I chhungkuaa mi tu emaw, i nu emaw, i pa emaw, i hmangaih tak emaw pawhin Parkinson natna a vei em? Tichuan i hre mai thei, a chang chuan an taksa chu a lo nghet nghal a , an nghing tan a, engmah an ti thei lo. Car a stall nghal ang mai a ni. Vawiin hian heng "off-period" an tih atanga chhanchhuahna rang tak pekna atana hman tur special injection kan sawi dawn a ni. Chu chu Apomorphine injection a ni.
Apomorphine hi eng nge ni?
A awlsam zawngin sawi ila, Apomorphine hi Parkinson natna lan chhuah dan enkawlna atana hman thin damdawi a ni. Kan thluaka chemical dopamine an tih ang chiah hian hna a thawk a ni. Parkinson natna hi kan thluaka he chemical dopamine an tih siamtu cell kan hloh vang a ni tih i hria em. He dopamine hian kan taksa chetna leh inrualna (coordination) a thunun thei a ni.
Chuvangin, dopamine a tlem chuan a natna lan chhuah dan chu a khauh leh khur ang chi te hi a ni. Apomorphine injection hian dopamine angin hna a thawk a, chu tlakchhamna chu rei lo te chhung atan a luah khat a, taksa chetna siam that lehna kawngah a pui bawk. Hei hi market ah Apokyn tih hming puin hmuh tur a awm tlangpui.
Parkinson natna hian i taksa chu a titawp a, kawngkhar khar ang maiin, chabi nei lo ang maiin han ngaihtuah teh. Apomorphine injection chu chu kawngkhar hawnsaktu chabi bik ang mai a ni. I taksa chu a normal leh nghal vat thin. Mahse thil dang atan pawh hman theih a ni a, chuvangin zawhna i neih chuan doctor zawt la.
He damdawi hi i hman hmaa doctor hnena hrilh tur thilte
He damdawi hi a pek hmain i doctor chuan i hriselna chanchin kimchang a hriat a ngai ang. Hei hi a chhan chu he damdawi hman hian dinhmun thenkhatah hian fimkhur bik a ngai a ni. A hnuaia thil awmte hi i doctor hnenah hrilh ngei ang che:
- Asthma i neih chuan.
- Nitin mut tam duhna i neih emaw, mutthilh nghal mai duhna i neih chuan.
- Zu in fo thin i nih chuan .
- Stroke i lo vei tawh a nih chuan.
- Lung natna i neih chuan .
- Harsatna tawk fo thin history i neih chuan .
- Thinlung thawk mumal lo emaw, rhythm inthlak danglam emaw a awm chuan.
- Kidney emaw liver emaw natna i neih chuan .
- Thisen sang i neih chuan .
- Rilru lam harsatna (depression ang chi) i neih chuan.
- Tun hmaa apomorphine, sulfites, emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih tawh chuan.
- Naupai emaw naupai tum emaw i nih chuan .
- Nu naupai lai i nih chuan .
He thu hi i doctor hnena dik taka pek hi i himna atan a pawimawh hle.
Vaccine hi engtin nge dik taka hman theih ang?
Hei hi vun hnuaia injection a ni. He damdawi i ei tan hian i doctor emaw nurse emaw chuan injection siam dan tur leh nangmah ngeiin i inject dan tur chipchiar takin a hrilh ang che. Heng thupekte hi dik taka zawm a pawimawh hle.
- I doctor-in a hrilh ang chiah khan hmang rawh: Dose emaw, a tam zawk emaw hman loh tur.
- He damdawi hi ei nghal vat suh: Doctor-in a tih loh chuan he damdawi hi bansan suh. A tihtawp nghal chuan side effect na tak a thlen thei a, i dinhmun a ti na zual thei bawk.
- Needle leh syringe te chu him takin paih rawh: Needle leh syringe hman tawhte chu bawlhhlawh bawmah paih ngai suh. Sharps container bik siamah dah tur a ni. I neih loh chuan i doctor hnenah dil theih a ni.
- Instruction leaflet chhiar: He damdawi nena rawn kal instruction leaflet hi ngun takin chhiar rawh. Zawhna i neih chuan doctor zawt la.
Ka overdose a nih chuan engtin nge ni ang?
I ngaihtuah aia tam damdawi i ei nia i ngaih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal la , Colombo National Hospital-a National Poisons Information Center-ah pawh call nghal rawh.
He damdawi hi i tan chauh pek a ni. Chuvangin midang hnenah share ngai suh.
He damdawi nen hian eng damdawi dang nge hman loh tur?
Damdawi thenkhat chu apomorphine nen an inzawm a, harsatna lian tak a thlen thei bawk. Chuvangin, i damdawi ei zawng zawng, vitamin, herbal remedies, leh supplement te pawh i doctor hnenah i hrilh vek tur a ni.
| Ruihhlo chi hrang hrang | Sawifiahna leh entirnan |
|---|---|
| Damdawi ei loh tur chiang tak | |
| Nausea/vomiting damdawi thenkhat | Entirnan: dolasetron, granisetron, ondansetron, palonosetron te hi a ni |
| Damdawi dang | Dronedarone, Ketoconazole, Levoketoconazole, Pimozide, Thioridazine te a awm bawk |
| Fimkhur taka hman tur thil/inpawhna awm thei | |
| Zu | Side effects hi a pung zel hian nasa takin a nghawng a ni. |
| Lungkhamna emaw mut emaw damdawi | Entirnan: Benzodiazepines te chu alprazolam, diazepam, lorazepam te hi a ni |
| Thisen sang damdawi thenkhat | Hemi chungchang hi doctor zawt ngei ang che. |
| Nitroglycerin a awm a | Thisen sang hi hlauhawm takin a tlahniam thei (hei hi a hnuaiah hian sawifiah a ni). |
| Damdawi dang | Haloperidol, Metoclopramide, Opioids, lungphu tichhe thei damdawi dang, Phenothiazines. |
He list hi a kim lo a, chuvangin i ei zawng zawng doctor hnenah hrilh vek a tha ber.
He vaccine ei huna hriat reng tur thil
He damdawi i hman lai hian i himna chungchangah hian ngaihtuah tur engemaw zat a awm.
Doctor hmu fo ang che.
I dinhmun enfiah turin doctor hmu fo la, i natna lan chhuah dan a ṭhat lehzual loh en rawh. I natna lan chhuah dan a ṭhat loh emaw, a zual emaw chuan i doctor hnenah hrilh rawh .
Nausea leh luak chhuak
He damdawi hian rilru hahna leh luak chhuak a thlen thei a, a chang chuan a na hle thei bawk. Chumi atan chuan i doctor chuan damdawi dang a rawn pe leh ang. Nausen damdawi engmah mahni chauhin ei suh. Hei hi a chhan chu nausea damdawi thenkhat hian apomorphine nen an inzawm thei a ni.
Mutthilh leh lirthei khalh
He damdawi hian i coordination leh reaction time a nghawng thei a ni. Chuvangin, he damdawi hian engtin nge a nghawng che tih chiang taka i hriat hma loh chuan , fimkhur ngai thil, lirthei khalh emaw, machinery hman emaw ang chi thil tih loh tur. Tin, i ding thut hunah emaw, thut atanga i thawh hunah emaw zawi zawiin ding rawh. Chutiang a nih loh chuan i lu a buai thei a, i lu a hah thei bawk. Zu i in chuan he hlauhawmna hi a nasa zawk a ni.
Pawimawh! He damdawi hi an ei hian mi thenkhat chu vaukhânna tel lovin an muhil nghal mai thei . Hei hi lirthei khalh lai te, inbiak lai te, chaw ei lai te pawhin a thleng thei a ni. Hetiang hi i chungah a lo thleng a nih chuan i doctor hnenah hrilh nghal rawh.
Nitroglycerin nen an inrem
Lung natna atan nitroglycerin i ei a nih chuan fimkhur hle a ngai a ni. He damdawi nena ei hian i thisen sang a ti hniam thei hle. Hei hian luak chhuak, muthilh leh tlu thei a thlen thei a ni.
Chuvangin nitroglycerin ei a ngai a nih chuan, .
1. A hmasa berin mu rawh.
2. Tichuan tablet chu i lei hnuaiah dah la.
3. Minute 45 tal muhil rawh.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin apomorphine hian side effect a nei thei a ni. Ṭhenkhat chu a serious a, a then chu a common.
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Side effect na tak tak, doctor hnena hriattir nghal tur | |
| Allergy na tak (Allergic reaction emaw angioedema emaw) . | Vun vun rawng, hnim hring, hmai, mit, hmui, lei, kut emaw ke emaw a hring, ei leh thawk harsa. |
| A rilru natna (Angina) . | A rilru, kawr, hnungzang emaw, kut emaw a na, a tight emaw, pressure emaw hriat. |
| Muhil nghal zat | Nitin hnathawh laiin vaukhânna tel lova mutthilh. |
| Thil hmuh theih loh (Hallucinations) te | Thil awm lo hmuh emaw hriat emaw. |
| Lung natna lan chhuah dan | Chhung, kekawrte, kut emaw kekawrte na, luak chhuak, thawk harsa, thawk hah, luak chhuak. |
| Heart rate a inthlak danglam thin | Thinlung thawk chak emaw, mumal lo emaw, luak chhuak, muhil, rilru na. |
| Hemolytic thisen tlakchhamna (Hemolytic anemia) a awm | Chauhna danglam tak, luak chhuak, lu na, thawk harsa, zun dum, vun emaw mit sen emaw. |
| Thiltih dan danglam tak tak | Thunun theih loha khelh duhna, ei tam lutuk, mipat hmeichhiatna hman duhna, a nih loh leh a ṭul lova sum hman duhna. |
| Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Luak chhuak, mutthilh | Chungte chu a thleng fo thei. |
| Nausea, luak chhuak | Damdawi ei tan tirh lamah chuan a awm fo thin. |
| Hnar luang emaw, hnar khar emaw | Khawsik chhinchhiahna ang maiin a lang thei. |
| Ke ruh, kut emaw, ke emaw a hring chhuak | Taksa chhunga tui awm (fluid retention) vang pawh a ni thei. |
He list-a tarlan loh side effect dang i neih chuan i doctor hnenah hriattir rawh.
Engtin nge damdawi i dahkhawm leh i paih thin?
- Naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni.
- Room temperature (20-25 degree Celsius inkar) ah dah tur a ni.
- Damdawi expired hman loh tur.
- Damdawi hman loh emaw, hun tawp tawh emaw i paih dawnin i doctor hnenah a him dan tur zawt la.
Take-Home Thuchah a ni
- Apomorphine injection hi Parkinson natna avanga rigidity leh tremors ("off-periods") lo awm nghal mai atanga chhanchhuahna rang tak a ni.
- Damdawi dang i ei zawng zawng leh i damdawi lam harsatna dang i neih apiang chu i doctor hnenah hrilh fo ang che.
- He damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh emaw, machinery emaw hman loh tur a ni. I muhil nghal mai thei tih hre reng ang che.
- I rilru natna, allergy na tak, heart rate inthlak danglam ang chi side effect na tak i neih chuan doctor pan nghal rawh.
- Needle leh syringe hman tawhte chu "sharps container" bik ah him takin paih fo ang che.











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