Parkinson natna nena nun hi a châng chuan a harsa thei tih kan hria. I natna lan chhuah dan tur enkawl nan damdawi chi hrang hrang i ei tawh mai thei. Chuvangin, vawiin hian Parkinson natna enkawlna atana hman tur damdawi, i tan thil thar ni thei tur chungchang kan sawi dawn a ni. Istradefylline tih a ni.
A awlsam zawngin Istradefylline chu eng nge ni?
Istradefylline hi Parkinson natna enkawlna atana hman thin damdawi a ni. Mahse, a tlangpuiin first-line treatment a ni lo. Parkinson damdawi standard, Levodopa leh Carbidopa (Levodopa/Carbidopa) te "add-on therapy" atan hman a ni fo.
Entirnan, i damdawi ber hian i symptoms a control tawk lo nia i hriat chuan, "off" period i nei tam zawk tihna a nih chuan, i doctor chuan i symptoms control tha zawk turin he damdawi hi a pe thei che a ni. He damdawi hi brand name Nourianz hmanga lei theih a ni tlangpui.
He damdawi hi i ei tan hmaa i doctor hnena i hrilh tur thilte
I doctor-in i hriselna dinhmun a kimchang taka a hriat a pawimawh hle. Chumi hnuah chauh chuan enkawlna tha ber leh him ber a pe thei ang che. Chuvangin Istradefylline i tan hmain heng thilte hi i doctor hnenah hriattir theihnghilh suh.
- Meizial zu mi i nih chuan: Meizial zuk hian he damdawi hnathawh dan hi a nghawng thei a, chuvangin i doctor hnenah a chungchang hi hrilh ngei ang che.
- Liver natna i neih chuan: I liver function a chhiat chuan i damdawi hman dan tur chu tihdanglam a ngai mai thei.
- Rilru lama harsatna i neih tawh emaw, i neih mek emaw a nih chuan: Tun hmaa rilru lam harsatna i neih tawh zawng zawng chu i doctor hnenah hrilh a pawimawh.
- Allergy i neih chuan: He damdawi chauh ni lovin, damdawi dang, ei tur emaw, dye dang emaw allergy i neih apiang min hrilh teh.
- Naupai emaw, nau pai tum emaw, nau hnute pek i nih chuan: Heng hun chhung hian he damdawi hi hman a tha lo. Chuvangin he thu hi i doctor nen inbia ngei ang che.
Engtin nge damdawi hi ka hman dik ang?
He tablet hi tui glass khat nen ei la. Chaw ei rual emaw ei loh pawhin i ei thei bawk. Amaherawhchu, pum na i neih chuan chaw ei ruala ei a tha zawk. A pawimawh ber chu a dose dik tak, a hun takah, i doctor-in a tih angin ei tur a ni. A pek zat aia tam ei loh tur a ni a, ei tam zawk tur a ni.
Pawimawh tak: Doctor thurawn tel lo chuan he damdawi hi ei nghal mai ngai suh. Chutianga tih chuan side effect na tak a thlen thei a ni. I chawlhsan chuan tih theih dan a awm a, i doctor chuan a hrilhfiah ang che.
Damdawi i ei tam lutuk chuan engtin nge i tih ang? (Overdose) a ni.
He damdawi hi a dose pek aia tam i ei nia rinhlelhna i neih chuan Colombo National Hospital-a National Poisons Information Center-ah phone nghal rawh. Chutiang a nih loh chuan damdawi in hnai ber Emergency Department (ETU) -ah tlai lovin kal mai tur a ni.
Dose pakhat ka miss a nih chuan engtin nge ni ang? (Dose hloh tawh) .
Dose i ei theihnghilh 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. Dose theihnghilh tawh chu siam that nan double dose ei ngai suh.
He damdawi nena inzawm thei thil dang
Damdawi dang, thinghnah leh supplement i ei lai thenkhat chu Istradefylline nen hian a inzawm thei a ni. Chuvangin, i doctor hnenah i damdawi ei zawng zawng list pe la, vitamin leh herbal remedies te pawh a tel . A hnuaia tarlan te hi damdawi hman tlanglawn tak tak, harsatna thlen thei te an ni.
| Ruihhlo class emaw hming emaw | Entirna leh sawifiahna |
|---|---|
| Antibiotics thenkhat | Ex: Clarithromycin hman a ni |
| Cholesterol tihhniamna damdawi thenkhat | Ex: Atorvastatin, Lovastatin, Simvastatin te a awm bawk |
| Fungal infection damdawi | Entirnan: Ketoconazole, Itraconazole, Posaconazole te hman a ni |
| Epilepsy ( seizures ) damdawi thenkhat . | Ex: Carbamazepine, Phenobarbital, Phenytoin te hi a tha hle |
| Damdawi dang | Herbal damdawi Digoxin, Rifampin, leh St. John’s wort te hi a ni. |
Damdawi ei laia fimkhur bik tur thil
Thil danglam bik duhnate chu hre reng ang che
Hei hi a pawimawh hle. Mi thenkhat chuan he damdawi hi an ei hian duhna danglam leh thunun theih loh an nei thei a ni. Entir nan:
- Games of chance khelh duhna nasa tak a nei.
- Tul lova sum hman.
- Mipat hmeichhiatna lama duhna pung dan pangngai lo.
- Thunun loh taka ei tam lutuk.
Hei hi i sualna leh i chak lohna a ni lo. Hei hi damdawi in a nghawng avanga side effect a awm thei a ni. Nangmah emaw, i chhungte emaw hian hetiang ang inthlak danglamna hi i hriat chuan zak leh hlau suh, mahse i doctor hnenah hrilh nghal rawh.
Meizial zu leh naupai
Meizial zu mi i nih chuan he damdawi hman tangkai dan hi a tlahniam thei a ni. Tin, meizuk bânsan i ngaihtuah a nih chuan damdawi hman zat thlak a ngai mai thei a, chuvangin i doctor hnenah hrilh bawk ang che.
He damdawi ei lai hian naupai loh tur. Naute tan harsatna lian tham a thlen theihna a awm. Naupai i tum emaw, naupai i rinhlelh emaw chuan i doctor nen inbia nghal rawh.
Eng side effect nge hmuh theih?
Damdawi dang ang bawkin Istradefylline hian side effect a nei thei a ni. Ṭhenkhat chu a serious thei a, a then chu common tak a ni thei bawk.
| Side effect hrang hrangte thliar hranna | |
|---|---|
| Side effects te chu doctor hnenah hriattir nghal tur a ni | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring. |
| Rilru lam inthlak danglamna | Lungngaihna, rilru buai, thil awm lo hmuh emaw hriat emaw (hallucinations). |
| Hrehawmna nasa tak (Urges) . | Gambling thar emaw, pung emaw, sum hman, mipat hmeichhiatna lama duhna, etc. |
| Thunun theih loh chetna (Dyskinesia) . | Kut, ke, hmai, hmui, kawr emaw, taksa chunglam emaw thunun theih loha tihngheh emaw, zai emaw. |
| A tlangpuiin a na lo (mahse a awm reng chuan doctor hnenah hrilh rawh) . | |
| Ek khal | Toilet kal harsat. |
| Luak chhuak thei | Luak chhuak . |
| Luhai | Luak chhuak ang maia hriatna. |
| Mu thei lo | Zana mut harsa. |
He list hi side effect awm thei zawng zawng a ni lo. Symptom danglam tak tak i neih chuan i doctor nen sawiho rawh.
Take-Home Thuchah a ni
- Istradefylline hi damdawi lian ber ber Levodopa/Carbidopa bakah hian Parkinson natna lanchhuahna control nan pek thin a ni.
- He damdawi hi i ei tan hmain i doctor hnenah i damdawi lam dinhmun zawng zawng (a bik takin thin natna, rilru lam harsatna) leh i zuk lehzual loh te hrilh hmasa phawt ang che.
- Doctor thurawn tel lova damdawi ei kha chawlhsan nghal mai loh tur.
- Damdawi i ei lai hian thil danglam tak, chakna nasa tak, khelh emaw, sum hman tam lutuk emaw i neih chuan, zak suh la, i doctor hnenah hriattir nghal rawh, hei hi damdawi avanga side effect a nih theih avangin.
- I damdawi ei zawng zawng (Sinhala damdawi te pawh tel) i doctor hnenah hriattir zel ang che.
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