Chii chinonzi Akathisia?

Zvemukati

• Akathisia vs. tardive dykinesia
• Ndezvipi zviratidzo?
• Akathisia kurapwa
• Akathisia inokonzera uye njodzi zvinhu
• Inoonekwa sei?
• Outlook

Mhedziso

Akathisia chiitiko chinokonzera kunzwa kwekusagadzikana uye chinodikanwa chinokurumidza kufamba. Zita iri rinobva pashoko rechiGiriki "akathemi," zvinoreva kuti "usambogara pasi."

Akathisia inokonzeresa yechinyakare, yekutanga-chizvarwa antipsychotic zvinodhaka zvinoshandiswa kurapa hutano hwepfungwa senge bipolar kusagadzikana uye schizophrenia, asi zvinogona zvakare kuitika neatsva antipsychotic futi. Pakati pe20 kusvika 75 muzana yevanhu vanotora mishonga iyi vane mhedzisiro, kunyanya mumasvondo mashoma ekutanga mushure mekutanga kurapwa.

Mamiriro acho akapatsanurwa kuita mhando zvichienderana nekuti inotanga riini:

• Acute akathisia inokura uchangotanga kutora mushonga, uye unogara kwemwedzi isingasviki mitanhatu.
• Tardive akathisia inokura mwedzi kana makore mushure mekutora mushonga.
• Chisingaperi akathisia inogara kweinopfuura mwedzi mitanhatu.

Akathisia vs. tardive dykinesia

Vanachiremba vanogona kukanganisa akathisia kwechimwe chinetso chekufamba chinonzi tardive dyskinesia. Tardive dyskinesia imwe yemhedzisiro mhedzisiro yekurapa nemishonga inorwisa antipychotic. Izvo zvinokonzeresa kufamba - kazhinji mumeso, maoko, uye trunk. Akathisia inonyanya kukanganisa makumbo.

Musiyano mukuru pakati pemamiriro ezvinhu ndewekuti vanhu vane tardive dyskinesia havazive kuti vari kufamba. Avo vane akathisia vanoziva kuti vari kufamba, uye mafambiro anovatsamwisa.

Ndezvipi zviratidzo?

Vanhu vane akathisia vanonzwa chishuwo chisingadzoreki chekufamba uye nepfungwa yekusagadzikana. Kuti vabvise chishuwo, vanoita zvekudzokorora kufamba senge izvi:

• kuzununguka nekudzoka pawakamira kana kugara
• kuchinja huremu kubva pagumbo kuenda kune rimwe
• kufamba munzvimbo
• pacing
• achisvetuka achifamba
• kusimudza tsoka kunge ari kufora
• kuyambuka uye kuyambuka makumbo kana kusimudzira rimwe gumbo wakagara

Zvimwe zviratidzo zvinosanganisira:

• kusagadzikana kana kuvhunduka
• kugumbuka
• kusashivirira

Akathisia kurapwa

Chiremba wako anotanga nekukubvisa iwe kubva pamushonga wakonzera akathisia. Mishonga mishoma inoshandiswa kurapa akathisia, kusanganisira:

• BP. mishonga
• benzodiazepines, rudzi rwekudzikama
• anticholinergic zvinodhaka
• mishonga inorwisa hutachiona

Vitamin B-6 inogona zvakare kubatsira. Muzvidzidzo, yakakwira madosi (1,200 milligrams) evitamini B-6 yakavandudza zviratidzo zveakathisia. Nekudaro, haazi ese kesi akathisia achakwanisa kurapwa nemishonga.

Akathisia iri nyore kudzivirira pane kurapa. Kana iwe uchida antipsychotic mushonga, chiremba wako anofanira kukutanga iwe pane yakaderera inogoneka dosi uye uwedzere iyo zvishoma zvishoma panguva.

Kushandisa matsva chizvarwa antipsychotic zvinodhaka zvinogona kudzora njodzi yeakathisia. Nekudaro, kune zvimwe izvo kunyange nyowani antipsychotic zvinodhaka zvinogona kukonzera ichi chiratidzo.

Akathisia inokonzera uye njodzi zvinhu

Akathisia chikamu chemhedzisiro yemishonga inorwisa psychotic yakaita seiyi:

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

Vanachiremba havazivi chaicho chikonzero cheichi divi mhedzisiro. Zvinogona kuitika nekuti antipsychotic zvinodhaka zvinodzivirira zvinogamuchira dopamine muuropi. Dopamine ikemikari messenger inobatsira kudzora kufamba. Zvisinei, mamwe maurotransmitter anosanganisira acetylcholine, serotonin, uye GABA munguva pfupi yapfuura vakawana pfungwa sekunge vanogona kutora chinhanho mune ino mamiriro.

Akathisia haina kujairika nechizvarwa chechipiri antipsychotic. Nekudaro, kunyangwe matsva antipsychotic anogona dzimwe nguva kukonzera iyi divi mhedzisiro.

Vanhu vanotora iyi mimwe mishonga vanogona kunge vari panjodzi yeakathisia:

• kusarudza serotonin reuptake inhibitors (SSRIs)
• calcium chiteshi blockers
• antinausea zvinodhaka
• mishonga inobata vertigo
• sedatives usati wavhiyiwa

Iwe unogona kuwana mamiriro aya kana:

• unorapwa neakasimba chizvarwa chekutanga antipsychotic zvinodhaka
• iwe unowana yakakwira dosi yemushonga
• chiremba wako anowedzera muyero nekukurumidza
• uri mukuru-zera kana mukuru zera

Mamiriro mashoma ekurapa akave zvakare akabatanidzwa kune akathisia, kusanganisira:

• Chirwere chePasinson
• encephalitis, rudzi rwekuputika kwehuropi
• kushungurudzika kwehuropi kukuvara (TBI)

Inoonekwa sei?

Chiremba wako anozobvunza nezve ako zviratidzo. Munguva yekuongorora, chiremba anokutarisa kuti aone kana iwe:

• fidget
• kazhinji chinja chinzvimbo
• kuyambuka uye kuyambuka makumbo ako
• tapira tsoka dzako
• zunza shure ne mberi wakagara
• shuwa makumbo ako

Iwe ungangoda bvunzo kuratidza kuti une akathisia, uye kwete yakafanana mamiriro se:

• kushushikana kubva kusagadzikana kwepfungwa
• kusagadzikana gumbo syndrome (RLS)
• kushushikana
• kurega zvinodhaka
• tardive dyskinesia

Outlook

Ukangomira kutora mushonga wakonzera akathisia, chiratidzo chinofanira kubva. Nekudaro, kune vamwe vanhu vanogona kuenderera nenyaya yakapfava, kunyangwe vachimisa mushonga.

Zvakakosha kuti akathisia inorapwa nekukurumidza sezvinobvira. Kana ikasiiwa isina kurapwa inogona kuita hunhu hwepfungwa huwedzere. Aya mamiriro anogona zvakare kukudzivirira iwe kubva kunwa mushonga iwe waunoda kurapa chirwere chepfungwa.

Vamwe vanhu vane akathisia vakave nepfungwa dzekuzviuraya kana hunhu hwechisimba. Akathisia inogona zvakare kuwedzera njodzi yako kune tardive dyskinesia.