Parkinson natna vei mi chuan a chang chuan ‘off’ moments a nei a, chutah chuan taksa chu nunna nei lovin a awm nghal a, ke leh ke te chu an chakna a hloh a, an che tha thei lo bawk. Heng hun lai hian tanpui theih loh leh nitin hna pawh thawk thei lo niin an inhria. Chuvangin, vawiinah hian chutiang ‘off’ moment rang tak chu rang taka thunun thei damdawi bik kan sawi dawn a ni.
He damdawi hi Apomorphine an tih hi eng nge ni?
A awlsam zawngin sawi ila, Apomorphine hi Parkinson natna ‘off’ phase enkawl nana hman a ni a, chu chu rang taka chetna harsa tak a ni. Film te tak te angin a lo thleng a, lei hnuaiah a inthiar chhuak thin. KYNMOBI hi he damdawi brand name lar tak a ni.
Ngaihtuah teh, kan thluak ah hian chemical bik dopamine an tih chu a awm a. Hei hian kan taksa chetna leh inrualremna thunun theitu chu a ni. Parkinson natna vei thluaka he dopamine level hi a tlahniam a. Apomorphine hian thluaka dopamine awm zat a tipung a, rang takin thluaka natna lanchhuahna te, rilru hahna, khur, leh chet slow te chu a tiziaawm thei a ni.
He damdawi hi i hman hmaa doctor hnena hrilh tur thilte
He damdawi hi i doctor-in a pek hmain i hriselna dinhmun a hriat chian a pawimawh hle. Chuvangin, a hnuaia dinhmunte hi i neih chuan i doctor hnenah hrilh ngei ngei tur a ni.
| Heng condition te hi i nei em tih en rawh |
|---|
| Nitin hna (e.g., thusawi, ei leh in) i thawh laiin i muhil nghal a nih chuan . |
| I taksa ruh control harsa i tih chuan |
| Lung natna chi hrang hrang, thinlung rhythm mumal lo, emaw, rhythm inthlak danglam emaw i neih chuan |
| Thisen sang i neih chuan |
| Kidney emaw liver natna i neih chuan |
| Thâwk lama harsatna i neih chuan lung natna emaw, asthma emaw i neih chuan |
| Stroke i tawk tawh a nih chuan |
| Rilru natna chi hrang hrang i neih chuan |
| Sleep apnea i neih chuan |
| Zu in fo thin i nih chuan |
| Apomorphine, sulfites, emaw damdawi dang emaw, ei tur emaw, rawng dang emaw allergy i neih chuan |
| Naupai emaw, naupai beisei emaw i nih chuan |
| Nu hnute pe lai i nih chuan |
Engtin chiah nge he damdawi hi ka hman ang?
Hei hi hman a awlsam hle a, mahse a instruction dik tak i zawm a ngai a ni.
1. He damdawi hi ‘Off’ dinhmun a lo intan hunah chauh hmang thin ang che .
2. Damdawi i khawih hmain i kut chu a vawt vek tur a ni .
3. Damdawi awmna foil pouch sealed chu tichhia la, uluk takin dissolving film chu la chhuak rawh.
4. Chu membrane chu i lei hnuaiah dah rawh .
5. Amah chauhin a lo hmin rawh se. Cut, crush, chew suh.
6. Doctor-in a sawi aia tam hman loh tur.
A pawimawh ber chu, i doctor-in a tih loh chuan he damdawi hi ei kha bansan suh. A tihtawp nghal chuan i dinhmun a tichhe thei a, side effect na tak a thlen thei bawk.
I overdose chuan engtin nge i tih ang ?
He damdawi hi i ei tam lutuk nia i hriat chuan Colombo National Hospital-a National Poisons Information Center-ah zawh nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh. He damdawi hi i tan chauh pek a ni. Midang hnenah share ngai suh.
Dose pakhat ka miss a nih chuan engtin nge ni ang?
Hei hi ni khatah vawi tam tak ei ngai damdawi a ni lo. ‘Off’ period i neih hunah chauh hman a ni. Chuvangin hetah hian dose pakhat hloh tih concept hi a hman loh. Amaherawhchu, ‘off’ hun chhung film pakhat i hman hnua i natna lanchhuahna atanga hahdamna i hmuh loh chuan chu hun chhung atan chuan film dang hmang suh. Hemi chungchang hi i doctor nen sawiho rawh.
He damdawi nena inzawm thei damdawi dang
Apomorphine hi damdawi dang thenkhat nen a inzawm thei a ni. Damdawi i ei zawng zawng (vitamin leh herbal remedies te pawh tel) doctor hnenah hrilh hmasak a pawimawh.
| Heng damdawi te nen hian Apomorphine hi ei loh tur a ni. | |
|---|---|
| Nausen/luak natna damdawi thenkhat (e.g., dolasetron, granisetron, ondansetron, palonosetron) . | |
| Cisapride, Dronedarone, Pimozide, Thioridazine te a awm bawk | |
| Heng damdawi te nen hian Apomorphine i ei chuan fimkhur hle ang che. | |
| Zu | |
| Lungkhamna emaw mut emaw damdawi | |
| Thisen sang, lung natna, leh thinlung rhythm disorder te damdawi | |
| Narcotic natna damdawi | |
| Nitroglycerin a awm a | |
| Haloperidol, Metoclopramide, Phenothiazines (entir nan, chlorpromazine, prochlorperazine) te hi a tha hle. | |
| Heart rhythm tichhe thei damdawi dang (QT interval ti rei) . |
He list hi a kim lo a, chuvangin i damdawi ei zawng zawng chu i doctor hnenah hrilh vek ang che.
He damdawi hman huna hriat reng tur thil
- Mutthilh leh luak chhuak: Mutthilh emaw, luak chhuak emaw i nei thei. So , he damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh emaw, machinery emaw hmang suh. Thutna atanga tho leh thut thut suh, a bik takin tar i nih chuan.
- Mutthilh thut: Mi thenkhat chu he damdawi ei lai hian vaukhânna awm 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.
- Thunun theih loh duhna: Mi ṭhenkhat chuan he damdawi hi an ei lai hian khelh, mipat hmeichhiatna hman, ei tam lutuk emaw, thil lei emaw ang chi thil tih duhna nasa tak an neih thu an sawi. Heng thil danglam tak takte hi i tawn chuan doctor hnenah hrilh nghal rawh.
- Nausea leh vomiting: He damdawi hian nausea leh luakchhuak nasa tak a thlen thei. Hei hi ven nan i doctor chuan damdawi dang a pe thei bawk. Mahse, nausea damdawi zawng zawng hi he damdawi nen hian hman theih a ni lo. Chuvangin i doctor hnenah eng damdawi nge i tan a tha tih zawt rawh.
- Nitroglycerin hman dan: Nitroglycerin i ei a nih chuan Apomorphine i ei hian i thisen sang a tlahniam nghal thei. Chuvangin sublingual Nitroglycerin tablet i ei a nih chuan i ei hma leh ei zawhah mut a pawimawh hle. Hei hian luak chhuak leh tlu lo turin a pui thei a ni.
Damdawi hian eng side effect nge a neih theih?
| Side effects te chu doctor hnenah report nghal tur a ni |
|---|
| Allergic reaction - vun rawng, vun na, hmai, hmui, lei emaw kawr emaw a hring |
| Chest pain (Angina) - rilru, kawr, hnungzang, kutphah natna, pressure, emaw tightness emaw |
| Buaina, thil hmuh theih loh (hallucinations) te |
| Nitin hna thawh laiin mutthilh nghal mai |
| Heart rhythm inthlak danglamna - thinlung thawk chak emaw, mumal lo emaw, luak chhuak, muhil, rilru na, thawk harsa |
| Hemolytic anemia - hahna danglam tak, chak lohna, luak chhuak, lu na, thawk hah, zun dum, vun emaw mit sen emaw |
| Thisen sang hniam - luak chhuak, muthilh, mitdel |
| Hmai, hmui emaw, taksa chunglam emaw, thunun loha chetna thar emaw, tihpun emaw |
| Kawng emaw, kawr emaw a na, a sen, a hring, leh a na |
| Ke ruh, kut emaw, ke emaw a hring chhuak |
| A chunga kan sawi tak duhna thunun theih loh (pawisa khelh, ei tam lutuk ang chi) lo awm dan . |
| Side effects te chu a awm reng emaw, a buaithlak emaw a nih chuan doctor hnenah hriattir tur a ni |
| Ka chhunga thlum inthlak danglamna |
| Mutthilh theih lohna |
| Lu na |
| Luhai |
| Hnar luang emaw, hnar khar emaw |
Engtin nge damdawi chu i dahkhawm leh i paih thin?
- Naupang leh ran vulhte hmuh theih lohna hmunah dah rawh .
- Room temperature pangngai (20-25 degree Celsius inkar) ah dah tur a ni.
- Packet sealed chhungah chuan hman theih a nih hma loh chuan dah tur a ni.
- Damdawi hun tawp tawh emaw, mamawh tawh lo emaw paih dan him ber chu i doctor zawt rawh.
Take-Home Thuchah a ni
- Apomorphine sublingual film hi Parkinson natna ‘off’ episodes rang taka pek thin damdawi a ni a, nitin damdawi pek a ni lo.
- Hei hi i hman dawnin i kut chu vawt takin dah la, i lei hnuaiah dah la, a hmin tir rawh. Chew leh crush ngai suh.
- He damdawi hian mutthilhna a siam thei che a, chuvangin ngaihtuahna seng ngai hna thawh hunah fimkhur hle ang che, a bik takin lirthei khalh lai hian.
- I duhâmna thunun theih loh emaw, nghawng ṭha lo dang emaw i neih chuan i doctor hnenah hrilh nghal rawh.
- Damdawi dang i ei tur zawng zawng doctor hnenah hriattir a pawimawh hle.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh