Parkinson natna damdawi hi i zir dawn teh ang? (Carbidopa; Levodopa) tih a ni.

I chhungkuaa mi tu emaw, i nu emaw, i pa emaw, i pi emaw, i pi emaw pawhin Parkinson natna an vei em? Khuh, rilru hahna, leh kea kal zawi te ang chi symptom an neih hi a pawi hle a ni lawm ni? Chuvangin, vawiin hian Carbidopa leh Levodopa chungchang kan sawi dawn tih kan ngaihtuah a, chungte chu damdawi pawimawh tak tak an ni a, heng symptoms te hi control thei leh nun ti awlsam deuh thei an ni.

He damdawi hian engtin nge hna a thawh?

A awlsam zawngin kan thluak ah hian chemical messenger bik, dopamine tih chu a awm a. He dopamine hi kan taksa chetna inrem leh thunun nan a pawimawh hle. Parkinson natna vei chunga thil thleng chu thluaka he dopamine siamtu cell te hi a chhe zauh zauh thin. Tichuan dopamine level a tlahniam a, kan sawi tak symptoms, khur leh stiffness ang chi te chu a lo lang ta a ni.

Chuvangin, he carbidopa hi; levodopa, thluaka dopamine level tihsan lehna hmanga hnathawk thei damdawi a ni. Hei hian natna hi a tidam kim thei lo nain, a natna lan chhuah dan chu nasa takin a thunun thei a, damlo chu nitin hna awlsam zawka thawk turin a pui thei a ni.

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

He damdawi hi i pek hmain i doctor-in i hriselna chanchin kimchang a hriat hmasak phawt a pawimawh hle. A hnuaia condition tarlan te hi hrilh ngei ang che.

He damdawi hi engtin nge ka hman ang?

He damdawi hi tui glass khat nen ei tur a ni . Dose dik tak, a hun dik takah, doctor-in a tih angin ei a pawimawh hle. Damdawi hi tipung emaw tihhniam emaw suh la , i duh angin titawp nghal suh. Chutianga tih chuan chhân lêtna nasa tak a thlen thei a ni. Damdawi i ei tawh loh chuan zawi zawiin ti rawh, i doctor thupek angin.

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

Damdawi i ei tam lutuk nia i hriat chuan Emergency Department (ETU) hnai ber pan nghal rawh. A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la.

He damdawi nena inzawm thei thil dang

Damdawi dang, vitamin, herbal remedies, leh zu i in te hian he damdawi hi a inzawm thei a ni. Chuvangin i ei zawng zawng chu i doctor hnenah hrilh la.

He damdawi hi ei lo la:

• MAOIs, rilru lam natna enkawlna atana hman thin damdawi chi khat (e.g. Marplan, Nardil, Parnate) .
• Reserpine a ni
• Tetrabenazine hmanga siam a ni

Heng thilte hmang hian i chhang let thei bawk:

• Zu
• Iron supplement emaw vitamin emaw ei tur a ni
• Antibiotics te chu Linezolid, Isoniazid (INH), Procarbazine, Tedizolid te an ni
• Depression, lungkhamna emaw, rilru lam natna dang emaw damdawi
• Thisen sang tan damdawi
• Mut theihna damdawi
• Metoclopramide, Droperidol, Papaverine te a awm bawk
• Rasagiline, Selegiline, Entacapone, Tolcapone (heng damdawi dang pawh Parkinson natna atana hman thin a ni) .

Damdawi ei huna fimkhur tur thil

Damdawi nghawng chu a bo dawn em ni? (Wearing-off effect) a ni.

A châng chuan, a dawt leh tur a nih angin, damdawi nghawng chu a chhe thei a, a lan chhuah dân pawh a lo lang leh thei bawk. Tin, a chang chuan damdawi hian minute khat emaw darkar khat emaw chhung hna a thawk tawh lo a, a thawk tan leh thei bawk. Hei hi ‘on-off effect’ an ti a. Hetiang thil hi i chungah a lo thleng a nih chuan zak suh la, i doctor hnenah hrilh rawh. He natna hi a enkawl theih nan i damdawi ei tur dose emaw, a hun tur emaw chu a siamrem thei mai thei.

Ei leh in lamah fimkhur rawh.

Protein tamna eitur (e.g. sa, sangha, artui, bawnghnute, nut) hian he damdawi hi a hip luh a ti tlem thei a ni. Chuvangin damdawi ei hun hnaihah protein tamna ei loh tur a ni. Damdawi hi chaw ei hma minute 30 emaw, chaw ei hnu darkar khat hnuah emaw ei a tha ber. I ei leh in chungchang doctor nen inbia a, thurawn lak a tha ber.

Mutthilh, luak chhuak, leh mutthilh thut

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 thut atanga tho thut suh. Zawi zawiin i tho hmain rei vak lo nghak rawh.

Thlemna danglam tak takte lakah fimkhur rawh.

A tlem hle a, mi ṭhenkhat chuan he damdawi hi an ei lai hian khelh duhna danglam tak, mipat hmeichhiatna hman duhna, ei tam lutuk, a nih loh leh a ṭul lo taka sum hman duhna an nei thei a ni. Hei hi damdawi a side effect a ni. Nangmah emaw, i chhungte zinga tu emaw chuan heng inthlak danglamna te hi i hriat chuan i doctor hnenah i hrilh nghal tur a ni.

Point dang pawh

• I zun emaw, i thawmhnaw emaw chu a dum (black emaw red emaw) a lo ni thei . Hei hi thil pangngai a ni a, ngaihtuahawm tur a awm lo. Mahse, i thawmhnaw a ti bawlhhlawh thei.
• Zunthlum i neih chuan he damdawi hian zun thlum test a nghawng thei (thisen test a nghawng lo).
• He damdawi hian vitamin B6 tlakchhamna a thlen thei a ni. Chuvangin, i doctor nen vitamin B6 tamna ei tur (kale, spinach, potato ang chi) ei chungchang sawipui rawh.

Damdawi hmansualna (side effects) te