Parkinson natna avang hian nitin hnathawhnaah harsatna i nei em? I rilru a hah emaw, i ke leh ke a nghing emaw pawh a ni mai thei? Heng symptoms te nen hian nun a awlsam lo tih kan hria. Chuvangin vawiin hian heng harsatna te tihziaawmna tur damdawi kan sawi dawn a ni. Chu chu Extended-Release Capsules a ni a, damdawi pahnih Carbidopa leh Levodopa tih te inzawmkhawm a ni.
He damdawi hi eng nge thleng tak tak?
A awlsam zawngin, he damdawi, Carbidopa; Levodopa, hi Parkinson natna lanchhuahna control nan hman a ni. Kan thluak ah hian chemical pakhat dopamine an tih a awm a. Hei hian kan taksa chetna leh inremna thunun theitu chu a ni. Parkinson natna a lo awm chuan thluaka dopamine awm zat a tlahniam a. Chutah chuan symptoms, stiffness leh tremors ang chi te a lo lang thin. Chuvangin he damdawi hian thluaka dopamine awm zat a tipung a, chu symptoms te chu a ti tlem a ni. He damdawi hi a chang chuan thil dang atan pawh hman theih a ni. Chumi chungchang chu i doctor emaw pharmacist emaw i zawt thei ang. He damdawi brand hming lar tak chu Rytary a ni.
He damdawi hi i ei tan hmaa i doctor hnena i hrilh tur thilte
He damdawi hi i ei tan hmain i medical team (care team) te hnenah thil engemaw zat hriattir hmasak a pawimawh hle . A chhan chu chu thu hriatna chuan he damdawi hi i tan a tha em tih leh a pek dan tur a hril dawn a ni.
Heng dinhmunte hi i neih chuan sawi tel ngei ang che:
- Depression emaw rilru natna dang emaw i neih chuan.
- Diabetes mellitus i neih chuan.
- I mit ah glaucoma i nei a nih chuan.
- Heart disease, chu chu tun hmaa heart attack nei tawh emaw, heartbeat mumal lo nei tawh emaw tihna a ni.
- Kidney natna i neih chuan.
- Liver natna i neih chuan.
- Lung natna i neih chuan, entirnan, Asthma.
- Narcolepsy - Nitin thunun theih loha i muhil nghal mai thin.
- Sleep apnea i neih chuan, mut laiin thawk i chawlhsan thin.
- Pum emaw, intestinal emaw lama harsatna i neih chuan.
- Levodopa, Carbidopa, damdawi dang, ei tur, artificial dye, emaw, preservatives emaw avanga allergy emaw, thil danglam tak emaw i neih chuan.
- Naupai emaw, nau pai tum emaw i nih chuan.
- Nu hnute pe lai i nih chuan.
Heng thilte hi thup lova doctor hnena hrilh hi nangmah himna atan a pawimawh hle a ni, okay?
Engtin chiah nge he damdawi hi ka hman ang?
He damdawi hi tui glass khat nen ei tur a ni. I doctor-in a pek che prescription label-a a ziah ang chiah khan zawm rawh. Capsule chu a pumin ei tur a ni. Chu chu hrual suh, chew suh, a chanveah phelh suh.
He capsule hi ei harsa i ti ang u. Chutiang a nih chuan uluk takin capsule chu i twist thei a, a chhunga damdawi awm zawng zawng chu applesauce tablespoon khat emaw, tablespoon hnih emaw chungah i theh thei bawk. Amaherawhchu, ei tur nena chawhpawlh hnuah damdawi hi i hmang nghal tur a ni. A hnua hman tur atan save suh. I damdawi chu nitin hun khatah, hun bi neiin ei thin ang che. Damdawi doctor-in a tih aia tam ei loh tur a ni. Tin, doctor thurawn tel lo chuan damdawi ei kha bansan nghal suh.
Tin, chaw thau leh calorie tamna ei i ei chuan damdawi chu i taksaah a luh theih nan hun a duh rei thei bawk. Hei hian damdawi hman tan hun chu darkar hnih atanga darkar thum chhungin a tikhawtlai thei a ni. Chuvangin, chaw ei hma darkar khat emaw darkar hnih emaw ni khata i dose hmasa ber ei hi ngaihtuah rawh. Amaherawhchu, damdawi i ei hnua i rilru a na a nih chuan ei tur engemaw zat nen i ei thei a ni.
He damdawi hi naupangte hnena pek dawnin a bik takin fimkhur a ngai a, chuvangin i medical team te nen pawh hemi chungchang hi sawipui rawh.
Pawimawh: He damdawi hi i tan chauh pek a ni. He damdawi hi midang hnenah share ngai suh.
Damdawi i ei tam lutuk chuan engtin nge i tih ang?
He damdawi hi i ei tam lutuk nia i hriat chuan poison control center emaw emergency room emaw call nghal rawh.
Ka damdawi ei loh chuan engtin nge ni ang?
Dose i miss a nih chuan i hriatreng veleh ei nghal rawh. Mahse, i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, i dose leh tur chu a hun ruatah ei rawh. Double dose emaw extra dose emaw ei ngai suh.
He damdawi nena inzawm thei thil dang (Interactions) .
Damdawi thenkhat, Carbidopa ang chi te a awm a; Levodopa, chu chu ei dun chuan harsatna a thlen thei. Chuvangin, damdawi dang i ei a nih chuan i doctor hnenah hrilh a pawimawh hle .
He damdawi hi a hnuaia damdawi te nen hian ei ngai suh:
- MAOI tia koh damdawi class-a damdawi, Marplan, Nardil, leh Parnate te.
- Reserpine a ni
- Tetrabenazine hmanga siam a ni
Heng damdawi te nen hian inzawmna a awm thei bawk:
- Zu
- Droperidol a ni
- Entacapone a ni
- Iron supplement emaw multivitamin emaw iron awmna
- Isoniazid (INH) hmanga siam a ni.
- Linezolid a ni
- Depression, lungkhamna emaw, rilru lam harsatna emaw damdawi
- Thisen sang tan damdawi
- Mut theihna damdawi
- Metoclopramide hmanga siam a ni
- Papaverine a ni
- Procarbazine hmanga siam a ni
- Tedizolid a ni
- Rasagiline a ni
- Selegiline a ni
- Tolcapone a ni
He list hian inbiakpawhna zawng zawng a huam lo thei. Chuvangin i damdawi ei zawng zawng (prescribed, over-the-counter, herbal products, vitamins) te chu i doctor hnenah hrilh la. Tin, zu i in emaw, zu i in emaw, ruihhlo i hman emaw chuan i doctor hnenah hrilh bawk ang che. Chung zinga ṭhenkhat chu i damdawi nen an inzawm thei a ni.
He damdawi ei huna hriat reng tur thil
He damdawi i ei lai hian i dinhmun enfiah turin doctor hmu fo ang che. I natna lan chhuah dan a tha lo emaw, a na zual emaw chuan doctor hnenah hrilh rawh. He damdawi hi i doctor thurawn tel lova ei khap suh. Chutianga tih chuan chhân lêtna nasa tak a thlen thei a ni. I doctor chuan damdawi i ei tur zat a hrilh ang che.
- Mutthilh leh luak chhuak: Mutthilh emaw, luak chhuak emaw i nei thei. He damdawi hian engtin nge a nghawng che tih i hriat hma chuan lirthei khalh suh, machinery hmang suh, ngaihtuahna seng ngai thil engmah ti suh. Ding leh thut atanga tho thut suh, a bik takin tar i nih chuan. Chutianga tih chuan luak chhuak leh tlu hlauhawmna a tiziaawm thei a ni. Zu hian he damdawi hnathawh dan hi a tibuai thei a ni. Chuvangin zu in loh tur.
- Mutthilh nghal mai: He damdawi hi i ei hian vaukhânna tel lovin i muhil nghal mai thei . I lirthei khalh lai te, inbiak lai te, a nih loh leh chaw ei laiin i muhil thei a. Hetiang thil a thlen hma hian i muhil lo mai thei. Hetiang hi i chungah a lo thleng a nih chuan i doctor hnenah hrilh nghal rawh.
- Thil duhna danglam tak: Mi thenkhat chuan he damdawi an ei lai hian mipat hmeichhiatna lama duhna danglam tak an nei tih an sawi a, a nih loh leh khelh duhna thunun theih loh, ei tam lutuk emaw, an mamawh loh thil lei duhna emaw an nei tih an sawi bawk. Heng symptoms te hi i neih chuan doctor hnenah a rang thei ang bera hrilh rawh.
- ‘Wearing off’ leh ‘On-Off’ effects: A châng chuan, i dose leh tur i ei hun a thlen hmain, damdawi chu a chhe tawh ang maiin i inhria thei (‘wearing off’ effect). Tin, a chang chuan damdawi hian hna a thawk tawh lo nghal thei bawk (minute tlemte atanga darkar tlemte thleng) a thawk leh thei bawk (‘on-off’ effect). Switch ‘on’ emaw ‘off’ emaw ang mai a ni. Heng symptoms te hi i neih chuan i doctor hnenah hrilh rawh . I dose chu tihdanglam a ngai mai thei.
- Protein tamna ei tur: 1.1.Protein tamna chaw ei hian he damdawi hi a hip lut a tikhawtlai thei a, a tikhawlo thei bawk. Chuvangin, heng harsatnate laka inven nan hian damdawi ei hun hnaihah protein tamna chaw (entir nan, sa, sangha, lentils, etc.) tam tak ei loh tur a ni. Damdawi hi chaw ei hma minute 30 tal emaw, chaw ei hnu darkar khat emaw tal ei tur a ni. Protein tamna chaw chu ni tlai lamah emaw, a tlem zawk emaw pawhin i ei thei bawk. Hemi chungchang hi i doctor nen sawiho rawh.
- Zunthlum vei tan: Zunthlum i neih chuan he damdawi hian i zun a sugar awm chu false-positive result a siam thei a ni. Chuvangin he thu hi i doctor nen sawiho rawh.
- Zun emaw thawmhnaw rawng danglam: He damdawi hian i zun emaw i thawmhnaw emaw a ti dum (a dum ang chi) emaw, a sen emaw a siam thei. Hei hi ngaihtuahawm a ni lo. Mahse, thawmhnaw a ti bawlhhlawh thei.
- Vitamin B6 tlakchhamna: He damdawi hian taksaa vitamin B6 level a tihniam thei a ni. Chuvangin he damdawi hi i ei lai hian vitamin B6 i dawng tlem em tih i hriat chian a ngai a ni. I ei tur leh vitamin i ei tur chungchang doctor nen sawiho rawh.
He damdawi hian side effect a neih theih dan
Damdawi zawng zawng ang bawkin he damdawi hian side effect engemaw zat a nei thei. Ṭhenkhat chu an serious a, ṭhenkhat chu chutiang chuan an serious lo.
Damdawi lam pan vat ngai side effects:
A hnuaia tarlan side effects te hi i neih chuan i doctor emaw medical team emaw hnenah a rang thei ang bera hrilh tur a ni:
- Allergic reactions: Vun natna, vun hring, hives, hmai, hmui, lei emaw, kawr emaw a hring.
- Nilengin hnathawh laiin a muhil nghal.
- Lung chakna inthlak danglamna: thinlung thawk chak emaw, mumal lo emaw, luak chhuak, muhil, rilru na, thawk harsa.
- Thisen sang hniam: luak chhuak, muthilh, mitdel.
- Mood leh nungchang inthlak danglamna: lungkhamna, rilru hahdam lohna, buaina, hallucinations, thinrimna, hmêlma, mahni intihhlum duhna, rilru dinhmun a chhe zual, lungngaihna rilru put hmang.
- Hmai, hmui, taksa chunglam chetna thar emaw, zual zel emaw, thunun theih loh, tih nawn fo thin.
- Pum thisen chhuak: thisen chhuak emaw, tarry emaw, coffee grounds ang maia thil dum hring chhuak, emaw thisen chhuak.
- Mit na tak tak emaw, mit hmuhna a inthlak emaw: entirnan, mit hmuh lohna, êng chhehvela halo hmuh, emaw, mit hmuh lohna.
- Thlemna danglam tak takte:I thunun theih loh thil tihsual, khelh, ei tam lutuk, mipat hmeichhiatna lama inhmang, a nih loh leh i tih dan pangngai aia danglam thil lei te.
Side effects, a tlangpuiin doctor thurawn mamawh lo (mahse a awm reng emaw, a buaithlak emaw chuan doctor hnenah hriattir tur a ni):
- Saliva, thawmhnaw emaw, zun emaw rawng dum emaw dum emaw a ni.
- Luak chhuak thei.
- Mutthilh theih lohna.
- Lu na (lu na).
- Luhai.
He list-ah hian side effect awm thei zawng zawng a tel lo. I doctor nen inbia la, a side effects chungchangah medical advice dil rawh.
Engtin nge i damdawi i dahkhawm ang?
He damdawi hi naupangte hmuh theih lohna hmunah dah tur a ni.
Room temperature (15 leh 30 degree Celsius inkar, 59 leh 86 degree Fahrenheit inkar) ah dah tur a ni. Eng leh tuihna lakah venghim rawh. Damdawi hman loh, a hun tawp tawh zawng zawng chu paih vek rawh.
Hriat reng tur (Take-Home Message) .
Okay, chuvangin kan sawi tawh zinga pawimawh tak tak thenkhat i hriat nawn tir leh ang u.
- He Carbidopa hi a ni a; Levodopa damdawi hian Parkinson’s symptoms a tihziaawm theih nan a pui a ni.
- Damdawi i ei tan hmain i hriselna dinhmun zawng zawng leh damdawi dang i ei tur zawng zawng doctor hnenah hrilh hmasak a pawimawh hle
- Damdawi chu a pumin ei rawh. Crush emaw chew emaw suh. I ei harsat chuan crush la, applesauce nen ei rawh.
- Dose ruat sa chu a hun ruatah ei tur a ni. Doctor thurawn tel lo chuan ei khap suh.
- Mutthilh leh luak chhuak thei a nih avangin fimkhur rawh. I muhil nghal mai thei bawk.
- Thil danglam bik, ‘wearing off’/‘on-off’ tih ang chi te chu fimkhur rawh. Chutiang a nih chuan i doctor hnenah hrilh rawh .
- I damdawi ei hun hnaihah protein tamna ei loh tur.
- Side effect danglam tak tak i neih chuan, a bik takin kan sawiho tawh "side effects that require immediate medical attention" list-a awmte chu i doctor hnenah hrilh nghal rawh.
He lehkhabu hi a tawi zawng chauh a ni tih hre reng ang che. Thu hriat zawng zawng a huam vek lo mai thei. He damdawi chungchanga zawhna dang i neih chuan i doctor, pharmacist, emaw healthcare provider dang emaw nen inbia ang che. Anni chuan an pui thei ang che.
` Parkinson natna, carbidopa, levodopa, dopamine, Parkinson damdawi, side effects, damdawi inzawmna
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