ʻO ka Akathisia kahi hōʻailona i wehewehe ʻia e ka manaʻo e neʻe a i ʻole e hehi i ka wahi ma kahi ala hiki ʻole a hoʻomaha. Aia kēia maʻi sensorimotor ma nā lālā haʻahaʻa. Hiki ke hele pū ʻia ʻo Akathisia me nā maʻi ʻino, hopohopo. Pono e ʻike mua ʻia ke kumu o ka akathisia a pono e kuhikuhi ʻia ka lāʻau lapaʻau mua i kēia kumu.

He aha kēīa ?

ʻO ka Akathisia kahi hōʻailona i wehewehe ʻia e ka manaʻo e neʻe a i ʻole e hehi i ka wahi ma kahi ala hiki ʻole a hoʻomaha. ʻO kēia maʻi sensorimotor - pono e hoʻokaʻawale ʻia mai ka psychomotor agitation - aia ma nā lālā haʻahaʻa. Loaʻa ka hapa nui i ka wā e noho ai a e moe ana paha. ʻIke pinepine ʻia ka ʻehaʻeha, ka insomnia lua, a me ka pilikia ma nā ʻano nui. Hiki ke hele pū ʻia ʻo Akathisia me nā maʻi ʻino, hopohopo.

Ke hoʻopaʻapaʻa ʻia nei ka maʻi ʻokoʻa ma waena o ka akathisia a me ka restless leg syndrome ma muli o ke kiʻekiʻe kiʻekiʻe o ka maʻi lapaʻau ma waena o lāua. Manaʻo kekahi poʻe noiʻi ua like nā hōʻailona ʻelua akā ua manaʻo ʻia he ʻokoʻa ma muli o ka hoʻoilina ʻokoʻa o kēia mau manaʻo: ʻoi aku ka nui o nā haʻawina e pili ana i ka restless legs syndrome mai ka palapala neurological a ma ka hiamoe a me Akathisia o ka palapala psychiatric a psychopharmacological.

Pehea e ʻike ai i ka akathisia

I kēia manawa, ʻike wale ʻia ka akathisia ma ka nānā ʻana i ke kino a me ka hōʻike hoʻomanawanui, no ka mea, ʻaʻohe hōʻoia koko hōʻoia, loiloi kiʻi, a i ʻole ka noiʻi neurophysiological.

ʻO nā hiʻohiʻona koʻikoʻi o ka acute neuroleptic-induced akathisia he mau hoʻopiʻi kumuhana o ka hoʻomanawanui a ma kahi o hoʻokahi o nā neʻe i ʻike ʻia:

• Nā neʻe hoʻomaha ʻole a i ʻole ka luli ʻana o nā wāwae i ka wā e noho ana;
• ʻO ka luli ʻana mai kekahi wāwae a i kekahi wāwae a i ʻole hehi ʻana i ke kū ʻana;
• Pono e hele wāwae e hoʻomaha i ka hoʻomanawanui;
• ʻAʻole hiki ke noho a kū ʻole me ka neʻe ʻole no kekahi mau minuke.

ʻO ka mea hana loiloi maʻamau ka Barnes Akathisia Rating Scale (BARS), ʻo ia ka pālākiō ʻehā kahi e helu ʻia ai nā ʻāpana kumuhana a me ka pahuhopu o ka maʻi a hui pū ʻia. Ua helu ʻia kēlā me kēia mea ma ka pālākiō ʻehā, mai ka ʻole a ʻekolu:

• ʻO ka ʻāpana pahuhopu: aia kahi maʻi neʻe. Ke maʻalahi ka paʻakikī a hiki i ka haʻahaʻa, pili nui nā ʻaoʻao haʻahaʻa, maʻamau mai ka pūhaka a hiki i nā kuʻekuʻe wāwae, a lawe ʻia nā neʻe i ke ʻano o ka hoʻololi ʻana i ke kūlana i ke kū ʻana, ka haʻalulu, a i ʻole ka neʻe ʻana o nā wāwae i ka wā e noho ana. Ke ko'iko'i na'e, hiki i ka akathisia ke ho'opilikia i ke kino holo'oko'a, me ka ho'omau 'ole 'ana i ka wili a me ka ho'oluliluli pinepine 'ana me ka lele, ka holo 'ana a i kekahi manawa, kiola mai ka noho a i 'ole ke ki'i. kahi moe.
• ʻO ka ʻāpana kumuhana: ʻokoʻa ka paʻakikī o ka ʻehaʻeha mai ka "hoʻonāukiuki iki" a hoʻomaha maʻalahi ʻia e ka neʻe ʻana i kahi lālā a i ʻole ka hoʻololi ʻana i ke kūlana, i "hiki ʻole ke hoʻomanawanui". Ma ke ʻano koʻikoʻi loa, ʻaʻole hiki i ke kumuhana ke mālama i kahi kūlana no nā kekona kekona. ʻO nā hoʻopiʻi kumuhana ka manaʻo o ka hoʻomaha ʻole o loko - ʻo ka pinepine i nā wāwae - kahi koi e neʻe i nā wāwae a me ka ʻeha inā noi ʻia ke kumuhana ʻaʻole e neʻe i ko lākou mau wāwae.

Nā mea pilikino

ʻOiai pili pinepine ka akathisia i hoʻokomo ʻia i ka antipsychotic me ka schizophrenia, ʻike ʻia ʻo ka poʻe maʻi me nā maʻi naʻau, ʻoi aku ka maʻi bipolar, ʻoi aku ka nui o ka pilikia.

Hiki ke ʻike ʻia nā kumu pilikia ʻē aʻe:

• ʻeha poʻo;
• Ka ma'i 'a'ai ;
• Ka nele i ka hao.

Hiki ke hoʻopili ʻia ka akathisia maʻi a i ʻole ka hope me ka ʻelemakule a me ka wahine.

Nā Antipsychotics

ʻIke pinepine ʻia ʻo Akathisia ma hope o ka mālama ʻana me nā antipsychotics o ka hanauna mua, me ka lakene prevalence mai ka 8 a hiki i ka 76% o nā maʻi i mālama ʻia, ʻo ia ka hopena maʻamau o kēia mau lāʻau. . ʻOiai ʻoi aku ka haʻahaʻa o ka akathisia me nā lāʻau antipsychotic lua o ka hanauna, mamao loa ia mai ka ʻole;

Nā hōʻaihopiho

Hiki ke loaʻa ʻo Akathisia i ka wā o ka mālama ʻana me nā antidepressants.

Nā kumu lāʻau ʻē aʻe

Hoʻohana pinepine ʻia ka antibiotic azithromycin 55, calcium channel blockers, lithium, a me nā lāʻau lapaʻau e like me ka gamma-hydroxybutyrate, methamphetamine, 3,4-methylenedioxymethamphetamine (MDMA, ecstasy) a me ka cocaine.

Nā kūlana Parkinsonian

Ua wehewehe ʻia ʻo Akathisia me nā ʻano maʻi like ʻole e pili ana i ka maʻi o Parkinson.

Akathisia Spontaneous

Ua hōʻike ʻia ʻo Akathisia i kekahi mau hihia o ka schizophrenia i mālama ʻole ʻia, kahi i kapa ʻia ʻo "akathisia spontaneous".

ʻAʻole pili pono i ka mālama ʻana

He mea koʻikoʻi ka ʻeha a ka akathisia a ʻo ia paha ke kumu o ka mālama ʻole ʻana i ka lāʻau neuroleptic nona kēia hōʻailona.

ʻO ka exacerbation o nā hōʻailona psychiatric

ʻO ka loaʻa ʻana o ka akathisia e hoʻonui i nā hōʻailona psychiatric, pinepine i nā kauka e hoʻonui pono i nā mea hana hewa, e like me selective serotonin reuptake inhibitors (SSRIs) a i ʻole antipsychotics.

Ke pepehi kanaka

Hiki ke hoʻopili ʻia ʻo Akathisia me ka huhū, ka huhū, ka hana ʻino, a i ʻole ka hoʻāʻo pepehi kanaka.

Pono e ʻike mua ʻia ke kumu o ka akathisia a pono e kuhikuhi ʻia ka lāʻau lapaʻau mua i kēia kumu.

Ke ulu nui nei ʻo Akathisia ma muli o ka lawe ʻana i nā lāʻau psychotropic, ʻo ka ʻōlelo mua e hōʻemi a hoʻololi paha i ka lāʻau inā hiki. I nā poʻe maʻi e lawe ana i nā lāʻau lapaʻau o ka hanauna mua, pono e hoʻāʻo e hoʻololi i nā mea hana o ka hanauna lua i ʻike ʻia e hoʻemi i ka akathisia, me ka quetiapine a me ka iloperidone.

Inā loaʻa kahi hemahema hao, pono paha e hoʻoponopono i ke kūlana.

Pono e hoʻomaopopo ʻia he hiki ke loaʻa kahi "akathisia withdrawal" - ma hope o ka hoʻololi ʻana i ka lāʻau lapaʻau, hiki i kahi exacerbation no ka manawa lōʻihi: no laila ʻaʻole pono e hoʻoholo i ka hopena o ka hoʻemi ʻana i ka nui a i ʻole ka hoʻololi ʻana o ka lāʻau ma mua o ʻeono pule a i ʻole. hou aku.

Eia naʻe, hiki ke paʻakikī loa ka mālama ʻana i ka akathisia. Hōʻike ʻia ka nui o nā ʻano like ʻole he pono, akā ʻaʻole i hōʻoia ʻia nā hōʻike.