Parkinson natna ‘Off’ Phase hrang hrangte tana Apomorphine Sublingual Film

Parkinson natna vei mi pakhat chuan a chang chuan a taksa chetna a thunun thei lo va, a taksa a khauh , a khur tan thin. Hei hi ‘off’ episode kan ti a. Switch pakhat chu ‘turn off’ ang maiin a lang. Chuvangin vawiin hian damdawi bik, hetiang hun lai hian hahdamna rang tak pe thei tura hman thin chungchang kan sawi dawn a ni. Chu chu sublingual tablet apomorphine an tih a ni.

He Apomorphine hi eng nge ni?

A awlsam zawngin sawi ila, hei hi Parkinson natna lanchhuahna control nana pek a ni. Chemical dopamine an tih hian kan thluaka chetna leh inremna (coordination) a thunun thei a ni. He dopamine hi kan taksa che vel control tu messenger angin han ngaihtuah teh. Parkinson natnaah chuan he thuchah hi thluaka a tlem phah thin. Chutah chuan khur leh thawk hah ang chi symptoms te chu a lo lang ta a ni.

Chuvangin he damdawi, Apomorphine hian a tih chu chu depleted dopamine messenger angin a che a, thluak chu message dik taka thawn leh turin a pui a ni. Chuvang chuan Parkinson natna lanchhuahna chu a reh thuai a, taksa pawh a tha deuh hlek a ni.

He damdawi hi brand name KYNMOBI hnuaiah pawh a awm bawk. Mahse, thil dang atan pawh hman theih a nih avangin i ngaihtuahna i neih chuan doctor nen inbiakna neih a tha ber.

He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte

He damdawi hi i doctor-in i medical history kimchang a hriat hmasak a pawimawh hle . A hnuaia tarlan te hi i neih chuan doctor hnenah hrilh ngei ang che.

• Luak chhuak emaw, muhil emaw i neih fo chuan: He damdawi hian a chang chuan thisen sang a ti hniam thei. Chuvangin he harsatna hi i nei tawh a nih chuan sawi chhuah a pawimawh.
• Lung natna: Lung natna i neih chuan, a bik takin thinlung thawk mumal lo.
• Thisen sang hniam: I thisen sang a hniam chuan.
• Stroke i nei tawh a nih chuan.
• Kidney emaw liver natna: I kal emaw liver emaw a thawk tha lo a nih chuan.
• Lung natna: Thâwk harsa, Asthma ang chi.
• Rilru hriselna lama harsatna: Depression ang chi dinhmun.
• Nitin mutthilh theih loh i tawn chuan.
• Zu in fo thin i nih chuan.
• Naupai emaw, nau pai tum emaw i nih chuan.
• Nu hnute pe mek i nih chuan.
• Allergy dang i neih chuan: Apomorphine, sulfite, damdawi dang, ei tur, preservative emaw, dye emaw allergy i neih chuan i doctor hnenah hrilh rawh.

Engtin chiah nge he damdawi hi i hman?

Hei hi hman dan a awlsam hle a, mahse felfai taka tih ngai a ni.

1. A hun takah la rawh: Hei hi ‘off’ episode i neih veleh hmang nghal la, i doctor-in a hrilh ang che.

2. Packet atangin la chhuak rawh: Damdawi chu foil pouch-ah i ei theih hma loh chuan dah la.

3. Kut a vawt tur a ni: Damdawi i khawih hmain i kut a vawt em tih enfiah hmasa phawt ang che. Kut hnim hmanga i khawih chuan a hmin thei.

4. Film chu i lei hnuaiah dah rawh: Film chu i lei hnuaiah dah rawh. I taksain a hmin a, a hip lut turin phal rawh.

5. Chew, tikehsawm, chil suh: He damdawi hi i hmuiah chew , tikehsawm, chil suh. I lei hnuaiah a hmin tur a ni.

Doctor rawn hmasa lovin he damdawi hi ei nghal vat suh. Hei hian side effect na tak a thlen thei a, i dinhmun a tichhe thei bawk.

I overdose a nih chuan engtin nge i tih ang?

He damdawi hi i ei tam lutuk nia i hriat chuan hlauthawng suh. Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. A nih loh leh, Colombo National Hospital-a National Poisons Information Center-ah phone rawh .

Dose pakhat ka miss a nih chuan engtin nge ni ang?

Hei hi nitin hun khata ei tur damdawi a ni lo. ‘Off’ episode-ah chauh hman a ni a, chutih lai chuan Parkinson natna lanchhuahna a pung nghal a ni. Chuvangin hetah hian ‘missed a dose’ hi a hman loh. Mahse, ‘off’ episode-a dose hmasa ber i ei a, i symptoms a ṭhat loh chuan chutih lai chuan dose pahnihna ei loh tur a ni . Hemi chungchang hi i doctor nen sawiho rawh.

He damdawi nena inzawm thei damdawi dang

Hei hi a pawimawh hle a ni. Damdawi thenkhat hi Apomorphine nena ei hian thil hlauhawm tak a thlen thei.

He list hi a kim lo va, chuvangin i doctor hnenah damdawi i ei zawng zawng (vitamin, hnam damdawi, thing leh mau, leh herbal supplement thlengin) hrilh rawh

He damdawi ei huna fimkhur tur thilte

• Nausea leh vomiting: He damdawi hian nausea leh luakchhuak a thlen thei. A châng chuan a na hle thei bawk. Chumi atan chuan i doctor chuan damdawi hran a rawn pe ang. Over-the-counter anti-nausea damdawi ei loh tur a ni. Nausea damdawi zawng zawng hi he damdawi nen hian a inmil vek lo.
• Mutthilh nghal mai:Hei hi a pawimawh hle. He damdawi hi i ei hian engmah hriattirna awm lovin i muhil nghal mai thei. Motor i khalh a, chaw i ei emaw, mi i biak emaw a, i hriat lohvin i muhil ang tih han ngaihtuah teh. Hei hi a hlauhawm hle mai. Chuvangin , he damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh emaw, machinery emaw hmang suh . Hetiang hi i tawn chuan doctor hnenah hrilh nghal rawh.
• Zu: He damdawi hi zu nena ei hian luak chhuak, muthilh leh mutthilh thut theihna a tipung nasa hle.
• Nitroglycerin: Lung natna avanga nitroglycerin sublingual-a i ei a nih chuan heng damdawi pahnih ei dun hian thisen sang hlauhawm takin a tlahniam thei a ni. Chuvangin, nitroglycerin i ei a ngai a nih chuan mu hmasa phawt ang che . Tichuan damdawi chu ei la. Damdawi ei hnuah minute 45 tal muhil rawh.

Eng side effect nge hmuh theih?

Damdawi dang ang bawkin he damdawi hian side effect a nei thei a ni. Ṭhenkhat chu a serious a, a then chu a common.

Damdawi hi engtin nge kan dahkhawm ang?

• Naupang leh ran vulh lakah hla takah dah rawh. Hei hi a pawimawh hle.
• Room temperature (20-25 degree Celsius inkar) ah dah tur a ni.
• Damdawi chu foil packet chhungah hman theih a nih hma loh chuan dah la.
• Damdawi expire tawh chu paih vek rawh.

Damdawi hman loh emaw, hun tawp tawh emaw him taka paih dan tur i doctor zawt rawh.