Munthu amene ali ndi matenda a Parkinson nthawi zina amakhala ndi nthawi 'yopuma' pomwe thupi mwadzidzidzi limakhala lopanda moyo, miyendo imataya mphamvu, ndipo silingathe kuyenda bwino. Panthawi imeneyi, amamva kuti alibe chochita ndipo sangathe kuchita ngakhale ntchito za tsiku ndi tsiku. Chifukwa chake, lero tikulankhula za mankhwala apadera omwe amathandiza kulamulira mwachangu nthawi 'yopuma' mwadzidzidzi.
Kodi mankhwala awa otchedwa Apomorphine ndi chiyani?
Mwachidule, Apomorphine ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda a Parkinson omwe amatuluka mwadzidzidzi, omwe ndi mayendedwe ovuta komanso odzidzimutsa. Amabwera ngati filimu yopyapyala yomwe imasungunuka pansi pa lilime. KYNMOBI ndi dzina lodziwika bwino la mankhwala awa.
Tangoganizirani, ubongo wathu uli ndi mankhwala apadera otchedwa dopamine. Izi ndi zomwe zimatithandiza kulamulira mayendedwe a thupi lathu ndi kugwirizana kwa thupi lathu. Mlingo wa dopamine iyi mu ubongo wa munthu amene ali ndi matenda a Parkinson umachepa. Apomorphine imawonjezera kuchuluka kwa dopamine mu ubongo, kuchepetsa mwachangu zizindikiro monga kuuma, kunjenjemera, ndi kuyenda pang'onopang'ono.
Zinthu zoti muuze dokotala wanu musanagwiritse ntchito mankhwalawa
Ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu asanakupatseni mankhwala awa. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwauza dokotala wanu za vutoli.
| Onani ngati muli ndi mikhalidwe iyi |
|---|
| Ngati mwadzidzidzi mwagona pamene mukuchita ntchito za tsiku ndi tsiku (monga kulankhula, kudya) |
| Ngati mukuvutika kulamulira minofu yanu |
| Ngati muli ndi matenda a mtima, kusakhazikika kwa kayendedwe ka mtima, kapena kusintha kwa kayendedwe ka mtima |
| Ngati muli ndi kuthamanga kwa magazi kotsika |
| Ngati muli ndi matenda a impso kapena chiwindi |
| Ngati muli ndi mavuto opuma monga matenda a m'mapapo kapena mphumu |
| Ngati mwakumanapo ndi sitiroko |
| Ngati muli ndi matenda amisala |
| Ngati muli ndi vuto la kupuma movutikira |
| Ngati mumamwa mowa nthawi zonse |
| Ngati muli ndi vuto la apomorphine, sulfite, kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
| Ngati muli ndi pakati kapena mukuyembekezera kutenga pakati |
| Ngati ndinu mayi woyamwitsa |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Izi n'zosavuta kugwiritsa ntchito, koma muyenera kutsatira malangizo molondola.
1. Gwiritsani ntchito mankhwalawa pokhapokha ngati vuto la 'Osagwira' layamba .
2. Manja anu ayenera kukhala ouma kwathunthu musanagwiritse ntchito mankhwala.
3. Thyolani thumba la zojambulazo lotsekedwa lomwe lili ndi mankhwalawo ndikuchotsa mosamala filimu yosungunuka.
4. Ikani filimuyo pansi pa lilime lanu .
5. Lolani kuti lisungunuke lokha. Musalidule, kuliphwanya, kapena kulitafuna.
6. Musagwiritse ntchito mankhwala ochulukirapo kuposa momwe dokotala wanenera.
Chofunika kwambiri, musasiye kumwa mankhwalawa pokhapokha ngati dokotala wanu wakuuzani. Kusiya mwadzidzidzi kungapangitse kuti vuto lanu likhale loipa kwambiri komanso kungayambitse zotsatirapo zoyipa.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso ?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, funsani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi ena.
Nanga bwanji ngati ndaphonya mlingo?
Iyi si mankhwala omwe amafunika kumwedwa kangapo patsiku. Amangogwiritsidwa ntchito ngati muli ndi nthawi yopuma. Choncho lingaliro loti muphonye mlingo silikugwira ntchito pano. Komabe, ngati simukupeza mpumulo ku zizindikiro zanu mutagwiritsa ntchito filimu imodzi nthawi yopuma, musagwiritse ntchito filimu ina nthawi imeneyo. Lankhulani ndi dokotala wanu za izi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Apomorphine ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Musamwe Apomorphine ndi mankhwala awa. | |
|---|---|
| Mankhwala ena a nseru/kusanza (monga dolasetron, granisetron, ondansetron, palonosetron) | |
| Cisapride, Dronedarone, Pimozide, Thioridazine | |
| Samalani kwambiri ngati mukumwa Apomorphine pamodzi ndi mankhwala awa. | |
| Mowa | |
| Mankhwala oletsa nkhawa kapena kugona | |
| Mankhwala a kuthamanga kwa magazi, matenda a mtima, ndi matenda a mtima | |
| Mankhwala oletsa ululu oledzeretsa | |
| Nitroglycerin | |
| Haloperidol, Metoclopramide, Phenothiazines (monga chlorpromazine, prochlorperazine) | |
| Mankhwala ena omwe amakhudza kayendedwe ka mtima (amatalikitsa nthawi ya QT) |
Mndandanda uwu sunathe, choncho onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mukumwa.
Zinthu zofunika kukumbukira mukamagwiritsa ntchito mankhwalawa
- Kugona ndi chizungulire: Mungamve ngati mukugona kapena mukuzungulire. Choncho , musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musadzuke pamalo omwe mumakhala kapena kukhala pansi mwadzidzidzi, makamaka ngati ndinu okalamba.
- Kugona tulo mwadzidzidzi: Anthu ena angagone mwadzidzidzi popanda chenjezo akumwa mankhwalawa. Izi zitha kuchitika akuyendetsa galimoto, akulankhula, kapena akudya. Ngati izi zitakuchitikirani, uzani dokotala nthawi yomweyo.
- Zilakolako zosalamulirika: Anthu ena anena kuti ali ndi chilakolako champhamvu chochita zinthu monga kutchova juga, kuchita zachiwerewere, kudya kwambiri, kapena kugula zinthu akamamwa mankhwala awa. Ngati mukumana ndi vuto lililonse lachilendoli, uzani dokotala wanu nthawi yomweyo.
- Kusanza ndi kusanza: Mankhwalawa angayambitse nseru ndi kusanza kwambiri. Dokotala wanu angapereke mankhwala ena kuti apewe izi. Komabe, si mankhwala onse ochizira nseru omwe angagwiritsidwe ntchito pamodzi ndi mankhwalawa. Choncho funsani dokotala wanu kuti ndi mankhwala ati oyenera kwa inu.
- Kugwiritsa Ntchito Nitroglycerin: Ngati mukumwa Nitroglycerin, kuthamanga kwa magazi kungachepe mwadzidzidzi mukamwa Apomorphine. Chifukwa chake, ngati mukumwa piritsi la Nitroglycerin losagwiritsidwa ntchito ndi anthu ambiri, ndikofunikira kwambiri kugona pansi musanayambe kumwa komanso mutamwa. Izi zingathandize kupewa chizungulire ndi kugwa.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
| Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo |
|---|
| Matenda a ziwengo - kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi |
| Kupweteka pachifuwa (Angina) - kupweteka, kupanikizika, kapena kukanika pachifuwa, pakhosi, msana, kapena m'manja |
| Kusokonezeka, kuona zinthu m'maganizo |
| Kugona mwadzidzidzi pamene akuchita ntchito za tsiku ndi tsiku |
| Kusintha kwa kayimbidwe ka mtima - kugunda kwa mtima mofulumira kapena kosakhazikika, chizungulire, kukomoka, kupweteka pachifuwa, kuvutika kupuma |
| Kuchepa kwa magazi m'thupi - kutopa kosazolowereka, kufooka, chizungulire, mutu, kupuma movutikira, mkodzo wakuda, khungu kapena maso kukhala achikasu |
| Kuthamanga kwa magazi kotsika - chizungulire, kukomoka, kusawona bwino |
| Kusuntha kwatsopano kapena kowonjezereka kosalamulirika kwa nkhope, pakamwa, kapena thupi lapamwamba |
| Zilonda pakamwa kapena pakhosi, kufiira, kutupa, ndi ululu |
| Kutupa kwa akakolo, manja, kapena mapazi |
| Kupezeka kwa zilakolako zosalamulirika zomwe zatchulidwa pamwambapa (monga kutchova juga, kudya mopitirira muyeso) |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa |
| Kusintha kwa kukoma mkamwa |
| Kugona tulo |
| Mutu |
| Kusanza |
| Mphuno yotuluka madzi kapena mphuno yodzaza |
Kodi mumasunga ndi kutaya bwanji mankhwalawo?
- Sungani pamalo omwe ana ndi ziweto sangafikire .
- Sungani pamalo otentha bwino (pakati pa madigiri 20-25 Celsius).
- Sungani mu paketi yotsekedwa mpaka mutakonzeka kugwiritsa ntchito.
- Funsani dokotala wanu za njira yotetezeka yochotsera mankhwala omwe atha ntchito kapena omwe sakufunikanso.
Uthenga Wopita Nawo Kunyumba
- Filimu ya Apomorphine sublingual ndi mankhwala omwe amaperekedwa pazochitika zadzidzidzi za matenda a Parkinson, osati mankhwala a tsiku ndi tsiku.
- Sungani manja anu owuma mukamagwiritsa ntchito izi, ziyikeni pansi pa lilime lanu ndipo zisungunuke. Musazitafuna kapena kuziphwanya.
- Mankhwalawa angakupangitseni kumva tulo, choncho samalani kwambiri mukamachita ntchito zomwe zimafuna kusamala kwambiri, makamaka mukayendetsa galimoto.
- Ngati mukumva chilakolako chosalamulirika kapena zotsatirapo zina zoopsa, uzani dokotala wanu nthawi yomweyo.
- Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala ena onse omwe mukumwa.
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