Apesar da recente disponibilidade de tratamentos seguros e eficazes para a discinesia tardia, muitos profissionais de sa\u00fade hesitam em us\u00e1-los. Eles podem acreditar que TD n\u00e3o incomoda aqueles que sofrem com isso ou sentem que o impacto do TD empalidece em compara\u00e7\u00e3o com os sintomas prim\u00e1rios que est\u00e3o tratando, como psicose ou mania. Minha experi\u00eancia \u00e9 que alguns m\u00e9dicos simplesmente n\u00e3o percebem que os movimentos involunt\u00e1rios podem causar problemas f\u00edsicos, emocionais e interpessoais.<\/p>\n
Um caso espec\u00edfico da minha pr\u00e1tica \u00e9 uma mulher de 61 anos que procurava tratamento para depress\u00e3o, mas tamb\u00e9m notei TD. Por meio de nossa conversa, descobri que ela adorava cantar na igreja at\u00e9 que seus movimentos labiais fizeram o regente do coral pensar que ela estava cantando na hora errada, ent\u00e3o ela desistiu. Ela parou de assistir aos cultos quando seus movimentos de m\u00e3o a levaram a mexer no boletim da Igreja que estava segurando, gerando reclama\u00e7\u00f5es da congrega\u00e7\u00e3o. Ela mora com a filha e netos pequenos e ficou arrasada quando a chamaram de \u201cmonstro\u201d por causa das contor\u00e7\u00f5es faciais causadas pela discinesia. Ela se recusava a sair do quarto, mesmo para as refei\u00e7\u00f5es, e perdeu 18 quilos em 6 meses.<\/p>\n
Ela pensou que precisava de um antidepressivo, mas pouco mais de um m\u00eas depois que lhe prescrevi um inibidor de VMAT2, ela voltou a brincar com os netos, a frequentar a igreja e a cantar no coral novamente!<\/p>\n
Voc\u00ea j\u00e1 disse a algu\u00e9m que tinha comida visivelmente presa nos dentes? Quase todo mundo j\u00e1 fez isso, mas pare e pense por que fazemos isso. A pessoa geralmente n\u00e3o tem ideia de que est\u00e1 presente, mas pensamos em como nos envergonhar\u00edamos se os pap\u00e9is fossem invertidos e esperamos que algu\u00e9m interviesse por n\u00f3s. Quando uma quest\u00e3o cosm\u00e9tica t\u00e3o insignificante \u00e9 universalmente reconhecida como problem\u00e1tica, como se pode negar que os movimentos irrevers\u00edveis da DT causam estigma?<\/p>\n
Outras doen\u00e7as m\u00e9dicas que n\u00e3o apresentam sintomas percept\u00edveis n\u00e3o s\u00e3o descartadas com tanta facilidade. O colesterol elevado \u00e9 um achado que o m\u00e9dico s\u00f3 pode fazer quando o rastreia. Mesmo que \"n\u00e3o incomode ningu\u00e9m\", continuamos a encorajar o tratamento porque \u00e9 um fator de risco modific\u00e1vel para a doen\u00e7a cardiovascular. Da mesma forma, os prestadores de cuidados de sa\u00fade devem encarar a DT como uma fonte potencial de outros resultados negativos. As pessoas com DT podem enfrentar o estigma social e o preconceito. No entanto, a discinesia no tronco ou nas pernas pode causar quedas e, quando ocorre nos m\u00fasculos da degluti\u00e7\u00e3o, pode causar pneumonia por aspira\u00e7\u00e3o. Tal como n\u00e3o tratar conscientemente doen\u00e7as assintom\u00e1ticas, como o colesterol elevado, seria considerado neglig\u00eancia m\u00e9dica, o mesmo deveria acontecer se n\u00e3o se oferecesse tratamento para a DT, porque se trata de uma doen\u00e7a neurol\u00f3gica disfuncional e incapacitante que deve ser tratada, e quanto mais cedo melhor.<\/p>\n
H\u00e1 muitas coisas tr\u00e1gicas que os cl\u00ednicos n\u00e3o podem mudar facilmente na vida dos seus doentes, como ser sem-abrigo, desempregado ou os efeitos de crescer numa fam\u00edlia abusiva. No entanto, quando os movimentos da DT fazem com que as pessoas enfrentem discrimina\u00e7\u00e3o ou se afastem da fam\u00edlia ou da sociedade, h\u00e1 agora algo que podemos fazer. Com os novos inibidores da VMAT2, este \u00e9 agora um fardo desnecess\u00e1rio e uma doen\u00e7a trat\u00e1vel. Cabe-nos a n\u00f3s identificar a DT e educar as pessoas com a doen\u00e7a sobre a forma como esta as pode afetar.<\/p>\n
A DT \u00e9 mais do que superficial - podemos e devemos devolver \u00e0s pessoas com DT a sua funcionalidade e dignidade.<\/p>\n<\/div><\/div><\/div><\/div><\/div>
<\/div><\/div>\n<\/p>","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4059","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\n
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