Akathisia yog dab tsi?

Zoo Siab

• Akathisia thiab tardive dykinesia
• Cov tsos mob zoo li cas?
• Akathisia kho mob
• Akathisia ua rau thiab muaj kev phom sij
• Nws kuaj tau li cas?
• Outlook

Txheej txheem cej luam

Akathisia yog qhov mob uas ua rau lub siab tsis xis nyob thiab qhov xav tau nrawm nrawm dua. Lub npe los ntawm Greek lo lus "akathemi," uas txhais tau tias "tsis txhob zaum."

Akathisia yog ib qho kev mob tshwm sim ntawm cov laus, thawj cov tshuaj tiv thaiv kev tiv thaiv uas siv los kho kev mob hlwb xws li kev puas siab puas ntsws bipolar thiab schizophrenia, tab sis nws kuj tseem tuaj yeem tshwm sim nrog cov kev tawm tsam mob tshiab ib yam nkaus. Ntawm 20 thiab 75 feem pua ​​ntawm cov neeg uas noj cov tshuaj no muaj cov kev mob tshwm sim no, tshwj xeeb yog thawj ob peb lub lis piam tom qab lawv pib kho.

Tus mob no tau muab faib ua hom raws li thaum nws pib:

• Mob akathisia kev txhim kho sai sai tom qab koj pib noj tshuaj, thiab nws kav tsawg dua rau lub hlis.
• Qaug Zog akathisia kev txhim kho lub hlis lossis xyoo tom qab koj noj tshuaj.
• Mob akathisia kav rau ntau tshaj rau lub hlis.

Akathisia thiab tardive dykinesia

Cov kws kho mob tuaj yeem yuam kev akathisia rau lwm qhov kev tawm tsam tsis tuaj yeem hu ua tardive dyskinesia. Tardive dyskinesia yog lwm qhov kev phiv los ntawm kev kho mob nrog cov tshuaj tiv thaiv kev ntxhov siab. Nws ua rau kev qoj ib ce - feem ntau ua ntsej muag, caj npab thiab pob tw. Akathisia feem ntau cuam tshuam cov ceg.

Qhov sib txawv tseem ceeb ntawm cov mob no yog tias cov neeg tuaj lig ua tsis tau dab tsi tsis paub tias lawv tabtom tsiv mus. Cov neeg mob akathisia paub tias lawv tsiv mus, thiab cov kev txav mus los ua rau lawv chim.

Cov tsos mob zoo li cas?

Cov neeg uas muaj akathisia hnov ​​qhov kev tswj tsis tau tus kheej kom txav chaw thiab zoo nkaus li nyob tsis tswm. Txhawm rau daws qhov mob siab, lawv koom nrog kev rov ua dua li cov ntawm no:

• co ntxias lis thiab yees thaum sawv los yog zaum
• txav nyhav los ntawm ib txhais ceg mus rau sab tod
• taug kev hauv chaw
• kauj ruam
• shuffling thaum taug kev
• nqa tes taw li yog mus kev
• hla kev thiab hla kev ntawm ob txhais ceg lossis ua viav vias ib ceg thaum zaum

Lwm cov tsos mob muaj xws li:

• nruj lossis ceeb
• txob taus
• siab luv

Akathisia kho mob

Koj tus kws kho mob yuav pib los ntawm kev noj koj cov tshuaj uas ua rau mob akathisia. Ob peb cov tshuaj siv los kho akathisia, suav nrog:

• tshuaj ntshav siab
• benzodiazepines, ib hom ntawm tranquilizer
• anticholinergic tshuaj
• anti-kis tshuaj

Vitamin B-6 kuj tseem yuav pab tau. Hauv kev tshawb nrhiav, cov koob tshuaj ntau (1,200 milligrams) ntawm vitamin B-6 txhim kho cov tsos mob ntawm akathisia. Txawm li cas los xij, tsis yog txhua yam mob akathisia yuav muaj peev xwm kho tau nrog tshuaj kho mob.

Akathisia yoojyim tiv thaiv dua li kho. Yog tias koj xav tau cov tshuaj tiv thaiv kev ntxhov siab, koj tus kws kho mob yuav tsum pib koj ntawm qhov qis tshaj plaws thiab kom nce ntxiv me ntsis ib zaug.

Siv cov tshuaj tiv thaiv kev tiv thaiv tshiab tuaj yeem txo qis kev pheej hmoo ntawm akathisia. Txawm li cas los xij, muaj qee qhov txawm tias cov tshuaj tiv thaiv kev tawm tsam tshiab tuaj yeem ua rau cov tsos mob no.

Akathisia ua rau thiab muaj kev phom sij

Akathisia yog kev phiv los ntawm cov tshuaj tiv thaiv kev puas hlwb zoo li cov no:

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

Cov kws kho mob tsis paub txog qhov ua rau muaj tseeb tshwm sim. Tej zaum nws yuav tshwm sim vim tias cov tshuaj tiv thaiv kev tiv thaiv kom tsis txhob txais cov tshuaj dopamine hauv lub hlwb. Dopamine yog ib tug tub xa xov lom zem rau tshuaj uas pab tswj kev txav. Txawm li cas los xij, lwm cov neurotransmitters suav nrog acetylcholine, serotonin, thiab GABA tsis ntev los no tau txais kev mloog zoo li muaj peev xwm ua lub luag haujlwm ntawm tus mob no.

Akathisia tsis tshua pom nrog cov tshuaj tiv thaiv kabmob thib ob. Txawm li cas los xij, cov tshuaj tawm tsam tshiab dua tuaj yeem qee zaum ua rau muaj kev mob tshwm sim no.

Cov neeg uas noj lwm cov tshuaj yeeb tshuaj kuj tseem tuaj yeem tsim kev pheej hmoo rau akathisia:

• xaiv serotonin reuptake inhibitors (SSRIs)
• calcium channel blockers
• antinausea siv yeeb siv tshuaj
• tshuaj uas kho vertigo
• cov tshuaj ua ntej phais

Koj ntxim yuav tau tus mob no yog:

• Koj tau raug kho nrog cov tshuaj tiv thaiv kev puas hlwb zoo thawj-xyoo
• koj tau txais koob tshuaj loj
• koj tus kws kho mob tsub tshuaj kom nrawm dua
• koj yog ib nrab-neeg laus lossis laus

Ob peb yam mob tseem tau txuas rau akathisia, suav nrog:

• Tus kab mob Parkinson
• encephalitis, ib hom mob hlwb hlwb
• kev raug mob puas hlwb (TBI)

Nws kuaj tau li cas?

Koj tus kws kho mob yuav nug txog koj cov tsos mob. Thaum lub sijhawm kuaj mob, tus kws kho mob yuav saib xyuas koj yog tias koj:

• fidget
• feem ntau pauv txoj haujlwm
• hla thiab hla koj ob ceg
• coj mus rhaub koj txhais taw
• pob zeb yuj yees thaum zaum
• shuffle koj txhais ceg

Koj yuav tsum muaj kev ntsuam xyuas kom paub meej tias koj muaj akathisia, thiab tsis yog mob zoo xws li:

• ntxhov siab los ntawm kev ntxhov siab xav
• nyob tsis tswm ceg mob (RLS)
• ntxhov siab
• tshem tawm ntawm cov tshuaj
• tardive dyskinesia

Outlook

Thaum koj tsum tsis noj cov tshuaj uas ua rau mob akathisia, cov tsos mob yuav tsum ploj mus. Txawm li cas los xij, muaj qee tus neeg uas yuav txuas ntxiv nrog mob me ntsis, txawm hais tias tsum tsis siv tshuaj.

Nws tseem ceeb uas yuav tau kho akathisia sai li sai tau. Thaum tsis tau kho nws tuaj yeem ua tus cwj pwm tsis zoo. Tus mob no tseem tuaj yeem tiv thaiv koj los ntawm kev noj tshuaj uas koj xav tau los kho mob hlwb.

Qee cov neeg uas muaj kab mob akathisia tau muaj kev xav tua tus kheej lossis tus cuj pwm ua txhaum. Akathisia tuaj yeem tseem tuaj yeem ua kom koj txoj kev pheej hmoo rau tardive dyskinesia.