Kodi wina m'banja mwanu, mwina amayi anu, abambo anu, kapena wokondedwa wanu, akudwala matenda a Parkinson? Ndiye mwina mukudziwa kuti nthawi zina thupi lawo limauma mwadzidzidzi, amayamba kugwedezeka, ndipo sangathe kuchita chilichonse. Zili ngati galimoto yomwe imayima mwadzidzidzi. Lero tikulankhula za jakisoni wapadera womwe umagwiritsidwa ntchito kupereka mpumulo mwachangu ku zomwe zimatchedwa "nthawi yopuma." Umenewo ndi jakisoni wa Apomorphine.
Kodi Apomorphine ndi chiyani?
Mwachidule, Apomorphine ndi mankhwala omwe amagwiritsidwa ntchito pochiza zizindikiro za matenda a Parkinson. Amagwira ntchito mofanana ndi mankhwala otchedwa dopamine muubongo mwathu. Kodi mukudziwa kuti matenda a Parkinson amayamba chifukwa cha kutayika kwa maselo muubongo mwathu omwe amapanga mankhwala otchedwa dopamine? Dopamine iyi imathandiza kulamulira mayendedwe a thupi lathu ndi kugwirizana kwa thupi lathu.
Choncho, pamene dopamine ilibe yokwanira, zizindikiro monga kuuma ndi kunjenjemera zimawonekera. Jakisoni wa apomorphine umagwira ntchito ngati dopamine, kudzaza kwakanthawi kusowa kwake, ndikuthandiza kubwezeretsa mayendedwe a thupi. Izi nthawi zambiri zimapezeka pamsika pansi pa dzina lakuti Apokyn .
Tangoganizirani kuti matenda a Parkinson asiya thupi lanu litagwira ntchito, ngati chitseko chotsekedwa chopanda kiyi. Jakisoni wa apomorphine uli ngati kiyi yapadera yomwe imatsegula chitsekocho. Imabwezeretsa thupi lanu mwachangu kukhala labwinobwino. Koma ingagwiritsidwenso ntchito pazinthu zina, kotero ngati muli ndi mafunso, funsani dokotala wanu.
Zinthu zoti muuze dokotala wanu musanagwiritse ntchito mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yanu yonse ya thanzi lanu. Izi zili choncho chifukwa matenda ena amafunika chisamaliro chapadera mukamagwiritsa ntchito mankhwalawa. Onetsetsani kuti mwauza dokotala wanu za chilichonse mwa izi:
- Ngati muli ndi mphumu.
- Ngati muli ndi chizolowezi chogona pafupipafupi masana kapena kugona mwadzidzidzi.
- Ngati mumakonda kumwa mowa pafupipafupi.
- Ngati munadwalapo sitiroko kale.
- Ngati muli ndi matenda a mtima .
- Ngati nthawi zonse mumakumana ndi mavuto .
- Ngati pali kugunda kwa mtima kosakhazikika kapena kusintha kwa kayimbidwe kake.
- Ngati muli ndi matenda a impso kapena chiwindi .
- Ngati muli ndi kuthamanga kwa magazi kotsika .
- Ngati muli ndi mavuto amisala (monga kuvutika maganizo).
- Ngati munakhalapo ndi vuto la apomorphine, sulfites, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati ndinu mayi amene akuyamwitsa mwana .
Kupereka chidziwitsochi molondola kwa dokotala wanu ndikofunikira kwambiri pa chitetezo chanu.
Kodi katemerayu angagwiritsidwe ntchito bwanji moyenera?
Iyi ndi jakisoni wopangidwa pansi pa khungu. Mukayamba kumwa mankhwalawa, dokotala wanu kapena namwino adzakupatsani malangizo atsatanetsatane a momwe mungakonzekere jakisoniyo komanso momwe mungadzibayire nokha. Ndikofunikira kwambiri kutsatira malangizo awa molondola.
- Gwiritsani ntchito monga momwe dokotala wanu wanenera: Musagwiritse ntchito mopitirira muyeso kapena pafupipafupi zomwe mwapatsidwa.
- Musasiye kumwa mankhwalawa mwadzidzidzi: Musasiye kumwa mankhwalawa pokhapokha ngati dokotala wanu wakuuzani. Kusiya mwadzidzidzi kungayambitse zotsatirapo zoyipa kwambiri ndikupangitsa kuti vuto lanu likhale loipa kwambiri.
- Tayani singano ndi ma syringe mosamala: Musataye singano ndi ma syringe ogwiritsidwa ntchito kale m'zinyalala. Ayenera kuyikidwa mu chidebe chapadera chopangira zinthu zowongoka chomwe chilipo. Ngati mulibe, mutha kufunsa dokotala wanu.
- Werengani kabuku ka malangizo: Werengani kabuku ka malangizo komwe kamabwera ndi mankhwala awa mosamala. Ngati muli ndi mafunso, funsani dokotala wanu.
Nanga bwanji ngati nditamwa mopitirira muyeso?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku Dipatimenti Yoona Zadzidzidzi ya Chipatala chapafupi (ETU) kapena imbani National Poisons Information Centre ku Chipatala cha Dziko Lonse cha Colombo .
Mankhwalawa aperekedwa kwa inu nokha. Choncho, musawagawire ndi wina aliyense.
Ndi mankhwala ena ati omwe sayenera kugwiritsidwa ntchito ndi mankhwalawa?
Mankhwala ena amatha kuyanjana ndi apomorphine ndikuyambitsa mavuto akulu. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera.
| Gulu la mankhwala | Kufotokozera ndi zitsanzo |
|---|---|
| Mankhwala omwe sayenera kumwedwa | |
| Mankhwala ena ochizira nseru/kusanza | Mwachitsanzo: dolasetron, granisetron, ondansetron, palonosetron |
| Mankhwala ena | Dronedarone, Ketoconazole, Levoketoconazole, Pimozide, Thioridazine |
| Zinthu zoti mugwiritse ntchito mosamala/kuyanjana komwe kungatheke | |
| Mowa | Zotsatirapo zake zimakhudzidwa kwambiri ndi kuwonjezeka kwa matendawa. |
| Mankhwala oletsa nkhawa kapena kugona | Mwachitsanzo: Benzodiazepines monga alprazolam, diazepam, lorazepam |
| Mankhwala ena ochepetsa kuthamanga kwa magazi | Onetsetsani kuti mwafunsa dokotala wanu za izi. |
| Nitroglycerin | Kuthamanga kwa magazi kumatha kutsika kwambiri (izi zafotokozedwa pansipa). |
| Mankhwala ena | Haloperidol, Metoclopramide, Opioids, mankhwala ena omwe amakhudza kayendedwe ka mtima, Phenothiazines. |
Mndandanda uwu sunathe, choncho ndi bwino kuuza dokotala wanu zonse zomwe mumamwa.
Zinthu zofunika kukumbukira mukamamwa katemera uyu
Pali zinthu zingapo zomwe muyenera kuganizira zokhudza chitetezo chanu mukamagwiritsa ntchito mankhwalawa.
Pitani kwa dokotala nthawi zambiri.
Pitani kwa dokotala nthawi zonse kuti muwone ngati matenda anu akukulirakulira kapena akukulirakulira. Ngati zizindikiro zanu sizikukulirakulira kapena zikukulirakulira, uzani dokotala wanu .
Kusanza ndi kusanza
Mankhwalawa angayambitse nseru ndi kusanza, nthawi zina amatha kukhala oopsa kwambiri. Dokotala wanu adzakupatsani mankhwala ena a izi. Musamwe mankhwala aliwonse a nseru nokha. Izi zili choncho chifukwa mankhwala ena a nseru amatha kuyanjana ndi apomorphine.
Kugona ndi kuyendetsa galimoto
Mankhwalawa angakhudze nthawi yanu yogwirira ntchito limodzi ndi nthawi yochitira zinthu. Choncho, mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani , pewani kuchita zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina. Komanso, imirirani pang'onopang'ono mukayimirira mwadzidzidzi, kapena mukadzuka kuchokera pamalo okhala. Kupanda kutero, mungamve chizungulire komanso mutu wopepuka. Chiwopsezochi chimakhala chachikulu kwambiri ngati mumwa mowa.
Chofunika kwambiri! Mukamamwa mankhwalawa, anthu ena amatha kugona mwadzidzidzi popanda chenjezo . Izi zitha kuchitika mukuyendetsa galimoto, mukulankhula, kapena mukudya. Ngati izi zitakuchitikirani, uzani dokotala wanu nthawi yomweyo.
Kuyankha ndi nitroglycerin
Ngati mukumwa nitroglycerin ya matenda a mtima, muyenera kusamala kwambiri. Kumwa ndi mankhwalawa kungayambitse kutsika kwa kuthamanga kwa magazi. Izi zingayambitse chizungulire, kukomoka, komanso kugwa.
Chifukwa chake, ngati mukufuna kutenga nitroglycerin, funsani dokotala.
1. Choyamba, gonani pansi.
2. Kenako ikani piritsi pansi pa lilime lanu.
3. Khalani pansi kwa mphindi zosachepera 45.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, apomorphine ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, zina zimakhala zofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda oopsa kwambiri (matenda a ziwengo kapena angioedema) | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, maso, milomo, lilime, manja kapena mapazi, kuvutika kumeza kapena kupuma. |
| Kupweteka pachifuwa (Angina) | Kumva kupweteka, kupsinjika, kapena kupanikizika pachifuwa, pakhosi, kumbuyo, kapena m'manja. |
| Kugona mwadzidzidzi | Kugona popanda chenjezo pamene ukugwira ntchito masana. |
| Kuona zinthu molakwika | Kuona kapena kumva zinthu zomwe palibe. |
| Zizindikiro za matenda a mtima | Kupweteka pachifuwa, paphewa, pa mkono kapena pa nsagwada, nseru, kupuma movutikira, thukuta lozizira, chizungulire. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima mofulumira kapena kosasinthasintha, chizungulire, kukomoka, kupweteka pachifuwa. |
| Kuchepa kwa magazi m'thupi | Kutopa kosazolowereka, chizungulire, mutu, kupuma movutikira, mkodzo wakuda, khungu kapena maso kukhala achikasu. |
| Machitidwe osazolowereka | Chilakolako chosalamulirika chofuna kutchova juga, kudya mopitirira muyeso, kuchita zachiwerewere, kapena kuwononga ndalama mosafunikira. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Chizungulire, kugona | Izi zitha kuchitika kawirikawiri. |
| Kusanza, kusanza | Ndikofala kwambiri kumayambiriro kwa mankhwala. |
| Mphuno yotuluka madzi kapena mphuno yotsekeka | Zingamveke ngati zizindikiro za chimfine. |
| Kutupa kwa akakolo, manja, kapena mapazi | Zingakhale chifukwa cha kusunga madzi m'thupi. |
Ngati mukukumana ndi zotsatirapo zina zomwe sizinalembedwe pamndandandawu, chonde dziwitsani dokotala wanu.
Kodi mumasunga ndi kutaya bwanji mankhwala?
- Sungani pamalo omwe ana ndi ziweto sangafikire.
- Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius).
- Musagwiritse ntchito mankhwala omwe atha ntchito.
- Mukataya mankhwala osagwiritsidwa ntchito kapena omwe atha ntchito, funsani dokotala wanu za njira yotetezeka.
Uthenga Wopita Nawo Kunyumba
- Jakisoni wa apomorphine ndi mankhwala omwe amapereka mpumulo mwachangu ku kuuma kwadzidzidzi ndi kunjenjemera ("kupuma pang'ono") kwa matenda a Parkinson.
- Nthawi zonse uzani dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda ena aliwonse omwe muli nawo.
- Pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Kumbukirani kuti mungamve tulo mwadzidzidzi.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto aakulu monga kupweteka pachifuwa, ziwengo zoopsa, kapena kusintha kwa kugunda kwa mtima.
- Nthawi zonse tayani singano ndi ma syringe omwe agwiritsidwa ntchito mosamala mu "chidebe chapadera cha sharps".
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