So wo anaa w’abusua mu obi wɔ Parkinson yare? Sɛ saa a, ebia wo duruyɛfo no ama wo aduru bi a wɔde nnuru abiɛsa yi a wɔaka abom ayɛ. Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea aduru yi din yɛ den kakra de, nanso sɛ wote sɛnea ɛyɛ adwuma no ase pɛ a, ɛyɛ mmerɛw yiye. Ɛnnɛ, momma yɛnka aduru yi, nea ɛyɛ, ne nea ɛsɛ sɛ wohwɛ yiye wɔ ho, wɔ adamfofa kwan so na ɛnyɛ den so.
Sɛ wɔka nnuru abiɛsa yi bom a, dɛn na ɛba?
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru abiɛsa a wɔaka abom: Carbidopa, Levodopa, ne Entacapone . Saa aduru yi mu ɔbran titiriw ne Levodopa. Parkinson yare no fi nnuru ‘Dopamine’ a ɛwɔ yɛn amemene mu a ɛso tew. Aduru a wɔfrɛ no Levodopa no yɛ adwuma denam amemene no a ɛkɔ na ɛboa ma wɔsan kyekye dopamine a ɛso atew yi so.
Enti dɛn na ɛto nnubɔne abien a aka no? Fa no sɛ Levodopa yɛ obi a okura nkrasɛm bi a ɛho hia.
- Carbidopa te sɛ nipadua wɛmfo a ɔbɔ onipa no ho ban fi ɔhaw ahorow a ɛba wɔ kwan so (fi aduru no a ɛpaapae wɔ nipadua no afã afoforo ansa na adu amemene no ho).
- Entacapone te sɛ ɔboafo foforo a ɛhyɛ ɔwɛmfo no adwuma mu den na ɛma Levodopa tumi yɛ adwuma kyɛ na ɛyɛ adwuma yiye.
Sɛ saa baasa yi bom a, wobetumi aboa kɛse ma wɔadi Parkinson ho sɛnkyerɛnne ahorow (te sɛ wosow, wosow, ne nantew brɛoo) so.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi
Ɛho hia yiye sɛ wo duruyɛfo hu w’aduruyɛ ho abakɔsɛm nyinaa ansa na wakyerɛw saa aduru yi ama wo. Eyi te saa efisɛ ɛsɛ sɛ yɛhwɛ yiye kɛse bere a yɛde aduru yi redi dwuma wɔ ayaresa tebea horow bi mu no. Sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.
| Yare anaa tebea | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Adwenemhaw anaa adwenemyare afoforo | Ɛtɔ mmere bi a, saa aduru yi betumi aka adwene mu tebea horow. |
| Asikyireyareɛ | Aduru no betumi aka asikre dodow a ɛwɔ mogya mu. |
| Glaucoma tebea a ɛma obi nya atiridiinini | Efisɛ ebetumi aka aniwa so nhyɛso. |
| Komayare, abakɔsɛm a ɛfa komayare ho, koma a ɛbɔ a ɛnteɛ daa | Ebia koma a ɛbɔ ne mogya mmoroso bɛka. |
| Asaabo anaa mmerɛbo mu yare | Efisɛ ɛka ɔkwan a wɔfa so yi aduru no fi nipadua no mu no. |
| Ahurututu mu nyarewa te sɛ ayamtu | Ɛtɔ mmere bi a, ɔhome nhyehyɛe no betumi aka. |
| Dae mu ahomegye anaa narcolepsy | Efisɛ saa aduru yi tumi ma obi da. |
| Yafunu mu akisikuru anaa dwensɔtwaa mu nyarewa | Asiane a ɛwɔ nsunsuanso bɔne bi mu no betumi ayɛ kɛse. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a | Ɛsɛ sɛ wo ne wo duruyɛfo kasa fa nkɛntɛnso a ebetumi aba wo ba so no ho. |
| Nnuru, nnuan anaa nneɛma afoforo ho akisikuru | Hu sɛnea ebetumi aba sɛ obi ho bɛtɔ wo wɔ aduru yi ho. |
Wode saa aduru yi di dwuma dɛn?
- Fa nsu kuruwa mene aduru no. Fa no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu.
- Nea ɛho hia sen biara: Mbubu, nbubu, anaa nwe tablet no. Mene no nyinaa.
- Hwɛ yiye wɔ aduan ho: Wobetumi anom saa aduru yi a aduan ka ho anaasɛ wonni bi. Nanso, hwɛ yiye bere a worenom aduru no.Kwati sɛ wubedi nnuan a srade, calories, ne protein pii wom (te sɛ nam, mpataa, nkesua, ne nufusu) , efisɛ saa nnuan yi betumi atew Levodopa a wɔtwe no so. Wo ne wo duruyɛfo nkasa fa w’aduan ho.
- Mma dodow bi nmpa wo ti so: Nom w’aduru no bere ano. Nnom nsen dodow a wɔakyerɛw ama wo anaasɛ nnyae no mpofirim a wunnya wo duruyɛfo afotu. Saa a wobɛyɛ no betumi de ɔhaw kɛse aba.
- Sɛ wopa dose bi a: Fa dose a woayera no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na nom aduru a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien bere koro mu da.
Nea ɛho hia: Sɛ wususuw sɛ woanom aduru yi dodo a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara , anaa kɔ ayaresabea a ɛbɛn wo no Ayaresa a Ɛho Hia Ntɛmntɛm (ETU) .
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Ɛho hia yiye sɛ wobɛka nnuru a worenom nyinaa (a vitamin, nhabannuru, ne nnuru a wɔde ka ho) ho asɛm kyerɛ wo duruyɛfo, efisɛ ebia nnuru bi ne eyi bedi nkitaho.
Titiriw no, ɛnsɛ sɛ wɔde MAOI (Monoamine Oxidase Inhibitors) nnuru a wɔde sa adwenemyare (e.g. Marplan, Nardil, Parnate) ka saa aduru yi ho da.
Nea ɛka ho no, saa aduru yi betumi ne nea edidi so yi adi nkitaho:
- Nsaden
- Iron supplements - Sɛ worenom iron supplements a, fa nnɔnhwerew 2 ansa na woanom saa aduru yi anaa bere a woanom akyi.
- Nnuru bi a wɔde sa mogya mmoroso
- Nnuru a wɔde sa adwenemyare, dadwen, ne nna
- Nnuru bi a ekum ɔyare mmoawa (sɛ nhwɛso no, ampicillin, erythromycin, rifampin) .
- Nnuru a wɔde yɛ nnubɔne a wɔde sa ɛyaw
- Warfarin (aduru a wɔde siw mogya ano) .
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ka biribiara a wobɛnom ho asɛm kyerɛ wo duruyɛfo.
Nsɛntitiriw a ɛsɛ sɛ wususuw ho bere a wɔrenom aduru no
Dae a obi da ne nna a ɔda mpofirim
Saa aduru yi betumi ama woate nka sɛ woada anaasɛ wo ho ayɛ wo yaw. Ɛtɔ mmere bi a, a wommɔ kɔkɔ , ebia wobɛda bere a woreka kar anaa worekasa no. Enti, nka kar anaa mfa mfiri nni dwuma kosi sɛ wubehu sɛnea aduru yi ka wo. Titiriw sɛ woabɔ akwakoraa a, nsɔre ntɛm mfi baabi a wotena anaa wugyina hɔ. Eyi betumi atew asiane a ɛwɔ hɔ sɛ obi bɛtɔ no na wahwe ase no so.
Nkate ne nneyɛe a ɛyɛ soronko
Ɛntaa mma koraa sɛ wɔabɔ amanneɛ sɛ nnipa binom a wɔnom aduru yi wɔ akɔnnɔ a ɛyɛ soronko. Sɛ nhwɛso no, ebia wɔwɔ ɔpɛ a emu yɛ den sɛ wɔbɛtow kyakya, wɔbɛda, wɔbɛsɛe sika a ɛho nhia, anaa wɔadi boro so. Sɛ wo anaa w’abusua hu nsakrae yi bi a, ka kyerɛ wo duruyɛfo ntɛm ara.
‘Wearing-off’ ne ‘On-Off’ nkɛntɛnso
Ɛtɔ mmere bi a, bere a aduru no dodow a edi hɔ no rebɛn no, ebia ɛbɛyɛ te sɛ nea aduru no rehwere ne tumi na wo Parkinson yare no ho sɛnkyerɛnne no resan aba bio. Wɔfrɛ eyi sɛ ‘ɔsɛe’ nkɛntɛnso. Mmere foforo nso, ebetumi ayɛ te sɛ nea aduru no ntumi nyɛ adwuma koraa (‘off’ bere), na afei afi ase ayɛ adwuma bio wɔ bere bi akyi (‘on’ bere). Sɛ eyi to wo a, ka kyerɛ wo duruyɛfo. Ebia obetumi ayɛ nsakrae wɔ wo dodow a wode ma no mu.
Nsu ne fifiri kɔla a ɛsakra
Saa aduru yi betumi ama wo nsu, wo nnompe, anaa wo fifiri ayɛ bruu tuntum, kɔkɔɔ, anaa tuntum. Eyi nyɛ biribi a ɛsɛ sɛ yɛhaw yɛn ho wɔ ho. Nanso, hwɛ yiye efisɛ ebetumi asɛe ntade.
Hwɛ wo honam ani yiye.
Bere a worenom aduru yi no, hwɛ wo honam ani daa hwɛ sɛ nsakrae bi aba wo honam ani ntini a ɛwɔ hɔ dedaw no mu anaasɛ akisikuru foforo a ɛbɛda adi anaa. Sɛ wuhu nsakrae bi a, ka kyerɛ wo duruyɛfo.
Nsunsuanso bɔne bɛn na ebia menya?
Te sɛ aduru biara no, eyi betumi anya nkɛntɛnso bɔne bi. Wɔn mu dodow no ara nyɛ aniberesɛm. Nanso nneɛma bi wɔ hɔ a ɛsɛ sɛ yɛma yɛn ani da hɔ.
| Nsunsuanso bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
|---|---|
| • Nneɛma a ɛma obi ho yɛ no hyew te sɛ honam ani akisikuru, ɛyaw, anim, anofafa anaa tɛkrɛma a ɛho ahonhon | • Nsa, anim, ano, kɔn, anaa nipadua atifi a wɔde keka ne ho a wontumi nni so |
| • Dae a obi da mpofirim | • Nsakrae a ɛba adwene mu tebea anaa nneyɛe mu, nsusuwii hunu |
| • Koma a ɛbɔ ntɛmntɛm na ɛnyɛ nea ɛkɔ so daa | • Yafunu mu yaw, atiridiinini, ntini mu yaw |
| • Adwene a ɛyɛ basaa, akisikuru | • Ɛyɛ den sɛ wobɛtow nsu anaasɛ nsakrae a ɛba wɔ nsu dodow mu |
| Mpɛn pii no ɛnyɛ aniberesɛm (nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo) . | |
| • Ayamtim | • Tipaeɛ |
| • Aduan ho akɔnnɔ a ɛyera | • Yafunu a ɛyɛ yaw, akisikuru |
| • Ɛyɛ den sɛ wobɛda | • Ano a ɛyɛ nwunu |
Nkrasɛm a Wɔde Kɔ Fie
- Fa saa aduru yi sɛnea oduruyɛfo no kyerɛ no pɛpɛɛpɛ, wɔ bere a ɛfata mu, ne dodow a ɛfata mu. Mmu anaasɛ nsɛe pill no.
- Mma nnyae saa aduru yi nom mpofirim esiane biribiara nti a wo duruyɛfo mfa afotu mma.
- Ka nnuru afoforo, vitamin, ne aduruyɛ mu tebea foforo biara a ebia wowɔ nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Sɛ woda mpofirim anaa w’adwene mu yɛ wo naa wɔ ɔkwan soronko so bere a worenom aduru no a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Kwati sɛ wubedi nnuan a protein ne iron pii wom bɛyɛ bere a worenom aduru no. Wo ne wo duruyɛfo nka eyi ho asɛm.
- Sɛ wowɔ nsɛmmisa anaa dadwen bi wɔ w’akwahosan ho a, nsuro sɛ wo ne wo duruyɛfo bɛkasa.
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