Zvaunofanira Kuziva Kana Bipolar Mishonga Yako Inokonzera Kusagadzikana
Akathisia, uyewo spelled acathisia, inonzi neuropsychiatric syndrome kana chirwere chekufamba chinoratidzirwa nekusazorora mukati uye kusakwanisa kugara kana kumira kwechinguva chakanaka. Akathisia inogona kuonekwa senhengo inoshandiswa kwenguva refu yekushandiswa kwemishonga ye antipsychotic , Lithium , uye imwe mishonga yeurouroptic. Icho chimwe chezvinhu zvinowanzovhiringidza zvinoshandiswa nemishonga inorwisa antipsychotic, asi zvingave zvakaoma kurondedzera nevarwere uye zvakaoma kuti zviongorore navanachiremba.
Apo akathisia inokonzerwa nemishonga, inozivikanwa se antipsychotic-induced acute akathisia (AIAA). Nemhaka yekuti inozivikanwa chinokonzera chinoitika semugumisiro wekurapa chirwere chepfungwa, kudzivirira kweakathisia chinhu chikuru, apo kubuda pamishonga yako hazvibvumirwi kana nzira yakanakisisa yekubata akathisia. Pano tinogovera nzira dzamunogona kukurira akathisia pasina kuparadza hutano hwako nekugara zvakanaka paunenge uchishandisa mishonga yepfungwa.
Kuwanda kweAkathisia
Pakati pe20 ne45% yevanhu vanotora antipsychotic mishonga yechiitiko akathisia. The Barnes Akathisia-Rating Scale inoshandiswa kuongorora chirwere chacho. Kana iwe uchitambura kubva kuakathisia, iwe unogona kunge uine mafungiro asingagadziki emakumbo nemakumbo akadai sokukomba, kufamba-famba panzvimbo, kubvongodza, kuyambuka nekuputika makumbo. Iyi dzimwe nguva inonzi inonzi sy symotor agitation .
Muviri wako unganzwa uchizvidya mwoyo pakufunga kugara pasi. Muviri wako nguva dzose unoda kuva uri kufamba, kusvika kune chinangwa chekutsvaga chero nguva yekugara inogara.
Kune marudzi mana ematambudziko ekufambisa anosangana nemishonga antipsychotic. Dzimwe nguva akathisia inogona kuiswa pamwe nezvimwe zvinetso zvekufambisa, kana zvingave zvakasara kune imwe chete:
- Tardive dyskinesia (TD)
- Parkinsonism
- Akathisia, iyo yatinoisa pano
- Tardive dystonia
Zvinokonzera Antipsychotic-Inoita Akathisia
Akathisia inowanzosarudzwa kana kusarudzwa.
Kuwanda kwekushayikwa kunoratidzika kune dambudziko rine njodzi sezvo rinogona kutungamirira kumigumisiro yakaipa yakadai sekusava nemishonga inorasikirwa, iyo inogona kuwedzera zviratidzo zvepfungwa zvinotarisirwa kubatsira.
Nemhaka yokuti chiitiko ichi chinowanzokonzerwa nemishonga yemishonga, zvinokosha kuziva zviongorori izvo zvinotsanangura zvinodhaka zvinosangana nehuwandu hwehuwandu hweakathisia. Haloperidol, paliperidone, uye ziprasidone zvose zvakaratidzwa kuwedzera ngozi yeakathisia kune varwere vanotora mishonga iyi. Kunyange zvazvo izvi zvakasarudzwa, zvakakosha kuziva kuti zvose zvinodhaka zvinotapira zvinotakura iwo ngozi yekukonzera akathisia.
Zvinosuruvarisa, kungofanana nekutanga antipsychotic mishonga inogona kukonzera akathisia, inowanikwawo kune vanhu vanove vachibviswa zvishoma nezvishoma pamishonga yavo ye antipsychotic kana kuti vangangorayirwa kuti vaderedze zvishoma nezvishoma mazamu avo. Mune zviitiko izvi, dysphoria yakanyanya inowanzoonekwa zvakare.
Mushonga weAkathisia
Chinangwa chekurapa akathisia kazhinji kunokurudzira kugadzikana, pasina kutarisa. Chidzidzo mumagazini rinonzi Drug Safety rinoratidza kuti mamwe mishonga inogona kupiwa kuvanhu vane bipolar disorder kuti vabate akathisia.
Kunyanya, lipophilic beta-blockers sepropranolol yakawanikwa ichigara ichibudirira pakurapa acate akate.
Kuwedzera benzodiazepines kana amantadine kana clonidine zvakare yakaedzwa. Mimwe mishonga yakashandiswa pakurapa akathisia inosanganisira piracetam, ritanserin, valproic acid uye tricyclic antidepressants. Munguva pfupi yapfuura, mirtazapine yakawanikwa ichishandira 20-25% yevanhu, vamwe vavo vakawana kuregererwa kwakakwana kwevakaratidziro avo akathisia.
Chinhu
Miller CH, Fleischhacker WW. Kugadzirisa Antipsychotic-Yakakosha Yakanaka uye Isingaperi Akathisia. Mishonga Yezvokushandisa Zvinodhaka 2000 Jan; 22 (1): 73-81.
Praharaj SK, Kongasseri S, Behere RV, Sharma PS. Mirtazapine ye antipsychotic-induced acute akathisia: a systematic review uye meta-analysis ye randomized placebo-controlled trials.Trapeutic Achivances mu Psychopharmacology. 2015 Nha. 5 (5): 307-13.