I doctor hian Parkinson natna atan hian nangmah emaw, i chhungte zinga tu emaw, i nu emaw, i pa emaw pawh nise, he damdawi hi a lo pe tawh em? A hming hi a buaithlak deuhin a lang mai thei. Mahse, lungngai suh. Vawiin hian he damdawi Carbidopa tih hi kan sawi dawn a; Levodopa, chu chu kan rama SINEMET tih hminga lo lang fo damdawi hi a ni a, engkim hi a awlsam em em a, i hriatthiam a awlsam hle bawk.
Hei hi eng damdawi nge ni?
A awlsam zawngin sawi ila, hei hi Parkinson natna lanchhuahna control nana pek thin damdawi a ni. Parkinson natna hi kan thluaka cell, chetna control tu te a nghawng a ni. He natna hian symptoms a thlen a, chu chu khur, ruh, leh kal zawi te a ni.
Chuvangin he damdawi hian a tih chu kan thluaka pianphung anga awm chemical messenger dopamine tih hi a tipung a ni. Dopamine hi kan taksa chetna leh inrualna tha tak siamtu a ni. He damdawi hi i ei chuan thluaka dopamine level a sang a, Parkinson’s symptoms pawh nasa takin a tlahniam a ni.
A châng chuan doctor-te chuan damdawi lam thil dang atân pawh he damdawi hi an pe thei bawk. Chuvangin i doctor thupek zawm fo ang che.
Damdawi ei tan hmaa doctor hnena hrilh tur thil
He damdawi hi i tan a tha em tih i ngaihtuah hmain i doctor chuan i hriselna chanchin kimchang a hriat hmasak phawt a ngai ang. A hnuaia dinhmunte hi hrilh ngei ang che, a bik takin i neih chuan:
| I hriselna dinhmun | Engvangin nge i hriattir ang? |
|---|---|
| Depression emaw rilru lam natna dang emaw a awm thei | He damdawi hian rilru dinhmun thenkhat a tidanglam thei a ni. |
| Zunthlum | Damdawi hian thisen sugar level a nghawng thei a ni. |
| Glaucoma (mit chakna sang) . | A chhan chu mit pressure a nghawng thei a ni. |
| Lung natna, heart attack nei tawh emaw, heartbeat mumal lo emaw | Heart rate emaw thisen sang emaw a nghawng thei. |
| Kidney emaw liver emaw natna | Taksa atanga damdawi paih chhuahna a nghawng avangin a dose hi thlak a ngai mai thei. |
| Lung natna chi hrang hrang, Asthma | A chhan chu thawkna lam a nghawng thei a ni. |
| Naupai i nih chuan, nau pai tum i nih chuan, nau hnute i pe a nih chuan | Naute chunga nghawng a neih theih dan tur ngaihtuah turin. |
| Damdawi dang, ei tur dang emaw, thil dang emaw allergy nei | Damdawi allergy a awm loh nan. |
Engtin nge damdawi hi ka hman ang?
Dosage dik tak, a hun dik takah, doctor-in a tih angin ei a pawimawh hle.
- He damdawi hi tui glass khat nen ei tur a ni.
- Tablet chu a pumin ei rawh. Crush emaw chew emaw suh. Mahse, tablet chi thenkhat (CR - Controlled Release) chu a chanveah a then thei. Hemi chungchang hi doctor zawt rawh.
- I damdawi chu a hun takah ei tum la, nitin hun inang deuhah ei tum ang che.
- Doctor thurawn tel lo chuan i damdawi ei kha bansan ngai suh. A tihtawp nghal chuan side effect na tak a nei thei.
Damdawi dose khat ka 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 ei ngai suh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
He damdawi hi i ei tam lutuk nia i hriat chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. A nih loh leh Colombo National Hospital a National Poisons Information Center ah biak theih a ni bawk .
He damdawi hi i tan chauh pek a ni. Midangte hnenah share suh.
Damdawi ei huna fimkhur tur thil
He damdawi i ei lai hian i taksaa inthlak danglamna te ngaihven a pawimawh hle.
Mutthilh leh luak chhuak
He damdawi hian muthilh emaw, luak emaw a siam thei che a ni. Chuvangin, he damdawi hian engtin nge a nghawng che tih i hriat hma chuan fimkhur ngai thil, lirthei khalh emaw, machinery hman emaw te chu pumpelh rawh. A bik takin tar i nih chuan ṭhutna atanga i tho emaw, khum atanga i tho emaw hian zawi zawiin ding rawh. Hei hian luak chhuak leh tlu theihna a ti tlem ang. Zu in hian he effect hi a tipung thei a, chuvangin zu in loh vek tur a ni.
Muhil nghal zat
A châng chuan, vaukhânna awm lovin i muhil thut 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 a hlauhawm hle thei a ni. Chuvangin i doctor hnenah hrilh nghal rawh.
Impuls pangngai lo tak tak
He damdawi ei thin mi ṭhenkhat chuan thil tihsual nasa tak, khelh te, mipat hmeichhiatna hman te, leh a ṭul lo taka sum hman te hi an nei thei a ni. Hei hi i nungchang pangngai a nih loh chuan mualpho suh la, i doctor hnenah a rang thei ang bera hrilh rawh.
"Wearing-off" leh "On-Off" tih te a awm bawk
Hei hi hriatthiam a har deuh a, mahse a pawimawh hle.
- "Wearing-off" effect: Ngaihtuah teh, i dose leh tur hma darkar tlemteah, damdawi effect chu a chhe vek ang. A khur leh a nghet lo chu a rawn kir leh ta. Hei hi ‘wearing-off’ an ti a.
- "On-off" effect: Hei hi damdawi hian hna a thawk tawh lo nghal a, minute engemaw zat emaw darkar engemaw zat emaw hnuah hna a thawk leh ta a ni.
Heng thilte hi a lo thlen chuan doctor hnenah hrilh rawh. I damdawi ei tur zat emaw, a hun tur emaw chu a siamrem thei a ni.
I ei leh in hi uluk takin enkawl rawh.
Protein tamna ei tur (e.g. sa, sangha, artui, bawnghnute atanga siam, nut) hian he damdawi hi a hip luh a ti tlem thei a ni. Chuvangin:
- Damdawi i ei hun hnaihah protein tamna ei loh tur.
- Damdawi hi ei hma minute 30 emaw ei zawh hnu darkar khat emaw ah ei a tha ber .
- I ei leh in chungchang doctor nen sawiho la, thurawn la rawh.
He damdawi hian side effect a neih theih dan
Damdawi dang ang bawkin he damdawi hian side effect a nei thei a ni. Ṭhenkhat chu a serious a, a then chu a common.
| Side effects te chu doctor hnenah hriattir nghal tur a ni | |
|---|---|
| Allergy natna a awm thei | Skin rash, itching, hmai, hmui, lei hring. |
| Heart rate a inthlak danglam thin | Lung na rang emaw, mumal lo emaw, luak chhuak, rilru na, thawk harsatna. |
| Thisen sang hniam | Luak chhuak, muhil, mit hmuhna fiah lo. |
| Rilru leh nungchang inthlak danglamna | Lungkhamna, rilru hahdam lohna, thil hmuh theih loh, mahni intihhlum tumna, lungngaihna tipung. |
| Thunun theih loh chetna | Hmai, hmui emaw, taksa chunglam emaw, thunun loha chetna thar emaw, pung zel emaw. |
| Pum thisen chhuak | Thinrim dum emaw thisen chhuak emaw, coffee ground ang maia lang emaw, thisen chhuak emaw. |
| Side effects, a tlangpuiin damdawi lam pan ngai lo (mahse a awm reng chuan report tur a ni) . | |
| Saliva, thawmhnaw emaw, zun emaw rawng | Dark red emaw black emawa inthlak (hei hi a hlauhawm lo, mahse thawmhnaw a ti bawlhhlawh thei). |
| Luak chhuak leh mut theih lohna | Chungte chu taksain damdawi a hman thiam deuh deuh chuan a tlahniam thei a ni. |
| Lu na leh luak chhuak | Chûngte chu a châng chuan damdawi ei nêna ei hian a thunun theih a ni. |
He damdawi nena inzawm thei thil dang
Damdawi dang i ei hian he damdawi hnathawh dan hi a nghawng thei a ni. Chuvangin i doctor hnenah damdawi, vitamin, supplement, leh traditional medicine i ei zawng zawngte chu hrilh rawh. A bik takin a hnuaia mite hi fimkhur hle ang che:
- MAOIs (depression damdawi) 1.1.
- Iron supplement emaw vitamin emaw ei tur a ni
- Thisen sang tan damdawi
- Mut theihna damdawi
- Zu
Take-Home Thuchah a ni
- Carbidopa (carbidopa) a ni a; Levodopa hi Parkinson’s symptoms control nan thluaka dopamine level tisangtu damdawi a ni.
- Doctor-in a bik taka a tih loh chuan tablet chu chil emaw, chew emaw suh. A pumin ei rawh.
- I damdawi lam dinhmun zawng zawng leh damdawi dang i ei zawng zawngte chu i doctor hnenah hrilh ngei ang che.
- Side effect lian tak tak, mutthilh nghal mai, thil danglam tak, rilru lama inthlak danglamna te chu hre reng ang che. Hetiang a nih chuan doctor hnenah hriattir nghal tur a ni.
- Protein tamna ei leh in leh damdawi ei inkarah gap siam rawh. Hemi chungchangah hian doctor rawn rawh.
- Damdawi ei kha chawlhsan ngai suh la, doctor thurawn tel lovin a dose pawh thlak ngai suh.
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