Dzimwe nguva, kushandiswa kwemamwe madhiragi kunogona kutungamirira kumatambudziko echipiri anoonekwa nekufamba kwenguva. Ndiyo nyaya ye Akathisia, chii chirwere chakaoma kudzora kune vanorwara nacho. Wakambonzwa nezvechirwere ichi here? Haisi izwi rekushandisa nguva nenguva uye ndosaka nhasi isu tichiongorora zvakadzama nezvechirwere ichi chinoshandura hupenyu hwevana nevakuru.
Isu tave kutaura nezve Akathisia, mamiriro ekuti, nepo achibvumira hupenyu kuti huenderere mberi, hausi pasina matambudziko ayo. Nhau dzakanaka ndedzekuti shanduko yekushandiswa kwezvinodhaka inogona kuderedza zviratidzo.
Chii chinonzi Akathisia
La akathisia chirwere chinokonzera a kunzwa kusagadzikana uye kukakavara kwemukati kunotungamirira kune kudiwa kwekufamba. Nekuda kwechimiro chezviratidzo zvayo, zviri nyore kuivhiringa nekufunganya kana imwe mhando yekusagadzikana nguva dzose. Izvi zvakatora nguva kuti zvionekwe kuti ndezvipi. Chinokwevera pfungwa kunyaya yekuti pane dambudziko riripo nderekuti mafambiro akasiyana.
Varwere vane akathisia vane chido chekuda kuita mafambiro havagoni kudzora uye ndeekuoma kwakasiyana-siyana. Vanogona kudzokorora zvakanyanya, sezvakangoita kudiwa kwekuenzanisa trunk, kufamba munzvimbo imwechete kakawanda, tora zvigunwe pane imwe nzvimbo kana kuyambuka makumbo kakawanda. Akathisia inogona kusanganisira kudiwa kwekuita ruzha rusingadzoreki kana kuchema, saka kunze kwekuve psychomotor kusagadzikana inova dambudziko remagariro mune dzakawanda zviitiko.
Chimwe chikamu cheAkathisia ndechekuti zvinokwanisika kupatsanura chirwere ichi kuita zvinhu zviviri: chinomiririra uye chinangwa. Kune rumwe rutivi, pane kudiwa kwekuda kuita mafambiro, kunoratidzwa mukunzwa kwemukati kusagadzikana. Ndiko kuti, kusagadzikana kwakabatana netsoka nemakumbo uye kuonekwa kwechido chekufamba uye kunzwa kwekusakwanisa kuramba wakanyarara. Kune rumwe rutivi, kune chikamu chakanyanya chinangwa, ndiko kuti, kusagadzikana kwemotokari pase, izvo zvinotungamirira kukufamba kusinganzwisisiki, kufamba kusina chinangwa kana chinangwa. Kungave kurova pasi, kufamba kana kuyambuka makumbo ako, kutenderera tenderera zvichingodaro.
Origin of Akathisia
Pachine mibvunzo yakawanda maererano chii chinonzi Akathisia uye kwakabva kupi. Zvinozivikanwa kuti i physiological pathology kunyangwe paine akawanda dzidziso anonetsa kurova mucherechedzo. Dzimwe nyanzvi dzinofunga kuti inokonzerwa nekuvhara kwemesocortical dopaminergic nzira, asi vamwe vanotenda kuti opioid uye cholinergetic system inobatanidzwa. Izvo zvinozivikanwa ndezvekuti zvinosanganiswa nekugara uchishandiswa kwezvinodhaka. Mune mamwe mazwi, inoonekwa kune varwere vane marapirwo ane akajairika uye atypical neuroleptic zvinodhaka, monoamine presynaptic deplectors senge tetrabenazine uye antidepressants akadai se selective serotonin reuptake inhibitors (SSRIs). Akathisia inoonekwawo muvarwere vari kurapwa chirwere cheParkinson.
Sezvakacherechedzwa, kuwanda uye kusimba kwezviratidzo zveAkathisia kwakabatana zvakanyanya nedosi uye simba remishonga inoshandiswa kurapa chirwere chemavambo. Muchiitiko chevarwere vari kurapwa neuroleptics, kutanga kwechirwere kunogona kuva kwakakura kudarika chikamu chimwe muzvitatu.
Akathisia treatment
Kupfuura kusagadzikana kweavo vanotambura AkathisiaNhau dzakanaka ndedzekuti zviratidzo zvinogona kudzikiswa nekudzikisira chipimo chemushonga unokonzera kusagadzikana. Kana kuti kuimisa kana zvichiita. Nenzira iyi, kuongorora kwakakwana kuchafanirwa kuitwa kuitira kuti uwane chiyero chinodiwa kuitira kuti murwere aderedze kana kubvisa zviratidzo pasina kugamuchira zvaanoda kurapa chirwere chepakutanga.
Kana mamiriro acho akapfuurira kunyange mushure mokumisa mishonga yepakutanga, zvinokwanisika kurapa Akathisia nemishonga ine clonidine (alpha-2 agonist), anticholinergics (trihexyphenidyl), benzodiazepines, propranolol kana amantadine.