Pɔrsin wae gɛt dis sik kin gɛt ‘ɔf’ tɛm sɔmtɛm wae in bɔdi nɔr gɛt layf wantɛm wantɛm, in an dɛn kin lɔs in trɛnk, ɛn dɛn nɔ kin ebul fɔ muv fayn fayn wan. Insay dɛn tɛm ya, dɛn kin fil se dɛn nɔ ebul fɔ du ɛnitin ɛn dɛn nɔ kin ebul fɔ du ivin wok dɛn we dɛn kin du ɛvride. So, tide wi de tɔk bɔt wan spɛshal mɛrɛsin we de ɛp fɔ kɔntrol dis kayn ‘ɔf’ mɔnt kwik kwik wan.
Wetin na dis mɛrɛsin we dɛn kɔl Apomorphine?
Fɔ tɔk am simpul wan, Apomorphine na wan mɛrɛsin wae dɛn kin yuse fɔ trit di ‘ɔf’ faz dɛm fɔ di sik we dɛn kɔl Parkinson, we na fɔ muv wantɛm wantɛm, we nɔ kin izi fɔ muv. I kin kam lɛk tin we tan lɛk tin we kin sɔlv ɔnda di tɔŋ. KYNMOBI na wan brand nem we bɔku pipul dɛn sabi fɔ dis drɔg.
Imajin, wi bren gɛt wan spɛshal kemikal we dɛn kɔl dopamine. Dis na wetin de ɛp wi fɔ kɔntrol aw wi bɔdi de muv ɛn aw i de wok togɛda. di lεvεl fכ dis dopamin na di bren fכ pכsin we gεt Pakinsin sik de dכn. Apomorphine de mek di dopamine we de na di bren bɔku, ɛn i de ridyus di sayn dɛm lɛk fɔ stif, fɔ shek, ɛn fɔ muv sloslo kwik kwik wan.
Tin dɛm fɔ tɛl yu dɔktɔ bifo yu yuz dis mɛrɛsin
I rili impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu wɛlbɔdi biznɛs bifo i gi yu dis mɛrɛsin. So, if yu gɛt ɛni wan pan dɛn sik ya, mek shɔ se yu tɛl yu dɔktɔ bɔt dɛn.
| Si if yu gɛt dɛn kɔndishɔn ya |
|---|
| If yu slip wantɛm wantɛm we yu de du ɛvride wok (e.g., de tɔk, it) . |
| If i nɔ izi fɔ yu fɔ kɔntrol yu mɔsul dɛn |
| If yu gɛt ɛni kayn at sik, yu at nɔ de rit ɔltɛm, ɔ yu de chenj yu ritm |
| If yu gɛt lɔw blɔd prɛshɔn |
| If yu gɛt sik na yu kidni ɔ yu liva |
| If yu gɛt prɔblɛm wit di we aw yu de blo lɛk lɔng sik ɔ asma |
| If yu dɔn gɛt strok |
| If yu gɛt ɛni kayn maynd sik |
| If yu gɛt slip apnea |
| If yu na pɔsin we de drink ɔltɛm |
| If yu gɛt alɛji to apomorphine, sulfites, ɔ ɛni ɔda mɛrɛsin, it, ɔ kɔlɔ. |
| If yu gɛt bɛlɛ ɔ yu de op fɔ gɛt bɛlɛ |
| If yu na mama we de gi pikin in bɛlɛ |
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Dis rili izi fɔ yuz, bɔt yu fɔ fala di instrɔkshɔn dɛn di rayt we.
1. Yuz dis mɛrɛsin nɔmɔ we ‘Off’ sityueshɔn bigin .
2. Yu an fɔ dray ɔlsay bifo yu ol di mɛrɛsin.
3. Brek di sial fɔyl paus we gɛt di mɛrɛsin ɛn tek tɛm pul di fim we de sɔlv.
4. Put da mɛmbran de ɔnda yu tɔng .
5. Mek i sɔlv fɔ insɛf. Nɔ kɔt am, krɔs am, ɔ chew am.
6. Nɔ yuz pas di mɔni we di dɔktɔ tɛl yu fɔ yuz.
Di tin we impɔtant pas ɔl na dat, nɔ stɔp fɔ tek dis mɛrɛsin pas yu dɔktɔ tɛl yu fɔ tek am. If yu stɔp am wantɛm wantɛm, dat kin mek yu sik wɔs ɛn mek yu gɛt siriɔs sayd ɛfɛkt.
Wetin fɔ du if yu ɔvados ?
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm, ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu. Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɔda pipul dɛn.
Wetin a go du if a mis wan doz?
Dis nɔto mɛrɛsin we yu nid fɔ tek bɔku tɛm insay di de. Dɛn kin yuz am nɔmɔ we yu gɛt ‘ɔf’ tɛm. So di kɔnsɛpt fɔ mis wan doz nɔ de aplay ya. Bɔt if yu nɔ gɛt fridɔm frɔm yu sik dɛn afta yu dɔn yuz wan fim fɔ ‘ɔf’ tɛm, nɔ yuz ɔda fim fɔ da tɛm de. Tɔk to yu dɔktɔ bɔt dis.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin
Apomorphine na wan mɛrɛsin wae kin intarakt wit sɔm ɔda mɛrɛsin dɛm. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn).
| Nɔ tek Apomorphine wit dɛn mɛrɛsin ya atɔl. | |
|---|---|
| Sɔm mɛrɛsin fɔ nɔs/vomit (e.g., dolasetron, granisetron, ondansetron, palonosetron) . | |
| Sisaprid, Dronedarɔn, Pimozayd, Tioridazin | |
| Tek tɛm bad bad wan if yu de tek Apomorphine wit dɛn mɛrɛsin ya. | |
| Rum | |
| Mɛrɛsin fɔ wɔri ɔ fɔ slip | |
| Mɛrɛsin fɔ blɔd prɛshɔn, at sik, ɛn at ritm dizayd | |
| Narkotik pen mɛrɛsin dɛn | |
| Naytroglisrin we dɛn kɔl | |
| Haloperidol, Mεtoklopramid, Fεnotiazin (εgz. klorpromazin, prכklכpεrazin) . | |
| Ɔda drɔgs dɛn we de afɛkt di at ritm (lɔng di QT intaval) . |
Dis list nɔ kɔmplit, so mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
Tin dɛn we yu fɔ mɛmba we yu de yuz dis mɛrɛsin
- Drowsiness ɛn diziz: Yu kin fil fɔ slip ɔr diziz. So , nɔ drayv ɔ yuz mashin te yu no aw dis mɛrɛsin de afɛkt yu. Nɔ grap we yu sidɔm ɔ sidɔm wantɛm wantɛm, mɔ if yu dɔn ol.
- Slip wantɛm wantɛm: Sɔm pipul dɛn kin slip wantɛm wantɛm we dɛn nɔ wɔn dɛn we dɛn de tek dis mɛrɛsin. Dis kin apin we yu de drayv, tɔk, ɔ it. If dis apin to yu, tɛl yu dɔktɔ wantɛm wantɛm.
- Di tin dɛn we dɛn kin want fɔ du we dɛn nɔ ebul fɔ kɔntrol: Sɔm pipul dɛn dɔn ripɔt se dɛn kin gɛt strɔng tin fɔ du fɔ du tin dɛn lɛk fɔ ple gem, fɔ du mami ɛn dadi biznɛs, fɔ it pasmak, ɔ fɔ go bay tin dɛn we dɛn de tek dis mɛrɛsin. If yu gɛt ɛni wan pan dɛn tin ya we nɔ kɔmɔn, tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔs ɛn vɔmit: Dis mɛrɛsin kin mek yu nɔs ɛn vɔmit bad bad wan. Yu dɔktɔ kin gi yu ɔda mɛrɛsin fɔ mek dis nɔ apin. Bɔt nɔto ɔl di mɛrɛsin dɛn we dɛn kin yuz fɔ mek pɔsin nɔ fil fayn, dɛn kin yuz dis mɛrɛsin. So aks yu dɔktɔ us mɛrɛsin we fayn fɔ yu.
- Yuz Nitroglycerin: If yu de tek Nitroglycerin, yu blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm we yu tek Apomorphine. So, if yu de tek wan Sablingual Nitroglycerin tablɛt, i rili impɔtant fɔ ledɔm bifo ɛn afta yu tek am. Dis kin ɛp fɔ mek yu nɔ gɛt diziz ɛn fɔ mek yu nɔ fɔdɔm.
Wetin na di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt?
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm |
|---|
| Alɛji riakshɔn - skin de rɔsh, it, swel na yu fes, lip, tɔŋ ɔ trot |
| Chɛst pen (Angina) - pen, prɛshɔn, ɔ tayt na di chɛst, nɛk, bak, ɔ an |
| Kɔnfyushɔn, hallucinations |
| Wantɛm wantɛm, i kin slip we i de du wok dɛn we i kin du ɛvride |
| di chenj dεm na di at ritm - di at de bit fast כ i nכ de bit, diziz, fεint, chεst pen, i at fכ brith |
| Hemolytic anemia - taya we nɔ kɔmɔn, wik, diziz, ed pen, nɔ de blo shɔt, yu urine dak, yu skin ɔ yu yay de yɔlɔ |
| Lכw bכdi prεshכn - diziz, fεnt, blכr vishכn |
| Nyu ɔ inkris muvmɛnt dɛn we dɛn nɔ ebul fɔ kɔntrol na di fes, mɔt, ɔ di ɔpa bɔdi |
| Sɔm na yu mɔt ɔ yu trot, yu kin rɛd, yu kin swel, ɛn yu kin fil pen |
| Di anklɛ, an, ɔ fut kin swel |
| Di we aw di tin dɛn we wi dɔn tɔk bɔt we wi nɔ ebul fɔ kɔntrol kin apin (lɛk fɔ ple gem, fɔ it pasmak) . |
| Sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu ɔ de mɔna am |
| Chenj in teist na di mɔt |
| Di we aw pɔsin kin slip |
| Ed de at |
| Vɔmit |
| Nos we de rɔn ɔ nos we dɔn stɔp |
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 nɔmal rum tɛmpracha (bitwin 20-25 digri sɛlshiɔs).
- Kip insay di paket we dɛn dɔn sidɔm te i rɛdi fɔ yuz.
- Aks yu dɔktɔ bɔt di bɛst we fɔ trowe di mɛrɛsin dɛn we dɔn pas ɔ we yu nɔ nid igen.
Mɛsej we dɛn kin kɛr go na os
- Apomorphine sublingual film na mεdikeshכn we dεn kin gi fכ di sכdεn ‘כf’ episod dεm fכ di sik we dεn kin gεt pan Pakinson, nכto mεdikeshכn we dεn kin gi ɛvride.
- Kip yu an dray we yu de yuz dis, put am ɔnda yu tɔng ɛn lɛ i sɔlv. Nɔ ɛva chew am ɔ krɔs am.
- Dis mɛrɛsin kin mek yu fil lɛk se yu de slip, so tek tɛm bad bad wan we yu de du wok dɛn we nid fɔ pe atɛnshɔn, mɔ we yu de drayv.
- If yu gɛt krayse we yu nɔ ebul fɔ kɔntrol ɔ ɔda bad bad tin dɛn we kin apin to yu, tɛl yu dɔktɔ wantɛm wantɛm.
- I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek.
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