Sɔmtɛm, dis sik kin mek i nɔ izi fɔ du tin dɛn we pɔsin kin du ɛvride , nɔto so? Fɔ liv wit sɔm kayn sik lɛk fɔ stiff ɛn fɔ shek nɔr kin izi. Bɔt we di sayɛns bɔt mɛrɛsin dɔn go bifo, dɛn de ad nyu tritmɛnt dɛn fɔ kɔntrol dɛn sik ya. Tide wi go tɔk bɔt wan pan dɛn kayn patikyula tritmɛnt ya. Dat na `Kabidopa; Levodopa Sɔspɛns` . Dis nɔ tan lɛk pils we dɛn kin tek ɔltɛm, bɔt na mɛrɛsin we dɛn kin gi di bɔdi difrɛn we smɔl.
Wetin na dis mɛrɛsin? Aw i kin wok?
Fɔ tɔk am simpul wan, `Carbidopa; Levodopa` na wan mɛrɛsin wae dɛn kin gi fɔ pul di sayn dɛm wae de sho se pɔrsin gɛt Pakinson sik. Yu no, wan kεmikכl de we dεn kכl ` Dopamine` we de εp fכ kכntrכl wi bren in muvmεnt. Insay di sik we dɛn kɔl Parkinson, di lɛvɛl we di `Dopamine` de na di bren de go dɔŋ. So, dis mεdisin de inkrεs di amoun fכ `Dopamine` na di bren εn i de ridyus di simptom dεm lεk stiffness εn tremor na di bכdi.
Sɔntɛnde, dɔktɔ dɛn kin gi dis mɛrɛsin fɔ ɔda sik dɛn. If yu gɛt ɛni kwɛstyɔn bɔt am, aks yu dɔktɔ ɔ fama. Wan brand nem fɔ dis mɛrɛsin na `Duopa`.
Wetin a fɔ tɛl di dɔktɔ bifo a tek dis mɛrɛsin?
Bifo yu bigin dis tritmɛnt, i rili impɔtant fɔ tɛl di wan dɛn we de kia fɔ yu bɔt sɔm tin dɛn. If yu gɛt ɛni wan pan dɛn tin ya, yu fɔ rili tɛl dɛn:
- Dayabitis
- If yu na pɔsin we de drink te yu chak
- Glaukoma kɔndishɔn we pɔsin kin gɛt
- At sik
- Di ay blɔd prɛshɔn
- If yu bin dɔn gɛt at bit we nɔ de bit ɔltɛm
- Kidni sik
- Liva sik
- Lɔw blɔd prɛshɔn
- Sik dɛm wae de kam pan pɔrsin in lכng ɔr wae yu de blo (e.g. asma) .
- Di we aw pɔsin de fil ɔ di we aw i de biev kin chenj
- Narkolepsi we pɔsin kin gɛt
- Slip apnɛa fɔ slip
- Prɔblɛm dɛn na di bɛlɛ ɔ di intestinal
- Tin dɛn we pɔsin kin tink bɔt fɔ kil insɛf, plan fɔ kil insɛf, ɔ fɔ tray fɔ kil insɛf; if yu ɔ yu fambul dɔn ɛva du dat
- If yu dɔn gɛt wan ɔnusual ɔ alɛji riakshɔn to levodopa, carbidopa, ɔda mɛrɛsin, it, day ɔ prɛzɛvɛtiv
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ
- If yu na mama we de gi pikin in bɛlɛ
We di dɔktɔ no bɔt dɛn tin ya, i go ebul fɔ trit yu di rayt we.
Aw a fɔ yuz dis mɛrɛsin?
Bikɔs dis na sɔm spɛshal mɛrɛsin, i impɔtant fɔ ɔndastand am gud gud wan.
Yu hεlthkeya tim go pripia di dכz we dεn gi yu fכ mεdikeshכn εn put am insay wan sכmכl `pכmp`. Dɛn go sho yu fɔs aw fɔ yuz dis `kasɛt` wit di pɔmp. Yu fɔ rid di `Instructions for Use` bak fayn fayn wan. Na yu wɛlbɔdi tim nɔmɔ go chenj yu doz fɔ mɛrɛsin, ɛn na we dɛn de de nɔmɔ. Nɔ stɔp fɔ tek dis mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
Dɛn fɔ yuz dis mɛrɛsin na rum tɛmpracha. Tek di mɛrɛsin kasɛt kɔmɔt na frij ɛn pul am na di bɔks 20 minit bifo yu yuz am. Yuz am afta i dɔn rich rum tɛmpracha, ɔdasay yu nɔ go gɛt di kɔrɛkt doz fɔ mɛrɛsin.
Dis mɛrɛsin go kɔntinyu fɔ gi yu bɔdi fɔ 16 awa. Dɛn kin du dis bay we dɛn de yuz smɔl pɔmp, lɛk di CADD-Legacy 1400. Dis pɔmp go kɛr di mɛrɛsin kɔmɔt na di kasɛt to yu PEG-J tyub (wan spɛshal tiub we dɛn kin put tru yu bɛlɛ insay yu smɔl intestin). Wan tɛm nɔmɔ yu kin yuz ɛni kasɛt. Nɔ yuz kasɛt we yu dɔn opin bak. Dɔn bak, i nɔ fayn fɔ yuz di kasɛt fɔ pas 16 awa.
Afta di 16 awa tɛm fɔ di mɛrɛsin dɔn, pul di pɔmp kɔmɔt na di PEG-J tyub. Dɔn, flash yu PEG-J tyub wit sirinj we ful-ɔp wit rum tɛmpracha wata. Afta dis ɛvride infushɔn, yu fɔ tek yu ɔspitul nɛt ɔral carbidopa-levodopa tablɛt lɛk aw dɛn tɛl yu fɔ tek. If yu nɔ ebul fɔ tek dis infushɔn fɔ ɛni rizin, kip sɔm rɛgyula kabidopa-lɛvodopa tablɛt dɛn na yu an.
Dɛn nɔ kin gi dis mɛrɛsin to yɔŋ pikin dɛn.
Impɔtant: Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ tɛl ɔda pipul dɛn bɔt am.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek bɔku mɛrɛsin, kɔl pɔyzin kɔntrol sɛnta ɔ imejensi rum wantɛm wantɛm.
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
If fɔ ɛni rizin dɛn stɔp yu infushɔn fɔ pas 2 awa insay 16 awa, kɔl yu wɛlbɔdi tim ɛn tek yu carbidopa-levodopa tablɛt dɛn lɛk aw dɛn tɛl yu te di infushɔn bigin bak. If dɛn stɔp di infushɔn fɔ lɛs dan 2 awa, yu nɔ nid fɔ tek di tablɛt dɛn, bɔt yu wɛlbɔdi tim kin tɛl yu fɔ tek ɛkstra doz fɔ di infushɔn.
Ɔltɛm kip sɔm kabidopa-lɛvodopa tablɛt dɛn we kin kɔmɔt wantɛm wantɛm na yu an if yu nɔ ebul fɔ gɛt infushɔn.
Us ɔda mɛrɛsin dɛn kin miks wit dis mɛrɛsin?
Sɔm mɛrɛsin kin miks wit Carbidopa; Levodopa we dɛn kɔl Levodopa. Dis min se prɔblɛm kin apin we dɛn tek dɛn togɛda. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn.
Nɔ tek dis mɛrɛsin wit dɛn mɛrɛsin ya:
- `MAOI` tayp drɔgs (e.g. `Marplan`, `Nardil`, `Parnate`)
- `Rɛsɛrpin`
- `Tɛtrabenazin`
Dɛn mɛrɛsin ya kin miks bak:
- Rum
- `Drɔpɛridɔl`
- `Entakapone`
- Ayron supliment ɔ multivitamin wit ayɔn
- `Isoniazid (INH)`
- `Linezolid`
- Mɛrɛsin fɔ pwɛl hat, wɔri, ɔr saykotik distɔblɛshɔn
- Mɛrɛsin fɔ mek pɔsin gɛt ay blɔd prɛshɔn
- Pils fɔ slip
- `Mɛtɔklɔpramid`
- `Papavɛrin`
- `Prokarbazin`
- `Tɛdizolid`
- `Rasagilin`
- `Selegilin`
- `Tolkapone`
Dis list nɔ go kɔmplit, so tɛl yu dɔktɔ if yu de smok, drink rɔm, ɔ yuz drɔgs we nɔ rayt.
Tin dɛn we yu fɔ tek tɛm wit we yu de yuz dis mɛrɛsin
Yu mɛdikal tim go de chɛk yu wɛlbɔdi ɔltɛm we yu de tek dis mɛrɛsin. Mek shɔ se yu kip yu apɔntinmɛnt dɛn. Tɛl yu dɔktɔ if yu sik nɔr de bɛtɛ ɔr if i tan lɛk se dɛn de wɔs. Nɔ stɔp fɔ tek di mɛrɛsin if yu dɔktɔ nɔ advays yu. If yu du dat, dat kin mek yu fil bad bad wan.
Aw fɔ kia fɔ wan PEG-J tyub
Yu mɛdikal tim go tɛl yu aw fɔ kia fɔ yu PEG-J tyub sayt. Wach di sayt ɔltɛm fɔ si sayn dɛn we de sho se yu gɛt di sik. di prosidur fכ put PEG-J tכb kin mek di bεlε כ intestinal kכmplikεshכn. If yu gɛt bɛlɛ pen, yu gɛt kɔnstipɛshɔn fɔ sɔm dez, yu nɔs, yu de vɔmit, yu gɛt fiva, ɔ yu gɛt blak stɔl, tɛl yu mɛdikal tim wantɛm wantɛm.
If di PEG-J tyub kin kink, tandul, ɔ stɔp, di sik dɛn we de sho se di sik we dɛn kɔl Pakinsin kin wɔs ɔ di we aw di motoka kin chenj kin kam bak. If dis apin, tɔk to yu dɔktɔ.
Lɛ yu bɔdi kam dɔŋ
If yu it tin we gɛt bɔku prɔtin, dat kin afɛkt di we aw dis mɛrɛsin de wok. If yu de chenj di it we yu de it, tɔk to yu dɔktɔ bɔt dat.
Fɔ slip ɛn diziz
Yu kin fil lɛk se yu de slip ɔ yu diziz. Nɔ drayv, yuz mashin, ɔ du ɛnitin we nid fɔ pe atɛnshɔn te yu no aw dis mɛrɛsin de afɛkt yu. Nɔ grap ɔ sidɔm kwik kwik wan, mɔ if yu dɔn ol. Dis kin mek yu nɔ gɛt diziz ɛn fɔdɔm. Rɔm kin ambɔg di we aw dis mɛrɛsin de wok. So nɔ drink rɔm.
Slip we pɔsin kin slip wantɛm wantɛm
We yu tek dis mɛrɛsin, yu kin slip wantɛm wantɛm ɛn nɔ wɔn yu. Yu kin slip we yu de drayv, tɔk, ɔ it. Sɔntɛm yu nɔ go fil slip bifo yu slip. If dis apin to yu, tɛl yu dɔktɔ wantɛm wantɛm.
Di we aw pɔsin de biev we i nɔ want fɔ du natin
Sɔm pipul dɛn dɔn ripɔt se dɛn kin want fɔ du mami ɛn dadi biznɛs ɔ ɔda tin dɛn we kin mek dɛn want fɔ du mami ɛn dadi biznɛs, lɛk fɔ ple gem ɔ fɔ it pasmak, we dɛn de tek dis mɛrɛsin. If yu gɛt ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ kwik kwik wan.
Mental wɛlbɔdi biznɛs
De sik pipul dɛm ɛn dɛn famili fɔ de wach fɔ nyu ɔr wɔs pwɛl hat ɛn tink bɔt fɔ kil dɛnsɛf. If yu fil bad ɔ yu de tink bɔt fɔ kil yusɛf, kɔl yu wɛlbɔdi tim wantɛm wantɛm.
‘Wearing off’ ɛn ‘On-Off’ ifɛkt dɛn
Bifo i rich di tɛm fɔ tek yu nɛks doz, yu kin fil se di mɛrɛsin de west (a ‘wearing off’ effect). Dɔn bak, sɔmtɛm di mɛrɛsin kin stɔp fɔ wok fɔ sɔm minit to sɔm awa ɛn afta dat i kin bigin fɔ wok bak wantɛm wantɛm (wan ‘on-off’ ifɛkt). If yu gɛt dɛn sik ya, tɛl yu dɔktɔ. Sɔntɛm yu go nid fɔ ajɔst di doz we yu de tek.
Fɔ pipul dɛn we gɛt dayabitis
If yu gɛt dayabitis, yu kin gɛt lay lay rizɔlt we yu de tɛst fɔ shuga na yu urine. Tɔk to yu dɔktɔ bɔt dis.
Chenj in kɔlɔ na di urine ɔ swet
Dis mɛrɛsin kin mek yu urine ɔ yu swet dak ɔ rɛd kɔlɔ. Dis nɔto sɔntin we de mek wi wɔri. Bɔt, i kin mek klos gɛt dɔti.
Vitamin B6 we gɛt di sik
Dis mɛrɛsin kin mek yu vaytamɛn B6 nɔ bɔku. So, yu fɔ mek shɔ se yu de gɛt inof vaytamɛn B6 we yu de tek dis mɛrɛsin. Tɔk to yu dɔktɔ bɔt di it ɛn vaytamɛn dɛn we yu de tek.
Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?
Lɛk ɔl di mɛrɛsin dɛn, dis wan kin gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm nɔ so siriɔs.
Sɔm bad tin dɛn we kin apin we pɔsin nid fɔ go to dɔktɔ wantɛm wantɛm:
- Alɛji riakshɔn - skin rɔsh, it, ayv, swel na di fes, lip, tɔŋ ɔ trot
- di bכdi blok - di bכdi de kramp bad bad wan, i nכ ebul fכ fכs כ pas di briz, i nכ de lכs fכ it, i de vכmit
- Fɔ slip we yu de wok ɛvride
- di hat ritm de chenj - di at de bit fast כ i nכ de bit, diziz, fεint, chεst pen, i at fכ brith
- Lכw bכdi prεshכn - diziz, fεnt, blכr vishכn
- Di mud ɛn bihayvya chenj - wɔri, nɔr de rεst, kɔnfyus, hallucinations, iritabiliti, et, tink bɔt fɔ kil yusɛf, pwɛl hat
- Nyu ɔ siriɔs muvmɛnt dɛn we yu nɔ ebul fɔ kɔntrol na yu fes, yu mɔt, ɔ yu ɔpa bɔdi
- Pen, tingling, ɔ swɛt na di an ɛn fut dɛn
- di sayt infεkshכn - rεd, swεla, wam, כ pen na di sayt we dεn put di tכb insay
- Blɛdi de blɔd - blak stɔl we gɛt blɔd ɔ tarry, we de vɔmit brawn matirial we tan lɛk kɔfi grɔn
- yu yay de pen wantɛm wantɛm ɔ yu de si chenj (e.g., yu nɔ de si fayn, yu de si ring rawnd layt, yu nɔ de si fayn) .
- Yu gɛt wan kayn tin we nɔ kɔmɔn fɔ du tin dɛn we nɔ kin izi fɔ yu, lɛk fɔ ple gɔl, fɔ it pasmak, fɔ du mami ɛn dadi biznɛs, ɔ fɔ go bay tin dɛn.
Sayd ɛfɛkt dɛn we nɔ kin nid dɔktɔ advays (bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de ɔ we de mɔna yu):
- Dak rɛd ɔ blak kɔlɔ we de chenj na di saliva, swet, ɔ urine
- Diziz we pɔsin kin gɛt
- Di we aw pɔsin kin slip
- Ed-aks (I tan lɛk se dis kɔmɔt na ɔda langwej, di kɔrɛkt Sinhala wɔd na: Headache ) .
- Vɔmit
Sɔntɛm dis list nɔ go kɔmplit. Tɔk to yu dɔktɔ fɔ advays yu bɔt di bad tin dɛn we kin apin to yu.
Aw a fɔ kip dis mɛrɛsin?
- Kip am usay pikin dɛn nɔ go ebul fɔ rich.
- Stɔr di kasɛt dɛn we yu nɔ opin na frij we di ples kol 2 to 8 digri sɛlshiɔs (36 to 46 digri F). Nɔ friz. Protɛkt di kasɛt frɔm layt ɛn kip am insay di katɔn te yu yuz am. Yuz bifo di de we i fɔ dɔn. Trowe di mɛrɛsin we dɔn pas.
- Trowe bɔks afta 16 awa we yu dɔn pul am na frij, afta yu dɔn opin am, ɔ we yu de yuz am, ilɛksɛf i stil gɛt mɛrɛsin. Yuz bifo di de we i fɔ dɔn.
Wi fɔ notis se:Dis atikul na sɔmari nɔmɔ. Sɔntɛm i nɔ go gɛt ɔl di infɔmeshɔn. If yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin, tɔk to yu dɔktɔ, fama, ɔ ɔda pɔsin we de kia fɔ yu wɛlbɔdi biznɛs.
Mɛsej we dɛn kin kɛr go na os
Okay, so lɛ wi rikap di impɔtant tin dɛn we wi bin tɔk bɔt:
- Dis ``Kabidopa; Levodopa Suspension'' na wan patikyula tritmɛnt wae de ɛp fɔ kɔntrol di sayn dɛm wae de sho se pɔrsin gɛt Pakinson.
- dis de gi di bכdi tru wan `pכmp` εn wan `PEG-J tכb`.
- Yu fɔ rili tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu gɛt ɛn ɛni ɔda mɛrɛsin we yu de tek.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan bɔt aw fɔ yuz di mɛrɛsin ɛn aw fɔ kia fɔ di PEG-J tyub.
- Yu fɔ no bɔt tin dɛm lɛk fɔ slip, fɔ slip wantɛm wantɛm, fɔ chenj yu maynd, ɛn fɔ biev kwik kwik wan. If yu notis ɛnitin we nɔ kɔmɔn , tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm.
- If di sayd ɛfɛkt dɛn apin, mɔ if i rili bad, go to dɔktɔ wantɛm wantɛm.
Pan ɔl we fɔ liv wit di sik we dɛn kɔl Pakinsin kin tranga, if yu gɛt di rayt tritmɛnt ɛn dɔktɔ advays, yu go ebul fɔ kɔntrol di sik dɛn we yu gɛt ɛn liv bɛtɛ layf. Tɔk to yu dɔktɔ opin wan bɔt ɛni kwɛstyɔn, fred, ɔ tin we de mɔna yu. Da we de, yu go ebul fɔ gɛt di ɛp we yu nid.
` Carbidopa, Levodopa, Pakinsin sik, Dopamine, PEG-J tyub, Mεdikeshכn sayd ifekt dεm, Pakinsin tritmεnt
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