Yu dɔktɔ dɔn gi yu dis mɛrɛsin fɔ yu ɔr pɔrsin na yu famili, maybe yu mama ɔr papa, fɔ dis sik wae de kam pan pɔrsin wae gɛt dis sik? Di nem kin tan lɛk se i kɔmplikt smɔl. Bɔt nɔ wɔri. Tide wi go tɔk bɔt dis mɛrɛsin we dɛn kɔl Carbidopa; Levodopa, dat na di mɛrɛsin we kin kam ɔnda nem lɛk SINEMET na wi kɔntri, ɔltin rili simpul ɛn izi fɔ yu fɔ ɔndastand.
Us kayn mɛrɛsin dis?
Fɔ tɔk am simpul wan, dis na mɛrɛsin wae dɛn kin gi fɔ kɔntrol di sayn dɛm wae de sho se pɔrsin gɛt dis sik. Pakinsin sik na wan sik wae de afekt di sεl dεm na wi bren wae de kכntro di muvmεnt. Dis sik kin mek yu gɛt sɔm sayn dɛm lɛk fɔ shek, stif, ɛn fɔ waka sloslo.
So wetin dis mɛrɛsin de du na fɔ mek wan kemikal mɛsenja we dɛn kɔl dopamin we de na wi bren na wi bren, bɔku. Dopamine na sɔntin we de ɛp wi bɔdi fɔ muv ɛn kɔdinɛt fayn fayn wan. We yu tek dis mɛrɛsin, di lɛvɛl we di dopamine de na yu bren kin go ɔp, ɛn di sayn dɛm fɔ Pakinsin kin ridyus bad bad wan.
Sɔntɛnde, dɔktɔ dɛn kin gi dis mɛrɛsin fɔ ɔda sik dɛn bak. So fala wetin yu dɔktɔ tɛl yu ɔltɛm.
Tin dɛm fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu disayd if dis mɛrɛsin fayn fɔ yu, yu dɔktɔ go nid fɔ no yu kɔmplit wɛlbɔdi istri. Mek shɔ se yu tɛl dɛn bɔt ɛni wan pan dɛn tin ya, mɔ if yu gɛt ɛni wan pan dɛn:
| Yu wɛlbɔdi kɔndishɔn | Wetin mek yu fɔ tɛl pipul dɛn? |
|---|---|
| Pɔrsin wae gɛt pwɛl hat sik ɔr ɔda kayn maynd sik | Dis mɛrɛsin kin chenj sɔm kayn maynd. |
| Shuga | Di mɛrɛsin kin afɛkt di blɔd shuga lɛvɛl. |
| Glaukoma (we de mek di yay prɛshɔ go ɔp) . | Bikɔs i kin afɛkt di prɛshɔn na di yay. |
| At sik, wan histri wae gɛt hat atak, ɔr at bit nɔr de bit ɔltɛm | Di at rit ɔ blɔd prɛshɔn kin afɛkt. |
| Kidni ɔ liva sik | Di doz kin nid fɔ chenj bikɔs i kin afɛkt di we aw dɛn kin pul di mɛrɛsin na di bɔdi. |
| Sɔm sik dɛn we de na di lɔng lɛk asma | Bikɔs i kin afɛkt di we aw pɔsin de blo. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ | Fɔ tink bɔt di tin dɛn we kin apin to di pikin. |
| Alɛji to ɔda mɛrɛsin, it, ɔ tin dɛn | Fɔ mek yu nɔ gɛt alɛji fɔ di mɛrɛsin. |
Aw a fɔ yuz di mɛrɛsin?
I rili impɔtant fɔ tek di kɔrɛkt doz, di kɔrɛkt tɛm, lɛk aw di dɔktɔ tɛl yu.
- Tek dis mɛrɛsin wit wan glas wata.
- Swɛla di tablɛt ɔl. Nɔ krɔs am ɔ chew am. כltu, sכm kayn tablεt dεm (CR - Controlled Release) kin brok insay haf. Aks yu dɔktɔ bɔt dis.
- Tray fɔ tek yu mɛrɛsin di rayt tɛm, lɛk di sem tɛm ɛvride.
- Nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu dɔktɔ nɔ advays yu. If yu stɔp am wantɛm wantɛm, dat kin mek yu gɛt siriɔs sayd ɛfɛkt.
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
If yu mis wan doz, tek am jɔs afta yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dabl doz.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital .
Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ tɛl ɔda pipul dɛn bɔt am.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
I impɔtant fɔ pe atɛnshɔn to di chenj dɛn we de apin na yu bɔdi we yu de tek dis mɛrɛsin.
Fɔ slip ɛn diziz
Dis mɛrɛsin kin mek yu fil lɛk se yu de slip ɔ yu ed de tɔn. So, nɔ du tin dɛn we nid fɔ de wach, lɛk fɔ drayv ɔ fɔ yuz mashin, te yu no aw dis mɛrɛsin de afɛkt yu. Ɛspɛshali if yu na ol pɔsin, tinap sloslo we yu grap we yu sidɔm ɔ we yu kɔmɔt na bed. Dis go mek yu nɔ gɛt bɔku chans fɔ mek yu diziz ɛn fɔdɔm. If yu drink rɔm, dat kin mek dis prɔblɛm bɔku, so nɔ drink rɔm ɔltogɛda.
Fɔ slip wantɛm wantɛm
Sɔntɛnde, yu kin slip wantɛm wantɛm ɛn nɔ wɔn yu. Dis kin apin we yu de drayv, tɔk, ɔ it. If dis kin apin to yu, i kin rili denja. So tɛl yu dɔktɔ wantɛm wantɛm.
Di impuls dɛn we nɔmal
Sɔm pipul dɛn we de tek dis mɛrɛsin kin gɛt tin dɛn we nɔ kin izi fɔ dɛn, lɛk fɔ ple gem, fɔ du mami ɛn dadi biznɛs, ɛn fɔ spɛn mɔni we nɔ nid fɔ du dat. If dis nɔto yu nɔmal bihayvya, nɔ shem ɛn tɛl yu dɔktɔ kwik kwik wan.
"Wearing-off" ɛn "On-Off" ifɛkt
Dis na tin we at fɔ ɔndastand smɔl, bɔt i rili impɔtant.
- "Wearing-off" effect: Imajin, sɔm awa bifo yu nɛks doz, di ifɛkt we di mɛrɛsin gɛt de west. Di tret ɛn stiffness de kam bak. Dɛn kɔl dis ‘wearing-off’.
- "On-off" effect: Dis na we di drɔg kin stɔp fɔ wok wantɛm wantɛm ɛn afta dat i kin bigin fɔ wok bak afta sɔm minit ɔ awa.
If dɛn tin ya apin, tɛl yu dɔktɔ. I kin ajɔst di doz ɔ di tɛm we yu de tek yu mɛrɛsin.
Tek kia ɔf di tin dɛn we yu de it.
it dεm we gεt bכku protin (e.g. mit, fish, eg, dairy prodakt, nכt) kin ridyus di abzכpshכn fכ dis mεdisin. Dat mek:
- Nɔ it tin dɛn we gɛt bɔku prɔtin we de nia di tɛm we yu de tek di mɛrɛsin.
- I bɛtɛ fɔ tek di mɛrɛsin 30 minit bifo ɔ wan awa afta yu it .
- Tɔk to yu dɔktɔ bɔt di it we yu de it ɛn gɛt advays.
Sɔm sayd ɛfɛkt dɛn we dis mɛrɛsin kin gɛt
Lɛk ɛni mɛrɛsin, dis wan kin gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn.
| Sayd ɛfɛkt dɛn we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong. |
| Di chenj dɛn we de apin na di at rit | Hat de bit fast ɔ i nɔ de bit ɔltɛm, yu de tɔn diziz, yu de fil pen na yu chɛst, yu nɔ go ebul fɔ blo fayn. |
| Lɔw blɔd prɛshɔn | Diziz, faint, blurred vishɔn. |
| Di chenj dɛn we de apin na di maynd ɛn di we aw pɔsin de biev | Wae yu de wɔri, nɔr de rεst, yu de tink bɔt aw pɔrsin de fil, yu de tink bɔt fɔ kil yusɛf, yu de fil bad mɔr. |
| Muvmɛnt dɛn we pɔsin nɔ ebul fɔ kɔntrol | Nyu ɔ i de muv mɔ ɛn mɔ we yu nɔ ebul fɔ kɔntrol yu fes, yu mɔt, ɔ yu bɔdi we de ɔp. |
| Bɛlɛ we de kɔmɔt na di bɛlɛ | Blak ɔ blɔd stɔl, sɔntin we tan lɛk kɔfi grɔn, ɔ blɔd we de vɔmit. |
| Sayd ɛfɛkt dɛm wae nɔr kin nid fɔ go to dɔktɔ (bɔt dɛn fɔ ripɔt if dɛn kɔntinyu fɔ de) . | |
| Di kɔlɔ we di saliva, swet, ɔ urine gɛt | Fɔ tɔn dak rɛd ɔ blak (dis nɔ bad, bɔt i kin mek klos gɛt dɔti). |
| Diziz ɛn slip | Dɛn tin ya kin stɔp as di bɔdi de yus to di mɛrɛsin. |
| Ed we de at ɛn nɔs | Sɔntɛnde, yu kin kɔntrol dɛn tin ya bay we yu tek di mɛrɛsin wit it. |
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
Ɔda mɛrɛsin dɛn we yu de tek kin afɛkt di we aw dis mɛrɛsin de wok. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, sɔpɔtmɛnt dɛn, ɛn tradishɔnal mɛrɛsin dɛn we yu de tek. Tek tɛm mɔ bɔt dɛn tin ya:
- MAOIs (mɛrɛsin fɔ pwɛl hat) .
- Ayɔn sɔpɔtmɛnt ɔ vaytamɛn dɛn
- Mɛrɛsin fɔ mek pɔsin gɛt ay blɔd prɛshɔn
- Pils fɔ slip
- Rum
Mɛsej we dɛn kin kɛr go na os
- Kabidopa we dɛn kɔl Carbidopa; Levodopa na wan mɛrɛsin wae de mek di dopamine lɛvɛl na di bren go ɔp fɔ kɔntrol di sayn dɛm wae de sho se pɔrsin gɛt Pakinson.
- If yu dɔktɔ tɛl yu fɔ du dat, nɔ krɔs ɔ chew di tablɛt. Swɛla am ɔl.
- Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu gɛt ɛn ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- Yu fɔ no bɔt siriɔs sayd ɛfɛkt dɛm lɛk fɔ slip wantɛm wantɛm, fɔ biev kwik kwik wan, ɛn fɔ chenj yu maynd. If dis apin, tɛl yu dɔktɔ wantɛm wantɛm.
- Kip di gap bitwin di it dɛn we gɛt bɔku prɔtin ɛn di mɛrɛsin we yu de it. Kɔnsul yu dɔktɔ bɔt dis.
- Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz if yu nɔ gɛt dɔktɔ advays.
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