Rage dyskinesia

Tardive dyskinesia (TD) cuta ce da ke tattare da motsi ba da izini ba. Tardive yana nufin jinkiri kuma dyskinesia yana nufin motsi mara kyau.

TD mummunan sakamako ne wanda ke faruwa lokacin da kuka sha magunguna da ake kira neuroleptics. Wadannan kwayoyi ana kiran su antipsychotics ko manyan kwantar da hankali. Ana amfani dasu don magance matsalolin ƙwaƙwalwa.

TD sau da yawa yakan faru yayin da kake shan magani don watanni da yawa ko shekaru. A wasu lokuta, yakan faru ne bayan ka dauke su na tsawon makwanni 6.

Magunguna waɗanda galibi ke haifar da wannan rikicewar sune tsofaffin cututtukan ƙwaƙwalwa, gami da:

• Chlorpromazine
• Fluphenazine
• Haloperidol
• Perphenazine
• Prochlorperazine
• Thioridazine
• Tsarkakarini

Sabbin cututtukan ƙwaƙwalwar ƙwaƙwalwa ba su da yiwuwar haifar da TD, amma ba gaba ɗaya ba tare da haɗari ba.

Sauran kwayoyi da zasu iya haifar da TD sun haɗa da:

• Metoclopramide (yana magance matsalar ciki da ake kira gastroparesis)
• Magungunan antidepressant kamar amitriptyline, fluoxetine, phenelzine, sertraline, trazodone
• Anti-Parkinson magunguna kamar levodopa
• Magungunan antiseizure kamar su phenobarbital da phenytoin

Kwayar cutar TD ta haɗa da motsi na fuska da na jiki wanda ba a iya sarrafawa kamar su:

• Grimacing na fuska (wanda ya shafi ƙananan tsokoki na fuska)
• Yatsan motsi (motsi piano motsi)
• Girgizawa ko tunkuɗuwa daga ƙashin ƙugu (farfajiyar duck)
• Muƙamuƙi na lilo
• Maimaita taunawa
• Saurin lumshe ido
• Tura harshe
• Rashin natsuwa

Lokacin da aka gano TD, mai ba da sabis na kiwon lafiya zai iya dakatar da maganin a hankali ko canza zuwa wani.

Idan TD yana da sauƙi ko matsakaici, ana iya gwada magunguna daban-daban. Magungunan rage kwayoyin dopamine, tetrabenazine shine mafi inganci magani ga TD. Mai ba ku sabis zai iya gaya muku ƙarin bayani game da waɗannan.

Idan TD yana da tsanani ƙwarai, za a iya gwada hanyar da ake kira ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa mai ƙarfi. DBS tana amfani da na'urar da ake kira neurostimulator don sadar da siginonin lantarki zuwa yankunan kwakwalwar da ke kula da motsi.

Idan aka gano shi da wuri, TD na iya juyawa ta dakatar da maganin da ya haifar da alamun. Ko da an dakatar da maganin, motsin rai da gangan zai iya zama na dindindin, kuma a wasu lokuta, na iya zama mafi muni.

TD; Ciwon Tardive; Orofacial dyskinesia; Motsi da ba da son rai - dyskinesia mai tardive; Magungunan antipsychotic - dyskinesia tardive; Magungunan neuroleptic - dyskinesia na tardive; Schizophrenia - cutar dyskinesia

• Tsarin juyayi na tsakiya da tsarin juyayi na gefe

Aronson JK. Magungunan Neuroleptic. A cikin: Aronson JK, ed. Hanyoyin Meyler na Magunguna. 16th ed. Waltham, MA: Elsevier BV ;; 2016: 53-119.

Freudenreich O, Flaherty AW. Marasa lafiya tare da motsi mara kyau. A cikin: Stern TA, Freudenreich O, Smith FA, Fricchione GL, Rosenbaum JF, eds. Littafin Jagora na Babban Asibitin Massachusetts na Babban Asibitin Hauka. 7th ed. Philadelphia, PA: Elsevier; 2018: babi na 21.

Freudenreich O, Goff DC, Henderson DC. Magungunan antipsychotic. A cikin: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Babban Asibitin Babban Asibitin Massachusetts. 2nd ed. Philadelphia, PA: Elsevier; 2016: babi na 42.

Okun MS, Lang AE. Sauran rikicewar motsi. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 382.