Parkinson natna enkawlna thar: Carbidopa chungchang hi i zir ang u; Levodopa Suspension a ni ta!

Parkinson natna hian a chang chuan nitin hnathawh a ti harsa thei a , a dik em? Thinrimna leh khur ang chi symptoms neia nun hi thil awlsam a ni lo. Mahse, damdawi lam thiamna a lo thang chho zel a, heng natna lan chhuah dan tur thunun nan hian enkawlna thar an rawn dah belh zel a ni. Vawiin hian chutiang enkawlna bik pakhat kan sawi dawn a ni. Chu chu `Carbidopa a ni a; Levodopa hmanga suspension` . Hei hi pill pangngai ang a ni lo va, damdawi, taksaah a danglam deuh deuha pek a ni.

He damdawi hi eng nge ni? Engtin nge a thawh?

A awlsam zawngin, `Carbidopa; Levodopa` hi Parkinson natna lanchhuahna tihziaawmna atana pek thin a ni. I hria em, chemical pakhat ` Dopamine` tih a awm a, chu chuan kan thluak che vel a thunun thei a ni. Parkinson natnaah chuan thluaka `Dopamine` level a tlahniam a. Chuvangin, he damdawi hian thluaka `Dopamine` awm zat a tipung a, taksaa natna lanchhuahna (symptoms) te, taksa khauh leh khur te a ti tlem bawk.

Doctor-te chuan a chang chuan natna dang atan he damdawi hi an pe thei bawk. Hemi chungchanga zawhna i neih chuan doctor emaw pharmacist emaw zawt la. He damdawi brand hming pakhat chu `Duopa` tih a ni.

He damdawi hi ka ei hmain doctor hnenah eng nge ka hrilh ang?

He enkawlna hi i tan hmain i care team te hnenah thil engemaw tak i hrilh hmasak phawt a pawimawh hle . A hnuaia condition te hi i neih chuan i hrilh ngei tur a ni:

• Zunthlum natna
• Zu ruih hmang i nih chuan
• Glaucoma natna a awm
• Lung natna
• Thisen sang a sang
• Tun hmain heartbeat mumal lo i neih tawh chuan
• Kal natna
• Liver natna
• Thisen sang hniam
• Lung emaw thawkna lam natna (e.g. asthma) .
• Mood emaw nungchang emaw a inthlak danglam thin
• Narcolepsy natna a ni
• Mut theih lohna (sleep apnea) a awm
• Pum emaw, intestine emaw lama harsatna nei
• Mahni intihhlum tumna emaw, ruahmanna emaw, intihhlum tumna emaw; nangmah emaw, chhungte emaw pawhin chutianga i tih tawh chuan
• Levodopa, carbidopa, damdawi dang, ei tur, dye emaw preservatives emaw avanga thil danglam emaw allergy emaw i neih tawh chuan
• Naupai emaw, nau pai tum emaw i nih chuan
• Nu hnute petu i nih chuan

Chungte chu Doctorin a hriat chian hunah chuan a remchan dan angin a enkawl thei ang che.

He damdawi hi engtin nge ka hman ang?

Hei hi damdawi bik deuh a nih avangin hriatthiam a pawimawh hle.

I damdawi dose tur chu i healthcare team ten an buatsaih ang a, `pump` te tak teah an dah ang. He `cassette` hi pump nena hman dan tur i entir hmasa ang. `Instructions for Use` tih pawh ngun takin i chhiar tur a ni. I healthcare team chauhvin i damdawi ei tur chu an thlak danglam ang a, an awm hunah chauh an thlak ang. He damdawi hi ei khap suh la, doctor thurawn tel lo chuan a dose pawh thlak suh.

He damdawi hi room temperature-a hman tur a ni. Damdawi cassette chu i hman hma minute 20 chhungin refrigerator atangin la chhuak la, box atangin la chhuak rawh. Room temperature a thlen hnuah hmang la, chuti lo chuan damdawi dose dik tak i hmu lo mai thei.

He damdawi hi darkar 16 chhung i taksaah pek chhunzawm zel a ni ang. Hei hi pump te tak te hmanga tih a ni a, chu chu CADD-Legacy 1400 ang chi hi a ni a, he pump hian damdawi chu cassette atang hian i PEG-J tube (i pum kaltlangin i intestine te tak te chhunga dah tur tube bik) ah a rawn thawn ang. Cassette tin hi vawi khat chauh hman theih a ni. Cassette hawn tawh chu hmang nawn leh tawh suh. Tin, cassette hi darkar 16 aia rei hman a tha lo bawk.

Darkar 16 chhung damdawi ei zawh hnuah PEG-J tube atang hian pump chu la chhuak rawh. Tichuan, i PEG-J tube chu room temperature tui nena khat syringe hmangin silfai ang che. He nitin infusion hnu hian zan tin ei thin carbidopa-levodopa tablets i ei thin ang khan i ei tur a ni. Eng thil vang pawha he infusion hi i ei theih loh chuan carbidopa-levodopa tablet pangngai thenkhat chu i kutah dah la.

He damdawi hi naupang tê tête pêk a ni lo.

Pawimawh: He damdawi hi i tan chauh a ni. Midangte hnenah share suh.

Damdawi i ei tam lutuk chuan engtin nge i tih ang?

Damdawi i ei tam lutuk nia i hriat chuan poison control center emaw emergency room emaw call nghal rawh.

Damdawi dose khat ka ei loh chuan engtin nge ni ang?

Eng emaw chhan vanga darkar 16 chhunga darkar 2 aia tam i infusion tihtawp a nih chuan i healthcare team call la, i carbidopa-levodopa tablets te chu infusion a tan leh hma loh chuan a tih angin ei rawh. Darkar 2 aia rei lo infusion tihtawp a nih chuan tablet hi i ei a ngai lo a, mahse i healthcare team chuan infusion hi extra dose ei turin an hrilh thei che a ni.

Infusion i hmuh theih loh chuan immediate-release carbidopa-levodopa tablet thenkhat chu i kutah dah fo ang che.

Eng damdawi dang nge he damdawi nen hian inzawm thei?

Damdawi thenkhat chu Carbidopa nen an inzawm thei a; Levodopa a ni. Chumi awmzia chu buaina hi lakkhawm a nih chuan a lo awm thei tihna a ni. Chuvangin, i damdawi ei zawng zawng, vitamin, herbal remedies, leh supplement te pawh i doctor hnenah hrilh vek a pawimawh hle.

He damdawi hi a hnuaia damdawi te nen hian ei loh tur a ni:

• `MAOI` chi ruihhlo (e.g. `Marplan`, `Nardil`, `Parnate`) te hi a ni.
• `Reserpine` tih a ni
• `Tetrabenazine` tih a ni

Heng damdawi te hian an inzawm thei bawk:

• Zu
• `Droperidol` tih a ni
• `Entacapone` tih a ni
• Iron supplement emaw multivitamin emaw iron awmna
• `Isoniazid (INH)` tih a ni
• `Linezolid` tih a ni
• Depression, lungkhamna emaw, rilru lam harsatna emaw damdawi
• Thisen sang tan damdawi
• Mut theihna damdawi
• `Metoclopramide hmanga siam a ni`
• `Papaverine` tih a ni
• `Procarbazine` tih a ni
• `Tedizolid` tih a ni
• `Rasagiline` tih a ni
• `Selegiline` tih a ni
• `Tolcapone` tih a ni

He list hi a kim lo mai thei a, chuvangin zu i in emaw, zu i in emaw, ruihhlo i hman emaw chuan i doctor hnenah hrilh rawh.

He damdawi hman huna fimkhur tur thilte

He damdawi i ei lai hian i medical team te chuan i hriselna an enfiah fo ang. I appointment te chu zawm ngei ngei tur a ni. I natna lan chhuah dan a ṭhat loh emaw, a zual deuh ang tih emaw a nih chuan doctor hnenah hrilh rawh. Doctor thurawn lo chuan damdawi ei kha bansan suh. Chutianga tih chuan chhanna nasa tak a thlen thei a ni.

PEG-J tube enkawl dan tur

I medical team chuan i PEG-J tube site enkawl dan tur an hrilh ang che. Infection chhinchhiahna awm leh awm loh site hi en fo ang che. PEG-J tube dah dan hian pum emaw, intestinal emaw harsatna a thlen thei a ni. I pum na, ni engemaw zat chhung chaw ei kham, luak chhuak, luak chhuak, khawsik emaw, bawlhhlawh dum i neih chuan i medical team hnenah hrilh nghal rawh.

PEG-J tube chu a kinked, tangled emaw stuck a nih chuan Parkinson symptoms a na zual thei a, motor fluctuation a lo let leh thei bawk. Hetiang a nih chuan doctor nen inbia ang che.

Ei leh in

Protein tamna ei hian he damdawi hnathawh dan a nghawng thei a ni. I ei leh in i thlak danglam a nih chuan i doctor nen inbia ang che.

Mutthilh leh luak chhuak

Mutthilh emaw, luak 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. Tho leh thut thuai lutuk suh, a bik takin kum upa lam i nih chuan. Hei hian 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 vat

He damdawi hi i ei hian engmah hriattirna awm 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. I mut hmain mut i nei lo mai thei. Hetiang hi i chungah a lo thleng a nih chuan i doctor hnenah hrilh nghal rawh.

Thil tih duhna (impulsive behavior) a ni

Mi thenkhat chuan he damdawi hi an ei lai hian mipat hmeichhiatna hman duhna emaw, duhna nasa tak dang emaw, khelh emaw, ei leh in nasa lutuk emaw an neih thu an sawi. Heng zinga pakhat tal i tawn chuan doctor hnenah a rang thei ang bera hrilh rawh.

Rilru hriselna

Damlo leh an chhungte chu lungngaihna thar emaw, zual zual emaw leh mahni intihhlum tumna nei turin an fimkhur tur a ni. Lungngaihna i neih emaw, mahni intihhlum duhna i neih emaw chuan i healthcare team chu ko nghal rawh.

‘Wearing off’ leh ‘On-Off’ tih te a awm bawk

I dose leh tur i ei hun a thlen hmain damdawi chu a chhe tawh tih i hre mai thei (‘wearing off’ effect). Tin, a chang chuan damdawi hian minute engemaw zat atanga darkar tlemte chhung hna a thawk tawh lo thei a, chutah chuan rang takin hna a thawk leh thei bawk (‘on-off’ effect). Heng symptoms te hi i neih chuan doctor hnenah hrilh rawh. I dose chu tihdanglam a ngai mai thei.

Zunthlum vei tan chuan

Zunthlum i vei chuan i zun a sugar i test hian false-positive result i hmu thei a ni. Hemi chungchang hi i doctor nen sawiho rawh.

Zun emaw, thawmhnaw emaw rawng inthlak danglam

He damdawi hian i zun emaw, i thawmhnaw emaw a ti dum emaw, a sen emaw a siam thei. Hei hi ngaihtuahawm a ni lo. Mahse, thawmhnaw a ti bawlhhlawh thei.

Vitamin B6 a ni

He damdawi hian vitamin B6 level a tihniam thei a ni. Chuvangin he damdawi hi i ei lai hian vitamin B6 i ei 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 eng side effect nge a neih theih?

Damdawi zawng zawng ang bawkin he damdawi hian side effect a nei thei a ni. Ṭhenkhat chu an serious a, ṭhenkhat chu chutiang chuan an serious lo.

Damdawi lam pan vat ngai side effects:

• Allergic reaction - vun rawng, vun hring, hives, hmai, hmui, lei emaw kawr emaw a hring
• Bowel blockage - pum na lutuk, bawlhhlawh paih emaw boruak pass theih loh, ei duh loh, luak chhuak
• Nitin hnathawh laiin mutthilh
• Heart rhythm inthlak danglam - 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, lungngaihna
• Hmai, hmui emaw, taksa chunglam emaw, thunun loha chetna thar emaw, na tak emaw
• Ke ruh natna, tingling emaw, rilru hahna emaw
• Site infection - tube dahna hmunah a sen, a hring, a lum, emaw a na emaw a awm
• Pum thisen chhuak - thisen chhuak emaw tarry black stools, coffee grounds ang maia brown material luak chhuak
• Mit na tak tak emaw, mit a danglam emaw (e.g., mit a fiah lo, light chhehvel ring hmuh, mit hmuh loh) .
• Thil danglam tak, khelh, ei tam lutuk, mipat hmeichhiatna lama inhmang, a nih loh leh thil lei ang chi thil tih duhna danglam tak i nei a ni.

Side effects, a tlangpuiin doctor thurawn mamawh lo (mahse a awm reng emaw, a buaithlak emaw chuan doctor hnenah hriattir tur a ni):

• Dark red emaw black emaw a rawng a inthlak a, chu chu hmui, thawmhnaw, emaw zun emaw a ni
• Luak chhuak thei
• Mutthilh theih lohna
• Lu na (Hei hi tawng dang atanga lo chhuak niin a lang a, Sinhala tawng dik tak chu: Lu natna ) .
• Luhai

He list hi a kim lo mai thei. I doctor nen inbia la, a side effects chungchangah medical advice dil rawh.

He damdawi hi engtin nge ka dahkhawm ang?

• Naupangte hmuh theih lohna hmunah dah tur a ni.
• Cassette hawn loh chu refrigerator-ah 2 atanga 8 degree Celsius (36 to 46 degree Fahrenheit) ah dah la. Freeze suh. Cassette chu eng laka venhim la, hman hma loh chuan carton chhungah dah rawh. Expiry date hmain hmang thin ang che. Damdawi expire tawh chu paih vek rawh.
• Box chu darkar 16 chhung refrigerator atanga i lakchhuah hnuah emaw, i hawn hnuah emaw, hman laiin emaw, damdawi a la awm pawhin paih chhuak rawh. Expiry date hmain hmang thin ang che.

Hriat tur chu:He thuziak hi a tawi zawng chauh a ni. Thu hriat zawng zawng a keng tel lo mai thei. He damdawi chungchanga zawhna i neih chuan i doctor, pharmacist, emaw healthcare provider dang emaw nen inbia ang che.

Take-Home Thuchah a ni

Okay, chuvangin kan sawi tawh pawimawh ber berte kha han sawi nawn leh ila:

• Hemi hi ``Carbidopa; Levodopa Suspension'' hi damdawi bik a ni a, Parkinson’s natna lan chhuah dan control nan a pui a ni.
• Hei hi `pump` leh `PEG-J tube` hmangin taksaah pek a ni.
• Damdawi dang i neih leh damdawi dang i ei zawng zawng chu i doctor hnenah i hrilh ngei ang.
• Damdawi hman dan tur leh PEG-J tube enkawl dan tur i doctor thupek dik tak zawm rawh.
• Mut theih lohna, mut chhuah nghal mai, rilru put hmang inthlak danglam, leh thil tihsual (impulsive behavior) te hi fimkhur rawh. Thil danglam tak i hriat chuan , i doctor hnenah hrilh nghal rawh.
• Damdawi ei kha bansan nghal suh.
• Side effect a awm chuan, a bik takin a nasat chuan doctor lam pan nghal rawh.

Parkinson natna vei nun chu harsa tak ni thei mah se, enkawlna dik leh damdawi lam thurawn nen chuan i natna lan chhuah dante chu i thunun thei a, nun tha zawk i hmang thei bawk. Zawhna, hlauhthawnna, leh ngaihtuahna i neih apiang chu i doctor nen zalen takin sawipui rawh. Chutiang chuan i mamawh ṭanpuina chu i hmu thei ang.

` Carbidopa, Levodopa, Parkinson natna, Dopamine, PEG-J tube, Damdawi side effects, Parkinson enkawlna