Sɔntɛnde, wi mɔsul dɛn kin fil lɛk se dɛn nɔ gɛt layf, nɔto so? Wi yaylid dɛn kin drɔp, i nɔ kin izi fɔ wi fɔ tɔk ɛn swɛla, ɛn wi an ɛn fut dɛn kin fil fɔdɔm. Tide wi de tɔk bɔt wan spɛshal mɛrɛsin wae de trit wan sik wae dɛn kɔl Myasthenia Gravis, wae gɛt sɔm kayn sik lɛk dis. Da mɛrɛsin de na Pyridostigmine.
Wetin na Piridostigmin?
Fɔ tɔk am simpul wan, Pyridostigmine na drɔg we de ɛp yu mɔsul dɛn fɔ gɛt trɛnk bak we yu dɔn lɔs. Wi bɔdi in nɛv ɛn mɔsul dɛn kin tɔk to dɛnsɛf tru wan kemikal. Insay di kes fɔ ‘Myasthenia Gravis’, dis kɔmyunikeshɔn kin ambɔg. Pyridostigmine de wok bay we i de win da disrɔpshɔn de ɛn mek di kɔmyunikeshɔn bitwin di nɛv ɛn mɔsul dɛn kam bak.
Yu dɔktɔ kin gi yu dis mɛrɛsin ɔnda brand nem dɛn lɛk Mestinon ɔ Mestinon Timespan. ‘Timespan’ ɔ ‘extended-release’ de tɔk bɔt di kayn we we de absɔb insay di bɔdi sloslo ɛn de aktif fɔ lɔng tɛm.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Okay, naw bifo yu bigin dis mɛrɛsin, i rili impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu wɛlbɔdi kɔndishɔn. If yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl dɛn bɔt am.
| Medikal kɔndishɔn/ɔda tin dɛn | Wetin mek yu fɔ tɛl pipul dɛn? |
|---|---|
| Asma we gɛt asma | Pyridostigmine kin mek di aywe dɛn kɔnstrikt mɔ ɛn i kin mek i nɔ izi fɔ blo. |
| At sik ɔ at bit sloslo | Dis mɛrɛsin kin mek di at rit slo mɔ. |
| I nɔ izi fɔ yu fɔ pis ɔ i nɔ de mek yu pis | Dis tin kin wɔs. |
| Ɔlsa na di bɛlɛ ɔ di tin dɛn we de ambɔg di intestinal | Bɛlɛ pen ɛn ɔda prɔblɛm dɛn we kin apin na di bɛlɛ kin bɔku. |
| Kidni sik | Bikɔs di kidni dɛn kin pul di mɛrɛsin na di bɔdi, dɛn kin nid fɔ chenj di we aw dɛn fɔ tek am. |
| Infεkshכn dεm na di bכdi (e.g. Pεritonitis) . | Di sayn dɛm kin bi tin wae nɔr kin no bɔt ɛn i kin tranga fɔ no di sik. |
| Fɔ gɛt bɛlɛ ɔ fɔ tray fɔ gɛt bɛlɛ | Di dɔktɔ go no if di pikin gɛt di sik. |
| Fɔ gi pikin in mama in bɛlɛ | I impɔtant fɔ tink if di mɛrɛsin de pas to di pikin tru in mama in milk. |
| Alɛji to ɔda mɛrɛsin, it ɔ tin dɛn | Dis impɔtant fɔ no di risk fɔ gɛt alɛji to di mɛrɛsin. |
Aw a fɔ yuz dis mɛrɛsin?
Yu fɔ mɛmba dɛn tin ya we yu de yuz dis mɛrɛsin:
- Swɛla dis pil ɔl wit wan glas wata.
- Nɔ brok, krɔs, ɔ chew di pil, mɔ if na ‘extended-release’ (Timespan) tayp, bikɔs dis kin mek di mɛrɛsin go insay di bɔdi tumɔs kwik ɛn mek i gɛt sayd ɛfɛkt.
- Tek di rayt doz, jɔs lɛk aw yu dɔktɔ tɛl yu. Yu dɔktɔ go tɛl yu ɔmɔs tɛm insay di de ɛn ɔmɔs yu fɔ tek.
- Nɔ ɛva stɔp fɔ tek yu mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, i kin mek di sayn dɛm (e.g., i nɔ kin izi fɔ swɛla, i kin at fɔ blo) wɔs wantɛm wantɛm.
- If dɛn gi dis mɛrɛsin to pikin dɛn, dɛn nid spɛshal kia ɛn dɛn fɔ du am nɔmɔ bay dɔktɔ advays.
Impɔtant: If yu tink se yu dɔn tek mɔ pas di doz we dɛn se yu fɔ tek, kɔl yu dɔktɔ wantɛm wantɛm.Kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital, ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
Tek di doz we yu mis as 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 tek dabl doz fɔ ɛni rizin!
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛvri mɛrɛsin, vaytamɛn, ɛn nyutrishɔn sɔpɔtmɛnt we yu de tek, bikɔs Pyridostigmine kin intarakt wit sɔm mɛrɛsin dɛn.
| Nature of di kolishon | Ɛgzampul dɛn (di kayn mɛrɛsin dɛn) . |
|---|---|
| Nɔ tek Pyridostigmine wit dis mɛrɛsin. | |
| Bikɔs di tin dɛn we dɛn kin du kin fiba, di sayd ɛfɛkt dɛn kin bɔku. | Ɔda mɛrɛsin fɔ myasthenia gravis (e.g. neostigmine), Kwinin. |
| Duya tɛl yu dɔktɔ bikɔs dis kin miks wit yu mɛrɛsin. | |
| Pyridostigmine kin mek i nɔ wok ɔ i kin mek i wok fayn ɔ i kin mek i gɛt sayd ɛfɛkt. | atropine, bethanechol, disopyramide, edrophonium, guanethidine, mecamylamine, ɛn sɔm mɛrɛsin dɛn we de kɔntrol di pen na di mɔsul ɔ di nɛv. |
Dis list nɔr kɔmplit, so i go fayn fɔ tɛl yu dɔktɔ bɔt ɛnitin we yu de tek.
Tin dɛn we yu fɔ mɛmba we yu de tek mɛrɛsin
- Si yu dɔktɔ di tɛm we dɛn dɔn sɛtul fɔ chɛk yu sik. If yu sik de kɔntinyu ɔr de wɔs, tɛl yu dɔktɔ.
- I rili impɔtant fɔ kɛr wan mɛdikal ID we de sho se yu gɛt Myasthenia Gravis ɛn di mɛrɛsin dɛn we yu de tek ɛn di doz we dɛn de tek. Dis kin rili ɛp we ɛnitin apin we nɔ izi fɔ du.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, Pyridostigmine kin mek sɔm sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. Lɛ wi tek tɛm luk wetin na dɛn tin ya.
| Sayd ɛfɛkt we pɔsin kin gɛt | Wetin fɔ du |
|---|---|
| If ɛni wan pan dɛn tin ya apin, tɛl yu dɔktɔ wantɛm wantɛm. | |
| Alɛji riakshɔn (skin rash, it, swel na di fes/lip/tɔng) . | Go to dɔktɔ wantɛm wantɛm. |
| I nɔ kin izi fɔ yu fɔ blo | |
| Vishɔn kin chenj | |
| Sɔm mɔsul dɛn kin pen bad bad wan, kramp, ɔ limp | |
| At bit we kin rili slo ɔ we nɔ kin bit ɔltɛm | |
| Bɛlɛ pen bad bad wan, vɔmit | |
| Taya ɔ wik we nɔ kɔmɔn | |
| Bɔku tɛm, dɛn tin ya nɔ kin denja, bɔt if dɛn kɔntinyu fɔ de, tɛl yu dɔktɔ. | |
| Daya (espɛshali we yu bigin fɔ trit am) . | If di sik kɔntinyu, tɛl di dɔktɔ. |
| Fɔ pul wata pasmak | |
| I kin swet mɔ ɛn mɔ, yu kin gɛt nɔys | |
Aw yu fɔ kip yu mɛrɛsin?
- Kip am na say we sef we pikin dɛn nɔ go ebul fɔ rich.
- Stɔr na rum tɛmpracha (bitwin 15-30 sɛlshiɔs). Protɛkt frɔm ɔt ɔ kol pasmak.
- Protɛkt frɔm mɔstɔ ɛn dairekt san layt. Kip di mɛrɛsin bɔtul tayt tayt wan.
- Trowe di mɛrɛsin we dɔn pas ɛn yu nɔ yuz am.
Mɛsej we dɛn kin kɛr go na os
- Pyridostigmine na wan mɛrɛsin wae dɛn kin yuse fɔ trit di sik wae de mek yu mɔsul wik Myasthenia Gravis.
- Bifo yu bigin dis mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu gɛt (espɛshali asma, at sik, kidni sik).
- Swɛla di pil ɔl, nɔ brok ɔ krɔs am. Tek am di tɛm we dɛn dɔn tɛl yu fɔ tek am.
- Nɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt, lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu mɔsul dɛn de pen bad bad wan, ɔ yu at de bit sloslo, go to yu dɔktɔ wantɛm wantɛm.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek. Dis rili impɔtant fɔ mek yu sef.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin dɛn de yuz Pyridostigmine / Mestinon fɔ?
Dis na wan rili impɔtant ɛn men pil we dɛn kin gi fɔ di siriɔs nyuromɔskular sik we dɛn kɔl ‘Myasthenia Gravis’! we di signal dεm we de kכmכt na wi bren stכp fכ rich di mכsul dεm, wi mכsul dεm kin paralayz (wi nכ kin opin wi yay, tכk, כ waka). Wetin dis pil de du na fɔ mek dɛn mɔsul dɛn we de lɔs gɛt trɛnk bak ɛn mek di pɔsin we sik kam bak to in nɔmal.
💬 Aw dis mεdisin (Pyridostigmine / Mestinon) de mek di mכsul dεm wok?
di mɛsej to wan mכsul de sεnd frכm wi bren tru di nεv dεm bay wan kεmikכl we dεn kכl ‘Acetylcholine’. Bɔt pan di wan dɛn we gɛt Myasthenia, dɛn kin pwɛl dɛn tin ya kwik kwik wan (bay di Cholinesterase ɛnzaym). afta yu tek dis mεdisin, di εnzym we de pwεl di εnzym de blכk (Cholinesterase inhibitor), εn dεn de alaw mכr asetilkolin fכ kכmכt nia di mכsul dεm. afta dat di mכsul dεm kin wok/kכntrakt nכmal/strכng wan bak.
💬 Wetin na di anɔynt sayd ɛfɛkt dɛm we kin apin we yu tek dis mɛrɛsin?
dis nכ de nכmכ de mek di mכsul dεm rεvitalayz, bכt i de mek di intanεt כgan dεm lεk di intestines/blad dεm wok bכku bכku wan! So, we yu drink dis kin rili mek yu gɛt sayd ɛfɛkt dɛn we de mek yu anɔynt lɛk ‘sivɛri dayarɛa, bad bad bɛlɛ pen, salivation/tearing frɔm di mɔt/ay, ɛn fɔ pis bɔku tɛm’. (As, if dεn inkrεs di doz, di mכsul dεm kin kכllaps/bi inactive!)
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