Ntawm Nirogi Lanka, peb nkag siab tias kev nyob nrog tus kab mob Parkinson tuaj yeem muaj kev cov nyom tshwj xeeb txhua hnub. Kev ua neej nyob thaum tswj cov tsos mob xws li tshee hnyo lossis kev taug kev tsis yooj yim. Txhawm rau pab tswj cov tsos mob no, koj tus kws kho mob yuav sau ntawv rau ntau yam tshuaj. Niaj hnub no, peb xav tham txog ib yam tshuaj tshwj xeeb hu ua Tolcapone. Nws tsis tshua muaj sau tseg ua kev kho mob ib leeg; hloov chaw, nws yog siv ua ke nrog levodopa-carbidopa , ib yam tshuaj tseem ceeb rau Parkinson . Xav txog Tolcapone ua "tus pab cuam" uas pab koj cov tshuaj tseem ceeb ua haujlwm tau zoo dua.
Tolcapone yog dab tsi tiag?
Cia peb ua kom yooj yim li no. Kab mob Parkinson tshwm sim thaum lub hlwb tsim cov tshuaj xa xov hu ua dopamine tsawg dua. Cov levodopa-carbidopa uas koj noj raug hloov mus ua dopamine hauv koj lub hlwb. Txawm li cas los xij, dhau sijhawm, qhov ua tau zoo ntawm cov tshuaj no qee zaum yuav ploj mus.
Qhov ntawd yog qhov uas Tolcapone muab kev txhawb nqa. Tolcapone yog ib hom tshuaj hu ua COMT inhibitors. Nws lub luag haujlwm tseem ceeb yog tiv thaiv kev tawg ntawm levodopa hauv koj lub cev ua ntej nws mus txog koj lub hlwb. Qhov tseem ceeb, nws ua kom koj cov tshuaj tseem ceeb mus txog lub hlwb ntau dua, ua rau nws muaj txiaj ntsig zoo dua, thiab pab nws kav ntev dua. Lub npe lag luam rau cov tshuaj no yog Tasmar.
Cov ntaub ntawv tseem ceeb rau koj tus kws kho mob ua ntej koj pib
Nws yog ib qho tseem ceeb heev uas yuav tsum tham txog koj keeb kwm kev kho mob nrog koj tus kws kho mob ua ntej pib siv Tolcapone, vim tias qee yam mob nkeeg yuav cuam tshuam nrog cov tshuaj no. Thov qhia rau koj tus kws kho mob yog tias koj muaj ib qho ntawm cov hauv qab no:
| Xwm txheej/Qhov tseeb | Vim li cas koj tus kws kho mob thiaj li yuav tsum paub |
|---|---|
| Kab mob siab | Tolcapone tuaj yeem cuam tshuam rau kev ua haujlwm ntawm daim siab, yog li nws tseem ceeb heev rau kev ntsuam xyuas kev noj qab haus huv ntawm daim siab ua ntej. |
| Kab mob raum | Koj lub raum pab tshem cov tshuaj tawm ntawm koj lub cev; kev ntsuam xyuas kev ua haujlwm yog qhov tsim nyog. |
| Cov teeb meem kev noj qab haus huv ntawm lub hlwb | Cov tshuaj no yuav cuam tshuam rau lub siab lossis kev noj qab haus huv ntawm lub hlwb, yog li kev sib tham thaum ntxov yog qhov tseem ceeb. |
| Kev pw tsaug zog apnea los yog Narcolepsy | Vim tias cov tshuaj no tuaj yeem ua rau tsaug zog sai sai, koj tus kws kho mob yuav tsum paub txog cov teeb meem pw tsaug zog uas twb muaj lawm. |
| Cev xeeb tub, npaj cev xeeb tub, lossis pub niam mis | Yuav tsum tau saib xyuas tshwj xeeb thaum lub sijhawm no; thov qhia rau koj tus kws kho mob tam sim ntawd. |
| Kev ua xua rau cov tshuaj, khoom noj, lossis cov xim pleev xim | Qhia txog tej yam koj paub txog kev ua xua rau koj tus kws kho mob. |
Yuav noj cov tshuaj no li cas kom raug
Kev siv cov tshuaj no yooj yim heev:
- Noj cov tshuaj nrog ib khob dej puv.
- Ua raws li koj tus kws kho mob cov lus qhia kom meej txog lub sijhawm thiab qhov ntau npaum li cas. Feem ntau noj tau nrog lossis tsis noj mov.
- Tsis txhob noj ntau tshaj li qhov tau teev tseg.
- Tsis txhob tsum noj cov tshuaj no tam sim ntawd yam tsis tau sab laj nrog koj tus kws kho mob, vim nws yuav ua rau muaj kev tsis haum tshuaj loj heev.
- Yog tias cov tshuaj no yog rau ib tug menyuam yaus, thov tham txog cov ntsiab lus nrog ib tug kws kho mob tshwj xeeb rau menyuam yaus.
Yog tias kuv tsis nco qab noj tshuaj li cas?
Yog koj tsis nco qab noj ib koob tshuaj, noj sai li sai tau thaum koj nco qab. Txawm li cas los xij, yog tias koj cov tshuaj noj tom ntej yuav los txog, hla cov tshuaj uas koj tsis nco qab thiab rov ua koj cov sijhawm ib txwm. Tsis txhob noj ob koob tshuaj tib lub sijhawm los ua kom tiav qhov uas koj tsis nco qab.
Yuav ua li cas yog tias muaj kev siv tshuaj ntau dhau?
Yog koj xav tias koj tau noj tshuaj ntau dua li qhov tau sau tseg, hu rau koj lub chaw tswj tshuaj lom hauv zos tam sim ntawd lossis mus rau Chav Kho Mob Xwm Ceev (ED) ze tshaj plaws. Kho qhov no ua xwm txheej ceev.
Nco ntsoov tias daim ntawv qhia tshuaj no yog tsim los rau koj xwb. Tsis txhob qhia rau lwm tus, txawm tias lawv muaj cov tsos mob zoo ib yam li koj li los xij.
Kev Sib Cuam Tshuam Tshuaj nrog Tolcapone
Nws yog ib qho tseem ceeb uas koj yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj, cov vitamins, thiab cov tshuaj ntsuab uas koj tab tom noj. Muaj tej yam tshuaj uas yuav cuam tshuam tsis zoo rau Tolcapone.
| Tej Zaum Yuav Muaj Kev Sib Txuas Lus | Cov ntsiab lus |
|---|---|
| TSIS TXHOB sib xyaw nrog cov no | |
| Cov tshuaj Monoamine Oxidase Inhibitors (MAOIs) | Cov tshuaj antidepressants xws li Marplan, Nardil, lossis Parnate. |
| Nrog koj tus kws kho mob tham ua ntej siv cov no | |
| Cawv | Cawv yuav hloov qhov ua tau zoo ntawm cov tshuaj thiab ua rau tsaug zog ntau ntxiv. |
| Cov tshuaj pab pw tsaug zog lossis tshuaj tiv thaiv kev ntxhov siab | Cov no yuav ua rau koj tsaug zog ntxiv thiab ua rau koj tsis tsom ntsoov tau zoo. |
| Cov tshuaj adrenergic (Apomorphine, dobutamine, thiab lwm yam) | Siv rau cov mob plawv lossis kev tswj ntshav siab. |
| Warfarin | Ib yam tshuaj siv los tiv thaiv cov ntshav txhaws. |
| Lwm tus | Desipramine, linezolid, methyldopa, thiab cov tshuaj narcotic painkillers. |
Cov Lus Ceeb Toom Thaum Noj Cov Tshuaj No
Nws yog ib qho tseem ceeb uas yuav tsum saib xyuas seb koj lub cev teb li cas rau qhov kev kho mob no.
- Kiv taub hau thiab Sib npaug : Tej zaum koj yuav kiv taub hau lossis qaug zog me ntsis. Txog thaum koj nkag siab tias cov tshuaj no cuam tshuam li cas rau koj, tsis txhob tsav tsheb lossis siv cov tshuab hnyav. Yog tias koj yog ib tug neeg laus, ceev faj ntxiv thaum sawv ntawm qhov zaum lossis pw.
- Kev Pw Tsaug Zog Tam Sim Ntawd: Qee tus neeg mob yuav tsaug zog tam sim ntawd yam tsis tau ceeb toom, txawm tias thaum tham lus, noj mov, lossis tsav tsheb. Hu rau koj tus kws kho mob tam sim ntawdyog koj ntsib qhov no.
- Kev Tswj Tus Kheej Tsis Tau: Tej tus neeg yuav muaj tej yam kev xav uas txawv txawv thiab tswj tsis tau (xws li kev twv txiaj, kev sib deev ntau dhau, kev yuav khoom ntau dhau, lossis kev noj ntau dhau). Qhov no tsis yog qhov tsis zoo ntawm tus cwj pwm, tab sis yog qhov tshwm sim tsis zoo. Tham nrog koj tus kws kho mob tam sim ntawd yog tias nws tshwm sim.
- Kev Saib Xyuas Tawv Nqaij: Ua tib zoo saib xyuas txhua qhov kev hloov pauv ntawm koj cov tawv nqaij, xws li cov qog tshiab lossis cov qog hloov pauv. Qhia rau koj tus kws kho mob yog tias koj pom muaj dab tsi txawv txawv.
- Qhov Ncauj Qhuav : Yuav kom tswj tau qhov ncauj qhuav, sim zom cov pos hniav tsis muaj qab zib, haus cov khoom qab zib tawv tsis muaj qab zib, lossis haus dej kom txaus.
Tej Yam Tshwm Sim Tsis Zoo
Ib yam li txhua yam tshuaj, Tolcapone yuav ua rau muaj kev phiv. Cov no tuaj yeem sib txawv ntawm qhov me me mus rau qhov hnyav. Ib txwm nrhiav kev kho mob tam sim ntawd los ntawm kev hu rau 911 lossis mus rau chav kho mob xwm txheej ceev ze tshaj plaws yog tias koj muaj kev tsis haum tshuaj loj heev.
| Cov cim qhia txog kev puas tsuaj rau daim siab | Cov zis tsaus nti, daim tawv nqaij lossis qhov muag daj (jaundice), mob hauv plab sab xis sab saud, xeev siab, thiab tsis xav noj mov. |
| Cov cim qhia txog kev puas tsuaj ntawm cov leeg nqaij | Zis dub, tso zis nyuaj, cov leeg tsis muaj zog yam tsis paub meej, thiab mob leeg. |
| Kev ua xua | Tawv nqaij ua pob khaus, khaus, lossis o ntawm lub ntsej muag, daim di ncauj, lossis tus nplaig. |
| Lwm cov tsos mob hnyav | Raws plab hnyav heev, pom tej yam tsis muaj tseeb, tsaug zog sai sai, tsaus muag, lossis txav tes, ceg, ntsej muag, lossis caj dab co tsis tu ncua. |
| Mob raws plab | kiv taub hau |
| Mob taub hau | Tsis qab los noj mov |
| Xeev siab | Muaj teeb meem pw tsaug zog |
Yuav khaws koj cov tshuaj li cas
- Khaws cia kom deb ntawm cov menyuam yaus.
- Khaws cia rau qhov kub thiab txias (20-25°C).
- Khaws lub thawv kom kaw ruaj ruaj.
- Pov tseg cov tshuaj uas tseem tshuav tom qab hnub tas sij hawm.
Cov Ntsiab Lus Tseem Ceeb (Nirogi Lanka)
- Tolcapone yog ib qho kev kho mob ntxiv uas tsim los txhim kho qhov ua tau zoo ntawm koj cov tshuaj Parkinson thawj zaug.
- Ua ntej pib, thov qhia koj tus kws kho mob txog keeb kwm kev noj qab haus huv thiab cov tshuaj uas koj noj tam sim no.
- Tsis txhob tsum noj cov tshuaj no tam sim ntawd yam tsis tau sab laj nrog koj tus kws kho mob.
- Saib xyuas koj tus kheej kom paub seb puas muaj kev pw tsaug zog sai sai, kev ntshaw uas tswj tsis tau, lossis cov cim qhia tias koj lub siab puas ua haujlwm tsis zoo. Qhia rau koj paub tam sim ntawd.
- Yog tias koj xav tias muaj kev siv tshuaj ntau dhau, hu rau cov kev pabcuam thaum muaj xwm txheej ceev (911) lossis mus ntsib chav kho mob thaum muaj xwm txheej ceev hauv tsev kho mob ze tshaj plaws tam sim ntawd.
- Xav tias dawb tham nrog koj tus kws kho mob txog tej lus nug lossis kev txhawj xeeb uas koj muaj.
