Sɔntɛnde, yu kin fil lɛk se yu mɔsul dɛn de wik smɔl smɔl, lɛk se yu nɔ gɛt layf? Ɛspɛshali yu gɛt sɔm sayn dɛn lɛk we yu yaylid de drɔp, i nɔ izi fɔ tɔk, fɔ swɛla it, ɔ yu an ɛn fut dɛn we de lɔs? dis kin bi sayn dεm fכ di mכsul dεm we wik, כ wetin wi mεdikal kכl `(Myasthenia Gravis)`. So if yu gɛt dis sik, yu dɔktɔ kin dɔn gi yu wan pil we dɛn kɔl `Neostigmine`. Tide, lɛ wi tɔk bɔt dis mɛrɛsin, aw i de wok, tin dɛn we yu fɔ tek tɛm wit we yu de yuz am, ɛn di bad tin dɛn we i kin du.
Wetin na Niostigmine?
Fɔ tɔk am simpul wan, Neostigmine na drɔg we de ɛp fɔ mek yu mɔsul dɛn strɔng. Wi nerv ɛn mɔsul dɛn kin tɔk to dɛnsɛf tru wan kemikal. insay di kes fכ `Myasthenia Gravis`, dis kכmyunikeshn nכ de apin fayn fayn wan. Niostigmine de wok bay we i de mek di kεmikכl we de kכri di mεsej de de fכ lכng tεm, we de mek di kכnεkshכn bitwin di nεv dεm εn di mכsul dεm strכng. Dis kin ɛp di mɔsul dɛn fɔ gɛt trɛnk bak ɛn i kin mek i izi fɔ du di wok dɛn we dɛn kin du ɛvride.
Sɔntɛnde dɛn kin yuz dis mɛrɛsin fɔ ɔda mɛrɛsin, so if yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, i go fayn fɔ aks yu dɔktɔ.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu bigin fɔ tek Neostigmine, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin ɔ alɛji we yu gɛt, bikɔs dis mɛrɛsin kin miks wit sɔm mɛrɛsin.
| Tɛl yu dɔktɔ if yu gɛt dɛn sik ya. |
|---|
| - Asma ɔ ɔda prɔblɛm dɛn we pɔsin kin gɛt we i de blo |
| - I nɔ izi fɔ yu fɔ pis |
| - At sik, mɔ we at bit we nɔ de bit ɔltɛm ɔ we de bit sloslo |
| - Infεkshכn na di bכdi כ pεritonaytis |
| - Kidni sik |
| - Di sik dɛn we de mek pɔsin sik |
| - Bɛlɛ we de ambɔg ɔ ɔlsa |
| - Tayrɔyd sik |
| - Vagotonia kɔndishɔn |
| - Alɛji riakshɔn to neostigmine, bromid ɔ ɔda mɛrɛsin, it, ɔ day |
| - If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ |
Aw a fɔ yuz dis mɛrɛsin?
Dis na tin we rili simpul.
- Swɛla dis pil wit wan glas wata.
- Tek di doz we dɛn tɛl yu nɔmɔ, di tɛm we yu dɔktɔ tɛl yu. Nɔ skip di doz dɛn.
- Ivin if yu fil fayn, nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu.
- Pikin dɛn kin nid spɛshal kia we dɛn de yuz dis mɛrɛsin, so tɔk to dɔktɔ we de mɛn pikin dɛn fɔ advays.
Wetin fɔ du if dɛn ad di mɛrɛsin in doz?
If yu tink se yu dɔn tek mɔ pas di doz we dɛn tɛl yu fɔ tek, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital we yu nɔ de te, ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu. Trit dis lɛk se na imejensi.
Di tin we impɔtant pas ɔl na dat, na fɔ yu nɔmɔ dɛn kin gi dis mɛrɛsin. Nɔ ɛva sheb yu mɛrɛsin wit ɔda pɔsin.
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw 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.
Ɔda drɔgs wae kin intarakt wit di mɛrɛsin (Interactions) .
If yu de tek ɔda mɛrɛsin we yu de tek Neostigmine, yu fɔ tɛl yu dɔktɔ bak bɔt am, bikɔs sɔm mɛrɛsin kin miks wit am.
| Di kayn drɔgs wae kin kam wit prɔblɛm |
|---|
| - Sɔm antibayɔtiks (e.g. kanamycin, neomycin, streptomycin) |
| - Antihistamines fɔ alɛji, kɔf, kol, ɛn slip |
| - Mεdikeshכn dεm fכ at ritm dizכrd |
| - Di tin dɛn we de mek di mɔsul rilaks |
| - Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ anestesia ɔ fɔ mek pɔsin nɔ fil pen we dɛn de du ɔpreshɔn |
Dis list nɔ kɔmplit. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn tradishɔnal mɛrɛsin dɛn), if yu de smok, ɛn if yu de drink rɔm.
Tin dɛn we yu fɔ tink bɔt we yu de tek di mɛrɛsin
- Si yu dɔktɔ ɔltɛm fɔ mek dɛn chɛk yu. Tɛl yu dɔktɔ if yu sik de wɔs ɔr de bɛtɛ.
- I rili impɔtant fɔ kɛr wan mɛdikal ID kad ɔ breslɛt ɔltɛm we de sho se yu gɛt Myasthenia Gravis ɛn di mɛrɛsin dɛn we yu de tek ɛn di doz we dɛn de tek. I kin sev yu layf we ɛnitin apin we nɔ izi fɔ yu.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, Neostigmine kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Sɔm pan dɛn tin ya siriɔs, sɔm nɔ so siriɔs.
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
|---|---|
| - Alɛji (skin rash, it, swɛlin na yu fes, lip, tɔng) | - I nɔ izi fɔ blo |
| - Chenj dεm na di vishכn | - Chɛst pen |
| - Wiknɛs, i nɔ izi fɔ waka | - Diziz, we pɔsin kin fɔdɔm |
| - Di at bit we nɔ de ɔltɛm ɔ we de rili slo | - Blɔd prɛshɔn dɔn go dɔŋ |
| - Gɛt fit | - Abnɔmal bɔdi wik |
| Sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu ɔ de mɔna am | |
| - Rɔnbɛlɛ | - Nid fɔ pis bɔku tɛm |
| - If yu gɛt bɔku bɔku saliva na yu mɔt | - I de swet mɔ ɛn mɔ |
| - Mɔsul dɛn de twitch | - Nɔs, bɛlɛ at, flatulɛns |
Dis list nɔ de inklud ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu notis ɛnitin we nɔ kɔmɔn apat frɔm dɛn tin ya, tɔk to yu dɔktɔ bɔt am.
Aw a fɔ kip di mɛrɛsin?
Kip dis mɛrɛsin usay pikin dɛn nɔ go ebul fɔ rich . I bɛtɛ fɔ kip am na rum tɛmpracha (bitwin 15-30 digri sɛlshiɔs). Trowe ɛni mɛrɛsin we dɔn pas.
Mɛsej we dɛn kin kɛr go na os
- Neostigmine na impɔtant mɛrɛsin we de mek di mɔsul dɛn strɔng we dɛn kin gi fɔ di sik we dɛn kɔl Myasthenia Gravis.
- Tek di doz we yu dɔktɔ tɛl yu fɔ tek, di rayt tɛm, ɛn nɔ ɛva stɔp fɔ tek di mɛrɛsin if yu nɔ gɛt advays.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɛni ɔda mɛrɛsin we yu gɛt.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt (lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu chɛst de pen, yu gɛt sik we de mek yu at pwɛl), go to dɔktɔ wantɛm wantɛm.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɔda pipul dɛn.
- Yu kin ebul fɔ kɔntrol yu wɛl bɔdi fayn fayn wan bay we yu de du dɔktɔ chɛk-ap ɔltɛm.
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