou ke hoʻemi i ka makaʻu o akathisia. Eia nō naʻe, aia kekahi e ʻoi aku i nā lāʻau antipsychotic hou hiki ke hana i kēia hōʻailona.

ʻO Akathisia nā kumu a me nā kumu pilikia

ʻO Akathisia kahi hopena ʻino o nā lāʻau antipsychotic e like me kēia:

• chlorpromazine (Thorazine)
• flupenthixol (Fluanxol)
• fluphenazine (Prolixin)
• haloperidol (Haldol)
• loxapine (Loxitane)
• molindone (Moban)
• pimozide (Orap)
• prochlorperazine (Compro, Compazine)
• thioridazine (Mellaril)
• thiothixene (Navane)
• trifluoperazine (Stelazine)

ʻAʻole maopopo i nā kauka ke kumu pololei o kēia hopena ʻaoʻao. Hiki paha ia ma muli o ka pale ʻana o nā lāʻau antipsychotic i nā receptor no ka dopamine i ka lolo. ʻO Dopamine kahi ʻelele kemika e kōkua i ke kaohi ʻana i ka neʻe. Eia nō naʻe, ua loaʻa i nā neurotransmitters ʻē aʻe me acetylcholine, serotonin, a me GABA ka noʻonoʻo e like me ka mea e hoʻokani nei i kēia ʻano.

ʻAʻole liʻiliʻi ʻo Akathisia me nā antipsychotics hanauna lua. Eia nō naʻe, hiki i nā antipsychotics hou ke kumu i kēia hopena ʻaoʻao.

ʻO ka poʻe e lawe i kēia mau lāʻau ʻē aʻe e makaʻu paha no akathisia.

• selective serotonin reuptake inhibitors (SSRIs)
• paukū ʻaʻa calcium
• lāʻau antinausea
• nā lāʻau e mālama ai i ka vertigo
• nā mea hoʻohiamoe ma mua o ke kaha

E loaʻa paha kēia ʻano iā ʻoe inā:

• mālama ʻia ʻoe me nā lāʻau antipsychotic hanauna ikaika mua
• loaʻa ʻoe i kahi lāʻau kiʻekiʻe o ka lāʻau
• hoʻonui koke kāu kauka i ka lāʻau
• he makua waena a makua paha ʻoe

Ua pili pū kekahi mau ʻano olakino i ka akathisia, me:

• Maʻi ʻo Parkinson
• encephalitis, kahi ʻano lī o ka lolo
• ʻeha lolo ʻeha (TBI)

Pehea ia ʻike?

E nīnau kāu kauka e pili ana i kāu mau hōʻailona. I ka wā o ka hoʻokolohua, e nānā ke kauka iā ʻoe inā ʻoe:

• ʻalalā
• hoʻololi pinepine i nā kūlana
• keʻa a hele i kou mau wāwae
• piula wai i kou mau wāwae
• pōhaku i hope a i hope e noho ana
• hoʻololi i kou mau wāwae

Pono ʻoe i nā hoʻokolohua e hōʻoia ai he akathisia kāu, a ʻaʻole like me kahi ʻano e like me:

• hoʻonāukiuki mai kahi maʻi maʻi
• hoʻomaha maʻi wāwae wāwae (RLS)
• hopohopo
• ka haʻalele ʻana i nā lāʻau
• diskinesia lohi

Outlook

Ke hōʻoki nei ʻoe i ka lawe ʻana i ka lāʻau i hana ʻia akathisia, e haʻalele ka hōʻailona. Eia nō naʻe, hiki i kekahi poʻe ke hoʻomau me kahi hihia akahai, ʻoiai ke kū nei i ka lāʻau.

He mea nui e mālama koke iā akathisia. Ke waiho ʻole ʻia hiki ke hana i nā hana psychotic iʻoi aku ka maikaʻi. Pale aku paha kēia ʻano iā ʻoe mai ka lawe ʻana i ka lāʻau e pono ai e mālama i kahi maʻi noʻonoʻo.

ʻO kekahi poʻe me akathisia i loaʻa nā manaʻo suicidal a i ʻole ka hana kolohe. Hiki iā Akathisia ke hoʻonui i kou makaʻu no ka diskinesia tardive.