Diskinesia matala

Tardive diskinesia (TD) o se faʻaletonu e aofia ai gaioiga faʻamalosi. Tardive o lona uiga o le tuai ma le dyskinesia o lona uiga o gaioiga le masani ai.

TD o se ogaʻoga itu aʻafiaga e tupu pe a e inu vailaʻau ua taua o neuroleptics. O nei vailaʻau e taʻua foi o le antipsychotics poʻo le tele o mea e faʻamalulu ai. E faʻaaogaina e togafitia ai faʻafitauli o le mafaufau.

E masani ona tupu le TD pe a e inuina le vailaʻau mo le tele o masina poʻo tausaga. I nisi tulaga, e tupu pe a maeʻa ona e aveina mo sina 6 vaiaso.

O vailaʻau e masani ona mafua ai lenei faʻamaʻi o antipsychotics matutua, e aofia ai:

• Chlorpromazine
• Fluphenazine
• Haloperidol
• Perphenazine
• Prochlorperazine
• Thioridazine
• Trifluoperazine

Fou antipsychotics foliga foliga mai ono mafua ai TD, ae latou te le o atoa aunoa aunoa ma se lamatiaga.

Isi vailaʻau e mafua ai TD aofia ai:

• Metoclopramide (togafitia faafitauli o le manava ua taʻua o le gastroparesis)
• Vailaau antidepressant pei o amitriptyline, fluoxetine, phenelzine, sertraline, trazodone
• Aneti-Parkinson vailaʻau pei o le levodopa
• Antiseizure vailaʻau pei o phenobarbital ma phenytoin

Faʻailoga o le TD aofia ai gaioiga le mafai ona taofiofia o foliga ma le tino e pei o:

• Foliga foliga (masani ona aofia ai lalo maso maso)
• Tamatamai lima (piano taalo gaioiga)
• Lulu pe tuʻi le pelvis (pato pei o le savali)
• Auvae ua tautau
• Togafiti toe fai
• O emo mata vave
• Tulei tulei
• Le mautonu

A maua TD faʻamaonia, o le tausi soifua maloloina oe ono fai oe taofi lemu le vailaʻau pe fesuiaʻi i se isi.

Afai e agamalu pe feololo le TD, e mafai ona faʻataʻitaʻia vailaʻau eseʻese. O se vailaʻau e faʻaaogaina ai le vailaʻau ole dopamine, tetrabenazine e sili ona aoga ile togafitiga ole TD. E mafai e lau tautua ona faʻamatala atili atu ia te oe mea nei

A faʻapea e ogaoga tele le TD, e mafai ona faʻataʻitaʻia se taualumaga e taʻua o le loloto o le faiʻai o le DBS. E faʻaaogaina e le DBS se masini e taʻua ole neurostimulator e momoli atu ai eletise i vaega ole faiʻai e faʻatonutonu gaioiga.

Afai e vave ona iloa, e ono suia le TD ile taofi o vailaʻau na mafua ai faʻailoga. Tusa lava pe taofi le vailaʻau, e mafai ona faʻasolosolo gaioiga le faʻatosinaina, ma i nisi tulaga, e ono atili ai ona leaga.

TD; Tardive syndrome; Dofinesia Orofacial; Gaoioiga le faʻatino - tardive dyskinesia; Vailaau antipsychotic - tardive diskinesia; Neuroleptic vailaʻau - tardive dyskinesia; Schizophrenia - tardive dyskinesia

• Nofoʻaga popolevale ma faiga lautele neula

Aronson JK. Neuroleptic vailaʻau. I le: Aronson JK, ed. Meyler's Side Effects o Fualaʻau. 16th lomiga. Waltham, MA: Elsevier B.V.; 2016: 53-119.

Freudenreich O, Flaherty AW. Tagata mamaʻi e iai gaioiga le masani ai. I le: Stern TA, Freudenreich O, Smith FA, Fricchione GL, Rosenbaum JF, eds. Massachusetts Tusitusiga Aoao Falemai Tusitaulima o General Falemai Psychiatry. 7th ed. Filatelefia, PA: Elsevier; 2018: mata 21.

Freudenreich O, Goff DC, Henderson DC. Vailaau vailaʻau. I le: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. Massachusetts Falemai Aoao Falemai Maʻi Togafitiga Togafitiga. 2nd ed. Filatelefia, PA: Elsevier; 2016: mata 42.

Okun MS, Lang AE. Isi gasegase le atoatoa. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: chap 382.