Sɔmbɔdi na yu famili, sɔntɛm yu mama, papa, ɔ pɔsin we yu lɛk, gɛt dis sik we dɛn kɔl Pakinsin? Dɔn yu go no se sɔntɛnde dɛn bɔdi kin stif wantɛm wantɛm , dɛn kin bigin fɔ shek, ɛn dɛn nɔ kin ebul fɔ du natin. I tan lɛk se motoka de stɔp wantɛm wantɛm. Tide wi de tok bɔt wan spɛshal injɛkshɔn we dɛn kin yuz fɔ gi kwik rilif frɔm dɛn tin ya we dɛn kɔl "ɔf-pɛriɔd." Dat na di Apomorphine injɛkshɔn.
Wetin na Apomɔfin?
Fɔ tɔk am simpul wan, Apomorphine na mɛrɛsin we dɛn kin yuz fɔ mɛn di sayn dɛm fɔ di sik we dɛn kɔl Parkinson. I de wok di sem we lɛk wan kemikal we dɛn kɔl dopamine na wi bren. Yu no se di sik we dɛn kɔl Pakinsin kin kam bikɔs di sɛl dɛn we de na wi bren we de mek dis kemikal we dɛn kɔl dopamine, lɔs. Dis dopamin de ɛp fɔ kɔntrol di we aw wi bɔdi de muv ɛn aw i de wok togɛda.
So, we di dopamin nɔ de, di sayn dɛm lɛk fɔ stif ɛn fɔ shek kin apin. di apomorphine injεkshכn de wok lεk dopamine, i de fulכp da dεfisit de fכ sכm tεm, εn i de εp fכ mek di bכdi muv bak. Bɔku tɛm, dɛn kin si dis na di makit ɔnda di nem Apokyn .
Imajin se di sik we dɛn kɔl Pakinsin dɔn mek yu bɔdi stɔp, lɛk domɔt we dɛn lɔk we nɔ gɛt ki. Di apomorphine injection tan lɛk spɛshal ki we de opin da domɔt de. I kin mek yu bɔdi kam bak kwik kwik wan. Bɔt dɛn kin yuz am bak fɔ ɔda tin dɛn, so if yu gɛt ɛni kwɛstyɔn, aks yu dɔktɔ.
Tin dɛm fɔ tɛl yu dɔktɔ bifo yu yuz dis mɛrɛsin
Bifo yu gi yu dis mɛrɛsin, yu dɔktɔ go nid fɔ no yu kɔmplit wɛlbɔdi histri. Dis na bikɔs sɔm tin dɛn kin nid spɛshal kia we yu de yuz dis mɛrɛsin. Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni wan pan dɛn tin ya:
- If yu gɛt asma.
- If yu gɛt di abit fɔ slip bɔku tɛm insay di de ɔ yu kin slip wantɛm wantɛm.
- If yu na pɔsin we kin drink bɔku tɛm .
- If yu dɔn gɛt strok bifo.
- If yu gɛt at sik .
- If yu gɛt istri fɔ de fɔdɔm pan trɔbul ɔltɛm .
- If di at nɔ de bit ɔltɛm ɔ di ritm chenj.
- If yu gɛt sik na yu kidni ɔ yu liva .
- If yu gɛt lɔw blɔd prɛshɔn .
- If yu gɛt prɔblɛm wit yu maynd (lɛk pwɛl hat).
- If yu bin dɔn gɛt alɛji fɔ apomɔfin, sɔlfayt, ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ .
- If yu na mama we de gi pikin in bɛlɛ .
Fɔ gi yu dɔktɔ dis infɔmeshɔn kɔrɛkt wan rili impɔtant fɔ mek yu sef.
Aw fɔ yuz di vaysin kɔrɛkt wan?
Dis na injɛkshɔn we dɛn kin put ɔnda di bɔdi. We yu bigin fɔ tek dis mɛrɛsin, yu dɔktɔ ɔ nɔs go gi yu ditayla instrɔkshɔn bɔt aw fɔ pripia di injɛkshɔn ɛn aw fɔ injɛkt am yusɛf. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
- Yuz am jɔs lɛk aw yu dɔktɔ tɛl yu: Nɔ yuz pas di doz ɔ frɛkuɛns we dɛn tɛl yu fɔ yuz.
- Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm: Nɔ stɔp fɔ tek dis mɛrɛsin pas yu dɔktɔ tɛl yu fɔ tek am. If yu stɔp am wantɛm wantɛm, dat kin mek yu gɛt siriɔs sayd ɛfɛkt ɛn mek yu sik wɔs.
- Trowe nidul ɛn sirinj dɛn fayn fayn wan: Nɔ ɛva trowe nidul ɛn sirinj dɛn we yu dɔn yuz na di dɔti. Dɛn fɔ put dɛn na spɛshal kɔntena we gɛt shap tin dɛn we dɛn dɔn gi. If yu nɔ gɛt wan, yu kin aks yu dɔktɔ fɔ wan.
- Rid di instrɔkshɔn liflet: Rid di instrɔkshɔn liflet we kam wit dis mɛrɛsin fayn fayn wan. If yu gɛt ɛni kwɛstyɔn, aks yu dɔktɔ.
Wetin a go du if a tek di mɛrɛsin pasmak?
If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu tink, go wantɛm wantɛm na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. So, nɔ ɛva sheb am wit ɛni ɔda pɔsin.
Us ɔda mɛrɛsin dɛn we yu nɔ fɔ yuz wit dis mɛrɛsin?
Sɔm mɛrɛsin kin miks wit apomorphine ɛn mek yu gɛt siriɔs prɔblɛm. So, yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn.
| Kategori fɔ drɔgs | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| Mɛrɛsin dɛn we nɔ fɔ rili tek | |
| Sɔm mɛrɛsin fɔ nɔs/vomit | Fɔ ɛgzampul: dolasetron, granisetron, ondansetron, palonosetron |
| Ɔda mɛrɛsin dɛn | Dronedarone, Kεtokonazכl, Lεvכkεtokonazכl, Pimozayd, Tioridazin |
| Tin dɛm fɔ yuz wit kɔt/pɔtɛnɛshɛl intarakshɔn | |
| Rum | Di sayd ɛfɛkt dɛn kin rili afɛkt di inkris. |
| Mɛrɛsin fɔ wɔri ɔ fɔ slip | Fɔ ɛgzampul: Bɛnzodiazepin lɛk alprazolam, dayazepam, lorazepam |
| Sɔm blɔd prɛshɔn mɛrɛsin dɛn | Mek shɔ se yu aks yu dɔktɔ bɔt dis. |
| Naytroglisrin we dɛn kɔl | Blɔd prɛshɔn kin go dɔŋ bad bad wan (dɛn ɛksplen dis dɔŋ ya). |
| Ɔda mɛrɛsin dɛn | Haloperidol, Metoclopramide, Opioids, ɔda mɛrɛsin dɛn we de afɛkt di at ritm, Phenothiazines. |
Dis list nɔ kɔmplit, so i bɛtɛ fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek.
Tin dɛm fɔ mɛmba we yu de tek dis vaysin
Bɔku tin dɛn de we yu fɔ tink bɔt bɔt yu sef we yu de yuz dis mɛrɛsin.
Si to dɔktɔ bɔku tɛm.
Si yu dɔktɔ ɔltɛm fɔ chɛk yu sik ɛn si if yu sik dɛn de bɛtɛ ɔr de wɔs. If yu sik nɔr de bɛtɛ ɔr de wɔs, tɛl yu dɔktɔ .
Nɔs ɛn vɔmit
Dis mɛrɛsin kin mek yu nɔs ɛn vɔmit, sɔmtɛm i kin rili bad. Yu dɔktɔ go gi yu ɔda mɛrɛsin fɔ dis. Nɔ tek ɛni mɛrɛsin fɔ nɔs fɔ yusɛf. Dis na bikɔs sɔm mɛrɛsin fɔ nɔs kin miks wit apomorphine.
Fɔ slip ɛn fɔ drayv
Dis mɛrɛsin kin afɛkt yu kɔdineshɔn ɛn di tɛm we yu de riak. So, te yu no gud gud wan aw dis mɛrɛsin de afɛkt yu , nɔ du tin dɛn we nid fɔ de wach, lɛk fɔ drayv ɔ fɔ yuz mashin. Dɔn bak, tinap sloslo we yu tinap wantɛm wantɛm, ɔ we yu grap frɔm usay yu sidɔm. If nɔto dat, yu go fil lɛk se yu ed de tɔn ɛn yu nɔ go gɛt bɛtɛ ed. Dis risk kin ivin big if yu drink rɔm.
Impɔtant! We sɔm pipul dɛn de tek dis mɛrɛsin, dɛn kin slip wantɛm wantɛm we dɛn nɔ wɔn dɛn . Dis kin apin we yu de drayv, tɔk, ɔ it. If dis apin to yu, tɛl yu dɔktɔ wantɛm wantɛm.
Riakshɔn wit naytroglisrin
If yu de tek naytroglycerin fɔ at sik, yu nid fɔ tek tɛm bad bad wan. If yu tek am wit dis mɛrɛsin, i kin mek yu blɔd prɛshɔn go dɔŋ bad bad wan. Dis kin mek yu ed de tɔn, yu fɔdɔm, ɛn yu kin fɔdɔm.
So if yu nid fɔ tek naytroglisrin, .
1. Fɔs, ledɔm.
2. Dɔn put di tablɛt ɔnda yu tɔng.
3. Kɔntinyu fɔ ledɔm fɔ at le 45 minit.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, apomorphine kin mek yu gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
| Siriɔs alɛji riakshɔn (Alɛji ɔ angioedema) . | Skin rash, it, swel na yu fes, yay, lip, tong, an ɔ fut, i nɔ izi fɔ swɛla ɔ blo. |
| Chɛst pen (Angina) . | Fɔ fil pen, tayt, ɔ prɛshɔn na yu chɛst, nɛk, bak, ɔ yu an. |
| Fɔ slip wantɛm wantɛm | Fɔ slip we yu nɔ wɔn yu we yu de wok insay di de. |
| Di tin dɛn we pɔsin kin si we i de tink bɔt sɔntin | Fɔ si ɔ yɛri tin dɛn we nɔ de. |
| Di sayn dɛn we de sho se pɔsin gɛt at atak | Chɛst, sholda, an ɔ jaw pen, nɔs, i nɔ izi fɔ blo, kol swet, diziz. |
| Di chenj dɛn we de apin na di at rit | Hat de bit fast ɔ nɔ de bit ɔltɛm, yu de tɔn diziz, yu de fɔdɔm, yu de fil pen na yu chɛst. |
| Ɛmolaytik anemia | Taya we nɔ kɔmɔn, diziz, ed we de at, i nɔ kin izi fɔ blo, yu urine dak, yu skin ɔ yu yay kin yɔlɔ. |
| Di we aw pɔsin kin biev we nɔ kɔmɔn | Wan tin we pɔsin nɔ ebul fɔ kɔntrol we i want fɔ ple gam, it pasmak, du mami ɛn dadi biznɛs, ɔ spɛn mɔni we i nɔ nid. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Diziz, slip | Dɛn tin ya kin apin bɔku tɛm. |
| Nɔs, fɔ vɔmit | I kin kɔmɔn we yu bigin fɔ tek di mɛrɛsin. |
| Nos we de rɔn ɔ nos we dɔn stɔp | I kin fil lɛk sayn fɔ kol. |
| Di anklɛ, an, ɔ fut kin swel | I kin bi bikɔs ɔf di wata we de kɔntinyu fɔ de na di bɔdi. |
If yu gɛt ɛni ɔda sayd ɛfɛkt we nɔ de na dis list, duya tɛl yu dɔktɔ.
Aw yu kin kip ɛn trowe di mɛrɛsin?
- Kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich.
- Stɔr na rum tɛmpracha (bitwin 20-25 digri sɛlshiɔs).
- Nɔ yuz mɛrɛsin we dɔn pas.
- We yu de trowe mɛrɛsin we yu nɔ yuz ɔ we dɔn pas, aks yu dɔktɔ bɔt wan we we nɔ bad.
Mɛsej we dɛn kin kɛr go na os
- Apomorphine injection na mεdikeshכn we de gi kwik rilif frכm di rigidity εn tremכr ("off-periods") we de bigin wan wan pan di sik we dεn kכl Parkinson.
- Ɔltɛm tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɛni ɔda mɛrɛsin we yu gɛt.
- Nɔ drayv ɔ yuz mashin te yu no aw dis mɛrɛsin de afɛkt yu. Mɛmba se yu kin fil lɛk se yu de slip wantɛm wantɛm.
- Go to dɔktɔ kwik kwik wan if yu gɛt siriɔs sayd ɛfɛkt lɛk we yu de fil pen na yu chɛst, yu gɛt siriɔs alɛji, ɔ yu at de chenj.
- Ɔltɛm trowe di nidul ɛn sirinj dɛn we yu dɔn yuz sef wan insay spɛshal "shap kɔntena".
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