Sɔmbɔdi na yu famili, sɔntɛm yu mama, papa, grani ɔ granpa, gɛt dis sik we dɛn kɔl Pakinsin? I kin rili sɔri fɔ si dɛn de sɔfa wit sɔm sayn dɛm lɛk fɔ shek, fɔ stif, ɛn fɔ waka sloslo, nɔto so? So, tide wi bin tink se wi go tɔk bɔt Carbidopa ɛn Levodopa, we na rili impɔtant mɛrɛsin we kin ɛp fɔ kɔntrol dɛn sik ya ɛn mek layf izi smɔl.
Aw dis mɛrɛsin de wok?
Fɔ tɔk am simpul wan, wi bren gɛt wan spɛshal kemikal mɛsenja we dɛn kɔl dopamin. Dis dopamin impɔtant fɔ kɔdinɛt ɛn kɔntrol di we aw wi bɔdi de muv. Wetin kin apin to pɔrsin wae gɛt dis sik na dat di sɛl dɛm na di bren wae de mek dis dopamin kin pwɛl smɔl smɔl. Dɔn di dopamin lɛvɛl kin go dɔŋ, ɛn di sayn dɛn we wi bin tɔk bɔt, lɛk fɔ shek shek ɛn fɔ stif, kin apia.
So, dis kabidopa; levodopa, na wan dכg we de wok bay we i de inkrεs di dopamin lεvεl na di bren bak. Pan ɔl we dis nɔ kin ebul fɔ mɛn di sik ɔltogɛda, i kin kɔntrol di sik dɛn bad bad wan ɛn ɛp di pɔsin fɔ du tin dɛn we i kin du ɛvride izi wan.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Bifo yu gi yu dis mɛrɛsin, i rili impɔtant fɔ mek yu dɔktɔ no yu kɔmplit wɛlbɔdi istri. Mek shɔ se yu tɛl am bɔt ɛni wan pan di kɔndishɔn dɛn we de dɔŋ ya.
| 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 | Shuga we de na yu urine kin afɛkt di tɛst rizɔlt. |
| Glaukoma kɔndishɔn we pɔsin kin gɛt | Di prɛshɔn na di yay kin afɛkt. |
| At sik, histri bɔt at atak, ɔr at bit nɔr de bit ɔltɛm | Di at rit ɛn blɔd prɛshɔn kin afɛkt. |
| Kidni ɔ liva sik | Di we aw dɛn kin pul di mɛrɛsin na di bɔdi kin gɛt ɛfɛkt. |
| Sik dɛm na di lɔng (e.g. asma) . | I kin tranga fɔ blo. |
| Prɔblɛm dɛn na di bɛlɛ ɔ di intestinal | Di we aw pɔsin de tek mɛrɛsin ɛn di sayd ɛfɛkt dɛn kin afɛkt am. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ | Yu fɔ tɔk to yu dɔktɔ bɔt di prɔblɛm dɛn we kin apin to di pikin. |
| If yu gɛt alɛji to ɛni ɔda mɛrɛsin, it ɔ sɔntin | Fɔ asɛs di risk fɔ gɛt alɛji to di mɛrɛsin. |
Aw a fɔ yuz dis mɛrɛsin?
Dis mɛrɛsin fɔ tek yu mɔt wit wan glas wata . I rili impɔtant fɔ tek di kɔrɛkt doz, di rayt tɛm, lɛk aw yu dɔktɔ tɛl yu. Nɔ inkrisayz ɔ ridyus di doz fɔ di mɛrɛsin ɔ stɔp am wantɛm wantɛm as yu fil am. If yu du dat, dat kin mek yu gɛt siriɔs riakshɔn. If yu stɔp fɔ tek di mɛrɛsin, du am smɔl smɔl, akɔdin to wetin yu dɔktɔ tɛl yu fɔ du.
Impɔtant: 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 tu doz wan tɛm fɔ mek di doz we yu dɔn fɔgɛt.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek bɔku mɛrɛsin, go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
Ɔda mɛrɛsin, vaytamɛn, ɛbul mɛrɛsin, ɛn rɔm we yu de tek kin miks wit dis mɛrɛsin. So, tɛl yu dɔktɔ bɔt ɔltin we yu de tek.
Nɔ tek dis mɛrɛsin wit:
- MAOIs, na wan klas ɔf mɛrɛsin wae dɛn kin yuse fɔ trit mɛntɛl sik (e.g. Marplan, Nardil, Parnate)
- Reserpine we dɛn kɔl
- Tetrabenazin we dɛn kɔl Tetrabenazine
Yu kin riak bak wit dɛn tin ya:
- Rum
- Ayɔn sɔpɔtmɛnt ɔ vaytamɛn dɛn
- Antibayɔtik dɛn lɛk Linezolid, Isoniazid (INH), Procarbazine, Tedizolid
- Mɛrɛsin fɔ pwɛl hat, wɔri, ɔr ɔda kayn maynd sik
- Mɛrɛsin fɔ mek pɔsin gɛt ay blɔd prɛshɔn
- Pils fɔ slip
- Metoklɔpramid, Drɔpɛridɔl, Papavɛrin
- Rasagiline, Selegiline, Entacapone, Tolcapone (dεn dεn ya na כda mεdikeshכn dεm bak we dεn kin yuse fכ di sik we dεn kכl Pakinson)
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
Yu tink se di tin we di mɛrɛsin go du go dɔn? (Wear-ɔf ɛfɛkt)
Sɔntɛnde, as di nɛks doz fɔ dɔn, di ifɛkt we di mɛrɛsin gɛt kin west ɛn di sayn dɛn kin kam bak. Dɔn bak, sɔntɛnde di mɛrɛsin kin stɔp fɔ wok fɔ wan minit ɔ wan awa ɛn afta dat i kin bigin fɔ wok bak. dis dεn kכl am di 'on-off effect'. If dis apin to yu, nɔ shem ɛn tɛl yu dɔktɔ. I kin ebul fɔ ajɔst di doz ɔ di tɛm fɔ yu mɛrɛsin fɔ mɛn dis sik.
Tek tɛm wit it ɛn drink.
it dεm we gεt prכtin (e.g. mit, fish, eg, milk, nכt) kin ridyus di abzכpshכn fכ dis mεdisin. So, 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 dɔn it. I bɛtɛ fɔ tɔk to yu dɔktɔ bɔt di it we yu de it ɛn gɛt advays.
I kin slip, diziz, ɛn slip wantɛm wantɛm
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 dɔn ol, nɔ grap frɔm we yu sidɔm wantɛm wantɛm. Wet fɔ sɔm tɛm bifo yu grap sloslo.
Sɔm pipul dɛn kin slip wantɛm wantɛm ɛn nɔ wɔn dɛn we dɛn de tek dis mɛrɛsin. Dis kin apin ivin we yu de drayv ɔ we yu de tɔk. If dis apin to yu, tɛl yu dɔktɔ wantɛm wantɛm.
Yu fɔ de wach fɔ tɛmtmɛnt dɛn we nɔ kɔmɔn.
Na smɔl tɛm nɔmɔ, sɔm pipul dɛn kin gɛt di kayn we aw dɛn kin want fɔ ple gɔl, du mami ɛn dadi biznɛs, it pasmak, ɔ spɛn mɔni we dɛn nɔ nid fɔ tek dis mɛrɛsin. Dis na wan sayd ɛfɛkt we di mɛrɛsin gɛt. If yu ɔ sɔmbɔdi na yu famili notis ɛni wan pan dɛn chenj ya, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
Ɔda pɔynt dɛn
- Yu urine ɔ swet kin tɔn dak kɔlɔ (blak ɔ rɛd) . Dis na nɔmal tin ɛn nɔto natin fɔ wɔri bɔt. Bɔt, i kin mek yu klos dɔti.
- If yu gɛt dayabitis, dis mɛrɛsin kin afɛkt di urine shuga tɛst (i nɔ kin afɛkt di blɔd tɛst).
- Dis mɛrɛsin kin mek yu nɔ gɛt bɛtɛ vaytamɛn B6. So, tɔk to yu dɔktɔ bɔt aw fɔ it tin dɛn we gɛt vaytamɛn B6 (lɛk kale, spinach, potato).
Di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Di chenj dɛn we de apin na di at rit | Hat de bit kwik kwik wan, at nɔ de bit ɔltɛm, yu chɛst de pen, i nɔ izi fɔ blo. |
| Lɔw blɔd prɛshɔn | Diziz, faint, blurred vishɔn. |
| Di chenj dɛn we de apin na di maynd ɛn di we aw pɔsin de biev | Wɔri, agyumɛnt, hallucinations, tink bɔt fɔ kil yusɛf, strɛs mɔ. |
| Muvmɛnt dɛn we pɔsin nɔ ebul fɔ kɔntrol | Nyu ɔ i de muv mɔ ɛn mɔ we yu nɔ ebul fɔ kɔntrol di fes, mɔt, ɔ di ɔpa bɔdi. |
| Bɛlɛ we de kɔmɔt na di bɛlɛ | Blak ɔ tar stɔl, vɔmit we tan lɛk kɔfi grɔn. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Saliva, swet, ɛn urine we de dak | Bɔku tɛm, dis nɔ kin ambɔg pɔsin. |
| Diziz ɛn slip | Dis na tin we kɔmɔn. |
| Ed we de at ɛn nɔs | Tɛl yu dɔktɔ if dɛn sayn ya stil de. |
Mɛsej we dɛn kin kɛr go na os
- Kabidopa we dɛn kɔl Carbidopa; Levodopa nɔto mɛrɛsin fɔ Pakinsin sik, bɔt na mɛrɛsin we de kɔntrol di sayn dɛm ɛn mek layf izi.
- Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm fɔ ɛni rizin we yu dɔktɔ nɔ gi yu advays.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɛni ɔda sik we yu gɛt.
- Yu fɔ no bɔt di bad tin dɛn we kin apin lɛk fɔ slip wantɛm wantɛm, fɔ chenj yu maynd, ɛn fɔ want fɔ du sɔntin we nɔ kɔmɔn. If yu notis ɛni chenj, tɛl yu dɔktɔ wantɛm wantɛm.
- Fɔ it dɛn we gɛt bɔku prɔtin kin mek di mɛrɛsin nɔ wok fayn. So, tɔk to yu dɔktɔ bɔt di it we yu de it.
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